Text

Twentieth Yr Physical Surveillance of Palisades Nuclear Plant.
	ML18058A539
Person / Time
Site:	Palisades
Issue date:	06/16/1992
From:	HOUGH R D; PRECISION SURVEILLANCE CORP. (FORMERLY INRYCO, INC.)
To:	;
Shared Package
ML18058A536	List: ML18058A535; ML18058A539;
References
	NUDOCS 9206250123
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I I I I I I *I ' .. Rev. 6 8 6 6 6 6 6 6. 6 6 ENGINEERING FILE NUMBER: 368 PSC Precision Surveillance.

... Corporation

' .. TWENTIETH YEAR PHYSICAL SURVEILLANCE OF THE Main PALISADES NUCLEAR PLANT Title Sub-Title BY Prepared by: Paul c. Smith *-Reviewed by: Tom Dobrowski Approved by: Ronald D . Hough, p. E. ENGINEERING DEPARTMENT ABSTRACT This report presents the findings of the Twentieth Year Physical Surveillance of the Palisades Nuclear Plant. Based on the results of this Surveillance, the conclusion i s reached that the post-tensioning system has experienced no.abnormal degradation.

REVISION CONTROL LOG Revision By IA pp roved Pages Affected Date By J Vol. I : i -vi , 1-31, Al -A277, Bl -83, Cl -Cl4. RJ'll-Vol. II: Dl -D7, El -Ell, Fl -F298, Gl -Gl6. --. ---.. . ---... -cc* * .. 'Form 754.326*10 March 1983 -* *-*-*. -. *--.. --.- --*_:*.:-*

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-* .. ... I I I I I I I I I I I I I I I _1 '< 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING

SUMMARY

The purpose of this report is to present the results of the 20th year in-service inspection of the Palisades Unit 1 Containment Building post tensioning system. The results of this investigation* are discussed in detail in the body of this report and are summarized as follows: 1. The sheathing filler (grease) samples were tested by Consumers Power and had acceptable levels of water soluble ions, (Chlorides, Nitrates, and Sulphides) and water content except for 02-23, (shop end). Corrosion levels and wire tests on this tendon were all found to be acceptable.

2. 3. 4. 5. 6. . . Two surveillance tendons, V-20 and V-72 were found to have observable quantities of water and one tendon, 02-23 significant quantities of water during removal of the grease can, around the tendon anchorage or during detensioning.

No other tendons were found to contain any water. No anchorage component cracks were found and acceptable corrosion levels were.found to all ends. Cracks surrounding the bearing plates were within allowable tolerance of <O. 010" The hydraulic jacks used for liftoffs, detensioning and retensioning tendons as well as the ram used for testing of wire samples were found to be in a properly calibrated status throughout the surveillance. All tendon liftoffs were found to be acceptable. All wire samples tested were found to be acceptable in diameter, ultimate strength, corrosion level, and elongation. i I I . I I I I I I I I I I I I I .. I* 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING

SUMMARY

(CONTINUED)

7. 8. 9. Those tendons that were. detensioned for wire removal were retensioned and their elongations and liftoffs were found to be acceptable.

All tendons were resealed* and regreased to an acceptable level. Grease leak repairs conducted on several tendons were inspected, resealed and regreased to an acceptable level. Based upon an evaluation of the In-Service Inspection results of the Twentieth Year Physical Surveillance contained herein, the conclusion is reached that the Palisades Unit 1 Containment Building has experienced no abnormal degradation of the post tensioning system. ii ;.,-. *--.. *--. ** ---:* -_;_---. -------..

-:._ *-----'\

I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE OF CONTENTS I VOLUME 1 I I I I I I I I I I I .. I.

SUMMARY

********************************************

TABLE OF CONTENTS ..*.**.*.*..*.**.******.****..***** LIST OF. TABLES ...*....*............**.*..*.*....... i-ii iii-iv v SECTION 1 INTRODUCTION ...**.*..*..**....*..*...*****.*..***** vi SECTION I. II. III. IV. v. VI. VII. VIII. SECTION 2 3 SURVEILLANCE PROCEDURES

- .**************

SHEATHING FILLER ......**.. *... ... *. ........ . ANCHORAGE COMPONENTS

- * *** ********..*******.**

HYDRAULIC JACK CALIBRATIONS

- - - - ..**.*.*

TENDON LIFTOFFS AND DETENSIONING

- - - - .***.*

WIRE INSPECTION AND TESTING *****************.* TENDON RETENSIONING AND RESEALING ..****.**.*** COMPARISON WITH ORIGINAL INSTALLATION DATA **** 1 2 5-6 17 19 22 24 29 CONCLUSION .*.*.***...**......***..*..***

***** o * * * * *
31 SECTION 4 -APPENDIX A DATA SHEETS ****************************************

SQ 6.0 GREASE CAN REMOVAL **.******.*********** Al-A59 SQ 6.1 INSPECT FOR WATER ********************** A60-A119 SQ 8. 0 ANCHORAGE INSPECTION.

* * * * * * * * * * * * * * * *
A12 O-A148 SQ 8. 3 CONCRETE INSPECTION..
* * * * * * * * * * * * * * * *
A149-Al 76 SQ 9. 0 TENDON LIFTOFFS ************************

A177-A200 SQ 10.2 & 10.3 WIRE TESTING ******************* A201-A212 SQ 11. O TENDON RETENSION.

* * * * * * * * * * * * * * * * * * *
A213-A217 SQ 12 .1 GREASE LOSS VS REPLACEMENT............

A218-A277 SECTION 5 -APPENDIX B LABORATORY ANALYSIS OF SHEATHING FILLER............ Bl-BJ SECTION 6 -APPENDIX C HYDRAULIC JACK CALIBRATIONS........................ Cl-C14 iii . -_*--.--,-**.--- I I I I I I I I I I .I I I I VOLUME. 2 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE OF CONTENTS SECTION 7 -APPENDIX D SITE CORRESPONDENCE ..*..***..****..** , * . . . * . . * . * * . * . Dl-D7 SECTION 8 -APPENDIX E NONCONFORMANCE REPORTS. . . . . . . . . . . . . . . . . . . .

. . . . .
. . El-Ell SECTION 9 -APPENDIX F SURVEILLANCE PROCEDURES (UNCONTROLLED COPY) ........ Fl-F298 SECTION 10 -APPENDIX G CALIBRATION OF GAUGES..............................

Gl-Gl6 iv ------.. -----. ----.--' ... . .. .-_., -** -:.: -_-::..-. ___ *-** :_ =-o ** : .-_. *.--7 -. . . --*. ---.:. -- I I I I I I I I I I I I I I I -*I . " .. 1**' .. ---..... 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING LIST OF TABLES I. LABORATORY ANALYSIS OF SHEATHING FILLER .......**.** II.

SUMMARY

OF DATA SHEETS SQ 6.0 C!AN ...*.*..*...*.********.*..

..***** III.

SUMMARY

OF DATA SHEETS SQ 6.1 F'():El

IV.

SUMMARY

OF DATA SHEETS SQ 8.0 ANCHORAGE INSPECTION .*.**.*******..*****.**.*.***** V.

SUMMARY

OF DATA SHEETS SQ 8.0 C::()UN'I'

o VI.

SUMMARY

OF DATA SHEETS SQ 8.3 3-4 7-9 10-12 13 14-15 CONCRETE INSPECTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 VII. HYDRAULIC JACK CALIBRATIONS......................... 18 VIII.

SUMMARY

OF DATA SHEETS SQ 9.0 TENDON LIFTOFFS ..*.***.***...****...******* 0 *** D *** 20-21 IX.

SUMMARY

OF DATA SHEETS SQ 10.2 & SQ 10.3 WIRE CORROSION AND TESTING *******************.***** 23 X.

SUMMARY

OF DATA SHEETS SQ 11.0 TENDON RETENSIONING ..*.***********..*********.**... 25 XI.

SUMMARY

OF DATA SHEETS SQ 12.1 . GREASE LOSS VS. GREASE .**********..**** 26-28 XII. COMPARISON OF ORIGINAL LOCK-OFF FORCES TO SURVEILLANCE LIFTOFFS **.*...*.***....**...****.* 30 v ------* ---.,--. ---* - I I I I I I I I I I I I I I I-20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING INTRODUCTION This report details the twentieth year tendon surveillance for the Palisades Unit 1 Containment Building post tensioning system. The Containment Building surveillance program is a systematic means of assessing the quality and structural performance of the post tensioning system. The twentieth year tendon surveillance is the sixth in a series. The tendon surveillance program consists of a periodic inspection of the physical condition of a randomly selected group of surveillance tendons. This program provides confidence in . the condition and functional capability of the system, and an opportunity for timely corrective measures if adverse conditions are detected. Physical tendon surveillance consists of sheathing filler inspection, anchorage inspection, tendon liftoff, inspection and tensile testing of removed tendon wire samples (for detensioned tendons) and tendon retensioning with the tendons being resealed after completion of all inspections. The twentieth year tendon surveillance began in February 1992 and was completed in March 1992. The surveillance was conducted in accordance with Consumers Power Technical specification No.4.5.4. and PSC's surveillance procedures. A copy of these procedures are included in Appendix F of this report. A group of four dome, four vertical and six horizontal tendons were selected for inspection in compliance with the NRC Regulatory Guide 1. 3 5 Rev. 3, (Ref. 2) with one of each selected for detensioning. All surveillance tendons were selected by Consumers Power. vi .. .. I I I I I I I I I I I .*1 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING I. SURVEILLANCE PROCEDURES Volume 2, Section 9, Appendix F contains the detailed procedures for conducting the tendon surveillance. Basically, the surveillance consists of the following steps: 1. Visual and laboratory examination of sheathing filler samples from each of the surveillance tendons_, (conducted by the Utility) . 2. Inspection of the anchor assembly of each of the surveillance tendons for deleterious conditions such as corrosion, cracks, missing and broken wires or off size buttonheads, and inspection of concrete surrounding the bearing plates. 3. Measurement of the liftoff force *for each of the surveillance tendons. 4. Removal of one wire from surveillance tendons which had to be detensioned for examination and testing. 5. Retensioning of the detensioned tendons and measuring the corresponding tendon elongation.

6. Visual inspection for corrosion, pitting, or any significant physical change of wires removed from tendons. 7. Testing of wires removed from tendons for yield strength, ultimate strength, and percent elongation at failure. 8. Replacement of lost sheathing filler into the tendon duct and grease can. 9. Evaluation of test and inspection results to assess the general condition of the post tensioning system. 1 .. ": _:_-* ----

"""' . -- I I I I I I I I I I I I II. 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING SHEATHING FILLER A sample of sheathing filler (grease) was removed from each end of the surveillance tendons. Chemical tests were performed on each sample by Consumers Power,the results from the testing laboratory are presented in Appendix B and are summarized in Table I. , The maximum acceptance limits are 10 percent by weight for water content and 10 parts per million for water-soluble chlorides, nitrates and sulphides. All samples met the acceptance criteria as stated above, except samples 349-l(D2-23 shop), and 349-S(V-20 shop) which exhibited water content outside the accepted limits. These tendon samples were re-evaluated and V-20 shop end was found to be acceptable. Palisades Deviation Report number D-PAL-92-117 was written to evaluate the water, content. Tendon D2-23 was detensioned, a wire removed and retensioned. All corrosion levels to both wire and anchorhead components were acceptable as were the wire tests. The grease sample obtained from the field end was acceptable for all tests. It is recommended that tendon 02-23 shop end grease be re-inspected during the next surveillance to moniter any change in corrosion level or further deterioration of the grease .. Also included was the report of the neutralization number of each grease sample. The neutralization test is generally performed by grease manufacturers on new batches of the product. It is a method of determining the overbase additives in the grease. Degradation of the sheathing filler will yield a change in the acidity of the filler material as well as an increase in ion content. The required neutralization number is >Omg KOH/g and has been achieved by all samples in this test. Grease leaks observed at 30 anchor locations beyond the selected surveillance tendons were repaired and the results summarized in Table XIA. . -. -*.---=* 2 ' . _,.. ' --* -----.. ;_._ .. c ...

. !
I , ' '; :. I *J-i1* '*: : :!* -------------* 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE I :CHEMICAL TEST RESULTS OF TENDON SHEATHING FILLER (CONTINUED) 1 .. ** ., 1. , , I ! " '!* '* ..u . I' . ' . " *:.:': < * ,. i SAMPLE NUMBER ,. 444-1 444-2 444-3 .444_4 444-5 444-6 444-7 444-8 444-9 :, r .;444-10 444-11 444-12 444-13 I 444-14 444-15 444-16 END UNIT CODE NUMBER NUMBER SHOP 1 52 AE SHOP 1 V-72 FIELD 1 52 AE SHOP 1 V-218 SHOP 1 29 AE SHOP 1 01-42 FIELD 1 29 AE FIELD 1 V-218 SHOP 1 48 AE FIELD 1 46 BO FIELD 1 02-19 FIELD 1 70 OF SHOP 1 46 BO FIELD 1 01-42 SHOP 1 03-52 FIELD 1 48 AE COLLECTED NEUTRALI-CHLORIDES WATER NITRATES SULFIDE ZATION (mg/LI CONTENT (mg/L) (mg/LI (mg KOH/g) (Dry%) 03/11/92 52.4 0.06 0.1 <0.1 <0.100 03/09/92 35.1 0.11 1.8 <0.1 <0.100 03/05/92 42.9 0.11 0.1 <0.1 <0.100 03/16/92 1.8 0.22 3.3 <0.1 <0.100 j 03/12/92 53.5 0.22 0.2 <0.1 <0.100 03/16/92 0.8 0.22 <0.1 <0.1 <0.100 03/12/92 65.0 0.11 0.4 <0.1 <0.100 03/17/92 0.7 0.17 1.0 <0.1 <0.100 03/11/92 65.1 0.17 0.2 <0.1 <0.100 03/04/92 29.4 0.17 <0.1 <0.1 <0.100 03/03/92 0.3 0.17 <0.1 <0.1 <0.100 03/03/92 0.8 0.22 0.3 <0.1 <0.100 03/04/92 41.4 0.11 0.1 <0.1 <0.100 03/05/92 0.4 0.17 <0.1 <0.1 <0.100 03/16/92 0.2 0.17 <0.1 <0.1 <0.100 03/04/92 64.1 0.17 0.3 <0.1 <0.100 -

* ;

11 ----------.*--*-----*-------1' . I ,. ,* I:' I ' 20TH YEAR PHYSICAL SURVEILLANCE OF THE *. , * . , . . PALISADES UNIT 1 CONTAINMENT BUILDING . I . . . TABLE I :CHEMICAL TEST RESULTS OF TENDON SHEAHTING FILLER SAMPLE '! NUMBER ' . 349-1 . 349-2 .i ... 349-3 349-4 349-5 : " " I ' ' ' ! 349-6 " 349-7 ' 349-8 ' '349-9 i.:

' :; ;i .' 349-11 I, ;:349-12 *: ; I '), 349-1 ' ' ' 349-2 1

I' I;*, ;( . :! > *, '.:. : .. i t .. *'1 *, END UNIT CODE COLLECTED NEUTRALI-; NUMBER NUMBER ZATION (mg KOH/g) SHOP 1 D2-23 02/27/92 1.6 *SHOP 1 V-128 02/21 /92 38.8 FIELD 1 77 BF 02/24/92 0.4 SHOP 1 70 DF 02/24/92 1.4 SHOP 1 V-20 02/21 /92 0.4 SHOP 1 D2-19 02/26/92 0.7 FIELD 1 D2-23 02/27/92 0.0 FIELD 1 V-128 02/28/92 55.4 FIELD 1 V-72 02/28/92 0.1 FIELD 1 V-20 02/28/92 0.1 SHOP 1 77 BF 02/25/92 -0.4 FIELD 1 D3-52 02/26/92 -0.1 RERUN -LIQUID PHASE MIXED WITH GREASE PRIOR TO ANALYSIS RERUN -LIQUID PHASE MIXED WITH GREASE PRIOR TO ANALYSIS ,( .* CHLORIDES. (mg/L) 0.22 0.22 0.40 0.22 0.22 0.22 *0.22 0.22 0.64 0.40 0.22 0.22 WATER CONTENT (Dry %1 15.5 0.5 0.1 0.3 10.2 1.8 <0.1 0.1 0.3 0.2 0.2 0.1 14.9 8.5 NITRATES SULFIDE (mg/L) (mg/L) <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101 <0.1 <0.101' <0.1 <0.101 <0.1 <0.101 " -

I I ** I III. I I I I I

I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING ANCHORAGE COMPONENTS In the following discussion, all procedures referred to are included in Volume 2, Section 9 Appendix F while all data are included in Appendix A. Inspection of the anchorage components began with the removal of the grease can (PSC Procedure SQ 6.0). All anchorage components were found to be fully coated with grease with the percentage of coating recorded on Data Sheet SQ 6.0 and the results tabulated in Table II. Full coverage was also noted on all grease leak repair tendons, results tabulated in Table IIA. During removal of the grease can and physical inspections of the anchorage assemblies the tendons were inspected for water, (PSC Procedure SQ 6.1). Water was detected at the shop end of D2-23, V-20 and V-72 tendons. Tendon V-20 had drops of water detected while tendon V-72 had water in a quantity of less than one ounce . Tendon D2-23 had approx. four ounces of water in the grease can, four ounces while loosening the can, and a further two ounces was collected during detensioning.

In no other case was water detected during removal of a grease can or inside it. Table III. is a summary of the inspection for water results recorded on Data Sheet SQ 6 .1. Table IIIA is a summary of. the inspection for water results to the grease leak repair tendons, no water was detected in the course of these repairs.

The anchorage components (anchorhead, bushing, shims, buttonheads and bearing plate) were inspected for corrosion level and cracks as per PSC Procedure SQ 8.0. The results were recorded on Data Sheet SQ 8.0 and summarized in Table IV. Corrosion of anchorages was found to be of either level 1 -"no visible corrosion", or level 2 -"visible oxidation; no pitting", to all tendons. No cracks were found on any anchorage components.

5 --*.-. :_;'*. ------- I I I I I I I I I I I I I I III. (CONTINUED) 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING The buttonheads were inspected for their physical condition and a count was made of protruding and missing buttonheads as per PSC Procedure SQ 8 . O

The results of these inspections are also recorded on Data Sheet SQ 8.0, and summarized in Table v. Tendons Dl-42(field end), V-20(field end), and H52AE(field end) all had a missing buttonhead not previously reported.

NC/CA No.417-001 was raised to address this and upon investigation it was found that the missing wires were probably a result of an original installation deficiency. The remaining effective wires were considered sufficient to maintain the desired prestressing force and were accepted "as-is". Tendon Dl-42(shop end) was found to have a protruding wire and NC/CA No. 417-003 was raised to address this* occurrence. Investigation revealed that this was probably -the result of an original installation deficiency and was accepted "as-is". The concrete was inspected for cracks as per PSC Procedure SQ 8.3 with the results being recorded on Data Sheet 8.3 and summarized in Table VI. No cracks that had a maximum width in excess of 0.010 11 were found. Bearing plate ID's were either illegible or not found on several tendon ends. _*., ..

6 I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE II:

SUMMARY

OF DATA SHEETS SQ 6.0 GREASE CAN REMOVAL TENDON END GREASE COATING (%) GREASE BUTTON ANCHOR SHIMS CAN HEAD HEAD D1-42 SHOP 100 100 100 100 FIELD 100 100 100 100 D2-19 SHOP 100 100 100 100 FIELD 100 100 100 100 D2-23 SHOP 100 100 100 100 FIELD 100 100 100. 100 D3-52 SHOP 100 100 100 100 FIELD 100 100 100 100 V-20 SHOP 100 100 100 100 FIELD 100 100 100 100 V-72 SHOP 100 100 100 100. FIELD 100 100 100 100 V-128 SHOP 100 100 100 100 FIELD 100 100 100 100 V-218 SHOP 100 100 100 100 FIELD 100 100 100 100 H29AE SHOP 100 100 100 100 FIELD 100 100 100 100 H48AE SHOP 100 100 100 100 FIELD 100 100 100 100 H52AE SHOP 100 100 100 100 FIELD 100 100 100 100 H46BD SHOP 100 100 100 100 FIELD 100 100 100 100 H70DF SHOP 100 100 100 100 FIELD 100 100 100 100 H77BF SHOP 100 100 100 100 FIELD 100 100 100 100 ----:: --* * ** ... o-* .*. .. 1 . _.,_---.-* -.. ---*: .. -__ ; BEARING PLATE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 I I I I I I I. I I I I I I .I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE llA :

SUMMARY

OF DATA SHEETS SQ 6.0 GREASE CAN REMOVAL TO LEAK REPAIR TENDONS TENDON END GREASE CAN D2-21 SHOP(TOP) 100 V-20 FIELD 100 V-62 FIELD 100 V-66 SHOP(TOPl 100 V-80 SHOP(TOP) 100 V-84 SHOP(TOP) 100 V-88 SHOP(TOP) 100 V-92 SHOP(TOP) 100 V-96 SHOP{TOP) 100 V-98 SHOP(TOP) 100 V-102 SHOP(TOP) 100 V-134 SHOP(TOP) 100 V-136 SHOP(TOP) 100 V-1.38 SHOP(TOP) 100 V-140 SHOP(TOP) 100 V-146 SHOP(TOP) 100 V-148 SHOP(TOP) 100 V-150 SHOP(TOP) 100 V-154 SHOP(TOP) 100 V-160 SHOP(TOP) 100 V-162 SHOP(TOP) 100 GREASE COATING (%) BUTTON ANCHOR -HEADS -HEADS 100 100 100 100 100 100 100 100 100 100 100' 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 8 SHIMS 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 ... --*-.. ------.--* BEARING PLATE 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 -*---*-:._ . - I I I ,, I I I I I I I *1 I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE llA:

SUMMARY

OF DATA SHEETS SQ 6.0 GREASE CAN REMOVAL TO LEAK REPAIR TENDONS (CONTINUED) TENDON END GREASE COATING(%) GREASE BUTTON ANCHOR SHIMS CAN HEAD HEAD V-164 SHOP(TOPl 100 100 100 100 V-166 SHOP(TOPl 100 100 100 100 V-172 SHOP(TOP) 100 100 100 100 V-174 SHOP(TOP) 100 100 100 100 V-176 SHOP(TOP) 100 100 100 100 V-176 FIELD 100 100 100 100 V-178 SHOP(TOP) 100 100 . 100 100 V-182 SHOP(TOP) 100 100 100 100 V-184 SHOP(TOPl 100 100 100 100 V-250 FIELD 100. 100 100 100 9 ,. --* ... -* . . -*--... -.. **.--: ....:-* * .. :------*-.-. ---*--*--.:-".:*-- .. BEARING PLATE I 100 100 100 100 100* 100 100 100 100 100 I I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE Ill:

SUMMARY

OF DATA SHEETS SQ 6.1 INSPECT FOR WATER TENDON END WATER QUANTITY D1-42 SHOP NONE FIELD NONE D2-19 SHOP NONE FIELD NONE D2-23 SHOP 10 oz. FIELD NONE D3-52 SHOP NONE FIELD NONE V-20 SHOP DROPS DETECTED FIELD NONE V-72 SHOP DROPS ( < 1 OZ.) FIELD NONE V-128 SHOP NONE FIELD NONE V-218 SHOP NONE FIELD NONE H29AE SHOP NONE FIELD NONE H48AE SHOP NONE FIELD NONE H52AE SHOP NONE FIELD NONE H46BD SHOP NONE FIELD NONE H70DF SHOP NONE FIELD NONE H77BF SHOP NONE FIELD NONE 10 *-*: *:. -.. :: _..:* .. : .. _._-:_*---*- --.. '. ------* -*** ----------:. .. I I I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE lllA:

SUMMARY

OF DATA SHEETS SQ 6.1 INSPECT FOR WATER TO LEAK REPAIR TENDONS TENDON END WATER QUANTITY -.,,.. -* .. D2-21 V-20 V-62 V-66 V-80 V-84 V-88 ' V-92 V-96 V-98 V-102 V-134 V-136 V-138 V-140 V-146 V-148 V-150 V-154 V-160 -- -... --* .. -*-.'* . -*-. --.; .::** --**' SHOP(TOP) NONE FIELD(BOTTOM) NONE FIELD(BOTTOM) NONE SHOP(TOP) NONE SHOP(TOPl NONE SHOP(TOPl NONE SHOP(TOPl NONE SHOP(TOP) NONE SHOP(TOP) NONE SHOP(TOPl NONE SHOP(TOP) NONE SHOP(TOP) NONE SHOP(TOP) NONE SHOP(TOP) NONE SHOP(TOP) NONE SHOP(TOPl NONE SHOP(TOPl NONE SHOP(TOP) NONE SHOP(TOPl NONE SHOP(TOP) NONE 11 _,,__ .. *.*** .* I I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE lllA:

SUMMARY

OF DATA SHEEETS SQ 6.1 INSPECT FOR WATER TO LEAK REPAIR TENDONS (CONTINUED) TENDON END WATER QUANTITY V-162 SHOP(TOP) NONE. V-164 SHOP(TOP) NONE V-166 SHOP(TOP) NONE V-172 SHOP(TOP) NONE V-174 SHOP(TOP) NONE V-176 SHOP(TOP) NONE V-176 FIELD(BOTTOM) NONE V-178 SHOP(TOPl NONE V-182 SHOP(TOP) NONE V-184 SHOP(TOP) NONE V-250 FIELD(BOTTOMl NONE 12 . .. : -. .. . :.. . _ _._ :**---. --. I I I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE IV:

SUMMARY

OF DATA SHEET SQ 8.0 ANCHORAGE INSPECTION TENDON END BUTTONHEAD CORROSION LEVEL, CRACKS CORROSION CONDITION ANCHOR BUSHING SHIMS HEAD D1-42 SHOP A 1, NONE 1, NONE 2,NONE FIELD A 1, NONE N/A 1, NONE D2-19 SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE D2-23 SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1; NONE N/A 1, NONE D3-52 SHOP A l, NONE 1, NONE 1, NONE FIELD A 2,NONE N/A 1, NONE V-20 SHOP A 1, NONE 1, NONE 2,NONE FIELD A 1, NONE N/A 1, NONE . V-72 SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE V-128 SHOP A 1, NONE 2,NONE 1, NONE FIELD A 1, NONE N/A 2,NONE V-218 SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 2,NONE H29AE SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE H48AE SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE H52AE SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE H46BD SHOP A 1, NONE 2,NONE 1, NONE FIELD A 1, NONE NIA 1, NONE H70DF SHOP A 1, NONE 1, NONE 1, NONE FIELD A 1, NONE N/A 1, NONE H77BF SHOP A 1, NONE 2,NONE 1, NONE FIELD A 1, NONE N/A 1, NONE 13 .* ... ._ ... _; . ..:.-r *-** *-* :--BEARING PLATE 2,NONE 2,NONE 1, NONE 2,NONE 2,NONE 2,NONE 1, NONE 1, NONE 2, NONE 1, NONE 2,NONE 1, NONE 1, NONE 1, NONE 1, NONE 2, NONE 2,NONE 2,NONE 1, NONE 2,NONE 1, NONE 2,NONE 2,NONE 2,NONE 1, NONE 1, NONE 1, NONE 1, NONE ._*,* -I: : i . ]1. ;,'* ,* ,** :**. ::' .. ': ;: : !:* , I :*;,:) I (.1 ** : ! ' 'I ...... *i '* . ;* I ': ' I /.t ;, * . ! *: . -------------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE V:

SUMMARY

OF DATA SHEETS SO 8.0 BUTTONHEAD COUNT TENDON END ORIGINAL PRO TR-BROKEN/ UDING MISSING D1-42 SHOP 0 0 FIELD 0 0 D2*19 SHOP 0 0 FIELD 0 0 D2-23 SHOP 0 0 FIELD 0 0 D3-52 SHOP 0 0 FIELD 0 0 V-20 SHOP 0 0 FIELD 0 0 V-72 SHOP 0 0 FIELD 0 0 V-128 SHOP 0 0 FIELD 0 0 V-218 SHOP 0 0 FIELD 0 0 AS FOUND AS LEFT PRO TR-BROKEN/ PRO TR-BROKEN/. UDING MISSING UDING MISSING 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 *O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 REMOVED TOTAL FOR TESTING 0 1 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 -EFFE-CTIVE WIRES 89 89 90 90 89 89 90 90 89 89 90 90 90 90 89 89 -,* .. '.'; :: ! * I ,.;. ' I '* : . . ' : I\ jl: , *,1.-.. ,<0.010" PLATE ID QUANTITY MAX. LENGTH (IN.) MAX. WIDTH (IN.) D1-42 SHOP BK NONE NIA NIA FIELD BM NONE NIA NIA D2-19 SHOP BN NONE NIA NIA FIELD BM NONE NIA NIA . D2-23 SHOP BL NONE NIA NIA FIELD BM NONE NIA NIA D3-52 SHOP BM NONE NIA NIA FIELD NOT FOUND NONE* NIA NIA V-20 SHOP NOT FOUND NONE NIA NIA FIELD NOT FOUND NONE NIA NIA V-72 SHOP NOT FOUND NONE NIA NIA FIELD NOT FOUND NONE NIA NIA V-128 SHOP BK NONE NIA NIA FIELD NOT FOUND NONE NIA NIA V-218 SHOP BN NONE N/A N/A FIELD NOT FOUND NONE NIA NIA H29AE SHOP AL NONE NIA NIA FIELD NOT FOUND NONE NIA NIA H48AE SHOP AM NONE NIA NIA FIELD AD NONE *NIA NIA H52AE SHOP AV NONE NIA NIA FIELD AZ NONE NIA NIA H46BD SHOP AM NONE NIA NIA FIELD AF NONE NIA NIA H70DF SHOP AM NONE NIA NIA FIELD NOT FOUND NONE NIA NIA H77BF SHOP AM NONE NIA NIA FIELD NOT FOUND NONE NIA NIA 16 ,:. *_; .*.* I .. I I I I I I I I I I I I -1 I IV. 20TH YEAR PHYSICAL SURVEILLANCE TO THE PALISADES UNIT 1 CONTAINMENT BUILDING HYDRAULIC JACK CALIBRATIONS Precision Surveillance Corporation has developed a program for calibrating hydraulic jacks utilizing regression analysis (PSC Procedure QA 12

8. G-W)

This is a process where a straight line is mathematically best fitted to a set of data points (in this case, force versus gauge pressure).
This r'esults in calculating a ram area (slope) and a constant (y-intercept) for each calibration. Complete calibrations of all the hydraulic jacks are contained in Appendix c and are summarized in Table VII. A before and after comparison of the stressing jacks' ram areas revealed that none of these jacks' calibrations varied by more than 1% indicating that they were in a properly calibrated state throughout the surveillance.
Jack. 7702,

used in the testing of wire samples, was also found to be in a properly calibrated status. Note that the force.exerted by a jack can be calculated as follows: Force = Area x Pressure + Constant (K) (IN2) (KSI) (K) 17 .. .. -.. --.
-*----** :--.. -* .*-* ._--*** *--. . .;*:. __
r;' ** ; -----' ' I_ .. ,.. .TABLE VII HYDRAULIC JACK CALIBRATIONS i : ------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING --JACK BEFORE SURVEILLANCE FORCE AFTER SURVEILLANCE .I*' . ' . . . *. ,.: ' ..... *.:. ,_.. ' co' : : I ID DATE AREA CONSTANT '*' (IN21 (KIP) " ' 9178 2/3/92 147.590 -6.457 9179 2/3/92 147.768 -1.844 ' 7702 2/13/92 1.554 +0.069 6002 2/3/92 186.827 -4.276 JACK 6002 NOT USED DURING SURVEILLANCE FORCE (F) = PRESSURE X AREA +I-CONSTANT
VARIANCE=
% DIFF BETWEEN Fi AND Ff Fi DATE AREA CONSTANT (IN2) (KIP) 841256.54 4/17/92 147.505 -5.036 842275.76 4/17 /92 147.214 -4.084 13209.07 3/25/92 1.564 +0.184 1120957.7 ---" -FORCE MAX. VARI Ff PRESS URE * (PSI) % 840773.46 5700 0.06 839115.72 5700 0.38 13294.18 8500 0.64 6000 I I I I I I I I I I I I I v. 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TENDON LIFTOFFS AND DETENSIONING A liftoff is performed on each surveillance tendon to monitor the force exerted by the tendon onto the structure. PSC Procedure SQ 9.0 (Volume 2, Section 9 A Appendix F) details the steps to be taken to perform a liftoff. The results are documented on Data Sheet SQ 9.0 and are summarized in Table VIII. It should be noted that performing a liftoff has only a localized effect on a tendon; therefore, it is acceptable to use the same jacks for both ends of a tendon by executing the liftoff on separate occasions. All tendon liftoffs were found to be acceptable, all were above the predicted limit. Tendons V-72,V-128,H48AE,Dl-42 and D3-52 were found to be above their upper limit +6% and the owner notified. 19 *.* .. : . ----*-**:
-. . . . . . . !* \I; ' ' j ' ' . *! I *, l ***,:': '* ':."*:.' . : ,.*; *I i -------------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE VIII:
SUMMARY
OF DATA SHEETS SO 9.0 TENDON LIFTOFFS TENDON END EFFEC-JACK PRESS. LIFT AVE. MIN. 90% OF TIVE ID OFF LIFT REQUIRED (PF) WIRES OFF FORCE D1-42 SHOP 89 9178 4426 647 653.5 584 551 FIELD 9179 4483 660 D2-19 SHOP 90 9179 4137 609 632 584 551 FIELD 9178 4480 655 D2-23 SHOP 90 9179 4240 625 637 584 551 FIELD 9178 4440 649 D3-52 SHOP 90 9178 4600 672 671 584 551 FIELD 9178 4580 670 V-20 TOP 90 9178 4513 659 659 615 572 V-72 TOP 90 9178 4980 728 728 615 572 V-128 TOP 90 9179 4613 680 680 615 572 V-218 TOP 90 9179 4280 631 631 615 572. 95% OF PREDICTED (PF) FORCE (PF) 581 612 581 612 581 612 581 612 603 635 603 635 603 635 603 635 -ACCEP TABLE YES YES YES YES YES YES YES YES
-: : !; ... 1 '.' ) : I : *' 1' ! ,, ; . N I.* ;. *' ' *,' ' L' ' ,, .. . . . :i , ,\t : I 1 i' 1 i ... \' '* *' . *,: '. ' ---------*----20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE VIII:
SUMMARY
OF DATA SHEETS SO 9.0 TENDON LIFTOFFS : CONTINUED TENDON END EFFEC JACK PRESS. LIFT AVE. MIN. 90% OF -TIVE ID OFF LIFT REQUIRED (PF) WIRES OFF FORCE H29AE SHOP 90 9179 4647 685 624.5 615 572 FIELD 9178 3866 564 H48AE SHOP 90 9179 4703 693 702 615 572 FIELD 9178 4860 711 H52AE SHOP 90 9179 4833 716 668.5 615 572 FIELD 9178 4253 621 H46BD SHOP 90 9179 4433 653 652.5 615 572 FIELD 9178 4460 652 H70DF SHOP 90 9179 4527 671 671.5 615 572 FIELD 9179 4537 672 H77BF SHOP 90 9179 4383 649 640 615 572 FIELD 9178 4320 631 95% OF PREDICTED (PF) FORCE (PF) 603 635 603 635 603 635 603 635 603 635 603 635 -ACCEP TABLE YES YES YES YES YES YES I ,:-20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING I VYI. WIRE INSPECTION AND TESTING I I I I I I I I I I I I One wire was removed from each detensioned tendon, (D2-23,V-218, H29AE) for corrosion investigation and physical testing. PSC Procedure SQ 10.3 (Volume 2, Section 9 Appendix F) outlined the details involving wire inspection with the results recorded on Data Sheets SQ 10. 2 and SQ 10. 3 and summarized in Table IX. The corrosion condition of the wires were all either level A or B (for definition of corrosion conditions, see PSC Procedure SQ 8 .1). All wire diameters were within 0.250 + 0.002 11 and the Ultimate Strength exceeded 240 ksi for all specimens. Elongation at failure was greater than 4% for all wire samples tested. 22 *-1-* .. -___ :.". __ -. --.'-_; -.. :. :*. --*.----**--.. -*--:._*_ .. :-.:.. -* .... . *.*--* -, * .1 I ' ' i ,. I . '.':* ,* ;:_ .. ;::'.:J 1N1. 1*,:* ,*I I ! ,., 1( ... ,. r.**-*.*. :* ! r , '; ;. I,* ! : ** ! . " . ', :* ' : ) ' I ' <' *i ! \ : .. ' 1,1. : : . : ! ------------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE IX:
SUMMARY
OF DATA SHEET SQ 10.2 & SQ 10.3 WIRE CORROSION AND TESTING TENDON CORROSION SAMPLE SAMPLE YIELD LEVEL NO. LOCATIOM DIA, STRENGTH (FT) (IN) (PSI) D2-23 A 1 20 -29 0.251 215,587 A 2 60 -69 0.251 215,587 A 3 110-119 0.251 215,587 V-218 B 1 53 -62 0.251 199,884 B 2 112-121 0.251 201 ;768 B 3 171 -180 0.251 200,512 H29AE A 1 30 -39 0.250 209,702 A 2 70 -79 0.250 212,868 A 3 110-119 0.250 214,134 ULTIMATE ELONG.@ STRENGTH FAILURE (PSI) % 255,788 4.10 257,044 4.70 256,416 4.80 244,481 5.10 246,366 5.00 246,366 5.00 257,820 4.30 261,619 5.60 260,036 4.40 -ACCEPT -ABLE YES YES YES YES YES YES YES YES YES ---------------------------------- I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE TO THE PALISADES UNIT 1 CONTAINMENT BUILDING VII. TENDON RETENSIONING AND RESEALING Those tendons that had previously been detensioned for wire removal, (D2-23, V-218 and H29AE) were subsequently retensioned per PSC Procedure SQ 11. O (Volume 2, Section 9 Appendix F)
The results of the retensioning process were recorded on Data Sheets SQ 11. o (Appendix A ) , and the results are summarized in Table x. *New elongations were compared to elongations at original installation and found to be acceptable (within +/- 5%) , tendon V-218 was found to be -1.3% after investigation and NC/CA No.417-004 was raised 'to cover these findings.
All tendons were locked-off at forces greater than those initially found, and the percentage of variation did not exceed six percent except for tendon H29AE. Due to the .variance in force from shop to field end Consumers Power Representatives instructed the field end to be locked off at the predicted force of 635K +6% -0%. This action was required to prevent the field end being below 95% of predicted if locked of at the as-found. "NC/CA No. 417-002 was raised to cover this unique occurrence. After completion of all inspections, the grease cans were reinstalled with new gaskets and the necessary amount of sheathing filler (grease). In all cases, more grease was added than removed. Results of the grease replacement were documented on Data Sheet SQ 12.1 and are summarized in Table XI. Table XIA documents the results of the grease leak repair tendons which were also reinstated with new gaskets and the necessary amount of sheathing filler (grease). In all cases, more grease was added than removed. <. *** .. -- ...:....-. --*---*--. . . : ..... :__, .. 24 . . ---** .,*-*-------------i: *. :**: .. ' *,;. :. *.: 'I *.j I " .'" ;I:. ' '.l,JJ I " ., *: ., X :
SUMMARY
OF DATA SHEET SO 11.0 ! :. . TENDON RETENSIONING 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING END. ELONGATION @ ELONGATION % ACCEP L/OFF RETENSIONING INSTALATION RETENSIONING I . ' ; , . . : EACH TOTAL EACH ( . ' "j* *P?-23 SHOP 4.00 8.25 3.70 '" FIELD 4.25 4.30 *; .. Ii ' . . v-i1a SHOP 12.375 12.375 11.10 1:: I , ' .; ! ' :H29AE SHOP 4.25 8.55 4.10 ' I FIELD I 4.30 4.30 I; * * *: Refer to report and NC/CA No. 417-004 . <:. *
Refer to report and NCiCA No. 417-002 * *! : i 'I . I .* ,:* .>:* .. ,' . ;: .. *:I ,:,*.1 i :! (" 'f :. :* .-.'. *' " ( I TOTAL 8.00 11.10 8.40 VARI. TABLE BEFORE .RETEN . JACK PRESS -3.1 YES 637 9179 4440 9178 4473 -10.3 YES 631 9179 4426 * -1.70 YES 624.5 9179 4806 9178 4520 % VARI. (b) L/OFF 658 +2.98 654 652 +3.33 708 +9.61 661 .... -ACCEPT ABLE YES YES YES L-* I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE XI:
SUMMARY
OF DATA SHEETS SQ 12.1 GREASE LOSS VS. GREASE REPLACEMENT TENDON GREASE REMOVED GREASE REPLACED SHOP FIELD TOTAL SHOP FIELD END END GAL. END END D1-42 1.75 2.00 3.75 3.25 3.25 02-19 1.25 2.50 3.75 2.25 3.25 02-23 1.25 2.25 3.50 2.25 3.25 03-52 1.75 1.25 3.00 3.25 2.75 V-20 1.00 2.50 3.50 21.75 0.00 V-72 2.00 4.00 6.00 9.25 0.00 V-128 2.50 1.75 4.25 4.75 0.00 V-218 1.50 3.00 4.50 8.50 0.00 H29AE 2.00 2.00 4.00 2.75 2.75 H48AE 1.75 1.00 2.75 3.25 2.25 H52AE 1.50 1.75 3.25 2.25 2.25 H46BO 1.25 1.00 2.25 2.25 3.25 H700F 1.75 1.25 3.00 2.25 2.25 H77BF 1.75 1.00 2.75 2.25 2.25
SEE GREASE LEAK REPORT 26 TOTAL GAL. 6.50 5.50 5.50 6.00 21.75 9.25 4.75 8.50 5.50 5.50 4.50 5.50 4.50 4.50 -.. -:. DIFF. GAL. 2.25 1.75 2.00 3.00 . 18.25

3.25 0.50 4.00 1.50 2.75 1.25 3.25 1.50 1.75 I I I I I I I I I I I I I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE XIA:
SUMMARY
OF DATA SHEETS SQ 12.1 GREASE LOSS VS. GREASE REPLACEMENT TO LEAK REPAIR TENDONS TENDON GREASE REMOVED SHOP FIELD TOTAL END END GAL. D2-21 2.00 0.00 2.00 V-20 3.50 8.00 11.50 V-62 0.00 0.50 0.50 V-66 2.00 0.00 2.00 V-80 0.50 0.00 0.50 V-84 0.25 0.00 0.25 V-88 0.50 0.00 0.50 V-92 0.50 . 0.00 0.50 V-96 0.25 0.00 0.25 V-98 0.25 0.00 0.25 V-102 0.75 0.00 0.75 V-134 0.75 0.00 0.75 V-136 0.75 0.00 0.75 V-138 1.00 0.00 1.00 1.00 0.00 1.00 V-146 1.50 0.00 1.50 V-148 0.75 0.00 0.75 V-150 1.50 0.00 1.50 V-154 0.75 0.00 0.75 V-160 0.75 0.00 0.75. -*--. ---.. -.: **.---GREASE REPLACED DIFF. SHOP FIELD END END 2.75 0.00 22.75 0.00 0.00 0.75 5.25 0.00 . 0.75 0.00 4.00 0.00 0.75 o.oo 3.50 0.00 0.75 0.00 0.50 0.00 0.75 0.00 6.00 0.00 0.75 0.00 1.25 0.00 1.25 0.00 3.50 0.00 4.00 0.00 1.75 0.00 2.50 0.00 3.00 0.00 27 GAL. TOTAL GAL. 2.75 22.75 0.75 5.25 0.75 4.00 0.75 3.50 0.75 0.50 0.75 6.00 0.75 1.25 1.25 3.50 4.00 1.75 2.50 3.00 .... **-. ** .. -* -0.75 11.25 0.25 3.25 0.25 3.75 0.25 3.00 0.25 0.25 0.00 5.25 0.00 0.25 0.25 2.00 3.25 0.25 1.75 2.25 , ___ ---:*--*-** ' I I I I I I I I I *1 I I I I ---------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING TABLE XIA:
SUMMARY
OF DATA SHEETS SQ 12.1 GREASE LOSS VS. GREASE REPLACEMENT TO LEAK REPAIR TENDONS(CONTINUEDl TENDON GREASE REMOVED GREASE REPLACED DIFF. GAL. SHOP FIELD TOTAL SHOP FIELD. TOTAL END END GAL. END END GAL. V-162 1.00 0.00 1.00 1.75 0.00 1.75 0.75 V-164 1.50 0.00 1.50 1.75 0.00 1.75 0.25 V-166 1.00 0.00 1.00 3.50 0.00 3.50 2.50 V-172 1.50 0.00 1.50 5.50 0.00 5.50 4.00 V-174 0.75 0.00 0.75 0.75 o.oo* 0.75 0.00 V-176 0.75 1.00 1.75 2.00 0.00 2.00 0.25 V-178 1.25 0.00 1.25 3.25 0.00 3.25 2.00 V-182 2.25 0.00 2.25 7.25 0.00 7.25 5.00 V-184 1.00. 0.00 1.00 2.00 0.00 2.00 1.00 V-250 0.00 1.50 1.50 7.75 0.00 7.75 6.25 28 . . -* --. -*--****-***----_.*-_. *-*--*. **O *. I IIII. I I I I I I I I I I I**'***--' 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING COMPARISON WITH ORIGINAL INSTALLATION DATA A comparison of the liftoff forces from this surveillance to the original installation lock-off forces is made in an effort to detect any evidence of system degradation. The lock-off forces are compared in order to detect any abnormal force loss which would possibly indicate an underestimation of the creep, shrinkage and/or elastic shortening effects in the Containment Building. In addition, the number of effective wires at installation and at the
time of surveillance are compared to establish if any additional wires have failed since installation.
Any additional broken wires would indicate a need for further investigation, and an excessive amount could possibly indicate deterioration of the wire, poor wire quality, water, or other corrosive problems. Due to the Steam Generator Replacement in 1991 several of the tendons included in this surveillance can not be compared to original installation data but the losses indicated in untouched tendons reveal an average loss of 16. 69 percent. The average losses for each group are 17.3% for vertical tendons, 16.37% for dome tendons, and 16.94% for horizontal tendons. These losses are as expected for a twentieth year surveillance and do not indicate an abnormal degradation. The comparison of effective wires revealed broken wires in tendons V-20,Dl-42 and H52AE. The wires that broke were determined to have done so due to original installation deficiencies. All of these .results are detailed in Table XII. 29 ... __ .. _ _;;;_.*_._. , --*-.::'° r--------------20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING r.,';. ,*; : ( i , . TABLE XII. :COMPARISON OF ORIGINAL LOCKOFF FORCES TO SURVEILLANCE LIFTOFF. !, .. * .. '!' ! . : .* ' **-.. , ::.:1: .:, ., **;,.*:1 ... 1. * '; i. . w 0 *,.' :: : 'l ,' 1 1 \ j J** .. ,,. .TENDON ' :01-42 02-19 D2-23 *'03-52 V-20 , . V-128 V-218 H29AE H48AE H52AE H46BD H70DF H77BF EFFECTIVE WIRES LIFTOFF FORCE K ORIGINAL @20 YEARS ORIGINAL @20 YEARS 90 89 780 653.5 90 90 784 632 90 89 765 637 90 90 773 671 90 89 780 659 90 90 768 728 90 90 770 680 90 90 780 631 90 89 751 624.5 90 ; 90 780 702 90 89 780 668.5 90 90 777 652.5 90 90 788 671.5 90 90 792 640 . . *. * .. TENDONS REPLACED DURING STEAM GENERATOR REPLACEMENT . .. I;.! .', r '*): 1: . :* \ :',, !*.I ,' LOSS PERCENTAGE % 126 16.15 152 19.39 128 1 fi73 102 13.20 121 15.51 40 5.13
90 11.69

149 19.10 126.5 16.84 78 10.00. 111.5 14.29

124.5 .* 16.02 116.5 14.78 152 19.19 -_J I :-I I I I I I I I I I I I I .. I 20TH YEAR PHYSICAL SURVEILLANCE OF THE PALISADES UNIT 1 CONTAINMENT BUILDING CONCLUSION Based upon an evaluation of the In-Service Inspection results of the Twentieth Year Physical Surveillance reported herein, the conclusion is reached that the Palisades Unit 1 Containment Building has experienced no abnormal degradation of the post tensioning system. 31 SHEATHING DOCUMENTATION . : PS:C--PROCE,DTfRE-.
SQ 6. 0 -* **. ' JI /. ... *._ . REMOVAL* .
DATA SHEET 6. 0 I . MAY 20, 1987 Page 1 of 1 Revision 0 & Revision 1, 8-14-87 PROJECT __
SURVEILLANCE NO. lil-YEAR. '\ 2 I . . I NEA1'-A-TENDON NO. __ END/BU_TTRESS °Bf.):'T 11 Q.C. I FILLER DATA Date_ Removal Started 3 ){, 1Z... Signof f (7 .4) Dry Ice Used on Grease Can Dry Ice Used Around Anchorage _JJ_o_ t,g3}11:1.}'1i. I (7.5) Temp. of Concrete 2.'2. F. Thermometer No. SM*b Recalib. Ambient Temp. ':lO F. Thermometer No. fK'f$' Recalib. Datewz--( 8. 7) Amount of Grease Lost Ji/[_ Gal. ( 8. 7 .1) _Amount of . Grease in Can Gal. (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can Protected 1fr I (8.8) GREASE COATING: Grease Can -Complete f Partial __ Uncoated *--"'-°' Buttonheads -Complete Partial __ Uncoated °' Anchorage -Complete 'V . Partial __ Uncoated °' Shims* -Complete Partial __ Uncoated °' Bearing Plate-Complete _-;T_ Partial __ Uncoated °' I 8.9) Unusual Conditions:
ME t.zhLlo<t
_____ -_---------' _""'-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_- I-. * (8.10.1) Grease Color: Hatch Color (8 .10. 2) No Hatch 7 Color PK. SJ?D&.IN Corranent I (9.6) Amount of Grease Gal. -Will this be scrapped? 0 r SQ 7 .0 SAMPLES * (6.1) Grease Samples Taken Z... Quarts. (6.1) Samples Identified ___ __ _ * (6.1) Location of Sample Removal CA:J-1 (7) Grease Analys.is: 0Accept -D Unacceptable Engr. Notified FILLER DATA (Continue SQ* 6.0) (10.2) Method of Tendon Protection AfJCHoFA<:e AS.$fMSt.)' ( 10. 3) Amount of Grease :ost -e-Gal. -Will this *be YES D NO Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 & (8.7)&:: + (8.7.1) .1_ + + SQ7.0 (6.l)_lz. + (10.J)_Q_ = I . TOTAL GREASE LOSS /:fy Gal. Post to DS 12 .1 l-Date _*_-:?_-_2....;..;J_-""""?_2- __ _ Title I*--_* ___ _ *--. _: PSf 'PROCEDURE SQ-6. 0 _.. *. GREASE -CAN REMOVAL **-DATA __ SHEET 6.0 MAY 20, 1987 -Page 1 of 1 Revision 0 I I I I I I I &Revision 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT '1?/,-s,.f&.r . SURVEILLANCE NO. :2/Jyt* YEAR TENDON NO. __ _ FILLER DATA TENDON END/BUTTRESS NO. UNIT Date Removal Started j-f-. 90Z
GREASE COATING: Grease Can -Complete Partial Uncoated Buttonheads
-Complete =Uncoated ---Anchorage -Complete Partial __ Uncoated Shims -Complete Uncoated Bearing Plate-Complete Uncoated dY<fl ./-*::*;. *. Q.C. Signof f Unusual Conditions l -------------------------------------------fMYzf..2-(8.10.1) Grease Color: Hatch Color Comment (8.10.2) No Match ,r" ColorJ}J-&,,,,, ' I (9.6) Amount of Grease Removed . 0 Gal. Jwill this be >>ff & SQ 7 .0 SAMPLES * . _ I (6.1) Grease Samples Quarts. (6.1) Satnj>les ___ (6.1) Location of Sample Removal &km.Je..-rj/<<9ec U.& I I (7) Grease Analysis: D Accept 0 Unacceptable Engr. Notified _ .. ----FILLER DATA (Continue SQ 6.0) J/ ) . * -f?ia (10.2) Method of Tendon Protection Jlil<it.r/'tije .. wicJw,tipAftue (,lC-Mn, /w-61/e..J!.. I I Cl0.3) Amount of Grease :ost _{)_ Gal. -Will this -be scrapped¥PYES D NO I &. quantities of lost grease as each applies;Post total on Data Sheet 12*.1 .?* ..&.. (8. + (8. 7.1) /!fl. + + SQ7.0 + {l0.3)_fi_ = I O TOTAL GREASE LOSS t}. Gal. Post to OS 12 . l ,i!J3::5-P.,. I Date I Title 1--I I I I I I I . , .. _ .. :* -*':: *. PROtE . s!;fi.o-.... *. l2iA * *, CAN_ REMOVAL * -'_ --
-,. DATA SHE-ET 6. 0
MAY 20,-.1987

P Page 1 of 1 Revision O L1_Revision 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT tfha tic-.,. SURVEILLANCE NO.
YEAR /f?:J. TENDON NO. :l?,!2-£.(. END/BU.TTRESS NO
UNIT_/ __ Q.C. Date Removal Started d.-::27-Signoff FILLER DATA . *(7.4) Dry Ice Used on Grease Can , Dry Ice Used Around Anchorage (7 .5) Temp. of Concrete ,£8' F. Thermometer No. ,.5'ntl Recalib. Date 9-"3-71--j_d.J..;IJ./f..i Ambient Temp. .f? F. Thermometer No. fi,!j.£ Recalib. Date (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in Can / Gal.
(8.7.2) Grease to be Reused DYES )&!No (8.7.2) Grease in Can j&,g;t?-£!. (8.8) GREASE COATING: Grease Can -Complete / Partial __ Uncoated ___ . Buttonheads -Complete
Partial __ .Uncoated Anchorage Complete Partial __ Uncoated Shims Complete Partial __ Uncoated "£ Bearing Plate-Complete __ Partial __ Uncoated )fl>>?it 8.9) *unusual C;nditions:4 94 r& aa,z, (),I!
(8.10.1) Grease Color: Hatch¥* Color -4.-Comment (8.10.2) . No Hatch olor (9.6) Amount.of Grease Gal. -Will this be D No)./J .. w.$ & SQ 7 .0 SAMPLES . I (6 .1) Grease Samples Taken Jiht-ouarts. (6 .1) Identified .... __ _ Location Removal __________________ __ (7) Grease Analys_is:
D Accept D Unacceptable Engr. Notified .V//J J/,JC3/)..."J!'2-I FILLER DATA (Continue SQ 6.0) ( ....L // I (10.2) Method of Tendon Protection
!,;o.-!

:el antMCC!Je-
)//,ill# . (10.3) of Grease :ost ..¢Gal. -Will this 'be ONO jlJ.Jf=t( Add quantities of lost grease as each applies;Post total on Data Sheet 12.I &. C8.n_{)_ + C8.1.1>_J_ + C9.6)_Q_ * + sQ1.o C6.1>.a._ + c10.3>-11:_ = I I . TOTAL GREASE LOSS r Gal. Post to DS 12 .1 )J.:J....:?.7-J;z_ .. Review 7t*VJ
______ -"==-------Level _µJ-I Title
.** --*-* -.-_* __ .-_ -1* --.
_*c :: . . .--.... -* . . .* . -**:_:_ .-* Psc PROCE-DUFrE

-SQ:--6 GREASE REMciVAL -DATA SHEET 6.0 -.**** .... *. I -SHEATHING FIT.LER DOCUMENTATION.
MAY 20, 1987 Page 1 of 1 Revision 0 _&Revision_ i, 8-14-_87 I 1-1 .* I I I I I PROJECT A bE"5 ._, .;;*. SURVEILLANCE NO. 20-tk YR . YEAR c:y2 TENDON NO. ___ 1'_2_-_,l,_CJ..._ __ TENDON NO. rlELP UNI;-.:L--. . . ' f';: Q.C *. Date Removal Started 3{3/q-z-Signoff I I FILLER DATA (7 .4) Dry Ice Used on Grease Can IJ(), Dry Ice Used Around Anchorage NO *. :el1h/11rz ... . . -, I I .. C 7. 5) Temp. of Concrete '2-<it F. Thermometer No. .S .A-1-6 * -Re-Date
J Ambient Temp. 3 2. F. Thermometer No. Pit:: 'Igo Recalib. Date 't{3./J..Z-(8. 7) Amount of Grease Lost -e-Gal. ( 8. 7 .1) Amount of . Grease Can / 3 /'( Gal. *
(8.7.2) Grease to be Reused Dns J)auo (8.7.2) Grease .in 1+-,-:,:9,;fi/q-z... (8.8) GREASE COATING: Grease Can -Complete Uncoated Buttonheads -Complete --Uncoated ---Anchorage -Complete 'ff:: Partial ::::::::: Uncoated Shims -Complete Partial Uncoated
Bearing Plate-Complete __ Partial __ Uncoated (8.9) Unusual Conditions:
llDAJ/t'" ----------------------------------------- e.&313/,i...

_-_-----. . (8.10.l) Grease Color: Hatch Color Comment---------------

(8.10.2) No Hatch 7 Color pt: B1"cWPComment (9.6) Amount. of Grease Removed 1/'1-Gal. -Will this be scrapped? giYES 0 & SQ 7 .0 SAMPLES ,, --I (6.1) Grease Samples Quarts. (6.1) Samples ...... £$ ____ _ (6 .1) Location of Sample Removal fj;cA 'EeASE°" (!kP I I C 7) Grease Analysis: D Accept D Unacceptable Engr. Notified -----. .:':'.:..._ -. FILLER DATA (Continue SQ 6.0) , --(10.2) Method of Tendon Protection AVCHoRAt?m:: t::DAim>tCAV JAJSTAUJtb (10.3) Amount of Grease Lost
G-al. -Will this *be scrapped.?1ADY:ES 0No ea3f3Jttz_

Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 & (8.7)
(9.6)_!/j__ + SQ7.0 (6.1)_.lz. + (10.3)..£) =. el3l3fo-z... I
TOTAL GREASE LOSS Z Y-z_. Gal. Post to DS 12 .1 UiJ/3,l'iz-Date _7"-*
__ _ I Title I .'* . og d-t/tii DATA SHEET 6.0 * * -. MAY 20, 1987 Page 1of1* Revision 0 &Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT PA LISA PES SURVEILLANCE NO. ZQ )'g_ YEAR . , 2 *FILLER DATA . . I TENDON END/BUTTRESS NO. Rif"tf) 18 8011 UNIT _:L __ . . */ ,f Q.C. Date Removal Started -z.J-i-7/ 1"Z.. Signoff TENDON NO. /)t ... 23 -(7 .4) Dry Ice Used on Grease Can No
Dry Ice Used Around Anchorage I ( 7 .S) T-. of Concrete </O F. *Thermometer
>To. S.M*P ReCalib. Date Ambient Temp. fO F. Thermometer No. PK "fW Recalib. Date 'Z. 1 (8. 7) Amount of Grease Lost 0-Gal. (8. 7 .1) .Amount of .Grease in Can .:J... Gal. (8."7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Can I I I (8.8) GREASE COATING: Grease Can ---+Partial Uncoated ___ Buttonheads -Complete Partial __ Uncoated Anchorage -Complete v Partial Uncoated Shims -Complete g;-: Partial --Uncoated Bearing Plate-Complete __ Partial __ Uncoated {8.9) Unusual Conditions: ____ ....v: __ __ _____________________________________ INt.1 1...,/4* . (8.10.l) Grease Color: Hatch --7""Color Comment (8.10.2) No Match Y Color'D"*15JO!.Jli/ Comment ==>>=:=:o:JJ::{==========*==== .,,i1/etz:_ Amount of Grease Removed--Vf Gal. -Will this be scrapped? 0 & SQ 7 .0 SAMPLES . . ' I (6 .1) Grease Samples Taken _£ Quarts. (6 .1) Samples Identified . (6.1) Location of Sample Removal Ett>fv\ I ( 7) Grease D Accept D Engr.

FILLER DATA (Continue SQ 6.0)

"'/Pt..Jt\S'ftC.98 2fz."1[<(-i.. I (10.2) Method of Tendon Protection AS'SEfM)t.>' CIW uJsrAtLEl::> lt1-z-.. . V'\ clJ -z. .. 't.1-U.eA . {10.3) .Amount of Grease Lost 'l'f Gal. -Will this.be scrapped? 0No Add quantities of ;ost grease as each applies;Post total on Data Sheet 12.t & C8.n.A:Y" + C8.7.1> j_ + (9.6).J:i + sq1.o . C6.l) Yz.+ = I
TOTAL GREASE LOSS 2 Y'f Gal. Post to DS 12. 1 2.. Date __
__ I Title 1* I I I I I -.PSC -PROCEDURE SQ-6. 0. DATA S-HEET 6.0 MAY 20, 1987 Page 1 of 1 Revision O &,Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. z.o "1fL YEAR * --j-A TENDON END/BUTTRESS NO * .S\-40? ]Su-rr UNIT *I ---Q.C. TENDON NO. ...... °Z.. ____ _ FILLER DATA Date Removal Started _ 3) l<:::>/'t'Z-- Signoff M s/u,h-z,, . ( 7. 4) Dry Ice Used on Grease Can A/D , Dry Ice Used Around Anchorage "110 ( 7 .S) T-. of Concrete Z <J F. Thermometer No. $,.,./{, Recalib. Date Ambient Temp. '2.(p F. Thermometer No. Recalib. Date, of Grease Lost/ll'JNt Gal. (8.7.1) Amount of.Grease in Can .:L Gal. Grease to be Reused DYES 13luo (8.7.2) Grease in Can (8.8) GREASE COATING: Grease Can - / Partial Uncoated ___ Buttonheads -Complete Partial Uncoated Anchorage - Partial __ Uncoated Shims -Complete ""' Partial Uncoated Bearing Complete I?"" Partial Uncoated (8.9) Unusual Conditions: iX-(8.10.1) Grease Color: Hatch Color Comment----------- (8.10.2) No Hatch)!{,.., Color Comment Z. (9.6) Amount of Grease Removed 'l'f Gal. -Will -this be scrapped? 0 NO 'Z-&. SQ 7
0 SAMPLES . I (6.1) Grease Samples Taken_£ Quarts. (6.1) Samples Identified
-(6.1) Location of Sample Removal "fv.t>t\, Ch/ I (7) Grease Analys_is: _-_ D Accept . ,_ D Unacceptable Engr. Notified -----I FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon ProtectionMtHt>Pi4#G' 4>SEMB£Y lolt1l:[)-t-t!.AN IQSrA-(..l.G!) (10.3) Amount of Grease Lost. -G--Gal. -Will this *be scrappediA.oYES 0No Add quantities of ;ost grease as each applies;Post total on Data Sheet 12.1 I& (8.7)/ef + (8.7.l)b + (9.6)-11 + SQLO . (6.1) Yz. + (10.3)-ff_ = TOTAL GREASE LOSS f 3/f Gal. Post to DS 12.l Da t.e ..... P._..:t..=---- I Title ',_, ., ....... ,
.-*:. -' - 1--- PSC PROCEDURE SQ 6. 0 -. j* .. *--* .. _ -GREASE CAN RE-MOVAL /J -*_DATA SHEET 6. 0 : As::41 I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING FIJ.LER DOCUMENTATION TENDON NO. V* JJ.8 SURVEILLANCE NO. TENDON END/BUTTRESS NO. .!tboo /f;,o I* I I YEAR 199,J UNIT __ ! __ Date. Removal Started FILLER DATA Q.C. Signof f (7 .4) Dry Ice Used on Grease Can VI , Dry Ice Used Around Anchorage .... £....,6_ (7.5) Temp. of Concrete Jf' F. Ambient Temp. l '1 F. Thermometer No .... -$.M"'-+-* .... 'I ___ Recalib. Date f;*Jt_.t AJ.2Y.1'1Jl Thermometer No. fief{ Recalib. Date *.J-J_l.<P:f/JJ.J. (8.7) Amount of Grease Lost _fL_ Gal. (8.7.l) Amount of.Grease in Can Gal. (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can (8.8) GREASE COATING: . Grease Can -Complete :fr-Partial __ Uncoated '-Buttonheads -Complete Partial __ Uncoated '----Anchorage -Complete Partial __ Uncoated '-Shims -Complete :Z Partial __ Uncoated '-Bearing Plate-Complete Partial __ Uncoated '-.JJ.l!J,. j/J.J.Yn/--. Unusual Conditions:. C;.,,.&: J t;*e _,.,,., J;tl1Mals .* t(!ld 1vtz ,,;tl.,,/,*eu.
lflJ """46f'< .,,,,.,*J,Jl!<'
r .. J.f. (8.10.1) Grease Color: Match L Color Lf. 8,.J"D Comment (8.10.2) No Match Color Comment ( 9. 6) Amount of Grease Removed-}A, Gal. -Will this be __ O_N_O * .& SQ 7 . 0 SAMPLES . *
I (6 .1) Grease Samples Taken __df_ Quarts. (6 .1) Samples Identified
..,,_/;...,u.._ ___ _ I I * (6. l) Location of Sample Removal /br),llllfe= 1'"/te-tacr:-= Mn (7) Grease Analyi;is: D Accept D Unacceptable -Engr. Notified -----FILLER DATA (Continue SQ 6.0) J * (10. 2) Method of Tendon Protection Jh4MdJ-rlk u1teJ,,,atirMte.. '¥-=&M jgf.J/e..J.. (10.3) Amount of Grease Lost tJ Gal. -Will this *be scrapped?A(JfDYES 0No . jf.J,.J.J .. f). ... Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 LD. + + (9.6) + SQ7.0 (6.1) + (10.3).:_a_ = . TOTAL GREASE LOSS. Gal. Post to DS 12.1 ?/* Level ':rt:t: Date ____ _ I Title - 1--I I I I I I I I I SHEATHING FILLER DOCUMENTATION PROJECT ___ f ....... A ...... L--'l ...... £> ....... __ _ -. .. -.:-. -. --,.*:> *PSt PROCEDURE SGL6. 0 :_GR-EASE CAN RE,MOVAL .. DATA SHEET 6.0. -MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. YEAR TENDON NO. I A. TENDON END/BUTTRESS NO. Fl £t..0 "6C)"f\ UNIT '71_:--__ . __ _ if '27.. -. -. '4 *-* . SJ . I ' I Q.C. Date Removal Started 3l S" {; 9 <.... Signoff (7 .4) Dry Ice Used on Grease Can #0 , Dry Ice Used Around Anchorage#D fl!t1/d'IZ-FILLER DATA * . (7 .5) Temp. of Concrete So F. Thermometer No. Recalib. Date Ambient Temp. s¥ F. Thermometer No. T/c::<f'if Recalib. (8.7) Amount of Grease Lost -£J-Gal. (8.7.l) Amount of .Grease in Can '/'t Gal. (8. 7.2) Grease to be Reused DYES (8. 7.2) Grease in Can (8.8) GREASE COATING: Grease Can -Complete ../' Partial Uncoated Buttonheads ..... Complete er Partial ==Uncoated ---'9 Anchorage -Complete --M'-: Partial __ Uncoated '-Shims . -Complete _J(_L Partial Uncoated '-Bearing Plate-Complete _-V_ Partial __ Uncoated '-(8. 9) Unusual Conditions: IJDIJ! ,,11. zi</G -------=--=--=--=-:::::-=.-=.=.-=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=---"L-(8.10.2) No Hatch Color Comment Z-( 8. 10. l) Grease Color: Hatch / Color 'Bgou.nJ Comment fli/tJ ( 9. 6) Amount of Grease Gal. -Will this be .s-cr_a_p_p_e_d_?-- ...... __ ...,..0::::--N-O Z....-.& SQ 7 . 0 SAMPLES . . I (6.l) Grease Samples Quarts. (6.1) Samples Identified _'( ___ e;_S ___ _ I I (6.1) Location of Sample Removal efr>J ( 7) Grease Analy$iS: D Accept 0 Unacceptable Engr. Notified ----- 53)>/<t?-*1 .&. (11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 . I& C8.n-&-+ + (9.6) 1.-+ sQ1.o CG.1> + c10.3)0 = e83Js"/9a****- TOTAL GREASE LOSS l 3/ t Gal. Post to DS 12 .1 e.JJ#-z_.
'JI-;[ Level :!JL Date __ J_-'L_J,;._-9_._z...
__ _ I* 5q_ f),o(?) /t1.t: R. Title .. : .. I ,,.. .. .: --* * -*... **r ---1---!e 1
SHEATHING FIT.LER -DOCUMENTATION
--Psb GREASE-CAN REMOVAL DATA-SHEET 6.0 -MAY 20, 1987" Page 1 of 1 Revision 0 & R_ev ision 1, 8-1 Lj.-87 421/ -* /4r'}--PROJECT tii:r.Jn . SURVEILLANCE NO. YEAR Lff4 UNIT _ . ..1-I __ TENDON NO. TENDON END/BUTTRESS NO. FILLER DATA Date Started .?-JI-> Q.C. Signof f (7.4) Dry Ice Used on Grease Can ..Ji!L__, Dry Ice Used Around Anchorage All I I I I (7 .5) Temp. of Concrete f ,-F. Ambient Temp. J._ F. Thermometer No. Thermometer Recalib. Recalib. Date l::L . (8.7) Amount of .Grease Gal. (8.7.l) Amount of .Grease in Can _J___ Gal. ah10 (8.7.2) in Can ProtectedAflA-ft.J:ff:1! (8.7.2) Grease to be Reused DYES I I I I *;. (8. 8)": GREASE COATING: Grease Can -Complete ,/ Partial __ Uncoated* Buttonheads -Complete / Partial __ Uncoated -----Anchorage -Complete Partial __ Uncoated Shims -Complete Partial __ Uncoated Bearing Plate-Complete __ Partial __ Uncoated {8.9) Unusual Conditions: ___________________________________ _ & SQ 7
0 SAMPLES . -* . I {6.1) Grease Samples Taken...£__
Quarts. {6.1) Sa!les -_
C 6 .1) Location of Sample Removal t/= f"M'e t!All I (7) Grease D Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6_-0) L. JI 11 I (10. 2) Method of Tendon Protection
&taA ,.,,rip'*' st= ftjA M.fiAud {lp.3)_ Amount of Grease :ost 4 Gal. -Will this be ONO I Add quantities of lost grease as each applies;Post total on Data Sheet 12.I {8.7)__{)_ + + + SQ7.0 + (10.3)-12_ = I . . TOTAL GREASE LOSS Gal. Post to DS 12.1 Review I I Title
, *---I . .-**. . . !e ... * .... I SHEATHING-FILLER DOCUMENTATION

, PSC PROCEDURE -SQ 6 *. 0 GREASE CAN DATA SHEET 6.0 *MAY20, 1987 Page 1 of 1 Revision O &_Revision 1, 8-14-87 io YP. YEAR 'f'2.. I PROJECT ___ fO ___
__ _ SURVEILLANCE NO. TENDON NO. /, A . ,,,, TENDON END/BUTTRESS NO. FILLER DATA I / I Q.C. Date Removal Started 3 $' 'Z.. Signoff . I (7 .4) Dry Ice Used on Grease Can .AJo , Dry Ice Used Around Anchorage ...Vo 1 *; ( 7. 5) T-. of Concrete __fi_p. Thermometer No. SfoA.-'-Recalib. Date Ambient Temp. So F. Thermometer No. Recalib. Date 9!11j5./!L.z; I I I I I (8.7) Amount of Grease (8.7.l) Amount of.Grease in Gal. tJl'f?('rz, (8. 7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Can (8.8) GREASE COATING: * / . Grease Can - Partial __ Uncoated ___ '1. Buttonheads -Complete Partial __ Uncoated '1. Anchorage -Complete __ Uncoated '1. Shims -Complete -.!t...L Partial __ Uncoated '1. Bearing Plate-Complete __ v Partial __ Uncoated '1. (8. 9) Unusual Conditions: /II oAJ/E 11 1.-:z/c/a.., -------_-_----_ ........ (8.10.l) Grease Color: Hatch Lcolor BJU?WN Comment
(8.10.2) No Hatch Color Comment . '3 f:1-V (9.6) Amount of Grease Removed-1/'t Gal.. -Will this be scrapped? ONO 1"-& SQ 7 .0 , SAMPLES . . 1. (6.1) Grease Samples (6.1) Samples Identified (6 .1) Location of Sample Removal tesg'tJJi{.;
eittJ I (7) Grease Analy!:!is: D Accept D Unacceptable 111 Engr. Notified -----FILLER DATA (Continue SQ 6.0) ef> (10.2) Method of Tendon Protection ASSt:?.MJtY IAJST"At.tED 31S"bz... (10. 3) Amount of Grease Lost ....:e-Gal. -Will this *be YES 0 NO l&.c11.2). Add quantities of ;ost as each applies;Post total on Data Sheet 12.I (8.7) + + (9.6)..!/.:i._ + SQ7.0 (6.1) + = I -r-. . TOTAL GREASE LOSS ,;1_ Gal. Post to DS 12. 1 lJ4l/>/2-t.... I Date _..:...1_-_i.._:3_-...;.'?_z... __ _ . -.* I Title ,. i I I I I I -. .. -.. -.-.*-**-*. ---:-,.. . . .. . . *----* Psc* PROCEDURE "SQ 6 *. 0 .. GREASE CAN . . : . DATA SHEET 6. 0 {_Leak. l<efair J
MAY *2 0 , 1 9 8 7 .
SHEATHING FILLER DOCUMENTATION PROJECT TENDON NO. FILLER DATA Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. TENDON.END/BUTTRESS NO. Date Removal Started t
9fiii-YEAR /f"l:J, UNIT .'j* (7.4) Dry Ice Used on Grease Can , Dry Ice Used Around Anchorage Jl4 Q.C. Signof f (7 .5) Temp. of Concrete fo F. Thermometer No. S)f..J.f Recalib. Date )d.J*d*f:£ Ambient Temp. f1'j! F. Thermometer No. &££ Recalib. Date tl-3-9.:L J,a.S-t*f;Z (8. 7) Amount of Grease Lost ..12__ Gal. (8. 7 .1) Amount of Grease in Can ,.f Gal. *
(8. 7 .2) Grease to be Reused. l8J YES ONO (8. 7 .2) Grease in Can Protected k J...a,e+92. (8.8) GREASE COATING: Grease Can -Complete __ Uncoated ___ Buttonheads -Complete / Partial __ Uncoated Anchorage -Complete Partial __ Uncoated Shims -Complete __ Uncoated Bearing Plate-Complete ___.JL_ Partial __ Uncoated ( 8. 9) . Unusual Conditions: fJ.m.qre, 11as/<.eiz );Iowa _________________ v _______________________ (8.10.1) Grease Color: Match Color Comment ( 8 .10. 2) No Match v Color !J,.Jr Bcwn Comment _1J_1_-:_z_mn! __ I (9.6) Amount of Grease Removed. -Will this be scrappedJ;i,k? DYES 0 NO .. 7ff & SQ 7 .0 SAMPLES . I (6 .1) Grease Samples Taken J// .#-Quarts. (6 .1) Samples Identified Al/A (A JJ _ ,. ,-:i.., ( 6 .1) Location 7fS°ample Removal __, ..... Jf+'ifl---. ______ . 1 I (7) Grease Analrsis: 0Accept 0 Unacceptable Engr. Notified
ti'-L , I I FILLER DATA (Continue SQ 6.0) II/ (10.2) Method of Tendon Protection

(10.3) Amount of Grease Lost tf Gal. -Will this be scrapped..¥h DYES ... I &.c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 J &. C8.n_L + C8.7.1>_&_ + + sQ7.o C6.1>L + c10.3) = /-!_#..;i-r{-9.:2 I TOTAL GREASE LOSS ---1"---Gal. Post to OS 12.1 Q.C. Review 1/. ---------'-------- I Title el .:ro::=:-Date 3 01-9'7... j I _ .... . . --:--. . . . -*.: I . :_*-. PSC PROCEDtiRE SQ 6-. 0 /J--;r(/-* -GREASE CAN REMOVAL /A.r*( .. SHEATHING FI.T.LER DOCUMENTATION' PROJECT DATA SHEET 6. 0 Rert."":) MAY 20;* -1987 (_;_ Page 1 of 1 Revision 0 _&Revision 1, 8-14-87 SURVEILLANCE NO. ...... __ _ TENDON NO. ____ _ FILLER DATA TENDON END/BUTTRESS NO. .2Ay.//,'f; Date Removal. Started .. p YEAR /ffcJ UNIT_...../ __ Q.C. Signof f . (7.4) Dry Ice Used on Grease Can tf/I , Dry Ice Used Around Anchorage
ft2 I I I (7.5) Temp. of Concrete 1/1.. F. Thermometer No * ..5; .........
Yr._ij.,.__ __ Recalib. Date f__-3-P ;#4.J'+Jtz I I I I Ambient Temp. i/2 F. Thermometer No. ?.ksr Recalib. Date f?:?..P C 8. 7) Amount of Grease Lost Gal. C 8. 7 .1) Amount of Grease in Can tJ Gal. j(J.JJ-4 9;:;. C 8. 7. 2) Grease to be Reused YES 0 NO ( 8. 7 . 2) Grease in Can Protected _&_ I (8.8) GREASE COATING: I Grease Can -Complete / Partial *--Uncoated Buttonheads -Complete L._ Partial __ Uncoated Anchorage -Complete L_ Partial __ Uncoated Shims -Complete v Partial __ Uncoated Bearing Plate-Complete c/' Partial __ Uncoated Ae.N*tzl ( 8. 9) . Unusual Conditions: .... ; ... r""..e. ..... o .... ..... n .... i....,e1;....._.,.A;.;...)....,o..,""n.___ ______________ _ (8.10.1) Grease Color: Hatch Color Comment (8.10.2) No Hatch /Color 1/r,k &w,,. Comment (9.6) Amount of Grease Gal. -.Will this be .&. SQ 7
0 SAMPLES I (6.1) Grease Samples Taken ui.d Quarts. (6.1) Samples Identified
_!V)_tfr7-......_ __ _ (6.1) Location 7f'Sample Removal ¥:& * . I I ( 7) Grease Analysis: 0 Accept 0 Unacceptable Engr. Notified ,J(// :f"¥'3/t 0 h FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection C-,u. se, &ft' cekrk!IJ (10.3) Amount of Grease Lost r2 ... I Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 + (8.7.1)_&_ + (9.6) }.g + SQ7.0 (6.1)..Lf__ + = /Jrt8-{-f;2_ I TOTAL GREASE LOSS
YtL Gal'. Post to OS 12. 1 ftr6 Q. c. Review _....,ft:_,_,_'7:_.
?i ..... Level .JII:... Date __ ")-=-----' 0_-'i_L __ _ I "'1 t;r/2 * . Q .fl ' Title I ' I I I I I SHEATHING FILLER DOCUMENTATION PROJECT 1?!:.:re./er5 I TENDON NO * ...,.J/_-_._/,..o::.<f ..... tf ____ _ FILLER DATA . -. PSC -PROCEQURE.:_sQ. 6:f o*-* .... GREASE CAN _REMO\lAL.
. ** . ldS/ DATA-SHEET 6.0 _
f_
o ,

MAY 20, 1987 ,1-.C:Y{/C Page 1 of 1

Revision 0 1, 8-14-87 YEAR /,I! ,ff, / SURVEILLANCE NO. TENDON END/BUTTRESS-NO.
UNIT ____./ __ Q.C. Date Removal Started .?J-P Signof f (7.4) Dry Ice Used on Grease Can !JJ , Dry Ice Used Around Anchorage tf!a (7.5) Temp. of Concrete f7F. Thermometer No. Ambient Temp. :f 7 F. Thermometer No. I (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in Can Ji'. Gal. to be Reused IZl'.ns 0 uo C 8. 7. 2) Grease in can Protected ./# £ _,iCzt-9 \* (8.8) GREASE COATING: Can -Complete /Partial __ Uncoated ___ Bu\.t.Qnheads -Complete _L Partial __ Uncoated Anchorage -Complete ,/'. Partial Uncoated Shims -Complete ./"' Partial === Uncoated Bearing Plate-Complete / Partial __ Uncoated (8. 9) *unusual Ocea.f"e eq" 44.t.6.+/- I I .. Rlu.,; .. g:t ! /. I I (8.10.1) Grease Color: Hatch LColor Lt&t1<<a Comment _..._,& ........ ..... 1 (8.10.2) No Hatch Color Comment ( 9. 6) Amount of Grease Gal. -Will this be s-cr_a_p_p_e_d_?-..,,,0=-Y-E-S- ... 0......,_N-O
tJ.1 .. ,H:-tJ-1 I & SQ 7 .o SAllPLES ! I (6.l) Grease Samples Quarts. (6.l) Samples Identified
-.q. ... #_._____ /J /. ., //1A (6.1) Location or Sample Removal I ( 7) Grease Analysis: 0 Accept 0 Unacceptable Engr. Notified _____ µ/11 '¥?'/. "J)c/rl 1 FILLER DATA (Continue SQ 6.0) ,/) C 10. 2) Method of Tendon Protection ..... ... )u!-1-!1 I (10.3) Amount of Grease Lost -tl-Gal. -Will this DYES ONO .. I I 1 & ( 11. 2) Add quanti tie: of. lost grease as each applies; Post total\on Data Sheet 12 .1 .&. c0.nL + c0.1.1>-L + + sQ7.o C6.1>...L_ + c10.3)_/)_ = .J..().5-/:$. I TOTAL GREASE LOSS 1-t Gal. Post to DS 12.l Q.C. Review Level -trf Date _.._J_-..... 1_0_.-?--=2.... __ _ Title I I I I I I .. PSC PROCEDURE S.Q 6. cY GREASE CAN REMOVAL .. -. I DATA SHEET MAY 20, 1987 . Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. _.d?"--_l'.:} j-M-/..._c ___ _ YEAR /f f,:2_ ' TENDON NO. END/BUTTRESS NO. UNIT __ / __ Q.C. FILLER DATA Date Removal Started Signoff . (7 .4) Dry Ice Used on Grease, Can l/!J , Dry Ice Used Around Anchorage Ahl * (7 .5) Temp. of Concrete F. Thermometer No *. ..?'!o/f Thermometer No. ?li.5 Recalib. Recalib. Date 9;;',j.2 Ambient Temp. F. (8.7) Amount of Grease Gal. (8.7.1) Amount of Grease in Can. r1 Gal. (8.7.2) Grease *to be Reused Duo (8.7.2) Grease in Can Protected _k (8.8) GREASE COATING: Grease Can -Complete /Partial Uncoated Buttonheads -Complete / Partial ==Uncoated ---Anchorage -Complete ../' Partial Uncoated Shims -Complete ./"' Partial == Uncoated Bearing Plate-Complete __:::::._ Partial __ Uncoated ih<<*tl. °'
h

Y-1* f ,,{ l.t..?-/t!
r/)t!Jl.£2 I ( 8. 9) . Unusual Conditions: .... .... u ..... .... /e .... 4 ,"""a..,.._

.

(8.10.1) Grease Color: Hatch /color Lf,fJrp,,,o Comment -se,m 1 ok (8.10.2) No Hatch Color ----Comment -------===----=-
,r--7..;

.
(9.6) Amount of Grease Removed Y:i. Gal. -Will this be scrapped? @YES ONO &. SQ 7 .0 SAMPLES .. * ,//.12. . I. Grease Samples Taken (6 .1) Sa1T1Ples Identified .... ... (-'9"-'-'----- (6 .1) Location of Sample Removal __ . -----------
?,zl--f,<
I ( 7) Grease Anal1sis: . 0 Accept 0 Unacceptable . Engr. Notified -----"tJ/11 JI:)!. L. (10.3) Amount of Grease Lost t2 Gal. -Will this be scrappedW)DYES 0No FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection &.M1e e..t,o ur'a/'14//ep{ I ... I Add quantities of lost as each applies;Post total on Data Sheet 12.1 + + + SQ7.0 I + = hs TOTAL GREASE LOSS Gal. Post to DS 12.1 Date ___ "Y_-_t_0_-9_L. __ _ I Title I I I I I I I I I I* I ---::-.-.. *-*-. ,.* ... -*.-::-- .. -:* PSC PROCEDURE SQ 6.1 INSPECT FOR WAT.ER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision o PROJECT: . DATE: .. f .. fJ TENDON NO.:. SU, #/J . END/BUTTRESS NO. SURVEILLANCE % OTHER . TENDON END LOCATION' INFO f #= . (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes '8JQuantity ___ Sample Taken Yes Cmmnents (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes Quantity ___ Sample Taken Yes Con:nents (9.8) AROUND TENDON ANCHORAGE (9.8.1) Water Detected Yes Sa.I:Iple Taken ---Yes Comments (9.10) DURING (9.10.1) Water Detected Y s No ___ Sample Taken Yes Comments (11.) OWNER/AGENT Ho COND 0 ITIONW;#--. OBSERVABLE __ DATE ------------ SIGNIFICAN'! (12.1) SAMPLES ADEQUATELY IDENTIFI°E$'}t Yes (12.2) SAMPLES A1: ___ ._. _________ _ No Signoff Level £..-Data 3-f/-/cf( QC Review Level -:ttr Date ;i-2..3 *Title . q.13, J No No No No ,, I I I I I I I I I I I I I I PSC PROCEDURE SQ. ':.6-._.0 - .GREASE CAN . "-*-DATA SHEET 6.0--.* * * * /-t I. MAY 20, 1987 GREASE of 1 LEM::" Revision O &Revision 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION SURVEILLANCE NO. YEAR 92. PROJECT ---UNIT ;::t_ TENDON NO. TENDON END/BUTTRESS
No. 5Ho"P / To'"P I Dat.e Removal St.art.ed 3/'='/92-Q.C. Signoff FILLER DATA . (7. 4) Dry Ice Used on Grease Can #(;) , Dry Ice Used Around Anchorage A/ O (7 .5) Temp. of Concrete SZ F. Ambient Temp. S-0 F. Thermometer No. -=S,=....-:,M____,-<e-=---
Recalib. Thermometer No. PK 'fR' Recalib. Date _ qz...el/3'"/'12-(8. 7) Amount of Grease LostfJ0.V*°Gal. (8.7.l) Amount of.Grease in Can J/'z_ Gal. (8.7.2) Grease to be Reused DYES ,(8.7 *. 2) Grease in Can ( 8
8) GREASE COATING: * . .

3 j w/1 Z-Grease Can -Complete /Partial __ Uncoated*. Buttonheads
-Complete V7"°Partial Uncoated Anchorage -Complete £'Partial ---:-Uncoated Shims -Complete v Partial Uncoated Bearing Plate-Complete ==Uncoated e,;3Jt:,j'lZ-(8. 9) Unusual Conditions: Alt>..V£ ¥/'12-(8.10.l) Grease Color: Match /color ;&K'tltv# Comment __ #c:i __ M_.'E;;;_ _____ _ (8.10.2) No Hatch Color Comment *.. (9.6) Amount. of Grease Gal. -Will this be scrapped? ONO _: b\1:> ..vol SOLV6,v,-& SQ 7
0 SAMPLES (6.1) Grease Samples Taken Quarts. (6.1) Samples Identified AJ/.,4.-(6.1) Location Removal PIA-: _.,...., _..._ __ _ I efiZ/<4'?2..
(7) Grease Analysis:JAlJ Accept D Unacceptable Engr. Uotified _M.,_J.;...A-..____ FILLER DATA (Continue SQ 6.0) Cl0.2) Method of Tendon Protection bl2EAS* C.AJJ 'l?tl.us-TALLEZ> (10.3) Amount of Grease :ost -J!f-Gal. -Will this be Duo .&. (11.2) Add quantities of-lost grease as each applies;Post total-.,on Data Sheet 12.1 \ .& ca.n.J[_ + C8.1.1>> IYz..+ C9.6) /'Z..:. + sQ1.o + = TOTAL GREASE LOSS Z Gal. Post to DS 12.l Q.C. Review Level :nr-Date 7 .. , '>-9'2. Tit.le /ht;-i. Q,.A* & '3*"f*S? ll"DY I N,:o, I DATA SHEET 6.-Q --------*-; *. MAY 20,-1987-- 1--* I --SHEATHING FILLER_ DOCUMENTATION Page 1 of 1 Revision O 1, 8-14-87 I I I I I I I I PROJECT
TENDON NO. SURVEILLANCE NO . TENDON END/BUTTRESS NO. YEAR /_fJ't/( UNIT --4-1--Q.C. Signof f FILLER DATA Date Removal Started (7.4) Dry Ice Used on Grease Can!'() , Dry Ice Used Around Anchorage
,,I,//} '(7.5) Temp. of Concrete Zb F. Thermometer No ** 5.Af-f Recalib. Date W;-- Ambient Temp. F. Thermometer No. Recalib. Date 4 * .. -f,J * (8.7) Amount of Grease Lost _fl_ Gal. (8.7.1) Amount of.Grease in Can Gal. J.i,J..,Jl'*j,l.. . (8.7.2) Grease to be Reused 0No (8.7.-2) Grease in Can Protected J4.:> )AJ-JT-i:t (8.8) GREASE COATING: . -Grease Can _:_ Complete _L Partial __ Uncoated Buttonheads -Complete -L Partial __ Uncoated Anchorage -Complete ___L__ Partial __ Uncoated Shims -Complete -;;:r Partial __ Uncoated Bearing Plate-Complete Z Partial ___ Uncoated (8.9) *unusual
rf,.ese C/M.
-00J.-81J. , , (8.10.1) Grease Color: Jt!JJ. Color ---1lil__ Comment (8.10.2) No "'-¥4----=------------ _ * (9.6) Amount of Grease Removed (} Gal. -Will this be scat>ied¥0YES 0 NO -, * &so 7.0 SAMPLES jk (6.1) Location f Sample Removal
I (6.1) Grease Samples Taken ti' Quarts. (6.1) Samples Identified Fi'F-"'"'"----
I (7) Grease Ounacceptable Engr. Notified.?= /; FILLER DATA (Continue SQ 6.0) /),fi ' I (10.2) Method of Tendon Protection Nlc.RC1'AGE Q:!A'111> +CJW IA/STAI.LO ( 10. 3) _ Amount of Grease :ost _{[_ Gal. -Will this be scrapped]f'P YES 0 NO f . I Add quantities of lost grease as each total on Data Sheet 12.1 IJ:,.ca.1i-Jlf- + ca.1.1> }':z... + + SQ7.o C6.1>-fl/!._ + = I -TOTAL GREASE LOSS Yi-Gal. Post to DS 12. 1 Date __ J_-_,_0_-Cf'_L __ I Title ----------- .. * -*: .----*. I.* ... -. I 'I I I I SHEATHING FILLER DOCUMENTATION
TENDON NO *...... V_-..... 9 ...... l ____ _ FILLER DATA . *. -.-P:s*c :_ P.R:OCEo-uRE*.

srf--6*.
t] .
GREASE_*.-tAN
-REMOVAL . DATA SH-EET 6.0 MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. _c;.&..-1t1'-'J411'-'-" TENDON END/BUTTRESS NO.
Date Removal Started .2-&*ftl YEAR UNIT ---.../ __ Q.C. Signof f ' (7.4) Dry Ice Used on Grease Can JI! , Dry Ice Used Around Anchorage 411 (7.5) Temp. of Concrete 7";< F. Ambient Temp. F. Thermometer No. Y/f1 £ Thermometer No. Recalib. Date 9--.J'-f,? ,J.d.J-1-f..1 Recalib. Date f:,z-!,:J ,AA.,,l-l*f-2.. (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in.Can tJ Gal. ( 8. 7
2) Grease to be Reused I&] YES D NO ( 8. 7. 2) Grease in Can Protected (8.8) GREASE COATING: Grease Can -Complete ....JL. Partial __ Uncoated ___ '-Buttonheads
-Complete ..L_ Partial __ Uncoated '-Anchorage -Complete t/"' Partial __ Uncoated '-Shims -Complete Partial Uncoated '-* . Bearing Plate-Partial ==Uncoated c 8. 9) unusual cond.i tions :....,a_;::iag'.....__..ctt...,'1_._p}i.,..,,....__r:-t ......... b .... ...... "w ..... "...._--------------- 1 A.M:lil (8.10.1) Grease Color: Match Color Cormnent ---------- I (8.10.2) No Match ,_....,,--Color rn/IJa,nr Cormnent t14?-1*2P (9.6) Amount of Grease Removed
1t Gal. -Will this be scrapped?
©YES 0 & SQ 7 .O SAMPLES * . . I (6.1) Grease Samples Quarts. (6.1) Samples Identified (6.1) Location of Sample I (7) Grease AnalY,sis: D Accept D Unacceptable Engr. Notified ______ iVJ/ FILLER DATA (Continue SQ 6.0) /J (10.2) Method of Tendon Protection I (10.3) Amount of Grease d *Gal. -Will this be ONO I Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 )4,.7-/*l.? + + (9.6)_!t__ + SQ7.0 (6.1)....l__ + = I TOTAL GREASE LOSS 4' Gal. Post to DS 12. l {dfl, J'*/-f:l... Q.C. Review I Title ?f Level $ C2,. A , j Date J -(o -9 2... I * -** I SHEATHING FILLER DOCUMENTATION -. 0

DA-TA-SHEET. 6-. a/).eok
-) MAY 20, 1987 c.._:_ ; (" Page i of 1 Revision O 1, 8-14-87 I I I I I I PROJECT if'f.zede z SURVEILLANCE NO. ___ . YEAR ,/9£2 TENDON NO. __ TENDON END/BUTTRESS NO. shy/lo/ UNIT__._/_*_ Q.C. FILLER DATA Date Removal Started Signof f (7.4) Dry Ice Used on Grease Can JI!) Dry Ice Used Around Anchorage (7 .5) Temp. of Concrete Y;2. F. Ambient Temp. F. Thermometer No. §,# i Thermometer No. Pt'$£ Recalib. Date f:Jf ..2 A.4..1-ff'2 Recalib. Date * -et ,,Atf.5-fr*f-2_ (8.7) Amount of Grease Lost_{}__ Gal. (8.7.l) Amount of Grease in Can (} . Gal. (8.7.2) Grease to be Reused DNo (8.7.2) Grease in Can Protected (8.8) GREASE COATING: Grease Can -Complete _L Partial __ Uncoated ___ Buttonheads -Complete _L Partial __ Uncoated Anchorage -Complete Partial ___ Uncoated Shims -Complete _L' Partial __ Uncoated ?-1-9.2 AA-<?*l-91.
. Bearing Plate-Complete .,/Partial Uncoated '-( 8. 9) Unusual Conditions:
.... .... t ..... '4 ..... n ... !'.,..."--' ..... f. .... ef;......_ ... lz .... 4 .... " ..... d--------------- I I -------------------------------------------(8.10.l) Grease Color: Hatch Color Comment _____ __,, ___ _ (8.10.2) No Match pd&eH, 0 Comment Vu:J-"rt:>Mt)
i'em,nlt!.
(9.6) Amount of Grease Removed Gal. -Will this be scrapped? EYES 0 NO .& SQ 7. 0 SAMPLES 1f.:. . . I (6.1) Grease Samples Taken _ arts. (6.1) Samples Identified ,,.c..J{t.w;.</&:..._.__ __ _ (6 .1) Location o Sample Removal 4j/t?-" M5-l*fl-t. I (7) Grease D Accept D Unacceptable Engr. Notified* _____ P/IJ )f.)f.ftof(i-FILLER DATA (Continue SQ 6.0) // (10.2) Method of Tendon Protection C:.,JU.te Oe11 I (10.3) Amount of Grease Lost .. Gal. -Will this be scrapped YES -ft/. ?*k f1_ )t.!*1-f!? I Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 .& ca.n-tJ___ + C8.1.1>_/l + C9.6>-1c + sQ7.o C6.1>.L + c10.3>_£_ = I TOTAL GREASE LOSS If' Gal. Post to DS 12.1 Level --rrc= Date ]-(O*'t L. I Title I I . ----SHEATHING FIT.LER DOCUMENTATION E2-.:-.lu I TENDON NO. _V...._.* /_...,.'Y'"""$'.__ ___ _ FILLER DATA . P s c PR o c (o-Li -s Q---6 * -'o -lJ -> -GREASE CAN Rt.:MOVAL. AS) DA TA SHE E T 6
0 -" ----MA y 2 0' 19 8 7 (]£A.I<. R-efl& //') Page 1 of 1 Revision O 1, 8-14-87 SURVEILLANCE NO.
TENDON END/BUTTRESS NO
Date Removal Started /-/.-£!? YEAR ./f£! UNIT I ---Q.C. Signof f (7.4) Dry Ice Used on Grease Can ,JI! , Dry Ice Used Around Anchorage,,&07 .J,1, (7 .5) Temp. of Concrete ff F. Ambient Temp. 1=.'1-F. Thermometer No.
Thermometer No. P,K 6"!J Recalib. Date ,f-f..,P Recalib. Date 'f-.l-,P I (8. 7) Amount of Grease Lost _j_ Gal. (8. 7 .1) Amount of Grease in Can t Gal. Pl-t-7.t (8.7.2) Grease to be Reused !2aYEs ONO (8.7.2) Grease in Can Protected f.e-5 I I I I I I I (8.8) GREASE COATING: Grease Can -Complete __ Uncoated ___ "r. Buttonheads -Complete _L Partial __ Uncoated "r. Anchorage -Complete __ Uncoated "r. Shims -Complete Partial __ Uncoated "r. Bearing Plate-Complete / Partial __ Uncoated "r. ( 8. 9) . Unusual Conditions: ..... ........ ..,.,At ......... ""'"'-"""'"" --------------- (8.10.l) Grease Color: Match L Color q!l,,.,,a Commi:r.it Lf4 (8.10.2) No Match Color----Comment (9.6) Amount of Grease Removed--)'.;? Gal. -Will this be scrapped? &. SQ 7 .0 SAMPLES ---(6.1) Grease Samples Taken Aff#-Quarts. (6.1) Identified .... -(6.1) Location d'fSample Removal ( 7) Grease Analysis: D Accept D Unacceptable Engr. Notified //# Jh/t FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection ________ _ {U7J-?9.t . (10.3) Amount of Grease Lost (} j!f},l*l?? ... I &c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 & c0.n_fi_ + C8.7.1>_j}_ + C9.6) Ji + sQ1.o C6.1)__L + c10.3>L = I !n TOTAL GREASE LOSS Post to DS 12.1 Q.C. Review Level JJL Date 3-to-9 t.. I Title MG--,4, Q,4, Lt_ /VD') INFO, I I I I I I -* -* .. -. -** . SHEATHING FILLER DOCUMENTATION PR.OJECT I TENDON NO. _.!/"----:...../ FILLER DATA . .,_ **,. . . 4---* . o - DATA SHEET 6.0(l_1:.-A"-./(G/1Jt1V MAY 20, 1987. Page 1 of 1
Revision O ,&Revision 1, 8-14-87 SURVEILLANCE NO. uc ---=""-'-v-R-.__
__ _ YEAR/-@ UNIT__,_/ __ TENDON END/BUTTRESS NO. Date Removal Started 1-t-ffl-Q.C. Signoff ( 7. 4) Dry Ice Used on Grease Can JI() , Dry Ice Used Around Anchorage illJ . j}J. 3-t-J.2 ( 7
5) Temp. *of Concrete f'f F. Ambient Temp. :ff F. Thermometer No. 211'1 Thermometer No. P/<5S Recalib. Date ?-:5-J?.L RecaHb. Date (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in Can tJ Gal. J.a ?-t-U (8.-7 .2) Grease in Can Protected l£::z.:. (8.7.2) Grease to be Reused C2'YES ONO (8.8) GREASE COATING: Grease Can -Complete V' Partial __ Uncoated ___ Buttonheads
-Complete Partial __ Uncoated Anchorage -Complete L._ Partial __ Uncoated Shims -Complete V'" Partial __ Uncoated Bearing Plate-Complete / Partial __ Uncoated ( 8. 9) . Unusual Conditions
-"& ...
...... 4 .... ..... ........... u ..... c -------------- /J)J!i .., / t:I {8.10.l) Grease Color: Match __ Color Comment OA * { 8 .10. 2) No Match L. Color Pc,k .&ewn Comment ,,,...J/_..12=N..-.e:=-----.,--_.,..--. {9.6) Amount of Grease Removed Gal. -Will this be s'crapped? 0 NO Al}.J-v-1.2. & SQ 7 . 0 SAMPLES --. I (6 .1) Grease Samples Taken ,A;/// Quarts. (6 .1) Samples Identified ..... .... ___ _ (6.1) Location Removal ( 7) Grease Analysis: D Accept D Unacceptable Engr. Notified _____ ,_JJI #')/. "JfP/f L I I FILLER DATA (Continue SQ 6.0) C 10. 2) Method of Tendon Protection ..r: ..... tJ""'-'-%,=J _________ _ {10.3) Amount of Grease Lost Gal. -Will this be .... I Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 .&. (8.7).L_ + (8.7.l)L + (9.6) fj_ + SQ7.0 (6.1.>1 + (10.3)_/}_ = I TOTAL GREASE LOSS Gal. Post to DS 12.1 A&J-1,£< Q.C. Review Level :ra:-Date J-/0-9' I Title 144-IP * . ti I' It/ I ) & '3*1'f *'6? P"D"P I NFCJ; I I I I I -*-*-.. *-.---. -DATA SHEET 6:0 . **'* __ ,. MAY 20' 1987. /.µ."K. -Page 1 of 1 * -Revision 0 .&,Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. __ _ YEAR TENDON NO. V-13% TENDON END/BUTTRESS NO. . UNIT __,_/ __ Q.C. . FILLER DATA Date Remo.val Started J-tf-?-2-Signoff . (7.4) Dry Ice Used on Grease Can;(//) , Dry Ice Used Around Anchorage i!,1 (7.5) Temp. of Concrete fl F. Thermometer No. 2#¥ Thermometer No. P,t:;-s Recalib. Date fo:;J ;?...2 Recalib. Date )t Ambient Temp. ?!f F. (8. 7) Amount of Grease Lost /)__ Gal. (8. 7 .1) Amount of Grease in Can tJ Gal. (8.7.2) Grease to be Reused (XI YES (8.7.2) Grease in Can Protected Ji::.2-(8.8) GREASE COATING: Grease Can -Complete __ Uncoated ___ Buttonheads -Complete ../"" Partial ___ Uncoated Anchorage -Complete 7 Partial __ Uncoated Shims -Complete :Z-Partial __ Uncoated Bearing Plate-Complete / Partial __ Uncoated (8.9) Conditions: a.611. aa:ke-t /,/own (J' ___________________ v ______________________ (8.10.1) Grease Color: Hatch Color Comment---------- (8.10.2) No Hatch V-Color il.rkBa.ld Comment ,Jlu1-e--I (9.6) Amount of Grease Removed Ji<. Gal. -Will this be scrapped? . .& SQ 7 .0 SAMPLES __ I ( 6. l) Grease Samples Taken ,,t;/ ,l;Z-ouarts. ( 6. l) Samples Identified I) /J t:J"1 (6 .1) Location Removal _______ ..:.T_____ I ( 7) Grease Analysis: D Accept D Unacceptable Engr. Notified N/"1 ')f)(.)/tof<r L,, FILLER DATA (Continue SQ 6.0) /J (10.2) Method of Tendon Protection (10.3) Amount of Grease :ost _f2_ Gal. -Will this be ONO I &c11.2) Add quantities of lost gre;se as each total on Data Sheet 12.1 &. (8.7)_p_ + (8.7.l)_p_ + (9.6) .&__ + SQ7.0 (6.l)_L + (10.3)....a_ =
iaJ*.fiz.
I I TOTAL GREASE LOSS Gal. Post to DS 12.l Date ... _1°_--f'--2. __ _ .. Level ::;ro:, Title 111
Q .,/} ' I I 1--
PRocEBu8E -sci 6. o__ -_-q .. Ra*"R) I I I I I I MAY 20, 1987 Page 1 of 1 Revision O .&,Revision 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT SURVEILLANCE NO. :2(}9r . YEAR /ff;?,. TENDON NO. _.V...._-f_,_* ___ _ TENDON END/BUTTRESS NO. -UNIT __._/ __ Q.C. FILLER DATA Date Removal Started :J-t'f!l-Signoff . ( 7. 4) Dry Ice Used on Grease Can A/I , Dry Ice Used Around Anchorage . ,f!tl C 7. 5) Temp. of Concrete f? F. Ambient Temp. F. Thennometer No. 2/f{ Thennometer No. li<§ Recalib. Date* Recalib. Date 2-.J (8.7) Amount of Grease Gal. (8.7.1) Amount of Grease in Can Gal. (8.7.2) Grease to be Reused rg]'yEs ONO* (8.7.2) Grease in Can (8.8) GREASE COATING: Grease Can -Complete //" Partial *-Uncoated Buttonheads -Complete __L Partial ==Uncoated ---Anchorage -Complete ./' Partial __ Uncoated Shims -Complete __ Uncoated Bearing Plate-Complete =:2" Partial __ Uncoated i I (8.9) Unusual (8.10.1) Grease Color: Match i/'Color Lt:/Sr 0 va Corranent ... _______ __ (8.10.2) No Match Color Corranent rJf/ (9.6) Amount of Grease Removed-h Gal. -Will this be scrapped? gYES 0 NO _&so 7.0 SAMPLES -... I C 6. 1) Grease Samples Taken arts. C 6 .1) Samples Identified _,.&.,...14: ____ _ (6.1) Location f Sample Removal __________ __.7 __ -_________ FILLER DATA (Continue SQ 6. 0) ..J J/ (10.2) Method of Tendon Protection ( 7) Grease Analysis: D Accept . D Unacceptable Engr. Notified /<j/l'f
J/tofrt.
I I (10.3) Amount of Grease Gal. -Will this be ... Add quantities of lost grease as each applies;Post total on Data Sheet 12.I .&. ca.n_L + ca.1.1> 4-. + C9.6) + sQ1.o C6.1>1 + = j!fJ.J-IJ.<._ I TOTAL GREASE LOSS __ Gal. Post to DS 12.1 j).I) tf--2. Q.C. Review Level :aJ.-Date J **/O -'( l._ I Title c::!<.A. > &, '3*f *S? P"D) I NFCJ,
. ***** ..
Jed. -*--* . *. DATA -SHEET 6. O .. f._!:._. t:fKl'tr * .* :.:--.. --_.--.: :-SHEAcTHING FU.LER DOCUMENTATION PROJECT
_MAY.20, 1987* . Page 1 of 1 Revision 0 .&.,Revision 1, 8-14-87 SURVEILLANCE NO. YEAR I I I I I I I I TENDON NO. FILLER DATA TENDON END/BUTTRESS NO. . -rhtUz ..,, -,74v UNIT Date Removal Started 3-k -Q.C. Signof f (7.4) Dry Ice Used on Grease , Dry Ice Used Around Anchorage
f't2 (7 .5) Temp. of Concrete /f_F. Thermometer No. li'f.!f Recalib. Date #-;;

-7-JA:r*,f'l,/J,.
Ambient Temp. £2-F. Thermometer No. Recalib. Date -l-b. (8.7) Amount of Grease Gal. (8.7.l) Amount of Grease in Can_/ __ Gal. (8. 7 .2) Grease to be Reused 12$1 YES D NO (8. 7 .2) Grease in Can Protected ,A.tll-fft (8.8) GREASE COATING: Grease Can -Complete / Partial __ Uncoated ___ '9 Buttonheads -Complete Partial Uncoated '-Anchorage -Complete Partial =::== Uncoated '9 Shims -Complete =::2" Partial __ Uncoated '-Bearing Plate-Complete / __ Partial __ Uncoated '-/2hi*f1 ( 8. 9) _u_nu_s_u_a_1_c_on_d_i_t_i_o_n_s_: =:Q.: .... (8.10.l) Grease (8.10.2) (9.6) Amount of Color: Hatch Color Comment No Hatch :Z-:Color Dk&K.(,, comment -tJ..- Grease Removed :;#, Gai. -Will this be Lt_ SQ 7 .O SAMPLES . . /,, I (6.l) Grease Samples Taken (6.l) _s;i.mples Identified .... ----{)f'J-,.1.?ri (6.l) Location '?f'Sample Removal ,...'f..,.'/ .... 4-'--_______ T______ ( 7) Grease Analysis: D Accept D Unacceptable Engr. Notified 1'-1/lf ;¥11! )/tts/'l J I FILLER DATA (Continue SQ 6.0) // (10.2) Method of Tendon Protection (10.3) Amount of Grease :ost 0 Gal. -Will this be scrapped¥,f-DYES ONO I .&,, (11.2) Add quantities of lost as each applies;Post total on Data Sheet 12.1 & C8.nL + C8.1.1>_l_ + + sQ1.o C6.1>_/}_ c10.3>.f)_ = * ... I Q.C. Review I Title /h /A4 / (.).-!' TOTAL GREASE LOSS -.,.._ Gal. Post to DS 12. l Level ;116-'ti., . ' Date __ 3_-_f_o_-_'f_z. __ _ I I 0 _--. DATA 0 /')eak. . MAY 2 0 , . 1 9 8 7 :-SHEATHING FI!.LER DOCUMENTATION PROJECT i?)'ffde_s . Pa.ge *1 of 1-* Revision 0 &Revision 1, 8-14-87 SURVEILLANCE NO. _- ___ _ YEAR I I I I I I I I I I ' TENDON NO. TENDON END/BUTTRESS NO *.. UNIT_/_ Date Started J-h-tJ Q.C. Signof f FILLER DATA . (7.4) Dry Ice Used on Grease Can @ , Dry Ice Used Around Anchorage NI} Ja£-t.-f ..?-Thermometer No * .2/f'/ Recalib. Date f-3-J:2 j?}J Thermometer No. f'I< f,f Rec a lib. Date </-,£-!:! J 1.f.. (7.5) Temp. of Concrete F. Ambient Temp. 6'2 F. (8.7) Amount of Grease Lost_{)__ Gal. (8.7.1) Amount of Grease in Can Gal. (8.7.2) Grease to be Reused (8.7.2) Grease in Can Protected (8.8) GREASE COATING: . Grease Can -Complete /Partial _ Uncoated ___ Buttonheads -Complete ../' Partial _ Uncoated Anchorage -Complete L_ Partial __ Uncoated Shims -Complete _L Partial __ Uncoated Bearing Plate-Complete // Partial __ Uncoated * ( 8. 9) . Unusual Conditions: &<%&fe. t!fH:n /;/,ht . 21' (8.10.1) Grease Color: Hatch Color Comment---------- (}, (8.10.2) . No Hatch LColor ]J.f.&,w., Comment Nfi<<e-( 9. 6) Amount of Grease Removed J,j. Gal. -Will this be scrapped? ,0 YES 0 NO ,,JiJ,.ft*i! ' .&. SQ
7 . 0 . SAMPLES (6.1) Grease Samples Taken 1;/..4--Quarts.
(6.1) Identified (6.1) Location Removal ........ ____________ _ ( 7) Grease Analysis: D Accept D Unacceptable Engr. Notified p.// II :lp1:1/f 2. FILLER DATA (Continue SQ 6.0) /) (10.2) Method of Tendon Protection j)f.3-&:-tt ' I . (10.3) Amount of Grease () Gal. -Will this be scrappedr#-DYES ONO Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 (8.7)_:Ll,__ + (8.7.l)....L1__ + (9.6) + SQ7.0 + (10.3).t2'.__ = I Q.C. Review Title I TOTAL GREASE LOSS .. ) &;_ Gal. Post to DS 12 . 1 ..?-i-flu{ Date --=7'--.....;/_o_-_?_2.. ___ _
_ ,. 1---I .. ** SHEATHING FILLER DOCUMENTATION f:'sc *. PR6tEDl:JRf:
6-: _0.t<J1'/1ts*. -__ GREASE CAN REMOV1).L..
. : . -.. , DATA-SHEET --6 -(#AK f?s.pA1R)
MAY 20, 1987 Page 1 of 1 Revision 0 I I I I I I I I &,Revision 1, 8-14-87 PROJECT ?hfe<j_r?:,1
SURVEILLANCE NO. ::?J ye. YEAR TENDON NO. _V....__.-
...... (} ___ _ FILLER DATA . TENDON END/BUTTRESS NO. Date Removal Started **;-t !> UNIT (7 .4) Dry Ice Used on Grease Can ,Al/ , Dry Ice Used Around Anchorage ,{/(/ * /. ---Q.C. Signof f (7 .5) Temp. of Concrete F. Thermometer No. ;?/'II/ Recalib. Date f-J-fe? A:d.J-l*P Ambiei1t Temp. ?"£ F. Thermometer No. &f:.!J-Recalib. Date f*.l-2L 'l-t*f',,;[ ' ' , (8.7) of Grease Lost ..L2__ Gal. (8.7.1) Amount of Grease in Can Gal. (8.7.2) Grease to be Reused ONO (8.7.2) Grease in Can Protected b..? (8.8) GREASE COATING:
Grease Can -Complete L Partial __ Uncoated ___ Buttonheads
-Complete ./" Partial _ Uncoated Anchorage
-Complete V Partial __ Uncoated Shims -Complete / Partial __ Uncoated Bearing Plate-Complete "'7 Partial __ Uncoated (8.9) *unusual Conditions:
CreA,,.. Ca,.., ga1tdlz bkevn )ffif-fr-fj . (8.10.1) Grease Color: Hatch /Color /;t£w<" Comment ... pe. (8.10.2) No Hatch Color Comment
l C 9. 6) Amount of Grease Removed -J.?.: Gal. -Will this be I &so 7.0 ' SAMPLES I (6.1) Grease Samples Taken Quarts. (6.1) Scynples Identified . (6.1) Location 'f Sample Removal (7) Grease Analysis:
0Accept 0 Unacceptable Engr. Notified -----I I (10.3) Amount of Grease Lost Gal. -Will this be scrappedo/#--DYES FILLER DATA (Continue SQ 6*.o) /) (10.2) Method of Tendon Protection __._f.i(:..,,,._._.ee......_:r._e-.._ .... c .... .... tl ........... (',,...e'""n .... £'"""it_,!/e_.....;f.__ ______ _ ... I &c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 ( l . & (8. 7)_/)_ + (8. 7 .1) 1f_ + (9.6)1i_ + SQ7 .O (6. l)_L + (10.3).d_ = J.0,J=d*t I TOTAL GREASE LOSS Gal. Post to DS 12.1 Q.C. Review Level "::rir Date __ "3_-_1_0_-?_?.. __ I Title
1 I I I I I I _... ,__.. . . --_: -* --PSC PROCEDURE SQ 6. 0--: )f?i7/-__ :: GREASE CAN REMOVAL --*. ** _--
.. -. -:-.. --: _-*;: .,.. DATA SHEET .-MAY 20, 1987 SHEATHING FILLER DOCUMENTATION PROJECT Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. 2d Ill"* YEAR " TENDON NO. TENDON END/BUTTRESS -NO. >1_,lf'}/z/;; UNIT --/--Q. C. FILLER DATA Date Removal Started ..? *t-?.:Z Signoff . ( 7. 4) Dry Ice Used on Grease Can J/IJ , Dry Ice Used Around Anchorage Al4 (7 .5) Temp. of Concrete '/? F. Ambient Temp. £7 F. Thermometer No. Thermometer No. .!.{-Recalib. Date J.1.-'-i .. ftt . Recalib. Date J4 .. .J*h-f.t , (8.7) Amount of Grease Lost_/}__ Gal. (8.7.l) Amount of .Grease in Can Gal. A'--'*l-22 (8.7.2) Grease to be Reused ONO (8. 7 Gr.ease in Can Protected k (8.8) GREASE COATING: Grease Can -Complete ,,/"".Partial Uncoated Buttonheads -Complete _ic::::_ Partial === Uncoated -------. Anchorage -Complete _L Partial __ Uncoated Shims -Complete _L Partial __ Uncoated Bearing Plate-Complete Partial __ Uncoated 8.9) .Unusual affl!U. J6wn . _____________ 11 ____ " ______________ (8.10.1) Grease Color: Match /.J. &,we Corranent _,,-M-a-...KA: ...... __ -------(8.10.2) No Match Color Corranent

I (9.6) Amount of Grease Gal. -Will this be scr-apped? l)(lYES 0 NO &. SQ 7
0 SAMPLES I (6.1) Grease Samples Taken m//L Quarts. (6.1) Samples Identified
-4Jf-.....,....tf-.__ ______ _ (6.1) Location Removal 1 ( 7) Grease Analysis: 0 Accept 0 Unacceptable Engr. Notified ________ P/11 -;.t# FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection (l,./'tAlt!-- Cd.A I (10.3) Amount of Gr-ease :ost Gal. -Will this *be scrapped¥.4DYES 0 NO Add of lost grease as each applies;Post total on Data Sheet 12.1 & (8.7)_/)__ + (8.7.l)_A + (9.6) + SQ7.0 (6.1)-L_ + (10.3)1._ = I TOTAL GREASE LOSS Gal. Post to DS 12.l .C. Review Level -ro;; Date __ J_-_,_0_-..;..9'_'2.......;:,.._ __ _ .Title I J,4?14..2. , id, / , ___ . --1---- --PS_C PROCEDURE -:srr-6. 0 . kL;j-S ---:*---: GREASE CAN RE-MOVAL --. *_ _ );qS'j' _ DATA SHEET 6.0 -J_-p_,. -_ . MAY 20, 1987 & " 7",'" -I I I I I Page-1 of 1 * * *
Revision O 1, 8-14-87 .SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. 3&f1c YEAR /fY. TENDON NO.
___ _ TENDON END/BUTTRESS -NO .... UNIT -Jo/ __ Q.C. FILLER DATA Date Started ) -k-.t,.2 Sfgnoff . C 7. 4) Dry-Ice Used on Grease Can Aid , Dry Ice Used Around Anchorage A/d * (7.5) Temp. of Concrete //'f' F. Thermometer No. Ambient Temp. F. Thermometer No. __ Recalib. Date AJ,..7-1-22 ?;<££ Recalib. Date £..J-/.:1 (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in Can Gal. (8.7.2) Grease to be Reused l§fyEs ONO (8.7.2) Grease in Can GREASE COATING: Grease Can -Complete** / __ Uncoated ___ (8.8) Buttonheads -Complete / Partial __ Uncoated Anchorage -Complete _L__ Partial __ Uncoated Shims -Complete Partial Uncoated Bearing Plate-Complete ..,ir::::__ Partial Uncoated ( 8. 9) Unusual tions: te .... * ... _b ..... h..,.&: ..... n...__ _____________ _ (8.10.1) Grease Color: Match Color Comment ) h __,.-l 111* b-Q,"-,-rJ...,..-&-,,-t'..,..,----1---) "-/.t:M (8.10.2 No Hate ...!::'.:..Co or ec4,f:h,,,,c Comment #e"e p,,z::caet".tt..'Lrn9-'.::/e. , tt'"/;Z. (9.6) Amount of Grease Removed 1';1._ Gal. -Will this be scrapped? 0 NO Jd!f..3-(-J_ .& SQ 7. 0 SAMPLES (6 .1) Grease Samples Taken A/H-Quarts. (6 .1) Samples Identified ,J,{4 .... 1 * (6.l) Location Removal ,'(# 7 (7) Grease Analysis: D Accept 0 Unacceptable Engr. Notified l'Jjl} V)!-'3/,o/d I FILLER DATA (Continue SQ 6.0) ------, C 10. 2) Method of Tendon Protection I I ( 10. 3) Amount of Grease Lost _/j__ Gal. -Will this
scrapped¥!
D _YES 0 NO . \ -.fu (11.2) Add quantities of-lost grease as each applies ;Post total:-. on Data Sheet 12.1 .. _fu (8.7)--iL + (8.7.l) + (9.6) + SQ7.0 (6.1)1_ + (10.3)1._ = I TOTAL GREASE LOSS __.../...__ __ Gal. Post to DS 12.1 Q.C. Review Level -:rrz:::* Date J-/o-9't.. Title I I I I I I I I I - DATA SHEET -6.
Rrk)--.. ----MAY 20, 1987 * .. -* . SHEATHING FIT.LER DOCUMENTATION PROJECT
' Page 1 of 1 Revision 0 &Revision 1, 8-14-87 SURVEILLANCE NO. YEAR ' Jf£2. TENDON NO. __._!f__.-?.....__....1_* ---;---* TENDON END/BUTTRESS NO. t'r UNIT __,_/ __ Q.C. FILLER DATA Date Removal Started a --f:?_ Signof f . (7. 4) Dry Ice Used on Grease Can §ti , Dry Ice Used Around Anchorage Aid (7 .5) Temp. of Concrete fl! F. Thermometer No * ..5/111 Recalib. Date 2:1.:1).. Ambient Temp. (7!' F. Thermometer No. ,f&s.F Recalib. Date (8.7) Amount of Grease Gal. (8.7.l) Amount of Grease in Can /) Gal. (8.7.2) Grease to be Reused .0YES 0No (8.7.2) Grease in Can )j..?-t-j;:( (8.8) GREASE COATING: Grease Can -Complete Uncoated '9 Buttonheads -Complete 7 Partial --Uncoated ---'9 Anchorage -Complete Partial ::::=::: Uncoated '9 Shims -Complete Partial __ Uncoated '9 Bearing Plate-Complete L._ Partial __ Uncoated '9 (8. 9) "unusual Conditions: l/n 1 n 9 reia,.e e ... 9"Ar:-tz k/111)'1 __ __,, ____________________ ftJt-"2 (8.10.1) Grease Color: Match /Color Comment _& ............ -t4-..."""--< ..... (8.10.2) No Hatch Color Comment 1_,/,-1.;.U (9.6) Amount of Grease -Will this be
ONO ).fi?i*ff
&. SQ 7 .0 SAMPLES 1({ * . . . I (6.1) Grease Samples Taken Quarts. (6.1) Sanwles Identified .... &J....,._,/t:_,._ ___ _ (6.1) Location f Sample Removal ---# .... ft/,;:.J&c I I I I I ( 7) Grease D Accept 0 Unacceptable Engr. Notified _____ ,.JjA ?ti< 'foA;_ FILLER DATA (Continue SQ 6.0) C 10. 2) Method of Tendon Protection ..... .... .... d"""..,./"------------ (10.3) Amount of Grease :ost _/)_Gal. -Will this be ONO Lllc11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.I (8.7)--12__ + + (9.6)_&_ + SQ7.0 TOTAL GREASE LOSS (6.1)___.1__ + = Y.y Gal. Post to DS 12. 1 ) Q.C. Review 26-;s: Level :IJI. Date 9 'L Title. J.4
)Jtt-l-9L
. ----. **' . --I I I I I I -*-: .--. ..---: --* ---P SC-'PROCEDURE SQ 6 0 -* -GREASE CAN REMOVAL -DATA SHEET 6.0 MAY 20, 1987-Page .1 of 1 Revision O 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT e.-;s ) SURVEILLANCE NO. ,2t}c YEAR 199}?.. TENDON NO. v:...@8. TENDON END/BUTTRESS NO. UNIT _.._/ __ Q.C. Date Removai Started t(,..,)3-fJ.. Signoff FILLER DATA . (7.4) Dry Ice Used on Grease Can , Dry Ice Used Around Anchorage A/t? (7.5) Temp. of Concrete ..s;,.... F. Ambient Temp. fr,:L F. Thermometer No. __ .s;_...W ..... -.... 1 ___ Recalib. Date?--9:/f Thermometer No. PX1££ Recalib_. (8.7) Amount of Grease Lost _/l_ Gal. (8.7.l) Amount of .Grease in Can / Gal. ;.l,J.,;Ff1 (8.7.2) Grease to be Reused (8.8) GREASE COATING: 0No (8.7.2) Grease in Can Grease Can -Complete / Partial __ Uncoated ___ Buttonheads -Complete ?"-Partial __ Uncoated Anchorage -Complete -r Partial __ Uncoated Shims Complete L __ Uncoate_d Bearing Plate-Complete Partial ___ Uncoated mtt iJ.&Nt-%1 (8.10.1) Grease Color: Hatch Lcolor Lt: s('Dr/11: Comment tlom/.,e, -(8.10.2) No Hatch Color Comment "6(. (9.6) Amount of Grease Removed-II{ Gal-.-_-W_i_l_l-this be __ O_N_O &. SQ 7
0 SAMPLES . . . . I (6.l) Grease Samples Quarts. (6.l) Samples Identified
..... I I . (6.1) Location of Sample Removal ________ _ (7) Grease 0Accept D Unacceptable Engr. Notified -----. I FILLER DATA (Continue SQ 6.0) / J .A .L JI Jf (10.2) Method of Tendon Protection f.A,;kl w1"tdyeq11-1Ulj/(e4 1 (10. 3) Amount of Grease :ost /) Gal. -Will* this 'be YES D NO P...z.?Y.,.21 Add quantities of lost grease as each total on Data Sheet 12.1 _] + (8.7.l)__L__ + + SQ7.0 + (10.3) tJ = I. TOTAL GREASE LOSS I Gal. Post to DS 12. 1 ,4_tf.,1).ai"" Date _3_-_f c._-_'f_L-'----- I Title I I I I I I I I I :., SHEATHING DOCUMENTATION .-:.**-* -* ... -... -. pR:OCEDURE' SQ 6 ** 0 GREASE.: CAN REMOVAL ----DATA SHEET-6.0 MAY-2 0, 1 8 7 Page 1 of 1 Revision 0 1, 8-14-87 _. . -.*. J _u/ 1-/A S-<J" PROJECT PAL.JS}) DES SURVEILLANCE NO. 'ZD+)\ yfi.
YEAR q 2. ---TENDON HO. '/£ 8 0 TENDON END/BUTTRESS NO. F1et:1JA em UNIT . .1. *} ----/ Q.C. Date Removal Started 3 /'19"2-Signoff V L FILLER DATA . (7 .4) Dry Ice Used on Grease Can ..VO , Dry Ice Used Around Anchorage N 0 (7 .5) Temp. of Concrete " F. Thermometer Ho. _...S,....J4_
.. _fo,,.....-- Recalib. Date ,)1fq-z Ambient Temp. i'i F. Thermometer Ho. _P ..... IC ..... 'l_'H __ Recalib. Date (8.7) Amount of Grease (8.7.l) Amount of .Grease in Gal. (8. 7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Can Protected "!/L (8.8) GREASE COATING: Grease Can -Complete __ Uncoated Buttonheads -Complete -V--Partial Uncoated ---Anchorage . -Complete e:....Partial ==Uncoated Shims -Complete Uncoated Bearing Plate-Complete _//_. _ P Partial __ Uncoated (8. 9) Unusual Conditions: .A/()AIG'° ,...,1 11/,,,., _____ --:__-_ ........... _--_-:__=--_-_-_-_-_-_-_-_- _-_-_-_-_-_-_-_-_-:__-_-_-. (8.10.l) Grease Color: Match Color Comment $ (8.10.2) No Match 'Ii 2-(9.6) Amount of Grease Removed----p'$' Gal. -Will this be scrapped? []NO . Z-. &. SQ 7 .0 SAMPLES .
I (6.1) Grease Samples Taken 2-Quarts. (6.1) Samples Identified
_y_e ...... S ___ _ -(6.1) Location of Sample Removal <2>"REA5e-CJtlJ ' I C 7) Grease Analysis: D Accept D Unacceptable Engr. Notified -----I FILLER DATA (Continue SQ 6.0) .. (10.2) Method of Tendon Protection A%r::M.'E:J-Y +f!AAJ W.STALLE"b

(10.3) Amount of Grease Lost -"0--Gal. -Will this "be scrapped?i'i9-DYES
.... Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 & (8.7)_.f!.__ + (8_.7.l)li_ + (9.6).J+/- + SQ7.0 (6.1) '/<!._ + (10.3)-:PL = f!IJ3}1/0,,z.
1 I '* * * . TOTAL GREASE LOSS ..1._ Gal. Post to DS 12.1 Review Date I Tit.le

-*:.* .-* .-*** _ *PSC PROCEDURE
-.$GJ"--6 GREASE C_AN REMQVAL --DATA SHEET 6.0 MAY 20, 1987 Page 1 of 1 Revision O *1----11iff:1 . &, Rev is ion 1, 8-14-87 I . SHEATHING DOCUMENTATION -. PROJECT .... .... SURVEILLANCE NO. YEAR /f9.J I '-';,ENDoH HO. TENDOH END/BUT:ri<Ess , Q.C. UNIT.__./ __ 1.-FILLER DATA
_ Date Removal Started J"' fw f)-_ Signoff (7.4) Dry Ice Used on Grease Dry Used Around Anchorage,.J/,//
I C7 .5) Temp. of Concrete F. Thermometer No. 511 t.f Recalib. ti!.. J.J/ff Ambient Temp. f' F. Thermometer No. &s.5' Recalib. . (8.7) Amount of Grease Lost _L[__ Gal. (8.7.1) of .Grease in Can ..& Gal. I I I I (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can (8.8) GREASE COATING: . _ . Grease Can -C-lete f Partial __ Uncoated Buttonheads -Complete Partial __ Uncoated ___ Anchorage Complete Partial __ Uncoated Shims -Complete ,,,--_ Partial Uncoated Bearing Plate-Complete Partial =::== Uncoated 8. 9) *unusual Condit.ions
.......
... -----.,...-----------------

Jkili (8.10.1) Grease Color: Hatch Color Comment (8.10.2)

No Hatch .,,-Color JJ.1, &u11-Comment (9.6) Amount of Grease Removed Gal. -WHl this be scrapped?
ONO * ..i--&. SQ 7 .0 SAMPLES . _ I (6 .* 1) Grease Samples Taken 2._ Quarts. (6 .1) Sa!IlPles Identified ..J.& ......... t= ___ _ (6 .1) Location of Sample Removal /.-4/Y I ( 7) Grease Analys_is: D Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection msbJ!etf
I (10.3) Amount of Grease L Gal. -Will this 'be scrapped¥..f-DYES D NO 1&.c11.2)
Add quantities of lost as each applies;Post total on Data Sheet 12.I /, -].{. k (}IJ & cs.nJ_ + cs.1.1>..!i_ + C9.6)_y_ + sQ1.o C6.1)_<Z_ + c10.3>__L = I TOTAL GREASE LOSS I fy Gal. Post to DS 12. 1 ga,.,J/.,,f/_ Review Date .... -"9'_2..... __ _ I Title I. :_ ---*PSC PROCEDURE--*SQ 5:. 0 7 /. GREASE* :CAN ":REMOVAL . * , lh b / * :.-*DATA SHEET ... -_/f1r/ I I I I 1* I I I I I. I MAY 20, -1987* Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT TENDON NO. SURVEILLANCE NO. TENDON END/BUTTRESS-NO. YEAR /Yef UNIT ___./._____ FILLER DATA Date Removal Started i$-/4' f,J Q.C. Signoff . (7.4) Dry Ice Used on Grease Can tf/I/ Dry Ice Used Around Anchorage ,Vf (7 .5) Temp. of concrete F. . Ambient Temp. F. Thermometer No. .5tf 1 Thermometer No. n §£ Recalib. Date Recalib. Date -Y-J'.I /.1.4J-/1J-f;i (8.7) Amount of Grease Lost _.t2.._ Gal. (8.7.1) Amount of .Grease in Can / Gal. ( 8. 7. 2) Grease to be Reused DYES ( 8. 7. 2) Grease in Can Protected ¢" (8.8) GREASE COATING: Grease Can -Complete Partial Uncoated . ---Buttonheads -Complete Partial Uncoated Anchorage -Complete Partial Uncoated Shims -Complete Partial Uncoated Bearing Plate-Complete _Partial __ Uncoated (8. 9) Unusual Conditions .... u_1= _____________________ _ (8.10.1) Grease Color: Hatch Color Comment (8.10.2)
No Hatch Comment 4,IJ-.!-Jv-9;.
(9.6) Amount of Grease Removed tJ Gal. -Will this be ONO )i.J-a}? .&. SQ 7. 0 SAMPLES -(/ (6.1) Grease Samples Taken Quarts. (6.1) Sap1ples Identified (6.1) Location of Sample Removal J4ckoiyer*-t:gct!As-e &re ,,l.11ll:.1£2. (7) Grease Analysis: 0Accept 0 Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) ru.'t/.l'!t:.st/c..).#...T-/J-l',:1. (10.2) Method of Tendon Protection A.t'ettoJ?AGtf A:>5*µ8iY Mt.J (10.3) Amount of Grease -e-Gal. -Will this be. .. ,&. (11.2) Add quantities of. lost grease as each applies;Post total .. on Data Sheet 12.1 .&. (8.7)_a__ + (8.7.l)_l__ + (9.6)__j)_ + SQ7.0 + = TOTAL GREASE LOSS l'/z_ Gal. Post to OS 12.1 .. Q.C. Review Date _z.__ ... 2_'3_-_?_z.. __ _ Title I ;, .. I I I I I I I SHEATHING FILLER DOCUMENTATION TENDON No. v -n FILLER DATA . (7.4) Dry Ice Used on Grease Can (7.5) Temp. of Concrete f11 F. Ambient Temp. 'f7J' F. -* __ -Pst: PRO-CEDURE __ so 6. o * ** CAN -REMO.VAL ... DATA SHEET 6. 0 (J.1:.Ax_ MAY 20,-1987 . ** *
Page 1 of 1 Revision O &,Revision 1, 8-14-87 SURVEILLANCE NO. 2J flf* 17 TENDON END/BUTTRESS NO.
Date Removal Started '1-4
t.2, YEAR /ft£. UNIT __,_/ __ Q.C. Signoff AltJ , Dry Ice Used Around Anchorage uJ h-?-1.,. -£2. Thermometer No.
J43-l-f'2 Thermometer No. Fklf Recall.b. AJ.l-?--£-2L C 8. 7) Amount of Grease Lost _/)_ Gal. C 8. 7. l) Amount of . Grease in Can tJ Gal. j_J, .7-/ .. p. (8.7.2) Grease to be Reused .t2f YES (8.7.2) Grease in Can Protected lf.:.:z_ (8.8) GREASE COATING: Grease Can -Complete / Partial __ Uncoated ___ 1. Buttonheads -Complete Partial ____ Uncoated 1. Anchorage -Complete / Partial __ Uncoated.
1. Shims -Complete L_ Partial __ Uncoated 1. IA . Bearing Plate-Partial __ Uncoated 1.
Unusual

I (8.10.1) Grease Color: Hatch Color Comment I of Greas: 0 O NO I -.&. SQ 7
0 SAMPLES I (6 .1) Grease Samples Taken (6 .1) Samples Identified
.... ... .... ---------. (6.1) Location of Sample Removal I (7) Grease Analysis: 0Accept Dunacceptable Engr. Notified ______ ;J/,1 'Jl')/.}/to/fl... I FILLER DATA (Continue SQ 6.0) /} _ , (10.2) Method of Tendon Protection .... .... Ctr"'"'.u..!l ........ l"t? ..... 1 ..... .... ..... b ..... '/d""""'-----------------"fllil::L-(10.3) Amount of Grease Lost Gal. -Will this be scrappedf1d DYES ... Add quantities of lost grease as each applies;Post total on Data Sheet 12.I I (8.7)..L2..._ + + + SQ7.0 (6.l)_i__ + = I TOTAL GREASE LOSS Gal. Post to DS 12.1 ---Review Level jJC Date J-lo-9 L I Title #16-R ., C52-4. , .&_
S? I NF(), p "D"'P I-* I I I I I I I . ---

P SC PROCEDURE SQ 6:0' -:: -_f--:--**

..

1--{ *.:**.-_ SHEATHING FILLER.DOCUMENTATION

... : MAY 20, 1987 Page 1 of 1 Revision O & Revision 1, 8-14-87 PROJECT SURVEILLANCE NO. :2.() fr. YEAR . / f!,.L

TENDON NO:
___ _ TENDON. END/BUTTRESS NO. . UNIT I ------Q.C. FILLER DATA Date Removal Started .!J*.3*f.,2 Signoff . (7.4) Dry Ice Used on Grease Can J/I , Dry Ice Used Around Anchorage ,,,!/(/ (7 .5) Temp. of Concrete 9/l F. Thermometer No. Ambient Temp. .2(, F. Thermometer No. (8.7) Amount of Grease Lost J2_Gal. (8.7.1) Amount of.Grease in Gal. j..J.Z:!""fL; (8.7.2) Grease to be Reused DYES ,OONo (8.7.2) Grease in Can Protected
p. ,,,f.dzr.Jt 1 ( 8. 8) GREASE COATING: *
Grease Can -Complete / Partial __ Uncoated ___ '-Buttonheads
-Complete __ Uncoated '-Anchorage -Complete Partial __ Uncoated '-Shims -Complete Partial __ Uncoated '-Bearing Plate-Complete Partial __ Uncoated '-(8. 9) Unusual Conditions .... (8.10.l) Grease Color: Match Color Comment---------.---- (8.10.2) No Match /Color W&a 14 Comment d'itl ( 9. 6) Amount of Grease Removed It Gal. -Will this be scrapped? {jNO & SQ 7 .O SAMPLES . . . I (6.1) Grease Samples Taken b-Quarts. (6.1) Sarqples Identified I I (6 .1) Location of Sample Removal AuJ;,Ofj'.P Cf-' j""4Te-c:..ir,,;. (7) Grease D Accept D Unacceptable Engr. Notified _....__ __ _ FILLER DATA (Continue SQ 6.0) ;J J -* (10.2) Method of Tendon Protection . (10.3) Amount of Grease _ _{)__ Gal. -Will this.be ONO .&.c11.2) Add quantities of lost grease as each total on Data Sheet 12.1 .&. (8. 7)_L_ + (8. 7 .1) & + (9. 6)__jz_ + SQ7. 0 (6. + (10. 3)-12._ = ,.d.tf
1. .
TOTAL GREASE LOSS / £ Gal. Post to DS 12.1 Date
__ _ I Title I I I I I I I I I I I I ... *. ... DATA 6:0 . I MAY 20, 1987 Page 1 of 1
Revision O * .&,,Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT __ __._F ....... A ....... k __ l
___ _ SURVEILLANCE NO. YEAR 'f'l. TENDON NO. iq Arr TENDON I A . END/BUTTRESS NO. FJr;Ll> 8v1T . . I UNIT _;L __ _ FILLER DATA Date Removal Started 1 I Q.C. Signoff ( 7. 4) Dry Ice Used on Grease Can A/ 0 , Dry Ice Used Around Anchorage pO e1z'3(1 z-hz_ (7.5) T-. of Concrete zo F. Thermometer No. Recalib. Date Ambient Temp. Z.O F. Thermometer No. PK'i_ Recalib. Date (8.7) Amount of Grease (8.7.l) Amount of Grease in Can .:1-Gal. ... (8. 7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Can Protected#..- tlf3jJt.j'lz.... (8.8) GREASE COATING: Gt"ease Can -Complete / Pat"tial __ Uncoated . Buttonheads -Complete 7 Partial __ Uncoated ---Anchorage -Complete Partial __ Uncoated Shims -Complete Partial __ Uncoated Bearing Plate-Complete Partial __ Uncoated ___ ( B. 9) _u_nu_s_u_a_1_co_n_d_i_t_i_o_n_s_: ====-/IJ--'_"':N=rf_,_:- _______ -_:-_____ -_:-___ -_:-___________________ -_-_. ____ -_:-_____________________ CB .10 .1) Grease Color: Hatch '8RQtJJ/i/ Comment __ Al_if_N ... tf.__ ______ $ (B.10.2) No Match Color Comment -----=----- (9.6) Amount of Grease Gal. -Will this be scrapped? 0 NO .&. SQ 7 . 0 SAMPLES . 2, (6 .1) Grease Samples Taken _ Quarts. (6 .12 Samples Identified ..... ___ _ (6 .1) Location of Sample Removal fRo,1.1\ 6B.EA.$E CAJ) (7) Grease Analysis: D Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) e& "3Ji-z.lct'Z-(l0.2) Method of Tendon Protection lr>Se!.@L'/ IA.IJ1i'}lL.(/)
1 #Jo,vt DV 3.12..qz .d (10.3) Amount of Grease Lost {U,, Gal. -Will this be scrapped?
IL:jYES 0 NO IJl#f,Az N?#z.. I &c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 & (8.7)_£_ + (8.7.1) *:::J_ + (9.6).Jj_ + SQ7.0 (6.1) "Ii-+ (10.3)Y.:I:._ = I '2... TOTAL GREASE LOSS Gal. Post to DS 12.1 ---Q.C. Review Title I I I I I I I I I SHEATHING DOCUMENTATION PROJECT TENDON NO. -

FILLER DATA -*.*. ---

0 -.- DATA SHEET 6.0 __ /JJS I -MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 SURVEILLANCE NO. YEAR .£f.t._ .* TENDON END/BUTTRESS NO. UNIT __ Q.C. Date Removal Started -.'1-1/-1fl. Signoff (7.4) Dry Ice Used on Grease Can lild , Dry Ice Used Around Anchorage //L (7 .5) Temp. of Concrete J,5" F. Thermometer No. -7/'I '/ Recalib. ,lP,J'*/(-.!..t Ambient Temp. :2 7 F. Thermometer No. ,?A".£.f' Recalib. Date (8. 7) Amount of Grease Lost _i_ Gal. (8. 7 .1) Amount Grease in Can Jj Gal. (8.7.2) Grease to be Reused DYES ,rglNo (8.7.2) Grease in Can Protected,¢: jj?;//-,t! (8.8) GREASE COATING: Grease Can -Complete _L Partial
__ Uncoated ___ Buttonheads
-Complete :::Z Pat"tial ___ Uncoated Shims Complete Partial __ Uncoated Anchorage -Complete
Partial __ Uncoated .. . Bearing Plate-Complete _. _Partial __ Uncoated . (8.9) Unusual
...... 11..,,f::'...__ ____________________ _ I I (8.10.1) Grease Color: Hatch /color &au1r Corranent StJ,tr,p/e., (8.10.2) No Hatch Color Corranent /1 I (9.6) Amount of Removed tJ Gal. -Will this be &. SQ 7 .0 SAMPLES
I (6.1) Grease Samples Taken...!!:___
Quarts. (6.1) Samples Identified _l::-s....-.. ___ _ . (6 .1) Location of. Sample Removal /lACkc'f #ff{'T:!!d'e a.<4 I (7) Grease 0 Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) I (10.2) Method of Tendon Protection d,,p.1.,1J.f"'Je,, )JL-1/.,f? ! (10.3) Amount of Grease Gal.* -Will this *be ONO )/,Hf.!£ l.&.c11.2) Add quantities of ... lost grease as each applies;Post total on Data 12.1 I.& (8. + (8. 7 .1) f*r + (9.6)-11__ + SQ7 .O . (6. l)__i_ + (10 .. 3)1._ = TOTAL GREASE LOSS / ?t Gal. Post to DS 12 .1 Date _3_-_z.._; __ ** __ ?_2-__ _ I Title I . . *-: * -. . . --.. fisc:: .PRCOCEDOR{.sQ-*: 6 **:* *, * . "GREASE CAN REMOVAL DATA SHE EL b. o:--MAY 20, _1987 ........ , *. **-1-l:s"/
-/t1s4 I**.

I SHEATHING FILLER DOCUMENTATION Page 1 of 1 .Revision 0 ,& Rev is ion 1, 8-14-87 I I I I I I I I PROJECT SURVEILLANCE NO. YEAR 1U.t TENDON NO. _./)...._.....t-.-
.... 1 .... 9 ____ _ TENDON END/BUTTRESS NO
UNIT _,.1-I __ Q.C. Date Removal Started -fA Signoff FILLER DATA . C 7. 4) Dry Ice Used on Grease Can 4112 , Dry Ice Used Around Anchorage * (7 .S) Temp. of Concrete F. Themometer J)/*( Recalib. Date Ambient Temp. 3CJ F. Themometer No. ,f/(5£ Recalib. Date f*1*f.2 (8.7) Amount of Grease Lost__{)__
Gal. (8.7.l) Amount of .Grease in Can Jl:z.. Gal. (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can Protected$ (8.8) GREASE COATING: Grease Can -Complete /.Partial __ Uncoated Buttonheads -Complete Z. Partial __ Uncoated ---Anchorage Complete __ Uncoated Shims * -Complete _L Partial __ Uncoated Bearing Plate-Complete L_ Partial __ Uncoated (8.9) *unusual _________________________________ __ ___________________________________ (8.10.l) Grease Color: Hatch Color Comment Oi (8.10.2) No Hatch L Color Prk:&o11111 f)ae.?11@ ttudr)< sole-A)!JMi? (9.6) Amount of Grease Removed ht Gal. -Will this be scrapped? NO .& SQ 7 . 0 SAMPLES I (6.l) Grease Samples Quarts. (6.l) Samples Identified _.,....Ye.--.2 ___ _ I I . . (6. l) Location of Sample Removal tlnobraJe' "l:/te4ttr!= C7) Grease Analysis: .0 Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) /} ( ,J ,; I (10.2) Method of Tendon Protection 9---u;vk,,i/iJtA<L (10.3) Amount of Grease fJ Gal. -Will this be ONO I & (11.2) Add quantities of lost grease as each applies;Post' total on Data Sheet 12.1 + + (9.6)_!£_ + SQ7.0 (6.l) tfL., + (10.3)-'2__. = I . . TOTAL GREASE LOSS /Y( Gal. Post to DS 12 .1 / Date _J_-_2-_J_- 9_L __ _ I Title I I ** I I I I I I I I I I 1* I I* :'* --. PSC PROCEDURE SQ .6.1. INSPECT FOR WAT.Efo/ l p n DATA SHEET 6.1 MAY 20, 1987' Page 1 of 1 Revision O PROJECT: ,!?/:, ... J*'-.£ DATE: )-#-9...;<. TENDON NO.:. END/BUTTRESS NO.: SURVEILLANCE OTHER TENDON END LOCATION INFO ,fl# . (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes e Quantity . ___ Sample Tuen Yes Comments (9.7) IN GREASE CAN (9.7.l) Water Detected Yes I} Quantity ___ Sample Taken Yes Comments (9.S) AROUND TE?IDON ANCHORAGE (9.8.l) Water Detected Yes B Quantity ___ Sample Taken Yes C01mnents (9.10) DURING DETENSIONING .Jlj.tl. (9.10,l) Water Detected Yes* .... No' .Qtiantity .. .......... ___ Sample Taken Yes Comments (11.) OWNER/ AGENT NOTIFIED/VJ¢ Yes Ho Jl/fo . OBSERVABLE __ DATE------------ SIGNIFICANT (12.l) SAMPLES ADEQUATELY Yes (12.2) STOREJ:>_ AT ___ * ---------- No Level.....,.._/£ ___ ._ Date ___ _ QC Review ft/ Level +tk Date "?-ID-'( 2-I
Title * "1(f 1(1, , t::(

4 * .
No No No No .--* .. ,. __ . . -:PSC PROCEDURE SQ 6.0 GREASE CAN DATA SHEET 6.0 MAY 20, 1987-.. -...... . -.. I: __ I--* I SHEATHING FILLER DOCUMENTATION Page 1 of 1 Revision O .&Revision 1, 8-14-87 I I I I I I I I PROJECT .... ..... de-*.-'-F"-------- NO. YEAR ,,/ff"-. TENDON NO. ___ _ END/BU_TTRESS NO. UNIT _I __ / Q:c.-_ Date Removal Started .. 1'% Signoff FILLER DATA .. (8. 9) *unusual C;nditions: 8/J$e.r ,:., efrM?e: (8.10.1) Grease Color: Match Color ____ Conunent (8.10.2) No Match L. Color a;:... Conunent _PA_e_-:-_n.l)_;t:;_Adidt, __ (9.6) Amount of Grease Removed Jlx Gal. -Will this be scrapped? __giis .& SQ 7 . 0 SAMPLES
I (6 ._l) Grease Samples Taken -6_ Quarts. (6 .1)
Identified __ _ (6.1) Location of Sample Removal &Ju"}je.- C!.6Y'-I (7) Grease Analy_sis: 0Accept Ounacceptable Engr. Notified----- FILLER DATA (Continue SQ 6.0) j&.L*:?-ti. 1 * (10.2) Method of Tendon Protection e 11 tfetOW4pAID..4-fflM ( 10. 3) Amount of Grease :ost a Gal. -Will this . be YES D llO )!..z;-tt. I Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 &. + (8.7.1) + (9.6) }i + SQ7.0 (6.1)..&._ + (10.3)_{)_ = I TOTAL GREASE LOSS I/£ Gal. Post to DS 12. 1 j/3;),fot. 1 Q.C. Review Level :iir Date __ _ I Title ) . -**. :*._*. I SHEATHING FILLER DOCUMENTATION
PSC
-6 :-o. GREAsE-*CAN-
DATA SHEET-6 .0.--MAY 2 0 , 1 9 87 ---Page 1 of 1 Revision 0 & Rev is ion .1, 8-14-87 I I I SURVEILLANCE NO. YEAR /l/'lJ ' TENDON END/BUTTRESS NO. S/, 111";fta,. UNIT -.f--Q.C. .TENDON NO. -Y-*J....,/J.._
___ _ *, I I I FILLER DATA Date Removal Started ;-.ft/ .. ?#. . (7. 4) Dry Ice Used on Grease Can AID , Dry Ice Used Around Anchorage /if()
C 7. 5) Temp. of Concrete J.P F. Ambient Temp. 0 F. Thermometer No. SH-( Recalib. Date f*J*fl. Thermometer No ..... ...... W ....
Recalib. Date (8.7) Amount of Grease Lost _fJ__ Gal. (8.7.1) Amount of Grease in Can P¥ Gal. (8. 7. 2) Grease to be Reused DYES 00 NO (8. 7. 2) Grease in Can Protected (8. 8) GREASE*COATING: Grease Can -Complete / Pat"tial __ Uncoated ___ Buttonheads -Complete 7. Partial __ Uncoated Anchot"age -Complete .,,/ Partial Uncoated Shims -Complete 7'"' Partial __ Uncoated Bearing Plate-Complete Partial __ Uncoated (8.9) .Unusual Conditions: /fhs.f.ec .tVe.f' p/uuve.J. ,;., frM4'=-eM Signof f ild:.-Jt?J J.i,:...-1/.f.£ I I (8.10.1) Grease Color: Hatch Color Comment------,.------ (8.10.2) No Hatch L Comment JV.mh/G J.§.JJ.;Jl*'l1 (9.6) Amount of Grease Removed f't Gal. -Will this be scrapped? 0 NO & SQ 7 .0 SAMPLES . I (6 .1) Grease Samples Taken )}_ Quarts. (6 .1) Identified .* (6.1) Location of Sample Removal 1-J.ret:1..19 """" (7) Grease Analys_is: D Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0). (10.2) Method of Tendon PI"otection , I I (10.3) Amount of Grease :ost _/j__ Gal. -Will this be scrapped¥'1,PYES ONO Add quantities of lost grease as each applies;Post total on Data Sheet 12.I (8.7)_1__ + + + SQ7.0 (6.1) 1tz + = ' I
TOTAL GREASE LOSS / Gal. Post to DS 12. 1 Level "N Date 'J -) o -'l 'L --'----'-----------
I Title --... ---: -,-*-... -.. ::*-.. * .. .--* .

*--/: :* ... _,

PROCEDURE SQ "6.0 ' _ _., ,---GREASE CAN REMOVAL DATA SHEET 6.0 I I I I I I I I SHEATHING DOCUMENTATION
MA_Y 20,-1987 Page 1 of 1 Revision O .&,:Revision 1, 8-14-87 PROJECT ___
...... SURVEILLANCE NO. "tO 9'-i\ Y12.. YEAR 1"2. * * . I AJEfiR. TENDON NO. ___ 1)....:c30-,=S_'2.___ END/BU_TTRESS NO. /:/£'ti/ 8 B_v/T UNIT _:L __ 7 Q.C. FILLER DATA Date Removal Started
Signoff (7 .4) Dry Ice Used on Grease Can .U() , Dry Ice Used Around Anchorage l*"O t.+1/U/'t-Z.. . l I (7 .5) Temp. of Concrete U F. Thermometer No. S,NJ-ia Recalib. Datef-'-92 Ambient Temp. 320 F. Thermometer No.
Recalib. . ,, Amount of Grease Gal. (8.7.l) Amount of Grease in Can .12.. Gal. (8.7) (8.7.2) Grease to be Reused DYES (8.7.2) Grease Protected ell 7/1'o/*i.
e1:z/V>frt . (8.8) GREASE COATING: Grease Can -Complete___£ Partial __ Uncoated ___ Buttonheads
-Complete + Partial __ Uncoated -* Anchorage Complete Partial __ Uncoated Shims -Complete Partial Uncoated . Bearing Plate-Complete -Uncoated *c 8. 9) unu5ual Conditions: __ ..(lt>. __ W;;....._E _____ ___;. _____________ _ (8.10.l) Grease Color: Hatch Color .,J.,,_l (8.10.2) No Hatch Comment ot.'P (9.6) Amount of Grease Removed -Will this be scrapped? 0 NO & SQ 7 .0 SAMPLES * . . . . I (6 .1) Grease Samples Taken _z._ Quarts. (6 .1) Samples Identified ... ___ _ I I . (6 .1) Location of Sample Removal FRDM ceJ) ( 7) Grease 0 Accept 0 Unacceptable Engr. Notified----- FILLER DATA (Continue SQ 6.0) * . C 10. 2) Method of Tendon Protection A$SE'M"gL..Y ( Cl'tAJ WSTA-L..l.Cb (10.3) Amount of Grease Lost JJOJJ* Gal. -Will this *be
0No esi{Z'1 /q "L s-z/zcf'Pz...-. ' .&,c11.2)
Add quantities of lost grease as each applies;Post total on Data Sheet 12.t I. & (8.7)-1--+ (8.7.1) Y-i.. + (9.6)..!1.f_ + SQ7.0 (6.1) Yi. + = * ... ; --I Title I \}tJ. TOTAL GREASE LOSS II_ Gal. Post to DS 12.1 Level :rrc Date J-"1-3-? 2. Gi-A. Y??. o{'>) *!*
I & 'a* lt-'6? lr"DY I NF(),
I :-I I I I I I I I I I I I I* I PSC PROCEDURE SQ 6 .. 1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: ;J&,,,,:fe.r DATE: f;.£iZ-TENDON NO.: f/12-() : TENDON END/BUTTRESS NO.: SURVEILLANCE @ti'. OTIIER TENDON END LOCATION INFO ------------------------------------------ (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN' Water Detected Yes 'ffJ-Quantity Sample ---Comments Yes No --------------------------------------------------------- (9. 7) (9.7.l) IN GREASE CAN Water Detected Yes £? Quantity ___ Sample Taken Yes No Co .. -ients _________________________________________________ _,. __ __ (9.B) AROtnID '!'E?IDON ANCHORAGE (9.8.l) Water Detected Yes if! Quantity Sample Taken ---Yes Comments (9.10) DURING DETENSIONING '{ff (9.10.l) Water Detected Ye No Qua:i.tity ___ Sample Taken Yes Comments (11.) OWYER/AGENT Ho DATE ----------------------- COND.ITION:#lf-. OBSERVABLE __ SIGNIFICANT No (12.l) SAMPLES ADEQUATELY IDDITIFIEDJftf Yes (12.2) SAMPLES AT. ___ * ----------- QC Review Title _. -; Level Level -:::rrr::: Data Date _..]'--"""I"_- ?"--2...--

No No I I I I I I I I I I I -*-PSC PROCEDURE SQ 6.1 INSPECT FOR REPA1R) DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: ,Wfeides DATE:

TENDON NC.: V-1.?t : TENDON END/BUTTRESS NO.: 24e,/z0 SURVEILLANCE OTHER TENDON END LOCATION INFO (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Yes @Quantity ___ Sample Taen Yes No Comments ________________________________________ __ (9. 7) (9.7.l) IN GREASE CAN Water Detected Yes @ Quantity _____ Sample Taken Yes. No Cor::nents ______________________________________________________ __ (9.3) (9.8.l) AROUND TE?IDON ANCHORAGE Water Detected Yes y Quantity ___ Sample Taken Yes No Corranents ______________________________________________________ __ (9.10) (9.10.l) DURING DETENSION"ING
<1# Water Detected No
______ Sample Taken _Yes No Comments ___________________ .:_. ________________________________ __ ( 11. ) Ow"YER/ NOTIFIED 1 H Yes No -DATE ----------------------------------- Pjlf . OBSERVABLE SIGNIFICANT (l2.l) SAMPLES ADEQUATELY IDENTIFIEDAf...f-No ( 12. 2) SAMPLES AT Si&noff ....... :z::a.:;.w. QC Review Title _. ..
Level _.zt; Date ._.;;_;!_-.;;;...J.
___ -- __ _ Level Data _]:;__-_1_ 0_-_t'f l-..;__ ______ __ 1* I I I I I I I I I I I I I I A / o"'t. PSC PROCEDURE SQ 6. 1 yA/l. INSPECT FOR WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: DATE: .J'-./ * /_,,2 TENDON NO. : V END/BUTTRESS NO. : SURVEILLANCE 2P,c. OniER TENDO?l END LOCATION INFO ..,.,tfrl-,# ... (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Yes <SJ Quantity ___ Sample Taken Carr.men ts Yes No ---------------------------- (9. 7) (9.7.l) IN GREASE CAN Water Detected Yes {f§!J Quantity*--- Sample Taken Yes No Cor.:nents __________________________ __ (9.S) (9.8.l) AROUND TE?IDON ANCHORAGE Water Detected Yes @ ___ Sample Taken Yes No Comments __________________________ __ (9.10) (9.10.l) DURING DETENSIONING j.// ff Water Detected Yes7 .. No ___ Sample Taken Yes No Comments _________ _;_ ________________ __ (11.) OWER/AGE?r.I: NOTIFIEDf#Yes Ho DATE-----------. OBSERVABLE SIGNIFICANT (12.l) SAMPLES. ADEQUATELY No (12.2) SAMPLES AX ..... Jt-..__....,_ .... *---------- QC Review hf.-'h:
Title _. __
/ I Level -:tJ:L Date ---"'-? ..... -.{._-.... Date _.::7;..--_f_o_-?_2.. ____ _ I I I I I I I I I I I **-"' .. --.. --*: *. , . .--* SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0
PROJECT:
DATE: .;'-/-J"__:L 7 TENDON NO. : Y* 9£ : TENDON END/BUTTRESS NO. : SURVEILLANCE . OnIER TENDON END LOCATION INFO _________________ _ (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Yes ___ Sample T.iUcen Comments Yes No ---------------------------- (9. 7) IN GRE:ASE CAN Water Detected Comments ... Yes ___ Sample Taken Yes No ----......... (9.S) (9.8.l) ARomm TE?IDON ANCHORAGE Water Detected Yes Comments t!!§} Quantity ___ Sample 'J:aken Yes No ---------------------------- (9.10) (9.10 .. l) DURING DETENSIONING
_water Detected Yes
___ Sample Taken Yes No Comments ___________ _._ _______________ __ (11 .. ) OWER/AG'EN'X NOTuJ:ED#JrYes Ho DATE ------------ CONDITION: j/ /If-OBSERVABLE SIGNIFICANT (12.1) SAMPLES ADEQUATELY IDENTIFIED/;# Yes No (12.2) SAMPLES AX 'QC Signoff ....,..**WL ............ ........ __ _ ) Level V: >2 Data ___ _ QC Review 2f ";r, Level :ttJ;;
Titla _-__ ..;../V/_6-;...l':......;;o-
.... * ...
I I I I I --. ,_ .. -..... : *p.5{:-. SQ: .. 6. 0 -::G.REASE . c*AN. REMOVAL DATA SHEET 6 ;0 -MAY 20, 1987. Page 1 of 1 Revision 0 lD.Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. --"";3 .......
TENDON END/BUTTRESS NO. JibM /J3oi/p,,,,* I YEAR /ff.2 TENDON NO. -¥-V ...... Pta-1 ....... ?,.__ __ _ UNIT_......./ __ FILLER DATA Date Removal started , "1-,a -9J. Q.C. Signoff ( 7. 4) Dry Ice Used on Grease Can ,(/d , Dry Ice Used Around Anchorage 4f/2_ an 3;1z..j;t I aecalib. nate 9-J*'.:l Recalib. Date J 1 -I (8.7) Amount of Grease Lost _f}__ Gal. (8.7.1) Amount of Grease in Gal. (7.5) Temp. of Concrete f F. Ambient Temp. ,{13 F. Thermometer No. SH'/ Thermometer No. ?gg (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can Protected b.,_ (8.8) GREASE COATING: Grease Can -Complete / Partial __ Uncoated '9 Buttonheads -Complete 2 Partial __ Uncoated ---'9 Anchorage -Complete ,,_.., Partial __ Uncoated '9 Shims -Complete ./ Partial __ Uncoated '9 Bearing Plate-Complete _.JL Partial __ Uncoated '9 (8.9) *unusual (8.10.1) Grease Color: Hatch Color Comment (8.10.2) No Hatch /'color /J.); &nvn Comment _J6 __ .:_1_a_trl1 ___ ( 9. 6) Amount of Grease Removed IJ Gal. -Will this be scrappedo/A'{J YESO NO ')/L!:iZ:.f,,,t, I I I I & SQ 7
0 SAMPLES (6.1) Grease Samples Quarts. (6.1) SaJllPles Identified
____ __ (6. l) Location of Sample Removal 41-'eA.zo-q "'1 (7) Grease Analysis: D Accept D Unacceptable Engr. Notified I FILLER DATA (Continue SQ 6.0) *. / (10.2) Method of Tendon Protection t!¢klJ.lllf&9aase-1'M& D NO . IL .. (10.3) Amount of Grease Lost //,;)., Gal. -Will this be scrapped? .LD.,c11.2) Add quantities of lost grease as each applies;Post total on Data &. (8.7)_j)_ + (8.7.l)_l_ + (9.6)_{J_ + SQ7.0 -(6.1) ,& + (10.3)/41 = I Sheet 12.1 lM#!J. ,JIJ-17--'J:.1. TOTAL GREASE LOSS ;3 Gal. Post to DS 12 .1 ' -------Q.C. Review Date .J-2.J-92.... I Title 1--1* I I I I I I I I . **-:-:. . .... _*-::.-:-- -* .. *.-:--**-.. *-... . .. DAT A SHEET 6
O . . ---* ** /tJ S1 MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING DOCUMENTATION.
PROJECT !?k&k.1 SURVEILLANCE NO. wt:/) u.;r. YEAR /!/...:< TENDON uo. UNIT _____ / __ TENDON NO. ____ _ Q.C. Date Removal Started 72.I'-9A Signoff
FILLER DATA . (7.4) Dry Ice Used on Grease Dry Ice Used Around Anchorage ,If/I} (7.5) T-. of Concrete tfJ F. Thermometer No. 5/f:1 Recalib. Date Ambient Temp. ZtJ F. Thermometer No. f**<< Recalib. Date

4" ( 8. 7) Amount of Grease Lost Q_ Gal. ( 8. 7 .1) Amount of . Grease in Can A_ Gal. (8.7.2) Grease to be Reused ONO (8.7.2) Grease in Can Protected W,_ (8.8) GREASE COATING: Grease Can -Complete L Partial __ Uncoated ___ '1. Buttonheads
-Complete *Partial __ Uncoated '1. Anchorage Complete Partial __ Uncoated '1. Shims Complete Partial __ Uncoated '1. Bearing Plate-Complete __ Partial __ Uncoated '1. (8.9) *unusual .......... 'Jf'.__ ________________________________ __ ,* (8.10.1) Grease Color: Hatch Color Comment----------- (8.10.2) -No Hatch V/.color .Pr!,Bnu,1n. Comment (9.6) Amount of Grease Removed Gal. -Will this be scrapped? lJ NO . & SQ 7 . 0 SAMPLES
t/ I (6.1) Grease Samples Quarts. (6.1) Samples Identified
_,./.a..g,re/"-----. (6.1) Location of Sample Removal * ' I I (7) Grease 0Accept D Unacceptable Engr. Notified ---------- FILLER DATA (Continue SQ 6.0) j *'I _/ -'-}/_/ (10.2) Method of Tendon dz.LWl/IL )JNf'-12 ifi,;-.2!£t (10.3) Amount of Grease Gal. -Will this.be 0No I.& (ll.2) Add quantities of lost grease as each
Post total on Dfj.ftSheet

12. I &. (8.7)_/2_
+ (8.7.l) + + SQ7.0 (6.1) + = . TOTAL GREASE LOSS ). Gal. Post to DS 12 .1 r-'Q.C. Review "JI, Level ::JJ:l-Date 3-to-') 2... I Title PtVie .* ,IJ. * ; . . I I I I I I I I I I I PSC PROCEDURE INSPECT FOR DATA SHEET 6.1 . MAY 20, 1987 Page 1 of 1 Revision O PROJECT: li%sa/e.,. ___ _ TENDON NO.:
TENDON END/BUTTRESS NO.:
SURVEILLANCE .fR!JlU OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes <£)Quantity ___ Sample T-1cen Yes Comments (9. 7) IN GREASE CAN' ... (9.7.l) Water Detected Yes $}Quantity ___ Sample Taken Yes Con::nents (9.B) AROIDID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes §J Quantity ___ Sample 'taken Yes Comments (9.10) DURING DETENSIONING AJj!I-(9.10.l) Water Detected Yes No Qua:i.tity ___ Sample Taken Yes Comments Cll.) OWNERIAGEN"! Ho J/)f . . OBSERVABLE --DATE SIGNIFICANT ( 12. l) SAMPLES AJ?EQUATELY IDENTIFIED
/11 Ho (12.2) SAMPLES AX Signoff .(}JJ#/L Level .J£ Date
QC Review Level 7IC Data "]-lc-'f 2_ Titla .
f:<.4 I No No Ho Ho I I I I I I I I I I I I I* I PSC PROCEDURE SQ 6.1 INSPECT FOR WATER/ . ) DAT A SHEET 6
1 .
,.. MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT

E'-?t:;/RF DATE: J.:tf -TENDON' NO. : 1/-/J"f : TENDON' END/BUTTRESS NO. :
SURVEILLANCE OTHER TENDON' END LOCATION' INFO (9.4) (9.4.l) (9. 7) (9.7.l) ( 9 * .8) (9.8.l) DURING LOOSENING OF GREASE CAN Water Detected Yes cf; Quantity ___ Sample '!.:a.ken Yes Comments IN GREASE CAN Water Detected Yes '6) Quantity ___ Sample Taken Yes *ccm:nen ts AROtnID TE?IDON ANCHORAGE Water Detected Yes @ Quantity ___ Sample Taken Yes No No No Comments ___________________________ (9.10) (9.10.l) DURING DETENSIONING )I/# Water Detected Yes No ___ Sample Taken Yes No (ll.) OWNERIAGF.:N'l: NO'IIFIEDfij.f Yes Ho DATE------------ CONDITION:AJ;11f . OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIED,V/tf No (12.2) SAMPLES STORED AT
-Signoff ,fLUL Level -tC_ Date j ' QC Review Level -::JIL_ Date J-to -rr 2...

Title . IVtv,/J.. . 4. )
I I I I I I I --.".:---*_. --' . *PS_C .. - .. _-** -GREASE c*AN _REMOVAL -:-LJ 1'2 . -.. *-DAT A SHEET 6
O _ _ _ .** --___ 'I] S4 MAY 20, 1987 Page 1 of 1 Revision O & Revision 1, . 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT SURVEILLANCE NO.
YEAR JflJ... , . TENDON NO. TENDON END/BUTTRESS NO. UNIT -L-/ __ Q.C. Date Removal Started Signoff FILLER DATA (7 .4) Dry Ice Used on Grease Can J/t2 , Dry Ice Used Around Anchorage .# .J.lz::Jf-f_t (7 .5) Temp. of F. Thermometer No * .:J!J 'I Recalib. Date Ambient Temp. F. Thermometer No. PK@-Recalib. Date 9 .. . . l _CS. 7) Amount of Grease Lost _jJ_ Gal. CS. 7 .1) Amount of Grease in ./..!A.. Gal. CS. 7 .2) Grease to be Reused ONO (S. 7 .2) Grease in Can Protected (8.8) GREASE COATING: Grease Can -Complete
Partial __ Uncoated ___ °' Buttonheads
-Complete Partial __ Uncoated °' Anchorage -Complete __ Uncoated °' Shims -Complete yr Partial __ Uncoated °' Bearing Plate-Complete ____ Uncoated °' ffeD (8. 9) (8.10.2) No Hatch Z Color FJiMll/>J Comrnent.z4M Ad:rnuizd 37:-& . *
Jl (8.10.1) Grease Color: Hatch . Color Comment (9.6) Amount of Grease Removed /) Gal. -Will this be scrapped¥PYES 0 NO -"' & SQ 7

0 SAMPLES I (6.1) Grease Samples Taken 1 Quarts. (6.1) Samples Identified (6.1) Location of Sample Removal I I (7) Grease D Accept 0 Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) .i_ J . n/ L// A ( 10. 2) Method of Tendon ProteJ i!oLM tPt'atjl"*'f,,._
'l-4RtUJ-i.tlflfr. ( 10. 3). Amount of Grease :est Gal. -Will this be scrapped 14jl;fJ YES 0 NO Add quantities of lost grease as each total on 12.1 &. C8. nL + C8. 1 .1iffe + + sQ1 .o ;.Kt + = . j!.,i;l/-. I TOTAL GREASE Loss Gal. Post to DS 12 .1 .fJl.a--2.P. Level J1C-Date _"J_-_f_o_r'f_z... __ _ I IYkt-12, Q .4
Title

. *, -:* .

1--. .. PSC-PROCEDURE SQ 6:0 GREASE CAN REMOVAL DATA SHEET 6.0 .. **" I *. ** I fl *
4s4 I I I I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT
__ _ SURVEILLANCE NO. YEAR TENDON NO. ___ V_7_Z... ___ _ TENDON END/BUTTRESS "NO. SJ-\o'P /-ro:P I 't2 ::L.. UNIT __ _ FILLER DATA Date Removal Started 3} q_ /q Z-Q.C. Signoff (7 .4) Dry Ice Used on Grease Can AIO, Dry Ice Used Around Anchorage J</O ( 7. 5) T-. of. Concrete W F. Thermometer li'o. S 1'1-b Recalib. Date "'ft<= Ambient Temp. S'f F. Thermometer No. ?4:::.S-S-Recalib. '3. (8. 7) Amount of Grease (8. 7 .1) Amount of. Grease in Can Z Gal. 2J1J'1Z.. (8.7.2) Grease to be Reused DYES (8.7.2) Grease in Can Protected (8.8) GREASE COATING: . Grease Can -Complete /Partial Uncoated ___ Buttonheads -Complete Uncoated Anchorage -Complete Partial Uncoated Shims ..:.-Complete /c Partial --Uncoated Bearing Plate-Complete Partial __ Uncoated (8.9) Unusual Conditions: rouAlt:> 1JJ Gge.A$'f'" cAA..J (8.10.2) No Hatch Color Comment 2-(8.10.l) Grease Color: Hatch Comment-----------( 9. 6) Amount of Grease Removed --'1j' Lf" Gal. -Will this be scrapped? [2S. YES 0 NO 1-& SO 7 .0 SAMPLES * (6.1) Grease Samples Quarts. (6.1) Samples Identified. (6.1) Location of Sample Removal (7) Grease _Analysis: 0Accept D Unacceptable Engr. Notified ------FILLER DATA so 6. 0) + 41/ 'PLASTIC!. 3}"1)'1"2-. (10.2) Method of Tendon Protection C.OP..."ra't> tt.JS1.ArLLICJ:> AJoJJ"f!: o}.) 3-'\rC\ z e6 d.. ... (10.3) Amount of Grease Gal. -Will this scrapped?/AlJYES ONO tJ6p;4Z-: .&,, C 11. 2) Add quantities of-lost grease as each app Post tota*l* .. on Data Sheet 12. I .&. + (8.7.l)__.f:. + (9.6)!/.:t_ + SQ7.0 -(6.1) Jlz... + = TOTAL GREASE LOSS Z 3/'f Gal. Post to DS 12. 1 Q.C. Review -------------- Level __ Date ---------Title I 1*-1 I I I I I I I *--:-,** .-. -* ... -SHEATHING FILLER DOCUMENTATION PROJECT I TENDON NO. """'-2 ....... f'-&A_..E...._ ___ _ FILLER DATA ,*.*. " *PSC PROtEOURE-SQ
6.0 GREASE
CAN REMOVAL DATA SHEET 6.0 MAY 20, 1987 Page 1 of 1 Revision o ,&. ision 1, 8-14-87 ,----*A ---__ --'-. :4-17/**_

-SURVEILLANCE NO. .2dt'*
YEAR /f9.2, TENDON END/BUTTRESS NO. 5J.v./R8urt UNIT__....../
__ Q.C. Date Removal Started Signoff (7 .4) Dry Ice Used on Grease Can l/d , Dry Ice Used Around Anchorage ,AltJ fJ.IJ-1:rtJ (7 .5) Temp. of J3 F. Thermometer No. SH If Recalib. Date s*3j§ fJl.J-/iJ-f)t.. Ambient Temp. 'Jlp F. Thermometer Recalib. Date *J* . I ( 8. 7) Amount of Grease Lost ..12_ Gal. ( 8. 7 .1) Amount of Grease in Can I Yy Gal. "'3-1,t .Jt 7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Can Protected (8. B) GREASE COATING: Grease Can -Complete /Partial Uncoated ___ Buttonheads -Complete _L__ Partial __ Uncoated Anchorage -Complete Partial Uncoated Shims -Complete -;;::-:-Partial ==:::= Uncoated Bearing Plate-Complete -:;;;:7 Partial __ Uncoated (8.9) Unusual Conditions:_tfh ......... (8.10.1) Grease Color: Hatch /color Lt/l'l{IUI Comment Ha.?/u:.r (B.10.2) No Hatch Color -------Comment

=-----

(9.6) Amount of Grease Removed ___ J'y Gal. -Will this be scrapped? {2YES ONO &. SQ 7 . 0 SAMPLES . . . I (6 .1) Grease Samples A Quarts. (6 .1) SatJ!Ples Identified .... -;;, ___ ___ _ ( 6. 1) Lo ca ti on of Sample Removal s e-ea a I (7) Grease Analys_is: D Accept D Unacceptable Engr. Notified -----FILLER DATA SQ 6.0) _ 'i-,,lltY'J.w1dffuti/c-A/. (10.2) Method of Tendon c(R--/iJ. "PNM1c ,'twii//J
J,.(; ... ;; .. 2Z_ I (10.3)_ Amount of Grease Lost ___c1_ Gal. -Will this *be 0 NO )4,t!--1.Z..
Add quantities of grease as each applies;Post total on Data Sheet 12.I .&. c0. nL + cs. 1 .1).L..& + C9.6)_&_ + sQ1 .o C6 .1) ,& + c10.3).d_ = ,Al,1.z.1-1-<. I . . TOTAL GREASE LOSS 6, Gal. Post to OS 12. 1 ,AJ,;vs.J!'< Review I Title_ I I I I I I I I I ----. . ..
PSC PROCEDURE SQ 6 .. o-*.*. -*-
... , .. MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT ___ ___ _ SURVEILLANCE. NO. zo 't"liyR... YEAR 'f 2 * . /BUTT. END/BU_TTRESS NO. £JElD/ J3 UNIT _..1.. __ _ ,/ Q.C. Date Removal Started z./z,c/L'fZ. Signoff I I (7 .4) Dry Ice Used on Grease Can .#(!) Dry Used Anchorage /t.J O TENDON NO. _ ___.,,7__.7 .... s_e ..... -__ _ FILLER DATA (7.5) Temp. of Concrete 2.i F. Thermometer No. Recalib. Date , .. 5 .. ,2.-lfZ.. Ambient Temp. 3G!) F. Thermometer No. Pl"98' Recalib. DateQ/3/'f?.. Z tfZ.. eJb * (8.7) Amount of Grease Lost.PM'EGal. (8.7.1) Amount of .Grease in Gal. ""'1)t.tJf,-z-, 'l.\t.'\\'l-Z... (8. 7 .2) Grease to be Reused DYES (8. 7 :2) Grease in Can e.i1{-ztl/c:rz... (8.8) GREASE COATING: Grease Can -Complete /Partial Uncoated ___ '1. Buttonheads -Complete e: Partial ==Uncoated '1.. Anchorage -Complete __ Uncoated '1. Shims -Complete Uncoated '1. Bearing Plate-Complete __ Partial __ Uncoated '1. ettjz,'1/. 2-( 8. 9) Unusual Conditions: UtJAJ/if ., .,/.,l//o

_ ....... _...._,, -:;...;;...;

_"-"' _-_-_-_-_-_-_-_-_-_- _-_-_-_-_-_-_-_- _-_-_-_-_-_- (8.10.1) Grease Color: Match __,....Color* CoI!Utlent
(8.10.2) .

No Match V
()/.D6REdf/ Z. (9.6) Amount of Grease Removed---r/t Gal. -Will this be scrapped? ---YES 0 NO 2 &. SQ 7
0 SAMPLES * . . I (6.1) Gre.ase Samples Taken "2. Quarts. (6.1) Samples Identified
'IE5 .. (6.1) Location of Sample I *c 7) Grease Analysis: 0 Accept 0 Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) COATE"D Wl"n' PLASTaC::. e-&7.J"Uf}f Z... I C 10. 2) Method of Tendon Protection ltSS@BLt t!DATeQ+CMI 11JSTIU.LE}) D#J7..jd['lz No>Je oJJ . NI (10.3) Amount of Grease Lost //ONE Gal. -Will this *be scrappedi/1-DYES 0 NO Add quantities of grease as each_applies;Post total on Data Sheet 12.1 1& + cs.1,1>.lt.. + C9.6J.'Jt_ + sQ1.o C6.1J!&,_ + c10.3>-fo[ = -TOTAL GREASE LOSS ..1. Gal. Post to DS 12.1 Date __ '3_-_2.._)_-_'/_L __ _ I I I I I I I I I I I I I I I __ ,,. .-.-* ---P-s-.c -sQ 6. o . -GREASE. CAN REMOVAL0-EAI( DATA SHEET* 6.0 MAY 20, 1987 Page 1 of 1 Revision 0 .&,Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT SURVEILLANCE NO. .-?P'#r. YEAR TENDON NO. _.Vc..-...zrl .... d'---___ _ TENDON END/BUTTRESS NO. £ei{/Ba.fftu .. : UNIT _I __ Q.C. FILLER DATA Date Removal Started Signoff . (7.4) Dry Ice Used on Grease Can tf/4 , Dry Ice Used Around Anchorage A/P (7 .5) Temp. of Concrete 5'/ F. Thermometer No . ..J,:<'-i/1_.,,._.t/.__ __ Recalib. Date '{;%r ,Jl...1*17*f.;?.I Ambient Temp. 6.:J F. Thermometer No. Plc.fS" Recalib. Date -* (8.7) Amount of Grease Lost _L Gal. (8.7.l) Amount of Grease in Can :2-Gal. Ml-IY..t,J!,.; I (8.7.2) Grease to be Reused DYES J81No (8.7.2) Grease in Can Protected..¢. )tlt--1rP (8.8) GREASE COATING: Grease Can -Complete __ Uncoated ___ Buttonheads -Complete / Partial __ Uncoated Anchorage -Complete /Partial __ *uncoated Shims -Complete ..L_ Partial Uncoated Bearing Plate-Complete _/_Partial __ Uncoated ).f /-//-f .Z. (8.9) Unusual Conditions: ....u..=.:..0-.-------------------------------------------

""4rtrf!:! (8.10.l) Grease Color: Match Color Comment------------------ (8 .10. 2) No Match j}d,Bm11u1 Comment 1Jne1 notmofrl ,,;.?yzls-- (9.6) Amount of Grease Removed (} Gal. -Will this be scrapped'!<;jf.OYES 0 NO AtLJ-17-1,,2:,, & SQ 7 .0 SAMPLES _ (6.l) Grease Samples Taken (6.l) Samples Identified __ ..... (6.l) Location of Sample Removal ______________ ___,.. ______ __ ( 7) Grease D Accept D Unacceptable Engr. Notified ______ tV/11 FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection . (10.3) Amount of Grease Lost f Gal. -Will this be scrapped? ... Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 (8.7)....().:_ + + (9.6)...L2.._ + SQ7.0 (6.l) + = 1 8t1t.f?/.2. L TOTAL GREASE LOSS Gal. Post to OS 12.l )/,11;(;?.f::,. Q.C. Review Title Level :JJ.1-Date J-2-;>-5> L. I* I I I I I I . .. --**. . . . _ .. .,.. .---.* -... -.. --... * *
PSf PROCEDURE SQ 6. 0 . GREASE CAN DATA SHEET 6.0 MAY 20, 1987 Page 1 of 1 Revision O L!}.Revision 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT
..... ______ _ SURVEILLANCE NO. //'* YEAR TENDON NO. 7 7 BF TENDON END/BUTTRESS NO. UNIT_/ __ Q.C. FILLER DATA Date Removal started £-Jr fg Signoff . (7 .4) Dry Ice Used on Grease Can JJ/J , Dry Ice Used Around Anchorage '1D ' C 7. 5) Temp. of Concrete .J() F. Thermometer No * .:zg:.f Thermometer No. Recalib. Date f;J.;:J. Recalib. Date Ambient Temp. F. (8.7) .Amount of Grease Gal. (8.7.l) Amount of .Grease in / Gal. (8. 7 .2) Grease to be Reused DYES (8. 7 .2) Grease in Protected (8.8) GREASE COATING: . Grease Can -Complete /.Partial __ Uncoated ___ !. Buttonheads -Complete "-7 Partial __ Uncoated !. Anchorage -Complete _L Partial __ Uncoated !. Shims Complete _--:;;;7_ Partial __ Uncoated !. . Bearing Plate-Complete ,,,.,.,. Partial __ Uncoated !. (8.9) Unusual

(8.10.l) Grease Color: Match Color Comment----------.--------

(8.10.2) No Hatch x_ Color !1.K.h1a11
Comment 'fbt:.t (9.6) Amount of Grease Removed Y-t Gal. -Will this be scrapped?
@Yif 0
.&. SQ 7 . 0 SAMPLES I (6 .1) Grease Samples Taken :2.... Quarts. (6 .1) Identified ____ _ (6 .1) Location of Sample Removal /trJ11Cye: .bl& I (7) Grease Analysis: D Accept D Unacceptable Engr. Notified -----FILLER DATA (Continue SQ 6.0) //A I ( 10. 2) Method of Tendon Protection J,,4,-&>>!;.f,.,$ jt'"ft:.. rt "41> ,;.,t/t..d[
(10.3) Amount of Grease :ost L Gal. -Will this *be YES 0No Add quantities of lost grease as each applies;Post total on Data Sheet 12.t & (8.7)L + (8.7.l)_/_
+ (9.6)--&-+ SQ7.0 . (6.1)__&_ + (10.3)_§_ = I
TOTAL GREASE LOSS ! -%t Gal. Post to OS 12 .1 Level -:ia::: Date _"J_-2.3_--'"'{_z...
__ _ /f1G,e .* Q .,q ' Title I } -1 ***. ****--** . I I I .I I I I I I I I I I I -*--* .. -. -*--_ -*. PROCEDURE SQ 6.1 . INSPECT FOR WAT.ER <!:._e.-.1:. Rt?/'a.i:) DATA SHEET 6.1 . MAY 20, 1987 Page 1 of 1 Revision O PROJECT: Mk;k, DATE: .J-t-P. TENDON HO.:
TENDON E?ID/BUT!RESS NO.: 9"'4' SURVEILLANCE OTHER 'rENDO?l END LOCATION IID"O (9.4) DURING LOOSENING OF GREASE C.AN Yes tfj Quantity ___ Sample Taken Yes No Water Detected Comments (9.7) (9.7.l) IN GRUSE CAJl Water Detected Yes {iJ Quantity ___ Sample Taken Yes Ho *corn:nents

(9.S) (9.8.1) AROUND TE?J'DON ANCHORAGE Water Detected Yes {) Quantity ___ Sample Taken Yes Ho Comments __________________________ _ (9.10) (9.10.l) DURING DETENSIONINGl_.dz Water Detected Yes Ho ___ Sample Taken Yes No Comments _________ __;_ ________________ _. (11.) OWNER/AGEN"! NOTIFIED!f'# Yes Ho CONDI'!-IO?l: 1.1/l'f . OBSERVABLE __ DATE------------ SIGNIFICANT (12.l) SAMPLES ADEQUATELY Yes Ho (12.2) SAMPLES A1: -"'!f;.""1#-u..._ ___________ _ Signoff Level £ Date .?-I-ft' , >{ QC Review Level Date ]-10 i_ *Title . Q.,4, J I l_ __ I 1-1* I I I I I I I I I I I I I I ...... 11 Cl': .. -I .. ---. PSC PROCEDURE 50_),.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: . DATE: TENDON NO. :
V-fP.-: TENDON END/BU'I'IRESS NO. : fi417/Jia SURVEILLANCE
+ O'niER TENDON END LOCATION INFO ... W _________________ _ (9.4) DURING LOOSENING OF GREASE CAN . (9.4.l) Water Detected Yes BJ Quantity ___ Sample Taen Yes No Comments __________________________ __ (9.7) (9.7.l) IN GREASE CAN Water Detected Yes ___ Sample Taken Yes No Cott::lents __________________________ __ (9.8) AROUND T:::?IDON ANCHORAGE (9.8.l) Water Detec.ted Yes (j) Quantity ___ Sample Taken Yes No Comments (9.10) DURING (9.10.l) Water Detected Y s No Sample Taken ---Yes No Comments Cll.) OWER/ AGEN'! NOTIFIED/I/ /l Yes Ho Jt//lf . 1 OBSERVABLE __ DATE------------ SIGNIFICANT (12.l) SAMPLES ADEQUATELY J"/# (12. 2) SAMPLES
STOREJ?. il _...J0.,_1ff...__
__ * ----------. No Signoff .(LJIJL Level J Date J,J-f.Z > QC Review Level -:f]I:" Date "'3 ,/o-9 Z. *Title . I I I* ** I I I I I I I I I I I I I I . ----...
.... _., .. .. =* "-:*. H CJ_t. :'> * ... PSC PROCEDURE SQ 6 . .ft-e4k_
INSPECT FOR WATER (_!.
DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: ,g/ '_;.q)e DATE: J TENDON NO.: V-<fl'f . TENDO?l END/BUTTRESS NO.
SURVEILLANCE OTHER TENDON END LOC..\TION INFO ,Ajlf . (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes r§9J Quantity Sample Ta.ken Yes No Conmlents (9. 7) IN GREASE CAN ..... (9.7.l) Water Detected Yes Quantity Sample Taken Yes No Ccm::nents (9.S) AROtnID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes 6) Quantity Sample Taken Yes No Conmlents (9.10) DURING DETENSIONING/# Water Detected Yes ?io Quantity Sample Taken Yes No .. Comments Cll.) OWER/ AGEN'! NOTIFIED;o/? Yes
Ho DATE . OBSERVABLE . SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIED
¥Jf No (12.2) SAMPLES il ,A/ft . 'Qc sigliof f Level f Date > QC Review Level -:LTJ-Date L. *Title . #16-/J. ) ttl . I I I I I I I I I 1* I I I I I * .. .. -.
. .* _.

** -... -PSC PROCEDURE SQ .6. 1 INSPECT FOR --.* ** DATA SHEET 6. 1 {J..e,t;;k Kepr;.,/r J MAY 20, 1987 I . Page 1 of 1 Revision O PROJECT:
DATE: .3-l -'l:J TENDON NO.: t/-f?(} TENDON END/BUTTRESS NO. : $).,f;!zi, SURVEILLANCE
. OnlER TENDON END LOCATION INFO # . (9.4) DURING LOOSENING OF GREASE CAN' (9.4.l) Water Detected Yes Quantity Sample T.:aken Yes Comments (9.7) IN GREASE CAN .... (9.7.l) Water-Detected Yes* Quantity Sample Taken Yes Con:nents (9.S) AROtnID TEN'DON ANCHORAGE (9.8.l) Water Detected Yes & Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING 1' (9.10.l) Water Detected Ye No Sample Taken Yes Comments (11.) OWNER/ AGE:N".r Yes Ho DATE JljF! OBSERVABLE SIGNIFICA?r.r (12.l) SAMPLES ADEQUATELY No (12.2) SAMPLES AT . ,1jitf: . Level ,zr;: Date """J---..-J&i1/'-.
--"""'£<..=..;:, ___ _ QC Review . Level :rrr; Date 'J -1°-</L
Title _. __ _'l..;...

..;../J_.;..
___ _ No No No No I I ' --*-* ---,. * --___ , * .,, ***. >> __ ,__ ** ... -.-.... __ j I I I I I I I I I I I 1-I I *, -PSC PROCEDURE SQ 6 .--,-INSPECT FOR WAT.ER DATA SHEET 6.1 \__' MAY 20, 1987 Page 1 of 1 Revision O PROJECT: DATE: 3 /Co/'17-TENDON' NO. : V(o(p . : TENDO?l E?ID/'BU'!TRESS NO. : S\-\or" I Toj' SURVEILLANCE za-+l1. yrc:..._ I (9.4) (9.4.l) DURING LOOSEN!NG OF GREASE CAN _Water Detected Yes [B Quantity ___ Sample Yes No COtm\ents ___________________________ __ (9. 7) IN GREASE CAN' (9.7.l) Water Detected Yes Quantity ___ Sample Taken Yes *con::nents (9.B) AROtnID T=:?IDON ANCHORAGE (9.8.l) Water Detected Yes fiEJ Quantity ___ Sample Taken Yes COtm\ents (9.10) DURING DETENSIONING 117-(9.10.l) Water Detected% Yes No* . Comments ___ Sample Taken Yes (11.) OWNER/ AGEN'! NOTIFIED1A Yes Ho DATE ------------- CONDITION: . OBSERVABLE ___ SIGNIFICANT SAMPLES ADEQUATELY IDENTIFIED .AJ/-4-No (12.1) (12.2) SAMPLES STORED il /I/# . .. Signoff Level ::J/[:'-Date 3/(:;/92-I QC Review Level ::ru-Date ""J '1 2-. Title . d(../I. No No No .. -.:. -. -. -f I._ .. _.-_'. .. :-.-* . .. .. ----*--*-*. PSC .PROCEDURE
6. 1 INSPECT FOR I . I I I I I I -I I I I I I I I DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: . . . .
TENDON NO.:. . : TENDON END/BUTTRESS NO.:
SURVEILLANCE OTHER TENDON END LOCATION INFO ,,,A//11: . . (9.4) (9.4.1) DURING LOOSENING OF GREASE CAN' Water Detected Yes (@ Quantity ___ Sample Tuen Yes No Comments ____________________________________________________ ___ (9. 7) (9.7.1) IN GREASE .CAN Water Detected Com:nents Yes ;@ Quantity ___ Sample Taken Yes No -------------------------------------------------- (9.8) (9.8.1) AROUND TE?IDON ANCRORAGE -Water Detected Yes ---Sample Taken Comments Yes No -------------------------------------------------- (9.10) (9.10.l) DURING DETENSIONING /J//4-Water Detected Yet No ______ Sample Taken Comments *Yes No ----------------------------------------------------- (11.) OlJllEI!/ AGENT llrO'rIFIED llro DA'l:E ---------------------OBSERVABLE SIGNIFICANT (12.1) SAMPLES ADEQUATELY No (12.2) SAMPLES A:! ... ..... '#L-__ * ------------ 'QC Signoff Level } "1L Date QC Review Level -:n:r. Date J-to-9't.
Title .

I I I I I I I I I I I I I I I I PSC PROCEDURE-SQ 6.1 INSPECT FOR REitA1R) DATA SHEET 6.1 -PROJECT: f;l/,-:?ade.s TENDON' NO. : V.;10 . TENDON END/BUTTRESS NO. : MAY 20, 1987 Page *1 of 1 Revision 0 DATE: fJ-/7-9c2. bir::./J,/Ji!fflani SURVEILLANCE .My..; OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN' (9.4.l) Water Detected Yes @) Quantity Sample T'1cen Yes C0tr.ments (9. 7) IN GREASE CAN ' (9.7.l) Water Detected Yes @/ Quantity Sample Taken Yes *c0tr.men ts (9.8) AROIDID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes @! Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING !/fl (9.10.l) Water Detected Yes Ho Sample Taken Yes cfornments (ll.) OWNER/ AGEN".I: Yes Ho DATE CONDITION: Ii/ jt4 OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIED tv/lf No (12.2) SAMPLES STORED AX 1{ltf ** 'QC Signoff Level -7£ Data ,ef-1z...P QC Review Level Jl!-Date 3-2.Jf 2-* '!itla . 1tt . .ts<. 4 ) No No No No !it I . I I 1. I I I I I I I I I I I .. PSC* PROCEDURE SQ 6.1 INSPECT FOR WATER DATA SHEET 6.1 .}JAt<. /?4WVR. MAY 20, 1987 Page 1 of 1 *Revision 0 I' . PROJECT: f?J£k . DATE: jl.-erz .. f,J( TENDON NO.: . : TE:NOON END/BUTTRESS NO.: fi?j?>k&ur-SURVEILLANCE . OTHER TENDON END LOCATION INFO . . (9.4) DURING. LOOSENING OF GREASE CAN (9.4.1) Water Detected Yes @ Quantity Sample T:aken Yes Comments (9. 7) IN GREASE CAN .... (9.7.1) Water Detected Yes @Quantity Sample Taken Yes *comments (9.13) AROUND '!'E?IDON ANCHORAGE . @Quantity (9.8.l) Water Detected Yes Sample Taken Yes Comments (9.10) DURING (9.lOrl) Water Detected Y s No Sample Taken Yes Comments (11.) OWNER/ AGENT Ho . . OBSERVABLE __ DATE------------ SIGNIFICANT Ho (12.1) SAMPLES ADEQUATELY (12.2) SAMPLES AT. ..... 'QC Signoff Level f Level =:JJ __ iL __ _ .!27' Date f':i... Date __ ___ _ No No No No I I I I I I I I I I I I I I: I --.7 ,-* ***-PSC PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O . . PROJECT: PAl..lS/tJ)ES. . DATE: .. -z. J-z9/'4-i.. . TENDON NO.: 77 8F. END/BUTTRESS NO.: rltu{-e!1T SURVEILLANCE OniER END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity Sample T.:i.ken Yes No Cetmnents (9. 7) IN GREASE CAN .... (9.7.l) Water Detected Yes Sample Taken Yes No Comments (9.S) AROUND TE?IDON ANCHORAGE (9.8.l) Water Detected Yes (§) Quantity Sample Taken Yes No Comments (9 *. 10) DURING DETENSIONING
4) /A-(9.10.l) _Water No Sample Taken Yes No Ccma:nents (ll.) OWNER/AGENT Yes Ho DATE CONDITI-ON:
OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY Yes No (12.2) . SAMPLES STORED AT. .. I 'QC Signoff Level :n::t::' Date 'L\J--"'\ q '- --QC Review Level -::JJI.-Date Jr2..J-'1' 2... .:.. Title . ,11.v;r, q.A . I I .. I . I I I I I I I I I I I I I I .* Sci 6.1-INSPECT FOR . DATA SHEET *6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: / :/tl:,4f . . . . DATE: *$-3-=<-f_::J_
TENDON NO.:. 70 PF.
END/BUTTRESS NO.: SURVEILLANCE OTHER TENDON END LOCATION INFO .,,,....Af,._0 ..... /9-.._ ________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity Sample Taken Yes ---Comments (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes *J Quantity ___ Sample Taken Yes *comments (9.8) AROUND TE?IDON ANCHORAGE -@ Quantity (9.8.l) Water Detected Yes ___ Sample Taken Yes Comments (9.10) DURING DETENSIONING II///-. (9.10.l) Water Detected Ye Wo ___ Sample Taken Yes Comments . ,JS< No No No No * (11.) OWER/AGENT NOTIFIED¢#Yes Ho DATE------------. OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIEDAl/fi' Ho (12.2) SAMPLES AT. ..... '"--__ * *---* --------'QC Signoff Level tt:'" Date 3-..3-f.:Z QC Review Level-:Jll-Date 1-2. 3-? Z-* Title
tH v/R, cc . .4 . I
.... *_. I-:-< *-** *, PSC PROCEDURE SQ 6.1 INSPECT FOR WATFR DATA SHEET 6.1 I I I I I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: gf;.&Je,., TENDON NO. : . 1/J J)J: DATE: . END/BUTTRESS NO.: .$JI.. /E,8vu-SURVEILLANCE .:?tfp. l OTHER TENDON END LOCATION INFO J 1/,4-. .y (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Sample Tuen Yes . Comments (9.7) IN GREASE CAN .... (9.7.l) Water Detected Yes @ Quantity Sample Taken *Yes Con::nents (9.S) AROUND TE?IDON ANCHORAGE (9.8.l) Water Detected Yes Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING#Jf (9.10.l) Water Detected Yes No Qua:1.tity Sample Taken Yes (ll.) OWNER/ AGEN"! No DATE . OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIED Hj!J'f No (12.2) SAMPLES AT !fl#-. ---* Signoff Level ;/Z;" Date ,;!. .._j.f -/e:l-__ Level _-:::rr:C" __ _ Date ___ _ l No No No No -. I ..
I I. I I I I I I I I I I I PROJECT:
... .. PSC PROCEDURE
sQ 6. 1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 .
TENDON NO.: 'fb8p . ; TENDON END/BUTTRESS NO.: FIE t,J) /euif SURVEILLANCE ,/ OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN -@;1 Quantity (9.4.1) Detected Yes Sample Toa.ken Comments (9. 7) IN GREASE CAN ... (9.7.1) Water Detected Yes g Quantity Sample Taken Comments (9.S) AROUND TE'NDON ANCHORAGE (9.8.l) Water Detected Yes Quantity Sample Taken Comments (9.10) DURING DETENSIONING .NJ f, (9.10.l) _water N//t Yes No Quantity Sample Taken ... Comments . (11.) OWNER/AGENT Yes No DATE SIGNIFICANT CONDITION: OBSERVABLE (12.1) SAMPLES ADEQUATELY IDKNTIFIEnJ/ft Yes No (12.2) SAMPLES STORED AT 'it --'QC Signoff Date QC Review Level -:UC Date ;2-2..3-7 2.. *Title . Yes No Yes No Yes No Yes* No I I I I I 'I I I I I I I
PSC PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: /it*.J.s DATE: -;. .. -£2_ . * .. _ _. __ _ --. . .. ----1f7 TENDON NO.:. ZlfiF . ; TENDON END/BUTTRESS NO.:
SURVEILLANCE . OTHER TENDON END LOCATION INFO J{ltt . (9.4) (9.4.1) DURING LOOSENING OF GREASE CAN' Water Detected Conunents Yes Quantity Sample T.:tlcen Yes No -------------------------- (9.7) IN GREASE CAB ..... (9.7.1) Water Detected Yes ,@ Quantity ___ Sample Taken Yes No Comments (9.S) AROUND TE1IDON ANCHORAGE . §) Quantity (9.8.l) Water Detected Yes ___ Sample Taken Yes No Comments (9.10) DURING (9.10 .. l) Water Detected Y l:lo ___ Sample Taken Yes No Conunents (11.) Yes Ho . OBSERVABLE __ DATE -------------- SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIED¥71 Yes (12. 2) SAMPLES AT ... No Signoff **{jj;J ---c:!l-.%-P-Levei;_;.!.-:: Date I QC Review Level JJC Date 7-Z.J. 'f L *Title . /116-*/{J. } , .. I I I I I *1 I I I I I I ****-7J 9s .-.-.* PSC PROCEDURE SQ I INSPECT FO.R WAT.ER !?et°") DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: 'fft.dt'!-z DATE: _1 -/' f .:!.. TENDON NO. : V-$'9' . : TE?IDON END/BUTTRESS NO. : 5./$*";4' SURVEILLANCE OniER TENDON END LOCATION INFO (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Comments Yes @ Quantity Sample Taen Yes No (9. 7) (9.7.l) IN GREASE CAB ' Yes <f_;) Quantity Sample Taken Yes No Water Detected Com:nents (9.S) (9.8.l) AROIDID TE?IDON ANCHORAGE Water Detected Yes . c;:_> Quantity Sample Taken Yes No Comments (9.10) (9.10 .. l) DURING DETENSIONING A//Jf-Water Detected Ye"i.. No Sample Taken Yes No (ll.) OWNER/AGEN".r NOTIFIED.J#J Yes ?lo COND.ITION: Jljf . . OBSERVABLE __ DATE --------------------- SIGNIFICANT _ . (12.l) SAMPLES ADEQUATELY IDENTIFIED .ljA Yes No (12.2) SAMPLES .. A'X .SJl,/f.µ.V!f'-------------- 'QC Signoff ' Level _zt::_ Date ./-4 -f,2_ QC Review ?/. Level JJC Date J-/O -9 Title
htrlf., CQ..f1. * ' -'I I --..
-_-_.. .* .. --------. ----PSC PROCEDUR.E SQ 6. VL£A /( R£Plf1RJ INSPECT FOR WATER c..::_ DATA SHEET 6.1 MAY 20, 1987 Page 1 of -1 Revision 0 I PRO.l'ECT: 1!f,;,,4, DATE: I TENDON NO.: (/.-/'/0 . : TEl'.IDON END/BUTTRESS NO.: .:Jho-e /f,e SURVEILLANCE 2/)1(1" OTHER TENDON END LOCATION INFO _4..,.....lt!-.._ ______ v_/_"'Ii __________ 'fi'"_ I I I I I I I I I I I* I (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes ,6J Quantity Sample T:a.ken Yes Comments (9. 7) IN GREASE CAN ' \ (9.7.l) Water Detected . Yes Sample Taken Yes Cor.:nents . (9.S) AROtnID T=:?IDON ANCHORAGE (9.8.l) Water Detected Yes &Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING f #-(9.10.l) Water Detected Ye No Sample Taken Yes -Comments (11.) OWER/ AGEN".r NOTIFIEDi>fl"Yes ?lo OBSERVABLE __ DATE ------------------- SIGNIFICANT SAMPLES ADEQUATELY IDENTIFIED No (12.1) (12.2) SAMPLES il 'QC Signoff 1 Vg Date QC Review Level Date ___ _ Title -fUtl'iJ / Q .ft. No No No No .., I I I I I I I I I I I I I -*.' *, PSC PROCEDURE SQ 6.1 INSPECT FOR WA Re;a=r.1r DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: DATE: J-£; ... tg TENDON' NO.: (/../f'4 : TENDON' END/BUTTRESS NO.: SURVEILLANCE + OnIER TENDON END LOCATION' INFO .... _________________ _ (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN' Water Detected Comments Yes 6} Quantity ___ Sample Yes No ------------------------------ (9. 7) (9.7.l) IN GREASE CAN Water Detected Cett::1ents Yes If!)" Quantity ___ Sample Taken Yes No --------------------------------- (9.8) AROtnID TE:?IDON ANCHORAGE (9.8.l) Water Detected Comments Yes f;J Quantity ___ Sample Taken Yes No ------------------------------- (9.10) DURING (9.10.l) Water Detected Yes No ___ Sample Taken Yes No Comments _________________________________ __ (ll.) Owtra:R/ AGE?r.r NOTIFIED .{#?es No . OBSERVABLE __ DATE ------------------- SIGNIFICANT (12.1) SAMPLES ADEQUATELY (12. 2) . SAMPLES AX No Signoff .... ..... ... -......... 1/£ ............ --.--...--- Leve1-.77'= Date -.-£ ...... -tf..__-£_e.2._ ____ _ . QC Review % 7:. Level -:tit:' Date 3-1° -9 2-Title
IV1G--/).
&. , 4 ' ________ .....,... ____________ __ 1--. I I I I I I I I I I I I I .. ,.-:-: ,-4 --PSC PROCEDURE SQ 6.1 INSPECT FOR WAT.Ev_ /.,. , ) DATA SHEET 6.1 @/IM" MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT:_ i!hJe;:i DATE: .... .J--...-?--.......;fJ:2.."'------ TENDON NO.: 01>7 : TENDON_ END/BUTTRESS NO.: SURVEI!.I.ANCE OTHER TENDON END LOCATION INFO ... '#'------------------ (9.4) (9.4.1) DURING LOOSENING OF GREASE CAN Water Detected Comments Yes @ Quantity Sample Taken Yes No (9. 7) (9.7.1) IN GREASE CAN Water Detected Yes .... Quantity Sample Taken Yes No (9.S) AROtnID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes @ Quantity Sample Taken Yes No Comments (9.10) (9.10.l) DURING Water Detected Yes No Sample Taken Comments Yes No (ll.) OWNER/AGENT NOTIFIF:DAJ//1-Yes Ho COND.rnON:#jl . OBSERVABLE __ DATE SIGNIFICANT (12.1) . SAHPI.ES ADEQUATELY Yes No (12 .2) SAMPLES AT
------,,...-----.....,.-----
'Qc Signoff *-flJtJ;/L Level k Date ,J ... t -/;!. QC Review Level -::ra::-Date 'J-/o -9 2-* Title
6(1.,4; )
I I I I I I I I I I I I I I I ... *.,-:. -:-. --**4.1 --.:*-__ , .. PROJECT: TENDON NO. : //-///} :TENDON END/BUTTRESS NO.: (9.4) DURING LOOSENING OF GREASE CAN' PSC PROCEDURE SQ 6.1 INSPECT FOR WAT.ER ,LeAk DATA.SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 (9.4.l) Water Detected Comments Yes '('d Quantity ___ Sample '!.aken Yes No ---------------------------------------------- (9.7) (9.7.l) IN GREASE CAH Water Detected Yes Ccn:nents t;J Quantity ____ Sample Taken Yes No --------------------------------------- (9.S) AROtnID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes & Quantity ___ Sample '!aken Yes* No Cotmnents __________________________________________ __ (9.10) (9.10.l) DURING DETENSIONING Jjl ;l-_* .. Water Detected Yes ___ Sample Taken . ' i.F:f:H:J . Comments . Yes (11.) OlmER/AGE?r! Ho DATE----------- ¥fr . OBSERVABLE SIGNIFICANT ( 12 .1) SAMPLES ADEQUATELY IDENTIFIED# ?lo (12.2) SAMPLES AT .... Level, -iz;;._. Date _...._1_-/.._-.._ft;_.. ___ _ QC Review Level :::nz: Date J-10 -j L..
Title

lf//cr,/)., * (a(

fl .
................. ______ _ No I I I I I I SHEATHING FIT.LER DOCUMENTATION PROJECT TENDON NO. --..21 ..... .... .D ..... f ___ _ FILLER DATA . -.. PSC ,. ::j_: _-_ ... .. . GREASE_ REM?VJ\l.; /./3_ -0 AT A SHEET 6
0------'f MAY 20, 1987 Page 1 of 1 Revision O ,.&.Revision 1, 8-14-.87 NO. .....d_...tl-,!,.,....'J!
...... NO. Date Removal Started 2f: YEAR !ff£ UNIT _ _._! __ Q.C. Signoff (7.4) Dry Ice Used on Grease Can J'I , Dry Ice Used Around Anchorage (7 .5) Temp. of concrete ol.u F. Ambient Temp. 1t F. Thermometer No. J._",lf_* __ f" ___ Recalib. Date Thermometer No. /'}(5.S: Recalib. Date f*.;J*'/'J. 'J..,1,J,-J#f)
(8.7) Amount of Grease Gal. (8.7.l) Amount of .Grease in Can I Gal. ,!JJJ.J?. (8.7.2) Grease to be Reused DYES (8. 7 .2) Grease in Can (8.8) GREASE COATING: Grease Can -Complete V"' Partial __ Uncoated ___ "1. Buttonheads
-Complete Partial __ Uncoated "1. Anchorage -Complete / Partial __ Uncoated "1. Shims -Complete ::2'" Partial __ Uncoated "1. Bearing Plate-Complete c/"' Partial __ Uncoated ___ "1. (8.9) *unusual Conditions: Jrt.tt.e: I I (8.10.1) Grease Color: Hatch Color Comment I (8.10.2) No Hatch Y Color ,Dl<&,VM Comment Zbu,yt= A(I!,.}, I ( 9. 6) Amount of Grease Removed rt Gal. -Will this be 0 NO ! .& SQ 7. 0 SAMPLES . . . . j. i I (6 .1) Grease Samples Taken .#-. Quarts. {6 .1) Samples Identified >?f /JtJ J (6.1) Location of Sample Removal 441.- (7) Grease D Accept D Unacceptable Engr. Notified / FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection tddg.rure,7f,;,,,iiJ/elJ Awk,* I I ..f ,,!.. /JfJ.g I (10.3) of Grease :ost 0 Gal. -Will this _be scrapped¥A-DYES 0 NO l&c11.2) Add quantities of lost grease as each total on Data Sheet 12.1 .&. (8.7)_!2_ + (8.7.l)_j_ + (9.6) f1 + SQ7.0 + (10.3)_1L_ = I . TOTAL GREASE LOSS . I Gal. Post to DS 12. l 4J,..£t'-ZJi
I ?/. Level JI[.--.--Date _......;1:...--"2._)_-'f_z.
__ j"'°' {?) Q -A I ; Title I I I I I I I .-.*-:-.,--*.-* SHEATHING FIT.LER DOCUMENTATION PROJECT .. DATA SHEET 6.0 MAY 20, 1987 Page 1 of 1 Revision 0 &,Revision 1, 8-14-87 SURVEILLANCE NO. :?d/f c.* YEAR /,ft-2 TENDON NO. ___ _ TENDON END/BUTTRESS NO .* UNIT _t __ -:15 Q.C. FILLER DATA Date Removal Started Signoff . (7.4) Dry Ice Used on Grease Can ;fl! , Dry Ice Used Around Anchorage )JI .. l (7.5) Temp. of Concrete ft F. Thermometer No. 2Jfi Recalib. Date 9-J'-Y-Z Ambient Temp. 37 F. Thermometer No. ?J<S.S-Recalib. (8.7) Amount of Grease Gal. (8.7.1) Amount of Grease in Can Gal. ;IJtl-/..J?..J. (8. 7 .2) Grease to be Reused E-ns 0 NO (8. 7 .2) Grease in Can Protected j{a.JL!.< , (8.8) GREASE COATING: Grease Can -Complete __ Uncoated ___ '-'Buttonheads -Complete / Partial __ Uncoated '-Anchorage -Complete -;;?"" Partial __ Uncoated '-. Shims -*complete __ Uncoated '-Bearing Plate-Complete __ Uncoated '-{ 8. 9) . Unusual Conditions .... .... /J ......... k...,,tC...._1 _____________ _ (8.10.1) Grease Color: Hatch Color Comment...,....,,....,..,...,-----..,.----- (8.10.2) No Hatch ,_,.-Color.PJ.B,.,..,,__. Jlt>-l*tl (9.6) Amount of Grease Removed I Gal. -Will this be scrapped? DYES LJ NO pt . & SQ 7 . 0 SAMPLES . . . I (6.1) Grease Samples Taken (6.1) µ41 .... (6.l) of Sample Removal (7) Grease Analysis: D Accept D Unacceptable . Engr. Notified _____ N._,/4 .. ,4 (10.3) Amount of Grease :ost Gal. -Will this be scrappedo/ADYES ONO I .&.c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet *12.1 t . .&. (8.7)_j)_ + (8.7.1) + (9.6)_j_ + SQ7.0 (6.l)_d:_ + (10.3)_&'._ = Jt._;-j...t( I I FILLER DATA (Continue SQ 6.0) /) (10.2) Method of Tendon Protection I TOTAL GREASE LOSS / Gal. Post to DS 12 .1 A Q.C. Review Level -::ra:-Date ,. 2-to L I P(lv,4,. I Q1A ' Title I I* 1 I I I I I SHEATHING FIT.LER DOCUMENTATION' PROJECT lltr,le? ---
--_;_
P*RocE6uR{ so 6. a -1 -* -: --_ -EA s E _ c AN REM o v*A L / __ I v , 1 --DATA SHEET 6. O MAY*20, .1987 Page 1 *of 1 Revision O 1, 8-14-87 .. SURVEILLANCE NO. TENDON NO. FILLER DATA TENDON END/BUTTRESS NO. YEAR 1/1.f<. UNIT ___./'---- Q.C. Signoff Date Removal Started..£-/%'- 9::L . . (7.4) Dry Ice Used on Grease Can /Id , Dry Ice Used Around Anchorage',ALfl._ C 7. 5) Temp. *of Concrete f2A F. Thermometer No. :511 if Recalib. Date 9-/-,A().z.;y.'t( Ambient Temp. id F. Thermometer No. f'R2-Recalib. Date f..f1*'f) (8.7) Amount of Grease Lost _j_ Gal. (8.7.1) Amount of.Grease in Can At, Gal. (8.7.2) Grease to be Reused (8.7.2) Grease in Can Protected lJu:_ (8.8) GREASE COATING: Grease Can -Complete ./Partial __ Uncoated ___ Buttonheads
-Complete .,......-Partial
__ Uncoated Anchorage -Complete /Partial __ Uncoated Shims -Complete ............-Partial __ Uncoated IA * . Bearing Plate-Complete _L"Pat"tial Uncoated ...., (8.9) Unusual I I I I I ------------------ jd..ll!'--:ir (7) Grease Analysis: D Accept D Unacceptable Engr. Notified ____ ._tJ/'4 FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection --'4""'"'""tte"""",._se......_.C11 .... d'""-"-' .... "'.-..'1z .... s7Ji_U .... ______________ _ j;JrYJt (10.3) Amount of Grease Lost ..4J/L Gal. -Will this *be D NO ... I ,& (11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.t *, .&. (8.7)_1_ + (8.7.1) + (9.6)-&-+ SQ*;.O (6.l)_L_ + (10.3)_.L_ = I TOTAL GREASE LOSS Gal. Post to DS 12.1 Q. C. Review __ .J(' __ ______ _ -Level -111-Date __ _ I Title !h V-/1?. Q ,.,L) I I I I I I I I I .I I I I -"p SC **PR.OCE-OUR*E:- SQ . 0 . /-1 s i. /. GREASE. CAN REMOVAL.tar[£;/A:.r1 DATA SHEEr 6.0 -MAY 20, 1987 Page 1 of 1 Revision 0 1, SHEATHING FILLER DOCUMENTATION PROJECT Blt"'1M SURVEILLANCE NO. YEAR /fff!. TENDON NO *.... v .... 1 .... z ... END/BUTTRESS NO. 5/,'f 7 L7ip-UNIT _____ / __ Q.C. FILLER DATA Date Removal Started :?-JJ>.r':l:l.. Signoff . ( 7. 4) Ory Ice Used on Grease Can . J/12 , Dry Ice Used Around Anchorage /l/J (7 .5) Temp. of Concrete F. Ambient Temp. ?A F. Thermometer No. Thermometer No. ..... .S. ..... 'tf_4 ___ Recalib. Date f-l-f6. _e .... (('_f-.5"' ___ Recalib. Date t-:2*9£ ( 8. 7) Amount of Grease Lost _f}_ Gal. ( 8. 7 .1) Amount of . Grease in Can _/_ Gal. JJ;..J..;J..:JJ. ,. ( 8. 7. 2) Grease to be Reused D ?JO ( 8. 7. 2) Grease in Can Protected &.._ fe.r.zri..-j:!:!. GREASE COATING: . *, Grease Can -Complete __ Uncoated Buttonheads -Complete __ Uncoated ___ Anchorage -Complete __ Uncoated (8.8) Shims -Complete Uncoated Bearing Plate-Complete _L_ _Partial __ Uncoated (8.9) Unusual Conditions: __ (8.10.1) Grease Color: . Match _L°color $r4v 11 Comment Sro/k (8.10.2) No Match Color Comment (9.6) Amount of Grease Removed-Py Gal. -Will this be scrapped? - ONO jiiJ.if-);. &. SQ 7 . 0 SAMPLES . (6 .1) Grease Samples Taken uJfi_ Quarts. (6 .1) Samples Identified ... ... ..... 14-....._. __ _ (6.1) Location of Sample Removal ...,.A?...._'IA .... _______________ _ (7) Grease Analysis: D Accept D Unacceptable Engr. Notified ____ _..UjA >>3/i-J/?. FILLER DATA (Continue SQ 6.0) ii (10.2) Method of Tendon Protection (len f'e/4 rW/d /k?-JJ-2< (10.3) Amount of Grease Lost () Gal.. -Will this be D NO ... &.c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.t .& (8.7)-1]__ + (8.7.1)_/_ + (9.6)..&_ + SQ7.0 'c6.l)_l__ + (10.3)--l_ = TOTAL GREASE LOSS I-Gal. Post to DS 12.l Q.C. Review Title :i/ Level :rrr MG-If_ Q .fl I 7 jtY#l. Jtf--/9.Y:. 1-I I I I I I I I I 1* I I I I . -- --* --** ; _: __ -. --PSC -PROCEDURE-SQ -6 ;*a._-, _7{.r.?4i -GREASE CAN REMOVAL }.p;tk ) -DATA SHEET 6.0 _ . MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT lJ,'.sr.J.e.J SURVEILLANCE NO. YEAR /9qJ TENDON NO. ___ _ TENDON END/BUTTRESS NO. SAUi I/Pa UNIT I 71/ p ---c Q .* FILLER DATA Date Removal Started 1-IY* 91... Signoff . (7 .4) Dry Ice Used on Grease Can 4.tP , Dry Ice Used Around Anchorage Vd C 7. S) Temp. of Concrete ) F. . Thermometer No. Ambient Temp. J F. Thermometer No. _.,_r;H_t/ __ Recalib. Date fV-22. _e. ..... Recalib. Date f:l-9?. (8.7) Amount of Grease Gal. (8.7.l) Amount of .Grease in Can i'A.. Gal. (8.7.2) Grease to be Reused (8.7.2) Grease in Can (8.8) GREASE COATING: Grease Can -Complete Uncoated Buttonheads -Complete /Partial-== Uncoated ---Anchorage -Complete Uncoated Shims -Complete ,.....--Partial -== Uncoated Bearing Plate-Complete ..L. Partial __ Uncoated (8.9) *unusual .........

(8.10.l) Grease Color: Hatch Color Corranent (8 .10. 2) No Match /Color JU bw,, Corranent (9.6) Amount of Grease Removed h/ Gal. -Will this be scrapped?. &. SQ 7 .0 *SAMPLES . (6.l) Grease Samples Taken /l).Jl. Quarts. (6.l) Samples Identified __ * . (6.l) Location 'd1fSample Removal -"\4'i"-'/IJ....______________ (7) Grease Analysis: D Accept D Unacceptable Engr. Notified FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection ftJMsi:. asn ru'ndJ/d * (10. 3) Amount of Grease Lost 0 Gal. -Will this *be scrapped o/...,O YES D NO &c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 r & (8.7)_Q_ + (8.7.1)_&_ + (9.6)_B_ +. SQ7.0 + (l0.3)_tl_ = Title 7 . TOTAL GREASE .r:;oss -?ti Gal. Post to DS 12. l ..Jll. ?If.:?-<. . Level :JJJ.-Date J-2 J,? L. I I I I I I I I -*. :'--* ...
. DAT A SHE E J 6 * -O -_ _ __ J..8.c. /;_ .i<s.jl eri MAY 20, 198_7 _ .* . Page 1 of 1 -* Revision 0 1, 8-14-87 SHEATHING FILLER DOCUMENTATION PROJECT -B SURVEILLANCE NO. e2.tJg c. YEAR /'1ffl. TENDON NO. ?'/z;!b-V/7{,t TENDON END/BUTTRESS NO. . UNIT _......./
__ Q.C. Date Removal Started ::3-/J". 9$-Signoff FILLER DATA . (7.4) Dry Ice Used on Grease Can .L!:!1}__, Dry Ice Used Around Anchorage ..ALJ?__ .tifi Recalib. Date !-/-J.!JIJJ! .....,,,.._8 ...... ?K;:..;;!J...;...:T"--- Recalib. Date (7 .5) Temp. of Concrete 2..2 F. Ambient Temp. JA F. Thermometer No. Thermometer No. ;, . L lu1 (8. 7) .Amount of Grease Lost -"--Gal. (8. 7 .1) Amount of Grease in Can Y.1.. Gal. (8. 7 .2) Grease to be Reused t2J YES D NO (8. 7 .2) Grease in Can Protected )d.}/!-i. (8.8) GREASE COATING: . Grease Can -Complete /partial __ Uncoated ___ '-Buttonheads -Complete _L. Partial __ Uncoated ___ '-Anchorage -Complete _L Partial __ Uncoated ___ '-Shims -Complete __ Uncoated '-Bearing Plate-Complete .,L Partial __ Uncoated '-(8.9) *unusual ,!Af.J.&J. (8.10.1) Grease Color: Match /color &-,.,tl Comment .... (S.10.2) No Match (folor -----Comment

JJJ:lli.j. (9.6) Amount of Grease Removed Yf Gal. -Will this be scrapped? 0 & SQ 7 .0 SAMPLES . I (6 .1) Grease Samples Taken Quarts. (6 .1) Samples Identified (6 .1) Location dfSample Removal ..... It______________ J,oJ./t:9,< I (7) Grease Analysis: D Accept D Unacceptable Engr. Notified ____ t""#v/11 IJl,Y.}ep FILLER DATA (Continue SQ 6.0) I (10.2) Method of Tendon Protection ........ ________ ___ (10.3) Amount of Grease Lost_.() __ Gal. -Will this be .. I & (11.2) Add quantities of _lost grease as each applies;Post
total on Data Sheet &. cs.nd + cs.1.1> f,_ + C9.6>X + sQ1.o .
+ c10.3>_L_ = I /)JJ, j-IT*'Jd. TOTAL GREASE LOSS '/f Gal. Post to DS 12.1 ,. Q.C. Review Level 1I[: Date __ __ _ I Title .. Q..t), ) ,. 12.1 ,4tJh2*2 ftli!*'- ,. I* I I I I I I I I -*--**. :.** ". .
7fr/A.S1-0Ar A SHEE. T-6. 0 . LEAK .Rt:, >>/f 1.0*--_-M A Y 20, 1987 n ,..... Page 1 of 1 Revision 0 ,&Revision 1, 8-14-87 SHEATHING FILLER DOCUMENTATION . PROJECT __
......... SURVEILLANCE NO. YEAR qz. V I 7 b TENDON NO. E/21:>/GAt.ioi UNIT .:L . . .. ---TENDON NO. 7j o/ Q.C. FILLER DATA Date Removal Started ={'2..9( 'l.. Signoff ( 7. 4) Dry Ice Used on Grease Can H 0 , Dry Used Around Anchorage >>o . ( 7. 5) T-. of Concrete *.b F. Themometer 1110. $1'1, '/ Recalib. Date 130tz.. Ambient Temp. 70 F. Thermometer No. p_eJ":S'" Recalib. Datect 7 (8. 7) .Amount of Grease (8. 7 .1) .Amount of .Grease in Can .::L. Gal. (8. 7. 2) Grease to be Reused !2'YES 01110 CB; 7. 2) Grease in Can Protected (8.8) GREASE COATING: Grease Can Partial _. _ Uncoated Buttonheads -Complete Z Partial_ Uncoated ---Anchorage -Complete ..!::..,,._ Partial __ Uncoated Shims -Complete v Partial __ Uncoated Bearing Plate-Complete Partial __ Uncoated ( 8. 9) Unusual Conditions: _ ......... (8.10.2) . No Hatch Color Cotmnent 't-. (8.10. l) Grease Color: Hatch Vcolor Corranent -4/eJAJe-* (9.6) Amount of Grease Removed Gal. -Will this be ONO .Z,,:: & SQ 7 .0 SAMPLES . I (6 .1) Grease Samples T*aken -f'A Quarts. (6 .1) Samples Identified ..... '@:.&....;.... ___ _ f-1#,-(6.1) Location or Sample Removal ;N'./lf: ' . ) (7) Grease Analysis: D Accept +"*cJ Unacceptable Engr. Notified .;v$-Y" 7 I FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon C.AAJ (10.3) Amount of Grease ':ost -Will this be scrapped?f4EhEs 01110 .&-c11.2) Add quantities of lost grease as each applies;Post total on Data Sheet 12.t & ca.7)-fd-+ cs.1.1> .:L + C9.6) fr+ sQ1.o C6.1r4"k + c10.3>#-= I I --TOTAL GREASE LOSS :::I-. Gal. Post
to DS 12. l Level JJJ-Date J 't z_ I Title Q .. ,.4. &
,4 J)} I NF"' I I I I I I I I I I I I I I SHEATHING FILLER DOCUMENTATION PROJECT 'f?l1 sckv: TENDON NO. -"'-V..L.1+7 ...... f' ____ _ FILLER DATA . -:psc P-RDCEDURE -SQ 6. o II s"tf 11;.-. ----GREASE CAN REM 0 VAL J '-7J -) --DATA SHEET 6. 0 MA-Y 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 SURVEILLANCE NO. TENDON END/BUTTRESS NO. 5J,,_ k_ -v/o/ Date Removal Started .i*l'l-:J.:l YEAR Jf9:J.. UNIT__,_/ __ Q.C. Signoff ( 7. 4) Dry Ice Used on Grease Can All , Dry Ice Used Around Anchorage All I (7.5) Temp. of Concrete :.AF. Thermometer No. 51'!"/ Ambient Temp. 3i F. Thermometer No. .Pl< 5i?: Recalib. Date f*.l-'!Jl. J_d..f/Cf J Recalib. Date CZ*J -9..1. (8.7) Amount of Grease Lost_/__ Gal. (8.7.l) Amount of .Grease in Gal. (8. 7 .2) Grease to be Reused 12 YES 0 NO (8. 7 .2) Grease in Can Protected iJM..J:L (8.8) GREASE COATING: Grease Can -Complete __ Uncoated Buttonheads -Complete __ Uncoated ---Anchorage -Complete . ./' Partial __ Uncoated '9 Shims -Complete __ Uncoated '9 Bearing Plate-Complete --;;;:7 Partial __ Uncoated (8.9) *unusual

(8.10.l) Grease Color: Hatch _L Color Bowz Comment J1tl,./..er fi.C.41,p/l!-r , (8.10.2) No Hatch __ poler Comment---------=-/------=-- (9.6) Amount of Grease Removed /If Gal. -Will this be scrapped? 0 NO ,,AfllY2-"2t & SQ 7 .0 SAMPLES -(6.1) Grease Samples TakenlJl/,4 Quarts. (6.1) Samples Identified ..... ..... ..... ----- (6.1) Location (;f"Sample Removal _.,..,Jt?,.&.7'-/19-. __________________ --'------(7) Grease Analysis: 0 Accept 0 Unacceptable Engr. Notified ilf )db<S-aj 141.z?-i. , FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection (10.3) Amount of Grease Lost a Gal. -Will this be 0No .. Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 l ,&.c8.7)_a_ + + (9.6>-1:/..-- + sQ1.o + (10.3)_l__ = TOTAL GREASE LOSS Gal. Post to DS 12.l Q.C. Review ?'.'i(, Level Date J J l... Title IJJY-/.. I I I I I I I I I I I I I .. * ---........*.
.c
o . o *.-.. ** If .ry;,.r -.-__ ::_DATA SHEET-6.0 -* MAY 20, 1987 Page 1 of 1 Revision 0 .&,,Revi-sian 1, 8-14-87 SHEATHING FIT.LER DOCUMENTATION PROJECT ct 2c; Je' SURVEILLANCE NO.
...... __ _ YEAR .:l TENDON NO. --..11 ..... l ..... TENDON END/BUTTRESS NO. /7: 4 UNIT / v/ ---Q.C. FILLER DATA Date Removal Started Signoff jl,;.p.9j_ . (7.4) Dry Ice Used on Grease Can , Dry Ice Used Around (7 .5) Temp. of F. Thermometer No. __ .z....,:.¥...._,..'f_* __ Recalib. Date 9*J*/,J. Ambient Temp. 2T F. Thermometer No. __..._8 ...... W ..... 'i"-..... T".._ __ Recalib. Date (8.7) Amount of Grease Lost ...11_ Gal. (8.7.1) Amount of Grease in Can _j__ Gal * (8.7.2) Grease to be Reused 0No (8.7.2) Grease in Can )ii*lftfj. GREASE COATING: Grease Can - 1../"" Partial __ Uncoated ___ Buttonheads -. Complete __ Uncoated Anchorage -Complete Partial __ Uncoated Shims * -Complete _L_.,..Partial __ Uncoated Bearing Plate-Complete __ / P Partial __ Uncoated (8.8) (8. 9) Unusual (8.10.1) Grease Color: Hatch Color Comment---------- (8.10.2) No Hatch Comment VAe.5 u'f: ttiAtd 1473.IG (9.6) Amount of Grease Removed "J/i Gal. -Will this be scrapped? [BYES 0 NO 7.0 SAMPLES . . (6 .1) Grease Samples Taken u/A Quarts. (6 .1) Samples Identified ..... ___ _ * (6.1) Location ;r-$ample Removal (7) Grease Analysis: D Accept D Unacceptable Engr. Notified ____ .._#//J ,yuJP#fz-FILLER DATA (Continue SQ 6.0) (10.2) Method of Tendon Protection ____________ _ (10.3) Amount of Grease Lost () Gal. -Will this be scrapped DYES ... Add quantities of lost grease as each applies;Post total on Data Sheet 12.1 L'.D. (8.7)....f2.._ + (8.7.l)_j__ + + SQ7.0 (6.1)..4__ + (10.3)__/}__ = Q.C. Review Title I ¥..i TOTAL GREASE LOSS ____ __,_I__ Gal. Post to DS 12.1 ?( Level 1f[: tn<< I< -I .ff< ,4 .. J Date _ __;:;J_-_l.. __ J_-Cf,;;,,__L __ )I.HA* )ltJ:-!Ff; ... ,,.-* . *I -*. ,-- -. _. *; : PRQC.EDURE.-_ SQ *6. 0 * .-ti SS/;, ** ' -_GRE-ASE*,-J:AN .. -* :_ * / 11.ry . c!.-* DATA. SHEET 6.0 Ke;;o.ir -_* MAY-20, 1987 -:-' SHEATHING Ft!.LER DOCUHENTAT!Olll PROJECT Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. YEAR J/f'fj}. I I I I I I I I I I I I I I TENDON NO. TENDON END/BUTTRESS "NO. UNIT--'--Q.C. FILLER DATA Date Removal Started Signof f . ( 7. 4) Dry Ice Used on Grease Can , Dry Ice Used Around Anchorage AIR (7.5) Temp. of Concrete ;:<.:i.. F. Ambient Temp. 2? F. Thermometer No. '5/:f i' Thermometer No. *,lJ< ;:.£ Recalib. Date ?-t-f.:L j}dJ-;;.9.L Recalib. Date 9-J-*-JtliJ-Y..2 (8.7) Amount of Grease Gal. (8.7.1) Amount of.Gr se in Can Gai. ( 8
7

2) Grease to be Reused J&'.I YES 0 NO in .can (8.8) GREASE COATING: Grease Can * -Complete ,_.........Partial Uncoated ___ Buttonheads
-Complete _,.,.....Parti Uncoated Anchorage - Partial __ Uncoated Shims -Complete __ Uncoated Bearing Plate-Complete .....:::::::-Partial __ Uncoated (8. 9) . Unusual Conditions ____________________ _ j$.51f-'J2 fia 3-&7:<. , (8.10.l) Grease Color: Hatch Color Comment -=-----....----- (8.10.2) No Hatch ..L. Color 1H&,wu1 Comment !JwAdUeuiJ.. Jf,g.j(-9. (9.6) Amount of Grease Removed /Ii Gal. -Will this be scrapped? JSZlYES v 0 NO & SQ 7. 0 SAMPLES (6.1) Grease Samples Taken (6.1) Saiqples Identified ___ ___ (6.l) Location of Sample Removal ___________ __ C 7) Grease Analysis: D Accept D Unacceptable Engr. Notified Jt)(. FILLER DATA (Continue SQ 6.0). -L !J_c (10.2) Method of Tendon Protection (10.3) Amount of Grease Lost 0 Gal. -Will thi_s .. scrapped¥A-DYES ,& (11.2) Add quantities of-lost grease as each applies;Post total-.on Data-Sheet 12.1 &. + (8.7.1) + (9.6)___fi_ + SQ7.0 (6.1).1..:_ + (10.3)..a__ = Q.C. Review Title TOTAL GREASE LOSS Py' Gal. Post to DS 12. 1 111 e-,q-, . ; Level 1 Date --'3_-_2.J __ -9_L __ _ ,. 9$:.1-lf-I ... -. -.. .. I I I I .*.-*** _.,._. ---** .--, .... --. ... -* *-. * .... --.* .,--.-* ., ..
__ . -;.:_ *:** SHEATHING FILLER DOCUMENTATION PROJECT fj:.,,Jfkt TENDON NO

___ _ FILLER DATA* . Psc PROCEDURE
-
GREASE CAN REMOVAL -----__ --.co -J -DATA SHEET 6. 0 *J..E;t,K Refl!IT?.
--MAY 20, 1987-Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. ...J't ........ t1-7f9..._e
___ _ NO. UNIT _/_-_ Q.C. Date Removal Started Signoff (7.4) Dry Ice Used on Grease Can JI/) , Dry Ice Used Around Anchorage JI() (7 .5) Temp. of Concrete 71J F. Thermometer No * .:rt/f Recalib. Date fJA.1..;r-9.J Ambient Temp. 'i F. Thermometer No. ft(!" Recalib. Date 9-.J-'22. (8.7) Amount of Grease Gal. (8.7.1) Amount of .Grease in Gal. (8.7.2) Grease to be Reused E:JYEs .ONO (8.7.2) Grease in Can j21J."2f"jt. I I (8.8) GREASE COATING: Grease Can -Complete Partial __ Uncoated ___ JiN;:.jJ. I Buttonheads -Complete _-;;;r_ Partial __ Uncoated Anchorage - Partial __ Uncoated Shims -Complete Partial Uncoated Bearing Plate-Complete --;;r-__ Partial __ Uncoated 8. 9) . Unusual C;ndi tions: +A_..._.re...,'!4-tf ..... .... ... I (8.10.1) Grease Color: .Jd1!l__ Comment (8.10.2) No Hatch
;.r-1 (9.6)' Amount of Grease Remove
-Will this be &. SQ 7 . 0 SAMPLES I (6.1) Grease Samples Taken .tb/ffen:uarts. (6.1) Identified ...... ..... ___ _ (6 .1) Location a"Sa;le Removal ___________ _ I C 7) Grease Analydsfo Accept 0 Unacceptable Engr. Notified FILLER DATA (Continue SQ 6.0) /) I/ 0 (10.2) Method of Tendon Protection .... f!_at>>tz (10.3)_ Amount of Grease :ost 111/d: Gal.* -Will this.be scrapped¥,PYES 0No I I.&, (11.2) Add quantities l of lost grease as each total on Data Sheet 12;1 *: .&. (8. 1)_{)_ + (8. 7 .1) jif;z_ + (9. 6 )_j_ + SQ7. 0 (6. l)_/j_ + (10. 3)_Q_ =
I TOTAL GREASE LOSS / Gal. Post to DS 12. l Review Level JIC. Date "J -(o -r z... I Title /M6t!l
/ & '5*1f-'8? I NF"' I I I I I I I I I I I I I 1* . I -.. ---. -.. -.. PSC PROCEDURE -sQ 6 .-1 INSPECT FDR-WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: * -:PA\..\SAbES DATE: . 3/1,ftfz.
t #'tR,:

I TENDON NO.: l> l-"\-'2. .
END/BUTTRESS NO. :S"°'PA '1'1'\TSURVEILLANCE OTIIER TENDON END LOCATION INFO -------------------- (9.4) DURING LOOSENING OF GREASE CAN (9.4.1) Water Detected Yes Sample T.;.ken Yes Comments (9.7) IN GREASE CAN ' (9.7.1) Water Detected Yes B Quantity Sample Taken Yes *comments (9.8) . AROUND TE?IDON ANCHORAGE (9.S.l) Water Detected Yes Q Quantity Sample Taken Yes Comments (9.10) DURING (9.10.l) _water Yes Ho Sample Taken Yes Comments (11.) OWNER/ AGENT Yes llo DATE------------ CONDITION: OBSERVABLE __ SIGNIFICANT (12.1) (12.2) SAMPLES SAMPLES ADEQUATELY IDENTIFIED 1/ Pr STORED AT ft/ !ft . .,. ' No
Signoff
........ ..__......., __ ----QC Review Level -:::a:i..
Title

1116-/2. QJ/J, ..

Date _3_-0_1h_,_A ..... f_'L._* __ _ Tl Date J-2...3 L No No No No I ... PSC PROCEDURE SQ 6.1 INSPECT FOR WATFR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 .. --...

J:t) . .. . I PRO.JECT: /1J14j¢!J DATE: .3 ... I TENDON NO.:j2;-J(/L . :TENDON END/BUTTRESS NO.: + OTHER TENDON END LOCATIO?l INFO --';....,..#/-._.._ ____
____ * ----------
1 1. I I I I I I I I 1* . I (9.4)
DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes dJ Quantity Sample T-.ken Yes Comments (9.7) IN GRE:A.SE CAN ... (9.7.l) Water Detected Yes &Quantity Sample Taken Yes Con:nents (9.S) AROUND TENDON ANCHORAGE (9.8.l) Water Detected Yes tffe Quantity Sample Taken Yes Comments (9.10) DURING DETEllSWNING 111-(9.10.l) Water Detected Ye No Sample Taken Yes Comments (11.) OWNER/AGENT No com:ITION:
Jf/lf-. OBSERVABLE --DATE------------ SIGNIFICANT No (12.l) SAHPLES ADEQUATELY Yes (12.2) AT. -J!1fUC7'-t .... lt...._ __
__________
_ Signoff Level ff QC Review ?f, fu Level :::O:C
Title

GL .. /11-, I Date --=:g __ -_..5 ..... -_-_f __ Date _..;;..'3_-_2...._J_-
.... 9_L __ _ No No No No :** . .. I I I I I I I I I I I I I I *-*. **,_-. *. *--*=.*.--* .... :* -:*.: *:-.--. -., '-** -* .. -.. ---.*---. PSC PROCEDURE SQ 6.1 -INSPECT FOR WATER DATA SHEET 6.1 . MAY *20, 1987 Page 1 of 1 Revision O PROJECT: !lk"u)ef DATE: j? :_,,..Zf:;-!_g I TENDON NO. : . 0.2.-Jf . TENDON END/BUTTRESS NO. : ...:;,;uv7r SURVEILLANCE 1=AJl;>o OTHER TENDON END LOCATION INFO .... If..__ ________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes !} Quantity Sample T.-ken Yes ---Comments (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes '1 Quantity ___ Sample Taken Yes *comments (9.S) AROUND TENDON ANCHORAGE (9.8.l) Water Detected Yes @ Quantity Sample Taken ---Yes Cmmnents (9.10) DURING DETENSIONING f.11 (9.lOpl) Water Detected Y s No Comments . "!/l'f ___ Sample Taken Yes (11.) OWER/ AGENT NOTIFIED-11? Yes Ho DATE------------. OBSERVABLE --SIGNIFICANT No (12.l) (12.2) SAMPLES ADEQUATELY Yes SAMPLES AT .P./f.'-'-/#- ____ *-_--------- 'QC Sign.off (jk/NJ Level.Jr Date rt.-# f 1._ QC Review Level -111= Date ] -"2.. 3-9 'l.. *Title . , Q -4
I No No No No I .. I I I I I I I I I I I. I I* --.*. ;., --PSC-PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision o*-lfl::s* PROJECT: PAL it> s oes * . .

* *-f 3 ,l'l '-*
TENDON NO.: Dt-1 'I . ; TENDON END/BUTTRESS !IC. : SURVEILLAflCE "" OTHER TENDON END LOCATION INFO ' .. ,;:. (9.S) (9.8.l) (9.10) (9.lOrl) . ... . * .,, -* ,_ .* ,...;;,. * .. .
'. .. *,,. . .
-
-Sample Tak;m ---Yes .... ___ Sample Taken No" .. J:-j'.lh .
________________________
_:_ ___
, Yes AROUND TEUDON ANCHORAGE ..
,,,_ .. 'I Yes /i;J Water Detected Quantity Sample Taken No . ( Comments
-______________ __; ________ -,IJ .. .. Yes DURING DETENSIONING "'M-_Water Yes No Sample Yes .. .;;A'l.v . 1: .: ..... Comments . (11.) OWNER/ AGENT NOTIFIED NjA Yes Ho DATE "" . ..... SIGNIFICANT CONDITION: OBSERVABLE __ *yes No (12.1) (12.2) SAMPLES ADEQUATELY IDENTIFIED""ftt SAMPLES STORED AX __

. .,. I Level :JI/:. Date s/S/'1-z....

I I QC Review Level ":JJr Date
1-'Z..J-9
'l.... *Title
Mvf.* Q_A, . ) 1, .
--* ,__., -----*-* ,. *-. . ***---I. -** . . --. PSC PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 I I I I I I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: t'k.dat . .. . . DATE: 2....t.7'" f'6-* 'IENDOH N;.:. /}4.-2 B
TENDoH No.:
suRVEILLANcE OTHER TENDON END LOCA'IIOH INFO . . DURING LOOSENING OF GREASE CAN (9.4) (9.4.l) 'Water Detected ,@) Ho Quantity Taen @J Comments . (9. 7) IN GREASE CAN .... (9.7.l) Water Detected -@ Wo Quantity Taken *con:nents (9.8) AROUND TENDON ANCHORAGE (9.8.l) Water Detected Yes Quantity Sample 'Iaken Comments . (9.10) DURING DETENSIONING (9.10.l) Water Detected No ty JZa ::L. Sample Taken Comments (11.) OWERIAGENT NOTIFIED. @ Ho CONDITIOH: OBSERVABLE DATE 7-J:J_ SIGNIFICAN:r 7 --(12.l) SAMPLES ADEQUATELY IDENTIFIED @uo (12 .2) SAMPLES STORED AX _____ ..,...-___ _ ... 'QC Signoff Level §-Date 2._-;,27-;; 2=. / QC Review . Level ::at" Date
Title . MGI! '".f 6J_/J, Yes gJ No No No No I_ I I I I I I I I I I I I: I *_-:-*-*-* --.-**:..,.
--.. -= *-**.-** *" PSC PROCEDURE SQ 6.1 INSPECT FOR WAT.ER
DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PRo..rECT:
P.4l1SA>>E'S DATE.: *
zfi--a/"z

I "EA/l. c TENDON NO. : ])!* '23 . TENDON END/BUTTRESS NO. : f IELP 18 8U1T SURVEI!.I..ANCE
'20 "/I!..
OTHER TENDON END LOCATION INFO --------------------
(9.4) (9.4.l) (9.7) (9.7.l) (9.B) (9.8.l) (9.10) (9.10 .. l) DURING LOOSENING OF GREASE CAN' Water Detected Yes m Quantity ---Sample T.oi..ken Yes Cotmnents IN GREASE CAN' Water Detected Yes s Quantity ___ Sample Taken Yes *cetmnents AROUND TENDON ANCHORAGE . s Water Detected Yes Quantity ___ Sample Taken Yes Conunents DURING DETENSIONING Water Detected Yes ___ Sample Taken Yes Cetmnents No No* No No ---------------------------- (11.) (12.1) (12.2) . OWNER/AGENT NOTIFIED/'l'f Yes Ho CONDITI-ON: OBSERVABLE __ SAHPLES ADEQUATELY IDENTIFIED# SAMPLES STORED K! Al A . . ..-I 'QC Signoff ......... DATE ------------- SIGNIFICAN'X Ho Date ...... __ _ QC Review 7/-. h. 744 Level JLl Date .._? __ L'----* Title _. ___ _ I I I I I I I I I I I I I: I --* -*--*-* ... . ..:. . --. . -.. .. --* .. ,__.. ..... *-:< '" . .. ---.. --::*
SQ 6 .*-1

FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT:
DATE: . . 3/ l -.. " . . * ,J I "-TENDON HO. : . J>3-5°' Z. , TENDON END/BUTTRESS NO. : f A '11U'tY SURVEILLANCE '{l't-OTHER TENDON END LOCATION INFO ________ .;..._. __________ _ (9.4) (9.4.l)
DURING LOOSENING OF GREASE CAN Water Detected Yes l!a Quantity ___ Sample Taken Comments Yes No ----------------------------
(9.7) (9.7.l) IN GREASE CAN Water Detected 'comments .... Yes Quanti,ty ___ Sample Taken Yes Ho --------------------------- (9.B) (9.8.l) AROUND TE?IDON ANCHORAGE Water Detected Yes Quantity ___ Sample Taken Yes ?lo Comments __________________________ _ (9.10) DURING DETE'NSIONING1it (9.10.l) .water Yes No Qua:i.t:ity ___ Sample Taken Yes ?lo Comments ---------------------------- (11.) OWNER/AGENT NOTIFIED"'" Ho DATE --------------- CONDITION: OBSERVABLE __ . SIGNIFICAN'T SAMPLES ADEQUATELY IDENTIFIED 11( ft No (12.l) (12.2) SAMPLES STORED AT 11/A . 'Qc Signoff Level :::rn::-Date __ '3--t-\ l_G:>-+{_'f Z-__ _ QC Review Level ::::ar: Date _J_-_1..._:3_-9_L __ _
Title * /11?,?., , r IJ, I ;,-
I I. I I I I I I I I I I I .. * .. :. -PSC PROCEDURE SQ INSPECT FOR WAT.ER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1* Revision O . . PROJECT: PA-Lisa pEs
DATE: -* 2/2'/tz .
' ;L TENDON ?lO.: D3-S'2. . : TENDO?il END/BUTTRESS SURVEILLANCE lD YR., OniER TENDON END LOCATION INFO Qvrr . (9.4) DURING LOOSENING OF GREASE CAN' (9.4.l) 'Water Detected Yes *i> Quantity Sample Taken Yes No Comments (9.7) IN GREASE CAB .... (9.7.l) 'Water Detected Yes 1i1 Quantity sample Taken Yes No *com:nents (9.S) AROUND TENDON ANCHORAGE (9.8.l) 'Water Detected Yes Quantity Sample Taken Yes No Comments (9.10)
DURING DETENSIONING
}1//f (9.10.l) _Water ?:lo Qua:i.:ity Sample Taken Yes No Comments (11.) OWER/AGEN"! NOTIFIED 4/AYes No DATE CONDITION: OBSERVABLE SIGNIFICANT . (12.l) SAMPLES ADEQUATELY IDENTIFIED Yes No (12.2) SAMPLES STORED AT wfl[/r "' I Signoff Level ::JI/ ,* Date -z.l'ZkL" z.. I ' QC Review Level -:rrc-Date $-'l...J -9£... *Title . Q.,4. J 1-I I I I I I I I I I I I ***----**------_: ;.---... , PSC PROCEDURE SQ 6.1-INSPECT FOR WATFR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: /lU.akc DATE: j!-A / .. f4_ _TENDON NO.:. y-,?0 . : TENDON' END/BUTTRESS N'O.: SURVEILLANCE OTHER TENDON END LOCATION INFO A{& . (9.4) DURING LOOSENING OF GREASE CAN (9.4.1) Water Detected Yes @Quantity Sample '!aen Comments (9.7) IN GREASE CAN .... (9.7.1) Water Detected @J No Quantity Q"t/'1 Sample Taken Comments thatle n , .£4 rrtV4: aaswcfl.. (9.S) AROUND TEN'DON (9.8.1) Water Detected Yes 6J Quantity Sample Taken Comments (9.10) DURING DETENSIONING
/If-(9.10.l) Water Detected Yes No Sample Taken . Comments (ll.) OWUER/AGENT NOTIFIED DATE A-:U-9o? SIGNIFICANT CONDITION:
OBSERVABLE (12.l) SAMPLES ADEQUATELY IDENTIFIED Yes *;J ( 12. 2) SAMPLES il #" /IAcl:k t;, "'¥;t1JCl!V . signoff Level ?£ Date ,)*&*#. QC Review Level -:JIC Date j-[o-'fL
Title .
f:J.A ... Yes Yes Yes Yes No No No 1* ... ** I I I I I I I I I I I I 1: I PROCEDURE SQ 6.1
INSPECT FOR.
DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 DATE: _1-;tf-/?-.
TENDON No.: v-; 0

END/BUTTREss No. : G6q/_M11-1 . OTHER TENDON END LOCATION INFO __,..J.9"7"/4J:..,..._
_________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity ___ Sample T-.ken Yes Comments . . (9.7) IN GREASE CAN (9.7.l) Water Detected Yes {ff) Quantity ___ Sample Taken Yes Cor.::nents (9.S) AROUND TENDON ANCHORAGE (9.8.l) Water Detected Yes cf) Sample Taken ---Yes Comments (9.10) DURING DETENSIONING (9.10.l) Water Detected Ye No ___ Sample* Taken Yes Comments (ll.) OWER/AGENT NOTIFrFJf'J/11-Yes No DATE------------ JI/ti-. OBSERVABLE SIGNIFICANT (12.l) (12.2) SAMPLES ADEQUATELY IDENTIFIEn;y'fr-No SAMPLES .. AT

'QC Signoff Level ;[( Date z-ff-/;z 0 QC Review Level ::nr Date 7-lt>-C(L
Title . /UU2. . No No No No I I I I I I I I I I I I I 1: .. I PSC PROCEDURE SQ 6.1 INSPECT FOR WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: . °F Pt Ll 5 A: 1' *5 DATE: 3 h / q Z... TENDON NO.: V72. : TENDON END/BUTTRESS NO.: $\.4.0'P I To:P SURVEILLANCE zo+lf YI<-. I (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Yes 1iiJ Quantity ___ Sample Taen Comments Yes No -----------------------------
(9. 7) (9.7.l) (9.S) (9.8.1) IN GREASE CAN Water Detected tYes] Con:nents C:. \'tJ...A: l\J AROUND TE?IDON ANCHORAGE Water Detected Yes No Quantity Sample Taken ON*" ouNv:=:-fEgJ Quantity ___ Sample Taken Yes No No Comments. ___________________________ __ (9.10) DURING DETEN'SIONTNG µ/A-(9.10.l) _water Detected Comments __________
...._ ________________ No Quantity ___ Sample Taken Yes No (11.) OWYER/AGENT NOTIFIED ti;;] Ho DATE --------------
CONDITION: OBSERVABLE ).( SIGNIFICANT J (12.1) SAMPLES ADEQUATELY IDENTIFIED rs;;] No ( 12. 2) SAMPLES STORED A'X __ "TBb---...."'-'-'\....-L-...E....,.JS:..__ _______ _ ** Signoff Date oe....,/1-q_Z- ____ _ QC Review Level Date _J-=._:Z.....;;;..]_r.:...?_L ____ _ Title _. ...;'2::.;'"'-Ar....;* ____ _ ) I I*-., ** I I I I I I I I I I I I I ,*_,:-.. : -.:-1t7; _* . ---PSC PROCEDURE-SQ 6;1* INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0
PROJECT:
DATE: j .. TENDON NO.: V-7A , TENDO?l END/BUTTRESS NO. : SURVEILLANCE + OTHER IENDON END LOCATION INFO .... ________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes . !) Quantity Sample Taken Yes Comments (9. 7) IN GREASE CAN ..... ,,____ (9.7.l) Water Detected Yes f) Quantity Sample Taken Yes *comnents (9.S) AROUND TENDON ANCHORAGE . §) (9.8.l) Water Detected Yes Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONINGP (9.10 .. l) Water Detected Yes No Sample Taken Yes Comments (ll.) OWNER/AGEN'! No DATE JV/# . OBSERVABLE SIGNIFICAN'r (12.l) SAMPLES ADEQUATELY IDENTIFIF.D.AfJ No (12.2) SAMPLES AT AflA: Signoff rJJ#L Level ffe Date 7 QC Review Level :rrr Date 'J ?z....
Title . /'11-f;-/l?.
f!LI/. No No No No .. .*** .*. --- -::' -. . -* .; I I I I I I I I I I I I .. *. PSC PROCEDURE SQ 6.1-INSPECT FOR WAT.ER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: J?ic.,,,.*J., *. .. TENDON No.:_ Y:.1.a.e
TENDON END/BUTTREss No.: sA 41;r., suRVEILLANcE OTHER TENDON. END LOCATION INFO

(9.4) (9.4.1) DURING LOOSENING OF GREASE CAN' Water Detected Yes <if} Quantity ___ Sample '!.;.ken Comments Yes No -------.,...--------------------------
(9. 7) IN GREASE CAN (9.7.1) Water Detected Yes Quantity ___ Sample Taken Yes No *ccm:nents (9.S) AROUND TENDON ANCHORAGE . (9.8.l) Water Detected Yes Quantity ___ Sample Taken Yes No Conanents (9.10) DURING (9.10.l) Water Detected Yes No ___ Sample Taken Yes No Comments (11.) .OWUER/AGEN'.I! Yes No DATE -------------------- COND 0 ITION: 11/f'f OBSERVABLE __ SIGNIFICANT (12 .1) SAMPLES ADEQUATELY IDENTIFIEDJ/f'# Yes No (12.2) SAMPLES AT ..... f_vftt..._ ___________ _ Signoff *(i)Jdt. Level ;JI;. Date QC Review Level Date "'3 'tz..
Title . IJ;tG-/1, (J;. IJ, I .. I . I I I I I I I I I I I I I I
,-: * --* * :_ ---*_ PSC PROCEDURE SQ 6.1 *INSPECT FOR WAT.ER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: DATE: *).. .. TENDON NO.:. [!--/$ . END/BUTTRESS NO. : SURVEILLANCE . OTIIER TENDON END LOCATION INFO ..... (9.4) DURING LOOSENING OF GREASE CAN (9.4.1) Water Detected Yes (iJ Quantity ___ Sample T-1cen Yes Comments (9.7) IN GREASE CAN ' .. (9.7.1) Water Detected* Yes "fJ) Quan*tity ,, ____ Sample Taken Yes. Comments (9.B) AROUND TE?IDON ANCHORAGE -I) (9.8.1) Water Detected Yes Quantity ___ Sample Taken Yes Comments (9.10) DURING DETENSIONING g/lf-(9.10.l) Water Detected Ye No ___ Sample Taken Yes . Ccmanents (11.) OWNER/AGENT NOTIFIED{_,:{Yes Ho DATE ------------ COND_0 ITION:JV//J-. OBSERVABLE __ SIGNIFICANT No (12.1) (12.2) SAMPLES ADEQUATELY SAMPLES A'X 'QC Signoff Level re. Date I Po QC Review Level Date 'J-10-?l..
Title . Ht6-,(1-I (;:2. A . > No No No. No I I I I I I I I I I I I I I I. _.*.** *._-. -
-, -PSC PROCEDURE SQ---6. 1 INSPECT FOR DATA SHEET 6.1 MAX 20, 1987 Page 1 of 1 Revision 0 PROJECT: t:1:tsJe-.., DATE: °./*/I*!;- ---TENDON NO.:_ 11'-Att . : TENDON END/BUTTRESS NO.: 5"9Lo/ SURVEILLANCE 3#'"'* OTHER TENDON END LOCATION INFO ¢" . (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity Sample Taken Yes Comments (9.7) IN GREASE CAN ... (9.7.l) Water Detected Yes-* Quantity Sample Taken Yes Comments (9.S) AROUND TE?IDON ANCHORAGE Water Detected Yes GJ* Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING (9.10.l) Water Detected'} Yes No Sample Taken Yes, . Comments J#' (11.) OWNER/ AGENT NOTIFIED "/ti Yes No DATE COND:TI.ON:l//Jf OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIEDAfj';f (12.2) SAMPLES il Jflt' 'QC Signoff QC Review
Title * . 4./J, ) Level Level -:or No Date _,,...1'"---..4...,_-
...... jJ,f_---"'--- Date __ 1_-_"L-_.')_-9_L ___ _ No No No No 1---I I I I I I I I I I I I I ------PSC PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: DATE: 3/U:)fZ-01' I . . :-tit 'IENDO?i NO.: //2/o 'IENDO?l END/BUTTRESS NO.: SH9J-TI:>P SURVEILLANCE Z0 >"f<..-OTHER TENDON END LOCATION INFO . (9.4) (9.4.l) (9. 7) (9.7.l) DURING LOOSENING OF GREASE CAN IN GREASE CAH . Water Yes *con:nents Ho Quantity ___ Sample Taken ?lo Quantity _. ___ Sample Taken Yes No Yes No --------------------------------------------- (9.B) (9.8.l) AROtnID TENDON ANCHORAGE Detectedfe-Yes No Quantity ___ Sample Taken Comments Yes No ----------------------------------------------- (9.10) (9.10.l) DURING DETENSIONING Water Detected Yes Comments [!21 ___ Sample Taken Yes No ----------------------------------------------------- (11.) OWER/ AGEN'! NOTIFIED 'f;;-Yes Ho
DATE -----------------------
CONDITION: . OBSERVABLE SIGNIFICAN'l (12.1) SAMPLES ADEQUATELY IDENTIFIED No (12. 2) SAMPLES .. A.1: _'j°.,..Wf......_ ____ . ______________________ _ Signoff Level ..:JJl; Date 3( 17/qz_ QC Review Level -:pt:: Date 7-2..3 *?-7-*Title . t?l'l ... G? } . . *1-* I I I I I I I I I I I I -psc PROCEDURE SQ 6.1 INSPECT FOR.WATER DATA SHEET 6.1. MAY 20, 1987 Page 1 of 1 Revision O PROJECT: f4kro'de& DATE: Y7 --*,J;;(_ . TEUDON NO. : lj TENDON END/BUTTRESS NO. : f{e/J.1/&Ht,,., SURVEI!.L.ANCE a2t'y-: OTiiER TENDON END LOCATION IHFO __________________ _ (9.4) (9.4.l) (9. 7) (9.7.l) (9.S) (9.8.l) (9.10) (9.10 .. l) DURING LOOSENING OF GREASE CAN' Water Detected Yes @Quantity Sample Taen Yes Ccmunents IN GR::ASE CAH .... Water Detected Yes *J Quantity Sample Taken Yes Cor.:nents DURING DETENS!ONING Water Detected Yes ---Sample Taken Yes No No No Comments _________ .-.;.. ________________ __ (11.) OWER/AGE?r!
tlOTIFIED;f/f Yes Ho lljtf . OBSERVABLE
__ DATE ------------ SIG?lIFICABT Ho (12.1) SAMPLES ADEQUATELY IDENTIFI.EDt//Jf Yes (12.2) SAMPLES il __ . _________ _ QC Review ?f.7. Titla
M.l?tf.*.
q.o. I Level$ Level ll:C Date ___ _ 1* !e I .. I I I I I I I I I I I I ,, --** *. ---.. *-.. * *::. : .. Psc PROCEDURE SQ*6.1 INSPECT DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O PROJECT: '!ENDON NO. : JJAP DATE: 3-/e:fl * ,,f;(L * '!ENDON END/BUTTRESS NO. : 5),,.,,-/4 &m SURVEILLANCE .@0 ,., ,, OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) 'Water Detected Yes 6J Quantity . ___ Sample Ta.ken Yes Comments (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes !) Quantity Sample Taken ---Yes Comments (9.S) AROUND TE:?IDON ANCEORAGE (9.8.l) Water Detected Yes r!J} Quantity ___ Sample Taken Yes Comments (9.10) DURING DETENSIONING (9.10.l) Water Detected Yes Sample Taken 'Yes ---Comments (11.) OWNER/AGENT Yes llo DATE------------. OBSERVABLE SIGNIFIC.AN'X (12.1) SAMPLES ADEQUATELY IDENTIFIEDNA' Yes No (12.2) SAMPLES AT Level .;,;::' Level -:::rrt: Date 3-'"2...)'-'t ""l-No No No No I I I I I I I I I I I I I I I PSC PROCEDURE SQ 6.1 INSPECT FOR WATER DATA SHEET 6.1 . MAY 20, 1987 Page 1 of 1 Revision O PROJECT: '!ENDO?l NO. : Pf!LISftDE.S. DA'!E: 3fiz./1z._ . 29 '!ENDO?l END/BUTTRESS NO.: straJILLANCE " OniER TENDON END LOCATION' INFO -------------------- (9.4) . (9.4.1) (9. 7) (9.7.1) (9.S) (9.8.l) (9.10) DURING LOOSENING OF GREASE CAN Water Detected Yes *-g Quantity ___ Sample T-.ken Yes No Comments __________________________ _ IN GREASE CAB Water .Detected Yes * {i;1, Quantity ___ Sample Taken Yes No Cor.::ients ___________________________ __ AROU?ID TE?IDON ANCHORAGE Water Detected Yes Quantity ___ Sample Taken Yes No Comments. ___________________________ __ DURING DETENSIONING (9.10.1) Water Detected Yes 1?lo} ____ Sample Taken Yes No Comments _________ _;.. ________________ _. (ll.) OWER/AGE?f! NOTIFIED %Yes Ho DATE ------------- CONDITIO?l: OBSERVABLE ---SIGNIFICANT No (l.2.l) (12.2) SAHPLES ADEQUATELY SAHPLES STORED AX __ ..,v,_,,_:.m-;..:.._ __
___________
_ ... /_ 'QC Signoff Level :m: Data 3/rz./ qz._ QC Review Level 1n Data ]-2-.) ,9z._ Title . t?lt!l.' I I .. I I I I I I I I I 1: ,, I PSC PROCEDURE-SQ
6.1 INSPECT
FOR WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: DATE: .S-//-f:2._ TENDON NO.:. "if;#f . : TENDON END/BUTTRESS NO. : OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes @ Quantity Sample Taken Yes Comments (9. 7) IN GREASE CAN .... (9.7.1) Water Detected Yes @ Quantity Sample Taken Yes Com:nents (9.S) AROUND TENDON ANCHORAGE . (9.8.l) Water Detected Yes Quantity Sample Taken Yes Comments (9.10) DURING DETENSIONING Ifft (9.10.l) Water Detected Ye No Quantity Sample Taken Yes Comments OWNER/AGENT No (11.) DATE 1-j'lr . OBSERVABLE SIGNIFICAN'X (12.l) SAMPLES ADEQUATELY Yes No (12.2) SAMPLES STORED il 1ftt .... 'QC Signoff >µ Level .. & Date 3-/j-f/ I QC Review Level Date ,7'2...)-?'L-
Title -frt&/2,. 6?.A. I No No *No No ,.
1-I I I I I I I I I I I I I PSC PROCEDURE SQ 6.1 INSPECT FOR WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: . RATE: -- TENDON NO.: . : TENDON END/BUTTRESS NO.: flclzp/Gvrr SURVEILLANCE OTHER TENDON END LOCATION INFO -------------------- (9.4) (9.4.1) DURING LOOSENING OF GREASE CAN Water Detected Yes 'tfj Quantity ___ Sample Taken Comments Yes No (9.7) (9.7.1) IN GREASE CAN Water Dete_cted Yes "1!§1 Quantity ___ Sample Taken Yes No Co-rmients __________________________ _ (9.3) (9.8.1) AROUND TENDON ANCHORAGE Water Detected Yes B Quantity ___ Sample Taken Yes No Corranents. __________________________ ( 9 .10) DURING DETENSIONTNG ti I A (9.10.1) _water Yes No Qua:i.:ity ___ Sample Taken Comments ;n
Yes (11.) OWNER/AGENT NOTIFIED"'/Pf-Yes Ho DATE CONDITION:
OBSERVABLE __ SIGNIFICAN'X SAMPLES ADEQUATELY IDENTIFIED /J /A No (12.1) (12.2) SAMPLES STORED AT tl/K . ____________ __ Signoff Lavel::nJ:: QC Review JI 7(: Level 21J. *Title _. _..;..P1 .... A:;_i_..._. / Date ---""'3-+=-/ 't "2-__ Date No I I I I I I I I I I I 1: ---.. , *, PSG PROCEDURE-SQ 6 .*1 * .. INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 ---.. ** .. . -** . PROJECT: DATE: . (3 if fj2_ TENDON N0 1.: . ; TENDO?l END/BUTTRESS NO.: SURVEILLANCE 4 OTHER TENDON END LOCATION INFO -------------------- (9.4) DURING LOOSENING OF GREASE CAN (9.4.1) 'Water Detected Yes {9J Quantity Sample Yes No Cetmnents (9. 7) IN GREASE CAN ... (9.7.1) Water Detected Yes (J Quantity Sample Taken Yes No Comments (9.S) AROUND TENDON ANCHORAGE -"@ (9.8.l) Water Detected Yes Quantity Sample Taken Yes No Comments (9.10) DURING DETENSION'ING Ji/If (9.10 .. l) Sample Taken Yes .. No Water Detected Yes No Comments (11.) OWNER/AGENT Ho DATE 1{14-. OBSERVABLE SIGNIFICAN'X (12.l) SAMPLES ADEQUATELY IDENTIFIED.v'fa Yes No (12.2) SAMPLES STORED AT o/tk "' Signoff *UAL Level 1{ Date 3 l-; ... QC Review Level :rrr Date 7-Z..1-? 1-. *Title /vf(;.#_ /. .. I I I I I I I I I I I I I PROJECT: PA 12ts TENDON NO. : .5'"2 . TENDON END/BU'!'!RESS NO. : PSC PROCEDURE SQ 6.1 INSPECT FOR WATER DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision O DATE: * * / >-_,.-FIEll>'lc.>t I SURVEILLANCE I OTHER TENDON END LOCATION INFO (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Sample T,:lken Yes . Con:ments (9.7) IN GREASE CAN .... (9.7.l) Water Detected Yes Quantity Sample 'Ia ken Yes *comments (9.B) AROUND TE?IDON ANCHORAGE (9.8.l) Water Detected Yes §1 Quantity Sample Taken Yes Conunents (9.10) DURING DETENSIONING .ti/A (9.10.l) _Water No Sample Taken Yes Comments (11.) OWUER/ AGENT NOTIFIED .N/lt Yes No DATE CONDITION: OBSERVABLE. SIGNIFICANT (12.1) SAMPLES ADEQUATELY IDENTIFIED 1A-No (12.2) SAMPLES STORED AT /I /ft-. ... I Level --rIT:' Date Level -1.lL Date ___ _ No No No No I< I I I I I I I I I I I I I I *"' --.:. -.. ,** PSC PROCEDURE -SQ 6. 1 INSPECT FOR WAT.ER.,L k ;&A I/I DATA SHEET 6.1 7:.;"' MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: aa,'9..$ DATE: Y-/ ... .f!.2_. TENDON NO. : t/-!<<-2 . : TENDON END/BUTTRESS NO. : Agi)4 SURVEILLANCE OniER TENDON END LOCATION INFO _______________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes (9> Quantity ---Sample Taken Yes No Comments (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes @Quantity ___ Sample Taken Yes No *Cetr:nents (9.S) AROtnID TE?IDON ANc:IORAGE (9.8.l) Water Detected Yes 6J Quantity Sample Taken ---Yes No Comments (9.10) DURING DETE'NSIONING,v;1,4 (9.10.l) Water Detected Yes No ___ Sample Taken Yes No Comments ___________ -=------------------------(ll.) OWER/AGM llOTIFIEDf.# Yes ?lo COND.riIO?l:
jlf-. OBSERVABLE
__ DATE ----------------- SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIEDij,4 Yes (12. 2) . SAMPLES AX ..... 1,1-.._ __
__ .---------
?lo. 'QC Signoff fJJJ/i Level ff Data 1-/-tt QC Review Level -:rrr:: Date J -/0-'7' "L *Title . _,--I I I I I I I I I I I I I-I .--. _. .... PSC PROCEDURE SQ INSPECT FOR WATER DATA SHEET 6 .1 ReL)4J/ MAY 20, 1987 7 Page 1 of 1 Revision 0 PROJECT: DATE: fak-J'..:l.. '!::NOON' NO. : Wu. .y : '!E?IDON END/BU'!'!RESS NO. : SURVEILLANCE OTHER TENDON END LOCATION INFO _________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes @ Quantity Sample T-.ken Yes No Comments (9.7) 'IN GREASE CAN .... (9.7.l) Water Detected Yes @ Quantity Sample Taken Yes No Ccm:nents (9.S) AROillID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes (JJ Quantity Sample Taken Yes No Comments (9.10) DURING DETENSIONING1_,f (9.10 .. l) Water Detected Yes No Sample Taken Yes No Comments (ll.) OWNER/AGEN"! Yes No DATE . OBSERVABLE SIGNIFICANT
(12.l) SAMPLES ADEQUATELY IDENTIFIED¥',#
Yes No (12.2) SMfi'.LES AT A{/fi _ . 'QC Signoff Lavelf Date t-1-:f..2 ) QC Review Level -JJ.t-Date "J-to -9 'L '!itla . H1V!Rr. Q.. A, ; . 1--..
-*. , .. .*1 I I I I I I I I I I I I -, I .. 41 tl PSC PROCEDURE SQ 6.1 INSPECT FOR WATER L LI/ . DAT A SHEET 6

1 . /:\ /\@fC ;-MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT:
DATE: TENDOllT NO.: Vie/, : TENDOllT END/BUTTRESS NO.: 2lte,4 SURVEILLANCE 4-0THER TENDOllT END LOCATION INFO ... ________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity ___ Sample Taen Yes Comments (9. 7) IN GREASE CAN (9.7.l) Water Detected Yes @ Quantity ___ Sample Taken Yes *cor.::nents (9.8) AROUND TE?IDON ANCHORAGE (9.8.l) Water Detected Yes fj Quantity ___ Sample Taken Yes Comments (9.10) DURING DETENS!ONING jf119 (9.lOrl) Water Yes ?lo .Comments. . ___ Sample 'I'aken Yes (ll.) Yes Ho DATE------------. OBSERVABLE __ SIGNIFICANT (12.l) SAMPLES ADEQUATELY ID ... ENTIFIEDf:6'- Yes No (12.2) SAMPLES .. AT 'QC Signoff .... . QC Review Title _. __ I Level Level ':Ji[: Data .... ___ _ Date __ ___ _ No No No ?lo I* I I I I I I I I I I I I I .. I *-* .. ---.. ***:---... .,,*.* 4u?.. PSC PROCEDURE SQ 6.1 *
INSPECT FOR WATER

DATA SHEET 6. 1 .
MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: fl.11 f'dez DATE: J -ff fA ; TENDO?l NO. : //17A : TENDO?l END/BUTTRESS NO. : SURVEILLANCE OTiiER TENDO?l END LOCATION INFO . (9.4)
DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes t§} Quantity Sample Yes Comments No --------------------------
(9. 7) (9.7.l) IN GREASE CAN Water Detected Yes ' Quantity Sample Taken Yes No Cor.::ients ________________________________________________________ ,..... ______ _ ( 9 -g) AROUND '!'E?IDON ANCHORAGE (9.8.l) Water Detected Yes @ Quantity Sample Taken Yes No Comments ________________________________________________________ (9.10) (9.10.l) DURING DETENSIONING14 .water. Yes lio Sample Taken Yes ?lo Cll.) OW?ilER/ AGEN"r NOTIFIED//fl Yes Ho DATE ------------ JI/fl OBSERVABLE __ SIGNl:FICABl' (12.l) SAMPLES ADEQUATELY Yes ?lo (12.2) SAMPLES A:! ______ 'QC Signoff Level T Data :J-Jf-QC Review Level Jir Data J-2.)-f:(L' Title * !Ytv/?. .. §>ti . , I :-1 I I I I I I I I I I I I I ------* -* . ... ----* . . * -------PSC PROCEDURE SQ 6.1_ INSPECT FOR WAT.ER DATA SHEET 6.1 7* MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: 1?tmk1 DATE: 1-If'. % TENDO?l NO. : VI 7 tJ : TENDO?l END/BUTTRESS NO. : .5)'¥'1/Jir SURVEILLANCE + OTHER TENDON END LOCATION INFO ..... frtJ .... E/..._ _________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Quantity ___ Sample Taken Yes Comments (9.7) IN GREASE CAH (9.7.l) Water Detected Yes ti) Quantity ___ Sample Taken Yes Cor.:nents (9.S) AROtnID TE?IDON AllCHORAGE (9.8.l) Water Detected Yes Quantity ___ Sample Taken Yes Conmtents (9.10) DURING DEn:NSIONING Al/ If (9.10.l) _Water Yes No ___ Sample Taken Yes comments qJn (11.) AG'Elrr NOTIFIED tfll Yes Ho DATE ----------------------- l/j/1-*. OBSERVABLE __ SI GNIFI CAN'r No (l2.l) (12.2) SAMPLES ADEQUATELY IDENTIFIEDh' fr SAMPLES il ii/fl.---*-*-*_.--*-------Signoff -.Ykt& Level 1 Data y/,17-.1:Z. QC Review Level :rrL. Data l-2...)-9L Titla . '?1i)., ; No No No No -I* .. ** I I I I I I I I I I I I I I ... * .. -PSC PROCEDURE SQ 6.1 INSPECT FOR WATER
DATA SHEET 6. 1 .
MAY 20, 1987 Page 1 of 1 Revision O PROJECT: R/:,Je I' TENDON NO.: *Vt7,P. : TENDON END/BUTTRESS NO.: V/"7(, .L OTiiER TENDON END. LOCATION INFO SURVEILLANCE CJ.§ w Zf (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes ffa Quantity Sample Taen Yes Comments (9. 7) IN GREASE CAN .. (9.7.1) Water Detected Yes @ QUantity Sample Taken Yes COit:1ents (9.S) AROtnID TE?iDON ANCHORAGE (9.8.l) Water Detected Yes /J Quantity Sample Taken Yes Comments (9.10) DURING (9.10.l) Water Yes . ?lo Sample Taken Yes Comments Al)/; ) (11.) OWER/AGE?r.r Ho DATE COND 0 ITION: A!/ If . OBSERVABLE SIGNIFICABT (12.l) SAMPLES ADEQUATELY IDE?lTIFIED AJ/lf ?lo (12.2) SAMPLES AX_ . ¥& . Signoff *.attf/L Level .;k Data Y-lf-?A QC Review Level Data ]-l.) ... 9L Title . />1?,fll .Q I No No No No I I I I I I .. * .. *-I I I I I I I PSC PROCEDURE SQ 6.1 INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 o_f 1 Revision O . . PROJECT: *PAL..\S f\'l>e-$ . DATE: -: ¥-z...'?f/t '?-.
TENDON NO.: VJ7' . : TENDON SURVEILLANCE z.c:.+l<y'/f!!!:...._
OTHER TENDON END LOCATION INFO . . (9.4) (9.4.l) DURING LOOSENING OF GREASE CAN Water Detected Yes Quantity ___ Sample Taken Yes No Comments ____________________________ __ (9. 7) (9.7.1) IN GREASE CAN 'Water Detected Yes Quantity ___ Sample Taken Yes. No Cor.::nents ___________________________ _ (9.3) (9.8.1) AROUND T=:?IDON ANCHORAGE Water Detected Yes Quantity ___ Sample Taken Yes No Comments. ___ (9.10) DURING DETENSIONTNG Yes No (9.10.1) _water Yes No ___ Sample Taken Comments __________ .;__ ________________ _ (ll.) Ho DATE ------------- CONDITION: . OBSERVABLE __ SIGNIFICANT No (12.l) (12.2) SAMPLES ADEQUATELY IDENTIFIED SAMPLES STORED K!

. I Signcff QC Review Level_JJJ---

Date ___ _ Date __ J_-_£_0_-_?_L ___ _ I :-1 I I I I I I I I I I I PSC PROCEDURE SQ 6.1 --INSPECT FOR WAT.ER ... DATA SHEET 6.1 -,-MAY 20, 1987 Page 1 of 1 Revision 0 . PROJECT: ,&sak,, DATE: TENDON NO.: i/JZI" : TENDON END/BUTTRESS NO.: SURVEILLANCE Jefp. OTiiER TENDON END LOCATION INFO _- _________________ _ (9.4) DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Yes Sample Taken Yes No . Comments (9.7) IN GREASE CAH .... (9.7.l) Water Detected Yes Sample" Taken Yes No Cotr:\ents (9.S) AROUND TE?IDON (9.8.l) Water Detected Yes e Quantity Sample Taken Yes No Comments (9.10) DURING (9.10.l) _Water Yes No Sample Taken Yes No Comments (11.) OWUER/AGEN"! NOTIFIED ;(4.tes Ho DATE CONDITIO?l:A/fa . OBSERVABLE SIGNIFICANT (12.l) SAMPLES ADEQUATELY IDENTIFIEDAj.11 Yes No (12.2) SAMPLES AX J!//lf . 'QC Signoff .U&L Level 1b Data '-lf'-9ci QC Review Level ::rn:: Date 3-2.j ,?"L Titla . A1t;.t!._-. Q, !l. . ; I I* ** I I I I I I I I I I I I I I-lio-7. -.. PSC PROCEDURE SQ 6.1 INSPECT FOR WAT.ER I --I. 'P I DATA SHEET 6. 1 !lef1a11' MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: !?lsales DATE: .J*/£-jl,.:J_ TENDON NO. : t(/f',R : TENDON END/BUTTRESS NO. : $A'.fl5/ff1 SURVEILLANCE OTHER TENDON END LOCA.TIO?i Im'O (9.4)
DURING LOOSENING OF GREASE CAH (9.4.l) Water Detected Yes @ Quantity Sample Tuen Yes No Comments -(9. 7) IN GRE:ASE CAB .... (9.7.l) Water Detected Yes . @Quantity Sample Taken Yes No Com:nents (9.S) AROU?ID TE?IDON ANCHORAGE (9.8.l) Water Detected Yes @ Quantity Sample Taken Yes No Comments (9.10) DURING DETENS!ONING
///fl. (9.10 .. l) Yes ?lo Quantity Sample Taken Yes No .. Comments /f.1 . (ll.) Ow11ER/ AGEN".I: NOTIFIEIW/..4 Yes Ho DATE CONDITIO?l:;V'/./f . OBSERVABLE SIGNIFICA?n (12.l) SAMPLES ADEQUATELY IDENTIFIED¥.lf Yes ?lo (12.2) SAHPI.ES AX * 'QC Signoff
fiL:/tL Level A Data QC Level -::JJt:_ Date J, 2-) ,CfL Titla . fl1 <:./J

tQ. *IL ;

1 I I I .I I I I I I I I I ..... ,,,__ .. --..... PSC PROCEDURE-SQ
6.1 INSPECT
FOR WAT.ER 1 DATA SHEET 6.1 l.ezi. . MAY 20, 1987 rf°1 1" Page 1 of 1 Revision O PROJECT: ,l:<<1eles -DATE: 2-11'> ?,,:2._ TENDON NO. : t/d'/ . : TENDON END/BUTTRESS NO. : SURVEILLANCE )it1fc, OTiiER TENDON END LOCATION INFO (9.4)
DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected *Comments Yes @Quantity Sample Yes ku& No -----------------------------------------------------------
(9. 7) (9.7.l) IN GREASE CAN Water Detected Con:nents
Yes ..... Quantity Sample Taken Yes No -------------------------------------------------------------
(9.B) (9.8.l) AROUND TE?IDON ANCHORAGE Water Detected Yes §)Quantity Sample Taken Yes No Comments ----------------------------------------.;.._--------------- (9.10) DURING DETENSIONING}l',,/li (9.10.l) _water Uo Sample Taken -;!es No ______________ __; ____________________________________ _ (ll.) OWER/AGEN'! Yes ?lo DATE------------. OBSERVABLE SIGNIFICANT (12.1) SAMPLES ADEQUATELY Yes No (12.2) SAMPLES STOREJ?. AT ..,.,A"". ____________________ -.-----'QC Signoff * .* Level Data Y!P'-9.-<.. QC Review Level -:JJ[:: Date J-2..)-? "2.. Title * ** 61 .fl. ) I I I I I I I I I I I I I* I ---- -*:*:.-.. ;-'""'. PSC PROCEDURE SQ. 6
1 leAK.
INSPECT FOR DATA SHEET 6.1 MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT: J:/,r-u/e:r . DATE: r2 @-26 TENDON NO. : . V-;.2 W . ; TENDO?l END/BUTTRESS NO. : SURVEILLANCE -2..tJ'll' OTHER 'rENDON END LOCATION INFO ________________ _ (9.4)
DURING LOOSENING OF GREASE CAN (9.4.l) Water Detected Comments Yes ,,@ Quantity Sample T.:i..ken Yes No (9.7) (9.7.l) IN GREASE CAN Water Detected Co.r.ments
.... Yes @ Quantity Sample Taken Yes No (9.8) (9.8.l) AROUND TENDON ANCHORAGE Water Detected Yes Quantity Sample Taken Con:ments Yes No (9.10) (9.10.1) DURING DEITNSIONING#/ 19 Water Detected No Sample Taken Yes No Comments ______________________ .:_ ____________________________________ ____ (11.) OWNER/AGENT No DATE------------. OBSERVABLE __ SIGNIFICANT (12.1) No SAMPLES ADEQUATELY . SAMPLES AT "'-/fl=-'-1,t.u.-_. __
__ . ---------(12.2) 'Qc Signoff / QC Review

Title

1114.f.. .IJ. ) Level Date rJ?.--a&f-f 6 Level ::rr:z:::.
Date ) 'r {_ r , ' ! I.; PSC sQ:8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 I ANCHORAGE_INSPECTION DOCUMENTATION MAY 20, 1987 Page 1 of 1 Revision O I I I I I I I I I I I I I PROJECT ____ SURVEILLANCE .NO. zo+'-'. YEAR . I Ne;Alt. TENDON NO. --"1)"---\-_"!-_'2.. __ _
TENDON END/BUTTRESS No. Sttot> -Se>TT UNIT . ' ---aL Q.C. *cs.3.5) ANCHORHEAD I.D *. ap/cif BUSHING I.D. .SZ:36'f Signoff (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.1.1) Buttonheads Condition ( 8 .1. 2) Anchorage Head Level ..1. * ( 8. 2) Cracks NoNfi . * ( 8. 1. 2) Bushing Level ..:1. ( 8. 2) Cracks ,,AJ(IA//; (B.1.2) Shims Level 2 (8.2) Cracks NOH& (8.1.2) Bearing Plate Level (8.2) Cracks A/b'11*"" SQ l O .1. ( B .1. 2 J Coating -Comp let., 'A Incomplete
-!/Ii L th. of Air Po c;.1f JA SQ 10.l (8.2.l) Wire -ConditionN. c.oating Incomplete (8.3) BUTTONHEAD INSPECTION (B.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing W. = Protruding [j= Broken/Hissing () = Offsize(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked* (over 0. 060 .. ) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = () A= I) K = --0 s = () x = () (8.3.7.2) Buttonheads (B.3.7.3) Total Effective (8.4.1") Protruding BH Missing BH (B.4.1.2.1) Continuity Test Required PO 0 Total BH -==--Wires Identified/Marked Yf{S. Bushing Thread Joint Line 9.0) Reporting: Accept Engineer Notified NCR No.ql7-003 _ __,. Q. c. Review __ Level _:rJL __ Date __ I Title M61?., b2 ,fl. I 1---1*-1 I I I I I I I I I I I I *, PSC PROCEDURE SQ ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision O ---_ -'--A -__ --,
I l,t _ _ ANCHORAGE INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO. YEAR ' I TENDON NO. J); TENDON END/BUTTRESS NO. UNIT_..._/
__ Q.C . Signof f . ( 8 . 3. 5) AN CHO RHEAD I. D *. ; J3 Y VV ' BUSHING I.D. (8.1) CORROSION INSPECTION {For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition Jt . {8.1.2) Anchorage Head Level I (8.2) Ti (8.1.2) Bushing Level t{!/I= (8.2) (8.1.2) Shims (8.2) Cracks MAJE (8.1.2) Bearing Plate Level fL (8.2) Cracks ,!/Ill/&' - SQ 10.1. (8.1.2) Coating -Complete¢. Incomplete
I/If Lgt.h. of Air Pocket.
SQ 10.l (8.2.1) Wire -Condit.ion .tJlftl C_oat.ing Comphle Incomplete

(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing w = Protruding ()=Broken/Missing () = Off size(Malformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked Cover 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) OffsizEf.i Totals SA,',.,,. 5taJ B = () If __ , J..t, //, /j " A = --n--/100 I ,. -K = -r //:. 1 S= tJ x = gJ (8.3.7.2) Butfonheads Fouttd Alf) (8.3.7.3) Total Effective BH _.....:f9_._ __ (8.4.1") Protruding BH _()__Missing BH Continuity Test Required -#',Iii .... 9.0) Reporting: 0 ,
,/ Q. C. Review Level Date J-2..) -9'2-I Title I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PSC PROCEDURE
SQ *.:.g. 0

ANCHORAGE DATA SHEETS.a MAY 20, 1987 Page 1 of 1 Revision O PROJECT B/l.ur/e..r SURVElLLANCE NO. _...A ....
YEAR .. TENDON NO. /J,2-Jf TENDON END/BUTTRESS NO. , 2r 1!r J3p1T UNIT ____,_/ __ . ( 8. 3. 5) ANCHORHEAD I. D.
B/' ff? BUSHING I. D. .jl/ /Z"l( (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) Q.C

Signof f (8.1.1) Buttonheads Condition If .JdM.*t( (8.1.2) Anchorage Head Level (8.2) Cracks (8.1.2) Bushing Level (8.2) Cracks A/ii(,!§ I (8.1.2) Shims Level (8.2) Cracks AllJ(I£ (8.1.2) Bearing Plate Level (8.2) Cracks '.A/t11LT SQ 10.l. (8.1.2) Coating -Complete.
tf:.dt Incomplete n Lgth. of Air Pocket _SQ 10.l (8.2.1) Wire - Coating Comp1;te (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing W_ = Protruding [j= Broken/Hissing () = Offsize(Halformed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch .Slu"H-. St.d:. . (8.3.6) Offsize Totals B = o .P v--A= tJ K = S = ......,,(}"---_ x = _iJ __ _ .(8.3.-7.2) Buttonheads Fou'tld ,(II# (8.3.7.3) Total Effective BH 7?a (8.4.1") Protruding BH _fl_ Missing BH -1!}_ (8.4.1.2.1) Continuity Test Required 9.0) Reporting: Unacceptable Total BH cJ . . Wires Identified/Harked Bushing Thread Joint Line Engineer Notified NCR NO. dtf-----' Q.C. Review Date --"-3_-_Z.....;;3_--'-9_2- __ I Title Q .A. I I I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATlON PROJECT ___ P_A_t.._.;:*-='..;....:A_D..;:;..es=-----
,.

PSC PROCEDURE

SQ 8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision 0 SURVElLLANCE NO. t.o+\_ YEAR .. . . **4t2:s TENDON NO. DZ *I' /J. . TENDON END/BUTTRESS NO. F lec..o 8111T . . UNIT _i __ _ . { 8 . 3

5 ) ANCHORHEAD I. D.

BVS§.3 BUSHING I.D. , {8.l) CORROSION INSPECTION
{For Corrosion Levels & Condition refer to Proc.SQ 8.l) (8.l.l) Buttonheads Condition A. ___.. __ (8.1.2) Anchorage Head Level .:1 * (8.2) Cracks .IVDAlir { 8. l. 2) Bushing Level ( 8. 2) Cracks _N+1.:...:lf __ _ Q. c .'* Signoff {8.l.2) Shims Level lO (8.2) Cracks 418.A/C-(8.l.2) Bearing Plate Level =:-z..:::=:===== .. 9.!"acks All/..VE * .J 'f-Z. SQ 10.l. (8.1.2) Coating -Complete Al IncompleteN'ffe. h. of Air Pocket-f/A-3 'J -Z.. SQ 10.l (8.2.l) Wire -Conditionl'Y. Coating Complete 3 (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA JZ1 = Discontinuous-Removed = Removed for Testing Cl = Previously Hissing w = Protruding [j = Broken/Hissing () = Offsize(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = ,() A= b K= D S= 0 X= 0 (8.3.7.2) Buttonheads Fotrfid !1/A (8.3. 7.3) Total Effectif., ,,( ( 8. 4. l') Protruding BH Hissing BH ( 8. 4. l. 2. l) Continuity est Required Alt> 9.0) Reporting: Unacceytable 0 Wires Identified/Marked Bushing Thread Joint Line Notified NCR _, Q.C. Review Level ::rcr: Title tvu-Je_ , . I eg3]3Jqz_ I 1*** I I I I I I I I I I I I I -.:* __ -_ .. __ . *.**:. ANCHORAGE INSPECTION DOCUMENTATION PSC PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DAT A sHEET 8. o A.r 1-ou,.J. 't""'" MAY 20' 1987 Pa g e 1 o f 1 510 Revision o Lveetifol\. PROJECT SURVElLLANCE NO
YEAR /fli .. . TENDON NO * .122-d.J . TENDON_ END/BUTTRESS NO. _3,(ylff .8v?Z UNIT_/ __ Q.C. *.*

c0.3.5> ANcHoRHEAD I.o.

BP Jo A. BUSHING r.o. Bz 1f 7 Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.l.l) Buttonheads Condition
.,4-(8.1.2) Anchorage Head Level (8.2) Cracks ( 8. 1. 2) Bushing Level C 8. 2) . Cracks A//JA/ ,.,c (8.1.2) Shims Level (8.2) Cracks UdA/!5 (8.1.2) Bearing Plate Level 1... , (8.2) Cracks VWe .
SQ 10.1.(8.1.2)
Coating -Complete /Incomplete_ Lgth. of Air Pocket>'t'N
-f!Z SQ 10. l (8.2.1) Wire -Condition .A_ Coating Complete /Incomplete (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed
= Removed for Testing = Previously Missing
_W_ = Protruding D *= Broken/Hissing
() = Off size(Half ormed) B = Bisecting Crack A = 450 Angle Slip K = Cracked Cover 0.060") s = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Off size Totals B = eJ A = ft) K= 0 s = 12 x = (8.3.7.2) Buttonheads Foutld pftt.* (8.3.7.3) Total Effective BH 7 90 (8.4.1) Protruding* BH ...l.__ Hissing BH .Jj____ (8.4.1.2.l) Continuity Test Required 1112 9.0) Reporting: Unacceptable Total BH /) . Wires Identified/Harked Bushing Thread Joint Line Notified NCR NO. 1fftt=. j)J.?.*J.z*Zt
'jJlJ-471.2..
'JJJiP- )4.Mc&:< ' Q.C. Review /116-,</. ,. Q. fl ' Level :J.1.1-. Date --"3_-_'l. ..... '3_-..... P .... L=---I Title ) I I I I I I I I I I I I I I I :-psc PROCEDURE SQ 8-. 0 4t ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 ,J Page 1 of 1 -AS-l=!D/JAJD Y' Revision 0 /)E'TE.AJSIQNED /QSPEC 710 .J ANCHORAGE INSPECTION DOCUMENTATlON PROJECT ___ _.P ...... SURVElLI..A.NCE NO. YEAR CfZ. TENDON NO. D') . / C." TENDON END/BUTTRESS NO. rlt"LP"& :8"1'T ' UNIT _.:L-__ _ . C 8 . 3
5) ANCHORHEAD I. D *. _ _,8..._V...._..7___,'f:......'l._
BUSHING I.D. .¥/A , Q.C
Signof f (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.l.l) Buttonheads Condition A (8. l.2) Anchorage Head Level ,1.:_.........___
(8. 2) Cracks (8.1.2) Bushing Level ""'/)If (8.2) Cracks (8.l.2) Shi.ms . Level r (8.2) Cracks NtiAIE (8.1.2) Bearing Plate Level 2. (8.2) Cracks )IDJi& * . SQ 10.l. (8.l.2) Coating -Complete _ Lgth. of Air Pocket.NoJlff Z SQ 10.1 (8.2.l) Wire -Condition .IL Coating Complete ¥:.,Incomplete t..7 iZ...-(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing = Protruding (J = Broken/Missing () = Offsize(Malformed) B = Bisecting Crack A = 450 Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = 0 A= _,Q...--K = Q s = 0 X= Q . . Buttonheads Found (8.3.7.3) Total Effective (8.4.1') Protruding BH _Q_ Missing BH Q_ (8.4.1.2.1) Continuity Test Required AJO 9.0) Reporting: f'CcePt'J Unacceptable 0 Total BH b Wires Identified/Harked Bushing Thread Joint Line Engineer Notified NCR NO. >'/Jl-1 " Q.C. Rev.1ew Level Date Title PSC PROCEDURE SQ. 8. o*.
ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 1* 1--* I ANCHORAGE Page 1 of 1 Revision 0 I I I I I I I I I I I I I I INSPECTION DOCUMENTATION PROJECT ___
SURVEILLANCE NO. "'/fl-YEAR TENDON NO. )? :i-5-Z.. I Jlta. *TENDON END/BUTTREss No. B\TTT uNIT 1 ---,... Q.C * . ( B. 3 . 5) AN CHO RHEAD I. D. _, _ __,8_,_._f_3W=-=-- BUSHING I.D. !JZ 71.? Signoff (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Conditi1 __ fr __ _ (8.1.2) Anchorage Head Level--* ---(8.2) Cracks tf/1)tJ£ ( 8. 1. 2) Bushing Level ( 8. 2) Cracks ).)Otflif ( 8 .1. 2) Shims Level _.,,3::,...----( 8. 2) Cracks P 0/1 l (8.1.2) Bearing Plate Level _£ ___ -__ J.JDJI&
SQ 10.1. (8*.1.2) Coating -Complete.V.
IncompleteM_l'1 Lg h. of Air
t. SQ 10.1 (8.2.1) Wire -ConditionM Coating Comp ete.fi Incomplete
/V t..-(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA JZ1 = Discontinuous-Removed = Removed for Testing = Previously Hissing W_ = Protruding D = Broken/Hissing () = Off size(Halforrned) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = 0 --A=_b_'_ K = _.O..___ s = 0 --X=_Q_ & (8.3.7.2) Buttonheads Foutid (8.3.7.3) Total Effecti)!,_e BH (8.4.l") Protruding BH _U_ Missing BH o* (8.4.1.2.1) Continuity Test Required 7J7f"" 9.0) Reporting: Unacceptable 0 Wires Identified/Marked Bushing Thread Joint Line Notified NCR / Q.C. Review 7/ Date J.-7_) -'t L Title ef3ftWfZ. I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PROJECT __
, PSC PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision O SURVElLLANCJ:;
NO. U> +k Yl2.. YEAR , 2. TENooN NO. __ DllL.&3--'* S"..._Z __ _ / NEAJ! F/EtDfB B"lf UNIT _i __ ,/ Q.C. TENDON END/BUTTRESS NO. . ( 8 . 3
5) ANCHORHEAD I. D.

8 Vl/7 BUSHING I.D. ,l/ftg Signoff I (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.l.l) Buttonheads Condition J4 (8. l.2) Anchorage Head Level "2.* (8 .2) Cracks Ml>AI' (8.1.2) Bushing Level (8.2) Cracks N'//1-* (8.1.2) Shims Level 010 (8.2) Cracks (8.1.2) Bearing Plate Level 1.. (8.2l .* 9:acks tf/i>NE *

fA.1-SQ 10 .* l. (8.l.2) Coating -
14 L th. of Air PocketM qi. SQ 10.l (8.2.l) Wire - Coating Complete Incomplete . 1" (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing ct = Previously Hissing w = Protruding D = Broken/Hissing () = Off size(Halformed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Off size Totals B = f) A= _fL_ K = _f2_ s = _fL_ x = _-v __ ( 8. 3. 7. 2) Buttonheads Foutld ""I A (8.3.7.3) Total Effective BH * ,0 0 Total BH -0 Wires Identified/Marked et'(tk{1 z. er;1ufqz, (8.4.1) Protruding BH BH _!!__ (8.4.1.2.1) Continuity Test Required A/O I Bushing Thread Joint Line __ ___ un_a_c_c_ep_t_ab_l_e __ _______ _ '*. / Q.C. Review* Date I Title 6'J .. 4, ; I I I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PSC ANCHORAGE INSPEC.TJON DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision O PROJECT -!1i:s-t;rles
TENDON NO. -...V_-,,..J...,()
_____ _ SURVElLLANCE NO. TENDON END/BUTTRESS NO .. YEAR UNIT __./'--_ Q.C. '(8.3.5) ANCHORHEAD I.D *. : BPl:?A. BUSHING I.D. 82_.J"J?9 I Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.1.l) Buttonheads Condition ./ (8.1.2) Anchorage Head Level (8.2) Cracks MlJIJt (8.l.2) Bushing Level-(8.2) Cracks A/t41JL (8.1.2) Shims Level ,: (8.2) Cracks A1tUl1t . (8.1.2) Bearing Plate Level ,! (8.2) Cracks vt!/dJ/E' . fJ.f.>J'J-fJ!. SQ 10.1.(8.1.2) Coating -Complet1t/; Lgtb. of Air SQ 10.l (8.2.l) Wire -Condition.A". Coating Comp""fete Incomplete (8.3) BUTTONHEAD INSPECTION () (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing w_ = Protruding [:i= Broken/Hissing () = Off size(Half ormed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize TotalsSk'..,faik B= 0 1L1L.t. ,, A = 0 /:J.J< : +/- 8d;(sldes (8.3.7.2) Buttonheads Foutid (8.3.7.3) Total Effective BHifO C 8. 4
l') Protruding BH _()_ Missing BH _d_ (8.4.1.2.1)
Continuity Test Required t.JD 9. 0) Reporting.: Unacceptable Total BH P Wires Ide-nt'-i-f-ied/Harked J.!/4-. Bushing Thread Joint Line Engineer Notified NCR NO. -?f.. ?"'. "'7/. J ( A. -Q. C. Review Level ::ra;:: Date __ 1_-_1_0 _-'l'-'L;;;;._ __ Title M.;.-1HA I I I I I I I I I I _I I I ANCHORAGE INSPECTION DOCUMENTATION . PSC PROCE60RE SQ-8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision O PROJECT SURVElLLANC.t:: NO. TENDON NO. _....[/_;...,,,,_J.,..fJ"----- TENDON END/BUTTRESS NO. YEAR /19J... UNIT __ f __ Q.C. Signof f "(8.3.5) ANCHORHEAD I.D. BUSHING I.D. (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.l) Buttonheads Condition tf (8.1.2) Anchorage Head Level (8.2) Cracks (8.1.2) Bushing Level A{!# (8.2) Cracks (8.1.2) Shims Level (8.2) Cracks (8.1.2) Bearing Plate Level (8.2) Cracks /f/f)AI,§
* -i£-SQ 10.1. (8.1.2) Coating -C-let41!'
Incomplete of Air a
SQ 10.l (8.2.l) Wire -Condition Coating Complete Incomplete P. (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA _JZ.1 = Discontinuous-Removed
= Removed for Testing Ct = Previously Missing W_ = Protruding D = Broken/Missing () = Off size(Malf ormed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize B = * ..Mitt .StaJ:. A= /¥. .S 4 K = )1," s = . X=T (8 .. 3.7.2) Buttonheads Found ,...M .... (8.3.7.3) Total Effective BH ........ 11+9--(8.4.l") Protruding BH _f)_ Missing BH _L_ (8.4.1.2.1) Continuity Test Required .AJO 9.0) --' Q.C. Review Level Title M.6-/. Q. /}. ) Total BH l Wires Identified/Marked Bushing Thread Joint Line :rrr: Date 'J -I o-9L I I I_ 1* I I I I I I I I -I I ... -, ------. -.
PSC PROCEDURE SQ 8. 0 _ *

ANCHORAGE INSPECTION DOCUMENTATION PROJECT PALlS812t5 ANCHORAGE INSPECT I-ON -DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision 0 SURVElLLANCE NO. -z.o-th YTL YEAR TENDON NO. V7Z TENDON END/BUTTRESS NO. Sl'\DP /-fop UNIT ' "(8.3.5) ANCHORHEAD I.D.

BUSHING I.D . 11>
't2 :L (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.l) Buttonheads Conditiop --..A...__ ( 8 .1. 2) Anchorage Head Level .:1.. * * ( 8. 2) Cracks P &>J.J fG (8.1.2) Bushing Level :£ (8.2) Cracks ,,,,VD#il' . Q.C. Signof f (8.1.2) Shims Level j; (8.2) Cracks (8.1.2) Bearing Plate Level (8.2) cracks :Ne#f/ef
SQ 10.1.(8.1.2)
Coating -Complete"" IncompleteJt/jA Lgth. of Air 4 4Z.. SQ 10.1 (8.2.l) Wire -Condition "" Coating Complete '1fi Incomplete 11/A-qz,...-(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA ,0 = Discontinuous-Removed = Removed for Testing = Previously Hissing 'W_ = Protruding
[j= Broken/Missing
() = Off size(Malf ormed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = i Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B= O* A= Q K= 0 S= 0 x = C> _ (8.3.7 .2) Buttonheads Fouttd >JlA (8.3.7.3) Total Effective BH "10 * (8.4.l) Protruding BH _Q Hissing BH _Q__ (8.4.1.2.1) Continuity Test Required 410 Reporting: Unacceptable Q.C. Review Level -:J1C.-Tit.le 0 Date __ _ --. --*--I--PSC PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 I I I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision 0 ANCHORAGE INSPECTION DOCUMF.NTATlON PROJECT SURVElLLANCJ:: NO. q!('tJf/e _ TENDON NO. (/-/::L TENDON END/BUTTRESS NO. .heU;/d<dltun YEAR Jff,i. UNIT_/ __ . (8.3.5) ANCHORHEAD I.D *. ;81//Rf BUSHING I.D. ¢#--Q.C . Signof f (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.l.l) Buttonheads Condition _.__.If.___ (8.1.2) Anchorage Head Level -------* (8.2) Cracks ,A/!J/.f (8.1.2) Bushing Level l{llf (8.2) Cracks .... _____ _ (8.1.2) Shims Level --'-----(8.2) Cracks (8.1.2) Bearing Plate Level ---'--:...----- (8.2) Cracks A/&J/fi SQ 10.l.(8.l.2) Coating -Complete Lgth. of Air Pocket SQ 10.l (8.2.l) Wire -Condition Coating Complete Incomplete ,Jj'lif::: (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA JZ1 = Discontinuous-Removed = Removed for Testing = Previously Hissing w = Protruding 0 = Broken/Hissing () = Off size(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize B = f) t I flt: A -*j rrer * -IC= s = __ 1_ x = (8.3.7.2) Bu-tt.._o_n-heads Foutid J//.;J._ (8.3.7.3) Total Effective --(8.4.1) 'Protruding BH _!2_ Missing BH _{)___ (8.4.1.2.l) Continuity Test Required ,All Total BH _..!!.____ Wires Identif iediMarked Bushing Thread Joint I ... (9.0) 'Unacceptable -__ _.. Q.C. Review Level Engineer Notified NCR NO. Date __ 't_L __ _ --I-Title -. *-.* : ****7**.--
.. :* .,;:* -.-1---. I ANCHORAGE INSPECTION PROJECT /(ibo:aJ.st
--PSC PROCEDURE ___ SQ 8. 0 ANCHORAGE-INSPECTION DATA SHEET-8.ff MAY 20, 1987 Page 1 of 1 Revision O SURVElLLANCE NO. YEAR I 'f'l,2. -. I I TENDON NO. ..... lt-------TENDON END/BUTTRESS NO. UNIT -J.J __ I .-1 I I I I I I I 1-I I -( 8. 3 .5) ANCHORHEAD I. D. _, _C_:g_, BUSHING I.D. (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing W = Protruding rJ= Broken/Missing () = Off size(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Iµtersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize T_otalsS., 1* S B = 0 lllftl W . A = u K = _j}_ llofi s = _JL_ x = 6 ----(8.3.7.2) Buttonheads Fou1'ld N/fr _ (8.3.7.3) Total Effective BH (8. 4 .1') Protruding BH J_ Hissing BH __/)_ Total BH ..... a...__ (8.4.1.2.1) Continuity Test Required AIO Wires Identified/Marked 1(//1: Bushing Thread Joint Line 9.0) Reporting: Unacceptable Engineer Notified NCR NO. Q.C. Review Level '"'JI[. Title Q.C. Signoff /J.ih:bl.Jw IJ. f, fl--d}.lJJ.. I I I I I I .. ---** .. . -* --. ' . _...,... . , ... ANCHORAGE INSPECTION DOCUMENTATION " . PSC PROCEDURE SQ 8 .. O,_.,. ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision O PROJECT SURVElLLANC.E NO. __ ,.2.._& ,..,..A ___ _ TENDON END/BUTTRESS NO.
(8.3.5) ANCHORHEAD r.o. *av rt zr BUSHING r.o. TENDON NO. _.v .....
..... $' ____ _ YEAR UNIT_/ __ Q.C. Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition .....:..It/ __ (8.1.2) Anchorage Head Level */ (8.2) Cracks AMN.e (8.1.2) Bushing Level A{llC (8.2) Cracks ...... __ _ ( 8 .1. 2) Shims Level A C 8. 2) Cracks IV!f&K (8.1.2) Bearing Plate Level
1 * (8.2)
Ali)tt;f . , SQ 10.1.(8.1.2) Coating -Complete __ of Air Pocket SQ 10.1 (8.2.1) Wire - C_oating Complete 4@'-rncomplete

(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing W, = Protruding .o [] = Broken/Missing I * . () = Offsize(Malformed) B = Bisecting Crack A = 45o Angle Slip I K = Cracked (over O. 060") S = 2 Inclined Splits I I I I I I X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize J74J B = +/- fte,)tt;, /. r$ . A= Jlp_frrJJ K = 0 :) s = +/- . . ll9JP. x = ' (8.3.7.2) Buttonheads Fouti.dr1' (8.3.7.3) Total Effective 1)l( (8.4.1) Protruding BH Mi-ss-i-"-n_g_B_H (8.4.1.2.1) Continuity Test Required #0 9.0) Reporting: Unacceptable Total BH () . Wires Identified/Marked Bushing Thread Joint Line Engineer Notified NCR NO. Q.C. Review Level Date __ "3_,.._10_-?....__l. __ _ Tit.le AteJl-J,t. ,Aa.Mti/1-
..... I *psc
-.-*'
..
DATA SHEET 8.0 ANCHORAGE INSPECTION DOCUMENTATlON ' MAY 20, 1987 Page 1 of 1 Revision 0 SURVElLLANCE NO. _?(f _,,.- TENDON NO *. V-212 TENDON END/BUTTRESS NO. . C 8. 3. 5) AN CHO RHEAD I. D *. ;/3.ef/A BUSHING I. D. 8Z 7' 'f# . . YEAR /ffJ, UNIT___.._/ __ Q.C
Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition (8.1.2) Anchorage Head Level J (8.2) Cracks J/NIF (8.1.2) Bushing Level [ (8.2) .Cracks ¥/ff I I I (8.1.2) Shims Level ** (8.2) Cracks .#41/)f (8.1.2) Bearing Plate Level (8.2) Cracks "Ali'P/

SQ 10.1. (8.1.2) Coating -Complete 41/tt Incomplete of Air SQ 10.l (8.2.1) Wire -Condition Al/tf c_oating Complete ncomplete 4.d.l-trl-ft.
(8.3) BUTTONHEAD INSPECTION I (8.3.4) BUTTONHEAD DATA ... = Discontinuous-Removed = Removed for Testing = Previously Hissing *w_ = Protruding I []=Broken/Missing () = Offsize(Halformed) B = Bisecting Crack I A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks I * (8.3.5) Locate Anchorage* Heat Code on Sketch JtJ. .!*JI jl).f/#$. I I i1 . . 1W: (8.3.6) of:size Jlot'oltt.1a., B -(} /, II l If 1t ,,,. 11 j.ll . A = // j p K = d 7 (8.3.7.2) Buttonheads Fou1'ld LI/JI. * (8.3.7.3) Total Effective (8.4.1) Protruding BH BH _J___ (8.4.1.2.1) Continuity Test Required J/d Total BH _Cf __ I I I
Wires Identified/Marked
¢d= Bushing Thread Joint Line Reporting: Unacceptable Engineer Notified NCR NO. *---Q.C. Review Date _.;...:J-_z.-':J.._-'t_l...=--- Title I I I I. I I I I I I I I I I -*. :*. . : *. *- ._ ::* *_ . ... _** *PSC-PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 ANCHORAGE INSPECTION DOCUMENTATION PROJECT ___ f_<<4=-L_IS __ MAY 20, 1987 Page 1 of 1 Revision 0 SURVElLI..ANCI:: NO. TENDON NO. VZI TENDON END/BUTTRESS NO. SHDP /TOP . ' "(8.3.5) ANCHORHEAD I.D *. BP ,.,2-BUSHING I. o. ..... v ..... o_ YEAR UNIT Q.C. Signoff (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.l.l) Buttonheads Condition Pr C 8 .1. 2) Anchorage Head Level ---( 8. 2) Cracks . ( 8. 1. 2) Bushing Level OJA ( 8. 2) Cracks AoAJI[ (8.1.2) Shims Level ;t; (8.2) Cracks (8.1.2) Bearing Plate Level J..-(8.2) Cracks _M .......... SQ 10.1.(8.1.2l Coating -Complete .;;-Incomplete-. _ Lgth. of Air SQ 10.1 (8.2.1) Wire -Condition -8._ Coating Complete (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing W_ = Protruding [J= Broken/Hissing () = Off size(Half ormed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060 .. ) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize T.otals B= 0 A= 12_ K = (2 s = l2 x = '[) (8.3.7.2) Buttonheads Found (8.3.7.3) Total Effective (8.4.U Protruding BH -*jJ Hissing BH ( 8. 4 . 1. 2 .1) Continuity fut Required 'NO 9.0) Reporting: \ Unacceptable 0 Total BH .-f/2_ Wires Identified/Marked Yf£.$ Bushing Thread Joint Line Engineer Notified NCR No.JJ/.fJr I Review 7£ Level :IIr: Date 3-?.J-9Z.. Title fli3f 11 /1 z,. 1*.* PSC PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DOCUMENTATION ANCHORAGE INSPECTION . PROJECT f?f:wle.£ _________ DATA SHEET 8. 'FovND "'!!-) MAY 20, 1987 Page 1 of 1
Revision O NO. YEAR 1{£1 I I I I I I I I I I I I I I .. TENDON NO. 6-dJ J . TENDON END/BUTTRESS NO. UNIT_/ __ Af/CJ: Q.C . Signoff . ( 8 . 3 .
5) ANCHORHEAD I . D. J3 // "ffTO BUSHING I.D. (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition (8.1.2) Anchorage Head Level (8.2) Cracks (8.1.2) Bushing Level /£1/.l'f (8.2) Cracks 11///t (8.1.2) Shims Level (8.2) Cracks N/26 (8.1.2) Bearing Plate Level t?. (8.2) Cracks ll/J,.Jt.£ 41Jjj-:JJ SQ 10.l.(8.l.2)
Coating -Complete V""" Lgth. of Air Pocket!'llf'P" --* SQ 10.l (8.2.1) Wire -Condition .,If_ Coating C_omplete -. (8.3) BUTTONHEAD INSPECTION X = _,O...__ (8.3.7.2) Buttonheads tlf/:1'1 (8.3.7.3) Total Effective BH9/7 (8.4.l") Protruding BH ..12._ Missing BH ..fl_ (8.4.1.2.1) Continuity Test Required Al() (9 .0) Reporting: g:'7 Unacceptable 0 Total BH 0 Wires Identified/Marked Bushing Thread Joint Line Engineer Notified NCR Q.C. Review Level '.J.1L Date _....]_,_z.._:J_- ..... __ _ Title MV 4 . Q,/J, ) I I I I I I I I I I -1 I I "' . . :* _.: - SQ -8. 0. :*ANCHORAGE* INSPECTION _ --DATA SHEET -a. 0 A, r MAY 20 1987 17 nt14/P
Page 1 ' of 1 cf Revision O ANCHORAGE .INSPECTION DOCUMENTATlON PROJECT fii.s.J4S

SURVEILLANCE NO. YEAR /ffJ._ TENDON NO. f AF . TENDON_ END/BUTTRESS NO.
&n= UNIT _, __ Q.C. * ( 8. 3. 5) ANCHORHEAD* I. D *. C6 t3 9 BUSHING I. D. fiZ ;!/7 Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.l) Buttonheads A (8.l.2) Anchorage Head Level (8.2) Cracks &NR (8.1.2) Bushing Level (8.2) Cracks A/flA/£ 1 (8.1.2) Shims Level I (8.2) Cracks
, (8.1.2) Bearing Plate Level ;.., (8.2) Cracks ")iMt; -. 1 SQ 10.l. (8.1.2) Coating -Complete = Incomplete
_ Lgtb. of Air Pocket , SQ 10.l (8.2.l) -Condition A.. C_oating Complete 1 (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA JZ1 = Discontinuous-Removed = Removed for Testing = Previously Hissing = Protruding = Broken/Missing () = Off size(Malformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch . (8. 3. 6) Offsi.ze Totals 1/_.1 ... Lt 9 ,, B = /2 . fiC'/t" 1:f . A = 0 t.1!'&t/°"' K = a t 1-. +/- (8.3.7.2) Buttonheads Found lljA (8.3.7.3) Total Effective BH 94' (8.4.1) Protruding BH .:../2___ Hissing BH (8.4.1.2.1) Continuity Test Required A/I) 9.0) Reporting: Unacceptable Total BH ----Wires Identified/Harked A!/tf.
Bushing Thread Joint Line Engineer Notified NCR Q.C. Review Level -:::III:.
Date 7-2..J ... 1--Tit.!e iM'P,,.t 1-* I I I I I I I I I I I I I I *:_ *.--* ¥* ** . -_ --.. _ -PSC PROCEDURE _SQ 8. 0 ANCHO.RAGE INSPECTION: DATA SHEET 8.0 ANCHORAGE INSPECTION DOCUMENTATION MAY 20, 1987 Page 1 of 1 Revision 0 AS* fou1-Jt> 4µ0 0*TrEAJS 1 tJ JJ t"l) INSPe.c_T10N PROJECT Pa1.1strnfS SURVEILI..ANCE NO. . 20-rt-. '1..'-YEAR TENDON NO. TENDON END/BUTTRESS NO. Flea> I UNIT :1... I Q.C. "(8.3.5) ANCHORHEAD I.D. $V257 BUSHING I.D. AljA: Signoff (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.1.1) Buttonheads Condition t! (8.1.2) Anchorage Head Level :L .... ---(8.2) Cracks A/ON£ (8.1.2) Bushing Level NJk (8.2) Cracks (8.1.2) Shims Level .l-(8.2) Cracks (8.1.2) Bearing Plate Level 2... . (8.2) Cracks ,/1/{)JflE" rz.. SQ 10. l. (8.1.2) Coating -Complete \?' Incomplete _. Lgtb. of Air SQ 10.l (8.2.1) Wire -Condition .d:_ Coating Complete __ i/"Incomplete __ __ " (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed f:& = Removed for Testing Cl = Previously Missing W, = Protruding rJ= Broken/Missing () = Off size(Malf ormed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060 .. ) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = 0 A= 0 --K = S = .... x = 0 (8.3.7.2) Buttonheads Found P/A (8.3.7.3) Total 70 _ d (8.4.r) Protruding BH Hissing BH *7 (8.4.1.2.1) Continuity Test Required iVf) . (9 .0) Reporting: [ccepi) Unacceptable YES Bushing Thread JG.int/Line <::::,, Engineer Notified NCR NO __ I Level -:;:ar-Date :?-Z..3-2-Title I.-I I I I I I I I I I PSC PROCEDURE-
sQ. 8-.0 -* ANCHORAGE INSPECTION DATA SHEE-T 8.0 MAY 20, 1987 Page 1 of 1 Revision 0 ANCHORAGE INSPECTION DOCUMENTATION PROJECT Rk44.Je.-;
SURVEILLANCE NO. TENDON NO. -TENDON_ END/BUTTRESS NO * ...$y,V Bred YEAR _L??o§ UNIT___./=--- Q.C. "(8.3.5) ANCHORHEAD I.D *. 8r:rzz BUSHING I.D. t3Z It& Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.l) Buttonheads
Condition ( 8. l. 2) Anchorage Head Level __ ,____ (8.2) Cracks .IJ()/;E I C 8. 1. 2) Bushing Level ---'----C 8. 2) Cracks Ullll? (8.1.2) Shims Level --'-----(8.2) Cracks 1 ,1/tl've . AA i.h (8.1.2) Bearing Plate Level (8.2) Cracks M(tf/f M4*/..-\..
SQ 10.1. (8.1.2) Coating -Complete Incomplete-#/#- Lgth. of Air Pocket. SQ 10.1 (8.2.1) Wire -Condition C_oating ComPret'e Incomplete¢ (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing *w = Protruding []=Broken/Hissing (t = Off size(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.06o**) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize l B = CJ . .,.)fit.nt ./tillU\ A = (2
lfff /,.t; 7, ;-j K = d s = . x = 0 0 (8.3.7.2)
Butt.onheads FoUtld /J/A-(8.3.7.3) Total Effective BH (8.4.r) Protruding BH BH (8.4.1.2.1) Continuity Test Required 1111!' I I I Total BH ....:::...-0 Ii: -Wires Identified/Harked Bushing Thread Joint Lfne __ ___ u_n_a_c_c_ep_ta_b_l_e __ . __ / Q. c. Review ...... Date _ I Tit.le 9 .IJ. I I I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PROJECT __ __._P""""A-=L ...... .... /\ ..... 1>"'-'t""""5.....__ __ _ *, .. P5C SQ-8 0 -_ ANCHORAGE INSPECT ION DAT A 'SHEET 8. G-MAY 20, -1987 Page 1 of 1 Revision 0 SURVElLLANCE NO. YEAR TENDON NO. TENDON END/BUTTRESS NO. w-ft.. F1£ L}> N'/A UNIT _::L __ Q.C. *c8.3.5) ANCHORHEAD I.D. BUSHING I.D. I Signoff (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition A -----(8.1.2) Anchorage Head Level _.:L_*___ (8.2) Cracks (8.1.2) Bushing Level (8.2) Cracks .V/Jt (8.1.2) Shims Level 1. (8.2) Cracks AloA/!f' (8.1.2) Bearing Plate Level =="2..======= (8.2) Cracks pe;;tlf:
1 1z. SQ 10.1. (8.1.2) Coating -Complete M Incomplete i"/A.
of Air Pocket.M 'f'Z-SQ 10.1 (8.2.1) Wire -ConditionA'.j C_oating Complete Incomplete Njh" 3 -'f"Z.. (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA ,0 = Discontinuous-Removed -= Removed for Testing = Previously Hissing W_ = Protruding CJ= Broken/Hissing () = Off size(Malformed) B = Bisecting Crack A = 450 Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks 0 .... I *1 (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = t() A= Q K = 0 S= 0 x = 0 ( 8
3. 7. 2) But tonheads Fou'tld Al/A (8.3. 7 .3) Total Effective BH 'tO (8.4.1) Protruding BH Hissing BH (8.4.1.2.l)
Required tA/o 9.0) Reporting: Unacceptable Total BH
Wires yfES. Bushing Thread Joint Line Engineer Notified NCR NO. ""/Ir

Review Level "111:: Date __
__ _ Title I I I I I I I I I I I I I I . --*-... .. :-* -, *_ PS_C PROC.EDURE SQ **i(.
<-:;. -",/hlf ( ;*** -ANCHORAGE INSPECTION-'. . -__ -.. DATA-SHEET 8.0 * -MAY 20, 1987 Page 1 of 1 Revision 0 ANCHORAGE INSPECTION DOCUMENTATION PROJECT I SURVEILLANCE NO. -"'"""2L ....
TENDON NO.
1£ TENDON END/BUTTRESS NO. .$, yz/lf&m

YEAR /f/A, UNIT_..._/
__ *cs.3.5) ANCHORHEAD r.n.
B?7 l' I BUSHING I.D. 8zJ'kl Q.C. Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition
--..zf"----( 8. l. 2) Anchorage Head Level _ __.____ ( 8. 2) Cracks WE ( 8. l. 2) Bushing Level ------( 8. 2) Cracks dlJll/t (8.l.2) Shims Level_...__ ___ (8.2) Cracks l/dV5 m ( 8
l. 2) Bearing Plate Level ( 8

2)
N(/I;( * *
SQ 10.1. (8.1.2) Coating -Complete of Air Pocket -# .. SQ 10.1 (8.2.1) Wire -Conditicin C_oating Complete,,4 Incomplete ,AdJr!-tf._
(8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA JZ1 = Discontinuous-Removed = Removed for Testing = Previously Hissing w = Protruding []=Broken/Hissing () = Off size(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060 .. ) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals SA,;.. Sk,k B = . . A = f) hf: ,, " K = _/)_ IJ o/ /_; 'f S=-11.._ /. x = .I Buttonheads (8.3.7.3) Total Effective (8.4.1") Protruding BH BH (8.4.1.2.1) Continuity Test Required .... 9.0) Reporting: Unacceptable .o Total BH 0 .. Wires Identified/Marked . Bushing Thread Joint Engineer Notified NCR NO. Level -:&:: Date 3-2J-7>L Title Ci . .--* .. !!Ja? 71-f/2 J,d. :r-11-tf I I I I I I I I I I I I :......*: ___ *.* .. ****. -* *-... * ..... *-* --.11 ... * .. H1if-1.. _* ANCHORAGE INSPECTION DOCUMENTATION PROJECT ___ ___ _ PSC PROCEDURE SQ *8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 MAY 20, 1987 Page 1 of 1 Revision 0 SURVEILLANCE NO. YEAR TENDON NO. 52A* TENDON END/BUTTRESS NO. ;*A FJe1'BtJ1"1 . I Cf 2. j_ UNIT --- Q.C. Signoff . ( 8 . 3 .
5) ANCHORHEAD I. D. * °B 'l 2. t.\-f --"--------"-'---
BUSHING I.D. I (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition (8.1.2) Anchorage Head Level :L. * (8.2) Cracks ,Vo.AJE ( 8. 1. 2) Bushing Level #/A ( 8. 2) Cracks "'/A C 8 .1. 2) Shims Level !: IF C 8. 2) Cracks POA.Jc (8.1.2) Bearing Plate Level -Z.. (8.2) Cracks
SQ 10.1. (8.1.2) Coating -Complete 'jK Incomplete_.
/fl/A Lgth. of Air SQ 10.l (8.2.1) Wire - Incomplete "'/A (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Hissing = Protruding [J= Broken/Missing Ct = Of fsize(Halformed) B = Bisecting Crack A = 45° Angle Slip K = Cracked Cover 0.060 .. ) S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B= 0 A= 0 K = 0 s = 0 X= 0 ( 8. 3. 7. 2) But tonheads Foutid ,<J 0 (8.3.7.3) Total Effecti}! BH 9':1 ( 8. 4. l) Protruding BH Hissing BH j_ Total BH (8.4.1.2.1) Continuity Test Required NO Wires Ide-nt_i_f-ied/Marked Ye.S. Bushing Thread Joint Line 9.0) Reporting: Q.C. Review Level UT Date 3-Z..3 z_ Title .. -I*._. *-.* -PSC PR_0C£DU.RE-. SQ 8. 0 ANCHORAGE INSPECTION DATA SHEET 8.0 I I I I I I I I I I I I MAY 20, 1987 Page 1 of 1 Revision O ANCHORAGE INSPECTION DOCUMENTATlON PROJECT TENDON NO. ...... SURVElLLANCE NO. . TENDON END/BUTTRESS NO. _5JS" /,,o BulT . I YEAR UNIT _-...__/ __ *c8.3.5> ANcHoRHEAD I.o. * ;ee-ra4 BusHING r.D. Bz 3(2£= I Q.C. Signoff (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.l.l) Buttonheads Condition A Jt:!.:l:t? (8.1.2) Anchorage Head Level (8.2) Cracks (8.1.2) Bushing Level .2. (8.2) Cracks ..... ...... ( 8 .1. 2) Shims Level I ( 8. 2) Cracks ,Jl/Qf/£ (8.1.2) Bearing Plate Level .2 (8.2) Cracks l!RA/r SQ 10.l. (8.l.2) Coating -Complete.¢. Incomplete JtiA.. Lgt
of Air Pocket SQ 10.l (8.2.l) Wire -
C_oating Comphle Incomplete (8.3) BUTTONHEAD INSPECTION . () (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing w = Protruding CJ= Broken/Missing () = Of fsize(Malf ormed) B = Bisecting Crack A = 450 Angle Slip 1:)::) K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks b11*fl ' (8.3.5) Locate Anchorage* Heat Code on Sketch C 8. 3. 6) Off size B = I . )/1/14"},. " .. . A= (j V x = _JJ__ (8.3.7.2) ButLf.onheads Fou1'ld (8.3.7.3) Total Effective * (8.4.l) Protruding BH _J__ Missing BH .J)__ (8.4.1.2.l) Continuity Test Required 9.0) Reporting: Unacceptable Q.C. Review Level Title MUlf) Total BH Wires Ide ..... nt.._i_f-ied/Harked Bushing Thread Joint Line Engineer Notified NCR NO. Date 2._) ____ -<f.__2.. __ _ I I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PROJECT ___ P __ _____ _ ,. --PS
C. PROCEDURE
so 8. 0 ANCHORAGE INSPECTION -DATA SHEET 8. 0 MAY 20, -1987 Page 1 of 1 Revision O SURVEILLANCE NO. YEAR TENDON NO. lf'1S1> TENDON END/BUTTRESS NO. ...V/A-qi.. :L UNIT ---. (8.3.5) ANCHORHEAD I.D. _; __ BUSHING I.D. I (8.l) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.l) Q.C
Signoff (8.l.l) Buttonheads Condition fir ( 8. l. 2) Anchorage Head *Level i.. * ( 8. 2) Cracks /t)OAJC -* ( 8. l. 2) Bushing Level Ill/ A-C 8. 2) Cracks
__ _ (8.1.2) Shims Level :i:: (8.2) Cracks
(8.1.2) Bearing Plate Level . (8.2) Cracks AJl),4/e 3'41Z....
SQ 10.l. (8.l.2) Coating -Complete ft Incomplete A[/A of Air i C\"L-SQ 10.l (8.2.l) Wire - C_oating Complete J -Z.... (8.3) BUTTONHEAD INSPECTION ( B. 3. 4) BUTTONHEAD DATA* . ,0. = Discontinuous-Removed = Removed for Testing = Previously Missing = Protruding (]=Broken/Missing. () = Off size(Malformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = 0 A= 0 K= 0 s = 0 x = Q (8.3.7.2) Buttonheads Found 41/Jf (8.3.7.3) Total Effective C 8. 4 .1') Protruding BH _Q_ Missing BH ..f2_ (8.4.1.2.l) Continuity Test Required JVO 9.0) Reporting: Unacceptable 0 Total BH 0 Wires Identified/Marked Bushing Thread Joint Line Engineer Notified NCR NO. A.I/le
Q.C. Review Level .:;rg;; Date J -L}-'l l.-Title
--,.-------PSC -PROCE-DlJRLoSQ--8. 0 -ANtHORAGE I I I I I I I I I I I I I I -DATA SHEET-8.0 MAY 20, 1987 Page 1 of 1 Revision O ANCHORAGE INSPECTION DOCUMENTATION PROJECT 1llt,1"cJe, NO. YEAR /ft£_ , TENDON NO. 7d -TENDON_ END/BUTTRESS NO. UNIT___./ __ . (8.3.5) ANCHORHEAD I.D *. BUSHING I.D. P Q.C
Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.1.l) Buttonheads Condition
-"" ......... --(8.1.2) Anchorage Head Level ___,,______ (8.2) Cracks JIUR" (8.1.2) Bushing Level -----(8.2) Cracks A14ttil (8.1.2) Shims Level ......,,.____ (8.2) Cracks &f'2NE (8.1.2) Bearing Plate Level --,'--""7"""'.lr--- (8.2) Cracks JWJ#e -SQ 10.1.(8.1.2) Complete Incomplete jf,/Af..Lgth. of Air Pocket SQ 10.l (8.2.l) Wire -Condition C_oating (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing 'W_ = Protruding [J = Broken/Hissing () = Off size(Half ormed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize
: j K=_d_ s = () x = 0 (8.3. 7 .2) Buttonheads FoU't'l.d (8.3. 7 .3) Total Effective BH ?t.? C 8. 4 .1") Protruding BH _1__ Hissing BH _//__ (8.4.1.2.1)
Continuity Test Required Aid Reporting: Unacceptable Total BH Wires Identified/Marked Bushing Thread Joint Engineer Notified NCR NO. '!/t4-= / Q.C. Review Level -::::JJ{" Date __ 3 _--2. ____ J__.-__ _ Title -l.O.a--trfJ-. I I I I I I I I I I I I I I I *, PSt PROCEDURE_ SQ 8.0 * -ANC80RAGE INSPECTION 'DATA SHEET 8.0 MAY. 20, 1987 Page 1 of 1 Revision O ANCHORAGE INSPECTION DOCUMENTATION PROJECT RJ..,,,,Je. £ SURVEILLANCE NO. __ _ TENDON NO. . TENDON. END/BUTTRESS NO. YEAR /19o2.. __ . (8.3.5) ANCHORHEAD I.D *. t!.,f//!) BUSHING I.D. (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.1) Buttonheads Condition -"'------(8.1.2) Anchorage Head Level_..:;../_* __ _ (8.1.2) Bushing .Level (8.1.2) Shims Level _..___ __ _ (8.1.2) Bearing Plate Level I --,.......,.....-- SQ 10.1.(8.1.2) Coating -Complete SQ 10.l (8.2.1) Wire -Condition (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing = Previously Missing W. = Protruding (] = Broken/Missing () = Off size(Malf ormed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Offsize Totals B = 0 x -_I}__ (8.3.7.2) Buttenheads Found (8.3.7.3) Total Effective BH '"lt? (8.4.1') Protruding BH L2..._ Hissing BH 1l__ (8.4.1.2.1) Continuity Test Total BH CJ . Wires Identified/Marked Bushing Thread Joint 9.0) Reporting: Unacceptable Engineer Notified NCR NO. 'f""-Q.C. Review Leve 1 :::r:zt:" Date ]-L..:J-f L Title Q.C
Signoff I I I I I I I I I I I I I I I ANCHORAGE INSPECTION DOCUMENTATION PROJECT
.. Psc PRDCEDURL SQ a DATA SHEET 8.0 MAY 20, 19'87 Page 1 of 1 Revision O SURVElLLANCI:: NO. YE.i\.R TENDON NO. 7 zu . TENDON END/BUTTRESS NO. SI/OP IEP+tn' . l UNIT__...) __ . ( 8. 3. 5) ANCHORHEAD I. D *. BUSHING I. D. .az P/0 Q.C . Signof f (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Proc.SQ 8.1) (8.1.1) Buttonheads (8.1.2) Anchorage Head (8.1. 2) Bushing (8.1.2) Shims (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA ,0 = Discontinuous-Removed = Removed for Testing = Previously Hissing w = Protruding [j= Broken/Hissing () = Off size(Halformed) B = Bisecting Crack A = 45o Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8.3.5) Locate Anchorage* Heat Code on Sketch (8.3.6) Off size 'l'.otals B= 0 "'4'/;tl" A= tJ K = fJ i9 s = X= Q (8.3.7.2) Buttonheads Fou"fld '1/i. . (8.3.7.3) Total Effective (8.4.l") Protruding BH £)__Hissing BH (8.4.1.2.l) Continuity Test Required fr/IJ 9.0) Reporting: Unacceptable Q.C. Review Level Title (8.2) Cracks (8.2) Total BH () Wires Identified/Marked 1Jh1-. Bushing Thread Joint Engineer Notified NCR NO. Date __ _ ,8,tlJ$ , WJF&. . .:z..:Y--9:L A.I. /jtJ. a-18--t.A Jat*.r.t5-1* .. *---PSC .. *PROCEDURE .. " ANCHORAGE INSPECTION DATA SHE Er 8. 0 . . ANCHORAGE INSPgCTION MAY 20, 1987 Page 1 of 1 Revision 0 I I I* I I I I I I I I I I I PROJECT PAtlgAp6. SURVEILLANCE NO.
YIL-YEAR qz_ __;;..;;;:;;;;......_
TENDON NO. __ . . . } lJu"\'\ TENDON_ END/BUTTRESS NO. l='IEL"C 1 $ UNIT _:L __ _ "(8.3.5) ANCHORHEAD I.D. i BV31 b BUSHING I.D. N/A "' Q.C. Signoff (8.1) CORROSION INSPECTION (For Corrosion Levels & Condition refer to Pree.SQ 8.1) (8.1.l) Buttonheads Condition +4+----(8.1.2) Anchorage Head Level i-** (8.2) Cracks AJoAJt. * (8.1.2) Bushing Level Al/A-(8.2) Cracks A.I/A_ . (B.l.2) Shims Level 1.. (8.2) Cracks* Jl/tMJ!,.
(B.l.2) Bearing Plate Level (8.2) Cracks

"l 4l'Z.. SQ 10.l.(B.l.2)
Coating - Lgth. of Air Z.. SQ 10.l (8.2.l) Wire -Condition IJ Coating CompleteN Incomplete JJ. 'Z.-. . (8.3) BUTTONHEAD INSPECTION (8.3.4) BUTTONHEAD DATA = Discontinuous-Removed = Removed for Testing * * = Previously Hissing * = Protruding []=Broken/Missing (t = Off size(Malf ormed) B = Bisecting Crack A = 45° Angle Slip K = Cracked (over 0.060") S = 2 Inclined Splits X = Intersecting Cracks (8 .3 .5) Locate Anchorage
Heat Code on Sketch (8.3.6) Offsize Totals B = f) . A= 0 K= Q S= 0 X= Q (8.3.7.2)
Buttonheads Foutld Al{A . (8.3. 7 .3) Total Effective BH * ( 8. 4. 1*) Protruding BH _J2_ Hissing BH _.f2_ (8.4.1.2.1) Continuity Test Required AID 9.0) Reporting: Unacceptable 0 Total BH () , Wires Identified/Marked YES Bushing Thread Joint Line Engineer Notified NCR NO * ./tlflr I Q.C. Review /11.1£ Level "::J1C Date J-l..3 -9'Z-Title I . I I I I I
I I I I I I I I -PSC PROCEDURE SQ 8.3 --CONCRETE INSPECTION

DATA SHEET 8.3 MAY 20, l987 Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT __ . SURVEILLANCE NO. '-(la. YEAR I NEAR. A TENDON NO.* TENDON END/BUTTRESS NO. SHcP lSlJTT uNIT I BEARING PLATE I. D. NO. BK. The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this 1-J is toward reactor or center of containment
BEARING PLATE Q. C. Signof f
___ _ Title
Q.C. Review Title f'l1h?. I Q ' J Date 3/J kjttZ--/ . Date -<..J-9 2-I I I I I I I I I I I I I I I I *, Psc*PROCEDURE SQ 8.3 CONCRETE DATA SHEET. 8.3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT. TENDON NO.* k};-BEARING PLATE I.D. NO. 811 SURVEILLANCE NO. . TENDON END/BUTTRESS NO. 11" YEAR m.J -UNIT I The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all vifible cracks. . j1/PlllE On BUTTRESS/DOME, this *u edge is up. Vertical Tendon, this l.._f is toward reactor or center of containment. BEARING PLATE Q.C. Signoff ....... _ Title Level :in=-Title Date _._, __ ?_-
1. !e I I I I I I I I I I I I I I I PSC: PROciEDU-RE -8 .--3 * . 4.1s1. CONCREtt*
INS-PECTlON . DATA SHEET 8.3 MAY 20, 1987 Page*1 of 1 Revision O CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT _____ _ SURVEILLANCE NO. .:fJ yr. YEAR TENDON NO.* _12 ..... 'J ..... -..... /.._q ____ _ TENDON END/BUTTRESS NO. IE &ff UNIT _./....__ __ =-,I BEARING PLATE I. D. NO. __ fi.<r,4/.,__ __ _ .. The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this is up. Vertical Tendon, this is toward reactor or center of containment. BEARING PLATE Q. C. Signoff Title uvdJL Q.C. Review Level .JJ.L-Title )'IA/A /:;vNt:J Date Date __ J_-2...._J_- ..... I ** I I I I I I I I I I I I I I ---*
__ ,-
8. . ... -. -CQ_NCRETE INSPECT I ON SHEET -a.3-MAY 20; 1987 Page 1 of 1 Revision O CONCRETE INSPECTION
-INSPECTION DOCUMENTATIOH BEARING PLATE I. D. NO
___ .,_M--.., __ _ The bearing shaii-be* orient.ed as shown Place the of the::_;*::
__ bearing plate identification on the sketch below.,*'.* Sketch-all visible cracks. . -_ .. *,;;:*.:' ,:_-,' j_ -.. * " .. -. CDVEieEb 4.JIT >l . : . *' . s pL./f-'?Y On BUTTRESS/DOME' this A/()A,1£ FoVN?;J t!Ji.17.S I Pl.A 7F" is up. Vertical Tendon, this is toward reactor or center of containment. Q.C. Signoff Title /llG.2, &. e, ,, . 0 BEARING PLATE Q.C. Review Level -::rIC Title 0 Date 3/'3j'12-I Date ___.,]'--.-_i.._-;_ ...... 9_z..... __ _ ... I I I I I I I I I I I I I I I *.** ----:***** -**.* :**-* .. :..* -PSC PROCEDURE:: SQ/B.3 CONCRETE DATA SHEET--s.*3* -*--- 20, 1987-Page 1 of 1 Revision O -::* x . -_ . * -1+1s:s__.* CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT TENDON NO. 12,g-;?.Y ' SURVEILLANCE NO. YEAR ,/9f..2 TENDON END/BUTTRESS NO. -S'AM /g /3vrr UN.IT __._( __ 7/ BF.ARING PLATE I. D. NO ._._.8 .... J.... ______ _ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. )Ip/fl.ff" BUTTRESS/DOME, this *u-edge is up. Vertical Tendon, this 1-J-is toward reactor or center of containment. ... Q.C. Signoff Title Q.C. Review Title IVl&-R.-J Q,, BEARING PLATE Date / ..2..._ Level :::nJ: Date ']-2.]-? 2-. -* .. I I I I I I I I I I I I I I ,.-.. ------*. --*7 --. --.. --.... _-----.* *, . _\: : i4_i_S'f-_ .. DATA SHEET_a.3* MAY 20, 1987 Page 1 of 1 Revision O CONCRETE INSPECTION -INSPECTION PROJECT __ ___..;..P_._ft ..... SURVEILLANCE NO. *. l0+'\ '/fl.. YEAR ....,,,..._2 __ TENDON NO.* __ b"""'2 .... *_.'2_* TENDON END/BUTTRESS NO. .lt::tr UN-IT _i. __ BEARING PLATE I. D. NO. B.M The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. A/t'A/8° FO(.)#.Z;> Pt'9Te-8rAelAI(; J')()Mt On BUTTRESS/DOME, this LJ-edge is up. Vertical Tendon, this L.J is toward reactor or center of containment. l°DCKE T t:,J!')VeRED WdN '" ST'EEl Pt,t91"lf'. BEARING PLATE Q.C. Signoff __ _ Title Q.C. Review Level -:I.fL. Date .__;J_-_2._"!_* ?;.._z... __ _ Title I I I' I I I I I I I I I I I I :--=-**.-***--;**
-. . I *-*:* ---* .. -.. : -:*. ---.-.. -** -. --. .*. . .** PSC ."PROCEDURE SQ 8. 3 CONCRETE INSPECTION DATA SHEET 8.3 MAY *20, 1987 Page 1 of 1 Revision O CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT TENDON NO.* 1) 3 -SZ. BEARING PLATE I.D. NO. "J3M l SURVEILLANCE NO. 2.f!> ._+ '-\. YR-YEAR I Ne.AR. Pr TENDON END/BUTTRESS NO * .Sto\OP -SUTT UN.IT ' The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this is up. Vertical Tendon, this is toward reactor or center of containment. "' ? BEARING PLATE Q.C. Signoff Date 3h(pL'fz.- I I Title &.C.. I Q.C. Review Level :n:c Date °3""2.]-9L Title I Q *I} I -! ,-I I I I I I I I I I I I I I ..... . PSC PROtEDURE Stl:.--8 1 *.CONCRETE INSPECTION
... *_ ' DATA SHEET 8.3 MAY 20, 1987
Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PRoJEcT PAttSAl>(S
suRvEILLANcE No. ,
Y'li!. YEAR c:ie /_N£'/J£. TENDON _NO.* * '))3 .. 52 TENDON END/BUTTRESS NO. 8tJr( utiIT ::/._ BEARING PLATE I. D. NO. UJJ/lf3t E° lo /.LJCI llf' The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks
On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this is toward. reactor or center of containment.
.... .8M/lMI' PttfrE I n;&l::rf"T ¥¥"/ STeEt PU9-1t Ft>tJN!) OU'?'SIPfr PtAI' BEARING PLATE Q.C. Signoff Date . ?..1 'Zh/, .z_ ' ' Title Q.C. Review Level -:ar:-Date :J-z_3 .-'? 2-Title r, , J I I I I I I I I I I I I I *.* P.s*c __ PR-ocEouRE
so s. 3 CONCRE1E INSPECTION DATA SHEET 8.3 MAY 20, 1987 -Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT ilLrde.:t SURVEILLANCE NO. TENDON NO. _.V._-..... J!.=f)"'------- TENDON END/BUTTRESS NO. .5i{y 1 ,/J9.z BEARING PLATE I. D. NO. Cu,o 4htr keo.rr YEAR -UNIT ...,./..___ __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this l__f-is toward reactor or center of containment. . ... BEARING PLATE Q.c. signoff __ Title &O kayertbe kwJ.ZC Level :rr£ Title 1!161 .. } p./1we tt11nt1'D Date -_?_2-__ Date '1-1 o -? L. . I I ----I I I I I I I I I I I I I I I * --* .. -,-'_ .:-: --P5-c -PROCEDURE sQ s. 3 --_ . . CONCRETE INSPECTION _____ DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION -INSPECTION DOCUMENTATION -PROJECT 91:..M kt SURVEILLANCE NO. YEAR /n6 TENDON No. -V-ao
TENDON END/BUTTRESS NO.
_.__/ _ PLATE I. D. NO. ,.tA
The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch yisible cracks. -;f4J.#.* fivAD' On BUTTRESS/DOME, this l___f edge is up. Vertical Tendon, this i___r is toward reactor or center of containment. . Q.C. SignoffadtJL BEARING PLATE Title kv.g.L 7r Level :ra:: Title Date
.9' c2_ . . Date I I I I I I I 'I I I I _.*, SQ -8.3 INSPECTION ---DATA SHEET -8. 3 MAY 20, 1987 Page 1 of i Revision O CONCRETE INSPECTION -INSPECTION DOCUMENTATIOH ___ ....... ___ _ SURVEILLANCE NO. , "20 ...Jr',,. YEAR 2. TENDON NO.-__ ---TENDON END/BUTTRESS NO. S\.to"f /-ro:e ' -.::L.. UNIT __ _ BEARING PLATE I.D. NO. LJWAJ5LC:: To L..DCA-Tt'" The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this -LJ edge -is up. Vertical this 1-..J" is toward reactor or center of containment. BEARING PLATE Q.C. Signoff - Title /\'( (flt I G.C . Q.C. Review Level ::J1I Title Date Date __ _ I I I I I I I I I I I I .. -*--* .. .
Psc s*o s. j CONCREtE INSPECllON DATA SHEET
.. MAY 20*, 1987 Page 1 of 1 Revision 0 ./ CONCRETE INSPECTION -INSPECTION DOCUMENTATIOH PROJECT S SURVEILLANCE NO. . TENDON NO... V-?d i TENDON END/BUTTRESS NO. PLATE I.D. .... YEAR Jf1i The bearing plate shall be oriented as shown below. Place the location of the plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this U edge is Vertical Tendon, this l..J is toward reactor or center of containment. Title Q.C. Review Title BEARING PLATE Date fl. *f<_ZT-'7
!2-._ Level --

JI[-Date 'J-10-?L
' I *1-1 I I I I I I I I I I I I I .. _., -**--:.-* . ,. *** PSC PROCEDURE SQ 8. 3 CONCRETE INSPECTION DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision O CONCRETE INSPECTION -INSPECTION PROJECT ""3A.fes SURVEILLANCE NO. TENDON NO.* _y:_ .. _l_i!_t._ ___ _ TENDON END/BUTTRESS NO *
BEARING PLATE I.D. N0._.._8....,'K...__
___ _ YEAR /99J . UNIT ---"/ __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. On this LJ-edge is up. Vertical Tendon, this
LJ. is toward reactor or center of containment.
""' Q.C. Signoff Title &. ;Gr*6c 4uel:7£ Q.C. Review Title IYU-11. Q.,4 Fth/AI.[) BEARING PLATE Date ,t .. ,%/-!;,!._ Level ::.rrr:. Date J'10-'f z.. 1-I I I I I I I I I I I I I I .. . -:-* ...:.-__ --;---PSC PROCEDURE
SQ 8.3 CONCRETE INSPECTION DATA SHEET 8.3 MAY 20, 1987 Page 1 of *1 Revision O CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO. TENDON NO.* /?Jt:).l ' TENDON END/BUTTRESS NO. PLATE 0 I.D. YEAR mJ
The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this l._f is toward reactor or center of containment.
BEARING PLATE Q. c. Signoff ......... & kvr}_tJ; Title Q.C. Review Title J:; i111J Date Date ]-fo z... I I I I I I I I I I I I I I -* .-**." _,......_::* .. --_,* *'* -. PSC 'PROCEDURE SQ. 8. 3
CONCRETE INSPECTION DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT 11J's4jU SURVEILLANCE NO. . ,:26 1 ,, TENDON NO.* V.J..13: TENDON END/BUTTRESS NO
BEARING PLATE I.D. No. __
__ _ YEAR /f£l
UNIT __ ; __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. On BUTTRESS/DOME, this 1-..J edge is up. Vertical Tendon, this is toward reactor or center of containment.
BEARING PLATE Q.C. Signoff Title &d Lf1'4't Ut<c:/ptc Q.C. Review Title /DAI II J; Cl Pll Date -?l;t{. Date J-2-J -'ft_ I I I I I I I I I I I I I I I PSC PROCEDURE SQ 8 .. 3 CONCRETE INSPECT10N DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT llli.saaBJ TENDON NO. ____ _ SURVEILLANCE NO. -rfl(Jyt. YEAR /ff}( TENDON END/BUTTRESS NO. £*e./d 184trnA1 UNIT I BF.ARING PLATE I.D. NO. t;;,Jlat=. IN'q-n:.-.-
The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks.
l:v#fl.D On BUTTRESS/DOME, this -U-edge is up. Vertical Tendon, this l__I is toward reactor or center of containment. Q.C. Signoff PLATE Title Q.C. Review Level IQ *fl I Title ) Date J -/2 ... Date ___.:J;,,,,_- 2..__,;;;,.'3_-..;..9'_'L=---
I_ I I I I I I I I I I I I I I ... _,,.. ***: *.*---*** *, ----. . PSC PROCEDURE*, SQ 8 3 CONCRETE
-DATA SHEET-8.3
MAY 20, 1987 Page 1 of 1 Revision O CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT . tlJs.,t_.,, SURVEILLANCE NO. I The bearing plate shall be oriented as shown below. Place the location of the bearing plate on the sketch below. Sketch all visible cracks.
A/t;A14" hi/If P On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this l__f-is toward reactor or center of containment.
Title Q.C. Review Title BEARING PLATE Level "IJL Date 3 -"2. J -? L 1-I I I I I I I I I I I I -*----PS C -PROCEDURE _ SQ -8
3 -
INSPECTION DATA SHEET -8.3 MAY 20, 1987 Pa:ge 1 of 1 Revision 0 CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT ___ P.....;.A.....;.l..--.;IS::...B.._D_f.S ___ _ SURVEILLANCE NO. TENDON NO. ZCf At TENDON END/BUTTRESS NO. BEARING PLATE I.D. NO. VAIA't9lt To Loe,'91*" 92 . 1-UN IT __ _ YEAR The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. BUTTRESS/DOME, this edge is up. Vertical Tendon, this l_1 is toward reactor or center of containment. BEARING PLATE Q.C. Signoff .................. ---..------ Title. .A1M,. f!'). Q.C. Review

Level _-:Dr" __ /YI r:I. fl. Title 7 Date __ 3-i)-'-z..-l_q_'2-_-_ Date _J_-_.L_3_-_9_t.. __ _

I .. I I I I I I I I I I I I . I I *. .* -_-ht7 DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision O . CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT tfj_4raJl':c; j SURVEILLANCE NO. TENDON NO.*
TENDON END/BUTTRESS NO. BEARING PLATE I. D. NO ._tf-i_ ...... 11......_
___ _ YEAR /f.£!_ UNIT / ---The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. 0 On BUTTRESS/DOME, this edge is up.
0 Vertical Tendon, this is toward reactor or center of containment.
BEARING PLATE Q.C. Signoff Title 1.sd.7£ "'71. "'f'. r'J 1 J I fl.. Q.C. Review #* 97. --=----'--.,;....;,,._....;,,._ __ Level , .1JJ_ Title * /live oate 3-/Lo-.£2 Date J -2J I I I I I I I I I I I I I I -=---____ *. _--:--:, _--__ _ **.-------. ___ --;.-... --*.*-.-*-:---. _..*_ - IgN 3 .. :--._ -- -DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision O CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT __ SURVEILLANCE NO. -' +\.. . "2£> '/fZ--YEAR 'f Z TENDON NO. __ _ /A :1--F\!t.l> LBVLT uNIT --* TENDON END/BUTTRESS NO. BEARING PLATE I. D. NO
_ _._It_._])=-----
The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. BUTTRESS/DOME, this 1-J edge is up. Tendon, this l___f-is toward reactor or center of containment. Q.C. Signoff Title t$i.C .. ; Q.C. Review Title BEARING PLATE Date __ 3 ...... f _S'-4-\q_"Z..- __ Level -::JIC. Date 1 -2..') -9 L. 1**. .. 1** I I I I I I I I I I I I I I PSC*PROCEDURE SQ 8.3 ***. CONCRETE INSPECTION -INSPECTION CONCRETE INSPECTION . DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision O PROJECT SURVEILLANCE NO. .,;{dfr. YEAR ; /ftf. TENDON NO.* ?d/ JiF * -TENDON END/BUTTRESS NO. ..SJ.u /,t BvlC UNIT / 7/ BEARING PLATE I.D. No._...A ............ V ___ _ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. On BUTTRESS/DOME, this LJ edge is up. Vertical Tendon, this L.J is toward reactor or center of containment. .. Title Q.C. Review Title hc1M/) BEARING PLATE Date "1-tf' ..;>< Date J-'2...J ... 9 L I -!e I I I I I I I
I I I I I 'I I I -.* _.;; ..
---** .. * ***: --,----* .. ,:;__ *. PSC 'PROCEDURE SQ . 8 *. 3 CONCRETE INSPECTION DATA SHEET 8.3 -----" j,7;,* MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION -INSPECTION DOCUMENTATION PROJECT __ __ _ SURVEILLANCE:NO. TENDON NO.* __ 5 ___ 2_/t_..* ____ _ TENDON END/BUTTRESS NO. BEARING PLATE I. D. NO. __ A_Z.. __ _ YEAR __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. /'::..., On BUT'XRESS/DOHE, this l_f-edge is up. Vertical Tendon, this L.J-is toward reactor or center of containment
BEARING PLATE Q.C. Signoff Title /11GR Q,C. Q.C. Review ')./, Level :rrc Title Date _3-+-/s=-.-f,__.ct_z..._.
__ r1 Date __ ,-_-_ 1-1 I I I I I I I I I I I I I **--._ . ----. -. ---_ ,.'---ps-c
cPRDCED-URE-SQ 8 ;3 -_ --_ __ -CONCRETE INSPECTION DATA SHEET 8.3 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION MAY 20, 1987 Page 1 of 1 Revision 0 lh_71 -PROJECT msek -TENDON NO. -ft B .l> SURVEILLANCE NO. _-TENDON END/BUTTREss No. _gy IJ2J'./1r: -P I YEAR lff.(t UN°IT I ---BEARING PLATE I. D. NO * ..LA/1-"'"-""------ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. -On BUTTRESS/DOME. this 1-J edge is up. Vertical Tendon, this 1-J is toward reactor or center of containment. -** Title -_Q.C. Review Title BEARING PLATE Date __ _ Date _..:;..3_-_2.....:..3_-_9_2... __ _ I I I I I I I I I I I I I I I .---,.;.--* .... _,_.. _ _ .:** ::. -. *-*: : ... --:Psc_PROCEDURE SQ 8.3 CONCRETE INSPECTION o*A TA SHEET 8 . 3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION -INSPECTION DOCUHENTATIOH PROJECT -----"-P ....... ...... l& ...... A ...... D-=ES=----- SURVEILLANCE NO. 2.0.+4\ YTL. YEAR _f_Z_ TENDON NO.* __ t/......,b_S_-D ___ _ TENDON END/BUTTRESS NO. la Bl)Ti UNIT ::L J BEARING PLATE I.D. NO. 8f *The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s'ketch below. Sketch all visible cracks. ./"-::,.,on BUTTRESS/DOME, this LJ. edge is up. . ./"-::,., Vertical Tendon, this L.J-is toward reactor or center of containment. BEARING PLATE Q.C. Signoff Title .. c. Q.C. Review Title Date Date 7-Z-J-9 L ------- I I I I I I I I I I I I I I I ---* ::---*-.:-*-:*-. -* , __ .*-** *---:-.-*.

__ ,,,..___ .. --.. ": ..... . :.PSC

PHDCEDlfRE
8. J ___ --** .. CONC_RETE IN$PECT ION-. *oATA SHEET a*.J MAY 20 , . 1 9 8 7 Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT TENDON NO.* 7t7 /JT ; SURVEILLANCE NO. TENDON END/BUTTRESS NO * ...f./m /£8vft: "177 BEARING PLATE I. D. NO ...... Aft_._...._ ___ _ YEAR ,/ff:t. uNIT . L -*--The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. On BUTTRESS/DOME, this U-edge is up. Vertical Tendon, this 1-J-is toward reactor or center of containment. BEARIN(; _P.LATE Q.C. Signoff (}J! oec>k-r levttl 1C Title v Level -::II{:: Title }101J e h1111J p.o; Date L.. I I I I I I I I I I I I I CONCRETE INSPECTION -INSPECTION DOCUMENTATION . . .
Psc PRcicE:ouRE**:*sQ--3 CONCRETE INSPECTION.
DATA SHEET 8.3 -MAY 20, 1987 Page 1 of 1 Revision 0 PROJECT :/i!$;q,k2 SURVEILLANCE NO. ___ _ TENDON No.. ztJ Pr TENDON END/BUTTREss No. BEARING PLATE I.D. No.C!.,/Jn,t; '1uie-dt7Lf-*-YEAR lff;_ * -UNIT _,.,_t __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the s*ketch below. Sketch all visible cracks. . };vJ-On BUTTRESS/DOME, this *u edge is up. Vertical Tendon, this is toward reactor or center of containment. Title Q.C. Review 7f, Level :aJ: IYl ' I q, ti I Title ; Date .;3-J-96 j I :-1 I I I I I
I I I I I I I I *-_.-;, .. :-.. *--* ... .. --.. -. *psc PROCEDURE SQ 8.3-CONCRETE INSPECTION DATA SHEET 8.3 MAY 20, 1987 Page 1 of 1 Revision 0 CONCRETE INSPECTION
-INSPECTION DOCUMENTATION PROJECT fi4o,4, SURVEILLANCE NO. . IJh YEAR J'f f./ TENDON NO.* 77££ . TENDON END/BUTTRESS NO. UN-IT __ / __ BEARING PLATE I. D. NO ---* The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. . J/PJYJT kv#D BUTTRESS/DOME, this l.__f edge is up. Vertical Tendon, this 1__l is toward reactor or center of containment
A?l BEARING PLATE Q.C. Signoff Ut},i.._ Title bd:tf Q.C. Review Level :ID: Title -.
I I I I I I I I I I I I I I --_ -';--... PSC PROCEDURE SQ. ... CONCRETE INSPECTION DATA SHEEr--a.3 MAY 20, 1987 -Page 1 of 1 Revision O CONCRETE INSPECTION -INSPECTION DOCUMENTATION . PROJECT ___ a ___ SURVEILLANCE NO. TENDON NO.* __ 7_7_,,B ..... F"-----TENDON END/BUTTRESS NO. BF.ARING PLATE I.D. NO. VNABLE Tt> L.OC.Ps1* . z.o+"-YL FJEt:D la T . ---... , .--_ ... c--*. .. YEAR _,_z __ UN-IT _.:t __ The bearing plate shall be oriented as shown below. Place the location of the bearing plate identification on the sketch below. Sketch all visible cracks. On BUTTRESS/DOME, this is up. Vertical Tendon, this is toward reactor or center of containment. Q.C. Signoff Title Q.C. Review Title BEARING PLATE Date __ Level -:::11[:: Date __ _ I I I. I I 1* I . -;_-. ** :PSC PROCEDURE SQ 9. ti. MONITOR TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 * .Lt.Revision 1, 8-14-87 LIFTOFF FORCE INSPECTION DOCUMENTATION PRoJEcr __ '? __
__ s_p.; __ __ _ TENDON NO. (9.8.5.3) ACTUAL LIFTOFF: Stack ill -. l _ 'f'IDO 2 9920 3 19ZO . ii (9.8.5.4) Stack fJ2 -l 'I Ac.tual l 0 2 9. . 2 _._'/_f'_ 3 0 . 3 Actua Average fj/26 FORCE (opposite end) 'po kips FORCE (this end) 6¥7 kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE kips .. -*--** . :r-i (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) -* ...JiL/4. REQUIRED LIFTOFF:. PRESSURE . 3C\ to 't\C\O 0 psi .FORCE .5CI \ to bL 2. kips (9.8.6) Acceptable 0110 * ** .. * *
I &c9.8.6.l)
AALV Beyond of (PFb jgris 0No ?lotify Owner Y62 n1At..l4z... _ .&.c9.!l.6.2) AALV Below (90PF) YES 18No 0 DE'IENSIO?l OYEs NCR (9 .a. 7 .1) ADJACEIJT l'£Jllll01i' LIFTOJ;F NO . Tendon #1 --/'. I II I I --* I. * ?lotify o..ner . ..V&_ Tendon #2° * (9.8.8.3) RESET 'SHIH STACK HEIGH:r: 1'M . '/12 Z.. 2 2 M 3 3 (9.8.8.5) Actual l _ _,..,..,,_ 2 (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: 14 Stack '/Jl -l Stac.k fJ2 -l .M Actual Average
3 M FORCE (opposite end) FORCE (this end) This Tendon -NEW AC :t\I. VERA.GE LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF Level -:J:JI:.

Data l.. Title
. -. : -. . . -, 1* --:-* .. * .. -*-PSC PROCEDURE SQ 9. 0 MONITOR TENDON FORCE QATA SHEET 9.0 I MAY 20, 1987
Page 1 of 1 Revision 0 &_Revision 1, 8-14-87 ...
FORCE INSPECTION DOCUMENTATION SURVEILLANCE NO. _&_tJ __ ..... *---PROJECT TENDON NO. c P;-f§.._ END/BUT!RESS NO. 11/i. ,/12 fiv tr WIT __./ __ Q.C.Signof (9.2) Concrete* Temp. 'f2 F. Therm. No. 211-1 Recal Date
)/JJ*s-?,,:. .Ambient TemP. SI F. Thecn. lfo. ft>.f Recal Date (9 .4) Aniount of Effective Wires (From DS -8.3.7 .3) 7f * * -(9 .5 .1) Ram ID f!Zf . Recal Date ffM ezifi.}, Ram Area /ii 7v/ JC=-
4 * !!£ *Gauge ID NND' f) Recal J]&e H. & Daily Check l1Jk Shim Stack Height ill #':f i12 f "'Ruler ID f..;7 Recaiiate
{;J!-?Ji Individual Shims: Stack #1 Stack #2 .f.) 1&(9.7 Tendon Liftoff Overstress Force 3$8.S kips Pressure psi
(Tendon Overstress shall not exceed 848 kips for a. 90 wire tendon.) (9PF) .£.5"/ kips (95PF) kips (PF)

kips 1 * ..JZ 'fl psi ..Ff 7' psi fW./¥ psi (9.8.5.3)
..... ___ L..-I--FT-..O ........ FF: . . (9.8.5.4)
circled I I Stack ill -2 1 Stack fJ2 -CJ _ Actual l tffl . 2 #-194 3 Y'lllJ 3 UJt2..
Actua Average !/Yfl FORCE (opposite end)
FORCE (this end) /;M kips This Tendon -ACTUAL AVERAGE Lu"'"'TOFF FORCE ,53, S-kips (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.1)1:-"' REQUIRED LIFTOFF:* PRESSURE -a?IJ'li to °FORCE 5.fl to kips (9.8.6) Acceptable 0No * ** .* I .&.c9.8.6.l) AALV Beyond of (PFb O:rm E'otify OWner "IB.S &c9.ll.6.2) AALV Below (90PF)
YES j8No 0 DE'!ENSIO?l On:s NCR (9.8.7.l)
ADJACEN"! TENDON LIFTOfF REQUIRED A>O *Tendon fJl ' I I I I Notify OWner * ..cl/.4-Tendon 112 .M
1 Z.. (9.8.8.3)
RESET SHIH STACX HEIGH:r: fJl _Stack ef/A-. 112 stac.k:"_&4-1z._ (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack fJl -l Stack fJ2 -l Actual l 41 .4 2 M 2 M 2 M:4-3 .N/A-3 N& 3 M I ..,/A. Actual 1 AVerage
FORCE (opposite end) FORCE (this end) M This Tendon -NEW ACTUAL AVERAGE LIFTOFF FORCE* M (9.10) ADJACENT TENDON LIFTOFF .. (9.10.3) 01 Accept * (9.10.3) #2 Acczpt Unacceptable Notify Owner
-.. ___...* I Q.C. Review Level ;III;* Data 'J-2.3-'iL Title .. . }"1?,t. 1 Q. .1) 1 ,
--
.... ,.. ***:. ,-- ---.. I .. -' ---_PSC PROCEDURE -SQ 9. 0 .. I . LIFTOFF FORCE INSPECTION DOCUMENTATION MONITOR TENDON FORCE OATA _SHEET 9.0 MAY 20, 1987 -Page 1 of 1 Revision 0 &_Revision 1,-8-14-87 I I I PROJECT C/,'.uJ.e.1
SURVEILLANCE NO. _ ......
__ TENDON NO. .... -...... -1 .......... ?____ TENDON END/BUTTRESS NO. V.Bl!Zr WIT ___ , __ . I . f (9.2) Concrete. Temp. >> F. '!hem. No. SJ./I/ Recal Date f .. J-U * '!:<,: Ambient TemP. ,'2 F. Therm. No. PKS5 Recal Date 9._g.JJ,. ; (9.4) Aniount of Effective Wires (From DS 0 -8.3.7 .3) m * , * (9.5.l) Ram ID f/79 Recal Date Ram Area ,#/7.7/,I IC= -&.?¥'1 ' ::f.. *Gauge ID EttNer:L. Recal Daily Check OR * ..if. I Shim Stae:k Height 01 02 £..3" Ruler ID £/7 Recal Date 1-U-!.l :Individual Shims: Stack Cl f-r;+'.fi<ij Stack fJ2 4>>. . . .. ,,l::J I &c 9. 7. 2) Tendon Liftoff Overstress Force m kips Pressure fW psi jJ,:2:11..Jt (9PF) kips (95PF) 5FI kips (PF) &/cf kips ,).-. (Tendon shall not exceed 848 for a 90 tendon.). -I I I 37J(I psi
psi 1/151 psi -' (9.8.5.3)
ACTUAL LIFTOFF: c 9. 8 .5. 4) *.circled Stack Cl -l /{litJ Stack t/2 -Actual 1 2 .//JiQ 2 1/f'f(} .!IL!ilL.. 3 'f!2D * * . 3 .il1.!f1_ Ac age
FORCE (opposite end) fil. kips FORCE (this end)kips This Tendon -ACTUAL AVERAGE LL:""TOFF FORCE '23 'Z-kips (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) J / REQUIRED. LIFTOFF:* PRESSURE t.o '/IS°'(psi .FORCE to 6/2-kips . e/!,, (9.8.6) Acceptable _8lYES. ONO * :* ... * * -J I .&.c9.8.6.l) AALV Beyond 61. of (PF b 0 YES Notify awner Al/A 'i."'L. &c9.d.6.2) AALV Below ( 90PF) YES
DETENSIO?l On:s NCR llo.:_$. :' (9.8.7 .l) ADJACENT TENDON LIFTOFF REQUIRED Al/A-Tendon ill A.I/A-I I I Notify Owner * .V/A-r Tendon 12 N/4 J 3 Cf Z... (9.8.8.3)
RESET SHIH STACX HEIGK?: fJl _'stack . i/2 Stack '!'lk 'f 2.. " (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack '/Jl -l A.JJA Stack fJ2 -l 2 ""'14 2 . 2 A-3 :VIA-3 3 '..4-,
-FORCE (opposite end) -v,tA-FORCE (this end) kips This Tendon -NEW ACTUAL AVERAGE LIFTOFF FORCE kips I 3/3/'fc..
r* *f!.B
"t I ( 9 .10) ADJ A CENT TENDON LIFTOFF (9.10.3) 01 Accept (9.10.3) iJ2 Unacceptable
":f '4-Notify Owner Q. C. Review tf, Level '?IF"
Date 1-LJ ..j' '2.-I. Title .. j I*-....... , .. * .

1*-I I I I I *, LIFTOFF FORCE INSPECTION DOCUMENTATION
.. --------*-. .
_SQ 9 MONITOR TENDON FORCE OATA SHEET 9.0-, MAY 20, 1987 -Page 1 of 1 Revision 0 '
1, 8-14-87 --*.kt . .. -. Sb -PROJECT _____ P __ A __ l_.l ..... S,,,_A ...... *1>.....;;;i.z:;.S __ _ SURVEILLANCE NO. '(R-YE.AR -'a.-2. __ TENDON NO. 1>2-/'f I AJf ltfe. . . :L TENDON END/BUTTRESS NO. a11rr UNIT . . . ---(9.2) Concrete* Temp. 'z..ir F. Ther:n. Recal Date 9.f.l#z Tem{>. '32 F. Therm. Recal Date (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) 7'C:J (9.5.l) Ram ID ,17'& Recal Date E>>J) Ram Area-l'f...,...7-.-S'""t-0-X=---,.c.tSJ
Gauge 'ID FoRpFY.:1-Recal l>A&'f oA) VS6 Daily Check OIS *. 9. 6) Shim Stack Height ill 6 . 0 Individual Shims: Stack fJl

I &c9.7.2) Tendon *t.iftoff Overstress Force B'1Sf kips Pressure £7P" psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) I I I (9PF) 551 kips (95PF) 5"11 kips *(PF) .
kips
3117 psi '3'tl0 psi 'il'IO psi (9.8.5.3)
=ACTU=* . * (9.8.5.4)
circled Stack fJl --1 "t/-t/60 Stack f/2 -l Actual l c/'/'ilO 2 P,¥60* 2 2 'f<IJ8 . . 3 °//¥Po -3 9Q . . 3 'f'I .. .
/0.,_ Actua Average YY. FORCE (opposite end) "'°' kips FORCE* (this end) S kips This Tendon -ACTUAL AVERAGE FORCE ts kips "6* * (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l)
I REQUIRED LIFTOFF:*
PRESSURE 3<\§0 to '\-\'\0.psi °FORCE SS) to Ee12. kips (9.8.6) Acceptable -13'n:s. Duo * ** .. * *
I &c9 .8.6 .1) AALV Beyond of (PF b "Notify OWner Al/fr . AILA
&c9.lf .6.2) AALV Below ( 90PF) n:s ,fguo DE'!ENSIO?l . DYES NO Nel?
I I I I I (9.8.7 .. l) ADJACENT TENDON LIFTOU REQUIRED NO . Tendon Ill M . . Hotify Owner . .v//I Tendon 112 * * (9.8.8.3)
RESET. SHIH STACX HEIGH:r: Dl 1_Stack 'f/A-. 112 Stack ..V. . . (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack fJl -l Stack tl2 -l Actu31. l 2 2 .v. . . 2 3 . 1R 3 3 . * ; Actual Average * .,,v/,11
FORCE (opposite end)

FORCE (this M kips This Tendon -NEW ACTUAL AVERAGE: LIFTOFF FORCE M. kips (9.10) ADJACENT TENDON LIFTOFF Title .* , . ... 4 , j . *--.... -1\ ..*.. *. . ill 'i*ll/*r')**
11.VP'. fi<JFO ----

* -* :. . . --:-.. : -.. .-___ **: 1* (. . LIFTOFF FORCE INSPECTION DOCUMEN'rATION

. ,. . PSC PROCEDURE SQ -9. o**:* * ,A .. MONITOR TENDON . OATA SHEET 9.0 MAY 20, 1987

Page 1 of 1 Revision 0 &_Revision 1, 8-14-87 I I I I

PROJECT
... .... J.._* --------SURVEILLANCE NO. dfPu/', rm L/f4, v TENDON END/BUTTRESS NO. ....S.Aop IE &re UNIT I v I __. __ (9 .2) Concrete-Temp. .;<.) F. '!berm. No. 511J '/ Recal Date -$
f .:J.

1fi* '!Z Ambient. Temi>. P'. '!berm.
5'5 Recal Date .. -}':Z. (9.4) .Aniount of Effective Wires (From DS 8.0 -8.3.7.3) (9.5.l) 'Ram ID !IJZf Recal Date /,,JJ&J. Ram Area NIZ X= .:../,31'f /fof:3=?_9..1
Gauge n> 7ifME(I Recal !.t/.s,_ Daily /fllr!l4J-j,l, TENDON NO. _..,-.72 .... ....... -J. .... ',g _____ _
Shim Stack Height ill -¥. 7 '" iJ2 'f=Z"' Ruler ID RI? Recal Date {-,,,tf-f.!. Individual Shi:ns: St.ack ill a; St.ack 112 ,;;; I .&,.c 9. 7 .2) Tendon Liftoff Overstress Force fi"fl kips Pressure 575'/ psi )Al;J/.fJ. (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) 5£) kips (95PF) .2_.7/ kips (PF) . l/t!l kips: I * (9.8.5.3) ..$711 psi .1991' psi "/IS"'( psi ACTUAL LIFTOFF: Stac.'c iil -; (9.8.5.4)
circled Stack fl2 -l Actual l -?..? W 2 2 1'..2.¥ll 3 ?6% Actual Average ?kl f'tl FORCE (opposite end) t kips FORCE (this end)
'!his Tendon -ACTUAL AVERAGE LIFTOFF FORCE 43 7 kips I I (9.8.;6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) . REQUIRED LIFTOFF:. PRESSURE *_g.9ff to f/f./fpsi .FORCE .£f/ t.o kips (9.8.6) Accept.able g]'YES. Omo * ** *
I.IA I. &c9.8.6.l)
AAI.V Beyond of (PFb O"ris Notify OWner t!/4 .11/.a. All/.J.;!J.. &c9.Er.6.2) AALV Below (90PF) YES 18Juo . Q:C?. NCR
(9.8.7.l)
ADJACENT TENDON LIFTOFF REQUIRED AIO . Tendon J.:'OtJ/.$
-Notify Owner Tendon iJ2 ./A * '1/-(9. S. S.3) RESET 0 SHIH STACX HEIGHT: D .st.ac:k iJ2 st.a"& f# -f). (9.8.S.4)
NEW 0 ACTUAL LIFTOFF VALUE:/(//!- Circled. Stack #1 -i 02 -Actual l= Actual Average FORCE (opposite end) kiPS FORCE (this end).¢" kips '!his Tendon -NEW ACTU :vERAGE LIFTOFF FORCE . _ kips (9.10) ADJACENT TENDON LIFTOFF I I I (9.10.3) ill Accept A_ Jl/h (9.10.3) iJ2 Notify Owner I Q.C. Review At. Level JlL
Date -;J-2.;)-?2...
... **-I -*.** PSC: PRo-ctouRe;* SQ 9 ci MONITOR TENDON
QATA SHEET 9._0 MAY 20, 1987 * .. , ... LIFTOFF FORCE INSPECTION DOCUMENTATION Page 1 of 1 Revision.a
&_Revision 1, 8-14-87* SURVEILLANCE NO. 2.0 Yf'. YEAR * / JJISAft.
TENDON END/BUTTRESS uo. J:'lf l.b LS S9'Tf wr:r: I PROJECT
__ _ TENDON NO. -...
_

. . A . A-1f"1-. J ---1
Q.c*.signof (9.2) Concrete*
Temp. 'lb F. Therm. No. SM-'-Recal Date C:\f'J)'tZ-Temi>. f.{) F. Therm. No. Recal Date Cl)'l)'fZ.,. I I (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) qC> (9.5.l) Ram ID '/?r Recal Date .,_,e *AJD Ram Area l'f7.{'1o IC= _,,'f:57 Z.-*Gauge ID Recal bAJl.Y oJJ IJ.s£ Daily Check "k !('2,..- Shim Stae:k Height ill 5':'5' '/J2 5# Ruler ID JS'J'2 Recal Date Bfz.tl'fz Individual Shims: Stack Cl 1/2//c<, t 1 1 1'3 Stack fJ2 I &cg .. 7 .2) Tendon Liftoff Overstress Force 81/i kips Pressure S7'JO psi (Tendon overstress shall not exceed 8 4 8 kips for a 9 o wire tendon.) (9PF) S'S/ kips (95PF) n/ kips (PF) -61-kips.* qt.)tl}q?. ' I I I (9.8.5.3)
3777 psi -* psi 'i-19 0 psi c&i.}t-1/q'L ACTUAL LIFTOFF: stack 01 --l '/'loo 2 '/'/'Z.O 3 91/%.o Stack l

Actual l Yi'Z.0 2 2

* (9.8.5.4)
circled Ac tu verage * *'i 0 ::.
SAY . 3 0 .. e60 FORCE (opposite end) kips FORCE (this end) kips * '4t!f This Tendon -ACTUAL AVERAGE LIFTOFF FORCE 637 kips (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) . Lorb REQUIRED LIFTOFF:* PRESSURE. 3!'19'0 to 'ffC\0 °psi -FORCE 5'91 to 2.. kips i (9.8.6) Acceptable Duo * * ** .. *
L. .l I £.C9.8.6.l)
AALV Beyond of (PFb . 0"ris ,8fNO Notify OWner AJ/A-'J}A.. Zh.C9.d.6.2) AALV Below (90PF) YES DE'!ENSIO?l ig-u;s NO NCR I ! (9. 8. 7. l) ADJACENT TENDON LIFTOU REQUIRED Tendon fJl M , I I I I Notify Owner . N/k Tendon iJ2 M _._ .,u :1 Cl"&.-1 (9.8.8.3) RESET SHIH STACK HEIGH:r: ill _Sbck -y/A . iJ2 Stack M ?:.-i q-z_ (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: 4 (9.8.8.5) Stack #1 -I Stack #2. -Actual :::-::: Actual Average -...../:J....,_ __ FORCE (opposite end) $ FORCE (this end) This Tendon -NEW ACTUAL"AVERAGE LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF 9) 'Z,'2.11 \ f q -i-,. (9.10.3) Cl Accept Unacceptable >1/A (9.10.3) 02 Accept Unacceptable OWner Al/A: I _ Q. C. Review 1/. 7;°. Level -:rrf-* Date f-Z-"'3 --9 2-*, Q.f), -* I Title .. , I I 1-/ I I I I -. -, ... --.*-. ,_ ... -.-* ....... .,,..... . ... . PSC PROCEDURE SQ <" .. * . _* MONITOR TENDON--FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 LIFTOFF FORCE. INSPECTION DOCUMENTATION PROJECT lJ-lli. \... \S* fii-°"t>E.
S SURVEILLANCE NO. °ZO-\-\\. YEAR '\"Z,
Nei\"K. P.
END/BUTTRESS NO * .SM'f/ "BU"T\ UNIT _:1_*_ 'IE:NDON NO. (9.2) Concrete* Temp. z.j F. Therm. No. 'SM*b Recal Date
Ambient Temi>. 2rF. Therm. ?lo. PKf\r Recal Date (9.4) Aniount of Effective Wires (From DS 8.0 -8.3.7.3) 90 (9.5.l) Ram _ . Recal Date 7o6 EN1> Ram

Gauge 'ID Date bAH,Y f,Y VS' Daily Check 01=; I __ ......._ __ _
Shim Stack Height fJl J.'6 fJ2 Ruler ID ReJal Date !!Jzff&.. Individual Shims: stack fJl 3 . stack fJ2 . *
1 &c 9. 7 .2) Tendon Liftoff Overstress Force '3'° kips Pressure S19o

psi (Tendon Overstress shall not exceed .848 kips for a 90 wire tendon.) (9PF) SSl kips (95PF) S'$\ kips (PF)

G,\-Z.. kips I I I

psi psi psi (9.8.5.3)
ACTUAL LIFTOFF: . .(9.8.5.4)
circled Stack 01 -l Stack #2 -l Actual l 2 'IS"ZO 2 oO 2 3 'fSfO 3 . . 3 )£600
Actual Average * ...
__ _ FORCE (opposite end) '"10 kips FORCE (this end) (.7Z kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE b7/ kips (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) tL IJM."211IJQ REQUIRED LIFTOFF:. PRESSURE 3, to r/ '/0 °psi .FORCE S°'j-/ to b 12. kips (9.8.6) Acceptable Duo * :*. ... *
z/

I &.c9.8.6.l)AALVBeyond6"-of

(PFb DNo.E'otifyOWner Ye"".$ &c9.!l.6.2)
AALV Below (90PF) YES DETENSIOH DYEs NCR
C 9. 8. 7. l) ADJACENT n:?IDON LIFTOFF REQUDED .// t:J . Tendon Ill ..Vlft_

I Notify Owner .tV//f :;endon 112 #//J *
'Z-(9.8.8.3) RESET 0 SHIH STACX HEIGH:r: iil.stack A{!A-*. 112 Staclc Aj/A-Z-(9.8.8.4) NEW ACTUAL LIFTOFF VALUE: :?f1= (9.8.8.5) Circled Stack iil -l Stack 112 -l A/' Actual l -:511:---- 2 == 2 3
FORCE (opposite end) ,,;/.6--FORCE (this end) M kips This Tendon -NEW AC'IU"°1L"AVERAGE LIFTOFF FORCE kips I (9.10) ADJACENT TENDON LIFTOFF I I (9.10.3) 01 Accept Unacceptable
....!!l!t...__ _.,. (9.10.3) 02 Accept IJjA Unacceptable owner__.,_,.._..__ Q.C. Review 7/, , Level Date 1-2-'J-1/L . ----I. Title .. . I I I LIFTOFF FORCE INSPECTION DOCUMENTATION PROJECT __ __..P. ....... ...... l-"'""l ..... ..... A ..... .... ----PSC PROCEDURE SQ 9.0 MONITOR TENDON FORCE QATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 SURVEILLANCE NO. 2.0+t\yg_
YEAR 'f2-. -V£412. TENDON END/BUTTRESS NO. FIEUJ '"TT UNIT .:I_ . 7 ---TENDO?l NO. ___ ____ _ (9.2) Concrete Temp. F. Ther::i. No. Recal Date Temi>. 32. F. Ther::i. No.PkYf Recal Date f:Z-9-a (9.4) of Effective Wires (From DS 8.0 -8.3.7.3) . .. ,... . (9.5.l) Ram 'ID '//?f( Recal Date :?rJB IWD Ram Area 1¥7.S?O K= -'*'IS1 *Gauge ID Mll..Y DAI 115(° Daily Check OK
Shim Stack Height Cl 02 Ruler 'ID l{/6 Recal Date Individual Shims: Stack Cl rr-z... I Stack fJ2 yr-i.-t41/J-'l-'IZ..
I filc9.7.2) Tendon Liftoff Overstress Force gy<;? kips Pressure (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) ** ., ** (9PF) !>-SI kips (95PF) 581 kips (PF) . 6/Z.. kips I I I (9.8.5.3)
3"777 psi 35' \S"'Opsi 7'/ '90 nsi ACTUAL LIFTOFF: Stack. f/l -. l /./(' 0 2 C/3L/0 3 '"IS1.0 ..* ;;: (9.8.6.3)
LIFTOFFS -See (9.8.6j and (9.8.6.l) REQUIRED LIFTOFF: PRESSURE *3980 to '//fO'psi .FORCE S"g/ to kips (9.8.6) Acceptable 0?m * ** : ._,_Jule.. I &.c9.8.6.l) AALV Beyond of (PFb 0No Notify Owner ye? &c9.!l.6.2) AALV Below (90PF) YES DE'!ENSION DYES o NCR No.'\/M-. * (9.8.7 .l) ADJACEN"! TENDON LIFTOfF REQUIRED Ue:J . Tendon ill N " .. I I I I I **-*-Notify Owner . Af'.4-Tendon 02 M "'7 (9.8.8.3) RESET"SHIH STACX. HEIGH:r: fJl 'stack N/('l . '/J2 Stack . fZ... ' (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack Ill -Stack 112 -i i; Actu]J! Ac!ual Average. FORCE (opposite end)
FORCE (this end) 1} kips. This 'Iendon -NEW Ac'IUAi'AVERAGE LIFTOFF FORCE kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) Cl Accept ---1-.:....,.__
Unacceptable NM * (9.10.3) #2 Accept Unacceptable Owner Q.C. Review ?/, , Level -rrt:* Date J-1-J'°9Z... Title .. -. 62 j!j, ; *:.' .\ ... ..
--*: ---**:*-.-"'*** -. . .. ..,,, ,... -:-.
.. *. *. I .. LIFTOFF. FORCE DOCUMENTATION PSC "PROCEDURE SQ 9.0 MONITOR TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 LfiRevision 1, 8-14-87 I I I I PROJECT wk ..........
SURVEILLANCE NO. _ __._!?. .... ..... ,.,i-......_ __ TENDON NO. //--JO END/BUTTRESS NO *. (9.2) Concrete* Temp. .?l? F. '!hem. No * .51'/JI Recal Date _.f_*.,..:l .... Temi>. f() F. '!hem. No.,fK.£.£ Recal Date f-J-f,tl_
(9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) fl)

C9.5.l) Ram ID Recal Date .&J.J(!iiz Ram Area /"fZ..:5PP K= -t.f.iL *Gauge ID °lt>.Rm£ Recal lkc'f lo !bit Daily Check UNIT__,_/
__ Q.C.Signof ll Shiln Stae:k Height Cl 11,.?.# '/J2 Ruler ID RI? Recal Date ,£;.lf'-7P.. .. Individual Shims: Stack Cl 1J!J'JtjiJJ; Jf.1 Stack tl2 1'.tf.:,1.J&1; J.;lt-f:l. I ,&c9. 7 .2) Tendon Liftoff Overstress Force l'.1/7 kips. Pressure .f?lf psi ,.fii./..g1-f:- CTendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) 1"?4 kips* (95PF) tl.J 'kips (PF) . kips . **
I I I .Jf/f psi. flet'f psi t.J.Yt psi -;... (9.8.5.3)
ACTUAL LIFTO*FF* (9.8.5.4)
circled Stack ill -* Stack tJ2 -l .J(,to Actual l ,,tfl& 2 t? 2 J5fp 2 izrt? 3 3 "J;)f() 3 mo Actual Average .Y:f,L? FORCE (opposite end) 111.i#-kips FORCE (this end) kips This Tendon -AC'!'UAL LIFTOFF FORCE kips h.J.Jl* f;t, '* tr2.Jf.f.t (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) REQUIRED LIFTOFF: PRESSURE. <t13f to f.Jl/(?°psi .FORCE to JJfkips (9 .8. 6) Acceptable ,rg]YES
ONO * :* . .-* *

r111,, 9 ,

I .&.c9.8.6.l)
AALV Beyond of (PFb 1;81No Hotify OWner .(A- &c9.!f.6.2) AALVBelow (90PF) YES [8'.fuo DETENSION DYES g}uo CR No.¢-: ' (9.8.7 .1) ADJACF:Nl: n:Ii!JOlll LIFTOfl' REQ11Il!Ell Al/} . Tendon Ill I Notify Owner f> Tendon 112 _ .J..J. .. C 9. 8. 8. 3) RESET SHIH STACK HEIGH:r: '1 Stack ¢ .. '/J2 S ac:k -I (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack Ill -i Stack 112 -i Actual i . 3. "I* 3 3
Actua Average

ljl#-FORCE (opposite end) u/'111-FORCE (this kips This Tendon -NEW ACTtJ°1L"A'VERAGE LIFTOFF FORCE 4f kips I I (9.10) ADJACENT TENDON LIFTOFF .. (9.10.3) :fJl Accept M__ Unacceptable * ()If,, M _____
___ N_o_t_if_y_o_wn_er ___ Q.C. Review )/. Level :ttt=* Date ..._. 1. Title /l!H. LA. I LIFTOFF FORCE INSPECTION DOCUMENTATION MONITOR TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 &_Revision 1, 8-.14-87 : ,.J .... --*
.. PROJEC'X __ _.'P ...... /\_\.._\_S_A._"P_E __ .5"""* -----SURVEILLANCE NO. YEAR 'fZ ---TENDON NO. TENDON END/BUTTRESS NO. Stto-P /-roP UNIT .:L I I I I ---. (9 .2) Concrete* Temp. F. Therm. No. SM-{:, Recal Date ct }31 Cf "C. Ambient Temi>. 5't F. Therm. ?lo. ptc;S"S"' Recal Date ct(3]9e.. (9.4) .AIIiount of Effective Wires (From DS 8.0 -8.3.7.3) qo ( 9. 5 .1) Ram ID 9\ '1 f Re cal Date Vb'B \SUD Ram Area_l ___ 6. Y.S7 *Gauge ID Fo1'>>ey,:t. Recal 1>A\l .. '( o>J rJSt: Daily Check Ol=-(9.6) Shim Stack Height ill J't.,c> i12 Ruler ID Recal Date 'i!i[z.Jt:t-z....

Individual Shims: stack ill
'tYz; 'tYz., I Stack tJ2 '1-Yz, 'fYz 1 'tYr:., I I &c9. 7 .2) Tendon Liftoff Overstress Force gfS""" lcips Pressure S?'to psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) 572. kips * (95PF) "03 kips (PF) . 63.S-kips I I I l j psi 'tl 2. 'l psi L\-3 't{, psi (9.8.5.3) ACTUAL LIFTOFF: . (9.8.5.4)
circled Stack '/Jl -* l 3'\00 Stack fl.2 ""." 1 0 Actual 1 504'0 2 '+/-'iOO 2 /oO 2 3 c** 3 o Actual Average 4"\
FORCE (opposite end) .v,M kips FORCE (this end) This Tendon -ACTUAL ifiRAGE LIFTOFF FORCE 72.'?i'" kips (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.1) . ,-REQUIRED LIFTOFF:. PRESSURE. '+lZ'\ to t.f3'//, 0 psi °FORCE p03 to b 35 kips (9.8.6) Acceptable '8Jn:s. 0110 * ** .. *
I &.c9.8.6.l)
AALV Beyond of (PF b gj"ris Orm llotify OWner 21.c9.fl .6 .2) AALV Below ( 90PF) n:s
DETENSIO?l On:s .gjNO NCR ?Io"?-'/A-eh2[1/q"z..

*.. ( 9. 8. 7 .1) AD.JACEN'X TENDON LIFTOfF REQUIRED llj() . Tendon #1
-I Notify Owner . A/a Tendon #2
3 1 2. (9.8.8.3)
RESET 0 SHIH STACX HEIGH:!: Di_ Stack -j'df '/12 Stack fdf-2-I I I I **----** (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: Stack '/Jl -1 ..L./d_ Stack IJ2 -1 2 i-3 3 M 1 Actual FORCE (opposite end) Al/A-FORCE (this end) _...._ kips '!his Tendon -NEW ACTUAL AVERAGE LIFTOFF FORCE kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) fl.l Accept (9.10.3) #2 Accept Owner IV'/A--° Tit.le .. * ' . *-.** . . :: .:-... * -.--. --** -I.:: __ :, __ ... **:***** ... -* -** -----------... PSC PROCEDU_RE:.SQ: 0 9*. a MONITOR TENDON fORCE QATA SHEET 9.0 I I I I MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 LIFTOFF FORCE INSPECTION DOCUMENTATION SURVEILLANCE NO. ___
YEAR 199.Jl
TENDON NO. ...,,,_V ...... 1 .... ,2_8..__ ___ _ TENDON END/BUTTRESS NO. SJ,y 1/t;o (9.2) Concrete*
Temp. 2? F. Therm. No * ..G&!/__ Recal Date f-.Z-f..:l Ambient Temi>. fL' F. Therm. Recal Date 9-3 *!;I.:. (9.4) AIIiount of Effective Wires (From DS 8.0 -8.3.7.3) (9.5.l) Ram D> 9/ 7? Recal Date iTt'J8 Ii.All> Ram
Gauge D> fivwu 5' Recal ttc . Daily Check .... 9. 6) Shi:m Stack Height fJl 164 1 fJ2 If./¥ Ruler ID Ra Recal Date
-Individual Shims: fJl I "" Stack '/12 dJ. f J/.&'1 , [." // "= T .. . :> ;; / .7 .) ? I ,&c9. 7 .2) Tendon Liftoff Overstress Force 2'"8' kips Pressure S75t:J psi e,ez/11/ljz. . . (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) ' 1 (9PF) .572. kips (95PF) 603 kips (PF) . 63S-kips I I I (9.8.5.3)
3 psi f DP3 psi psi l!JhbJt1 Z ACTUAL LIFTOFF: (9.8.5.4):circled Stack ill -l ¥20t1 Stack i12 -l § Actual l ¥' Z 0 2 'Yt" 2 '5 2 _!LS:!L!?
3 W20 3 8' . 3 Actual Average
j/"/,3 :'?!.i's.f.1' FORCE (opposite end) 3-kips FORCE (this end)
'W This Tendon -ACTUAL AVERAGE LIFTOFF FORCE (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l)
_,4," . REQUIRED LIFTOFF:*
PRESSURE* '/t:;?J to 9°J'/t)psi .FORCE {,.o'J to 63'Skips (9.8.6) Acceptable ONO * ** :* * * /, I &c9.8.6.l) AALV Beyond of (PF b §YES 0No Notify Owner >'ff IAJfz1t1Z. .&c9.fl .6 .2) AALV Below ( 90PF) YES
DE"!ENSIO?l On:s 18]No NCR No. Al/A-I I I I I ( 9. 8. 7. l) ADJ'ACEN'X TENDON LIFTOfF REQUIRED Al 0 . Tendon ill #ft Notify Owner . N/A Tendon iJ2 MJ#Z-C 9. 8. 8. 3) RESET 0 SHIH STACX HEIGH:r: ill . Stack . fJ2 Stack -f/d "3 2.... (9.8.8.4)
NEW ACTUAL LIFTOFF VALUE: Stack '/Jl -l N/A-Stack '/12 -l 2 ..V/A 3 . .,,;ltf . 3 , . I . Circled A1A Actual Average FORCE (opposite end) $ FORCE (this end) This Tendon -NEW ACTUAL AVERAGE LIFTOFF FORCE kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) ill Accept Unacceptable 11/A (9.10.3) fl.2 Accept If/. Unacceptable NM Notify Owner I Q.C. Review O".'fu Level -::;JJ;f;_* Date __ 0_-.... __ _ '!itle .. . I_ I I I I I --..... ----* ----->;'.:.:
... * ---.. ---: .. -* '*
SQ.9:0-. : .. MONITOR-TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1. Revision 0 1, 8-14-87 LIFTOFF FORCE INSPECTION DOCUMENTATION SURVEILLANCE NO.
.... TENDON' END/BUTTRESS NO. £p /Ty (9.8.5.3) _A_CTU_A_L_L_I_FT_O_FF_: . (9.8.5.4)
circled Stack fJl --l '@-$0 Stack ()2 -'/{) Actual l "J.'),T()
2 l{:J.3d 2 1J.8q 3 . . 3 wo ,, Actual Average
1,2./!p FORCE (opposite end) A//,# kips FORCE (this end) &3<?.4 kips this Tendon -ACTUAL LIFTOFF FORCE V.JIJ," kips )JJttJif.. I (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) REQUIEED LIFTOFF: PRESSURE. ,Y()f-' to fl/I .psi .FORCE to #?-kips (9.8.6) Acceptable gJYES. Duo * ** ..
I &C9.8.6.l)
AALV Beyond of (PFb !lotify OWner ,K/J L.b.C9. ff .6 .2) AALV Below ( 90PF) YES DETENSIO?l NO NCR Ho. n:/tf= : (9.8.7 .l) ADJACENT TENDON LIFTOFF REQUIRED 4/0 . Tendon ill A5P. 'ROGlllJV,trE I Notify Owner
lt(IJ!. Tendon 02 ,¢ * ( 9. 8. 8. 3) RESET SHIH STACK HEIGKX: ill . Staclc . '/12 Stack .... ....._ __ (9.8.8.4)
NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack 'IJl -l Nfl-Staclc iJ2 -l '¢P Actual l tr/JI 2 Njli 2 #A 2 "f// 3 . 'di/A :3 u,/11 3 \1J? Actual Average* l!j,lf FORCE (opposite end)' uHr . FORCE (this end)dlf kips This Tendon -HEW ACTU"'""Af'AVERAGE LIFTOFF FORCE .. &/tf 'kips I I I (9.10) ADJACENT TENDON LIFTOFF I (9.10.3) Dl Accept A/A (9.10.3) fl2 Accept t1/lt Unacceptable , *
Unacceptable Notify ewner
__ Q.C. Review Title /tt61". Gl,A .. '"]1L.
Date 'J ... 2..
L PSC PRO PE DURE -sQ _: 9 .-o_------ --_ MONITOR TENDON FORCE-. -OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 i!e I ' LIFTOFF FORCE INSPECTION DOCUMENTATION I I I I PROJECT ili SURVEILLANCE NO. d?t?jt/ YEAR /ff /l._ TENDON NO. :Z f,/jf TENDON END/BUTTRESS NO. 2'ye,/&.&qr UNIT / :::::
(9.5.l) Ram Recal Date41 J. JizJ, Ram Area 1'14 711£ K= *Gauge 'ID Rei;9l Date fJ./ .. , 0 UfE Daily Check OK tJ/U-IA,fe!L 0 ,1-11-r;.. '"!' Shim Height ill '* 9" tJ2 95" Ruler ID 1'17 Recal Date ?;LJ'*?f<. Individual Shims: Stack ill /Jflr; 't]!Jfli Stack tJ2 {)'vt;Jt;1;'11J':;. ... ?1l-I &c9. 7 .2) Tendon Liftoff Overstress Force ff2' kips Pressure $7:$/ psi .JJ4.f7,(-f;, (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) £zP< kips (95PF) 0/J.:J kips (PF) @.J5' kips I (9.8.5.3) I ,'ii/J psi f'()fj psi /f,3/0 psi ACTUAL LIFI'OFF: Stack ill --1 2 .YP'Ytl 3 I (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) REQUIRED LIFTOFF: PRESSURE l//Jf.3 to t'J/t?.psi .FORCE /,R9 to 6.?tf'kips (9.8.6) Acceptable Duo * :* ... *
I &c9.8.6.l)
AAJ..V Beyond of (PFb On:;; llotify OWner #1 j}JJJJ..!A*9t.. iri.C9.!l.6.2) AALV Below (90PF) YES .81:uo DETENSION No.,f{/t!-
( 9. 8. 7. l) ADJACF:NT n:NDON LIFTOFF REQUIRED Alt) Tendon #l _ .t; -?lotify Owner ->>t? Tendon 112 dd.3-T.t.*f

<. I (9.8.8.3)
RESET *SHIH sucx HEIGH:r: Qi. stack A/jA-. tJ2 stack #/f A.4 r-42-9.:;. I I (9.8.8.4) NEW ACTUAL LIFI'OFF VALUE: (9.8.8.5) Circled . Stack 01 -l A(/A-Stack tJ2 -l Al/Lt Actual l di 2 4?(A-2 #f 2 41/A 34f1:_. 3
-..., Actual Average -FORCE (opposite end) d.lf-FORCE (this end) kips This Tendon -NEW LIFTOFF FORCE kips I (9.10) ADJACENT TENDON LIFTOFF (9.10.3) 01 Accept
--11.lJ:__ (9 .10.3) 02 Accept __ff!/!!=-- Unacceptable ....;f14-Notify Owner /f4-I Q.C. Review Jf:/i: Level ;i:p::-* Date _ ........ __ Title .. . g .. ,a.. JU I I I I I I I I, I I I I I ---_----"--LIFTOFF FORCE INSPECTION DOCUMENTATION
PSC "PROCEDURE SQ 9.0 -MONITOR OATA SHEET 9.0 MAY 20, 1987

Page 1 of 1 Revision 0 1, 8-14-87 .. -. ----------------A. c.
PROJECT ----"--p ft;....=.t.. ..... I ...... )____ SURVEILLANCE NO. 20 YEAR '2.. ;; . /,4 TENDON NO. TENDON END/BUTTRESS NO. ,Ll311rr UNIT ..i;...;t.._* __ (9.2) Concrete Temp. '1.:0 F. Ther.::i. No. 511-C, Recal Date 9/3/trz. Ambient Temj>. W F. Ther:n. ?lo. Pt::'Y<? Recal Date (9.4) of Effective Wires (From DS 8.0 -8.3.7.3) (9.5.l) R.am ID 'fJ1'if Recal Date @8 eJJJ)_ Ram Area fj_7,S90 X=a -6.</S-J *Gauge ID fot4lt\i4 Recal Date j)ftn1 ONJiS* Daily Check OJ< (9.6) Shim Stack Height 01 1>*15' fJ2 b.95' Ruler ID R.lh Recal Date . Individual Shims: Stack ill ffe,, ; I Stack t/2 rz Yz l &c9. 7 .2) Tendon Liftoff overstress Force . '$t.M' kips Pressure 57qO psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) ( 9PF) , £72 ( 9 SPF) lzo2 (PF) . kips
psi 41'2..'1 psi psi (9.8.5.3)
ACTUAL LIFTOFF: . (9.8.5.4)
circled Stack fJl -l Stack 02 -l Actual l 'tOO 2 .2 0 2"3 3 3. . 3 Actual Average j1i!Jff-5' . FORC:: (opposite end) 6f?fkips FORCE (this end) kips This Tendon -AC'!UAL AVERAGE LL:""TOFF FORC:: (o'?lf, kips I

( 9
8

6

3) LIFTOFFS -See ( 9. 8

6) and ( 9

8

6

l) . / .., J REQUIRED LIFTOFF: PRESSURE 'ill, to '/3q6*psi
°FORCE 6b3 to kips Hf1{1:19Z-(9.8.6) Acceptable Otm * ** .*
IJt.?/,t.lei"2
.&.C9.8.6.l) AAJ..V Beyond of (PFb 0-.ris Notify .vfe .&.c9.!f.6.2) AALV Below (90PF) YES .DETE:HSION NCR ?lo. 4A-. (9.8.7 .1) ADJACENT TENDON' LIF'!OfF REQUIRED NO Tendon #1 ,tJ/ll ,ftp. ?lotify Owner
N'/,f Tendon 02 .VIA-* . 1 Z-(9.8. 8.3) RESET SHIH STACK HEIGH:r: 01 stack Al/A . 02 sta:ck #l(i it., Z.. I ; (9.8.8.4)
NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled stack Ill -. Stack 112 -41. . Actual
-* Actual Average* FORCE (opposite end) Al/'il FORCE (this end) kips. This Tendon -NEW LIFTOFF FORCE kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) fJl Accept Unacceptable ,/. (9.10.3) 02 Accept Unacceptable
?lotify Owner ,./fir I Title .
-: *,-
-=::* -.".:------:--. -. . *Psc->PRb1:'Eou-RE SQ--9,. 0 .. ** MONITOR JENDON FORCE-I 1 OATA SHEET 9;0 MAY 20, 1987
Page 1 of 1 .Revision O I----&,Revision 1, 8-14-87 I I I _.-LIFTOFF FORCE INSPECTION DOCUMENTATION' PROJECT Ci-1-al&r SURVEILLANCE NO. YEAR /d,6 TENDON NO. £?' ,#£ END/BUT!RESS NO.
ke .. tt" UNIT I . * / Q.C.Signof (9.2) Concrete Temp. 45 F. Them. No. JAf 1 Recal Date
:/J.d.!*1/.f,(.
Tem{>.
J.-7 F. Therm. Ho. &s.r Recal Date '?-$-;Al ..
(9.4) Amount of Effective Wires (From DS 8.0 -8.3.7 .3) 9/j (9.5.l) Ram ID e B.ecal Date Ram Area HJ?7&£ JC= -,{J'=Y'i" -Gauge IDJ1r Recal Date ,4 ?!ff: Daily Check C?k . v , I ( 9. 6) Shim Stack Height OJ. Z.f'.f Ruler ID .f'IY Recal Date £-.;?;-J'.12
Individual Shims: Stack iJl stack fl2 J I
7 .2) Tendon Liftoff Overstress Force /!fl' kips Pressure .;"'"Zf'/ psi Je_r..#--£!!:-/ (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) 1 (9PF) .£22-kips (95PF) kips (PF) . kips. I
37.!'..] psi -'4fJ psi £'.Y/ t? psi 11 -I I (9.8.5.3)
ACTUAL LIFTOFF: Stack tJl --1 2 3 'f!,l!J * * (9.8.5.4)
circled Stack fJ2 -Actual l £Ziil -2 '/7N' . Actual Average ?'7' FORCE (opposite end) 7/1 kips FORCE* (this end) frf..l kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE 7(),2 kips (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) . REQUIRED LIF'I.9.fF: -PRESSURE -if/t/ to .fijldpsi °FORCE i@ to #'°2-kips )11.11/-A'-t (9.8.6) Accept.able Duo * ** .. * *
I &c9.S.6.l)
AALV Beyond of (PF b gj"'ri:s 0No Notify Owner Jay--,t£ &c9.d.6.2) AALV Below (90PF) n:s 1'j:&o *DETENSIO?l On:s NCR ?lo... : ( 9. 8. 7 .l) ADJACEN'.r TENDON LIFTOfF REQUµED o/A -Tendon ill __ _ I I I I I Hotify Owner Tendon IJ2 J(/L.
Mff*}'_g (9.8.8.3)
RESET SHIH STACXHEIGl-rr: fll_Stack I.fl# .*, IJ2 Stack #); ).121,,_./.t:, (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack fJl -l
Stack iJ2 -l 1/4 Actual 1 .fl# 2 3 3

4fl.tl. 3 $-Ac tuai AVerage -FORCE (opposite end) A//#-FORCE (this end) tijRt= kips , This Tendon -NEW ACroAt"AVERAGE LIFTOFF FORCE Aj:ht kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) Dl Accept .Ll!Ji._ Unacceptable efJt. (9.10.3) iJ-2 Accept Unacceptable lff'A!= Notify Owner

Q.C. Review Level :rrt::. Date Title ..
I*--. -. -*.. --*-* .,,-* .* * .. . PSC PROCEDURE SQ 9.0 MONITOR TENDON FORCE I I I I I I I LIFTOFF FORCE INSPECTION DOCUMENTATION QATA SHEET 9.0 *
MAY 20, 1987

Page 1 of 1 Revision O &_Revision 1, 8-14-87 PROJECT _____ PA .... L ...... l....,S ..... /tr ...... 'P __ f_$ ___ _ sURVEILLANcE No. Zo 'lfiL TENDON NO. . /.A-FJtL1) burr J TENDON END/BUTTRESS NO. C 9. 2) Concrete*
Temp. 'It/ F. Ther:n. No. .S>f-f:> Recal Date !hVrZ. Ambient Temi>. S'o F. Therm. No. Plc'tf Recal Date (9.4) .Aniount of Effective Wires (From DS 8.0 -8.3.7.3) 9o (9.5.l) Ram ID i11!L Recal Date Jt>6 Ram Area_l..._,'i,_..?i-.S.,,,..C\....,0-K::r--&;>-'157
Gauge ID Recal Date D81l:f ON fJ$t Daily Check __..O __ fS...._ __ .C9.6) Shim Stack Height ill 1.(p tJ2 ID RI". Recal Individual Shims: Stack Cl z, I Stack il2 2, z, "Z_. Tendon Liftoff Overstress Force 8/'ir kips Pressure 57'f Opsi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) S1'2.: kips (95PF) toR kips (PF) . b?S-kips

3'\ l'\ psi -l\ '2.. psi 'fp '+/-Ce psi (9.8.5.3)
ACTUAL LIFTOFF: . .(9.8.5.4)
-circled stack ill -l Stac.'t f)2 -l

0 Actual 1 Ii . . .. 2 0 2 0 3* 0 . 3 C'.) Act;ual Average
--7to.g slr"'f 71 I FORCE (opposite end) pf.J kips FORCE (this end) I I ( kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE ?tJ :l., kips (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) REQUIRED LIFTOFF: PRESSURE. 't1-z.9 to 'l-3%psi °FORCE 6t>3 to f02?kips fl'.3li/i-Z-
j!f@f (9.8.6) Acceptable Omo * ** .. *
I £(9.8.6.l)
AAJ..V Beyond of (PFb . Omo Notify Owner mz . .&.c9.!f.6.2) AALV Below (90PF) YES *DETE?lSION OYEs QQNo NCR No."{flf C 9. 8. 7 .1) ADJACENT TEN'DOm LIFTOfF REQUIRED uj/f Tendon #1 ¢-1 At1. .J .;;-J-1. I I I I I Notify Owner
Tendon 112 11/tf (9.8.8.3)
RESET SHIH STACX HEIGKr: . ltft . "/12 Staclc 4:1t!
fllJ.J*ll*!.:2 . . (9.8.8.4)
NEW' ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack ill -; Stack f)2 -; _ Actual ; 3 4{/tf . . 3 . 3 Actual Average FORCE (opposite end) FORCE (this end) __, .......... '!his Tendon -NEW AC'IUlU. AVERAGE LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF C 9 .10. 3) ill Accept At/A Unacceptable '#+ * (9.10.3) iJ.2 Accept if//;? Unacceptable
¢ Notify OWner /(Ill: Q.C. Raview *71-. Z Level -:rJr:-* Date "3-p-? 2-Title .. .
I -.... 0 -* ,.. ** -* ***-. --. *--*-. PSC PFfrlCEDUR.E SQ 9. a*-.. :. MO Ni TOR* *TENDON FORCE. .. }..-,...,.. : I -:. ' LIFTOFF FORCE INSPECTION DOCUMENTATION OATA* SHEET .9.0 MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 I PROJECT
_______ _ SURVEILLANCE NO. _.._:?i_:a ....... g,.,..t ..... ,___ __ TENDON NO
TENDON' END/BUTTRESS NO. r'>Jy 1 hrevzr UNIT -'"-/ __ I (9.2) Concrete*
Temp. ,fS F. Ther:11. No * .51fa/ Recal Date 2-.?*/.2. . Q a Ambient Temi>. Af F. Therm. No. n5f Recal Date f-.J=.J.f.. I (9.4) .Aniount of Effective Wires (From DS 8.3.7.3) '}() * .. * (9.5.l) Ram ID 9£29 Recal Date 6J Ram Area /ff& 7¥1 K= -/. f'f'/ , .. * *Gauge 'ID Fuv.ev.)Recal th;l!J ,. 14_, Daily Check I Shim StaC;k Height ill (,,? i12 'ID 1(17 Recal Date 'Individual Shims: Stack Ul 1} "4:, (J fl' Stack '/12 1;' 'l};t.'
I .&.c 9. 7 .2) Tendon Liftoff Overstress Force ,,f'fft kips Pressure 67J"/ psi )fi.:;tt1J... (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) I I I (9.8.5.3) ( 9PF) kips ( 9 SPF) kips (PF) e.35' kips .5?? .3 psi @f.3 psi psi ACTUAL LIFTOFF: stack ill -l -fhl 2 1f'ld 3 Stack i12 -; Actual l * * (9.8.5.4) . 2 3 . . 3 w-o Actual Average ff. FORCE (opposite end) kips FORCE (this end) {Jf kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE 6 kips (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l)
,,. , IJ/J., u/') *

REQU'IRED LIFTOFF:*
PRESSURE* fPf..J to f.L/tfpsi
FORCE V)1 to 6'1b kips (9.8.6) Acceptable OO'YES. ONO * **

I &.c9.S.6.l)
AALV Beyond R°of (PFb
NNo Notify Owner .&c9.Q.6.2)
AALV Below ( 90PF) YES DE'!ENSI0?1 On:s Jl!J-* : ( 9. 8. 7. l) ADJACENT TEUDO?il LIFTOIT Qt+ . Tendon #l ,,....,.-jm; I I I I I . Notify Owner Tendon 112 r * * *"' (9.8.8.3) RES:r SHIH STACXHEIGH:r: fJ
. il2 Afllf= .. u (9.8.8.4)
NEW ACTUAL LIFTOFF VALUE: * .IA_ (9.8.8.5) Circled Stack Ill -; Stack 112 -; /tL Actual ; if/if . 3 3 .. 3 . Actua! Average
FORCE (opposite hfk FORCE (this end)
This Tendon -NElJ LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF (9.10.3) ill Accept u!I? ... Unacceptable .N/tt._ KIL (9.10.3) 02 Accept --11,/it:.-- Notify Q.C. Review Level ;m;_-Data 1-<..>-?:z... Title .. -. 1-< .. __-PSC S(t :9 :o *_. . Ai.ei+: -. I .. . LIFTOFF. FORCE INSPECTION DOCUMENTATION MONITOR TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision O &_Revision 1, 8-14-87 I I I I PROJECT ___
52A* SURVEILLANCE NO. _ ...... ..... YJZ-.:..,,*- /, A FJELJ> 61JfT , TENDON NO. TENDON END/BUTTRESS NO. C 9
2) Concrete.
Temp. SO F. Therm. No. SX. -&., Re cal Date 'Z.. TemP-S9 F. Therm. No. Recal Date "3 qc:... (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) (9.5.1) Ram ID Cf Recal Date n'B @'P Ram Area-l'f..-7-.s<f,__..,.._O __ K= __ ,.'f57 *Gauge ID 'F$tJe'( .:1._ Recal Date t>#lJL'/ o>J USC Daily Check _,t:>""'k......._ __ _ .(9.6) Shim Stack Height ill G.'1 fl2 ,.t:j Ruler ID 'Rib Recal Date Cl'Z... I.ndividual Shims: stack fl1 Stack '/i2 _Yz. 1/ 1/e: l A . . . 3\S"IC\L 7'2.0 l l ..r,.l I fil(9. 7 .2) Tendon Liftoff Overstress Force l )f lCips Pressure 51,0-psi 3 > (Tendon Overstress shall not exceed 848 kips. for a 90 wire tendon.) * (9PF) (95PF) (e,t>'?kips (PF) kips e.) ._2.. I * "\\Zc:i psi 't31P psi t.. I I (9.8.5.3) ACTUAL LIFTOFF: Stack ill -* l . 3 'iZ'GO * (9.8.5.4)
circled Stack fJ2 -l
Actual l Lf Z'Z.0 2 z 3

Z .

3 'f?.W . Actua verage '4 ..... 'Z_...5.....,3
__ _ FORCE (opposite end) 7/t-kips FORCE (this end)* t,2 l kips 'Ihis Tendon -ACTUAL AVERAGE LIFTOFF FORCE !U,l,0-kips jla-11,,U (9.8.6.3) LIFTOFFS -See (9.8.6j and (9.8.6.1) .--
REQUIRED LIFTOFF:*
PRESSURE to 'i'3'i,.psi °FORCE 'o3 to b3S kips ! (9.8.6) Acceptable gJn:s .. Duo * ** ... . *
I I &.c9.8.6.1)
AALV Beyond of (PFb O"ris QQNo Notify OWner .UM .&.c9.d.6.2) AALV Below (90PF) YES DETENSION On:s.
C 9. 8. 7 .1) ADJACENT TENDON LIFTOFF REQUIRED NO Tendon ill If# I I Notify Owner -Alftt Tendon 112 "f'J * (9.8.8.3)
RESET SHIH STACX HEIGH:!: ill Stack . 112 Stack ijU-: I I I I .____. (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Circled Stack '/il -1 A//4 Stack 112 -l Jt/A= Actual 1 ,4{11= 2 ¥-" 2 3 tJ1i" . 3 3 Ac tua Average* FORCE (opposite end) .A/M FORCE (this end) 'Ihis Tendon -NElJ LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF (9.10.3) 01 Accept * (9.10.3) 02 Accept Unacceptable Notify Owner Hf/'/!-' Q.C. Review ?f. Level ::ar:--Date 2.. Title .. -:;" * -. -. :-.-. M.
.. -.. 1*--PSC PROCEDURE SQ MONITOR TENDON FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 LIFTOFF FORCE INSPECTION DOCUMENTATION PROJECT . SURVEILLANCE NO. )l!J#,., YEAR If f4 'IE:NDON NO. $/) TENDON END/BUTTRESS NO. 5Ap ,QJ.Rv7T WIT _/....__ I .
Q.C.Signof _ (9.2) Concrete* Therm. No.5!1_L Recal Date /*39';; f*!//.i. Ambient Temp. :51) F. Therm. Recal Date
(l. -U (9.4) .Aniount of Effective Wires (From DS 8 0 -8.3.7.3) w* I (9.5.l) Ram ID f/79 Recal Date G&J;/Jd, Ram Area ff7,//$' K=-J,7.Yft *Gauge ID &w-0' £ Recal Date U'ff ¢ l!tt:< Daily Check ,ZK I Shim stack Height ill P il2 f "Ruler ID f;z Recal Date 3--'J.-!J.
Individual Shims: Stack ill fi1i" 1!', Stack f/2 YJ'
RH/tf :;_,, ../ . I &c 9. 7 .2) Tendon Liftoff Overstress Force Yf't kips Pressure 375 (psi h->-f,/J..

(Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) g (9PF) 1?.2 kips (95PF) . kips (PF) 1.5V kips r_f. I .}i8 psi psi psi . -/!.. I I (9.8.5.3)
ACTUAL LIFTOFF: Stack fJl -l t'!o/C 2 fl£2r7 3 ff.tll (9.8.5.4)
circled stac.'c fJ2 -1 !'111 Actual l 1'?/f',1 .2 tf!{Yf 2 (lf'.J() 3 . flf.21/ 3 Actual Average "Y#
FORCE (opposite end) kips FORCE (this end) &f.t kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE {,{:(._, kips !P-tfl r f/:i*eflt (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) REQUIRED LIFTOFF:" PRESSURE f'tJ?3 to f___.3//J"psi °FORCE if_J to kips (9.8.6) Acceptable )8Jn:s. ONO * :* ... * * /J/I., I &c9.8.6.l) AALV Beyond of (PFb 0No Notify OWner ,$ . hh .&.c9.fl.6.2) AALV Below (90PF) YES ZJNo DE'!ENSION OYEs NCR
I I 1* I 1. (9.8.7.1)
ADJACENT :rDlDO!l LIFTOFF REQUIX£D,&i7 . Notify Owner 1f_ltf Tendon 112 A!J * * (9.8.8.3) RESET SHIH STACK HEIGH:r: fJ Stack "f/J/-: .. 112 S Ck ,tt#--* * (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: 4--(9.8.li.5) Stack 111 -'Ii Stack 112 - Actual Average FORCE (opposite end) J///J-FORCE (this end) '!his Tendon -NEW LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF (9.10.3) Dl Accept Unacceptable (9.10.3) fl2 Accept -'1fllL-Unacceptable '4/IJ--Notify Owner .tf/Lf-Q.C. Review Date J-1-J-'lz.. Iitle .. - ---: . *-*: -..... . . -:---* I I . -. LIFTOFF FORCE INSPECTION DOCUMENTATION PSC PROCEDURE: SQ-_-9 0 MONITOR QATA SHEET 9.-0 MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 I I I I PROJECT ___ P_A;:..;,;L"'"""l
... SURVEILLANCE NO. YEAR 'fz. TENDON END/BUTTRESS NO. /ss,,rr UNIT .:L 7 TENDON NO. (9.2) Concrete* Temp. '\" F. Therm. No. SM*" Recal Date Cl\l!i,C\'2-Ambient Temi>. F. Therm. No. Pt. 'If Recal Date C\fj;{,'?.. (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7 .3) "\0 * (9.5.l) R.am ID 'tl7! Recal Date ;ToB E..UJ> Ram Area 1'17,0f'O X= -4.'157 *Gauge 'ID ii'FNE'f2L Recal Date 1>Alt.Y pAJ VS* Daily Check QI;. (9.6) Shim Stack Height ill S.S' i12 Ruler ID Recal Date
Individual Shims: stack ill I , Lf J-z.1

Stack il2 I t 'f '/;. ' 'l"?/ I i 1.&.(9.7.2)
Tendon Liftoff Overstress Force kips Pressure 5ict Cl psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) -I I I (9.8.5.3) ( 9PF) kips ( 9 SPF) 6(')3 kips * (PF) . '3>' kips
3'l 1'1 psi 'f l't.'\ psi 'i'3't' psi ACTUAL LIFTOFF: stack -Ol -. l 4"tCf o 2 3 'f'ti'O * (9.8.5.4)
circled Stack 02 -1.0 Actual 1 9400 2 o_ . 2 Cf.Woo 3 'f . 3 lf%0 Actual Average SJ!y,5'2.
FORCE (opposite end) 6$"'3 kips FORCE (this end) 'S""?-kips . This Tendon -ACTUAL AVERAGE LIFTOFF FORCE kips &,53 (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) ./ L't.lult1t., REQUIRED LIFTOFF:* PRESSURE. &\tZ,.'\ to 'l'3tJb"psi °FORCE '03 kips (9.8.6) Acceptable Duo * ** .. * * { I £(9.8.6 .l) AALV Beyond of (PF b l8f No Notify Owner JJ"' ";J/J>i .&.C9.!f .6.2) AALV Below ( 90PF) YES t8J'No DE'!ENSIO?l Dn:s o NCR : ' (9.8.7 .l) AD.JACEN'X TENDON LIFTOfF tJ0 Tendon #1 Pi -I Notify Owner
t!J]J.._ Tendon #2 tJ ; C\"2--( 9. 8. 8. 3) RESET .SHIH STACX HEIGH:r: ill Stack >>//t #2 Stack 'l-Z......--. r . (9.8.8.4)
NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) --=--Stack #1 -i Stack #2 -i l Actual ; _..,._.,_ 3 j M 3 # Actual Average * .v. FORCE (opposite end) FORCE (this
This Tendon -NEW ACTUAL AVERAGE LIFTOFF FORCE . kips (9.10) ADJACENT TENDON LIFTOFF (9.10.3) #1 Accept Unaccepfable (9.10.3) 02 Accept Unacceptable Owner
-... ___.-* Q.C. Review ?i* 7;' ... Level -:::rir:"
Data ?-l..J-?°Z..
I Title .. - . ,,.. *--*. . .--: ""*** -* -. -**. .*-. ---** ";,::_ -:;-* ----* .-. I --I ' LIFTOFF FORCE INSPECTION DOCUMENTATION -f:>sc-P-ROCEOURE SQ 9. 0 MONITOR lENOON FORCE OATA SHEET MAY 20, 1987
Page 1 of 1 -Revision O 1, 8-14-87 I PROJECT
... _______ _ SURVEILLANCE NO. YEAR ,/Pfd._ TENDON NO. 71)/)F
TENDON END/BUTJ:RESS NO

I I (9.2) Concrete*
Temp. F. Therm. No * ..Slf-1 Recal Date ..... __ _ Tem!J. Jft F.* Therm. No. !'J<sr'" Recal Date f .. .J-9.;2 * (9.4) Amount of Effective Wires (From DS -8.3.7.3) 9 (9.5.1) Ram ID '!JZ9 Recal Date Ram . *Gauge 'ID Nw&Y I Recal D,:ite 1J.rbln fls,,-c Daily Check _.fl ........ zt __ _ I Shi:m Stae:k Height Cl .5:15 "i12 a.t5""Ruler ID /ftZ Recal Date 3-tatf-20?.... .. :l..*111-U Individual Shims: Stack Cl b;,* 9'#/' Stack C2 t_; 7 I-&.c9.7.2) Tendon Liftoff Overstress Force Cjfl kips Pressure S"i.f'/ psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) tiJ (9PF) kips (95PF) kips (PF) . (e;??kips -$?'1? psi JfQ!J psi * .,.,..91 O psi 91 I (9.8.5.3) ACTUAL LIFTOFF: . (9.8.5.4) ".Circled
Stack tJl --1 Stack 'fJ2 -l al Actual l 'f;"?t? _ 2 2 . 2 fVIJ 3 'fll.D 3 -3 'fPtJ I--_ -_ Actual Average "!?fP.7 JM,.g .. 3-fj, I I .... I I I I I FORCE (opposite end) g 7..2... kips FORCE (this end) 1.e..21_ kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.l) CJ/J
REQUIRE:D LIFTOFF:*
PRESSURE 1'P,V to 'f!/t/psi °FORCE kOJ to dJ?kips_ (9.8.6) Acceptable f:J:YES. Duo * -** .. -* fJ * £C9.8.6.l) AALV Beyond 6'%. of -(PF b Notify OWner jJ//l-.1//.J. ,,J?-J-/.. .&.c.9.11.6.2) J.ALV Below (90PF) YES J8No DETENSION Dn:s
(9.8.7.l)
ADJACENT TENDON LIFTOFF REQUIRED*. Tendon #l Notify Owner * # Tendon i/2 ... zi (9 .8.8.3) RESET -SHIH STACK HEIGHX: iJ'ftStack ¥Jt _ iJ2 Sta r * --9:J. ( 9. 8. 8. 4) i; Stack ill -i-Staclc fJ2 -i _ 3 -3 * ---Actual: Average _-FORCE (opposite end) u/H-FORCE (this end) .u.r."-. This !endon -AC'!U""AL'"iVERAGE LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF (9.10.3) ill ./ (9.10.3) 02 Accept owner Aj(A !itla .* -J/JJ-J-£ -. ,,--- .... --. -------**---*'-*-I ***.*. PSC *PROCEDURE' SQ 9. b *** I **.. LIFTOFF. FORCE INSPECTION DOCUMENTATION .MONITOR FORCE OATA SHEET 9.0 MAY 20, 1987
Page 1 of 1 I\ Revision O 1, 8-14-87 I I I I PROJECT ....

SURVEILLANCE NO. ...... d.-!l'J,....<'--*

---. YEAR ,/ff.l END/BUTTRESS NO. 8,,,,-TENDON NO. ZtJ PE WIT_/ __ (9.2) Concrete* Temp. 11 F. Therm. No * ..$-& .Y Recal Date f-:?-µ Ambient Temi>. a(, F. Therm. No * .f'KS".S-Recal Date (9.4) Aniount of Effective Wires (From DS 8.0 -8.3.7.3) ftl (9.5.l) Ram ID W Recal Date&.IJTeJ Ram Area_/..._'f' __ Z: ___ z_@_,7.,,__X= __ /.,t'f" *Gauge ID Daily Check Q.C.Signof -'flff . u M.?2-J:I. 11 I !9.6) Shim Height Cl (,.r i12 (,.I Ruler ID !(.le Recal
Individual Shims: Stack ill* '1 J/' I "'

Stack iJ2 .Y I "f Y.z . --/2, ?7 > ';;;; I 7 .2) Tendon Liftoff Overstress Force lj3' kips Pressure 57$/ psi j}JJ.j,!,,t. (Tendon Overstress shall not exceed 848 kips for a 90 wire tend.s.n.)
/131 (9PF) Otfl kips . (95PF) VIL kips (PF).
U..l.:Z kips . .J* ::2< I *

15'"3 psi * ** psi @P psi I. --(9.8.5.3)
ACTUAL LIFTOFF: . . * (9.8.5.4)
circled I. I Stack iJl -* l "flld Stack ()2 -l 5-. Actual l ?'P.Jd 2 9'8'2 2 . 2 f??# 3 #5 .ff/) . . 3 . .
Actual Average t'? ..3 7

FORCE (opposite end) ,4Zf_ kips FORCE (this end) kips This Tendon -ACTUAL AVERAGE LL"l:'TDFF FORCE U 7/, S kips JJJ.;,*} .. (9.8.6.3)
LIFTOFFS -See (9.8.6j and (9.8.6.l) IYN . REQUIRED LIFTOFF:* PRESSURE. 'ftJf.J to fJJ,{psi °FORCE e#.J to ,ll/J-2-ft.:f.. (9.8.6) Acceptable 0No * :* ... * * . /
I L!J.C9.8.6.l)
AALV Beyond of (PF b ?lotify OWner 41/J jd .t-J-1:<. .&..c9.lf.6
. 2) AALV Below (90PF) YES f!!No DETENSIOH On:s NCR
( 9. 8. 7. l) ADJACENT TENDON' LIFTOFF REQtmi.ED
&/d . Tendon #1 Oq I I I Notify Owner 1f1,f-Tendon 112 * '(3-/-µ. (9.8.8.3) RESET "SHIH STACX HEIGH:r: l Stack ,4j/r . '/12 StaCk f!#' .$--7--22. (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: (9.8.8.5) Stack Ill -l l Stack '/12 -l Actual 1 2_ 2 . ,. 3 3' 3oHIJ;.....__
Actual Average

__ FORCE (opposite end) FORCE (this end) This
-NEW ACTU AVERAGE LIFTOFF FORCE . jd..l.:J'-J!< I (9.10) ADJACENT TENDON LIFTOFF (9.10.3) Ill Accept (9.10.3) 112 Notify Owner I Q.C. Review Level -=or:-Data )-Z.3-7>'2-Title *,., , ..... I I I -, . -::-.--* -**-LIFTOFF FORCE INSPECTION DOCUMENTATION . .. ; . .. -. PSC PROCEOURE_--SQ. 0 MONITOR TENOON:FORCE OATA SHEET 9.0 MAY 20, 1987 -Page 1 of 1 A Revision 0 l, 8-14-87 SURVEILLANCE NO. ,,2,1} I"" YEAR I Ria PROJECT ,Bt:s./.£? TENDON NO. 77BF END/BUTXRESS NO. UNIT I . . (9.2) Concrete* Temp. J& F. Them. Jlo * .5/f*'/' l!ecal Date -p: * . - Temf>. F. Therm. No.PK5f Recal
-(9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) ? *. .Jr* (9.5.l) Ram ID IJ/7f Recal Date &J.J.iiz' Ram Area 197; £/,3 IC= -J,L¥'1 A I ID EieN#,t' / Recal Di!ote
?Ge-Daily Check U * - Shim Height tll (a . 12 t" zruler ID .f/Z f-,lf-?.2 'Individual Shims: Stack Cl I J ;, %'& Stack 02 {, 1 Ji..) Y* I .&_cg. 7 .2) Tendon Liftoff Overstress Force 2i'F kips Pressure .57.f'/ psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) (9PF) 57!' kips (95PF) 403 kips (PF) . &3ti,. kips. I I I 381'.J psi .Y/Jf;L psi -1.110 psi (9.8.5.3) ACTUAL LIFTOFF: . * (9.8.5.4)
circled Stack tll -l /II j"f1 Stack iJ2 -l Actual l fl?v 2 ..!!JiL_ 2 . 2 111m 3 _!fLfii_ 3 . . 3 :£5'3 9t7 -Actual Average FORCE (opposite end)* j,J/ kips FORCE (this end)-s' kips This* Tendon -ACTUAL AVERAGE LIFTOFF FORCE IL ¥'4? kips (9.8.6.3)
LIFTOFFS -See (9.8.6) and (9.8.6.1) REQUIRED LIFTOFF:* PRESSURE** ff!J to "/:J/dpsi
FORCE M.2 to kips ti.:?;J?-::
(9.8.6) Acceptable Duo * :*. / * * '11r. I &c9.8.6.l) AALV Beyond of (PF b 0 [Xlmo Notify ewner J//,;/-}tt..t:J* .&c9.ll.6.2) AALV Below (90PF) YES jENo DE'!ENSION OYEs
' (9.8.7.l)
ADJ'ACENT TENDON LIFTOFF ,Ait2 . Tendon #l I ?lotify Owner Tendon 02 * --(9.8.8.3) RESET 0 SHIH S'!ACX HEIGH:r: l Stack flt . '/12 S ck I I I . ----I . . (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: . (9.8.8.5) Stack Ill. -i ffe Stack 112 -i ,pl' Actual i 4f'l!i._ - Actual Average
FORCE (opposite end) ///H FORCE (this end) '!his Tendon -NEW LIFTOFF FORCE (9.10) ADJACENT TENDON LIFTOFF (9.10.3) Dl Accept Unacceptable (9.10.3) 02 Accept ....!tfd:t-Unacceptable Notify Owner !{,/¢.____, Q.C. Review #'it Level ":JI/::'

Date 3-2-3-9 2-Title .* -lb# .JJJ$-£
--*-*-* -*-:* I------.\ -LIFTOFF FORCE INSPECTION DOCUMENTATION __ : **< .--. ---: -*.: -- pRo¢EDURE SQ 9": a
MONITOR -TENDON -FORCE OATA SHEET 9.0 MAY 20, -1987

Page 1 of 1 Revision O 1, 8-14-87 PROJECT __ __,P.._.l'
..... l._.l._.S .... A...,P._ES_......____ SURVEILLANCE NO. "l.O Y g.. 'YEAR _'f_Z __ TENDON NO. ____ 7 ..... 7 ...... B ....... F___ TENDON END/BUTTRESS NO. Fae-U>/s BOJym:r i.. . . I I (9.2) Concrete* Temp. 2.t'. F. Therm. No. SM*P Recal Date q\3\qz.
92.
Temf>. '32 F. Therm. No. Pl<'f$ Recal Date C\\j\'l?;. .9'Z.. I I (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) ?() '2. (9.5.l) Ram ID Recal Date \ro& ENQ Ram Area iy_7-:> 'Id IC= -6.'/SZ 9J z *Gauge ID Recal DA\L'f Ou U!>e Daily Check ol<:. .6) Shim StaC:k Height Ill b. 7!} iJ2 b.1 Ruler ID R\Ce Recal Date '&\:z.g\9? qz. Individual Shims: Stack ill l, (, Stack t/2 Y Ft, l, 1.'t'/'2-Z:..
I &,c 7 .2) Tendon Liftoff Overstress Force kips 57'10 psi (Tendon Overstress shall not exceed 848 kips for a 90 wire tendon.) * (9PF) .[72.kips (95PF) 603 kips (PF) . '73£kips _

JfJ'.-uJ psi -'f/3 0 psi '13 y""?; psi <-I (9.8_.5.3)
ACTUAL LIFTOFF: IE (9.8.5.4):circled Stack 'ill --l i/JDO stack tJ2 -l Actual l 2 -3 3 . 3 t/320 -Actual Average rtz.o ,3 / FORCE (opposite end) 6'19 kips FORCE (this end)3/ kips This Tendon -ACTUAL AVERAGE LIFTOFF FORCE d fO kips I I (9.8.6.3) LIFTOFFS -See (9.8.6) and (9.8.6.l) _ . ,,,,,.-.. /.,el., . REQUIRED LIFTOFF:* PRESSURE *lf/-3 0 to f'$fk,"psi °FORCE "o3 ta63.::, kips (9.8.6) Acceptable 18YES. Owo * ** .**
t?.h_r/c I &c9.8.6.l)
AALV Beyond of (PFb O"ris Notify OWner Al/A' &c9.el.6.2) AALV Below ( 90PF) YES
DETENSION On:s 8}?lo ?lCR ?lo.Nl/J.

.... C 9. 8. 7 .1) ADJ'ACEN'X n:NDO?l LIFTOFF P ()

Tendon ill
' 1-Notify Owner . _.,M__ Tendon iJ2 ..fiii7 el_ 9<! (9.8.8.3) RESET SHIH STACX HEIGH:r: IJi _Stack -.. 112 Stack 3 IJ 2.. I I (9.8.8.4) NEW ACTUAL LIFTOFF VALUE: . -(9.8.8.5)
s_tack tJl -i 112 -i

Actual i :::: .... _--. 3 #/If= 3 3 IT'"l,._...._
> Actual Average FORCE (opposite end) kips FORCE (this end) kips This Tendon -NEW ACTUAL AvERAGE LIFTOFF FORCE* kips I (9.10) ADJACENT TENDON LIFTOFF . -. ' (9 .10.3) fJ.l Accept Unacceptable . N'l;f. (9.10.3) C2 Unacceptable -4fi:.-?lotify owner /' Q.C. Review 7./-.. 17:: Level -:rrc * -Date 2-I '!it.le .. . I I I I I I I I I I I I I I I -----. , .. --._ .-* ___ *_ :.--. -,-.. -* ... . .
. __ WIRE REMOVAL INSPECTION DOCUMENTATION
.. -.-:** *---** ---.. ----* PSC PROCEDURE SQ _ _10 .--2: TEST WIRE REMOVAL DAT:A SHEET 10. 2. MAY 20, 1987 Page 1 of 1 Revision 0 JJ .. -.. . :tf 2..0' SURVEILLANCE NO. YEAR /ff f<. . TENDON NO. :{Jd. -,,¥ .3 TENDON END/BUTTRESS -?J.p ff&,;UNI:r I ---'----DATE OF OF INSPECTION INSPECTED BY (7.5.4.3.l) LENGTH OF WIRE /,:}t, / . . (7.5.4.1.1) & (7.5.4.4.3) B H END 0 A I A 70 A A 140 I I .. I 210 I 280 I 350 I I I. 420 490 I 560 I 630 I 700 I A I I 3 11 A 210 I 280 I 350 *I 420 I 490 560 I '630 I 700 770 Remember to add the 1 inch for the marked line to the length of the wire. If the samples are removed, mark the location of removal here and on DS 10.3. . . . Device I.D. Jf..IZ Recal Date f..J-f-2. Wire Pulling Ram I.D. tf/4 Recal Date 11(/£1-... CORROSION CONDITION (Refer SQ 8.1) B =GOOD . . . c = FAIR
Document the Corrosion for each A = EXCELLENT
] , D = USABLE 10 foot segment. E = REJECTED (Pitted) ( 7
5-pdjt ihJ of wire removal to DS 8.0 f)J.3-;;?-J/2.
... Yu ,
Q.C. Review 'title _Jf,_,
__ "__... __ . _. __ Level 1lJ:; Date ] , 2. :3 r9' L
fflti-tl,, Q,IJ. ,
I I I I I I I I I WIRE TEST DOCUMENTATION _PROJECT '1215J"k<' PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10.3 MAY 20, 1987 Page 1 of 1 Revision O SURVEILLANCE NO. if t2y Y-=.AR /f?,2 TENDON NO. . ( Q.C. SIG!lCFF __ 4 TENDON END/BUTTRESS NO. SJy 1/.E8vff UNIT ___./.___ 'IITLE &7,1 Zyu:d<< @s/.ll DATE __._.. t'-*-7-....- .....,f :J.=---(8.1.4) Wire ID and Location of removal . Saayz/,o, / #.o't*A9 Length /&1.?,Y (8.2.1) Wire Diameters: Tag End Middle Ram End Avg. 'Measuring Device ID 12.C.!9 Recal Date l*/.9*f.2 (8.3.2.1) Buttonhead Inspection: Tag End _ Ram End _. _/;, __ (8. 4. l) Gauge Length of Wire 11 ' Measuring Device ID /(/ 7 (8.6 .1) Preload force or pressure Gauge ID /{BNRY £ ( 8. 7. l) Force reduced* to 0 &J<. Recal Date NJ-fa,2. Recal Date (8.8.1) Initial load of wire in force or pressure Y,Zt1t.t1 elongation) (8.9.1) Preset Dial Indicator '&K elongation) Indicator IDEEC/J./ Recal Date (8.10.1) Force at elongation J,?,&b kips; Pressure k£2{) psi (8.11.1) "Rule" reading measurement at elongation _--4.1. ... :$ ........... -f __ _ (8.12.l) Maximum elongation at failure, from*_'.'Rule" reading* /1,,5" (8.12.2) Maximum force at failure kips; Pressure il/JtJ psi (8.13.l) Type.of break Location of break ft" BAM £.a; I ( 8 .14) CALCULATIONS: I I I (1) Ultimate Stress ... (2) Yield Stress at elongation
//j--; 6'"! 7 Max.Force_
Force @ * ( 7(Diam. 27 4) ( Tf Diam. 2 7 4) (3) Percent elongation at failure i / 1 +( .. Rule"Dim @ Failure -"Rule .. Di=n @ (9) sample: Accept _,X.._. __ Unacceptable __ _ Engr. ?lotif ied tr;!tt Q.C. Review Level Jir. Data __ ;3_,z._J_,.?_z.... __ _ /ntftt .. b'?.,t) } I !e I PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10. 3 I I I I I MAY 20, 1987 Page 1 of 1 Revision 0 SURVEILLANCE NO. WIRE TEST DOCUMENTATION . w/54b-1 TENDON NO. OJ Q.C.
LL & TENDON END/BUTTRESS NO. b9/,ry/£8n r[ UNIT_/,____
TITLE 6!/' 4teeuu l.£v1CL.]£ DATE _.1 __ -.J;z_-.... £.to=;::-.._ (8.1.4) Wire ID and Location of removal . :l 49' Length ->',/i_;a_'ff ___ _ (8.2.l) Wire Diameters: Tag End * ..JS'/ Middle --:25'/ .Ram End .:25"1 Avg *. Measuring Device ID &.t!f Recal Date r/...3-fc2 (8.3.2.l) Buttonhead Inspection: Tag End _ __ Ram End _ ..... 12 ............ K.__ ____ _ * (8. 4. l) Gauge Length of Wire Measuring Devic:e ID R/2 Recal Date I (8.6.l) Preload force or pressure Pressure Gauge ID li@er.r Recal Date :/Jc;lfh/J.:re-- I I I I I I I I (8. 7. l) Force reduced to 0 tJK (8.8.l) Initial load of wire in forc:e or pressure __ __ elongation) (8.9.1) Preset Dial Indicator elongation) Indicator Recal Date (8.10.l) Force at elongation kips; Pressure psi (8 .11. l) "Rule'" reading measurement at elongation _ _.1,....3 .... (8.12.l) Maximum elongation at failure, from* reading .......,l_Z_,_(J __ __ (8.12.2) Maximum force at failure /!), 71 kips; Pressure f/W psi (8.13.l) Type. of break ,)2,&h, Location of break f'..y_. .Ran= £J. (8.14) CALCULATIONS: (1) Ultimate Stress ... ..... 1__ Max. Forc:e (2) Yield Stress at elongation SJ?? Force @ * < ( JTD!.am.2 74) (3) Percent elongation at failure r-: 7 l +("Rule .. Di.m @ Failure -"Rule .. Di.m @ 14::.) (9) Sample: Ac:cept ....,,._,X......__ Unacceptable __ _ Engr. Notified A{k---. Q.C. Review Date __ J_-_2.._J_-_:J_z.. __ Title f:t,I}, ; i I . I I .* .. ,* ---_A !e 1-PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10.3 I I I I I I I I I I I I I I WIRE TEST DOCUMENTATION MAY 20, 1987 Page 1 of 1 Revision O SURVEILLANCE NO. TENDON END/BUTTRESS NO. UNIT I _,, ___ _ ( 8 .1. 4) Wire ID and Loc:a ti on of removal . tit!' +LJ U9' Length _.._l...,t/...:;;ff __ _ (8.2.1) Wire Diameters: Tag End Middle Measuring Device ID cJlJf *
J.S/ Ram End Recal Date (8.3.2.1)
Buttonhead Inspection: Tag End _ .... IJ ... i,K......._ __ _ Ram End __ <2 ..... 1(...,.._ ____ _ (8.4.1) Gauge Length of Wire L4d' Measuring Device ID Kl 7 Rec:al Date /¥/:!£ (8.6.1). Preload force or pressure Gauge ID /Vuar5 Recal Date (8. 7 .l) Force reduced to 0 (8.8.l) Initial load of wire in force or pressure elongation) I (8.9.1) Preset Dial Indicator rJK elongation) Indicator Recal Date (8.10.1) Force at elongation 14;/J kips; Pressure 6lJO psi ( 8 .11.1) "Rule" reading measurement at elongation /<B;!;i IS. 3 J.J. S-:: -(8.12.1) Maximum elongation at failure, from*_'.9Rule" reading IZI (8 .12.2) Maximum force at failure !J,t.f kips; Pressure !JA() psi -n " . 3-"'" (8.13.l) Type, of break .foO'"'frtt:.- Location of break cf/.Z0 /)f>!>d5tT"E M.HliH.t? (8.14) CALCULATIONS: (l) -Ultimate Stress ... C 2) Yield Stress at elongation
2/5', 5 3 7 Force @
C 7Toiam.274) ( T(Diam.274)
(3) Percent elongation at failure !/.? l +("Rule .. Dim @ Failure -"Rule .. Dim @ (9) Sample: Accept K -*--Unacceptable Q.c. Review Level JJ.1-N! t-,!. , Q.fl.* "::itle ; Engr. Notified __ _ Date __ _ 1-I-** I I I I I I I I I I I I I" I I WIRE REMOVAL INSPECTION DOCUMENTATION
'*.*.-. PSC PROCEDURE SQ 10. 2-. TEST WIRE REMOVAL DATA SHEET 10.2. MAY 20, 1987. Page 1 of 1 Revision 0 PROJECT "PAL \S A"'PE s SURVEILLANCE NO. tJZ-YEAR , 2 TENDON NO.
TENDON END/BUTTRESS NO. SHcP/roP UNIT .:1_ . ---DATE OF REMOVAL .3b7/'fZ, * * . DATE OF INSPECTIOH ...... f_Z.._ INSPECTED BY . (7.5.4.1.1) & (7.5.4.4.3) B H END r I .I 70 . -;' . r 41-::t::. 1 I I 1 1 140 I 140 I 210 I 280 I t;, 350 I 420 I 490 I 560 I 630 I 700 I. *1 I. **! . 280 I 350 .1 420 I 490 I 560 I 630 I 700 I 770 Remember to add the l inch for the marked line to the length of the wire. If the S?JIIPles are removed, mark the location of removal here and on DS 10.3. ( 7. 8) . . cu*..-:,, DJ' l il"lll'"!ll!" Measuring Device r '-COllO. I.D. ia Reca Date
ir... Wire Pulling Ram I.D. .AJ/A Recal Date Al/A-*-CORROSION CONDITION (Refer SQ 8.1) A = EXCELLENT J B =GOOD c = FAIR Document the Corrosion for each ;, D = USABLE 10 foot segment. E = REJECTED (Pitted) (7.5.1) & (7.7) . Post the location of wire removal to DS a. 0 _ __,_Lt;"""---'---

Q.C. Review ...........
__ Level JiL Date .._:.]_ .. _U__..--'l_2-_* __ Title ------------ J . *. *-: -*1*-.... -.:*. -.. -.. :*.*. -.. *. _ _._"": -* .. ,:::--.-** I-, I I I I I I I I I PSC PROCEDURE SQ T0.3 TESTING TENDON WIRES DATA SHEET 10.3 MAY 20; 1987 Page 1 of 1 Revision 0 WIRE TEST DOCUMENTATION .PROJECT fA\.\SAbES-. SURVEILLANCE NO. Y'fl. YEAR 12. ------=----------- ---TEND 0 N END/BUTIREss NO. SHc? / ,..o'P UNIT d.. . ---TENDON NO. Q.C. SIGNOFF ... TITLE DATE ¢¢z_ (8.1.4) . . . A
I JI '* Wire ID and Location of removal SAA'PLE' .;..i._ 53 Toft? Length lt>7 1'f (8.2.l) Wire Diameters:
Tag End 1'25"1 Middle 1'2S'l -Ram End * 'ZSI Avg ** 2S'l Measuring Device ID ........... \_.,______ Date B* 1'3 -12. _(....,..-o-y-,.........,.YV (8.3.2.l) Buttonhead Inspection: Tag End of<. Ram End __ o __ ts' ______ _ to o (8.4.l) Gauge Length of Wire -----Measuring Device ID R.lr Recal Date f8.-2t_, Z C 8. 6. l) Pre load force or pressure 15"30 Pressure Gauge ID fcl?.WY S-Recal Date MILY c>J CJ.SC-8. 7 .1) Force reduced to 0 OK (8.8.l) Initial load of wire in force or pressure _......,..8_7_() ___ elo?gation) (8.9.l) Preset Dial Indicator
Ok;,
elongation) Indicator IDfa!2/ Recal Date 8' .. 13 .. 9z (8.10.l) Force at elongation kips; Pressure '3ZO psi (8.11.l) "Rule" reading measurement at elongation 13*.:3 (8.12.l) Maximum elongafion at failure, reading _...1_7_. _'f __ _ (8.12.2) Maximum force at failure 12.!J'/ kips; Pressure 77'/0 psi .. (8.13.l) Type. of break 'l>C>C..\\ Le-Location of break '+5Y'f 11 F8-ciM. AA.M. GU'b I ( 8 .14) CALCULATIONS: I
c _7Tniam.274)
(2) Yield Stress at elongation 199, S'f Y Force @ C 1fDiam.2:
4) Cl) Ultimate Stress " I (3) Percent elongation at failure 5,/% l +("Rule"Dim
@ Failure @ l'::.; (9) Sample: Accept ,.:t--' Unacceptable __ _ Engr. Notified ___ 7 I -* Q.C. Review '!itle Q .4. Level Jl1-Date __ '1_-_Z-_1_* J>_z.. __ I I I I I I I I I I I I I I I WIRE TEST DOCUMENTATION PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10.3 MAY 20, 1987 Page 1 of 1 Revision 0 .PROJECT __ __,_'P_._A"""L __ ___ _ SURVEILLANCE NO. ,2 YEAR ---TENDON NO. TENDON END/BUTTRESS NO. Q.C. SIGNOFF TITLE ..... __ DATE (8.l.4) Wire ID and Location of removal *sAi4fPt.;" 2. ll"Z 1-tZ/1 Length J08 ----=----- (8.2.l) Wire Diameters: Tag End *2Sl Middle .'2SJ .Ram End .'251 Avg. ,?SI Measuring.Device ID __ Q=,C.::.....,\._.,,__ ____ Date 8'*t3=t2 -(:.,.,..c_t'_?_f'.8') (8.3.2.l) Buttonhead Inspection: Tag End __ Ram End ---"o ... t<..__ _____ _ ,, (8. 4 .1) Gauge Length of :Wire /()t) Measuring Device ID R.\J Rec.al Date 8*2.8' ... ,Z.. (8.6.1) Preload force or presstire 1530 P:-essure Gauge Rec.al 8.7.1) Force reduced to 0 C>/t< (8.8.1) Initial load of wi:-e in force or pressure elongation) (8.9.1) Preset Dial Indicator ()k elongation) Indicator IDG°c:ZJ Rec.al Date (8.10.l) Force at elongation 'J.t/t/ kips; Pressure psi (8. ll. l) "Rule" reading measiirement at elongation /?e 2. (8.12.l) Maximum elongation at failure, reading (8 .12.2) Maximum force at failure /2.1? kips; Pressure 7'/'00 psi C 8
13

l) Type. of break "O UC. Tl L.£""" 1 11 Location of break Fl<DM J;.A..y,, 6A/t:) (8.14) CALCULATIONS:
(1) Ultimate Stress .... Max.Force
( 7(Diam. 2 7 4) (2) Yield Stress at elongation Force @ ( TrDiam.2.;-4) ()/ . 5".0to l +("Rule .. Dim @ Failure -"'RuleDim
@ (3) Percent elongation at failure (9) Sample: Accept ,)("" Unacceptable __ _ Engr. Notified Q.C. Review Level .JJ-l Pate __ J_-_z.. __ y_ .. .......... _ 'title fJ16 ,I. IJ 1 * ' .*-**-**.' .. I I I I I I I I WIRE TEST DOCUMENTATION PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10.3 MAY 20, 1987 Page 1 of 1 Revision 0 . PROJECT __ _.'P_,_A-..;._L.;;;...\_& ..... ____ . SURVEILLANCE NO. 20-t'\ YEAR 't2 ---TENDON NO. ____ TENDON END/BUTTRESS NO. SNoP/7b1' UNIT ;:L_ I Q.C. SIGNOFF 'IITLE __ DATE ?d¢z_ .3 ' I (8.1.4) Wire ID and Location of removal$ _1_0 ..... B ..... '_1 __ _ (8. 2.1) Wire Diameters: Tag End 0 2S"l Middle 1 'ZS"l Ram End ."2.SI Avg ** z;l Measuring Device ID _.;;;;;G....;.C.=-:.l_.q ______ Recal Date i-\3-'lZ. (-r.=o-r_,.t-fi--T") (8.3.2.l) Buttonhead Inspection: Tag End __ O_,I<._.. __ Ram End _O-"'"IC-______ _ /"'1 (8. 4. l) Gauge Length of Wire Measuring Device ID 811 Recal Date 8' ... (8.6.1) Preload force or pressure 15]0 P:-essure Gauge IDFoJlµeYS' Recal DateD.41LYe.vUSe ( 8. 7 .1) Force reduced to 0 (8.8.l) Initial load of wire in force or pressure elongation) (8.9.l) Preset Dial Indicator elongation) Indicator IDECl2l Recal DateS'-\3-C\2-(8.10.l) Force at elongation 9,qz_ kips; Pressure etfO psi (8.11.l) "Rule" reading measurement at elongation ___ _ I (8.12.l) Maximum elongation at failure, from*_ reading /7, 2-(8.13.l) Type.of break ___ D __ I (8.12.2) Maxi.mum force at failure /2, I'/ kips; Pressure Location of break 1 ( 8 .14) CALCULATIONS: 1-. (1) Ultimate Stress "' (2) Yield Stress at elongation Hax. Force _ Force @
C T(oiam.274) ( T(Diam.2 74) I' (3) Percent elongation at failure 5'.0 i6 l +("Rule"Dim
@ Failure @ I (9) Sample: Accept K Unacceptable __ _ . \ Q.C. Review 'title /"( G,;1,, q.,4 I , -Level .JIJ-Engr. Notified __ _ Data _..,.J_-_z._"J __ .. I '!e I I I I I I I I I I I I *1 I I *-. __ -*. ""..--.... -*.*. . . ":_:_ :_* .. * .. -PSC PROCEDURE SQ 10. 2 __ . TEST WIRE REMOVAL DATA SHEET 10.2. MAY 20, 1987 Page 1 of 1 Revision 0 * .. ;_._A.. . -. . -. .* 1..o') 'WIRE REMOVAL INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO. . YEAR ,/ff.2 . TENDON NO. .19A f TENDON END/BUTTRESS NO. ,)/,.'f'p8vrr"UNIT __.../ __ DATE OF REMOVAL
.93 *DATE OF INSPECTION
_:} */:}.-92 INSP_ECTED BY fj)a,,;l (7.5.4.3.l) LENGTH OF WIRE /"/A 1 t '!f * .-
1) & (7.5.4.4.3)
BHEND A A 0 A *I !* J .. I 210 I 280 I 350 I I. 420 I 490 I 560 I I .. ! 630 *! I I 700 I .A A I .A I . ' I 70 140 210 280 I 350 I 420 I 490* I 560 I. 630* I 700 I 770 Remember to add the 1 inch_for the marked line to the length of the wire. If the are removed, mark the location of removal here and on DS 10.3. <Jea8Jiring Device f?v/et4 I.D. K.17 Recal Date Wire Pulling Ram I.D. Al/A Recal Date CORROSION CONDITION** (Refer SQ 8.-1) . A = EXCELLENT J B = GOOD C = FAIR Document the Corrosion for each :.. D = USABLE 10 foot segment.
E = REJECTED (Pitted) .. (7.5.1) & (7.7) . . t1A Post the location of wire removal to DS 8.0

Q.C. Review Level l::!L:-Date ;-2.3-91-* Title M.6-/2.. Q,/J ,
I I I I I I I I I I WIRE TEST DOCUMENTATION PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10.3 MAY 20, 1987 Page 1 of 1 Revision 0 .PROJECT 1'AL.\St\'l>E".S SURVEILLANCE NO. 20-l-J\ YJ:a. YEAR qz . ..S'4C,, I e8 3l*l"l*L TENDON NO. aq AE TENDON END/BUTTRESS NO. -il£L&£ BcJTT UNIT ::L
Q.C. SIGNOFF TITLE DATE

C"A_ .A 30 I -.:I a I I oa,,IJ...
_'* (8.l.4) Wire ID and Location of removal .._ Tc Length OflS" -----------( 8. 2. l) Wire Diameters: Tag End 1-ZSO Middle 1'2.SO .Ram End 1"2.Sl> Avg.,"ZS'O Heasuring Device ID $.C.. .Recal Date 8'00 13 .. ,Z. (-,:-".o"--tt""""f,...c...,,f"') (8.3.2.l) Buttonhead Inspection: Tag End __ t:;_%'=; __ _ . (8.4.l) Gauge Length of Wire Heasuring Device ID R.17 Recal. Date t .. 'Z13"-'?2. (8.6.l) Preload force or pressure 1530 Pressure Gauge ID FCJ2.UeY S"'Recal Date 8.7.l) Force reduced to 0 tJI<=-(8.8.l) Initial load of wire in force or pressure elongation) (8.9.l) Pt"eset Dial Indicator elongation) Indicator IDE!t!C'Z/ Recal Date g;.Jl' .. 12-(8.10.l) Force at elongation /tJZf kips; Pressure 651!0 psi (8.11.l) "Rule" reading measurement at elongation __ __ _ (8.12.l) Maximum elongafion at failure. reading ___ (8.12.2) Maximum force at failure /2,6}' kips; Pressure fl/(')0 psi (8.13.l) Type.of break ,PVC.7'Le'" Location of break (8.14) CALCULATIONS: (1) Ultimate Stress .. (2) Yield Stress at elongation Max.Force 209,7oz Force @ AAA/ ¥A/.Z).
C ffoiam.274) ( TfDiam.2 74) (3) Percent elongation at failure 'f, 2% l
@ Failure @ 9) Sample: Accept .y > Unacceptable __ _ ,..,//. '7/... A " d. Q. C. RevieW' _;v--' __ -Level . .J..J.1-'Iitle Engr. Notified __ I Date .. I I I I I I WIRE TEST DOCUMENTATION . PROJECT __ __."P ..... Ai...o....;_t..""""'lS"""'A...._1'"'-E._:S ___ _ PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10. 3 MAY 20, 1987 Page 1 of 1 Revision 0 SURVEILLANCE NO. yi;"-AR 92 ---TENDON NO. __ a----f...-A-.__f:;.._ __ TENDON END/BUTTRESS NO. SHc'P /e 'BU1T UNIT ::L. ' ---Q.C. SIGNOFF TITLE __ DATE . ll"A r!' "' ..,,,. i_._7*o 1 Length 1-0" (8.1.4) Wire ID and Location of removal ... .... 'P=-=L..;;;.co_c;_ __ "-a ------(8.2.l) Wire Diameters: Tag End i'Z.50 Middle 1"Z.S'O Ram End Avg ** -zso Measuring Device ID _____ Date (to'ffcf) (8.3.2.l) Buttonhead Inspection: Tag End e>.k:... Ram End a.t::.. ___ ....;._....;;:.... _______ _ ( 8. 4 .1) Gauge Length of Wire __ Measuring Device ID R\7 Recal Date g ... '28'-fZ. (8.6 .1) Preload force or pressure 1530 Pressure Gauge ID fe>RJJE'Y '5' Recal Date 'PAIL.')" cJJ VSE'" .8.7.l) Force reduced to 0 I I I I I I I I (8.8.l) Initial load of wire in force or pressure elongation) (8.9.l) Preset Dial Indicator elongation) Indicator IDf:C'-2/ Recal Date g-... \3'JtZ..., (8.10.1) Force at elongation /(), rr kips; Pressure psi (8.11.l) "Rule'* reading measurement at l"!:. elongation _____ ____ _ (8.12.l) Maximum elongation at failure, reading ___ __ (8.12.2) Maximum force at failure /2.B'f kips; Pressure psi ,, (8.13.l) Type. of break ,l)VC.7Jl.e Location of break W FP!'-'-41 E"A.Q) (8.14) CALCULATIONS: (1) Ultimate Stress ... Max. Force , . (2) Yield Stress at elongation Force @
C Tf oiam. 27 4) ( 1fDiam.2 74) (3) Percent elongation at failure S:b% l +( .. Rule .. Di.m @ Failure
@ 9) Sample: y
Accept Unacceptable
__ _ Engr. Notified 1 Date i_ .. I I I I I I I I I I I I I I WIRE TEST DOCUMENTATION TENDON NO. PSC PROCEDURE SQ 10.3 TESTING TENDON WIRES DATA SHEET 10. 3 MAY 20, 1987 Page 1 of 1 Revision 0 . +I.\ SURVEILLANCE NO. 2() 9 2 ee :1/c 4/'t-z..... Ai..n_ TENDON END/BUTTRESS NO * .fl!'b°9 E 1JtJfT UNIT I ------Q. C. SIGNOFF TITLE .. _;6);.;..."""'e'-.;.;.._- DATE ¢ p? z_ / S r!' .3 ,,,., ' 11'I1 J'"°lk ,, ( 8 .1. 4) Wire ID and Lo ca ti on of removal ,__...,.AAP .............. l.-"""'c:; ______ v_T:_D _ _....__ Length C 8. 2 .1) Wire Diameters: Tag End * '2.S"O Middle 1'?SO Ram End 1 "ZSO Avg. ,'250 Measuring Device ID Q,C., l_9 _Recal Date 8'*\3-C?Z. (:oY9'0!) (8.3.2.l) Buttonhead Inspection: Tag End ------Ram End .... k.-._ _____ _ (8.4.l) Gauge Length of Wire

Measuring Device ID f?\"7 Recal Date g .. zf,'12. (8.6.l) Preload force or pressure /.£30 P::-essure Gauge ID EoRA1EY'S°Recal Datel>{llt.YfjA/

(8.7.1) Force reduced to 0 (),i-::::. (8.8.l) Initial load of wi::-e in force or pressure __ elongation)
(8.9.l) Preset Dial Indicator elongation)
Indicator IDfteZI Recal Date 8-\3" ... ,'2-(8.10.l) Force at elongation /P,S? kips; Pressure 67ZO psi (8.11.l) "Rule" reading measurement at elongation (8.12.l) Maximum elongation at failure, from .. Rule" reading (8.12.2) Maxi.mm force at failure /2,76 kips; Pressure 8170 psi (8. 13
l) Type. of break _...,.,/);....;V'-C?i--'-7=-L---e'
__ (8.14) CALCULATIONS: (1) (2) Ultimate Stress Z,0.,036 Max.Force ... J Yield Stress at 1':1. elongation Force @
C T(oiam.274) ( 7TDiam.2 74) (3) Percent elongation at failure £:f% l +( .. Rule"Di.m
@ Failure @ 11.) (9) Sample: Accept Unacceptable __ _ Engr. Notified ___ _ Q.C. Review Level J.!.L-. Da t.e ___ __ Title -------* I RETENSIONING TENDONS -INSPECTION DOCUMENTATION SQ . RETENSION TENbONS DATA SHEET-* 11
0 MAY 20, 1987 Page 1 of 1 A. Revision O 1, 8-14-87 . PROJECT SURVEILLANCE NO. __,,;2:;;_..;;;d_,.,g,_....e._.
---1 NO. :LJ.:l ..,:L3 TENDO!I END/BUTTRESS NO. /3,;7( YEAR tf £2. -. I I I I I I I (9.2) Concrete Temp. '5'5' F Therm. No.J"t-1 Ambient Temp. i'/J F. Therm. No. for ; Rec.al Date 2-4 Recal Date 9 ... y-(9.4) Amount of Effective Wires (From DS 8.0 -8.3.-7.3) !'f AJJi-_2-f,< (9.5.3) Ram ID flz,? Rec.al Date £J.:I ,:: Ram K = /.fti' Gauge ID ?f" Date Daily Check _0..._K____ IJA Jl-o:r-tf;..1r CALCULATED FORCE FOR ELONGATION AND RETENSIONING Overstress shall not exceed 848 kips for a 90 Wire Tendon. (9.6.6.) PTF = /l/S' kips Pressure ./tU7' psi (9.7.l) Step l = %0 kips Pressure ;?.iJ>J psi Elongation Step 2 = {pDO lcips Pressure* f!!Z.3 psi Elongation -f* 4'12 LOF = P.2£. lcips Pressure #4 f'O psi in. in. OSF = kips Pressure 5"490 psi Elongation 3,2f"P in. ,fa CTUAL OBSERVED FORCE AND ELONGATION MEASUREMENTS V:, 9.9.2.l) PTF = 1£2._ kips Pressure ltUt2 psi in. (9. 9 .3 .1) l = lcips Pressure :tf!! psi Elongation J/.D in. (9.9.4.l) Step 2 :::1 Pressure f(}Tf) psi Elongation 5,f in. ( 9. 9 .5 .2) LOF :::1 '1£_ kips Pressure fe?'W psi Elongation S, 1 in. OSF = Z1!J_ kips Pressure 6<<z,9t2 psi Elong tion 7.3 in. I TOTAL ELONGATION (9.9.5.2) minus (9.9.2.1)
, in. ;:... (9.9.6.2)
Elongation Ruler ID 1?;?44 Date ELONGATION: Accept: MYES ONO Notify OWner: I I I I I (9.10.5.l) ACTUAL LIFT OFF VALUES: (9.i0.5.2) CIRCLED Stack ill -l qlf 1'0 Stack iJ2 -Actual 1 psi j 2 ffl{} *
2 psi ::-3 ff3/} * : 3 !IY'flJ psi (9.10.6) Required Lifto!f Actual Average psi . (9.10.6.2)
FORCE: Opposite End&,ff kips. This* End(d1_ kips. TOTAL TENDON LIFTOFF: Acceptable ONO Notify OWner: Jfdt-NCR No * ..JfLL--(9.10.9.1) Additional brq}cen/missing wires _()__ (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0)
NCR No. N / I N r.. I ., . JI j,,_1# ( 9 .10. 9. 2) Final Shim Stack Height iil 4r, I

iJ2 "' . l I (9.10.9.3)
Protruding Unseated Wires (from DS 8.0) Seated flJ'J '-&nseated d (9.10.9.4) Additional Protruding/Unseated Wires -""'O __ _ (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0) -Q.C. Review Date 3-Z3-? 1.... Title fD. 8*'1f-S? 1*: PSC S.Q 1L0 RETENS!ON TENDONS I I I I I I I . M I DATA SHEET 11.0 MAY 20, 1987 Page 1 of 1 A Revision O Lb.Revision 1, 8-14-87 RETENSIONING TENDONS -INSPECTION DOCUMENTATION PROJECT PALlSIH>ES SURVEILLANCE NO. t'Tt-YEAR 1 TENDON No. DZ-t"3 TENDON ENDtBUTTREss No. FIELDe -eurr f q2. -.:1. UNIT ---. QC Signoff (9.2) concrete Te."Ilp. 'ff F Therm. No. SM*C, Recal Date Ambient TemtS. SO F. Therm. No. PK 'ti' Recal Date -'-........ __ _
(9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) B4 (9.5.3) Ram ID CJ17i' Recal Date JbB cUD Ram Area l'f7.Sj0 Gauge ID fo\1.Pe"l'.:tt I Recal Date P/tll.Y °' cJSf Daily Check ok CALCULATED FORCE FOR ELONGATION M"'-ASUREMENT AND RETENSIONING Overstress shall not exceed 848 kips for a 90 Wire Tendon. (9. 6. 6.) PTF = l'R kips Pressure JoSO psi (9. 7 .1) Step l = )SO kips Pressure f'\'tO psi Elongation
'2.'i' I in. Step 2 = kips Pressure 'il \0 psi Elongation S".'fO in. LOF = kips Pressure psi OSF = PressureŽ psi Elongation !.?SQ in. CTI.JAL OBSERVED FORCE AlID ELONGATION MEASUREHE!ITS _.(9.9.2.1) PTF = Jll kips Pressure lo.5'0 psi Elongation in. (9.9.3.l) Step l = Pressure '2'fZ.O psi Elongation 3.6 in. (9.9.4.l) Step 2 = '00 kips Pressure c.J.110 psi Elongation _j£ in. (9.9.5.2) LOF = Pressure $ff'IO psi in
OSF = kips Pressure S73o psi Elongation 2. in. I. TOTAL ELONGATION
{9.9.5.2) minus (9.9.2.l) f' . .3 in. /\ (9.9.6.2) Elongation Variation-3.I
1. Ruler ID Recal Date Z..
ELONGATION: Accept: fii"iEs ONO Notify OWner: I:. (9.10.5.l) ACTUAL LIFT my VALUES: CIRCLED Stack ill -l Stack fJ2 -1 '16 O Actual l ¥</ft:, O psi . 2 * . 2 W 2 4l/ffi psi I: (9.10.6) Actual Average 3 p;!i,..-y$"J}z./q-z.. I ., 00 .SAY t>..> (9.10.6.2) FORCE: Opposite End'5gkips. This* TOTAL kips Y.J3fzlct-z. LIFTOFF: Acceptable WYES ONO Notify Owner: No. 71tt e&3/-Z./ f"Z-(9.10.9.l) Additional bro)'en/missin*g wires -tr° Amt. 'O Engr.Notified: Al/'4 (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0) No * .-NJ+ (9.10.9.2) Final Shim Stack Height ill s.'l_(). 112 "?>Jib bli:,) * (9.10.9.3) Prot'ruding Unseated Wires (from DS 8.0) Seated Cb bnseated gf (9.10.9.4) Additional Protruding/Unseated Wires ...f?:: (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0) -Q.C. Review Level -:JlI:' Date l-2-)-'/.2-Title 1 * -PSC PROCEDURE SQ 11. 0 RETENSION TENDONS DATA SHEET 11.0 MAY 20, 1987 . Page 1 of 1 I . A Revision O
Lb.Revision 1, 8-14-87 I I I I I I RETENSIONING TENDONS -INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO.
TENDON NO. VZlB TENDON END/BUTTRESS NO. SttoP/To"P I ' (9.2)* Concrete Te.IIJP. yo F Ther:n. No. SM*b Recal Date Ambient Temp. 36 F. Therm. No. Pt<=j'K Recal Date (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) (9.5.3) Ram ID 9/ff Recal Date ;J7)8 t;AJl> Ram -Ar-'e=--a..;.__/Y ..... Gauge ID FoRJilY5 Recal Date IJA/L'I' D# "£'°Daily Check 01< CALCULATED FORCE FOR ELONGATION MEASUREMENT AND RETENSIONING Overstress shall not exceed 848 kips for a 90 Wire Tendon. (9. 6. 6.) PTF = kips Pressure IDIO psi (9. 7 .l) Step 1 = kips Pressure _Z_3-8'Q psi Elongation a.6 2 in. Step 2 = kips Pressure 'fii]O psi Elongation S.10 in. LOF = kips Pressure 'tafO psi OSF = Rn kips Pressure psi 12.37.S-in. CTUAL OBSERVED FORCE AND ELONGATION PTF = if1.0 kips Pressure IO!O psi Elongation 'f/.3 in. YEAR UNIT I (9.9.3.1) Step l = kips Pressure 'Z.3CZsO psi Elongation -i.S in. (9. 9 .4. l) Step 2 = '°O kips fressure 'f070 psi Elongation U,'f in. (9.9.5.2) LOF = kips Pressure ltz%0 psi in *. 1 OSF = a.31_ kips Pressure 5G.,90 psi Elongation \s.'f in. I TOTAL ELONGATION (9.9.5.2) minus (9.9.2.1) = JI,\ in. A (9. 9. 6 .2). Elongation Variation-ID.'3 'X. Ruler ID R\(, Recal Date '6\'2%\C\"'2,_., ELONGATION: Accept: DYES Notify OWner: Ye..5.* Stack ill -1 'll/:40 Stack iJ2 -1 Actual l 'l'llfO psi 2 4'1"2.0 * . 2 '/-ZO 2 lJ'fZO psi qz L I (9.10.5.l) ACTUAL LIFT OFF VALUES:. Eli (9.10.5.2) CIRCLED I . 3 Littoo *
3 zo 3 2/-i/-?Q_
psi (9.10.6) Required Liftoff Values63/rof/:i<l'k.ips Actual Average l{f'*G;fa'S2tFsi . . °¥2'"0To'ISJO?S'I I. (9.10.6.2) FORCE: Opposite End #_A.kips. This End "S'Zlcips. TOTAL TENDON,{'2. kips LIFTOFF: Acceptable ONO Notify OWner: j!/!r. NCR No.4'/4 (9.10.9.l) Additional broken/missin*g wires -d Amt.$,_ Engr.Notified: Al/A-(TRANSFER AMOUNT AND LOCATION SHEET 8.0)
NCR No *. N1+ (9.10.9.2)
Final Shilll Stack Height ill iJ2 \l\'.'\O ClY:.,'in 1 1, (9.10.9.3) Protruding Unseated Wires (from DS 8.0) Seated Unseated -e,-; I I (9.10.9.4) Additional Protruding/Unseated Wires (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0) Q.C. Review Level ':Jir Date __ _ Title -I PSC PROCEDURE SQ
RETENSION TENDONS DATA SHEET 11.0 MAY 20, 1987 Page 1 of 1 A Revision O 1, 8-14-87 RETENSIONING TENDONS -INSPECTION DOCUMENTATION I . PROJECT fjd.1"8-.r SURVEILLANCE No. £#ye. YEAR /f/£
........... 9."'""JI::.;..'£ ___
__ TENDON END/BUTTRESS NO. ,SJ,;, 7 ,/;/ilut-UNIT _/ __ I I I I I TENDON NO. '
(9.2) Concrete TeJtlP. JS F Therm. No. Sllf JJ Recal Date f-.?*2"'-* Ambient Temp. /j.j F. Therm. No. P.<S-f Recal Date -* (9.4) Amount ofEffective Wires (From DS 8.0 -8.3.7.3) ff . Mai.Jf,:l (9.5.3) Ram ID J!Zf Recal Date Rm:1 Area L"2:Zf£ K = -1.J'(f Gauge Recal Date Check -& .... CALCULATED FORCE FOR ELONGATION MEASUREMENT AND RETENSIONING Overstress shall not exceed 848 kips for a 90 Wire Tendon. (9.6.6.) PTF = kips Pressure /fl'/ psi Step l =JS I) kips Pressure psi Step 2 = kips Pressure ¥t7...i psi LOF = £$£_ kips Pressure '(Dl/'/ psi OSF = kips Pressure psi CTUAL OBSERVED FORCE AND ELONGATION MEASUREMENTS (9.7.l) in. Elongation ?f, 9/. in. in. AJl-U*f,l Af.,;t.t-7,t I I PTF = t!fL kips Pressur-e Elongation in. I (9.9.3.l) Step l = Pr-essur-e i!si Elongation
.Q,75' in. (9.9.4.l)
Step 2 = Elongation in. (9.9.5.2) LOF = /4Zf:_ kips psi Elongation in. OSF = kips Pr-essur-e psi Elongation 7,ltO in. I TOTAL ELONGATION (9.9.5.2) minus (9.9.2.l) ... .1(.1 in. J\ (9.9.6.2) Elongation Variation .. /,7 "ti Ruler ID 1?17 Recal Date LD.(9.9.6.4) ELONGATION: Accept: Duo Nk *. I. (9.10.5.l) ACTUAL LIFT OFF VALUES: (9.io.5."2) CIRCLED Stack #l -l ¥/912 Stack fJ2 -Actual l . 2 ti.'lf.1i 0 I 2 psi I o 3 'f 7{1) I o 3 3 psi (9.10.6) Required Liftoff kips Actual Average itjrii? psi j.J,3'"/J
?,.:Z I '. .
(9.10.6.2) FORCE: Opposite kips. This End7/8' kips, TOTAL TENDON f;3'/.5"kips )43"1J*'l#i LIFTOFF: Acceptable ONO Notify OWner: 'lES NCR No.ct\1-00a e83.j13)9z_ (9.10.9.l) Additional broken/missin*g wires _{)_ Amt.L Engr.Notified: o/A )/.J-li .. f.l. (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8. 0)
NCR No. jj/"1= _ACJ-(,J-J!,,2.
c 9 .10. 9. 2) Final Shim Stack Height fJl z a ... #2 ." I;"* I .. (9.10.9.3) Pr-otr-uding Unseated Wires (from DS 8.0) Seated tJ I I C 9 .10. 9. 4) Additional Protruding/Unseated Wires __ (TRANSFER .AMOUNT AND LOCATION TO DATA SHEET 8.0) : --Q.C. Review f' Title Mt;-/{, . Q. A I ; Level Date _...,,J_*_2. __ J_-_?'_l... __ _ 1* PROCEDURE --SQ 11. 0
RETENSION TENDONS DATA SHEET 11.0

MAY 20, 1987 .. _ __ P a g e 1 o f 1 /:\ Revision o I LD..Revision 1, 8-14-87 RETENSIONING TENDONS -INSPECTION DOCUMENTATION I PROJECT
.... ....... "Z..C\ A-E:" YEAR Cf 2. ---UNIT .:1-SURVEILLANCE NO. TENDON NO. TENDON END/BUTTRESS NO. ---I I I* (9.2) Concrete Temp. Ambient Temp. 26, F Therm. No. Rec.al Date ctl '3\q 'Z. -Z. (;! F. Therm. No. Ptc:='tl\' Rec.al Date _C\_J.,_.9-._ 'f_"Z.. __ _ QC. 1/ i-I I (9.4) Amount of Effective Wires (From DS 8.0 -8.3.7.3) 29 * ( 9
5

3) Ram ID , l i B Rec.al Date iJ"b'e! 6'U l> Ram Area l'f:Z, S"'l O X = 91::,. 'fs-7 Gauge ID foflNEYS Rec.al Date b&u..y oJJ cJSE' Daily Check _o_K------CALCULATED FORCE FOR ELONGATION MEASUREMENT AND RETENSIONING Overstress shall not exceed 8 4 8 kips for a 9 O Wire Tendon. (9. 6 .6.) PTF = l'\'l kips Pressure psi (9. 7 .l) Step l =
kips Pressure "2.'tLS"' psi Elongation '2.G>"t in. Step 2 = (,,00 kips Pressure j\09, psi Elongation 5.Cf I in. LOF = .S-b'+ kips Pressure 38 b b psi OSF = Pressure 5't77 psi in. CTUAL OBSERVED FORCE AND ELONGATION MEASUREMENTS _(9.9.2.l) PTF = Pressure .lQiQ_ psi Elongation iO in. (9.9.3.l) Step l = Pressure Elongation . in. I-(9.9.4.l) Step 2 = .2D..O kips Pressure jl\O _psi Elongation
in. (9._9.5.2)
LOF = ..5.bY_* kips Pressure psi Elongation in. OSF = $02.. kips Pressure psi Elongation --r:?)" in. I TOTAL ELONGATION (9.9.5.2) minus (9.9.2.1)
in. \ A (9.9.6.2)
Elongation Ruler ID Rec.al Date C\'2.. : ELONGATION: Accept: reYES ONO Notify OWner: i \ I. (9.10.5.1) ACTUAL LIFT OFF VALUES: CIRCLED Stack iil -1 "'1-2 §0 Stack fJ2 -1 a Actual 1 '/ s--u::; psi 2 Jf '+0 * . 2 2 'ff"20 psi I 3 _ 'Z 'to *
3 3 'fSW psi * .J.1.b--i
(9.10.6) Required Liftoff Values,3'fn613kips Actual Average psi . I Opposite kips. This*
kips. TOT.AL TENDON831Skips I. LIFTOFF: Acceptable ONO Notify OWner: ves NCR (9.10_.9.l) Additional brqJcen/missing wires -f'f _ Engr.Notified: N/ft:. Ii (9.10.9.2) \ 1' -(9.10.9.3) Protruding Unseated Wires (from DS 8.0) Unseated-S-. -(9.10.9.4) Additional Protruding/Unseated Wires =-£t:-= (TRANSFER AMOUNT AND LOCATION TO DATA SHEET 8.0) . Q.C. Review Level Date _s_-_z;J ___ -_9_L __ _ t; Title I I *;* :-PSC PROCEDURE SQ 12.1 GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 1 I I I I I I II I I I I I I GREASE REPLACEMENT
-INSPECTION DOCUMENTA:rION PROJECT __ SURVEILLANCE NO. . 2o-:'"""-Yfl.. TENDON NO. J Pa TENDON END/BUTTRESS NO. :SHOJ> JFU'TT ' °b l-\\-'2. i YEAE q'2,. ----mm .::L ----QC Signoff I/ IL wJ ,,_}. SQ 12.0(9.3.l) Coat End Anchorage Assm. I I Gal. Q.C. ff />.. SQ 6. 0 -DS 6. 0 ( 8. 7 .1) Grease Loss From Grease Can Only __ .3--,:,---- Gal. L.!_1SQ 6 .O -DS. 6 .0 (1 Q.3): Greas.e Loss from Tendon Duct. -e-Gal. .,,'1,,fi SQ 6.0 -DS 6.0 -Bottom of Page TOTAL LOSS /f?' Gal. e&Frtz!. so 12.1 (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.1) Documented Grease Losses -NCRs or Other Reports (8.7.1) TOTAL GREASE LOSS 'IHIS TENDON Gal.' i. Gal. " 2 ffi. C 9. 7
3 .1) Pump Gauge Ail/A-Dimension Al/i+ Gallons per inch £ (9.7 .4.1) Grease Height in Drum BEFORE NTA-(9. 7 .5.l) A.">='TER
....,;,.,_ Calculations: .ME8SUl'e1:>. I AJ 41H.... ' (10.l) .Ambient TeI::p. 3Z. o F. Thet::io.ID. Recal Date yJ/0(10.2.l) Can Removal 3)sb],.z .. Can Replacement3/1'1.J'Z-Days Elapsed (11.1.5) Cold Pack Grease * '/t Gal. (11.J..6) Grease Can Partially Fi ied 0-yt:"..S [8lNo Quantity -0. Gal. '¥'/Jb/!'Z-(11.2.7) Pump Hot Grease 3_ Gal. Grease 'Iemp.'UO 0: I} '; Date '/3./92-(J.J..2.8) Waste Grease * --9--Gal. TOTAL PU?!PED Ill "3 . Gal.
lff'flh./9 z_ (11.2.9) Cold Pac.1c Gal + Partial Fill :fi::_*
Total Pumped In 3 Gal. !. TOTAL QUANTIT.! REPLACED 3Yf-Gal. . Cll.2.10.1.l) Grease Leaks Dru .8No f;1;3j;k/e,Z. c11.2.10.2.1> REFILL ACCEPTABLE D No variation +<-TS,,,. (11.3.3.15.2) Exit Temp. (11.3.3.15.3) C-lete feilling On:s of °F. Ther:no. I.D. Recal Date 1 Vents Open / Vents Closed Filling v" Drain Vents Closed Before (J.J..2.10.2.2) COMMENTS: Q. C. REVIEW _;lf_,q;:_< __ '__...-=------ fi1Gf'., &.II* I / LL_ INF". I I I I I I __ .,,.* I 1* I I I I I I. _: .. *. . ;. .. --. . . . --*-** GREASE REPLACEMENT -INSPECTION DOCUMENTATION . -* PSC PROCEDURE S-Q 12. 1 GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987 -Page 1 of 1 Revision 0 1, 8-14-87 PROJECT _____ _ SURVEILLANCE NO .... #o;wr_. ___ _ lf!,A UNIT_.....__ __ QC lie/f. IL?..8r7T
TENDON NO *. J2/ -f"e?" ' TENDON END/BUTTRESS NO. . Signoff SQ 12.0(9.3.1)
Coat End Anchorage Assm. Gal. Q.C. !>...SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only ' Gal. 6.0 -DS.6.0 (lQ.3): _Grease Loss from Tendon Duct. Gal. 6 SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS _ _,.;?.""""""-----Gal. NJz:;/#.. so 12.l (8.5.l) Estimated Grease Losses From Leaks t1 Gal.,/ (8.6 .1) Documented Grease Losses -NCR.s or Other Reports 1;{:'# (8. 7 .1) TOTAL GREASE LOSS 'IRIS TENDON ,?2._ Gal.'" )6.Z;EP-* (10 .1) A:nbient '!""'P. .5JJ' o F. '!her=. m. Recal. Datrf ?-1.t. 14 (10.2.l) Can Removal,2.2"-2¢-Replacement:?C Days Elapsed> 0 (11.1.5) Cold Pack Grease
Gal. /J t)JJ ,./M c11:1.6) Grease Can Partially Filled DYES s NO Quantity C;/ Gal. l/d2_.i2"7h (11.2. 7) Pu:np Hot Grease Gal. Grease Te:-!IJ_.6l1._
0: 1 Date !-3-l_,;t. (11.2.8) Waste Grease . . Gal. TOT.AL Pm!PED m 3 I Gal. . (11.2.9) Cold Pack Gal + Partial fill L* Gal,+ Total Pumped In _J_ Gal., a J .... ,. 0"1 TOT.AL QUAN"XIT.! REPLAci:"...D ..3 Gal. (ll .. 2 .10. l. l) Grease Leaks OYEs EfNo ( ll. 2 .10. _2 .1) REFILL ACCEPTABLE 0 NO Variation -t' /OJ.. 5 ,1J 8-£-?)l, ( 11.3.3. 15.2) Exit Temp. ( 11.3.3. 15.3) (ll.2.10.2.2) Complete Refilling 0 YES (J" NO of :rher:no. I.D. fir Recal_ Date *Vents Open* JI/,;.-Vents Filling'.#. Drain Before COMMENTS: Q. C. REVIEW 1_..;,,.;;.._.._* ---I-'l:"\TEL
.µ.t: DAXE "]' 2.. -'f' z_ -----------
/11 vt? _ fR .,IJ. I_ I I I I I I I 1* I I' I I I I -:-* --__ -:* -: --_ ---*---.. ----. ___ .,._:*:=-- -.----....... -*:-,--, --.:-**':-*. Psc*:=-PROCEDURE
sQ* 12-. *1 . . GREASt.RtPLACEMENT
DATA SHEET 12.1 MAY 20, 1987

Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUHENTATION . /ijp;/.,_,, SURVEILLANCE NO __ _ .Ifµ* TEMDON NO *. /?{--If TENDON END/BUTTRESS NO. k -S:..{y /U ,,Bt!ll UNIT ___,/..__ __ QC Signoff SQ 12.0(9.3.1) Coat End Anchorage AsSI!l * .f/f Gal. Q.C. Signoff JJA-.36*/!.t l'.tl Gal. 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only L.!..1SQ 6 .0 -DS. 6 .O (1 Q.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS # Gal. 61 ,;']/ _ /;'9 ;c Gal. SQ 12 .1 t] (8.5.1) Estimated Grease Losses From Leaks {,;. Gal. (8.6.1) Documented -NCRs or Other Reports (8. 7 .1) TOTAL GREASE LOSS THIS. '!ENDON t 'r Gal.' /
Gal. £. ( 9. 7

3 .1) Pump. Gauge

Dimension

Gallons per inch & (9. 7 .4.1) Grease BEFORE (9. 7 .5.l) AFTER l/..f= Calculations:
--. _______ ...;..._ jMJ..$-1 (10.1) knbient '.l:""'P.
f;Q ° F.

rhe=.ID.
1'£5' Reca1 Date f ,J-7L (10.2.l) Can Removal.)'%=%( Can ReplacementTI-'A Days Elapsed (11.l.5) Cold Pack Grease
Gal. (ll.l.6) Grease Can Partially Filled 0 YES [Kl NO Quantity () Gal.. ;2*}.2 (11.2.7) Pump Hot Grease £ Gal.. Grease Therno.No.
hff Recal Date J6,!J_3*J-U . , (11.2.8) Waste Grease * . If} Gal. TOTAL. Pm!PED D1
Gal. .

Jfi,q..,z
.. f,2. (11.2.9) Cold Pack ..!Ji. Gal+ Partial Fill .. + Total Pumped In .f< Gal.. tJJ1 q_'J_C,"} TOTAL QUAN'.I:ITY REPLACED ,6J'i Gal. (11.2.10.1.:L) Grease Leaks Om ja:No . (ll.2.10.2.l) REFILL ACCEP'!ABLE p;iYES 0 NO -rftJ (11.3.3.15.2) Exit Temp. ( 11.3.3.15.3) Complete Refilling On:s D:;f' of Therno. I.D. Recal Date Vents Open .11Jt-Vents Closed Af;;f Filling#-Drain Before L:1:<.. (ll.2.10.2.2) COHHE:NTS: Q.C. REVIEW y, TITLE I I I I I I I I I I I I ,:* *-*: --.. -** -* .. . -. . .*.. _ ...... . PSC -:-/-.A1.1..\ . GREASE REPLACEMENT---DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1
r... Revision O 1,

GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT ___ P_A __ L ___
1 ....... -0 ...... A __
SURVEILLANCE NO. "2.0+l\. YJ2. TElIDON NO. _D ..... 2____,* f_Cf_' _ I >>EAR TENDON END/BUTTRESS NO. PIE'L08 SiJTT * .* -."""".' *_. Yhri-'t?. UNIT .1... ----.... Signoff:.
SQ 12.0(9.3.l)
Coat End Anchorage Assm. Y'f Gal. Q.C. Sign off . e6 'l/"J{':f Z-l '3/ 'f: Gal. ** ....
6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 ClQ.3): Grease Loss from Tendon Duct. -Q-Gal *. Z'lz-Gal.
SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS J
SQ 12.1 (8.5.l) Estimated Grease Losses From Leaks 1'o>J(;° Gal. j S"' L (8.6.1) Documented Grease Losses -NCRs or Other Reports NelJC Gal. Z... (8. 7 .1) TOTAL GREASE LOSS niIS TENDON Z.}'z-Gal." £. (9. 7-.3.1) Pump Gauge* Al/If DiI:iension .N/A-Gallons per inch .Jo 1Z.. '& ( 9

7 .. 4. l) Grease Height in Drum BEFORE ;Ji'* ( 9. 7

5 .1) A..T:TE-(d;.A-

3 'iZ. * . Calculations:

1.0 S-_'Bl?Q:c" J (lO.l) Ambient Te::Ip. 9jZ-° F. '!her::io.ID.

f¥c::f9'.
Recal Date qj3/'f?-* (10.2.l) Can Removal 3/3/12. Can Replacement J/3/'12-Days Elapsed _ (ll.l.5) Cold Pack
1/4 Gal.. 1 1 Cll.l. 6) Grease can Partially Filled DYES 123-NO Quantity -S-:-Gal. eglj'1j<1:z
... (ll.2.7) Pump Hot Grease 3* Gal.. Grease '!emp.'Z-\.0°= J '!heme.No. 'Pic:.'i-7{ Recal Date "Z.. -U'J/J I j (11.2.8) Waste Grease
Gal. TOT.AL PtraPED Dl ,3 . Gal. * (ll. 2. 9) Cold *Pac."lc Gal + Partial Fill '{) *Gal .. + Total Pumped In Gal.. ', 1 b. TOTAL QUANTITY REPLACED 3 Y'f Gal. t! 31 3 't-1 (11.2.10.1.1)
Grease Leaks OYEs Cll.2.10.2.l) 'REFILL ACCEPTABLE f8.yEs 0 NO Variation -t-30 °' ( 11.3.3.15.2)
Complete Refilling DYES . Exit Temp.
1'4-°F. Thermo. I.D. ""/A-Recal Date N/A-( l1.3.3.15.3) Vents Open /" Vents Closed After Filling V Drain Vents Closed Before Filling -""/A-' q,3)3/qz... ' UJb)tz... ' , I (ll.2.10.2.2) COMMENTS:---------------------- Q.C. REVIEW I *: . TITI.E I I I I I .,-. I I* I I I I' I I .. ':-***. ---* ---;. . -: : . ::: -. -: .. _:.. -. .._ -** *: .. :.: ---_. ***- i.i"L -PSC PROCEDURE SQ 1t.1 GREASE REPLACEMENT -INSPECTION DOCUMENTATION _GREASE DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision 0 1, 8-14-87 PROJECT a SURVEILLANCE ..... ___ _ !9U TE?IDON NO. TENDON END/BUTIRESS NO. ,2)," 7/E 23v tr UNIT_.....! __ _ QC . Signoff SQ 12.0(9.3.l) Coat End Anchorage Assm. ,f-1 Gal. Q.C. 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 C'lQ.3): Grease Loss from Tendon Duct. Signoff it/JcJ-J( .IA,, r Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTA!. GREASE LOSS fp )J!t.£16-so 12.1 CB.5.l) Estil:iated Grease Losses From Leaks (8.6.l) Documented Grease Losses -NCRs or Other Reports _ (8. 7 .l) TOTAL GREAsE LOSS THIS TENDON JP-t >> (1.0.l) A:nbient Te::Ip. F. Ther:o.ID
.fi-1:5 Recal Date tit£---J4z;1.,tt.
(10.2.l) Can Can Elapsed 1' " (ll.l.S) Cold Pack Grease
Gal. (ll..l.6)
Grease Can Partiajy Filled OF..s;gJ NO Quantity t!* . Gal.. (ll.2.7) Pump Hot Grease Gal. Grease ,,e : Ther:no.No. -ils-.r Recal Date
(ll.2.8) Waste

0 Gal. '!CUI.. Ptn!PED m :')_ . Gal. * (ll.2. 9) Cold Pack Gal + Partial :till d:_-
Total Pumped In Gal. A/) TOTAL QUANTITY REPLACED ,;?Yz Gal. /Wt£J;J-J.2. Cll.2.10.l.l) Grease Leaks Om }f#JA (ll.2.lo.2.1) REFILL ACCEPTABLE 0 NO Variation + /f(J }.av;.9,1 (11.3.3.15.:2) Complete ;ging On:s ..!!!:J.iro..,.,/..a--. uh. . Exit Temp. of Gre:se . F. I.D. Recal Date ( 11. 3. 3. 15. 3) . Vents Open ,vJ1-Vents Closed Drain Before Filling _ -. -Cll.2.10.2.2)' COHMEN'IS: Q.C. REVIEW

3 .. iJ-92.... D.An: --------------- Pt&-/? c Q. fl c . -ill. """'. --'-.-.
I 'i-1 lf-'il ? IJJ>-:J IN F<J * \ t*-"
I I I I I I I 1* I I I 11 ***: ,-:-** --.. :_ . . . . . . **-psc PROCEDURE SQ 12. 1
GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987

Page 1 of 1 Revision 0 * &Rev is ion 1 8-14-87 GREASE REPLACEMENT--
INSPECTION DOCUMENTATION PROJECT __ ..... 8_'1t __ t.._* __ s __ n_n_f5 __ _ SURVEILLANCE NO. 'ZO "f R... YEAR *'l'Z. ----TfilIDONNO. __ >>_Z_-_Z_3_' __ / AJEA/e TENDON END/BUT!RESS NO. F\*' L.t> LB 8(}TT 7 UNIT .4_ ----QC Signof f '/u SQ 12.0(9.3.l) Coat End Anchorage Assm. .:.! Gal. Q.C. 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct.
Signoff '31:1:.t:f"t.-
1... G * !bi 1/i-Gal.BS Jl-i.l C\ '2.. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS L_ Gal. C-fo/'-z.....
so 12.1 (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.l) DoctiI:lerited Grease Losses -NCRs or Other Reports (8. 7 .l) '!OT.AL GREASE LOSS nus TENDON ?..'Ii Gal. ... £ (9. 7 .3.1) Ptmp Gauge -%f Di::iension Gallons per incl! . . & (9.7 .* 4.l) Grease Height 'in Drum BEFORE (9. 7 .5.l) AFl'ER 'ii.A-.. -. Calculations: S-GA t. '2-(10.1) A:nbient Te:::;>. _,SP__° F. Theao.m. *l'J:W Recal Date Pj{".e. (10.2.l) Can Cari Replacement 3/-/'l Z. Days Elapsed Z.. (ll.l.5) Cold Pack Grease
Y'f-Gal. * / 1 (ll.l.6) Grease Can Filled DYES 18"°NO Quantity Gal. f4!l °t-f'l'Z-(ll.2.7) Pump Hot Gal.. Grease

1' L Date
'M+'2./'°V' I
I (ll.2.8) Waste Grease * -e-Gal.. TOT.AL. PUHPED D1 "3 . Gal. * (ll.2.9) Cold Pac.'lc .J.!:l Gal + Par..ial Total Pumped Gal.. l I TOTAL QUAN'llI'Y REPLACED Gal.. t-f1 "'2./ . I (ll.2.10.l.l.)
Grease Leaks
18'JNo ll{z°?l/:zi 1-z. cu.2.10.2.1)
REFILL ACCEPTABLE 1Ztn:s D NO Variation +Pf' "t. (11.3.3.15.2) Exit Temp. (11.3.3.15.3)* Complete Rft#ling On:s &o * '/Ir of F. :rhermo. I.D. fff* Recal Date Vents Open / Vents Closed After . Drain Vents Closed Before Filling A""',/J'f . ' ' I (ll.2.10.2.2) COMMENTS:

Q.C. REVIEW
rn: DAT:: ___;,,,"}_
... __ TI:r!.Z fl'! J ,,,t) , I I I I I I I I I I I I . : .. --. ----_.---_.::-:.* . -PSC-PR_OCEDLJ°RE s'rf 1_2 .-i : GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision O -,&Revision 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT __ -P, .......... .. SURVEILLANCE NO
__ 20 ____
J TfilIDON NO. ___ TENDON END/BUTTRESS NO. SHO'P "BUT't. YEAR .Cf2 ------UNIT .::t_ ----QC Signoff SQ 12.0(9.3.1) Coat End Anchorage Assm. 1/'# Gal. Q.C. Signoff e& 3fu 2/4z, /:\SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only __ .1... ___ Sal. 6.0 -DS.6.0 (1Q.3): Grease Loss from Tendon Duct. -Gal. J I SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS :1_3/9 Gal. t,f,J Jlof'f'Z,... I I -so 12.1 Gtl ** (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.l) Documented Grease Losses -NCRs or Other Repor+"..s .;!4/dA/,;- (8. 7 .1) TOTAL GREASE LOSS nus TENDON --/3/'f Gal ..... £. ( 9. 7
3 .1) Pump Gauge Dimension Af',t-Gallons per inch _ & (9.7 .4.1) Grease Height in Drum BEFORE -11/': (9. 7 .5.1) .AF'!ER_M..,¢
..... ___ . Calculations: t?USUIEJ) IN -:S:.. GAL* BtJCKE7.j ( 10 .1) Ambienlo Temp * ° F. Therno. ID. 'PI<= 'f 8" Reoal. Date 1 'JJ-9Z. ( 10. 2. l) Can Removal3I11p/Z-Can ReplacementJ/1'2/Cf Z.-Days Elapsed 'l"Z-. (11.l.5) Cold Pack Grease
Vi Gal. (ll.l.6) Grease Can Partially Filled 0 n:s SNo Quantity -B-:-_Gal. e#:J/u,}q-L (ll.2. 7) Pump Hot Grease .:I Gal. Grease Temp ."ZOO 0: )( . }' 'Iher:no.No.
?/i:;'Yf) Recal Date t:rl-J/qZ. --M'3 I" _ --.,.....,---- -$ / ,'/ (11.2.8)-Waste Grease * '9--Gal. 'IOTAL. PUMPED IN °31!)' ci;{i
Bf '/lvi'f"Z-(11.2.9) Cold Gal+ Partial Fill.A;t*Gal
.. +Total Pumped TOTAL QUANTITY REPLACED * '3 Y'f Gal. l"f7Z.$°J /'!!/:!. Z... . I (11.2.10.l.l) Grease Leaks DYE3 c11.2.10.2.1) REFILL ACCEPTABLE @YES D NO Variation (11.3.3.15.2) Exit Temp. ( 11.3.3.15.3)
Complete Refilling DYES of 'Xhermo. I.D. 4.zz__ Recal Date Vents Open / Vents Closed After Filling V Drain Vents Closed Before Filling ./11'/d= I I (11.2.10.2.2)
COMMENTS:--------------------- Q.C. REVIEW I " I I I I I ' I II I I I I . PSC .PRO CE-DURE SQ 12. 1 -A GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 GREASE REPLACEMENT
- DOCUMENTATION PROJECT ...........
i. .... IS .. A ___ }J __ f_J __ _ SURVEILLANCE NO. YJL TE?IDON NO. 1JJ .. s2* I TENDON END/BUTTRESS NO. FJet..t)1'
'BllIT l YEAR ..... 'f_2 __ UNIT _:/_ ----QC Signof f SQ 12.0(9.3.l) Coat End Anchorage AsS!n. Y1 Gal. Q.c. Siroff ee zlitn/<1.?. !'>.. SQ 6 .0 -DS 6 .0 (8. 7 .l) Grease Loss Free Grease Can Only ---=-' ....::"Z.=---- aai: 6 .0 -DS. 6 .0 (1 Grease Loss from Tendon Duct. -e-Gal. ** SQ 6. 0 -DS 6. 0 -Bottom of Page TOTAL GREASE LOSS I t/c.t Gal. $ z./,Zh/,. 'Z-so 12.l (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.l) Documented Grease Losses -NCRs or Other cs. 7. l) TOTAL GREASE Loss nus TENDON 1 Y'f
Gal.' fil (9. 7 .3.l) Pu:p. Gauge .N}#Jr Dimension N/A Gallons per inch & (9. 7 .4.l) Grease Height in Drum BEFORE Al/,,,. (9. 7 .5.l) AFIER AJ/A-Calculations: .MeASU"Re"b 1.AJ S
"'90C.k"ET5 ' (10.l) Ambient TeI:Ip. 3e ° F. '!her:no.ID.
"PIC'l-9' Recal Date '-3-92. (10.2.l) Can Removal Z*2'*C\"Z.
Can Replacement Days Elapsed -e-(11.1.5) Cold Pack Grease * '/'f Gal. * (11.1. 6) Grease Can Partially Filled DYES g NO Quantity -e-. Gal. ee-z/ufqz (l.1.2.7) Pump Hot Gr-ease ?.'/-z.. Gal. Grease Te.mp.Z\Z.. °F '!her::o.:!lo. Recal Date°l}3/'12 --. . \ . (ll.2.8) Waste Gr-ease . AIOAlt Gal. TOTAL. PUMPED m 2 Y'L Gal.. . (11.2.9) Cold Pac.'tt Partial Gal:-+ Total Pumped Gal.
TOTAL QUANTITY REPLACED Gal. ,, ., ei'Zjz!Bµ-z.. . 7.11'\*" 'I.xi---\<\
-. (l.1.2.1.0.1.1.) Grease Leaks OYEs e.9-z./21o/ct-z.. (l.l..2.10.2.1.) REFILL ACCEPTABLE ONO Variation+ 1'20 ( 11.3.3.15.2) Complete Rftlling On:s .I Exit Temp. of Op-. Thermo. I.D. .If/$ Recal. Date ( 11.3.3.15.3)
vents Open / Vents Closed After Filling V" Dr-ain Vents Closed Before Filling JOV/...,.
es-z.}?k/1-z.. I (11.2.10.2.2) COMHE:NTS: I Q .c. REVIEW *;tt;';['; TIT!.E Q ,/j
DilE J-LJ ,51' L I I I I .. : ...... ,*. :.:* .. ... . .. GREASE REPLACEME?1T
-INSPECTION DOCUMENTATION
-*:
-**-.... '... *p SC PROtEDURE SQ 12. 1 GREASE REPLACEMENT DATA SHEET 12 .* 1 MAY 20, 1987 Page 1 of 1 Revision O .&_Revision 1, 8-14-87 PROJECT i?i'r-<b$ TE?IDON NO * /¢ ,6() SURVEILLANCE NO
___ :!/--jtJ j""'C-..*----
yv....A,R . e ,:2.. END/BUT!RESS NO. S4YJI¥ U?llT __._/ __ _ QC Signoff SQ i2.0(9.3.l) Coat End Anchorage Assm. f't Gal. Q.C. i":\ SQ 6*.o -DS 6.0 (8.7.l) Grease Loss ::rot:i Grease Can Only _-... ___ Cal. L...!.,1SQ 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duc:t. Gal. SQ 6
0 -DS 6

0 -Bottom of Page TOTAL GREASE LOSS Gal. M. .:?-//' , ; + 2'1-e-oOM-FIELb £.U't) .::= °.'-* SO 12.l ,...,..
(8.5.l) Estimated Grease Losses From Leaks /) Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports 45.//f Gal. . (8. 7 .l) TOT.AL GREASE LOSS THIS '!ENDON 'f.. "3h Gal.' I . . . '3 q"Z.. 4 (9.7 Pu:::p Gauge #JA-Di::lension (.7S:. Gallons per-inch * & (9.7 .4.l) Grease Height in Dt"'..:::i. BEFORE 3 (9 .* 7 .5.1) Calculations: G.-3 := 3 'I-f. 7S:-::. 5'1'f " (10. l) Ambient Te:ip. 5"2'.-0 ;; * '.Oler=. lll. Pie 'f-1'> Recal. Cate ,f 3}, Z... I I I I I I I I ( l0. 2. l) Can Removal :J.-;)l-2?can Replacement '3/"/1'2-Days E:lapsed I Y-" (ll.l.5) Cold Pack G;ease
1 12-.
1 (ll.l.6) Grease Can Filled 0 YES __ g_uantit7 -fr . Gal. (ll.2.7) Pump Hot Greaslf 5 1/cf* Gal. Grease 'Iemp.1::!Jt,O: / I nier:o.!lo. Pfc:'t'r Recal Date ql3}'f'2..... . !IJ4bf21,. Cll.2.8) Waste Grease * -e--. Gal. 'IO'!AL. PTJHPED 21 l/y . ccq
ef?}l"fctz..

(11.2.9) Cold Pack '/"2.-Gal + Partial Fill :::Q:::
'Iotal Pumped Gal. J I TOl:AL REPLACED 2 \ "3/ lf Gal. w/t"Z... (11.2.10.l.l) Grease Leaks Dr=-..s (11.2.10.2.l) REFILL ACCEPTABLE 0 ?lo Variation / "!. . (11.3.3.15.2) Exit Temp. (11.3.3.15.3) (ll.2.10.2.2) Complete Refilling D gyo of fer 0-:-. '!her:no. I.D. A(ffe Recal Data g/A-_ Vents Open * ¢/A= Vents Closed After Filling Drain Vents Closed Before Filling . I . COHHEN:rs:-f fZda t6p/ bJ! ,l-f-f¢, 01J i-if 'Re-Jl? 'Fl a}i Q.C. REVIEW 7/. T!'.!:LE M.6-,/., Q.fl. I t43}w/r2- ... -:-**. -PSC .. .SQ. i 2:.1 GREASE RERLACEMENi DATA SHEET 12.1 MAY 20, 1987 I I * -** I Page 1 of 1 Revision O .&.Revision 1, 8-14-8*7. GREASE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO
_ _,,2._.0-jlflf-
..... *----/!I.£ I I I I I I I I I I I I I J{e/f heffom / END/BUT!EESS NO. SQ 12.0(9.3.l) Coat End Anchorage Assm. -If' Gal. Q.C.
SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only iliSQ 6 .O -DS. 6 .O Cl Q.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS mn::r */ ----QC Signoff so 12.1 (8.5.l) (8.6.l) (8.7.l) REFER. S\o\O'P E/.J"O -GIZCASE' RePc..ACEb t!PA.J .SHOP EXJt:> Estimated Grease Losses From Leaks Gal. ee. 3 lcJ'lZ. '.d.J..lf.P.
Documented Grease Losses -?lCRs or Oth&r Reports __ a...,._4 .... 'k __ Gal. TOTAL GREASE LOSS THIS '!::NDON ,;?_YB-Gal.' 7 ,/M.,;1;..?f";2t 4 (9. 7 .3.l) Pu:::p Gauge ...vjA. Di::lension per inch fil (9.7 .4.l) Grease Height in Dt"'..::::i. BE:ORE (9. 7 .5.l) __ . -: calculations: N/,A-"-" >> ( l O. l) Ambient Te:::p. ,,v/p ° F. 'Iher::io.ID. Recal Date .-vjA 1Alld1Z--1 (l0.2.l) Can Removal tffe.-,Jt-,f;;, can E:lapsed__.Z._____ (ll.l.5) Cold Pac.le Grease
ll&f Gu. (ll.l.6) Grease Can Partially Filled DYES 12}..NO Quantity -e-. Gu. (ll.2.7) Pump Hot Gal. 1 1 Recal Date {Jf},Je/'t'Z-. ClJ..2.8)
Waste Grease * "'M Gal. PU?!PED DZ ,uh . Gal.
3ha/fZ.. Cll..2.9)
Cold Pac.1<: Fill .. + Total Pumped Gal. TOTAL RE:PUCZD _,_SEC SKor £JJr::, . Bl (ll.Z.10.
l. l) Grease Leaks */.eJ.
f)fJetico!7..fJ. (ll.2;.10.2.l) RE'.FI!.L ACCEPTABLE 5S-YES Duo Variation +* f4 ?>,Jl>,hz.. (11.3.3.15.2) Exit Temp. . ( 11.3.3. 15.3) (ll..2.10.2.2) Q.C. REVIEW Complete Refilling On:s of ..V/.+-0!". Theme. I_.D. ,v/A Recal Data >'jA-. Vents Open Nffe Vents Closed After Filling -4/}A Drain Vents Closed Before Filling N'/A-' . > coHHDr.rs: -f?d. 4 (}a 7ii ,,, !--r µ ,M?t? ;:,/ . I .1

** -*---* --***---_--_-; ..,: .. -: --. I.---_,.*::_*--.

__ .. _,_. . -.. .. ---*:-. ----*, . -PSC PROCEOURE-GREASE REPLACEM-ENT . DATA SHEET 12.1 I I I I I MAY 20, 1987
Page 1 of 1 Revision 0 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT ----=-P ...... A.__L __ 1s""'"""A::..;;.n-...i: .... s __ _ SURVEILLANCE NO ._....::'Z.=0:;....* -YEAR __ , __ ?. __ TENDON END/BUTTRESS NO. UNIT .1. TE?IDON NO. _ ' ---------- QC Signof f tlc.t. ,__ I ,/. SQ 12.0(9.3.1) Coat End .Anchorage Gal. Q.C. Signoff :SJ'3f'2.. !'>...SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only Gal. 6 .O -DS. 6 .0 (1 Q.3): Grease Loss from Tendon Duct. -e-Gal. .,} / SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS 2.. Gal. e,&4 1j/t"Z-SQ 12 .1 *. + i:f FllOM-F\6"\..t) c (8.6.l) Documented Grease Losses -NCRs or Other Reports A.JO/Vie'"" Gal. (8.5.l.) Estimated Grease Losses From Leaks NONE' Gal. ."! *"Z-I (8. 7 .l) TOTAL GREASE LOSS 'DiIS TENDON U. Gal.' fil (9. 7 .3.l) Pump Gauge NJA Dimension /.7S-Gallons per inc.h
& (9. 7 .4.l) Grease Height in Drwn BEFORE 7'/2.. .5.l) AFTER . "$ "" . . Calculations:
lZYi.-7f1--=. Z... . . (10.l) Ambient 'r--;,?.. o. F. 'rber:oo.ID. Recal. Date '\!PJ'IZ.. I I I I (10.2.l) Can Removal .3IC\\q2. Can Replacement \ "Z. Days Elapsed . (l.l..l.S) Cold Pack Grease * '/"'2-. Gal * .J-'RE Fae:\...'O (ll. L 6) Grease Can Filled 0 n:s &11o_ _ Cjuanti ty N/.t Gal.. e#slrJ/*z.. (11.2.7) Pump Hot Grease 3 Gal. Grease
': } Ther::io.No.
Recal Date 9l'3/C\"Z..- 4t't... (ll.2.8) Waste Grease . . 0 Gal. TOTAL. PU?:!PED IN . '&"'"' . Gal. . . st3/rJ/crz... (ll.2.9) Cold Pack y.,.,_ Gal + Partial Fill -e=-..Gal .. + Total Pumped In m_ Gal. 21 } . TOTAL QUANTITY REPLACED 9 1/'f _*Gal. -:f-- c11.2.10.l..l) Grease Leaks Om 1=\e'L.l>
c11.2.10.2.1)
REFILL ACCEPTABLE gf.n:s D NO Variation -r5'q 8AJ/a3J,.z .... ( 11.3.3.15.2) Exit Temp. .* ( 11.3.3.15.3) Complete µilling On:s of Gre:se _M °F. I.D. . Recal Date r& Vents Open 111/A-* Vents Closed After Filling Dy;ain Vents Before Filling z I-(11.2.10.2.2) COHHENTS:

. ' L..T:"VE!.

_.']J[.::::1 =-l --I ) -.... . -.
-.:** :** .-_;_ .. --. --::.* ... -*=*:---****

-* ... --1 *-_ --*-.-* .. PSC PROCEDURE SQ -12 1 _: GREASE REPLACEMENJ DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision O --I I I I I I I I I I I I I . .. *..__/ I 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT '!filIDON NO. . V7 /:'£ so 12.1 SURVEILLANCE NO._- ......... __ _ TENDON .END/BUTTRESS NO. .c::dlj.sl'/hm (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports (8.7.l) GREASE LOSS THIS TENDON tzl Gal.' UNIT _/..__ __ I QC Signof f & ( 9. 7
3 .1) Pump *Gauge At'/4 Dimension .N/!9 Gallons per inc:.11 & (9. 7 .* 4.1) Grease Heighl:, in Drum BEFORE N)'.l'f= (9. 7 .5.1) AFTER Calculations:

NIA-1

I . (10.l) A:nbient Te:ip. ?./$ ° F. Ther::io.ID. Recal. Date 4f'A-(10.2.l) Can Removal C\'Z-can Elapsed __ -z... __ _ (11.l.5) Cold Pack Grease

1/'=t Gal. (11.l..6)
Grease Can Partial y Filled 0 r:"...S SNO Quantity . Gal. (ll.2.7) Pump Hot Grease Gal. Grease 0: . ,J L -Ther:no.No. Recal Date -(ll.2.8) Waste Grease
Gal.. TOT1?#U!!PED DI N,4 . * &1 "1r1hz.. (11.2.9) Cold Gaf + Par-..ial Fill Gal .. + Total Pumped Gal. '1 '; '!O'!AL QUAd"iiY REPLACED ;/A: Gal.
q %..
c11.2.10.1.l.)
Grease Leaks OYE3 {)f13-tz.-1/J. St\O"P (11.2.10.2.l) REFILL ACCEPT.ABLE 13n:s ONO Variation &If/'?, ( 11.3.3.15.2) Complete Refilling On;s Exit Temp. of aoF. :l'.herno. I.D. 'f'M Recal Date ( 11.3.3.15.3) Vents Open '\11'/JJ. -Vents Closed After Filling
Drain Vents -ct;;;d Before Filling K/J?= , (11.2.10.2.2)
COMMENTS: TO E..All::>
. Q.C *. REVIEW '}{.
(; DATE "]-2..J,'/' L TI'.rI.Z #16,/. 1 Q./1.1 ' n-p7 INFO. I 1-* I I I I I I I I I I I I I I ... ** --.... -*--:.: :*:..... -. -:71-.. --. .. . -. . ... ;:: ' :.: _-* PSC PROCEDURE SQ>.12 .1' ..
GREASE REPLACEt*fENT---DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O Lh.Revision 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO
__ z_o_"'_" .... r; .....
rm J2!J TE?IDON NO. _.V._*+-ffl,..,.._f __ _ TENDON END/BUTTRESS NO. 56.y',ffJSP UNIT __./.___ __ QC Signof f SQ 12.0(9.3.l) Coat End Anchorage Assm. f't Gal. Q.C. Signoff 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only Gal. 6.0 -DS.6.0 Grease Loss from Tendon Duct. () Gal. tl SQ 6 .O -DS 6 .0 -Bottom of Page TOT.AL GREASE LOSS /2.bg Gal. ... 9,{_ I so 12.1 -+ l !J'\- F\t!L.."D E.ub : 4# 1/'f (8.6.l) Documented
Grease Losses -NCRs or Other Reports ..AJoAJE Gal. (8.5.l) Estimated Grease Losses From Leaks .yp..UE' Gal. * (8.7.l)
GREASE LOSS THIS TENDON 't'/'t Gal.' ffi (9. 7 .3.l) Pump Gauge AJ/A--Dimension 1:2£. Gallons per inch C\"L ZS (9.7<4.l) Grease Height in Drum BEFORE '3/f (9. 7 .5.l) AF!ER 9 1/'f: 'i2-Calculations: '1'/i -'2"511.f.::. 2,\/-Z..)l.\.7.f;:: 'f='l't t..: . . Pk. . . (10.1) Ambient TOQp. SZ.. ° F.
Tho=o.ID.
8!;'% ReC!l Dato 0.\'Jl'=t. (10.2.l). Can Rem.oval'&/i1/!Z. Can Replacement3j>>/1Z-Days Elapsed_&'+__
(ll.l.5) Cold Pack

1/-z_
(11.l.6) Grease Can Partially Filled DYES Ilt-No QUantity -&-. Gal. (11.2.7) Pump Hot Grease 'f:'/'f= Gal.. Grease !emp.m._ 0: * . :1
Date C\\'3\q'Z-. . 3/ijqi.. (ll.2.8) Waste Grease . -s-Gal. TOTAL PUMPED m 4-Yct . Gal. . ='2. (ll.2.9) Cold Pack Gal + Partial Fill Total Pumped Gal.

TOTAL QUAN'll'XY REPLAC-r.D
'.f. 3/ 'f:. Gal. . . . " 1.. (ll.2.10.l.l) Grease Leaks OYEs 0 r.8No "J3},b-z.. (ll.2.10.2.l) 'REFILL ACCEPTABLE D NO Variation +/{. 7 ( 11.3.3.15.2)
Complete R1&lling DYES gNO Exit Temp. of °F. Thermo. I.D. N/A-_ Recal Date ,uJ+ ' Vents Open N/1+-Vents Closed After Filling 1+1,,/A (11.3.3.15.3)
Drain Vents c1';,sed Befora Filling N/lt . . (11.2.10.2.2) COMMENTS: jfil-"TO ';:\E'L..1>> 6..vJ:) Q.C. REVIEW .. . 1* I I I I I I I I I I I I . _ "'" : PS C -PROCEDURE SQ 1 2 1 GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION SURVEILLANCE NO. . ,C2tJ <<c* YEAR /f'#-. UNIT I -----TENDON NO. V: /$ TENDON END/BUT!RESS NO. / QC Signof f SQ /:-.. SQ LJ.:::,.SQ SQ 12.0(9.3.1) Coat End Anchorage Assm. fa; Gal. Q.C. Signoff 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only Gal. 6.0 - (1Q.3): Grease Loss from Tendon Duct. f"i: 6 .0 -DS 6 .0 -Bottom of Page 'IDT.AL GREASE LOSS .:f'"t Gal. .'J-,11 .. so 12.1 (8.5.1) (8.6.1) (8.7.1) Estimated Grease Losses From Leaks Gal. Documented Grease Losses -NCRs or Other Reports TOT.AL GREASE LOSS THIS TENDON Gal.' (9. 7 .3.l) P=p Gauge Dil:!ension Gallons per inch & (9.7 .4.1) Grease Height in Drum BEFORE AC (9. 7 .5.1) A.."l:"!ER A1'ft9-* eA:Pl,&/tz-Calculations: ' . r . (lO. l) Ambient 'r""'P. .N'/,.4-° F. Tue=o. ID. * "'//!r Recal. Date "'/ (10 .2.1) Can Can Replacement J /fo/4'Z-Days Elapsed 7 b c:tZ-(11.1.5) Cold Pack Grease * '/'f Gal.
4 (11.l.6) Grease Can Partially Filled DYES 129--No Quantity --Q.-. Gal. f,J 3/6/'t'Z..
(:I.1.2. 7) Pump Hot Grease Grease . * /j Recal Date NJ4-1$ i C, '12-' . (11.2.8) Waste Grease * /"/Ir Gal. '.!:OT.AL PUHPED Ill N}&-.
a5 (11.2.9) Cold Pac.1c
+ Partial Fill 'Iotal Pumped In J ff TOTAL QUANTITY REPLACED +/- al. elJ 3 (. 2.. . (l1.2.l0.l.1) Grease Leaks 0'ras . -if.. Slfe" SlllW Ei>./1:>
i (11.2.10.2.1)
REFILL ACCEPTABLE 0 NO Variation __.}t "' ,. (11.3.3.15.2) Exit Temp. ( 11.3.3.15.3) Complete Refilling DYES 2JNo of
!{fi_0?. 'Iherno. I.D. N/A-Recal Date .:!:!µ!r:.
Vents Open NIA,: Vents Closed After Filling
Drain Vents Cl6sed Before Filling Al/!'f=

eJ -z/ro/'z._
I c11.2.10.2.2) coHMENTs: ReF1t.t..E"b S\-\o? e,o'J:) ' --I Q.C. REVIEW L-"tn/EL 'Jlf-nm 3-to-j;.. Til'I.Z . .. b2-IJ ( 7 *--* rF,1 **. .,;1,1) NN. . -!,:..._ O? llJ>J I ill 'i-***11 I I I I I I'. I I I I I I -. *-.-. --* --_.-_ * ...,,.* ,_. ***7 --**-----.*... --. ---. ---.. -. -:._.:--:::
*-; .-GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PSC-PROCEDURE SQ 12.1 REPLAC6MENT DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision 0 L°tRevision 1, 8-14-87 PROJECT f?h'stefes . J SURVEILLANCE NO
.... A....._ __ _ YEAR lffJ TElIDON NO. Jr;tJ./f TENDON END/BUTTRESS NO. Sly;lllt2 UNIT_/ __ _ />..SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only Gal. QC Signof f SQ 12.0(9.3.l) Coat End Anchorage Assm. Y1 Gal. Q.C. off e&J\17RoL L...!..1SQ 6 .0 -DS _ 6 .O Cl ().3): Grease Loss from Tendon Duct. Gal.'*" SQ 6 .O -DS 6 .0 -Bottom of Page TOTAL GREASE LOSS l Gal. ""3)r1/'fz... so 12 .1 -+ 3 LOSS o,.J F"1eu:a>>b . (8.5 .l) Estimated Grease Losses From Leaks Gal. &7 crz. (8.6.l) Documented Grease Losses -NCRs or Other Reports NOA/lL
Gal. -i 'I (8. 7 .1) '!OT.AL GREASE LOSS nus TENDON 'i'l'Z. Gal..... 1 ,-z,..... (9. 7 .3.1) Pump Gauge Di::iension
/. 7S-Gallons per inch UJ \1 ZS, (9.7 .4.l) Grease Height in Drum BEFORE IS" (9. 7 .5.1) A..'l:"'!ER /,k \1,'Z-Calculations: /?/1--/$c B: 1 (10.l) Ambient '!e::rp. ° F. 'Iher::io.ID. Pfc:'f8" Recal DateC\l3)Cfz. (10.2.l) Can Removal 3J1'1 ,2.. Can Replacement 3/ IJ/'tZ-Days Elapsed .!L (11.1.5) Cold Pack Grease
Y"2-Gal. 1 1 l (ll.1.6) Grease Can Partially Filled 0 YES Quantity -0. Gal. (ll.2. 7) Pump Hot Grease '9 Gal. Grease 'Ie::rp .ZDO °F '!her::io.No.
flc:.'tB'Rec:al Date C\/'!a/!'Z-"f>'J11/'z.. (11.2.8) Waste Grease -:= 0 Gal. TOTAL Ptn!PED Dl 8° . Gal.
elJ3fJ1/rv (11.2.9) Cold Pack
+ Partial Fill Total Pumped In <a"' Gal. 1 1 J TOTAL QUANTITY REPI.AC?...D Gal. . 'f-Z. I Grease Leaks OYEs "iaNo . ,z.. (ll.2.l0.2.1) .REFILL ACCEPTABLE 0 NO Variation -f-8'8"' v (11.3.3.15.2)
Exit Temp. (11.3.3.15.3)
Cll.2.10.2.2) Complete On:s l8Bo . of Gre:se M °F. Thermo._ I.D.. Rec:al Date ""(/+ Vents Open .N/.4. Vents Closed
Drain Before Filling -ti, . . COH!:!EN'IS:

Q.C. REVIEW __ _ Q.81 TI::u! -fil IJJ>} INF". I '. I ... .... I I I I I I I I I I I* I I -----' -* ---------. --o-__ * ., -__ .. ,* .-!*.--* *-----... --**' _.::-.. --: .--:- -. --***.-..... -PS¢ PROCEDURE . SQ 1 GREASE REPLACEMENT DATA SHEET ...12.1 MAY 20, -1987
Page 1 of 1 Revision 0

_&Revision 1, 8-14..:.87 GREASE REPLACEMENT
-INSPECTION DOCUMENT.A:rION .
SURVEILLANCE NO. _
..... tt'"--.. _* __ /9f.:<.. I TE?moN No. VJ 1 r TENDON END/BUTTRESS NO. pdJ.l/.&tf-qe. tJNll r QC Signoff SQ 12.0(9.3.l) Coat End Anchorage Assm. /"'"'( Gal. Q.C. !>.SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 ClQ.3): Grease Loss from Tendon Duct. Sign off I Gal.. Gal.. '5 Gal. J.bba " SQ 6.0 -DS 6.0 -Bottom of TOTAL GREASE LOSS SQ 12.1 &&;:-4 Skf.E.;l. .I JJ,,,/;l (8.5.1) Estimated Grease Losses From Leaks 0 Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports 11{/;t ( 8. 7. l) TOTAL GREASE '!H!S '!.ENDON .:3 Gal." Gal.. Jn. (9. 7 .3.l) Pll:p Gauge Dimension -;fjA Gallons per inch & (9. 7 .4.1) Grease Height in Drum BEFORE (9. 7 .5 .1) .AF!ER -calculations: . (10.l) Ambient 'temp. _HM ° F. 'Iher::o.ID.
'J1:' Recal Date JI!/& (10.2.1) Can Can Replacement .i* *fJl.Days Elapsed /) Cll.1.5) Cold Pack Grease

Ix Gal..
Grease Can Partially Filled D F..S .ro NO Quantity o* Gal.. (11.2.7) Pump Hot Grease .flt? Gal.. Grease Temp.# °F ' 'Iher::io.No. 4'14 "fJ.ecal. Date .fk .tft .. Jl:f..2.. (11.2.8) Waste Grease
l!{/J! Gal.. TOTAL. Pm!PED D1 *

)/.Jt7fl (11.2.9) Cold Pac.it .f!i. Gal +Partial.
Fill Total ed In 4'f Gal. !JA TOTAL QUANTITY ,.Afl/C ,.i'c1t1'u SJ."J'
,,tfdl{..Jtz.P . Cll.2.10.l.1)
Grease Leaks O=ms 2No Cll.2.l0.2.;l) REFILL ACCEP'.I:ABLE D NO Variation (11.3.3.15.2) Exit Temp. : ( 11.3.3.15.3) Cll.2.10.2.2) Complete Refilling OYEs J8No of H/tt.°F. Thermo._ I.D. 4!/19-"fJ.ecal Date 4A-_ 4Hzw/t2. Vents Open NIA Vents Closed Af Drain Vents-ci;;;;d Before COMMENTS: pd/I-A._ O!J >',tt R°nJ Q.C. REVIEW . Y,{;
-.'-..::*-

* ... *: .. . ;;---:" -* .:*-. -:...--*=

-*-*---**--** :....:..** . ---_ -*-__ Ai:?i I I I I I I I 1* I I I I *, GREASE REPLACEMENT -INSPECTION DOCUMENTA'.l:ION PSC PROCEDURE ---SQ-
----' . . GREASE REPLACE'.-MENT DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 PROJECT
..... ... .i;..__f _____ _ SURVEII.I.ANCE NO. _ __ _ YEAR d/6 TENDON NO. . :f.'fA.£" TENDON END/BUTTRESS NO. UNIT / ----QC *signoff SQ 12.0(9.3.1) Coat End Anchorage Assm. 11" Gal. Q.c. Signoff Jl.1-.1.J*?.:Z... -6.0 -DS 6.0 (8.7.1) Grease Loss From Grease*can only 11-".y Gal. 6.0 -DS.6.0 (10.3)_: Grease Loss from Tendon Duct. 0 Gal. 'A --I* _,11,,_ SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS ,:2 Gal. SQ 12.1 (8.5.1) Estimated Grease Losses From Leaks () Gal. (8.6.1) Documented Grease Losses -NCRs or Other (8. 7 .1) GREASE LOSS THIS TrlmoN Pl. Gal."' Gal. £. C 9. 7
3 .1) Pump *Gauge Dimension Gallons per inch £ (9.7 .* 4.1) Grease Height: in Drum BEF RE (9. 7 .5.1) .AF'IER LP:-" Calculations:
(10.l) Ambient TO::!;>. di ° F. The=.ID * ./1'.£2 . Recal. .A.1.Sz;l-fo/L (10.2.1) Can Removal .. f.fl. Can Elapsejjd;J-/,J-?.Z.
(11.1.5) Cold Pack G;ease * ;?' Gal. -* ... 1 ,, LJ 41 * (ll.l. 6) Grease Can Parti'i Filled 0 YES 110 Quantity tJ . Gal.. (11.2.7) Pump Hot Grease Gal. -Grease *. Ther:o.No.,P,,( Recal Date (ll.2.8)
Grease *a Gal. TOTAL. Ptn!PED DI .:J. &_ . Gal. * )ll-t.1*7A* (ll.2.9) Cold Pac..'c Gal + Partial .fill ... + Total Pumped In a Gal. !1A TOTAL QUAN'llTY REPLACED 2. .l'z' Gal. _ /4.!J.:1$ .. Pf:. (11 * .2.lO.l.l-) Grease Leaks OYE3 ),?No Jd..J-/;-£:< .. 2.1) REFILL ACCEPTABLE -D NO Variation-t" 3Z.t: '%. ( 1l.3.3.15.2) Complete Refilling On:s ---Exit -¢'F. Thermo *. I.D *. Recal Date "f/..f-, 'f (11.3.3.15.3) Vents Open d# Vents Closed After Filling Drain Before I . (ll.2.10.2.2) COMMENTS:---------------------- I Q.C. REVIEW '!In.E ffl c.,,e, ) lJ? -A I I-"C"VEL .. :JJL. DATE 14-3 -? '2------------ ... . :-/f\ llJ>"> /NF.J
I I I I I I I I I I I I I I I -"' --*-.*-.--;
... -. ? SC PR 0 C:: DURE SQ -f-2 \ ----)/2 s S GREASE __ -RE?LACEMEN_i -........ -DA TA SHEET 1 2 * -1 MAY 20, 1987 Page 1 of 1 Revision O ,LhRevision 1, 8-14-87 GRE.d.SE R::PL\CEME!IT - DOCW...E..'IT.llION' PROJEC: ____ ..... lf ..... __ SURVEILLANCE* NO. zo+l\ '/f!- qz. ---- No. F.lrn/Burnss No. BEt..,D 7 ::L ma:r ___ _ SQ 12.0(9.3.l) Coat E.'ld Anchorage Ass::i. '/-i. Gal. Q.C. Signoff QC SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only _ __;.:1-;;::. ____ Gal. 6 .0 -DS 6 .0 Cl Q.3): Grease Loss f:-om Tendon Duct. '/of Gal. L SQ 6 .0 -DS 6 .O -Bottom of Page '!OT.AL GREASE LOSS 2. Gal. so 12.l (8.5.l) Estimated Grease Losses From Leaks Gal. ( 8. 6. l) Documented G::-ease Losses -NCRs or Other Repor_s Gal.. -!'-='.+¥--'+--..,,. (8.7.l) GRE..\SE LOSS '::-i!S TE:!IDO?l 2-Gal.' & ( 9. 7
3. l) Pu:::p Gauge Di::iension .V/A Gallons per L'lcll fu (9. 7 .4.l) Grease Height i.'l ut"'.::l BE:ORE .v/i (9. 7 .5.l) .a::::R .vg Calculations:
!'tlfASv&*(? t1/1 5 OAL. l:JUQ;*T5 ' (10.l) A::lbient Te:::p. 12-0 'F. 'nler::o.!D. Recal Date 11:': -l'J.C/Z-(10.2.l) Can Removali3l1'ZO[fz... Can "il!}jg,...Days
lapsed I '2-(ll.l.5) Cold Pack
0 (ll..l.6)
Grease Filled Or:--S Quantity . Gal.. (ll..2. 7) Pumpe.g-of!'C:rt?ls Gal. Grease Temp .f:.l!a._ 0: 7 . L. Iher::io.!lo. Pk:.'f'tr Recal Date 9/3/q-z..._
.
Cl.l..2.8) Waste Grease ... Gal. '!CUL PUHPED D1 Z.1-2-.
(l.1.2.9)
Cold Pack Gal + Par..ial Fill: o* Total Pumped rn2Yz. Gal. , I./... '!OU.I. QUA11Tin REPUCED "2. 3/i z... Cll.2.lO.l.l) Grease Leaks .CiNo (ll.2.l0.2.l.) REntI. ACCEPTABLE 0 NO Variation -f-37 "!. (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling DYES Q?i;o . of ?her:no. I.D. '}'M Recal Date 1"/1-Vents Open -,,,/" Vents Closed After Filling //""' Drain Vents Closed Before Filling /f/;jlJ: * / (11.2.10 .2.2) COHHENl'S:

Q .c. REVIEW __..;...;1./-....;., 5(...;.i.. .;..J.' _.;.... ---.... ...,,. J-7..'.3 -? 2----------- T!'.!:U I I I I I I I I I I I I I I I -,. " .. ,_ .-. ----------* *.-, __ _ GREASE REPLACEMENT -INSPECTION DOCUMENTATION . PSC . PROCEDURE,--SGL
12. 1 GREASE REPLACEMENT
---DATA SHE.ET 12. 1 MAY 20, 1987 Page 1 of 1 Revision O 1,
SURVEILLANCE NO._¢ ____

*: .-.... :* .,,*':'* TENDON END/BUTTRESS NO. S./,4-n,,,,.r mn:r _I __ _ QC Signof f SQ 12.0(9.3.l)

Coat End Anchorage Assm. I( Gal. Q.C. Signoff /:\ SQ 6
O -DS 6

0 ( 8. 7. l) Grease Loss From Grease Can Only /I':( -Gal. 6 .O -DS. 6 .O Cl Q.3): Grease Loss .from 'Iendon Duct. l2 Gal. (}A . SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS Gal.
so 12.1 (8.5.l) Estilnated. Grease Losses From Leaks 0 Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports "41'1f ( 8. 7 ** l) TOT.AL GREASE LOSS '!HIS TENDON I -i'r Gal."' filc9.7 .3.l) Pu:::p Gauge (l/(.tf Di.::lension Gallons per inch *.. & (9. 7 .4.l) Grease Height in Drum BEFORE (9. 7 .5.l) AFTER . Calculations: 40-... ::Z (10."l) Ambient 'Ie::p. ;l3 ° F. Ther:o.ID. f2t.f3-Recal Date . (10.2.1) Can Removal,f-Jt-94 CCJil Replacement ,;J-/3 --2?Days Elapsed .2? _J,O,Jj'! .. µ.. 1 (ll.1.5) Cold Pack Grease * ..Y't Gal. A ) (ll.1.6) Grease Can Partially Filled D Y-.:.S IE NO Quantity /}' Gal. (11.2.7) Pump Hot Grease .::J Gal. Grease I Ther=io. No. !1f .S-J-' Re cal Date f .. ..J-9:l J.:J. / (ll.2.8) Waste Grease
a Gal;. TOT.AL. Pm!PED D1 .:J . Gal. * )/J..L.J*7.:J..
I (11.2. 9) Cold Pac.1c l:!f_ Gal + Partial Fill .fi_* Total Pumped In _,]__ Gal.. i TOTAL QUANTITY REPLACED ,j Y"f Gal. (11.2.10.l.l) Grease Leaks (11.2.l0.2.l) REFILL ACCEPTABLE )2f°YEs 0 NO Variation -r? b ( 11.3.3.15.2) Complete Refilling DYES Exit Temp. of_ Grel!!se ..#/tf'F. I.D. '{f1t Recal Date Ajf;f ( 11.3.3.15.3) Vents Open __,t1L/!l_ Vents Closed After Filling Drain Vents---cIOSed Before Filling . ,, )fi.JtJ-:U (ll.Z.10.2.2) COHMENTS: DAn: 3-2. J-f 2-I /I\ lt'J>7 I I. I I I I I I I I I I I . . --PSC PROCE!5URE SQ-12. 1< . GREASE REPLACEMENT -. _ ... DATA SHEET 12.1 MAY 20, 1987 -* Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUHENTAXION PROJECT __ ..... P...,;1r ..... c.:..:..1s=-A ..... ..... s __ _ SURVEILI..ANCE NO. . : ZQ TE?IDON NO. _ F1f LD I TENDON END/BUTTRESS NO. YEAR Z. ----:L UNIT ___ _ QC Signof f SQ 12.0(9.3.1) Coat End Anchorage Assm. '/4 Gal. Q.C. Signoff :JffB'2.-P.... SQ 6 .O -DS 6 .O (8. 7 .1) Gt"ease Loss Ft"om Gt"ease Can Only __ }l't_l.,a-- __ 1 Gal. 6.0 -DS.6.0 (10.3): Gt"ease Loss from Tendon Duct. Gal. k-'-SQ 6. 0 -DS 6
0 -Bottom of Page . TOTAL GREASE LOSS .:i._ Gal.
SQ 12.l (8.5.1) Estimated Grease Losses From Leaks NONC Gal. !Ii * ( 8. 6. l.) Documented Gt"ease Losses -NCR.s or Other Reports AJOA/if" Gal. -S. (8.7.l.) TOTAL GREASE LOSS '!HIS TENDON 1 Gal.' "Z. £. C 9. 7
3. l.) Pump Gauge Di::lension
""{: Gallons per inch :a Jl'11t. & (9.7 .4.l) Grease Height in Dru::i BEFORE (9. 7 .5.l) A..'l:"'!.ER Al/A-"l/S1,'t'l-
_ Calculations: .M.S'.a50Jteb IAJ S 6hL 'BCJCJc:E:\S 1 eb.J/{1,Z. . ' (10 .1) Ambient Te:>p. _§'j__o F. Theoo. ID. 'Pr< 'f"1' Reoal Date '\)-s}1-E-
tIJ}J'Z,.. (l.0.2.1)
Can Can Replacement 3(;s"('fZ. Days Elapsed =9= .CfZ. (11..1.5) Cold Pack Grease
l/'f Gal. * (11.l.6) Grease Can Part.ially Filled 0 YES 15iNo
....@:: Gal. (l.l.2.7) Pump Hot Grease 'Z... Gal. Grease Temp.2.J!O:
Recal Date "tt\C\"L

e4'3jf"{qz.
(11.2.8) Waste Grease
Gal. '!OT.AL. Ptn!PED D1 "2.. . Gal.

01/f/12-(11.2.9) Cold Pac.'c ft Gal +Partial Total Pumped In 2-Gal. TOTAL QU.AN'll'.!Y REPLACED Z.. '/'i Gal.
(11.2.10.1.1) Grease Leaks . ebs/>ft?... (11.2.10.2.1) REFILL ACCEP'!ABLE L8YEs 0No '%. (11.3.3.15.2) E:xi.t Temp. (11.3.3.15.3) Complete Refilling DYES 18-No
of "14:-.°F.
I.D. N/-+ Recal Date #/"4-Vents Open Vents Closed After Filling V Drain Vents Closed Before Filling I I (11.2.10.2.2) COMMENTS: _. -------------------- Q.C. REVIEW 1/ .. . L..t:"\TEL

I ... .. Al . TITLE ,

I I I I I I I I I I I :----. **.** *-.. *.-------- -.-:-.:.-:--.. *:*. _....,... . --_. ---.. -.: *--:-.-. -----. .. -*, GREASE REPLACEME?r! -INSPECTION DOCUMENTATION PSC PROCEDURE SQ 12.1-GREASE-REPLACEMENT DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O &Revision 1, 8-14-87 SURVEILLANCE NO __ _ . .. -Ai'3S TE?IDON NO *. TENDON END/BUTTRESS NO. UNIT ___,/....__ __ QC Signof f SQ 12.0(9.3.1) Coat End .Anchorage
Assm. Gal. Q.C. Signoff I Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only L_USQ 6 .0 -DS. 6 .0 Cl Q.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS /) *GaJ.. /& Gal.
so 12.1 (8.5.l) Estimated Grease Losses From Leaks /) Gal. (8.6.l) Documented Grease Losses -NCRs or Other Repor+"..s ( 8. 7. l) TOT.AL GRE

ASE LOSS THIS TENDON Gal." I 4. (9. 7 .3 .l.) Pump
f Di::>ension Gallons per inch . fil (9.7 .* 4.1) Grease Height in D;r:i 7 .5.1) A..':'"!.::R -* . Calculations: .. 'i; . N,.ZU*1:Z.
(10.l) A::lbient Temp. dJ ° F. Ther:::o.ID
.J3t.1:1-Recal Date ,-.1-!,t (10.2.l) Can Re:mova13*/l-f2i Can Replacement,f-Y3*/A Days Elapsed' .;l (11.l.5) Cold Pack Grease

Yf Gal. * . (11.1.6) Grease Can Partially Filled DYES Quantity tJ Gal. ,,)}t.y.z-j;_ (l.l.2.7)
Pump Hot Grease fJ Gal. Grease Ther:io.!Io. Recal Date f-.J*.?.Z. ,IU,L2¥.Y.flZ
(l.l..2.8)
Waste Grease .
Gal. TOTAL PUHPED Dl -. Gal. * (ll.2.9) Cold Pack Gal + Par"--ial Fill _ff_
Total Pumped In Gal."dA //<? '!OT.AL QUANnIY R.EPUCED ,a GaJ.. -PAi'ZZ?...-:-( l.l.. 2 .10 .1.1) Grease Leaks DYES *re NO --1.Z.... (ll..2.10.2.l.) REFILL ACCEPTABLE _l}dYEs 0 NO Variation j,1.,;7_r-/J.. (11.3.3.15.2) Exit '!emp. ( 11.3.3.15.3) (l.1.2.l.0.2.2)
Complete Refilling DYES QSNO . of .J//L'F. '!hermo. I.D. --'11/4-RecaJ. Date ,4(1'1 Vents Open NM Vents Closed After Filling 4/dt._ Drain Vents -cr;;;d Before A{ltl= COMMENTS:
Q.C. REVIEW _?{._: ........ J-2.] z__ DATE -------TITLE '2.J1. I I I I I I I I I I I I I -. ***:*.*--....... - .; ..... *' '* .. ._* PSC PROCEDURE SQ 12. 1 DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O &Revfsion 1, 8-14-87. GRE:A.SE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT __ SURVEILLANCE NO. __ .......... --Yim" -------52 A*; FJ e c.:v / -s"S-rr I 'IE?IDON NO. TENDON END/BUTTRESS NO. SQ 12.0(9.3.l) Coat End Anchorage Assm. \l4 Gal. Q.C. 1:-1. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6 .0 -DS. 6 .0 (1 Q.3): Grease Loss .from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS UNIT :t_ ----QC Signof f so 12.1 * (8.5.1) Estilnated. Grease Losses From Leaks Gal. _, ,Z. (8.6.l) Documented
Gt-ease Losses -NCRs or Other Reports *NOtUf£' Gal. , , (8. 7 .l) '!OT.AL GREASE LOSS nus TENDON' I 'I'+ Gal." z.-., 4 ( 9. 7 .3. ir P=p Gauge Al Dbension A>/A GaUons per inch . ii!i'.;.z..
fil ( 9
7

4. l) Grease Height :m DI:"t.Q BEFORE ..Vf ffO ( 9

7

5

l)
__ A-___ .,,. . Calculations: 1.0 5" 6Al. ...... "'----------(io.i) Ambient Tei::p. o F. Tlle=o.m. Recai. Date (10.2.1) Can Removal Can Replacement
fJS"f9"L Days Elapsed -c9-= . (ll.l.5) Cold Pack
l/c+ Gal. (11.1.6) Grease Can Parti;illy Filled DYES Quantity -0 Gal. ea '3/>/'z. (ll.2. 7) Pump Hot Grease Z. Gal. Grease Temp 0: J .J 'Iher::io.!lo.
?\;:qi Recal (ll.2.8) Waste Grease 0 Gal. TOTAL. PUHPED Dl 'Z-. Gal.
d-#S'ftL (ll.2.9) Cold Pack Gal + Par..ial Fill Total Pumped In "2.. Gal. ! -JG TOTAL QUANTITY REPW.CED '2. Gal. ef
'Z. (11.2.10.l.l) Grease Leaks OYE5 (ll.2.10.2.l) REFILL ACCEPTABLE D NO Variation +Z.ff' (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling DYES f8No . of Thermo. I.D. Recal Vents Open v" Vents Closed After Filling .,,,,,.... Drain Vents Closed Before Filling A'.../'"4- ' es 3jqtt ""L e&J/>/ttt.. (ll.2.10.2.2) COMMENTS:---------------------- ' . Q. C. REVIEW ...;.__h..----.._ __ _ - _.lJ.L __ _ D ""'""" _-; -2.. J. -L_ 1'>1tH2. I TITLE I -*: *.--***-*:-- -. I I I I I I ,. I I I I I I . ... - GREA-SE REPLACEMENT . DATA SHEET 12.1 MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION
PROJECT
_ TENDON NO. '£.,!.!? SURVEILLANCE N0. __ -4 ... ____ _ YEAR //f,i TENDON END/BUT!RESS NO. 7 (/2&.ar UNIT I _, __ _ SQ 12.0(9.3.l) Coat End Anchorage Assm. J1r Gal. Q.C * . 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only iliSQ 6 .0 -DS. 6 .O Cl Q.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS QC Signof f SQ 12.1 (8.5.l) Estimated Grease Losses From Leaks Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports ( 8. 7. l) TOT.AL GREASE LOSS '!HIS TENDON / Y¢ Gal." I jffffJ £. (9.7 .3.1) Pu:np Gauge .11/# Dimension -## Gallons per inch . ZS (9.7-.4.1) Grease .5.l) A...'C"!ER . Calculations:. !:Jd . (10.l) Ambient Temp. F. '!her::io.ID. e.Ko-..r Recal Date 1-iJ*fL: (10.2.l) Can CCV,1 Replacement' 3* f*f#2'Days Elapsed £ (ll.1.5) Cold Pack Grease *
Y;K Gal. . . (11.l.6) Grease Can Partially Filled Ons l&fNo Quantity t2 . _Gal. (ll.2.7) Pump Hot Grease Gal. Grease
°F JM' Ther:no.No
.f'Ksr Recal Date 9;-J *!g . _'f4_J*¥/-<-
' (11.2. 8) Waste Grease : /)
Gal.
Pm!PED D1 6 . Gal. * (ll. 2. 9) Cold Pac:.1c f'i Gal+ Partial Fj-ll _.l_*Gal .. + Total Pumped In ,:J_. TOTAL QUAN'n:TY REPLACED :2-o/ Gal. c11.2.10.l.l*) Grease Leaks Om .12]No . JI '3-Y..,!.L cu.2.10.:2.1) "REFILL ACCEPTABLE D NO Variation "! ,ti .f-{-tri.. (11.3.3.15.2) Exi. t Temp
J ( 11.3.3. 15.3) (11.2.10.2.2)
C-lete On:s _gfllO ,/k_ /}Hl
of 0'F. Thermo. I.D. if/d--. Recal Date Vents Open Vents Closed After Filling #-. . Drain Vents Before Filling 4fJ#-. *

COHHENTS:
' Q.C. REVIEW ,.: I I I I I ' . . _,. I ,. I I __ ,. .. -.-* ":***.; ___ . -*:-.. ------... -* . .. :--.. -;* : .. *_. -* -__ :_ PSC . GREASE REPLACEMENT DATA SHEET 12.1 -*-*. MAY 20, 1987
Page 1 of 1 Revision O &Rev is ion 1, 8-14.-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT ____ P_...A ..... L..-.lS __ A __ J)_f...,._S __ _ SURVEILLANCE NO *---=ZQ::a.* =---TfilIDON NO. __ 'f.;..;o,.._8__,D,._ 4 _ TENDON END/BUT.J:RESS NO. fl E:CD /e!rr YEAR --a...' 2 __ :L UNIT ___ _ I QC Signoff 1/LL l l SQ 12.0(9.3.l) Coat End Anchorage Assm. T Gal. Q.C. Signoff e.&l O(:z._ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only Gal. L!..1SQ 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. -e-Gal. 1 SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS ..:1..., Gal. el;J/'{[9z.... SQ 12.1 (8.5.l) Estimated Grease Losses From Leaks
Gal. ( B. 6. l) Documented Grease Losses -NCRs or Other Reports #t/) (B.7.l) TOTAL GREASE LOSS '!HIS TENDON ..1.... Gal.'

Gal. 'Z--Z.. £. (9. 7 .3.l) Pump Gauge Dimension Ml):1-Gallons per inch * & (9.7 .4.l) Grease Height in Drum BEFORE A1:4--' (9. 7 .5.l) Calculations:
'41e'A-Sr;1let> IAJ S <SAL-v--(10 .1) Ambient T""'P. '\'i!' ° F. :rher:no .ID. 'l'rl-rW Recal. Date ., (10.2.l) Can Removal 3(1\{'<j"l-Can Replacement 3 "\-C\ Z... Days Elapsed 3 2-(11.1.5) Cold Pack Grease
Gal.. (ll.1.6) Grease Can Partially Filled 0 YES Quantity *O. Gal.. e&3}#qz,....
(11.2.7) Pump Hot Grease 3 Gal.. Grease Te::ip. '212<>: Ther::io.No.'Pt'!'ii" Recal Date ct)3)ct'Z- - (11.2.8) Waste Grease
0 Gal. TOTAL Ptn!PED .Dl 3 .

e&'l'f(crz_
Cll.2.9) Cold Pack _!/5. Gal + Partial. Fill Total Pumped In .2._ Gal.. du) TOTAL QUA?rn:'.I:Y REPLACED 3 1/'f-Gal.. (ll.2.10.l.l) Grease Leaks 07res 0 18No e!z3/¥jtJZ-(ll.2.l0.2.l) REFILL ACCEPTABLE 8YES D NO Variation +z:z.. S-"X. e,e,3/lf/ct'- (11.3.3.15.2) . Exit Temp. (11.3.3.15.3) Complete OYEs f&No of M °F. Thermo. I.D. A{/A. Recal Date Vents Open / Vents Closed After Filling V' Drain Vents Closed Before Filling
(11.2.10.2.2)
COHHENTS:

Q.C. REVIEW DilE __;;.J_-_;;'L;;..;;J_-_'t_L __ I I I I I I I I I I I I I GREASE REPLACEMENT -INSPECTION DOCUMENT.AXION'
-*: ----.-*-:*.:--
PSS-. PROCEDURE
SC;J i
DAT A . SHEET 1 2
1 MAY 20, 1987 Page 1 of 1 Revision 0 .L:h.Revision 1, 8-14-87 SURVEILLANCE NO
......... 'fJ...,l ... f...,*-----A v.J:2-i?b4fie.? . TE?IDON NO. . 7t{ PF TENDON END/BUT.I:RESS NO. 5Auz IF avir 7 i UNIT_/ __ QC Signof f SQ 1.2.0(9.3.l) End Anchorage Assm. ft Gal. Q.C. /),. SQ 6
O -DS 6

O (8. 7 .1) Grease Loss From Grease Can OnlyM-' q: / -Gal. 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. Gal. SQ 6 .O -DS 6 .0 -Bottom of Page TOTAL GREASE LOSS I Yf' Gal. J.J.J..1!f9'J...
I SQ12.1 CB .5 .1) Estimated Grease Losses Frem Leaks A!/.19 Gal. f.t (8.6.l) Documented Grease Losses -NCRs or Ot.h7rReports ..... ---Gal. fJ... ( 8. 7. l) TOTAL GREASE LOSS nus TENDON .h. Gal..... 4 (9.7 .3.1) Pump Gauge allons per inch J.4.,£-)!(--!..£ fil (9.7 .4.1) Grease Height in Drum BEFORE_Jb"fi: +/-_!: 7 .5.1) AFTER &/tf . Calculations: !fwvrd,'a £eJ. (10.l) Ambient Te!:Ip * ° F. '!her:o.ID. /'l{i'S-Recal* Date f-;J-J,{_ (10.2.l) Can ... Can Replacement .2 ;2541.Days Elapsed (11.l.5) Cold Pack Grease *" I"-¥ Gal. . (11.1.6) Grease Can Partially Fllled 0 yt:"...S Quantity (J . Gal. Jh*-f.2 (11.2.7) Pump Hot Grease .L Gal. G:t:"ease °F * '!her:no.No. $(£ Recal Date2j1;-.f;1.. (11 * .2.8) Waste Grease
0 Gal. TOTAL. Ptn!PED D1 ;2 . Gal.

iJ,2..,?FJ_A (11 * .2. 9) Cold Pack ft Gal + Partial Fill /1:_* Gal .. + Total Pumped In ll Gal. ; TOTAL QUANTITY REPLACED Gal. .
(11.2.lO.l.1) Grease Leaks OYE3 !81No (ll.2.10.2.1) 'REFILL ACCEPTABLE D NO Variation r ..21. "t. ( 11.3.3. 15.2) *Exit Temp. (,., .3.3.15.3) " Complete $lling OYEs .3No of Grel!se °F. Ther:io. I.D. #-Recal Date Vents Open ,r;/.u-Vents CJ.osed Drain Before (11.2.10 * .2 * .2) COHHEN'XS: .* ______________________ ___ JI[ I-'l:"VEI.

D.An: ') -'2..) 'Z.....

I I I I I I I ,. I I I I I I -* -- .. * .. PSC PROCEDURE" SQ -12 GREASE REPLACEMENT ---,_ . _-Jf ----0 -DATA SHEET 12.1-MAY 20, 1987 Page 1 of 1 Revision O _&Revision 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUMENTATION -t:l.".&Je.s TENDON NO. 7/{i21"' SURVEILLANCE NO._** .... __ _ rm !llJ TENDON END/BUTTRESS NO. UNIX __./'----SQ 12.0(9.3.l) Coat End Anchorage Assm. ;If Gal. Q.C. />...SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS. 6.0 Cl Q.3): Grease Loss from Tendon Duc:t. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS QC Signof f so 12.1 (8.5.l) Estimated Grease Losses From Leaks * (} Gal. * (8.6.l) Doc:umented Grease Losses -NCR.s or Other Repor+-..s u/A. Gal. 1 .... _-(8. 7.l) TOT.AL GREASE LOSS THIS 'IENDON /1-'f' Gal.' 7 * .&. (9. 7 .3.1) Pump *Gauge Dimension Gallons per inch J,4.?J-Jt< ZS (9. 7 .* 4.1) Grease Heigh in Drum BEFORE (9. 7 .5.l) A..t:'!ER
_ Calculations:
.£J4/BAJ.-6 _________ (10.l) Ambient Tel:p. ° F. Ther::io.ID. &t1a' Recal. Date f-§!oZ (10.2.l) Can Removal3-J-?:l Can ReplacementJ:3-z;< Days Elapsed_...__ __ (11.1.5) Cold Pack Grease
r41 Gal. (11.l. 6) Grease Can Partially Filled 0 YES (ENO Quantity CJ . Gal. (11.2. 7) Pump Hot Grease ,;..._ Gal. Grease .Jd.!2...0:
Ther:no.No .f,K 6'5" Recal Date 9-.1* £.2.. (11.2.8) (11.2.9) Waste Grease
tJ Gal. TOT.AL PtIBPED D1 ;;?.. . Gal. * ,3-.?-tl Cold Pack _!:l.. Gal + Partial Fill // *Gal .. + Total Pumped In .:l._
TOT.AL QUANTITY REPLACED /2 Gal. (11.2.10.l.lJ Grease Leaks (ll.2.10.2-.l) REFILL ACCEPTABLE . %n:s O:tm Variation -rYtJ . j.. ( 11.3.3.15.2) Exit Temp. ( 11.3.3.15.3) Refilling D n:s JBj' NO _ of P.!!. _ Thermo._ I.D. :p_ Recal Date ? Vents Open Vents Closed
Filling ¢ Drain Vents Closed Before PHf.z ... 3-22.. ,, (11.2.10.2.2)
COMMENTS: ______________________ ___ Q.C. REVIEW ..1./..1... L..'l:"VEL

D 11..-t:o J -2...1-Cf L

*: . TITLE

' Gl . A ' I I I I I I I I I I I " , I ** .. ** -.. .. . -* PSC PROCEDURE SQ 12.1 GREASE DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O 1, GREASE REPLACEMENT.- !NSPECTION DOCUHENTAXION .. -. --. -** ... A ... TE!IDON NO. Z78F . SURVEILLANCE NO. -2/Jge* TENDON END/BUTTRESS NO. IDlll I _..,. __ _ QC Signof f SQ 12.0(9.3.1) Coat End Anchorage Assm. ,f¢ Gal. Q.C. Signoff 4J<.,,u-:p I:\ SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only_......,,.....___ ___ Gal. 6.0 -DS.6.0 (10.3): Grease Loss from Tendon Duct. d Gal. SQ 6. 0 -DS 6
0 -Bottom of Page TOTAL GREASE LOSS I J/f Gal. ///. J..J5-£t so 12.1 (8.5.l) Estimated Grease Losses From Leaks ALL.h= Gal. (8.6.l) Documented Grease Losses -NCRs or Oth'Efr Reports
...... 'JI-___ Gal. ( B. 7. l) '!OTAL GREASE LOSS '!HIS IENDON I .1/9' Gal.' I C 10
l) Ambient Temp. '}) ,U. ° F. '!her::o.
ID. f/j(....£,,,L_ Re cal Date 9-1= fl!. (10.2.1) Can Removal..Z.o,Jff...£ Can Replacement'Of-)t-fa Days Elapsed_!) __ _ (11.1.5) Cold Pack Grease
P-41 Gal. (11.1.6) Grease Can Partially Filled 0 YES ,g} NO Quantity /} . Gal. jh::f;:.fct, (11.2.7) Pump Hot Grease . ..2. Gal. Grease Te:mp.$0°F

"'ro"J 'Iher::io.!Io
.&5£ Recal Date !-3 (11.2.8) Waste Grease
Gal. TOT.AL Pm!PED D1 o2.. . Gal. *
(11.2.9) Cold Pac.le .f:L Gal + Partial Fill .. + Total Pumped In L TOTAL QUANTITY REPLACED ,2}# Gal. Grease Leaks OYEs . (11.2.10.2.l) REFILL ACCEPTABLE _J21YEs 0 NO Variation -I J 9 . (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling DYES j.8.No . of ?'!!. Thermo. I.D. -..¢.
Recal Dai;.e Afh¢= Vents Open A//.# . Vents Closed After Filling Drain Vents Before Jf A= .
. -(11.2.10.2.2)
COHMENTS: ____________________________ ___ Q.C. REVIEW __ _ . I bl. A* ; ;. -&. llJ>7 INF"* 1*** I I I I I I I I I I I I I I ---. o ** ----... --------GREASE REPLACEMENT -INSPECTION DOCUMENTATION ":_* ,_ .. -psc PROCEDURE SQ 12.1. GREASE REPLACEMENT DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O _&Revision_ 1, 8-14-87 PROJECT ____ P ..... A_,,l_.IS ...... 8...,.D ..... SURVEILLANCE NO. Yft-. .. ' .. YEAR _'f_"Z.. __ TENDON END/BUTTRESS NO. FIELQ/B svrr UNIX ::I_ I -------QC TE?IDON NO. _J,....._,J.....,'B=F'---' _ Signof f SQ 12.0(9.3.l) Coat End Anchorage Assm. '/'f Gal. Q.C. Signoff z.f'ZS'/'l'Z.. I:\ SQ. 6 .() -DS 6 .0 (8. 7 .l) Grease Loss From Grease Can Only __ _,*/ ..... lf= ___ Gal. 6. 0 -DS . 6. 0 (1 !> 3) : Grease Loss from Tendon Duct. :-2= Gal. SQ 6. 0 -DS 6. 0 -Bottom of Page TOTAL GREASE LOSS _:I Gal. $Zjzfj1z. SQ 12.1 (8.5.l) Estimated Grease Losses From Leaks &1fhll{/[ Gal. (8.6.l.) Doctiment.ed Greas*e Losses -NCRs or Other ( 8. 7. l) TOTAL GREASE LO.SS nus TENDON ..:L Gal ..... Gal ** ;, z.... '.. I. *. ' ' £. (9. 7 .3.1) Pump Gauge ...,/4 Dimension
44-Gallons per inch * *. ZS (9.7 .4.1) Gt'ease Height in Drum BEFORE. -"'7A (9. 7 .5.l) A.'l:"'!ER
,..,/A-. Z. Calculations: AEllSllJ/!tD IN S &IL "2...-. (lO.l) knbient Te=;>. 32-° F. The=o.ID. Recal. Date (l0.2.1) Can Removal Can Replacement}j'?..ijf"L Days :::iapsed
z.. (11.1.5) Cold Pack Grease
Gal. .J (ll..1.6)
Grease Can Partially Filled D yt:"..S Iii NO Quantity ""E7:-Gal. "'YzSf"92--. (11.2.7) Pump Hot Grease 2. Gal. Grease Temp.210 0: Ther:no.No. Pt<Yi Rec:al Date C!\JIC\'Z. e.8#z(Ai.. (11.2.8) Waste Grease
Gal. TOTAL. PUHPED D1 "2. . Gal.

tJll/if/,9z-.
(11.2.9) Cold Pac.le k Gal +Partial FillP-Total Pumped In "2. Gal.. .J TOTAL QUANTITY REPLACED '2. VY Gal. e., _fl_ 't 1.-. 1 (11.2.10.l..1) Grease Leaks (ll.2.10.2.1) REFILL ACCEPTABLE D NO Variation +/2.5 '%. (11.3.3.15.2) Exit Temp. ( 11.3.3. 15.3) Complete Refilling OYEs
of
!!lA._°F. Theme. I.p. .N/A-Recal Date .K/,f
Vents Open V Vents Closed After Filling _V __ Drain Vents Closed Before Filling .v/IJ * *¥71'-z_ *i/!i/' '£.-.. *

i (11.2 .10. 2. 2) COMMENTS:
__.M...._.P. .. 'fV,__..E'..__ _________________ _ Q. c. REVIEW _....61.._ ...... ____ _ #1611. 62.-4 I ... . -& i-llf.i? lf'J>J llJFr1 * . . .. :*. ----* /J .. I ___ ***> ... * . . * * 'CPst .PROCEDURE* SQ* 12. *r' .... G.REASE REPLACEMENT t.EAK DATA SHEET 12.1 *
MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 I .. . ..,,,, .... GREASE REPLACEMENT
-INSPECTION DOCUMENTATION . . fllwrLa TE?IDON NO. *ae __
__ SURVEILLANCE
..... I I I I TENDON END/BUTTRESS NO. UNIT ___,l __ QC . Signoff . SQ 12.0(9.3.l) Coat End Anchorage Asrn. { Gal. Q.C. Signoff .A\J :.tlof,J /.\ SQ 6
O -DS 6

0 C 8. 7. l) Grease Loss From Grease Can Only _.......,_
____ Ga
6.0 -DS.6.0 ClQ.3): Grease Loss from Tendon Duct. ,1 Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS Gal **
so 12.1 (8.5.l) Estimated Grease Losses From Leaks / Gal. * (8.6.l) Ddcumented Grease Losses.-NCR.s or Other Reports ¥4--Gal. C 8
7

l) TOTAL . GREASE. LOSS THIS '!ENDON . :J... . Gal * " I fil (9. 7 .3.l) PumP Gauge '; Dimension .dJ,.t Gallons per inch & (9.7 .4.l) Grease Heig t in Dru::i BEFORE ?I!'-(9. 7 .5.l) AF!'.E:R ,Aµ-.. . Calculations: ,;, .5""pl . ..

(10.l) Ambient '!eJ:?p. $ ° F. Ther:no.!D

.J!,t5£ Recal

I (l.0.2.l)
Can Can Replacement .1*,#-1.J.. Days Elapsed_d___ (l.l..1.5) Cold Pack Grease * ..P.y Gal.. (l.l..l..6) Grease Can Partially Filled 0 YES @NO Quantity tJ Gal. /JJ.z;t-U I (l.l..2.7) Pump Hot Grease Gal. Grease 0: '!her:no.No. ?Aj"r Recal Date 9--J,,..?.2. . Jil,.-9,£ , . L . (ll.2.8) Waste Grease * () Gal. TOTAL_ PUMPED Dl . ;i/J:1.. Gal.
j,1.J_.;-<J.t, I (11.2.9) Cold *Pack f'z Gal + Partial Fill Total Pumped In .:z.(a. Gal. /;I/} TOTAL QUAN'IIr.!
REPLACED -2.P?( Gal. . I Cll..2.10.1.l) Grease Leaks Dru '!Xhm (ll.2.10.2.l.) REFILL ACCEPTABLE (Zln:s 0No Variation ,J7:ef""!. fith.,g-9£ I (11.3.3.15.2) Exit Temp. I Complete Refilling On:s . of AfrJ::'F *.. Thermo. I.D. Recal Date ltjfr Vents Open ,;//A Vents Closed Drain Before . I (ll.2.10.2.2) COMMENTS:* '* :nr L-'t"VEL ----I I-I I I I I ** I I I I I I I I *,* *-: _ .. -. -< ._..:.._ *.*. -_ .. -._ . -. - .. t:'<:: _- _---ll 7 PS C -PR 0 C:: S tf 1 2 . 1 . GREASE DA TA SHEET 12. 1 Leo-.k R'7'c:.1t9 MAY 20, 1997 Page 1 of 1 Revision O &Revision 1, 8-14-87 GR=:ASE - DOctW...ENT.ATION PRO.JEC: -&/, NO. __ _ . SURVEILL.AllCE: NO. dqyc NO
tmI:r / ----QC SQ 12.0(9.3.l)
Coat End Anchorage Assm. Gal. Q.C. Signoff //.f.J/-f..t. l">-SQ 6. O -DS 6 .O (8. 7. l) Grease Loss From rease Can Only ' Gal. 6 .0 -DS. 6 .O Cl Grease Loss f::-om 'tendon Duct. Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS tf/..f Gal. & (9. 7 .3.l) Pu:::p Gauge ¥A-Di::lension /, Gallons per inc:!l ffiC9.7 .4.l) Grease Height L'"l Dr-.:i. BEFORE?".? (9. 7 .5.l) AFTER t;,$1 4, 'Y-£?.: ., xtz.r= =

(10.l) A::lbient

'te=p. ° F. 'nler::io.ID. (10.2.l) Can Removal g'-1z.-z,t can Replacement 9-/9*ZP. Days Elapsed ,:J... (ll.l.5) Cold Pack Grease * /J Gal. A (11..l.6) Grease Can ?artially Filled 0 l2a NO Quantity (.! (ll.2. 7) Cll.2.8) Cll.2.9) (ll.2.10.l:.l) Grease Leaks
Cll.2.10.2.l)
REFILL ACCEPT.ABU: [:8°YES 0 ?10 Variatiof r fr -,. itlx f.Z9-2 ( 11.3.3. 15.2) Complete D= JE!iro Exit Temp. of l'ller:no. I.D. tp!A= Recal Data _ J/.J<-!f .. 1,2.._ (11.3.3.15.3) I_ I I I I I I I I I I I I I I I I --*--:-*--. SQ-*-12. 1 __ GRE-ASE-RE?LACEMENT (L£AK. l?rRfiR1 DATA* SHE=:T 12. 1 . ** -'I MAY 20, .-1987
Page 1 of 1 Revision 0. *&Revision 1, 8-14-87 REPU.CEME!IT
- SURVEILUNCF; NO. .t? d V"* NO * ...,//...,Jr;-. E?ID/BUT:EESS NO. 111.t I ------QC )
t!rtJ Ji.,.,, e . 1111 SQ l.2.0(9.3.l Coat End Anchorage Ass::i. f'H*p& Gal. Q.C. Signoff N.f!..lcf> SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only -2. Gal. 6 .o -DS. 6 .O Cl Q.3): Grease Loss f:-om Tendon Duct. tf Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS Gal. )d.1-IZ-µ..
I so 12. l .. ,.;J Ito ... +t?JI (8.5.l) Estimated Grease Losses From Leaks * -Gal. (a. 6. l) Documented G:-ease Losses -?lc:Rs or . µ/l'f (a. 7. l) TOTAL GREASE: LOSS ::-u:s '!:::;m)Obl' a: Gal." b (9. 7 .3 .l) Pu::p Gauge Di::lension 4{/k Gallons per i."1c!l A/.i*/7-9.i.:: ffi (9.7 .4.l) G:-ease Height i."1 Dr-.:::i BE::OR:: #,fit (9. 7 .5.l) p/# Calculations: _ ______ ...,.. ___ MM_-9 ... f; (10.l) Ambient Te:p. F. Ther:o.ID.
¥/f Recal Date tv/+ /JtJ..J*l'1-9;t. (l0.2.l) Can Removal S-/z-9J.can Replacement Days ?:lapsed __ _ (ll.l.5) Cold Pack C:-ease * "& Gal. ( ll.. l. 6) G:-ease Can ?artially Filled 0 NO Quan ti t.7 t2 Gal. J4l.JZ.!L (ll.2. 7) Pump Hot Grease 4(./Lt.. Gal. Grease Iher::io.
lo. /Z!j/r Recal Date <"{/fr At.117--f..( . ( 11 * .2. 8) Waste Grease <? Gal. TOTAL PUHPED m Gal. '. M (11.2. 9) Cold Pac.le
+ Partial Fill-¢ l'otal ed In TO'l:AL QUA?ttiiY "' Gal. Mi-1'7-P-(ll.2.lO.l..l) Grease Leaks
/'.Re/el" fo S/,.,;o fi,,J.. (ll * .2.10 * .2.1) REFn.L ACCEP'!.ABLE DYES 0 NO Variation
"!. ,k J-J7-f,2. ( 11.3.3. 15.2) Exit Temp. (11.3.3.15.3)
(11..2.10.2.2) Complete Refilling 0 YES . of &f :r?ler:no. I.D. .f{irb Recal Vents Open 4(14= Vents Closed Filling ¢_ Drain Vents Closed Before ¢ COH!!ENTS: Rel//g -km iJA. Q.C. Mf., I . T!!'LZ I I I I I I I I I I I I I *. . **.* ,_ .. *.*** ****:** .. 7** .. : /4-i.4q_ P'SC PROCEDURE SQ .1-2-; 1. ." . GREASE fliPJllA DATA SHEET 12.1 . MAY 20, 1987 Page 1 of 1 Revision O _&Revision* 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUMENTA'.J:ION PROJECT SURVEILLANCE NO .... ' TENDON NO. . ti:-(,,2_ 4 TENDON END/BUTTRESS NO. UNIT_.._/ __ _ QC OSE'O 7E.Nr>o" . Signoff GIZEASlf" e, £l'1. SQ l.2.0(9.3.l) Coat End Anchorage Assm. I} Gal. Q.C. Signoff
F.\ SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only ' Gal. 6 .0 -DS. 6 .0 (l Q.3): Grease Loss from Tendon Duct. t2, Gal. fA If} .. ,,,,,c SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS /14 Gal. so 12.1 (8.5.l) Estimated Grease Losses From Leaks AJt:MJf!'
Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports AJoltlE' (8.7.l.) GREASE LOSS '!HIS TENDON */"2-. Gal.' fu (9.7 .3.l) Pump Gauge M Dimension f.7$" Gallons per inch & (9.7 .4"'.l.) Grease Height in BEFORE' (9.]:*5.l) A.'l:"TER /'Z... . Calculations:
. 1/:z..)C.t:t:f"-:.
.:lf..__'t_.__ ________ (10.1) SZ. ° F. :rhe=o.ID. Reotl Date '\\?.I'll:. (l.0.2.l) Can Removal 7.ni{'lv Can Days Elapsed_..7.....___ (l.l..l.5) Cold Pack Grbse * --&-Gal. .J (l.1.l.6) Grease Can Partially Filled 0 YES SNo Quantity :-Gal. fl.-,<e{12... (11.2.7) Pu:np Hot Gal. Grease .J l '12.-(11.2.8) Waste Grease
t:2 . Gal. TOT.AL PUMPED Dl '"3 /'f: . G¥.* * = (11.2.9) Cold Gal+ Partial Fi11--..0:*Gal
.. + Total Pumped In°'£t. Gal. TOTAL QUANTITY REPLACED '314
Gal. . . $ 't-( 11. 2 .10. l. l.) Grease Leaks Om (11.2.10.2.1)
REFI!.I. ACCEPTABLE D NO Variation +.$"O er. t ' '(11.3.3.15.2) Exit Temp. ( l1.3.3.15.3) Complete Refilling On:s of Gre'l!:.seft.l/tt-°F. Ther:no. :r.D. NjA-Recal Date Vents Open Vents Closed After Filling !tJa_ Drain Vents Closed Before -"'/IT I c11.2.10.2.2) coHMENTs: S\\di> E"1'b I T!l'LE I: I I I I I I I I I I *
. . GREASE REPLACEMENT_
-INSPECTION DOCUMENTATION MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 PROJECT __ ___ SURVEILLANCE: NO. '20 k_ END/BUTTRESS NO. SHOT-/ -rop I yi:"-AR <t2. ----TEUDON NO. __ mn::r -:1..-. ----QC Signof= SQ 12.0(9.3.l) Coat End Anchorage Assm. 0 Gal. Q.C. Signoff '5/'=>/'t"Z. SQ 6
O -DS 6

O ( 8. 7. l) Grease Loss From Grease Can Only __ l_'l_'Z...=---
Gal. &sQ 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. Q Gal. SQ 6. 0 -DS 6. 0 -Bottom of Page TOTAL GREASE LOSS 2-Gal. eB so 12.1 (8.5.l) Estimated Grease Losses From Lea.ks Gal. .7-. (8.6.l) Documented Grease Losses -NCRs or Other Reports ,,ve.A.JE" Gal. *.: (8.7.l) TOTAL GREASE LOSS '!HIS "2-Gal.' ..._ 4 (9.7 .3.l) Pump Gauge ..v/A-1*';5 Gallons per inc!l ,, e.tj,)c..jqz... & (9.7 .4.1) Grease Height L.-i Dr-.!:l BE:ORE \ 7 1 (9. 7 .5.1) ZC
Calculations:

-Z.0-17:::
3X J.7.S-.:: 5'/""""'f-.__ ________ (10.l) Ambient Temp. Si! ° F. '!ber::io.ID. 4-9" Recal Date 9)3/CJZ. $-Z.. (10.2.l) Can Removal 3j'=>Jq 'Z-Can Replacement '3/'2/'tZ.. Days Elapsed -e-* .. * (ll.l.5) Cold Pack Grease * -e-Gal. (lJ..l.6) Grease Can Partialfr Filled Oyc-..s Quantity -e.-_Gal. 4'6"/rol'f'Z .. (ll.2.7) Pump Hot Grease 5:/'f-Gal. Grease Temp.20C:P:' ! } Ther::io.N'o. Recal Date'11'3fqz.. Cll.2.8) Waste Grease ' -e---Gal. TOTAL PUHPED m -5'/'t . Gal. . (ll.2.9) Cold Pack + Partial Fill ..,e.. Total Pumped In i;'/'f-Gal. 1] 1 TO'!AL QUAN'llr.! REPUC7'.:.D S'lt.f Gal. .M3 _<?Jqz... ""'1' I I c11.2.10.1.1> Grease Leaks .2uo f1 ;lreJcrz.- REFILL ACCEPT.ABU: 0No Variation +/6Z-1. (11.3.3.15.2) Exit Temp. (11.3.3.15.3)
Complete Refilling 0 YES !380 of Ther:no. I.D. .N/A Recal Data Vents Open N/A-Vents Closed After Filling N/,+. Drain Vents ClbSed Before Filling ..V/,4-' ' (ll.2.10.2.2)
COHHENTS:

Q.C. REVIEW ----"--------------- L.:.,.-=-L
JIF DA.XE _"J_,.._1_0_.9_'Z-
__ _ T!TU I I I I I I I I' I I I I I I -*' . fSC 12.1 GREASE REPLACEMEfj,T DATA-SHEET 12.1 tt-et:'tk.. MAY 20, 1987 -Page 1 of 1 -Revision 0 1, 8-14-87 GR£ASE REPLACEMfilIT -INSPECTION DOCUMENTATION PROJECT Jitr r-cJe £ i SURVEILLANCE NO. ;! d 11 c --....,il .... ----TE?IDON NO. __ _ END/BUT!RESS NO. g;;;0 r-; '-1T ma:r ----QC Signor:: SQ 12.0(9.3.l) Coat End Anchorage Assm. Signoff
\ SQ 6
0 -DS 6

0 ( 8. 7. l) Gx:-ease Loss From Gt"ease Can Only (J ' Gal. 6.0 -DS.6.0 (10.3): Gt"ease Loss f:-om Tendon Gal. -f J§?'
/ /74 SQ 6 .O -DS 6 .0 -Bot ... om o Page '!OT.AL GREASE LOSS :r... Gal. l-rr""' so 12.1 (8.S.l) Estimated Grease Losses From Leaks .f'::t( Gal. (8.6.l) Documented Grease Losses -NCR.s or Other -&;!'111--(8. 7 .1) TOTAL GREASE LOSS '!:-£IS & Gal." lGc9.7 .3.1) Pu:::p Gauge Nffe Di.::lension t.?{;-Gallons per incll & (9. 7 .4.1) Gx:-ease Height i."'l Dr-..::1 (9. 7 .S.l) A.F!::R_7 ___ * : _ Calculations: 7-cR 'l.:z... c: >' 1.? "!1-/.....,'t-..__________ '-(10 .1) Ambient Te=p. S2. ° F. The=o.ID. Reeal Cate 'l)3/1"Z.. C!.0.2.1) Can Removal Can Replacement "!lj"fcirz... Days Elapsed-&-(11.1.S) Cold Pack Grease * -e-Gal. C 11. l. 6) Grease Can Partially Filled DYES 23--No Quantity -e--: Gal. >/tefq "2-(11.. 2. 7) Pump Hot Grease 3f't Gal. Grease Temp .£!..8::°= J fr,,. '!her::io.!lo. Recal Date C\\'319'Z-(ll.2.8) Waste Grease --9--Gal. TOTAL. PUHPED D1 "3/t _ * (ll.2.9) Cold Pac.'lc Gal + Par-...ial Total Pumped In "'3£:t. Gal. l / '!O'!AL QUA?ITJ:T.! REP LI.CED J t Gal. Ml'$ _'2 _ G "l.. .,,.r I I c11.-2.10.l.l) Grease Leaks OYEs 0'8No flJ"5,l{,/e,t.... (11.2.10.2.l)
REFILL ACCEP'!ABLE 0 NO Variation -r-$0 "!.
(11.3.3.15.2) _ Exit Temp. (11.3.3.15.3) C-lete 'illing Om 0J,o of Grease 0!?. '!her:no. I.D. fffe Recal Date tf)fa: .* l Vents Open -fr Vents Closed After Filling 1/tP-Drain Vents C osed Before Filling ,.V/k I (11.2.10.2.2) CO!!HENTS: Q.C. REVIEW TI'.!I.Z A1 t,...R.,
--*: ---*-.,,-. .. I I I I I I I I 1

I I I I I I GREASE REPLACEMENT
-INSPECTION DOCUMENTATION ... -PSG PROCEDURE SQ ,-2 .. -1 GREASE REPLACEMr;-NT DATA SHEET 12. )-e.4..k MAY 20, 1987
Page 1 of 1 Revision O ,LhRevision 1, B-14-87 SURVEILLANCE NO. tUl --.;..,p.¥-, ......_ __ _
lrtrt:l NO. !(-?f END/BUTTRESS NO. UNIT __ ! __ _ QC Signof= SQ 12.0(9.3.1) Coat End Anchorage Assm. Q.C. Signoff .fi&.z-J-µ
\SQ 6.0 -DS 6.0 (8.7.1) Gr-ease Loss. From Grease Can Only (} -Gal. 6.0 -DS.6.0 C1Q.3)

Grease Loss from Tendon Duct.
0 Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS :ft Gal. so 12.1 (B.5.1) Estimated Grease Losses From Leaks Gal. (8.6.1) Documented Losses -NCRs or Other Reports /{//zf (8.7.1) TOTAL GREASE LOSS '::-US TENDON Gal.'"'"7" b (9.7 .3.1) Pu:::p Gauge #/A Di::lension f.7s Gallons per i.."lc:!:l Gal. ffi (9.7 .4.l) Grease Height-in Dr-.= BEFORE 9'/'t (9. 7 .5.l) 11'/z. Calculations:
\I 1/-z .. -4 '/'t -:=. Z' I'+/- )l I. 75" ;:;...--+'f-------- (10. l) Ambient Tel:IP * .5'2.. 0 i?. Ther::io.ID. 'Pie="\-%" Rec:al Date C\l3)q'Z-(10.2.l) Can Removal"'3}(../\"L-Can Replacement "31'2lqz...Days Elapsed -G--(11.l.S) Cold Pack Gr-ease * -e--Gal. . } 1_ (ll.l.6) Grease Can Partially Filled 12!-NO Quantity -e-.-Gal. 11&.3 'r'2-(ll.2. 7) Pump Hot Grease 'f Gal. Grease Temp :l-\8'"' 0: r, 1 '!her::io.No ."?t:.'t&" Recal Date C\l3J<Jz.__ . (ll.2.8) Waste Grease * --G-Gal. TOTAL. PUHPED DI t . Ga,l.
142)hhZ-(ll.2.9) Cold Pack ,2:-Gal +Partial Total Pumped In::!_ Gal. J '1 TO'!AL QUAfmr.! REPUCED '+/-_ Gal. . 11-1-(ll.2.lO.l.l)
Grease Leaks OYEs (ll.2.10.2.l) RE:FII.L ACCEPT.ABLE 0 NO Variation ( 1-1.3.3.15.2) Exit Temp. (11.3.3.15.3) (ll.2.10.2.2) Complete Refilling
OYEs 14-\
la.-. of !'hecno. I.D. AJ/A-Recal Date 1L "...J Vents Open ? Vents Closed After Filling AljA Drain Vents c osed Before Filling N/A-. I Q. C. REVIEW ___.ff._ .. _';f..._ .. ::::or-DAX:: __ _ (1( .I/. -I I I I I I I I I' I I I I ... ---***-. : : .--*--:..** -. *-;-..-*-.-;-.* *---: --: .. : *----::"*:.*. __ ;*:.:-; . . ., --.*. A --*. ---. --. *-. ---. . . PSC PROCEDURE SQ 12 GREASE REPLACEMENT DATA SHEET 12. 1().e.eok MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTAIION PROJECT 'f?/;;-,:)-e? SURVEILLANCE NO. P(tJ f;I r, TE!1DON NO. .Jl/!._-_..7_?..._ __ _ '!Em)ON END/BUTTRESS NO. 5A'¥jljP mr.r:r ____ / __ _ SQ 12.0(9.3.l) Coat End Anchorage Assmuu Gal. Q.C. i\ SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only L!..1SQ 6.0 -DS.6.0 (10.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page '!OT.AL GREASE LOSS QC Signoff Signoff J/l.z-p-/,2. Gal. Gal. .{{z Gal. so 12.1 . (8.5.1) Estimated Grease Losses From Leaks Gal. J,4. f.,{.!..t ' (8.6.l.) Documented G:::-ease Losses -?ICRs or -# _Ga.l. ,)#-( 8. 7 .1) TOTAL GREASE LOSS '!HIS '!::NDON Gal.' (9.7 .3.1) Pu:::p Gauge µjb.
Di=iension Gallons per incll
&c9.7 .4.1) Grease Height inDr-..

::iBE:ORE 1'2 (9.7.5.l)
..\..'!:'"!ER l(,Yz_ .1 Calculations: l(p'/-z_ -)(p::. 1/'2. >C.I.?$ -:'3/ ._ ________ (l.O.l.) Ambient '!e:::p. 52. ° F. Ther::io.ID. Recal Date C\}3]qz. (l0.2.l.) Can Removal Can Replacement 3Jw/qz.. Days Elapsed -6\-. (l.1.1.5) Cold Pack Grease
Gal. (ll.l..6)
Grease Can Partially Filled DYES SNo_ . .QUantit7 ...Q... Ga.l. (11..2. 7) Pump Hot Grease 3/'t Gal. Crease 0: '!her::io. !lo. 'fl;;'i-%' Recal Date C\l l/'iZ-et$'3} (pjqz_ Cll.2.8) Waste Grease * -e-. Gal. TOUL PUHPED D1 3/"\: . Ga.l. * £!43) e:,/"t-Z.... (l.l.2.9) Cold Pac.lc-4--Gal + Partial Filr e* ':total Pumped In "3J.i.. Ga.l. Lj TO'!.AL QUA?rnn =-/t Gal. (ll..2.10.l.1) Grease Leaks DYF-.s (ll.2.l0.2.l) REFILL ACCEPT.ABLE 0 ?Io variation -+50 :. f I ( 11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling On=s . of "'/4-0'i!. Ther:no. I.D. N/4 Recal Data v/4-Vents Open 41/lr Vents Closed After Filling #//t Drain Vents Closed Before Filling
I I (11.2.10.2.2)
COHHDITS:

I Q.C. REVIEW _/I-___ .L.::.""VEI.
IJT DA:rE ---:j;....-_1_0_-...-9-_L
__ _ I I I I I I I I I I -._
--: 4 ------* -4 2$Lj . ... P SC SQ-i.2. l GREASE REPLACEMENT
-. DATA SHEET 12 .. 1/J..<-aJ<. -MAY 20, 1987 -Page 1 of 1 Revision O &_Revision 1, 8-14-87-* GREASE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT l?iJrah SURVEILI..ANCE NO .--""e1 ..... t?.'"llt'....,"--*

/91...:2 TE?lDON NO. II:-µ END/BUTTRESS NO._ mu:r _! __ _ QC Signoff SQ SQ &sQ SQ 12.0(9.3.1) Coat End Anchorage Assm.f!'df:;;eGal. Q.C.
Sig.11off Jtf..rl-fA 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Gal. 6

0 -DS . 6

0 Cl 0. 3) : Grease_ Loss f rem Tendon Duct. / Gal. /J 6 .O -DS 6 .O -Bottom of Page TOT.AL GREASE LOSS ,& Gal. ;d/J.1-/-/){
so 12.1 (B.5.1) Estimated Grease Losses From Leaks 4ltr Gal. * (B.6.l) Documented Grease Losses -NCRs or Repor..s tf(tff Gal. 1 -:;. * (8.7.1) TOTAL GREASE LOSS ':HIS 'I:::'.JDON /:;? Gal.' 4 ( 9. 7
3. l) Pu:::p Gauge t1:j/ff Di.::lension h z.,-Gallons per inc!l it!. 3..ff-2[ & (9.7 .4.l) Grease_Height in Dr-.::1 BE:ORE (9. 7 .5.l) AFTER 14.:i"'

1Ja.l*lf-9..t.
Calculations: z,-:;..Jh ... t11_,,,9 .... e. ..... t _______ . -(10.l) Ambient Te:::p. * ° F. '!her::io.ID. /k:r.,= Recal Date f'.-J-2:<. })4,1-p..µ (10.2.l) Can Can ReplacementJ-li\9,;2_ Days Elapsed 42 ,_ M.t-tcffe (ll.!..5) Cold Pack Grease * ,{} Gal. (11.l.6) Grease Can Partially Filled Or:-..s !8] NO Quantity CJ . Gal. fitlJ.{;-fL (l.l..2.7) Pump Hot Grease .31k Gal. Grease 0: -* Ther::io.No

Recal Date 9-:?,f;( ,fifc.tt1*.f'.:Z (11.2.8) Waste Grease . 0 Gal. '!OT.AL m 3.f>z. Gal. . (11.2.9) Cold Pac.le .....t2... Gal + Partial Fill .tf_ Total Pumped In .f4RGa.t.
'!OTAL QU.AN'llr.!
REPUCED Gal. I , (ll.2.10.l.1) Grease Leaks OY,:...s 0 1:Bf No Cl.1.2.10.i.1> REFILL ACCEPTABLE j2JYES D NO variation 11f&o -:. (11.3.3.15.2) -Exit Temp. ( 11 .* 3.3. 15.3) Complete. Orn Nuo of Therno. I.D. Recal Data ¢-Vents Open* Alhi Vents Closed Filling Drain Vents Before ?f/A= * (11.2.10.2.2) COHHENTS: ..... _________________ .. ___ , Q.C. REVIEW __..%..._*,z_., ,. , 6;,IJ . '!ITU I I I I I I I I I I I I I I I :I .. : . .-.:. : --_ ... *
* * -::-.. ** *** ---** .. :. *PSC PROCEDURE.
5Q i-2 ;: : GREASE REPLACEMENT- -DATA SHEET 12. 1 J.;eak MA:Y 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 . GRE:A.SE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT --j?fr.sJ-et;. SURVEILLANCE ... c, ___ _ TE?IDON NO. L(-. END/BUTTRESS NO. _0 .... ....... t .... __ _ mr.r:r _.._ __ _ SQ 12.0(9.3.1) Coat End Anchorage Assm. Gal. Q.C. Signoff £;.pg tJ 1 Gal. QC Signoff SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only 6.0 -DS.6.0 ClQ.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS (J Gal * .l'z Gal. .id,?..;:/:!' so 12.l (8.5.l) Estimated Grease Losses From Leaks :9(,htz Gal. 1Jfl (8.6 .1.) Documented Grease Losses -NCRs or Other Reports '/if * .. Gal. . (8.7.l) TOTAL GREASE LOSS '!HIS T:::'JDON f'-1 Gal.' ' b (9.7 .3.1.) Pu:::p Gauge Di.::lension 1.75" Gallons per incll & (9. 7 .4.l) Grease Height in Dt"'..::1 BE:ORE 11 .. ,'l"L (9. 7 .5.1) A..:"""'!E:R fft:,"3/'f Calculations: f(p 3/'t -1'2 Y'l....::;. '17-'1-1* 7 3/1 * (10.l) Ambient Te::rp. S"Z. ° F. Recal Date q/3}q""L e4 b C\?..-(10.2.1) Can Removal "3/GzJCfZ-Can Replacementp/<e!'Z-Days Elapsed -E?= -e-' i (11.l.5) Cold Pack Grease
Gal. . (ll.1.6) Grease Can Partially Filled 0 YES fB. NO Quantity -e--. Gal. (l.J..2.7)
Pump Hot Grease 3N Gal. Grease 'Iemp."2\%'0: Ther::io.No. 'P);:'fct Recal Date C\)"3)q'Z-(l.J..2.8) Waste Grease Gal. 'IOUI.. PUHPED Dl 3tf: . * (ll.2.9) Cold Gal +Partial Fill Total Pumped In ")ft_ Gal. ) J 'IO'!AL QUANTITY REPUCED '3}'+/- Gal. (l.J..2.J.0.1.1) Grease Leaks OYEs .SNo cu.2.10.i.1> REFILL ACCEPTABLE D NO Variation +zoo-:. t43/b/tt-z... c 1 i. 3 . 3. 1s. 2 > Exit Temp. (11.3.3.15.3) Complete Refilling On:s of 0"P". !'her:no. I.D. Recal Date Vents Open --;'$ Vents Closed After Filling .,¢. Drain Vents Ciosed Before Filling J (11.2.10.2.2) COHHEN'l'S:

Q.C. REVU:W D"...,,. 3 _, 0 , 2-A.1..W __,.;::;;..,__ ____ _ . I I I I I I I 1* I I I I I -.. , .. -':" ... GRS.ASE REPLACEMENT -INSPECTION DOCUMENTATION PSC 12.1 GREASE REPLACEMENT DATA SHEET 12.1 MAY_ 20, 1987 Page 1 of 1 . Revision O 1, PROJECT .£ , SURVEILLANCE NO. J tLf ___ _,c;l!""-----. . :* -. NO *....... t""'Y,...._ '!E!IDON END/BUTTRESS NO. ..s{p/7.p UNIT __./ __ _ . . SQ 12.0(9.3.l) Coat End Anchorage Assm.e 4 1<-Gal. Q.C. i\ SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AI. GREASE LOSS so 12.l Sign off j#, {-/*/4 tJ Gal. d Gal. ?jl Gal. QC Signof f (8.5.l) Estimated Grease Losses From Leaks Jl'ff.'6 Gal. ""M.7i*U (8.6 .1) Documented Grease Losses -NCRs or Other Repor+..s --# .... m ____ Gal. /.dl.41-i*!.f (8. 7 .l) TOTAL GREASE LOSS '!HIS '!ENDON '1 Gal.' )6 (9.7 .:3.l) Pu:np Gauge #/tr Di::lension J.7:?'
Gallons per inch s & (9.7 .4.l) Grease Height L."'l Dt"'.:l BE::ORE l(;,"3/j-(9. 7 .5.l) AF'!ER_l_...7
___
a Calculations:
17-l":S}'t 1/'i= )' 1.7>=--Y-z___________ -i (10.l) Ambient Tez::p. 52-° F. 'Iher::o.ID. Recal Date ql3}q'2... ef :3')"J4t"Z-(l0.2.l) Can Removal 3lwlqi.. Can Replacement3l'='/'t2!.... Days Elapsed -&-ei>3Jt.J'f2 ... (11.l.5) Cold Pack Grease * --&--Gal. ) J (11.1.6) Grease Can Partially Filled D Quantity 0 Gal. (ll.2.7) Pump Hot Grease '/-z._ Gal. Grease Ther:io.!lo. 'PF% Recal (ll.2.8) Waste Grease * -G-Gal. TOTAL PUMPED DI 1/7-. Gal.
tJj '3}"/q"L (ll.2.9) Cold Pac.ic-0-Gal
+ Partial Fill Total Pumped Gal. , ! TO'!AL QU.Afrllr.! REI'LI.CED '/z... Gal. . : (ll.2.lO.l.1) Grease Leaks OY::s (ll..2.10.2.l) REFILL ACCEPTABLE D ?10 Variation +;oo -:. ( 11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete ;4illing
Orn &a of M'4-0 P'. Ther:no. I.D. -fA Recal Date ejA: Vents Open ;& Vents Closed After Filling Drain Vents c osed Before Filling µ/A= I (11.2.10.2.2)
COHHENTS: ,..,3,J.Jttz. t.'J3/'/'z Q.C. REVJ:.EW _..._?(_. .... /.__ __ _ Lw-vEI. ::rn::-DAX:: _.;;3_-.:.../0_- .... 9.-'2.., __ _ If< ,-fl . } I I I I I I I I I I I I ..... ---* . . PSC PROCEDURE SQ 12.1 _ A:2s 7 -GREASE REPLACEMENT
DA TA SHEET 12. 1 l 11.ak MAY 20, 1987 Page 1 of 1 Revision O &Revision 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT TE?IDON NO. 1(-/tJb SURVEILLANCE NO ... TE!IDON END/BUTnESS NO. mn:r __ ! __ . #:! area,e:. SQ 12.0(9.3.l) Coat End Anchorage Assm.fl,,.ewe Gal. Q.C. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS Signoff d " Cal. f Gal. n Gal. QC Sign.off so 12.1 (8.5.l) (8.6.l) (8.7.l) Estimated Grease Losses From Lea.ks k Gal. JM. H-U. Documented Gt"ease Losses -NCRs or Other 4f/tt Gal. 'M TOTAL GREASE LOSS '!HIS TENDON -?"z'* Gal.' 'Jil.r/--.r ( 9. 7
3. l) Pu:::p Gauge A/ffe . Dbension l.7,( Gallons per 'inch

ffi (9.7 .4.l) Grease Height in Dr-..::i BE;ORE l't (9. 7 .5.1) A..'l:""!ER l3Y'2... . Calculations:
. 'h ... )(.J,7t""::3J
(10. l) Ambient Te=p. sz D F. Th*=o. m. 1"1::-'t$" Iieea1 Date qJ-3/'l'Z.. . WJiLh";: (10.2.l) Can Removal3l<e('L Can Replacement 3/b/qz.. Days Elapsed .....Q...
(11.1.5) Cold Pack Grease * -e-Gal. (ll.1.6) Grease Can Partially Filled 0 SNo -e-. Cal. Bf3}bf 't'-C11.2.7) _Pump Hot Crease J>/'t Gal. Grease J*J nier::io.!Io.fk:.'f'ir Recal Date 'Jf'3l'i'Z-841,."r qt_ Cll.2.8) Waste Grease -e-Cal. '!OT.AL. PUHPED D1 . Gal.
tP'J':f)(,/ttL. . (ll.2.9) Cold Pack-£:" Gal +Partial Gal,+ Total Pumped Gal. 1' t TOT.AL QUA?Tnn' REPUCED "3/'f-Gal. r.,.J' .. -"'_ Dr°Z (ll.2.10.l.l)
Grease Leaks Cll.2.10.2.l) REFILL ACCEPT.ABLE 0No Variation ( 11.3.3.15.2) Complete Refilling O;res Exit Temp. Qf
rher:no.
__ I.D._ . Recal Data _ r ( 11 .3.3.15.3) Vents Open
Ek . Vents Closed After Filling 't"$

Drain Vents C osed Before Filling Nffe . > }r,/'t z_
<-/'t1.... I (ll.2.10.2.2) COMHENTS:

Q.C. REVIEW_..:...;#:...... I .'!ITIZ . 1 ru;-,t) Q *fl I 1--I I I I I I I I' I I I I I I .* '* p SC SQ 12: 1 -' -GREASE REPLACEMENT DATA SHEET 12. VZ..E"A K MAY 20, 1987
Page 1 of 1 Revision O ,lhRevision 1, 8-14-87 GR=:.ASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJEC'I !?f;p.Je 2 >> SURVEILLANCE NO ___ _ "' --/),,,J SQ 12.0(9.3.l) Coat End Anchorage Assm. Gal. Q.C. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only L,D.SQ 6. O -DS. 6. O Cl O. 3): Grease Loss f:-om Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page '!OT.AL GREASE LOSS YEAR UMIT ......_/ __ _ QC Signof = so 12.l (8.5.l) Estimated Grease Losses From Leaks . ..__'z"--- Gal. h.5'-rl-b (8.6 .l) Documented G:-ease Losses -NCRs or Other Reports Gal.. 'Aa .?*kt/ (8. 7 .l) '!OT.AL GREASE: LOSS '!HIS TENDON * 'i. 3/'f f& Gal.' LJJ ?-/*ti
1" / 4 (9.7 .3.l) Pu:p Gauge )f/A-Di.::iension
/.Z:i/ _Gallons per inch A,P..!./)'./.t & (9.7 .4.l) Grease Height in Dt"'...::t BE:E"ORE /2.1' (9. 7 .5.1) AFTER.....,,..Z'""t ___ . _ Calculations: 9, I:.,}, 41.>(I.7.£-:. bfF'/. 'j.tf..J./l-J.2 (10.l) Ambient '!e::rp ** F. '!ber:no.ID. ftt?[ Recal. Date f.3-f;l.
fip.!-1,f-µ (10.2.l) Can Removal -:.Z Can Replacement .J .. /3-f-2 Days Elapsed /£6 ' f),/l. (ll.l.5) Cold Pack G... -tJ Gal.. ' (ll.l.6) Grease Can Partially Filled Q(j NO Quantity CJ Gal. J,a1-§-J6 (ll.2.7) Pump Hot Grease (, Gal. Grease 0: Ther=io.!lo.,&6'3-Recal Date97.J .... %g A.t-.z.z,;>..9t (11.2.8) Waste Grease IJ Gal. TOTAL PUHPED Dl .t . Gal.

iJ,1. r/Z-f2 * (ll.2.9) Cold Pac.le tJ Gal + Partial Fill L Tot.al Pumped In L Gal.,,--'!OT.AL QUANTI:I:Y REPUCED t Gal. )/Jz-//29_,f Cll.2.lO.l.l)
Grease Leaks 0 181No (ll.2.10.2.l) REFILL ACCEPTABLE D NO Variation -f (11.3.3.15.2) Exit '!emp. Complete Refilling On:s 0:uo of Ther:no. I.D. q/,c.. Recal Date "j/b Vents Open #IA-Vents Closed After Filling "'f/4-Drain Vents Before 41,.Y#U. , /f.t.Y-4 liJ $..ff-f'_-2. _ (ll.2.10.2.2) COHHE?r.I:S: Q. C. BEVIEW ___., __ _ L..'C"\TEI. _-:11,;;;;;;;;;,rr... __ _ D.An: _J;...-..;;;£..;;.11:J-.-_.5'_L=--- T!'.rU MY'll. I Q . A ' I I I I I I I I I' I I I I I I '"' -* .... *_---.

. ..** . , .. ---.. ***-P SC PROCEDURE SQ-12. 1 REPCAtEMENT DATA SHEET 12.1 MAY 20, 1987 ka*' Repa/I' Page 1 of 1 Revision 0 1, 8-14-87 GREASE REPLACEMENT

-INSPECTION DOCUMENTATION SURVEILLANCE NO. ,;Mlf, YEAR /9'?;2 I 51,e LZ'o/i max I Ii/ QC TENDON NO. !/-?':?¥ Vl3f? '!E:IDON END/BUT!RESS NO. . . Signoff SQ 12.0(9.3.l) Coat End Anchorage Q.C. Signoff J\ SQ 6 .O -DS 6 .0 (8. 7 .l) Grease Loss From Grease Can Only __ ,, __ Gal. 6 .0 -DS. 6 .0 Cl Q.3): Grease Loss from Tendon Duct. 4 Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AI. GREASE LOSS .tz_ Gal. so 12.l (8.5.l) Estimated Grease Losses From Leaks q Gal. ( 8. 6 .1) Documented Gr-ease Losses -NCRs or Other Reports ,(/#: Gal... ( 8
7. l) TOTAL GREASE LOSS '!HIS TENDON * ¥"/ Gal.' -' /,} ,1z.t<_ , (9. 7 .3.l) Pu:::p Gauge ? Di::lension 1,7( Gallons per inch & (9.7 .4.l) Gr-ease Height in Dr-.:i BE:ORE {;tz-(9.7 .5.l) 13 . Calculations:
/3Yz.-13-:: 'I.__ 1§:. 3/'t MJijk/'f2 .. (10.l) Ambient Te::xp. S"'r ° F. '!her::io.ID.
"Ptr:: Y%" Recal Date 't/3/'i2-$1Z.... Cl0.2.1) Can Removal '3jhj'l'Z.-
Can Replacement 3/fo/c:rz_ Days ::lapsed (ll.1.5) Cold Pack Grease * -e-Gal. (ll.l.6) Grease Can PartialJ.y Filled On:s @NO Quantity --&-. Gal. (ll..Z. 7) Pump Hot Grease -=t.f_ Gal. Greast {e:np .J.5.Q_ °= . ..J 1 Date 'f 3 qz_ a, 1.,f:t'Z-CJ.J..Z.8) Waste Grease --e--Gal. TOTAL. PU?!PED DJ 3/t . Gal. * (11.2.9) Cold Pac.1c-f2:: Gal + Partial Fill-B-Total Pumped Gal. }t! '!OT.AI. QUANTITY REPLACED 3/"f-Gal. Cf2... CJ.J..2.10.1.1) Grease Leaks .@so (11.2.10.2.l) m:Fir.L ACCEPT.ABLE D NO Variation ...0 ( 11.3.3.15.2) Exit Temp. C-lete On:s of 0=-. Theme. I.D. 4 Recal t;k= Vents Open 14-Vents Closed After Filling rJ?-. Drain Vents C osed Before Filling Nffe J (J.J..Z.10.Z.2) COHMEN'TS:

Q. C. REVIEW -L.:.""VEL 11£-DAn: .....;...J_,1_o_;-9'_;;2...;;;...._ __ TI'.l:'U Pi (j',p; Q . A . 1,<>*.* .. **. *-_:-r,*--.7"'*--* _: __ ,* *--:*----**--*. Psc* SQ 12.1 I I I I I I I I' I I I I I I --GREASE REPLACEMENT -DATA SHEET 12. 1/LRAK REPAIR.) MAY 20, 1987
Page 1 of 1 Revision O &,Rev is ion 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT ff SURVEILLANCE NO .... "------- TE?IDON NO. /.J 9 E?:ID/BUTTRESS NO. mn::r ___ I __ _ QC . SQ 12.0(9.3.l) Coat End Anchorage Gal. Q.C. Signe ff Signoff /) 1 Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 ClQ.3): Grease Loss f:-om 'tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AI. GREASE LOSS tJ Gal. fJJ1. & so 12.1 (8.5.l) (8.6.l) (8.7.l) Estimated Grease Losses From Lea.ks 4 Gal.. Documented Grease Losses -NCRs or Reports . / 4j1At-TOTAI. GRr:A.SE LOSS '!HIS TENDON Gal.' ( 9. 7
3. l) Pu:::p Gauge Di.::lension 1.7<<.(' Gallons per i.-icll
& (9.7 .4.l) Grease Height in Dr-...::i BEFORE fl (9. 7 .5.l) AF'!ER IZ'/.t
M}l1q/'t'2...
Calculations: t3 -1'2.'/'t::: __ t/23'/k/'t'2...
(10.1) Ambient Tl!l:lp. S'D a F. Ther:oo.ID.

fl::!%"'
Ri>cal Date (10.2.l) Can Removal 3/t,/4tt92--Can Replacement 3/le/'f"'L-Days Elapsed -e-2-(ll.1.5) Cold Pack Grease
0 Gal. (11..l.6)
G:-ease Can Partially Filled 0 Quantity . Gal. f!k3}b/'tz_ (11.2. 7) Pump Hot Gal. Grease 'temp.Jqo 0: fu . Date 'i/3/q'Z-(ll * .2.8) Waste Grease * -Q--Gal. TOTAL. PUHPED DI f 1'#-. Gal. * (ll.2.9) Cold Gal +Partial Fill .. + Total Pumped In liJ;. Gal. TOTAL QUA?m::rY REPUCED I '/'f Gal. e63 __ 'i"L I (11.2.10.1.1*) Grease Leaks O=ms *rnNO .,,.-e1;3Jb/'1L.. t:::i-+ c....::> e.g (ll.2.l0.2.l) REFILL ACCEP'!ABLE D NO Variation 3 lrclqz_ e.4;f1o/t!t7...... Exit Temp. (11.3.3.15.3) Complete Refilling DYES li31lo * -of
rher:nQ.
I.I;>. 'r/4-Recal Date j'bt Vents Open fl.Ir Vents Closed After Filling 7/4 Drain Vents C osed Before Filling A"df: I (ll.2.10.2.2) COmm:NTS:

Q. c. REVIEW ___._lf......_. __ 'II:I:U -*fr/ . I I I I I I I I II I I I I I I -1 . :*. --*. ---'":.-* --------** _--::--... ---. --. -* REPLACEMENT . DATA. SHEET. 12 1 {j.EAK K£"PA1R J MAY 20, 1987 Page 1 of 1 Revision O &,Revision 1, 8-14-87 GR£.ASE -INSPECTION DOCUMENTATION PROJECT TE!1DON NO. V-/¥0 --------SURVEII..I.ANCE NO. ..t(tJ 'rnIDON END/BUT!RESS NO. 5/Y' / mn::r I ----QC Signof= SQ 1.2.0(9.3.l.) Coat End Anchorage Assm. t=i£:;/8cai. Q.C. Signoff SQ 6.0 -DS 6.0 (8.7.1.) Grease Loss From Grease Can Only 1
Gal. 6. O -DS. 6

O Cl. Q. 3) : Grease Loss f rem Tendon Duct. _____ ff ____ Gal. !U' SQ 6 .0 -DS .O -Bottom of Page TOTAL GREASE LOSS Gal.
so 12. l -/J (8.5.l.) Estimated Grease Losses From Leaks Gal. (8.6 .l.) Documented Grease Losses -NCRs or Other Repor..s * ¢" .Gal. MY-B;$! (8. 7 .l.) 'IO'!AL GREASE LOSS '!HIS Gal..... r)M.::!.?l.:./-<.. I

.'

4 (9. 7 .3.1) Pu:::p Gauge .V/A Di::lension /.7?: Gallons per inc!l * *1 & (9.7 .4.1) Grease Height' in Dr-.::i /?9f? (9. 7 .5.1) AF'ZER /W2...
I . Calculations:
IZ'/i-H'lz.= 3J..t ,)(:1.7$""= l_'/_.'t-._ _______ _ (10.1) Ambient Temp. 5%" ° F. '!her::io.ID. Rec:al Date 9.)3}'i'Z-(10.2.1) Can Removal c:m2.eplacement
3/'2l't'Z....
Days ?:lapsed -e-(ll.l.5) Cold Pack Grease
Gal. (11.1.6) Grease Can Partially Filled DYES Quantity -e-. Gal. (ll * .Z.7) Pump Hot Gal. Grease 0:
Recal Date . (ll..2.8) Waste Grease * -e-Gal. '!OTAL. PU?:!PED Dl I '/tf-. Gal. * (ll.2.9) Cold Pack +Partial Fill ... + Total Pumped In lY'f Gal. J,J 'IO'!AL QUANnT.! REPU.CED I /lit Gal. 8J Cll..2.lO.l.l) Grease Leaks DYF-.s (l.1.2.10.2.l) REFILL ACCEPT.ABLE 0No Variation 4-ZS ":. ( 11.3.3.15.2) Complete Refilling 0YEs §.mo Exit Temp. _of N,.14-0!:' .. ?her:no. I.D. ¥.4= Recal Data #-( 11.3.3.15.3)
Vents Open "iPr Vents Closed After Filling 'r/t?' Drain Vents Closed Bef ora Filling ..Nfe , (ll * .Z.10.2.2)
COHHE:NTS: Q. C. REVIEW -......-... ........... __ _ D A...,,. "J-/0*92_ ... ____ ........, _____ _ I _,. ... \ ..... ** . --.,_, __ I I I I I I I I' I I I I I I -*7
... -*-.. -...
' -_,, ... _. -* .. *--*--***--*_A* __ _-psc PROCEDURE .. -,-:
__ i.J;i_ *, . GREASE -REPLACEMENT}
__ / tJ , DATA SHEET 12.1 MAY 20, 1987 * . Page 1 of 1
Revision 0 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION PROJECT . . '!filIDON NO. . SURVEILLANCE NO. JI 11('1, TENDON END/BUTTRESS NO. 4 YEAR /ff2 UNIT_/ __ SQ 12.0(9.3.l) Coat End Anchorage Assm. G,w,re Gal. Q.C. Signoff Jd.1-1-/J I Gal. QC Signof f SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only 6.0 -DS.6.0 (10.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page '!OT.AL GREASE LOSS () Gal. a Gal. , so 12.1 (8.5.1) Estimated Grease Losses From Leaks {1'1!17 .. Gal. Gal*. bYJ. w ... (8.6.1) Documented Grease Losses -NCRs or Other lj!d * ... { 8. 1 .1) TOTAL GREASE LOSS !HIS IENDON ; ,& Gal.' fil. (9.7 .3.1) Pump Gauge --'f'A-Di::iension Gallons per inch * * * & (9.7 .4.1) Grease Height in Dr-..:.:n BEFORE tl'/:z.. (9. 7 .5.l) .A..."l:'"!::R 'jVl-. 1.. . Calculations: '-'". (10-.l) Ambient F. The=o.ID. RecaJ. Data (10.2.l) Can Removal '?,... Can Days Elapsed (ll.l.5) Cold Pack Gre se
0 ... Gal. . . (11.1.6) Grease Can Partially Filled 0 YES Quantity -f7-:-Gal.
(11.2.7) Pump Hot Gal. Grease '!emp. \ClD<>:
Ther:no.?lo Recal .ef,3\CoJ'tZ.
(11.2.8) Waste Grease. *-e--Gal. TOTAL. PUHPED riJ 3Y-z-.
Ef>3)cJiiz (ll.2.9) Cold Pack-::CZ:-Gal
+ Partial Tot.al Pumped J f . '!O'!AL QUANTITY REPLACED 3 Yz.c . Gal. . . 31 Co_ 'l'Z.. (ll.2.10.1.1*) Grease Leaks O=ms 'jg.NO e,&3/'-fct'Z.. cu.2.10.2.1> REFiiL ACCEPTABLE 0No Variation +/V e1J3]'/"l.. ( 11.3.3.15.2) Complete Refilling OYEs 8-uo . *
Exit Temp. -of *. Ther:no._
I.D.
_Recal __ Date Af& __ __ ( 11.3.3.15.3)
Vents Open Vents Closed After Filling
Drain Vents Before
-?'A' * (11.2.10.2.2) COMMENTS:

Q.C. REVIEW

j:[J: . DATE 3*/o-97-. T!TLZ
Q.A -/f\ i*li.f.8?
lf'"J>') 1NF1' * ---* I I II I I I I _ ..... -*: :-- ,,, .... REPLACEMENT -INSPECTION DOCUMENTATION PSC PROCEDURE SQ --12. 1 GREASE DATA SHEET 12. 7£t;._k_ MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 A2-l-s -
_-PROJECT NO._.el......_tJ;..;#11-'""------ NO. J/*_115' TE!IDON END/BUTTRESS NO. ,..,,72),712;/zi;-z yc"...AR If?;< OMIT I ----QC Signoff SQ 12.0(9.3.l) Coat End Anchorage Q.C. Signoff 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only __ ......,,.(},___ __ ' ____ Gal. 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. a Gal. SQ 6. 0 -DS 6. 0 -Bottom of Page TOTAL GREASE LOSS M Gal. itJ-/-fX / so 12.1 (8.5.l) Estimated Grease Losses From Leaks 1' Gal. * (8.6.l) Documented Grease Losses -NCRs or Other {8.7.l) TOTAL GREASE LOSS '!HIS TE:NDON :)/+/ Gal.' Gal. (9. 7 .3.l) Pu::p Gauge ,,.,,g Di::iension Gallons per incll
fi:::. { 9. 7

4. l) Grease Height in Dr-..:::i BE:ORE 'a'/e.. ( 9. 7 .5 .!.) AFTER '1/i . !'" _ Calculations:
%Yz-"'/'t
..
t --=-......,--(10.l) Ambient Te::p. F. Ther::lO.ID.
FKl\'<ir Recal Date (10.2.l) Can can Replacement o\Ce\'\Z..
Days Elapsed -e-(ll.l.5) Cold Pack Grease
Gal. (ll.l.6) Grease Can Partially Filled 0 yc-...s 8--No Quantity -e-. (ll.2.7) Pump Hot Grease 'f Gal. Grease
} 1/ _ _ Ther:io. !lo
P#f'tf Re cal Date <=t\!>( '1"2-",-! Z... (ll.2.8) Waste Grease --@-Gal. TOTAL. PUl:!Pm Dl Lt-. * (ll.2.9) Cold Pac.le -&-Gal + Partial Fill .:f!z::
Total Pumped In 1* ! TOTAL QUAN'!Ir.! REPLACED Lf. Gal. Z.. *-(ll.2.10.l.l) Grease Leaks OYEs .Suo 4$J.f to/'t"Z.... (ll.2.10.2.l) REFII.I. ACCEPTABLE D NO Variation ( 11.3.3.15.2) Complete Refilling DYES -l81No -Exit Temp. of _ :rher:io. I.D. Recal Data 1',.# - (11.3.3.15.3) Vents Open t¥/k' Vents Closed After Filling $;.... Drain Vents Clbsed Before Filling
1 I (ll.2.10.2.2)
COHMENTS: I ,, Q. C. REVIEW __..JI .....
Q.IJ I ::::ra: L...T:"TJE!.

)-f e;-Dz_ .._. ... _ _;,...__,;1_,___ __ T!:rI.Z I I I I I I I I 1* I I I I I I . ... -*-*-. .. -*-** -. ... . ---_, __ ,-.: PSC PROCEDURE SQ _._* ,._* --GREASE REPLACEMEN *-. /1 1 DATA SHEET 12. 1 l.L: --'_./ -MAY 20, ,1987 -Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT 'IE?IDON NO. £('15() SURVEILI..ANCE NO ___ _ END/BUT!RESS NO. &y/fo/ QC . SQ 12.0(9.3.l) Coat End Anchorage Assm. Gr!91te Gal. Q.C. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 Grease Loss from Tendon Duct. Signof f SiWloff )4 Gal. tJ Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS I Gal. jf,.N.tz so 12.1 IS (8.5.l) Estimated Grease Losses From Leaks Gal. (8. 6 .l) Documented Gt"ease Losses -?:lCRs or Ot1her .Repor..s <f/dJ.. Gal. ,. : :f,( ( 8. 7 .1) TOTAL GREASE LOSS THIS TENDON I OZ-Gal.' . ":J * -f,;J 4 (9. 7 .3.l) Pump Gauge jfl?-Di::lension 1.75"' Gallons per .'L ffi (9.7 .4.l) Grease Height in Dr-..:::i BEFORE 9'/z.-(9. 7 .5.l) .A:""!ER'GYz... . 3 '!-. calculations: 9'/z_.. -'6/.t,...:::, )q,15.::: \319------c..--(10.l) Ambient T-. S%' 0 ?. The=o.ID. Recal. Date
(10.2.l)
Can Removal >I <ejcrz .... Can Replacement 3l '='/'t"t.--Days Elapsed .:.e--t:tz... (ll.!..5) Cold Pack Grease * -er---Gal. (ll .. l.6) Grease Can Partially Filled DYES gNo Quantit7 -l::7-Gal. (ll.2.7) Pump Hot Gal. Grease '.re::p.f'IO 0: t Recal Date Cl\3j4t-z-(ll.2.8) Waste Grease * -Gl-Gal. 'J:OTAL_ PUHPED m 13/'f-. Gal.
Cl1.2.9) Cold Pac.1c :::£2:::"Gal
+ Partial Fill -e-Gal .. + Total Pumped In fh Gal. 1 / '!OTAL QUANTin REPLI.CED )3/'t Gal. fl 31"r q"L Cll.2.10.l.l) Grease Leaks OYEs t{laJ}c,,.Jq-z... (ll.2.10.2.l) REFILL ACCEPT.ABLE Variation (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Jfilling O= of Grease 'J:hermo. I.D. .A//k .. " Vents Open r/A-Vents Closed Af teAilling ,v,/-11 Drain Vents C osed Before Filling #ta: . I (11.2.10.2.2) COHHENTS: ta 3/e/rv-Q.C. :REVIEW _.....;¥'-- ... _* ----D A"'1:" ""1-/0 -9 't, T!:!:I.Z f/14/P. 6< *A. I _: -I I I I I I I I' I I I I ,._. -*: ... * *---o* ..... -.-PSC--PROCEDURE. SQ . 12. ,--. REPLACEMENT . DATA SHEET 12. 1 }ak_ tf1epa/f" MAY 20, 1987
Page 1 of 1 Revision O 1, 8-14-87 GR£ASE REPLACEHDIT
-INSPECTION DOCUMENTATION PROJECT SURVEILLANCE ....... ___ _ TE?IDON NO. END/BUTTRESS NO. %4' ma:r __,_/ __ _ QC Signof f r;,1%,. SQ 12.0(9.3.l) Coat End Anchorage Assm. Gal. Q.C. Sign off , Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 (lQ.3): Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS Gal. i1t!.. !£ Gal.
so 12.1 (8.5.l) Estimated Grease From Leaks

_fl,&ffc Gal. (8.6.l) Documented Grease Losses -*NCRs or Other Repor+-..s t;//f (8.7.l) TOTAL GREASE LOSS '!HIS TENDON . Gal.' b (9. 7 .3.l) Pu:::p Gauge ...,./A= Di::lension

Gallons per. i."lcb .Z. & C 9

7

4. l) Grease Height 7 in Dr-.=i BE::ORE ( 9. 7, __ /_s_._1_>_AE_l:"T_*
ER __ 4_*'3_/_1 __
eo '2.-Calculations:
/tf -'J-3 7'f =-_65" Y/0 7?_ ::2Y-z-. . ( 10
i) Ambient Te=p. 5tf 0 ;;

Theco. ID.

Recal. Date "I\ '3 jq "Z.. "" 3/ 1<>/ '1-Z.. (10.2.l) Can Re.moval Can Replacement
-;J>=zo. Days ?:lapsed ,e-ef '31b/t:tt-Cll.l.5) Cold Pack Grease
Gal. 1 I Cll.l.6) Grease Can Partially Filled j3NO Quantity Gal. (ll.2. 7) Pump Hot Grease 'ZY'2-Gal. Grease Te:::p * .!9Q. <>=" J l

Ther::io .?lo. PIC'ii' Recal Date 1j >IC\"Z.-.:S_ . I

Cll.2.8) Waste-Grease * -e-.. Gal. TO'l'AL. PUHPED. DI Gal.

3/'-/'z_ (ll.2.9) Cold Gal +Partial Gal,+ Total Pumped In l TOTAL Q_UAN'!ITY "Z.. Yz.. Gal. 4f 3} b _, 2-. (ll.2.10.l.l)
Grease Leaks DYEs f.11'3/f:,/ti_ r * (ll.2.10.2.l) REFIU. ACCEPTABLE Duo Variation +z33 efl3/e/tz. ( 11.3.3.15.-2) Complete .;.illing DYES {Sbo
Exit Temp. of 0 11. :rher:no.
I.D. -1'4 Recal Date th _ (11.3.3.15.3) Vents Open ? Vents Closed After Filling f/A Drain Vents Cl sed Before
I Cll.2.10.2.2)
COHHENTS:

Q. C. REVIEW I T!!'U * > ©__4, > I I I I I I I 1* I I I I I :I --. ': --*------;.: _. *-
"

---* ... . ------. -*. ,.** PSC PROCEDURE SQ 12.1 CREASE-REPLACEMENT DATA SHEET ,-2. 1 MAY 20, 1987 Page 1 of 1 Revision O Lt.Revision 1, 8-14-87 GIIBA.SE REPLACEMENT
-INSPECTION DOCUMENTilION PROJECT TE?IDON NO. /? SURVEILLANCE NO
__
TENDO?:l ElID/BUT!RESS NO. £6',I? 7/r;e YEAR I UNI:r ----QC signoff o.,.J . /1 ' SQ 12.0(9.3.l) Coat End Anchorage Assm.e,..,. l'*'e; Gal. Q.C. Signoff<f4...:t
"

\ SQ 6. O -DS 6. O (8. 7. l) Grease Loss From Grease Can Only .l'f " * * *.r..:z 6 .0 -DS. 6 .0 (1 Q.3): Grease Loss from Tendon Duct. j Gal. _ 1 ,,,,, SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS Gal. so 12.1 (8.5.1) Estimated Grease Losses* Frcltii Leaks-tJ Gal * ./A (8.6.l) Documented Grease Losses -NCRs or Other Gal. . ( 8
7. l) '!OT.AL GREASE LOSS '!:-US !ENDON' . :f 1 -Gal-..... ------Lµ (9. 7 .3.1) Pu:::p Di::lension
_ /.7? -Gallons per inch * & (9.7 .4.1) Grease Height in Dt""..Q BE::ORE 33/ct* (9. 7 .5.l) ____ * ,,"Z-, Calculations: 3"!>/t -2 ::: IY/j ?Ct .7.S-::.3 ____ ------"-(10. l) Ambient 'Ie::rp. 58" 0 ?". 'Iher:::o.ID. -:Pt:<./$ Recal Date C\l3:bqz_ (10.2.l) Can Removal 3(w!'l'Z-Can Replacement 3\bl't'Z... Days Elapsed" C> (ll.l.5) Cold Pack Grease * -e--Gal. *1 Cll.l..6) Filled D r:-..s Quantity Gal. t.f3,lio/ttz-(ll. * .Z. 7) Gal. Grease 'Iemp. \'jO <>: ! nier::io.!lo. Rec:al Date -(ll.2.8) Waste Grease -&-Gal. TOT.AL PUHPED Dl 3 . Gal.
f/3/t-/q7-(l1.2.9) Cold Pac.1c + Partial Fill 6>"
Total Pumped Gal. 1/ L * '!CUL QUABTIT.! REPUCZD 3 Gal. Bf 3,. '-(l"L (ll.2.10.l.l) Grease Leaks cu.2.10 * .2.1> REFILL ACCEPTABLE .8hEs Variation +,W "!. (11.3.3.15.2) Exit Temp-. (11.3.3.15.3) Complete Refilling DYES 62Bo _ of *. Ther:no. I.D. -¥-. Recal Date 'f$-Vents Open i'V/A.-Vents Closed After Filling 1'$ Drain Vents Before Filling .h"A z BVjr,/ttz.. (ll..2.10.2
.Z) COHHEN"XS:

.-,{ .-r: <"//. A I j_ _ Q. C. REVIEW _...;;H....._"...;">;..;. __ _ nm T!::U. . --*-. -*. * .. **-::::* ... *,,,..-I_ I I I I I I I I' I I I I I '_ ...... *. ':...**. *-*: ---*** .,_:: . . -.-.... :-::: ' *--.--. --* .. . .. -* P.FfoCEDURE .. SQ 12. 1 ----GREASE-REPLACEMENT GR£.ASE REPLACEMENT -INSPECTION DOCUHENTilION
DA TA SHEET 12 1 f_r;;ak MAY 20, 1987

Page 1 of 1 Revision O _&Revision 1, a.:..14.:..97 PROJECT .fe, SURVEILLANCE NO
___ _ TE?IDON NO. [/-/VZ. END/BUTTRESS NO. , 56B"J/Vif mrr:r __.!.._. __ QC Signof = SQ 12.0(9.3.l) Coat End Anchorage Assm. Gal. Q.C. Signoff P";< Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss :rom Grease Can Only 6. O -DS. 6. O Cl Q. 3) : Grease Loss from Tendon Duct. () Gal. /I I Gal. )!13-£-!L, SQ 6.0 -DS 6.0 -Bottom of Page TOT.AL GREASE LOSS so 12. l. (8.5.l) Estimated Grease Losses :rom Leaks s<<s&tz Gal. (8.6.l) Documented Grease Losses -NCRs or Other Reports ////ct ( 8
7

l) TOTAL GREASE LOSS '!HIS

Gal.' / 4 (9..-7 .3.l) Pu=p Gauge Dbension l.7 Gallons per i.'"lc:!l
& (9. 7 .4.l) Grease BEFORE 2 11 (9. 7 .5 .l) AF!ER I" Calculations: Z .-I -:: I)</. 7f I Y"" . ----(lO.l) Ambient Te:p. 58: 0 l!. '!her:o.ID. Recal Date I (l0.2.l) Can Removal Can Replacement '3l<elq"Z-Days
lapsed
-&-1 (ll.1.5) Cold Pack Grease
4-Gal. . [ 1 (ll.l.6) Grease Can Filled DYES Q_uantit7 -e-*. _Galo (ll.2.7) Pump Hot Grease il!i__ Gal. Grease Temp.L.:!QO:
,1 1 '!her::io.!lo. Date CS.\?\9'2-l'IJ3[1Pf't'L ( 11. 2. 8) Waste Grease
_(i)-Gal. TOT.AL. PUMPED D1 f 3 / t . Gal * "14tef'Z-( ll. 2. 9)
Pack + Par...ial Fill Total Pumped In [!/j-Gal..l J TOTAL QUAN'!Il'Y REPU.CZD / .,., f Gai. . . "'"3f-",-'fl .. Cll.2.10.l.1) Grease Leaks OYEs *©Na J!lf 3/to/t.tz. cu.2.10.2.1) REFILL ACCEP'!.ABLE Sns Duo* variation +7S (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling DYES of % 0 Y. ?her:no. I.D. Data* 'f2'1-Vents Open $. Vents Closed After Filling f/,4 Drain Vents Closed Before Filling /V'& I (11.2.10.2.2) COHHENTS:

---L:..'"'VE!. __ {// ------DA:!E 7-t D-9 2-I I I I I I I I I I I I ..... . -* ... -* *-*-* , --------. . -* ... ::-::. .. PSC PROCEDURE SQ 12. 1 -GREASE REPtACEMENT DATA SHEET 12.1 MAY 20, 19 8 7 1-eo. k. J?etfalr Page 1 of 1 Revision O ihRevision 1, 8-14-87 GREASE REPLACEMBIT -INSPECTION DOCUMENTATION PROJECT ,l?i,Je£ SURVEILLANCE NO._di ...... .... r. ___ _ /ff-4 TE?lDON NO. V. -/ "'f. 'P-!IDON END/BUTTRESS NO. um::r _! __ _ QC Signof:: {)seJ. If}/} SQ 12.0(9.3.l) Coat End Anchorage Assm.e 40 O:.rr.em Gal. Q.C. Signoff li/ttLJ-f*µ
\ SQ 6
0 -DS 6

0 ( 8

7. l) Grease Loss From Grease Can Only __
__ Gal. 6. O -DS. 6. 0 (l Q.3): Grease Loss from Tendon Duct. (J Gal. a tf SQ 6. 0 -DS 6. 0 -Bottom of Page '!OT.AL GREASE LOSS Gal. so 12.l -* (8.5.l) Estimated Grease Losses From Leaks .f1'aklz Gal. (8.6.l) Documented Grease Losses. -NCRs or Gal.. (8.7.l) TOTAL GREASE LOSS '::iIS !E"JDON Gal.' 6 (9. 7 .3.l) Pu:::p Gauge A/.#1-Di.::lension /,7L Gallons per inch * & (9.7 .4.l) Grease Height.'iil ut"".!:l BEFORE 'f'3/t (9. 7 .5.1) An-:R33/t . '-'l'Z. . Calculations: f '3/'f -3 :J/'t = I >' /, 7 f =" J 3/t " q-z_ (10.l) Ambient Sjt: ° F. '!her::io.ID. 1>tc:.'+<<tr Recal Date Btl/'1/b/qz (10.2.l) Can Removal3/fe/'fZ-Can Replacement 3/fe/'tZ. Days Elapsed -e-(11.l.5) Cold Pack Grease
Gal. (11.l.6) Grease Can ?artially Filled 0 YES . Ga.l. e.62}<t>/°tz.-(ll..2. 7) Pump Hot Grease />/'/ Gal. Grease Te.mp .l.j£_ °= '!her::io.!lo.
PKmecal Date .,/3/'t"Z-e63Jh/"c'L (11.2.8) Waste Grease * -e--Gal. TOTAL PUHPED Dl 1 3/'f-.
ef33/kf q "'Z--(11.2.9) Cold Pac.le + Partial Fill ...f7-Total Pumped In fu Gal. l J TOTAL QUAN'IIT.:;
lm'LI.CED 13 /ct Gal.. f:l,.31 G:i_ °t'2-(ll.2.l.O.l.l) Grease Leaks Dru .ria.No / cu.2.10.2.1> rn ACCEPTABLE li!J= Ono variation .;J{ BBJ/t./'1'- (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete DYES of 0::-. Thermo. I *. D. "Y# Recal. Data Vents Open A;'/A., Vents Closed After Filling .N'/A Drain Vents ctc;;;d Before Filling #/A-l I (ll.2.10.2.2) COMHE'.Nl'S:

, Q.C. REVIEW
__........__ __ _ DATE 3-/o-9 2-I
111&111 ** . 1 1--I I I I I I I I I I I I I I r**c, "; *.:-. , . *: -* . * .. _ ---*
PS C PR 0 CED URE SQ 1 2
J --_ GREASE REPLACEMENn l o -*)-_ DATA SHEET 12. 1 MAY 20, 1987 * -Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT
-INSPECTION DOCUMENTATION SURVEILLANCE NO. _.........,-,.iv,_....__ __ _ I1='...AR
ra NO. l.{leb tnlIX -"-/ __ QC Pral .!J'6!A'se..
SQ 12.0(9.3.l) Coat End Anchorage Assm..tkA d,rcfe. Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Onl_ y l.!..1SQ 6 .o -DS. 6 .o (1 Q.3): Grease Loss from Tendon Duct. Signoff Signoff i!J,1zt ... j1,t ,.P'.p,, ' Gal. 0 Gal. Gal. ffi-z!PJ1.:< i SQ 6 .0 -DS 6 .0 -Bottom of Page -TOT.AL GREASE LOSS SO 12 .1 I (8.5.1.) Estimated Grease Losses From Leaks Gal. C 8. 6. l) Documented Gt"ease Losses -NCRs or Other Repor..s (8.7.l) TOT.AL GRE.\SE LOSS '!:-iIS TENDON Gal.' bc9.7 .3.l) Pu:::p Gauge .N/-A-Di::iension 1.z:r -Gallons per L"lch & (9. 7 .4.l) Grease Height' in Dr-..:::i BE:ORE 9.1 (9. 7 .5 .l) .AF!ER 7, Calculations: 9.1-7,*t, =,:;, ,r;.z.i"= J.t21._*l_.

(10.l) Ambient Temp. :JP' ° F. '!het'::lo.ID.

f?J< f!t Recal Date tf*"i-?.J-(l.0.2.l) Can Removal }-tf-f'j.. Can Replacement J-/4'-*Days
lapsed P ' ,4/1.Z-/Cj,K, (11.1.5) Cold Pack Grease
0 Gal. (11.1.6) Grease Can Partially Filled 5ZJ NO Quantity_-_..,../)
__ Gal. ,,#/Ji/#££ (ll..2. 7) I>tmxp Hot Grease Gal. Grease <:r: ., ia. 0.., Ther:io.?10. fkr5 Recal Date t:l-U (l.l.2.8) Waste Grease -* a Gal. TOTAL. Pm!PED Dl 24 -. Gal.
Jb..;/--f!_ (ll.2.9) Cold Pack _IL Gal + Partial FJ.ll ..//..._ Gal .. + Total Pumped In J& Gal. J/J.iJ .._, 10 TOT.AL QU.AE!I'r.!
REPUCZD .3 Gal. (ll * .Z.l.O.l.l) Grease Leaks ;EINo cu.2.10.2.1) REFILL ACCEPTABLE (11.3.3.15.2) Temp. (11.3.3.15.3) (11.2.10.2.2) Complete Orn :!8ill0 .
of
rl:ler:no. _ Rec3:1 Date 4{/A Vents _Open Vents Closed After Filling .tJfltt.-Drain. Vents Before tpf 4:
COHHEN'TS: !!£!'£/!!>" Q.C. REVIEW -fkJ#2:. , I 1* I I I I I I 1' I I I I . *, -----*. :*.** -. .-*--*-** * ---. _-:( :*:.*::,:: _*"-17{ 1,_ 1a Psc stt *12-.-*1<*: _ .. ** . . GREASE REPLACEMENT DAT A SHEET 12 . 1 . * -* * ** -MAY 20, 1987 Page 1 of 1 Revision O 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO .... t ___ _ {/ '!E?lDON NO. -.V. .... _1 .... Z .... :t __ _ Yt:'-AR /,9f.i. I UNIT I _, __ _ QC tH!&} }_:eAS l!-SQ 12.0(9.3.l) Coat End Anchorage 1 e.-Gal. Q.C. Signoff Signoff UJfoft I -Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From rease Can Only 6.0 -DS_6.0 Grease Loss from Tendon Duct. 0 Gal. . Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS / so 12.1 (8.5.l) Estimated Grease Losses From Leaks //-f Gal. (8.6.l) Documented Grease Losses -NCRs or Other J{/19 ( 8. 7. l) '!OT.AL GREASE LOSS THIS TENDON / V0-Gal." 4 ( 9. 7
3. l) Pu:::p Gauge "{!!1 Di:lension
/, 2 6:" Gallons per inch ffi (9.7 .4.l) Gt"ease Height in Dt"'..::n BEFORE 7* t. (9. 7 .5.l) 'f, S' Calculations: ZlP ..
(10.l) Ambient 're::p. .33 ° F. '!her::io.ID.
?!<.££ Recal Date (10.2.l) Can Removal :J-11-?:l Can Replacement
J-11-9,( Days ?:lapsed (} (ll.l.5) Cold Pack Gt"ease
4 Gal. ' Cll.l.6) Grease Can ?artial]r Filled 0 YES EJ NO Quantity fJ (ll.2.7) Pump Hot Grease 5:< Gal. Grease 0:
Recal Date f-J-µ ,,.../,_, . (11.2.8) Waste Grease
t2 Gal. TOTAL Pm!PED Dl _!) Gal.

_AJ}t'J!$Z (ll.2.9) Cold Pac.le .JL_ Gal +Partial Fill _:12..
Total Pumped In F..i-,....Gal. TO'!AL QUA?ITI'.!Y REPUCE.D j"'{z Gal. , Grease Leaks OYEs fJ/,J-£$<' , c11.2.10.2.1> REFnL ACCEPTABLE tBim 0 No Variation "t,?t,'7 -: HdtYL , (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling On:s . of -¥tE'"P'-Thermo. I.D. -'jit1:-Recal Date Vents Open Vents Closed Filling Drain Vents Before Filling I (11.2.10.2.2) COMMENTS: _.....Al ........ () .... N.""'lt _________________ _ Q.c * .,..,., * .,.C"f.t '¥. .. 7/ ___ _ I 11-16R. 7 1-----I I I I I I I I I I I I I .._ I .,... -------*--* -*---:_4 i-j ( . *c:_: ?SC SQ 12. 1 _ GREASE RE?LACEMENT /,,,,fc£ } DAT A SHEET 1 2
1 µ.<< MAY 2Cl, 1957 Page 1 of 1 Revision O &Revision 1, 8-14-87 GREASE R::PUCEME!IT
- DOCW.ENTATION PROJEC': Ph fhle r SURVEILL..\NCE: NO
_ __,,Z_tJ""'""""'.:..' & TE!1DON NO. _.._V.,..,(7f--I.{
__ _ um::r I ---- 12.0(9.3.l.) Coat Anchorage Assm.,.,G,,,...,. Gal. Q.C. 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can only Signoff J4t/t!-9,,Z f';i. -Gal. QC SQ SQ ,ffisQ SQ 6 .0 -DS. 6 .0 Cl. :).3): Grease Loss f:-om Tendon Duct. 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS d Gal. $'1 Gal. .AJ,r!f-U' so i2 .1 -(8.5.l) Estimated Grease Losses From Leaks !'1';ltt;n.*,,,,/ Gal. G-, ** (8. 6. l) Documented G:::-ease Losses -NCRs or Other B.eports 4.1. (8.7.l) TOT.AL GREAsE LOSS ::-as Gal.' b (9.7 .3.l) Pu::p Gauge. ¢/9 Di::iension LZ? Gallons per Di!tl ffi (9. 7 .4.l) Grease Height Dr-.:t BEFORE 'f,6'" (9. 7 .5 .l) AFT:::R I{.() .l/.S' .... f,O z, 5X'1.71' = (10.l) A::lbient Te:p. 0 'E'. Ther:lo.J:D. P/<.55 (10.2.l) Can Removal .f-/.f-Y. Can Replacement/*/?* ?.2. Recal Date f-?*f.£ Days Elapsed ___ a___ (l.l.l.5) Cold Pack Grease
d Gal. (ll.l.6) Grease Can Partially Filled D gNo Quantity _ ..... r2._* __ Gal. (ll * .Z.7) Pump Hot Grease :J.'"i Gal. Grease Temp.2JJ._ JJ a Ther:io.!lo.
l'l<'f£ Recal Date {jwJ-9J.. i!/u?I/-µ / . Gal.
j2/J-.$/IJ'-J:, In ..1't( Gal. MfYZ-7,f (ll.2.8) Waste Grease () Gal. TO'!.AL. PUHP::D m (ll.2.9) Cold Gal + Par+...ial Fill _Q_
Total Pumped TOT.AL QUANTITY REPLI.C-.-:.D -?'?' Gal. Cl.l.2.10.l..l) Grease Leaks Ori:s ( ll. 2 .10. 2. l) REFn.L ACCEPT.ABU: j8 YES 0 NO Variation __.a __ "!. ( 11.3.3.15.2) Complete Refilling On:s 00110 Exit Temp. of Ther.:no. I.D. -11{1fr Recal Data ' ( 11.3.3.15.3) Vents Vents Closed After Filling ---4jlLt Drain Vents C.osed Before ttf'/'!' (11 * .Z.l0.2.2) COMMENTS: T!'.n.Z I I I I I I I . I I I I I I I I . -....... \ ..... ** . . . :-.-*-*--.. -A qi_*
1 ... .-.. .** --** .o;-.** PSC PROCEDURE SQ 12.1 -GREASE REPLACEMENT
).:6:J .. DATA SHEET 12.1 MAY 20, 1987 Page 1 of 1 Revision O ***&Revision 1, 8-14-87 GR£ASE REPLACEMENT -L'lSPECTIO?l DOCUMENTATION PROJECT I . TE!1DON NO. t/I Zle . SURVEILLANCE NO. END/BUTTRESS NO. P...AR ,l/J2 UNIT I QC . ll;J. SQ 12.0(9.3.l) Coat End Anchorage Gal. Q.C. Signof f Signoff ,1!1$7'-?..2 J:a. Gal. SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6.0 -DS.6.0 Grease Loss from Tendon Duct. SQ 6.0 -DS 6.0 -Bottom of Page TOT.AI. GREASE LOSS (} Gal. Gal. A/J..7-17-2,!. so 12.1 (8.5.l) Estimated Grease Losses From Leaks .llJ, 0 ,;..,.t Gal. . (8.6.l) Documented Grease Losses -NCRs or Other Galo (8.7.l) TOT.o.L GREASE LOSS '!H!S T::NDON /..Jlf' Gal. ;...<.-(lO.l.) Ambient Te:::p. i1f 0 "E'. 'nler=o.ID. &£J Recal Date J-,J-9:2... (10.2.l.) Can Removal Jw/J' ... ft;L Can Replacement Days Elapsed t2 (l.l.l.5) Cold Pack Grease
0 Gal. * (ll..2.7)
Pump Hot Grease -,Gal. Grease '!rpp.!!:s!fL 0: CU-1. 6) Grease can D I"..S {:!? 110 Quantity {J Gal. }d.11?-Z..4 . Ther::io.!lo. Recal Date f-J }2 * }# ?.Q-J',,2 (11.2.8) Waste Grease * /J Gal. TOTAL. Ptn!PED D1 s6 Gal. ,J./,,b1-£t (l.1.2.9) Cold Pac.'lc L Gal + Partial Fill L Gal .. + Total Pumped In .d._ Gal. TOTAL QUANTITY REPUCED a Gal. (ll..2.10.l..l) Grease Leaks On:s c11.2.10.2.1) REFILL ACCEPT.ABLE D NO Variation Ji ( 11.3.3. 15.2) Complete Refilling DYES Exit Temp *. of i(/.tt:?='. !her:no. I.D. ¥--Recal Date ,Jj"H-( 11.3.3.15.3) Vents Open M1/n-. Vents Closed After Filli.rig .#, Drain Vents Before l'j/Lt: cu. 2.10 .2.2i COHm:HTs: ,;,, f"'/e..! J24NI-1;, f.A . ft J-/P* 2L. DAX:: L I_ I I I I I I I I I I I I --*-: . ';__ . -.* .. ____ __ :---*---PSC .SQ 1 -*c RE AS i;:_: REPLACEMENT DAT A SHEET . 1 2 _. 1 MAY 20, 1987 Page 1 of 1 Revision O &_Revision 1, 8-14-87 GREASE REPLACEMENT -INSPECTION DOCUMENTATION PROJECT SURVEILLANCE NO. 'Z.O--H\ YE.AR 12.. ---- TENDON END/BUTTRESS NO. FIE'"L-P IQAu..e,q' UNIT ::t-i -------TENDON NO. QC Signof f US.El) 'Te..V'Po..V SQ 12.0(9.3.l) Coat End Anchorage Assm. Gal. Q.C. ;:.... SQ 6.0 -DS 6.0 (8.7.1) Grease Loss From Grease Can Only 6.0 -DS.6.0 (10.3): Grease Loss from Tendon Duct. signof f *es -zd-z r{t:t?... ..1... al. Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS .::1-. so 12. 1 i?e 8'I" 5kl' £ (8.5.l) Estimated Grease Losses From Leaks '{(A'!" Gal. (8.6.1) Documented Grease Losses -NCRs or Other Reports tf41lf (8.7.1) TOTAL GREASE LOSS THIS TENDON Gal.' (9.7 o3.1) Pump Gauge Dimension & (9. 7 .4.l) Grease Height: in BEFORE Calculations: Gallons per inch Ai= (9. 7 .5.1) (10. l) Ambient Temp. ° F. Iher:o.ID.
,,¢,,_ Recal Date -+/-__ J4.NJ-$!.-(l.0.2.l)
Can Removalv an Replacement.3 i3*f2. Days Elapsed L/1.)#J:!. , (l.1.1.5) Cold Pack Grease Gal * . (l.l..1.6) Grease Can Partially Filled 0 YES fil NO IJ Gal. (ll.2.7) Pump Hot Gal. Grease "/JA :'!°ti-? I'her:io.No. Rec.al Date 111/.!!_fL:Z.,,.t;., ------ (11.2.8) Waste Grease *JI/A. Gal. TO'!AL DI Af/A= . Gal. * (11.2.9) Cold Pac.le Fill .. + Total Pumped In_ Gal/tJA TOTAL QUANTITY REPLACED Gal. (11.2.10.l..J.) Grease Leaks OYE5 *paNo -}bll--f< (11.2.10.2.1) REFILL ACCEP'IABLE ONO Variation r!-i' ,/JJJd1?-(11.3.3.15.2) . Exit Temp. . ( 11.3.3.15.3) Complete Refilling DYES of
/fi:...,°F.
Thermo. I.D.-=#-Rec.al Date ¢A Vents Open ufA-Vents Closed Afte?n.Filling Jfdl:-Drain Vents -orc;;;d Be_f ore ,AJL . I (11.2.10.2.2) COMMENTS: _,J."""'!.'""k"""U .... 'e'._ ________________ _ I Q. C. REVIEW 111, (;-pZ .. q.,A. --:rri:.. DATE 3-2.3 -9 L -----------. I I TITLE ) I I I I *1 I I I I I I I I I .... * .----:;-""'-;-- ,_ .. *. ::-* __ *--.,_-_ -: __ PSC. GREASE / n , DA TA SHEET 12. 1 K9J1" 1" MAY 20, 1957 Page 1 of 1 Revision O &Revision 1, 8-14-87 GR=:.ASE - DOetn'..ENTATION' PROJEC: i?Jt,1Jl/f. ' NO. NO. 0 Zf um::r __._/ __ _ QC . . . !4,r .. SQ 12.0(9.3 .l) coat E."ld Anchorage Asrn. Gal. Q.C. Signoff J..4.l-l?*J-t.
\ SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From rease Can Only Gal. 6 .o -DS. 6 .o Cl Q.3)

Grease Loss f:-om Tendon Duct. () Gal. SQ 6.0 -DS 6.0 -Bottom of Page TOTAL GREASE LOSS Gal. Ja,-1?-tt , so 12.1 (8.5.l) Estimated Grease Losses From Leaks Gal.
Documented G::-ease Losses -NCR.s or Otrer :aepor..._s -!J/fi Gal. {8. 7 .l) TOT.AL GRE..\SE LOSS '::i!S / 5' . Gal.' '7' b ( 9. 7
3

l) Pu:::p Gauge µJA-Di::lension
/, Gallons per L"lc!l Ad, .11!-f'.i & (9.7 .4.l) Grease Height in BE:ORE (9. 7 .5.l) Calculations: t:tJ -R,f: /.9d?f:;' JY"( )a.Y.f-ffi (10.l) Ambient Te=;>. 38' ° F. 'nier::io.ID. ?/s5"5 Recal Date ?-. Cl0.2.l) Can can Replacement 3-11-?:J. Days Elapsed_"""() __ '0:9-f2. Cll.l.5) Cold Pack Grease
0 Gal. (ll.l.6) trease Can Partially Filled 0 '!!ES Quantity '1 Gal. MH.t-Zf: (ll..2. 7) Pump Hot Grease ;3 if Gal. Grease Te::zp ..J.;ttJ 0: 1 /} ,1 Ther::io.!lo.
fkJ!!C Recal Date f*1*9¢ . (ll..2.8) Waste Grease (2 Gal. '!CUL. Pm!PED DJ :J ./y-. . Gal.
4&?#9..1 (ll.2.9) Cold Pac.1c ../}_ Gal + Partial Fill J2..
Total Pumped In TOTAL QUAN'll::Y REPUCED 3 Yt Gal. ,,,IJ/l.lil-P, . I (ll..2.l.O.l.l) Grease Leaks OYEs i{U-l!>:-22: -I (ll.2.10.2.l) REFILL ACCEPT.ABU: 0 ?:10 Variation +/'(} Mr#£2, , (11.3.3.15.2) CcmpleteRefilling On:s [gi?Io -Exit '!eII;p. , qf l(/t2=.o!1. ,_ niei::no. I.D. -'Jftt- _Date fk (11.3.3.15.3) Vents Open J1/'4 Vents Closed After Fil1.ing Drain Vents Before Filling. ey/n: ;, . . (11.2.10.2.2) CCHHE'NTS: Q.C. REVIEW _15..:.i......;.. _Tri __ _ Jt-1,(ff., 6( r fl I 'I!::U J I I I I I I I I I I I I I I .._ I -_ PSC PROC:::DuR::: SQ 12. -1 _ GREASE RE?LACEMC:NTJ_
k. "1J -DA TA SHEET 12. 1 /\e/'tlll" MAY 20, 1957
Page 1 of 1 Revision O 1, 8-14-87 GR£..:\SE
- DOCW ... EUTATION SURVEII.LlliCE NO. _...,;:J. ... t!.....,lw-C""'*---- T=.:!lDON NO. NO. SQ SQ filsQ SQ 12.0(9.3.l) Coat 'E.""ld Anchorage Assm.4,n"G.."tt.u.- Gal. Q.C. 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only 6 .0 -DS. 6 .o (l :J,3): Grease Loss from Tendon Duct. 6.0 -DS 6.0 -Bottom of Page TOL\L GREASE LOSS so 12.1 (8.5.l) Estimated Grease Losses From Leaks / Gal. (8.5.l) Grease Losses -NCRs or Oth7.r ( 8. 7 .1) GREASE-LOSS ::-as T:::!IDON 2 fly Gal. ... UUI!' / -*---QC .!.:> ( 9. 7
3 .1) Pu:::p ejtt Di::lension
/, ??"" Gallons* per i:icll * -;J:Z.-fu < 9. 7 .4.1) Gt"easa He:.ght :.."1 ut""..!:l BEFORE 4-,'/ (9.7 .5.l) .... i....__ __ IJIJf..f.tl-U ?1 'I -t."'-1 = d x/. 76" = 1!/J 9 1JA 1-Jr.;.9;, (10.l) A::lbient Te:p. 6£ ° F. P/<5£ Recal Date 9-:J-'J::i... (10.2.l) Can Removal?-!?'µ- Can Replacement 3-19*?.2 Days ?:lapsed ' ( 11. l. 5) Cold Pack G:."ease * {2 Gal. (}J 1 _/{) !) ( 11.. l. 6) Grease Can ?artia17y Filled 0 fg' No Quantity _!!..__* __ Ga.l. (lJ..2.7) Pu:np Hot Grease Gal. Grease Ie:::p.-2200: '!her:::o. !lo. fllJ? Re cal Date 9*;3-r?--/Ja ,q .. !f .... % ' ClJ..2.8) Waste Grease tJ Ga.l. '!O'UL Ptn!PED nz-1-7 k;
;tz..-J!.-1, (lJ..2.9)
Cold Pack _§__Gal + _;/f_ Iotal Pumped In: 7Y..f Ga.l. !'Ay IOTAL QUANTITY REP!..lt:m L Yz! Gal. ),(IJl..D:T (lJ..2.10.1.l) Grease Leaks *ll(INo (ll.2.10.2.l) m:FII.L ACCEPTABLE J8IYES D NO Variation+ (11.3.3.15.2) Exit Temp. (11.3.3.15.3) (J.l.2.10.2.2) Complete ¢lling DYES fl'!110. I ,/ of 0:-. Ihecno. ¢8 Recal Date ,l(fl/-Vents Open ,,k; Vents Cl.osed Af:¢ Filling JI.jg_ Drain Vents Before Filling COHHENTS* 1'::1 ;.t"xuzi J-tt .. ?Jl -P&,,f .. gv. Q. C. REVIEW __..//.'--. _...-;;-:_, __ , ----IZ'IEL _:ITC ___ _ _J_-_2-.-.3_ .. _9_L __ _ T!'.!."LZ I I I I I I I ** I I I I I I I I .. -*>." ? S .C PRO C . SQ >1 2 ..*. 1 GREASE REPLAtEMENT . . -. DATA SHEET 12.,. . Leo.k ?e,txi-i'r MAY 2Cl, 1957
Page 1 of 1 Revision O LhRevision 1, 8-14-87
- SURVEILLANCE: NO / NO. ..,.J4'"""1'ff."""* ..... ..... ----ElID/BUT.:RESS NO. mrr:r ___ _ tis,_,/
12. 0(9 .3. l) Coat 'E."ld Anchorage Ass::i.c..;. Gal. Q.C. 6.0 -DS 6.0 (8.7.l) Grease Loss ::roe Gt"ease Can Only QC Sig:rn=:'
SQ SQ ffisQ SQ 6.0 -OS 6.0 (10.3): Grease Loss f:::-om Tendon Duct. _ ____ Gal. 6 .0 -OS 6 .O -Bottom of Page TOTAL GREASE LOSS Gal. so 12.1 . (8.5.l) Estimated Gt"ease Losses :rom Leaks J'y Gal. (8.6.l) Documented G:::-ease Losses -NCRs or Other Repor""-S Al,/A Gal. (8.7.l) TOTAL GRE.\SE LOSS TENDON Gal.' b (9.7 .3.l) Pu:::p Gauge u/A-Di.::lension
!r7-5 Gallons inc!J. fu (9. 7 .4 .1) Gt"ease Height L"l Dr-.=i BEFORE £. :f (9. 7 .5 .1) A.:"'"T::R__._9:"'"', "'=---Calculations:
9,t-'7,i-= J,,:l... x /.7£::. /I.......,"-"-.....,_ (10.l) A::lbient Te::p. ;?5' ° F. 'nler:o.!D. Ek?'tr Recal Date 9-f-?2, (10.2.l) Can RemovalJ-/l-f-3' Cap E.eplacement
3-/9-2:1-Days Elapsed I (ll.l.5) Cold Pack Grease * /J Gal. (ll.l.6) Grease Can Partially Filled 0
[kt NO (ll..2. 7) Pump Hot Grease ;2 Gal. Grease Te::rp :i.1<0 0: Ther::io.!lo.!',<:r.,.- Recal Date ?*-.Z-!-1.. (ll.2.8) Waste Grease (} Gal. TOTAL. 'DI . ;...
Gal. . * .i/1.Cl!-fi:l. (ll..2.9)
Cold Pac.ic .L Gal +Partial Fill L Gal-+ Total Pumped In ,A_ Gal. ll/J ///a., '!CUL QUAN'llTY REPUCZD ,?l-Gal. ,w..lV-/,_ (ll.2.10.l*.l) Grease Leaks 0No Cll.2.10.2.l) m:nLL ACCEP'!ABLE 0 NO Variation +(dO ":. ( 11 .3.3.15.2) Complete Refilling 0-:res J8Ho Exit Temp. of '!her:no. I.p. ,RjA Recal Date ( 11.3.3.15.3) Vents Open ;V/lf. Vents Closed After Filling # Drain Vents --crc;;;d Before (ll..2. lO .2.2) COHHENTS{ --1.lu.hu,.11A"IE'"=:..-...------------------- Q.C. REVIEW 1/, '7(; D.An: J -Z.3 -9 2-I I I I I I I I I' I I I I ':. *-'. GREASE REPLACEMENT -INSPECTION DOCUMENTATION TfilIDON NO. (-$'{) YEAR e:;d9e UNn _.....! __ _ QC . Signoff u.m:> () SQ 12.0(9.3.l) Coat End Anchorage Assm. () Q.C. /:\SQ 6.0 -DS 6.0 (8.7.l) Grease Loss From Grease Can Only Gal. . 6.0 - (10.3): Grease Loss from Tendon Duct.
Gal. J, ';l!_l.i4 SQ 6

0 -DS 6. 0 -Bottom of Page TOTAL GREASE LOSS GaL
-/"'-so 12.1 (8.5.l) Estimated Grease Losses From Leaks GaL * ( 8. 6. l) Documented Grease Losses -NCRs or Other Reports AIDNe Gal.. !-( 8. 7. l) TOTAL GREASE LOSS THIS TENDON /'/-z_ Gal.' 4 (9.7 .3.l) Pump-Gauge Di::lension 1*7S' Gallons per inch "1'2-& (9.7 .4.1) Grease Height in Drum BE:FOP.E N:'b (9. 7 .5.l) AFTER f'2 '1-. calculations: -11'/z..::. _1 l_J.7$"= 73Jc+ '2-(10.'1) .Ambient F. '!her::o.ID. Recal Date 't 1-s}ctL (l0.2.l) Can Removal Can Elapsed 7 (ll.1.5) Cold Pack Gr ase
Gal. J (11.1.6) Grease Can Partially Filled DYES _91.lantity -G-. Gal.. e,7 (ll.2.7) Pump Hot Gal.. Grease
°F J J Ther:no.No. Recal Date ,}l/ctz.... 'tZ... (ll.2.8) Waste Grease * -Q.. . Gal. TOTAL_ Ptn!PED Ill 7'3/'+ . Ga_i_. * (11.2.9) Cold Pac.lc-Gl-Gal + Par..ial Fill Total Pumped In-ef!:l Gal.. l t TOTAL QUANTITY REPLACED 7""1'f Gal. IJ//J '_j 'Z. ' (ll.2.10.1.l) Grease Leaks OYEs £!1!i3.l'/'z.. c11.2.10.*2.1). REFILL ACCEPTABLE 0No Variation +f/6 't (11.3.3.15.2) Exit Temp. (11.3.3.15.3) Complete Refilling DYES SNo /A of '!her:no. I.D. 4 Recal. Date -f Vents Open Vents Closed After Filling ¢::.. Drain Before Filling I /'t"L I c11.2.10.2.2> coHMENTs: 'FJl .. l.E']) SKol' eN?> L..1:"1/EL ?-to Z. .....;.. _____ _ I TITLE 7 1--* . I I I I I I I I I I I I . -" To From Date Subject cc TCTJatson, Pa}tsades Plant DJSnedeker Jackson May 4, 1992 CHEMICAL TEST RESULTS OF PALISADES PLANT TENDON SHEATHING FILLER Document Control Center, P-11-030 CONSUMERS POWER COMPANY Internal Correspondence*
--.. File Index: 519217-580-349 519217-580-444.
DCC: 950/26*01 Twenty-eight samples of sheathing filler grease were collected in February and March of 1992 from Palisades Nuclear Plant during in-service inspections of post tensioning system tendons. The grease samples were received by the Chemistry and Material Services Department of Environmental and Technical Services on March 3 (12 samples) and March 19, 1992. The samples were analyzed for water soluble chlorides, nitrates and sulfides; water content and neutralization number. Table 1 arid Table 2 list the test I results. Reviewed by Approved by *. *, , -- --:---,--* --* -.. ;" ,, ..._. *. :'. : . -. .. . t:: -'.
_ .. , -.;, Date _,J*. Date .-* *_..,. --.
<"-i;': . .* *-*-. *;.-' ' " .::;; . .:: -**-.*. --

:.1 > i !: ' I ', File Index: DCC: t'; '*:* .. . ; *, . , . : r I* ',_ * , I if : i 1: ' TABLE 1 Test' Results of Palisades Plant Tendon Sheathing Filler "* . Bench ;;1* '

1 ;: : Sample* " ., * ' . ; Number* * ' '

T ' * ' I.. j: 349.-1 *',' !.. Ii ', . '

... .. ; 349-3 ' . 34*9_4 349-5 349-6 349-7 , ':. )49:..8 I , , I* 349-9 ". . i 349-10' i':** 349-11 i-' 349-12 r,;., ,*
.*I, :1 , '* * " . i . ::' *,.: ... ,, **' '. ,, .. :*'>* ,. ... Neutralization
Grease ,. Unit Sample:**
Code Collection Number SamQle ID .:',*Number' Number Number Date (Total Base} mg KOH/g : : -'1. Shop End ;* >:.L. J
l 1\, . 02:.23 02/27/92 1. 6 Shop End .7.Y',:.l : ' 1 V-128 02/21/92 38.8 Field End '_ l *'. l' l 77BF 02/24/92 0.4 t*'I. .shop End ,;!" 1 1 *i 70DF 02/24/92 1.4 Shop End u.:> *:* l* :1 ,., V-20 02/21/92 0.4 *Shop End **.,: l" 1. *,*Ji. . D2-l 9 02/26/92 0.7 . : .. < ',' ; ... Field End .. l; 1 " .. D2-23 02/27/92 0.0 *Field End
.: . 1 1 V-128 02/28/92 55.4 .". ,. : ' '** ,.! *Field End 1 1 V-72 02/28/92 0.1 Field End i ... .. 1 1 V-20 02/28/92 0.1 Shop End 1 1 77BF 02/25/92 -0.4 Field End 1 1 *n3-52 02/26/92 -0.1 Rerun - ph*se mixed with grease prior to analysis Rerun -Liquid phase mixed with grease prior to analysis I* *. : . :1. *
i :
i *; ' ! I ' ' II I : l . '; . ; ; . * ' t. ! 1.I* "* *:\ ;,f' . **-::-,; . . ; ._*.* : * ;
I : {1 Chlorides mg/L 0.22 0.22 0.40 0.22 0.22 0.22 0.22 0.22 0.64 0.40 0.22 0.22 Water Content Dry Weight % 15.5 0.5 0.1 0.3
1. 8 <0.1 0.1 0.3 0.2 0.2 0.1 14.9 8.5 -2 519217-5 9 519217-580-444 950/26*01 Nitrates mg/L <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 Sulfide mg/L <0.101 <0.101 <0.101 <0.101 <0.101 <0.101 <0.101
<0.101 <0.101 <0.101 <0.101 <0.101 - -.. ----------1 'I' I I '. ',; ' i 'liench .* *' *Number , ... ,., ' r *' , I .; :;;* ;: :I *; I *' 4'44-1 '::4:44-2 ': 1 4'44::..3 '444'-4 .: 5 ' '4.44-6 ' 444-7 :. 444-8 l :*: ;: :,: 1 444*9 .. :*.: 444-10 I ; .: , 444-11 1 \' *'.444-12 .. ;1' "j. I 13 444,.14 \ '\' 444-16 ','!. '*. Grease Sample ID Shop End Shop End 'Field End Shop End .Shop End Shop End Field End Field End Shop End Field End Field End Field End Shop End Field End Shop End Field End . . Unit Number 1 1 1 *1 '*:* .. 1 1 *1 1 1 ' ' 1 *. 1 1 1 ' 1 *ACCEPTANCE CRITERIA '1. '*' ! .'. I ' ' . Water Soluble Chlorides: i':
Water Soluble Nitrates:
1 ;i>i ' 'Water Soluble Sulfides: ?: , \ * .. 'ANALYTICAL METHODS : . . 1:: ' . }.'i:cHEM-37 ,. 2; * :;:,'t)::i,;: . ' , :' :, *.::Analyzed by:* B R White '!,: ' (:" ' ! ;-::'*1::'.i ' '!. File Index: DCC: TABLE 2 Chemical Test Results of Palisades Plant Tendon Sheathing Filler Sample Number 1 1 *l 1 1 1 1 1 1 1 1 1 1 1 1 1 Code Number 52AE V-72 52AE V-218 29AE Dl-42 29AE V-218 48AE 46BD D2-19 70DF 46BD DI-42 D3-52 48AE 10 ppm max 10 ppm max 10 ppm max *', . .,, '.1* t,;. ":. ., ,, ,.* *' : '"'I ,, ' ' Collection Date 03/11/92 03/09/92 03/05/92 03/16/92 03/12/92 03/16/92 03/12/92 03/17/92 03/11/92 03/04/92 03/03/92 03/03/92 03/04/92 03/05/92 03/16/92 03/04/92 Neutralization Number (Total Base) mg KOH/g 52.4 35.1 42.9 1. 8 53.5 0.8 65.0 0.7 65.1 29.4 0.3 0.8 41.4 0.4 0.2 64.1 Chlorides mg/L 0.06 0.11 0.11 0.22 0.22 0.22 0.11 0.17 0.17 0.17 0.17 0.22 0.11 0.17 0.17 0.17 Water Content Dry Weight % 0.1 1. 8 0.1 3.3 0.2 <0.1 0.4 1.0 0.2 <0.1 <0.1 0.3 0.1 <0.1 <0.1 0.3 Water Content: Total Base Number: 10% dry weight max 0 mg KOH/g max :9217 519217-580-444 950/26*01 Nitrates mg/L <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 Sulfide mg/L <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 <0.100 -I . -*-* Ii ... !" 11 4 .., " -** _ ... -. -. .. . ... .. ..;._ . . I .. ;.:-.... -.-.". ----c, . *: .. -.. : -I * * * ... . .. R&'!/ J..\C", c.;!.!3R..-IT!ON' RECORD ' !O'R..'! 12. 8. G *
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1

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I o"o I t Do S: I s m:ra 3 POSmml C" IS'oo I I 5 i.'f . I** l 3,75 I

1..tJlS'. . I '* 2000 T!t'2oe-r Aql.J,ft..
ltElf!J-vr ']...5<'0 I . 2..S'o5" I 5?tJa* 5'? 1+"-J'2., 'Jo jooo I 3010 I -:i... ?. Lf s
1Soo I 35'3 I 3:i,., ,0 tfooo. I tfOl.'f I .. 80 Lf-Soo . Cf s J _r; . Y.i* 3 s I I I 5ooa ... I 2.. 7 I 'f(, I OD -I . fi : --*----* *--E" -"-*--*--*
----! .'E ----**.--* # --* -:*-.............
1' * -* .. ***--* ** -* ** - .... **
***
. :*. 1;;*'7 -.. "1 * -.. __ ** .. :J -... "" __ ,._ ----*--... ---* _..-. - -LINEAR REGRESS 0 ANALYSIS -_
cz * ** -PROJECT _. PALISADES . -. I . -CONTRACT-NO. N 417 -; JACK DESCRIPTION:
PINE .
TONS: 750 THEORETICAL RAM AREA Cs .in): 150.7 REGISTER NO.: 9178 MAx PREssoRE <psi>: CONSTANT=
---ALIBRATING DEVICE USED: BREWER REGISTER NO.: 418 CALIBRATING GAUGE DESCRIPTION: HEISE DIGITAL REGISTER NO.: .. S7-2662 . . *. : . . ...... ,, :* : . .. * . . . . ..... 14-__ .__,A_C_T_U_A_L __ G..,..A_aG_* E ..... * .,...* *_*_*_*_*_*_*_*_*_* _* __ r._r._*_* _* _* _* *_*_*_* __ co_M_P_O_T_E.,.n.,.-_____ J *.:_ :" 1 *:. ,";] READ1INOG03(psi) --.-.**** -R8E.A8DOOUT .-".*:--F01R4COE.64(_k8) . *-. -.. -*** * :*-.. l'f\. I._...:; 1507 13. 50 215. 766 I ::*."" ** .. :--:*: 1 N! -N -."-: .i---2=0=1:-::7=-----------=--1:-:0:-.-=1-=o----------=2..,,..s=g--:. w * -. 2512 22. 75 363. 606 a:: I-* .. _":* 3 0 0 4 2 7
2 0 4 3 4

7 2 9 -
____ _ .* 4503 41.10 656.889 -*-.*: .,. --5040 46.10 736.802 : *.*: 5706 ** s2.4o 837.493 I . ':*/_ 2008 18 .15 290. 086 j 2512 22.80 364.406 I 3004 __________ ____________ ___ 9_2 __ 6 ____ -. : ----4*5-55 ________ 4_1:60 6°64.880 J i{ 5004 45. 65 729. 610 '5" \i 5757 s::?.9o a.;s.485 :.:_ ioos-----------a:-9s_____ i.+J.o.fs _,.. L .... 1524 13.75 219.762 2015 18. :?O 290. 885 --=-c25-o*s=----------.i2
15----3-63*:-5c)_5
___ _ I a --c--* . _.; 3010 27. 45 438. 725 . - _____ 3_5_63 ____________ 3_2_._6_0 __________ 4024 36.80 588.163 4515 41.35 -660.885 -* -. !.* .. :. ; :....:.*:*** .. . . *--:-* --* 5027 46.00 735.204 - -*-_-s=-_ __ .. _-_ -: .-
-.. ---* .* .

-. *....:::-...
.. ;.:: "'.""'75.::-,-;;....E_R_RO_R_S_I_;N...-_:JA'--C-K_C_AL_I_B_RA_T_IO_N ________ -_-"-__ --.._ ------------='----
.:-.... ERROR IN STANDARD ***************

.*.l .......
-ERRORS IN GAUGE CALIBRATION -0.0100 ksi 0.0000 ksi a ** :- __ o_. 0_2_7_S_k_s_i ___ -:-_..,.. ____ _ -*-"':11=*-*-*.s ERRORS IN FIELD USE OF GAOGE ..... --* ----.* .--** __ .. :-.. ..:-. . . _ . INTERPOLATION ERROR ************* ---**-

*--ACCURACY.

ERROR * * * * * * * * * * * * * * * * * * ---* MAXIMUM GAUGE READING USED **************** 0.0050 ksi 0.0275 ksi 5.7570 ksi **FORCE (k) = 147.590 (sg.in.) X GAUGE READING Cksi) -6.457 r: CORRELATION = .0. 99998343 N/.NO=--L 0000 (NOT <
66667) .****=.:;.
MAXIMUM ERROR RATIO IN JACK * ********** 0083

MAXIMUM TOT.:\L ERROR RATIO ******* * * * * *
0 !.l 0 -* ---
. -:***,* *:_ ... :r . * . __-. -. -:---.-__ . . . . . '*-. * ... -- _--*_- I I I I I I I 1* I I* I I I I RA..'!./ JA.CS:. RECORD FOR..'!. 12. 8. G PSC Formerly -I p*sr-. '1/19 V-a.. ';r.:
lnryc:o Surveillance i PROJECT £ f:l-t-CON'IMCT /PART NO. }J 'l L ""} JJ'ft 9 r?('ft-Jack Descript:ion Pt It/ E Size ?fo Tons Register No 9 I? 8 Theoretical Ram Area f 5o, ?
Fressure 5 '70 O FSI Calibrating Device B£E JR Register No. '-1-18 Constant 1Sl/8Z..? Calibrat:ine Gauee HE15£ 1JIGl'f/IL Re2:iscer Dace -17*1 RaY Dat:a By ;9'bq 2;.?, &:6:;;l wrrn:ss .fi&a * . S (_;)'5. .-..':!.
D A Mean Ram Area !'-17. SC. sq.in. K.=-*
ICip Agency qe'C.C'/*£.... Dace T-/7-/Z Comput:.ed By 9
Dcfu-w:'k QC Check kl-;(

Title -P.-o' .. :t. 1 Dace q*l-Title Ml--R

6 *

Dat:e 't-t?*'J2 Targ:ec PSI Gauee Readin2 PSI Load Cell Readout:
000 .. 7s" RUN I POSITION z._JJ /Soo ?...ooo I I / tt>O /lE1fP our ')...Soo I I Z-"3. -z..s f"?oo 30"0 I I ?_ 7, 7$' 3Soo I I Lfooo I I l(-5"00 I I c/I. z.o 5000 I I 000 I I s" aL"N <-POSI.IIO!i </' f S"oo I 5zo I "-000 I Z...OJ?f' I
e-ruA'-
o-r 'J.. 500 I z..s-;z_ I S?oo 5711 000 I .JC; 'I& I 3 5"l:)0 I I 3z.,6 > 000 I 37.30 'fSoo '/. 30 S"ooo I ¥6. 2.0 000 I R.UN '3 POSITION s() o 1-* 3 lJ A_ooo I IY z. TARfi-l!?r §oo I S?"o. 3"oo "J5°00 'foo o . .>oo ,fooo .. . *-. . . .*,--:-.. *-**. _.*.* JACK CALIBRATION -LINEAR REGRESSION ANALYSIS PROJECT 'RR!::'.: Pe:::: foff. P,l/t...rJ';rpa' '7f-ir.)l.'f{t?f9
l. 1/-1? . . CONTRACT.
NO. REGISTER NO.: 9178 '/fr?('£ MAX PRESSURE (psi): 57C 418 CONSTANT= 15982.7 REGISTER NO.: S7-2662 JACK DESCRIPTION: PINE TONS: 750 THEORETICAL RAM AREA (sq.in): 150.7 CALIBRATING DEVICE USED: BREWER REGISTER NO.: CALIBRATING GAUGE DESCRIPTION: HEISE DIGITAL .. ' . * * * * * * * * ****** INPUT *.***.*****.** ACTUAL GAUGE READING (psi) 1074
-2*090 2556 .
3555 4027 . 4504 .. , .. : .5053 ,., .: : __ 5733 1049 .--* **1520 * "<. -2088 . :* -." *2512 / .. 3046 ':. '. 3570 ,_ 4076 . 4517 . ,'. 5030 i; : 5717 . 1080 . 1505 2014 2555 3002 3502 4009 ..;,. 4505 .. 5016 LOAD CELL READOUT 9.75 14.30 19.00 23.25 27.75 32.45 36.85 41.20 46.35 52.70 9.45 13.80 18.95 22.85 27.60 32.65 37.30 41.30 46.20 52.45 9.65 13. 60 18.25 23.25. 27.35 31.85 36.65 41.15 46.00 .: : .. 5717 52. 65 COMPUTED FORCE (k) 155.831 228.553 303. 671 371.598 443.520 518.639 588.962 658.487 740.798 842.288 151. 037 220.561 302. 872 365.205 441.123 521.835 596.155 660.086 738.401 838.293 154.233 217.365 291.684 371. 598 437.127 509.049 585.766 657.688 735.204 .841.489 :::,_:'!' .-: *-THESE READINGS HAVE BEEN: OMITTED FROM THE FINAL COMPUTATIONS _;,*.--.....
"*.*.-

***
-.... . . . ERRORS IN JACK CALIBRATION
.... : . .. : . ERROR IN STANDARD *.****..*****.*
. ; INTERPOLATION IN GAUGE ********** .
. . _-*ACCURACY OF GAUGE .*****. * ******** **ERRORS*
IN. GAUGE CALIBRATION .. .
INTERPOLATION IN MASTER ********* . ;*-****¥:*.\-_
'INTERPOLATION IN FIELD GAUGE **** **';°' *. ---: .-: .. :. , * . ACCURACY OF MASTER ******.******* .. ACCURACY OF FIELD GAUGE********* ERRORS.IN FIELD USE OF GAUGE <'.. :: ::::.:-__ -INTERPGLATION ERROR .*****..***** -:<ACCURACY ERROR **.*****...*****.* MAXIMUM READING USED *.**..*.*****..*
-* . . .:-** ... :*-.--;**
__ _.* ... 0. 0100 ksi 0.0000 ksi 0.0000 0.0000 ksi 0.0050 ksi 0.0100 ksi 0.0275 ksi 0.0050 ksi 0.0275 ksi 5.7330 ksi (kr; (sq.in.) x GAUGE READING (ksi) -5.036 (k) ** CORRELATION = 0.99998146 NINO= 1.0000 (NOT < .66667) MAXIMUM ERROR RATIO IN JACK ********** .0160 MAXIMUM ERROR .. RATIO IN GAUGE ******..** 0073 MAXIMUM TOTAL ERROR RATIO **.*.*..***** 0176 COMPUTED BY f}LJ; DATE: 'I - CHECKED BY: 11.f;. -'l . .,. *. .. . '=-: - 1 ... * * .:* --. . : .*; .. , .. . . . *.--* _______ ... .-*-. .... . -----** . ., :I : 11 .. ** .. j .. i . ., ... I-! *! .. i 1; I= I . *i I***; .. .. _.u1 .. _*};; Fl Jj, ) I" *:...** It .. ) ,J._ ..... -* --* .*.*-, -*--. .. *'. .* .. .. ---.; . . * . . . RA1!I SA.CT:.,. CllIDE...U'!ON RECORD !O'R..'! 12. 8. G
PSC Fonncrly j . . * 'lnr)ra>Surva1l:mc: l . Pl'.O.I?:C'!
0 PAt-1 fA]?f::S" CCNn.\.CT/I'A..U NO. /I) 'fl? . ft/<Jt; Si:e '750 Tons Reg-:_sc:e:: Na. Cf I ?9 XheoreC.c:a!. R.a:c A=ea . 1St:'.7 ?!a::. P=essu::e Y7oo PSJ: Ca.Ubracing De.vice * . Na. '-f/'8' Couscanc 15"'18'1....I]" Cal:!br:u:::!.:2 G.a.u2e
llc-1rr TJrt:;.rJA l..

Reoti.st:er No. s<'7-Z,&.Z
'Oac:e17ue": . By:** .. -z../3/92.. r'"!'Jr.:.SS J.) ' ':!ean Ra:: A::ea 141 sq.:!..:i. /V//I Dac:a "1/A
Cc:pu;ed . ; -IQC Oteck . .
.. ;,.,,.,,,.... 'Oat:e '!!"'1 e ft..,t:}. Dat:e 'Z.-J-9"1... PS!: I Gau'Ze Read!:2 'E'S! I !.oa.d Cell I I I tJ(}o t* I O "3 O I '7 -Lf S ir.l 1 ::asrr:cN 2 I 5'c:?O I I s 0 J I . I j.? c;-'2.C'O'O I 2. <9 3 g I 18.?S "'fJU.r;&-r At:t'"uAt-l'n&du-r z r;oo I .
2So'7 I 2 J.o..r I 5'7oo 577..8 sz.?s 3 ODO I 3 0 3 0 I A 7. 9' 0 . .3 oo I 35"1.. o I 1 z., '-fS L.f-ooo I l/-o 7... 2.. I 3 7, I 0 t..f)oo I lfSo1.. I LJ. / I '§oco

I )o 13 I l.fC S

I o o o I I o "'2.

I 'f. <.f o

I a.u:i z-.:os z. __ o:i :of * , IS°DO I 1515 I l3.9S"" ;tooo I zo Io I lg'.,5"'o
'2..5oo I '1S2C I 2 J.25" 51'Jco Sz,'lS Jooo I :302-.0 I J./7,<?o "3 Sao I 3 S Z I 3 2. S'S ' t.to o a . I Lf o 3 6 I 3 ?, I a
LfS'" 0 . *I Lf 5' 0 I I If I , s 0 S'CJoO I 50l.2. I 'fC, 3 o * * . I oco I I D..CJ g I 2.0 B.Ira 3 POS!T!CN c" J S" o o I .-l S 2. S . I-* I o a * '2..C1oo I

2 o / 3 I *J S;, 5o tither Acr&JAL hJfJJ-il'r
").,5<Jo I 'A51fLf-I ::Z.3, 3S 57'2.8 52..BS 3000 I 303 8 I ?..?. 9S 1Soo I '3Sl 'iJ I 31..'fo lfooo. I '-f o 11. I 3 '{ o lfSoo j 1.f5Jlf i "t/1 c,5 _ j Soco I 5010 I '-fC.3o . . . --. "' --* .,..,.,_ --*** .. ----........... .,.._ **-*...--. UWWW ; e s: -"""":':":'
--**
JACK CAtIBRATION:-.REGRESSION .. . *. _ .. :*,-;**a*. .
>' ---.* .: -. **750 CONTRACT NO. 00 N417 ., ;**: :-. . REGISTER *Na.:**. 9179.
MAX PRESSURE (psii: 570 CONSTANT= 15982.7 ,. REGISTER NO.: S7-2662 THEORETICAL RAM 'AREA ( 150 .T CALIBRATING DEVICE USED:* BREWER* .
REGISTER NO. : -CALIBRATING GAUGE DESCRIPTION:
HEISE DIGITAL 418 . . **************
ACTUAL. GAUGE .. :. LOAD CELL READING (psi). -*

READOUT 1030 *9.45 ..... -* 1503 13.75 . 2038 18. 75 . 2507 . :*23.05 3030 . 27 .90 3520 * . . 32.45 4022 37.10 4502 ;* .* 41. 55 5013 *.. . 46.25 5728 52.75 1028 9.40 1515 13.85 2010 18.50 2526 23.25 3020 27.80 3528 32.55 4036 37.10 4501 ...*. 41.50 -5022 * ... -* .. *--.,.,:--.--; -: -."46.30 -5736 -.--:.**-
1008 9.20 1525 14.00 2013 18.50 . .. . 2544 -23.35 3038 4012 36.90 4514 41.65 5010 46.30 5728 52.85 COMPUTED FORCE (k) 151.037 219. 762 . 299.676 368.401 "445.917 518.639 592.958 664.081 -739.200. 843.087 150.237 221.360 295.680 371.598 444.319 520.237 592.958 *663.282 739.999 846.284 , 147 .041 . ::.* .. .. *.:. -. * .. * *-* 223. 7 s a * .:. -.1-= . -. . : * *.. 295 '680 .... *:*:;.. .. *. ; .... *. *:. . . .. * -:-:.-j.':"t::.-. .---
_ .......
373
..:*.<":'>?

. . . * .);;.b*-"'..:.,( . --.::.-r.-*
.. -.. -* .....--*-.. *w
4 4 6.: 7-1*6* -. .:;,.-::::.

--* **
,;,.:._
... . * * * ,--"I".
-....-* *. -:-. ... . *. rr;;.-:::-*.:..
. *. . . :: . -. . -. .-. -. ---* ""' --, .. ._.. .. .... ,...,_ 517 839 -*-* -*-. ____ ,......_..
.......... _. __ -:;*--'"'!' . . .. :-:.-:. *. .. -**:..::r* .... .589 .. 762 ; .. * .. .;;,.#, .. 665 679 *-*:*-.. *. --.;-:::"-:.; . "::....& 73 9: 999 .* : .. * .. ;:;. . '.*_* . .;. 'J.: -*-... *-* .* .. * -* -**.. -.1. r 844. 686 ... _;._.".*** . .;.,-:-**'-*-=-* .. ;*_. --::::-:-.:.:*
--THESE READINGS HAVE BEEN OMITTED FROM THE FINAL COMPUTATIONS
.:.: '. -=..,:-:..
_.;;, ..

* .J,,,,,..*
-* '-* ERRORS IN JACK CALIBRATION . * *ERROR IN STANDARD ***************
.-. * -.::*. -* . INTERPOLATION IN *GAUGE **********

. . . . , ..
OE' GAUGE *************** ERRORS IN,GAUGE"CALIBRATION
INTERPOLATION IN MASTER *********
INTERPOLATION IN FIELD GAUGE **** .. ACCURACY OF MASTER ************** ACCURACY OP FIELD GAUGE ********* ERRORS IN FIELD USE OF GAUGE INTERPOLATION ERROR ** ********** ACCURACY ERROR **************.*.* MAXIMUM GAOGE READING OSED **************** ... _-:_,. *--** -. *:* _:' ... ,. -:..-...... -* -*' . .... . . .. 0.0100 ksi 0.0000 ksi 0.0000 ksi 0.0000 0.0050 0 .0*100 0.0275 ksi ksi ksi ksi ... 0.0050 ksi 0.0275 ksi 5.7360 ksi .. * ..... "!' "J.r ** *-... * ... --;.: ... .. ""*-:.. ... : :*?*. _.,:. . .,,;,* ...... _. ,_:.:.* ... ** FORCE (k) = . 147. 768 (sq.in.) X GAUGE .READING "(ksi) -1.844 "(k) ** CORRELATION = 0.99999536 NINO= 1.0000 (NOT < .66667) MAXIMUM ERROR RATIO IN JACK ***.******* 0045 MAXIMUM ERROR RATIO IN GAUGE ********* .0073 MAXIMUM TOTAL ERROR RATIO ****a******* .0086
Z*3* 'r-:
I I I *. I I I I I I* ________ Si:e. 7S-O 'T"c'tlS ?..eg::..S::e:: No._. _._L.._1_7_9 ___ _ -:-et:::!.c:a!. ?..a.: A=ea._.J._.51--=a ..... .._?___ !':essu:-e Oop PS! ______ . No. YI? Cal.ibraC:::!.:l2: Gauze No. Tic:le Tar'.:!:9C PS'! I Readin2 PS! I toad Cell Readouc:f I I aw L. PO?+"ZION D I I -;;;. /:,:7 ... / Ad-v"'l. I I I I :)7Pt? /S-7 I 'l..j .$5;" I I .. 7* !, I =<' cu I 3'2. :ro .,,, I I 36.7S I I l I .. ' </ c;-_ ;?', I. I 2!.. Z'. f"' I 15" 2 I I zot/& I S-Z..* S'S" I l I I I I . I I I I ' I 000 I I . R.Ira .3 /.4i1-=.-r. I -I** 3. &'.) .... I z.. er' I JF. </D ,., * /s-7o )/
I 2 I <-z.. . l'S--I 'YO 71 I Z.7. .)' I *I "31. 'JO I . . I I I /. l-s-' . I
.;

--JACK CALIBRATION
-LINEAR REGRESSION ANALYSIS PROJECT .:F-&RFii!i¥ FSHHI 9., 't-1 '7 . CONTRACT NO. REGISTER NO.: 9179 '1/tlf. MAX PRESSURE (psi): CONSTANT= 15982.7 REGISTER NO.: 57-2662 JACK DESCRIPTION: PINE TONS: 750 THEORETICAL RAM AREA (sq.in): 150.7 CALIBRATING DEVICE USED: BREWER REGISTER NO.: 418 CALIBRATING GAUGE DESCRIPTION: HEISE DIGITAL **************INPUT

ACTUAL GAUGE READING (psi> 1063 1572 2034 2524 3018 3534 4047 4555 5001 5712 1020 1542 2046 2546 3047 3516 4072 4529 5022 5730 1020 1532 2028 2584 3071 3501 4034 4513 5027 *5705 LOAD CELL READOUT 9.55 14.30 18.50 22.95 27.50 32.30 36.95 41.55 45.80 52.55 9.20 13.95 18.60 23.20 27.85 31.90 37.30 41.65 46.25 52.55 9.20 13.85 18.40 22.85 27.95 31.90 36.95 41.25 45.90 52.20 COMPUTED FORCE Ck) ' 152.635 228.553 295.680 366.803 439.524 516.241 590.561 664.081 732.008 839.891 147.041 222.959 297.278 370.799 445.118 509.848 596.155 665.679 739.200 839.891 lH. 041 221.360 294.082. 365.205* 446.716 509.848 590.561 659.286 733.606 834.297 * --THESE READINGS HAVE BEEN OMITTED FROM THE FINAL COMPUTATIONS ERRORS IN JACK CALIBRATION -* ... **-----... . .. ERROR IN STANDARD ********** *** -o.0100 ksi *-** .. __ **-. :. _INTERPOLATION IN GAUGE ********** . ,_0.0000 ksi *****-* . _:_._ ACCURACY OF GAUGE * .: ************ *.
0.
....
. ... : : __ .. . ERRORS IN GAUGE CALIBRATION -* :; ** . . . *.. : .;-. .::-.* * ...
---, -* :'-INTERPOLATION IN MASTER ** ksi .::. * }:-:.'***:.<' .'*INTERPOLATION IN FIELD GAUGE **** ,-. : '..:*:>> ..... _ ACCURACY OF MASTER 0 .0100 ksi * *
. * .ACCURACY.OF FIELD GAUGE*********
0.0275 ksi .: .. ;i;*.-.. .-* ERRORS IN FIELD-USE OF GAUGE .. ' INTERPOLATION ERROR *** -.. *** ** **** 0. 0050 ksi ACCURACY ERROR ****************** 0.0275 ksi . MAXIMUM GAUGE READING USED ** * ** ********** .. :* .5.7300 ksi ** FORCE (k) = 147.214 (sq.in.) X GAUGE READING (ksi) -4.084 (k) ** CORRELATION = . 0. 99997302 .. NINO= 0. 9667 MAXIMUM ERROR RATIO IN JACK\ ********** 0072 -MAXIMUM ERROR RATIO IN GAUGE ********* MAXIMUM TOTAL ERROR .RATIO ***** *.* ****** 0102 (NOT. <
66667 > -. COMPUTED . DATE:'l-17-CfZ CHECKED BY:
DATE . . --.* ;<<* **-. *--* I ------.... -. --* . . -. -, .. ---, I I I I I I I I I I I 1.-I CON'!RACT /P AE..T NO. AJ'fl .Jack Descr:!.pt:ion Size /0 '!heoret:ica1 Ram Area. Al/A Ma.."'t. Pressure PSC Formerly
Jnryco Survc11anc:e llegisce:
No *. _.:..:....;;;;..;._ Conscanc Soo Recziscer No. 7* Z Dace DUE 'l*Z*'I PSI POSITION "2.. 11 ----c+ooo I I 12.75"'" 5000 I So'3'2... I IS." IS." 7000 I 10\ :;-I 21.7 o I I S-S-oo I 8So'Z. I 'Z.b.'Z .. . \000 I 103S-* I

'3000 I o\ca: I tf--ooo I -+c33 I I I l'f. "2. ,000 "'10\ l

j C) I POSITION --'-' __ '2.000 I-* 3oc o c+ooo 12.8' l'f.0 22. 'Z.
-:LINEA_R REGRESSION
--->__ _ -_ "'--___ _. _ ._ -_ -I ROJECT --FT*._ CALHOUN
--__ -_: --__ :*:---_--_,._--_--CONTRACT No;_ *N414 ACK DESCRIPTION-:- -ENERPAC--TONS: - ,- --7702 THEORETICAL RAM-AREA (sq.in): NIA ---MAX PRESSURE-(psi): 8500 REGISTER NO.: 9321 CONSTANT= 500 RATING GAUGE DESCRIPTION: HEISE DIGITAL REGISTER NO.:; S7-8462 ************** INPUT ************** ACTUAL-GAUGE I.OAD CELI. COME.IJ_,_T.....,E-4JCD _____________ _ (psi,> ------..:,.:_-*
_ .*.-:
__ .. . ,._ .. -2 0 0.6 . " -._ -' 6. 4 0 3 .20_0...__ .. _-__ . _ ... _* ___ -____ ._ .. __ , _._. __ -_*-:_-----_, ___ -_ .... ***.-:*.-... : .. . -- .........
.. . I 3037 9.45 4. 725 4081 12.75 6.375 5.032 15.60 7.BDu--------------
-I 6031 . .. . .""--**--
"18. 60 --. . 9. 300 -. 7015 -.-------*" 21. 70 .. " . --10. 850 ---4.8 ..... 047 -.. -25. 25 12. 625 -<:*: .: **:: --** **:* ... : .x:**:* '-. ..* .*:r-. :. ,? " . *:*:.:*.:* .. 8502 26. 20 13 .100
1035 3. 30 1. 650 3018 9.50 4. 750 LJ 033 12. 90 '6. 450 043 lS ._9_.5 ________ 7._._ .
6098 19.20 9.600 1-7011 22. 05 11. 025 8004 s.os ..52..J.-------------- 8572 26. 80 13. 400 1087 3.40 1.700* 029 40 QQ _____________ _ 3096 9.75 4.875 4055 12.80 6.400 m_____sos 16.oo 8-00u-------------
6023 19.00 9.500 7064 22.20 11.100 25.30 12.650 I 0512 26.65 13.325 * --THESE READINGS HAVE BEEN OMITTED FROM THE FINAL COMPUTATIONS
---JEARRcoi<R- -.-:: ______ .* _s __ '._i_-* -. :.:_: . ._ .... ,, ...... _, ***-.. .. ,.. ------'-_:-_c-_- .. IN!l'-ERPOLATION IN GAUGE , .*,,,,, *,*,, ** 0. 0000 ksi --....... ACCURACY OF GAUGE * * * * * * * * * * * * * *
0. 0000 ksi . ** -"

9ERRORS IN GAUGE CALIBRATION

.INT-ERPOLAT.ION IN MAST.ER ******** , 0. 0000 ksi . -*,:-. -INTERPOLATION IN FIELD-GAUGE

* --*-0. 0050 -ksi-:-::< . ACCURACY OF MASTER ** _-: ** -* * ***
-. . . 0. 0100 *,ksi*:: .. ------ccACCURACY OF FIELD GAUGE ** ** ;;. *
0. 0275 ksi >-:*::: .
.. : ._.__. .. I __ s_IN FIELD USE OF GAUGE INTERPOLATION ERROR *** ***** ** ** --0. 0050 ksi --------ACCURACY-ERROR--*-----*
, * , 0, 0 27 5 ks ..... *------------

_ ... __ --.. . . --. _ -* -* *
FORCE ' ( k) :.:. -:*.:_.--_-c;;_
1, 5 54 -(sq in* ) *x-.GAUGE READING. ( ksi ) 0 ."06 9 *:*(kV .. _** .. . . .... _ ... ELATION = 0.99979912 NINO= 0.9259 (NOT < .66667)
*

_ _ _ MAXIMUM ERROR -RATIO IN GAUGE *******
.. ....

MAXIMUM 'TOTAL ERROR RATIO *. * * * * * * * .-. *

9184 *_--** -. : -.
-.: ..* _' :-'.*** --0*,-* *_* .,_,_ .. -_ *:* ---.. --. . .. J.'j "j_?.-. -.. .-* COMPUTED BY: __ --_--_-_ -D-A:_T_E __ -: 1...--r/1-:Jf...,..fl-_1-- __ -.. :.__,* _,...:_c-__ H_E __ "_ __ -*"'DATE:*- i'O°R!! 12.8.G PSC Formerly i . cl\ ac:k ......... EAl........,.£1( ..... e .... Size /6 Tons ltegi.s cer ?Jo.. t',g nieoreci.c:a.1. Ram Area d;L'tt_ :!:!a:c. Pressure .f.f'PP PS!: Calibrating Devi.c:e ef.t9fw /.J;R Regi!lcer No. I Rerlst:er No. Rav Daa. *By . . I ::ie.an Ra.: uea. __.. ____ _ I 'title '!anr:ec 'PSI I I I nace Gau2e Readio.2 PSI t.oad Cell Readout: POS!'!ION I I I I I I EmN d-FOSZZ!ON RUN_._ --I 95()()
, ... *-::;
.:c:.::*.*,_
.*. * .. L
iNA-LYsts-
--* CONTRACT NO. N417 ll:ROJECT POST-PALISADES -"*,.. ___ * . . _ * ----__ JACK DESCRIPTION: . ENERPAC---* -TONS: 16 . REGISTER NO.: 7702 RAM in): N/A -MAX PRESSURE (psi): 850: CALIBRATING DEVICE USED: 25 TON CELL _ REGISTER NO. : BRATING GAUGE DESCRIPTION: HEISE 9321 CONSTANT=.:. 500 _ . _ REGISTER S7-2662 *************
INPUT ********.****.
I ACTUAL GAUGE * * * .... LOAD CELL. COMPUTED :*;* *** * *. READING (psi) READOUT _ ... __ .... _ FORCE ( k) .. 1006 3.20 1.600* . ***:.i** .. -*:** .. * ..... . *.J **** ** * ** I 2096 6.90 3.450 3095 10.00 5.000 4064 13.10 6.550 I 5054 16.15. 8.075 6038 19.35 9.675 7066 22. 55 11. 275 ****:** 8018 25. 45 12. 725 8508 27.05 13.525 1052 3.40 1.700* 2064 6.80 3.400 I 3093 10.05 5.025 4022 12.95 6.475 5078 16.25 8.125 6018 19.10 9.550 I 7018 2 20....:.-"'2'-'-0-----------=lJ.
1'-"0-'-0
____________ _ 8003 25.20 12.600 8518 26.90 13.450 10 9 8 3. 55 ___ i. 77-=5:__* ___________ _ 2093 6.75 3.375* 3086 10.00 5.000 1--* 6052 19.40 9.700 7011 22.45 11.2 I 8009 25.50 12.750 8533 27.10 13.550 I * --TH.ESE READINGS HAVE BEEN OMITTED FROM THE FINAL COMPUTATIONS . ERRORS IN JACK CALIBRATION**:_** .. -. *' ERRORS IN I ERROR IN STANDARD *************** INTERPOLATION IN GAUGE ********** ACCURACY OF GAUGE *************** GAUGE CALIBRATION 0.0100 ksi ksi 0.0000 ksi INTERPOLATION IN MASTER ********* 0.0000 ksi INTERPOLATION IN FIELD GAUGE ** -.. 0.0050 ksi . .... _ *--* .. .. . ':. .. ACCURACY OF MASTER ******** -. * * * *
0.0100 ksi . .-** -
1. . ACCURACY OF FIELD GAUGE *********
0.0275 ksi . ERRORS IN FIELD USE OF GAUGE ** , INTERPOLATION ERROR............. 0.0050 ksi I _
__ : _: _: : __ :: _:-:. * -** .* . . . ,. **. . . . . . : .
.* ... : ... _._.. . . . * -.. -* . *.. . ...... ;** ..
.. '. ::-**-*;* ...... :** . ** FORCE (k) = _ l.564 (sq.in.) X GAUGE READING (ksi) 0.184 (k) ** ___ G9R_BELATION = 0.99992253 N/NO= 0.8519 (NOT< .66667) MAXIMUM. RATIO IN JACK-***** *-*...
0082 I MAXIMUM ERROR RATIO IN GAUGE_._.*
__

0049 ... *-**. -* ... ;,-: :.**.:, . _MbXIt1_UM ERROR-RATIO ** -**** * * .-* *

0096 . __ :: * -.: --
--CHE.CK ED. BY: 1 ---. J I. .. *: . I.! ., l I ,, . ' l.i I r ""1 I _ .... *.) --. -*. -*-* . *-. . *-..... . . . -.. *,: ... *-*-.,_ ---*... .. -:. -* '!.. .. --. -. *-. ... --.....
.__ .. '.!***

__ *;.* * *. ; . . . .. . . I .. --. . ' .... * ... -. -. . .. --.**-**:*-**:-.C.:1.3**_
.. -.. ---. .. . -. . . . P.A:::!/JAC< RECORD FOR..'! 12..8.G . PSC Formerly -i PAL. .
Surveillance I CON'I'llC!/?An NO. /Vi.fl? Jack .f1,..it;_
Si.::e ?150 Tons Reg-:_scer No-C,,oo 2-Ral:1 ..\:'ea / 9_o,'f-5 ?!a:. P:e.ssu:e Coco PSI Cal.ibrac:!.:tg Device 'No. Lf-18 CQnscanc ISC?8'2-.?
G.a.u2e Hei1£ v1c1'1"A1-Recti.s::er No.
'Oace..>11E: '1-8'-'71 Dar:a: .. *_.o. *.;./)'....,_.- I /Jr/'il.. Jw.1.!XESS t:!/IJ A.:ea "tS',.g"i? sq.1:1. t:J!f.l?! C?sAge::c,' tV /I) Daca

!y....,;f.., Cl.<flJ,,,,AO . IQC Cleek . . . I Dace "Z..-3-9 °t:!.'"' e e.c..l .. -t...-'Dace '7.* \-9 'Z. '!!:ie Q.
A, "tarzec ?S'! I Gau2e
?S! r !.oad Ce!.! Regcou::f I Oe>O t. , "C> 2-. I . I/. LfO :aI:J l Pcs * , 500 I , Lf 9 0 I , r;,1 c A,ooO I 10 2-.t{-I z 1. l5' ')..Sao I 'J..SoC I 1..'3. ?S 3000 I Jot'f-. I 1 lf.? c 3500 I 3SoS I Lfo, )o lfoao I Lf-o J... o I z+c, c. o L.fSoo I Lf-'f98 I S-1.. 3 0 I I I *1000 I /Of,. .. I //.'Oo ros::.=::i ,, -I S'o6 I I S°"l.. I J?,Lfo 'J..ooo I 7-.._o] 2... I 1J.S"o 2500 I J..lf98 I I '3cJ...'f I 1 £,t, 'to . 3soo I 3 'f'1? I lfo.'30 I LftJo fJ I 1./-02.I I '-fC,,J/.S
Lf5't)(7 .. *t lfSI a I 5J.. ,S.5 I I . . . 1000 I I ozz.. I If, Rim J POSITION '3-'%. ,, l 5"00 I l.S l2.... . I** f 'L>S :iooo I -Z. o I 1]. I 1..1 lfo -z.soo I l..SJS

I 7., 9, i+S . 3000 I 1..99' I 11.f". Cf() .
I _lLf 9'? I L/-t:J, 'DS LfooO. I 4-o/S I L/-,. 'IS Lf .)t:;c . Lf-st:)' . S:Z. .. ?o I I I I l . .* --* . . . --.. .. .. --: -.. .. ' . .......... .-*. - .. -. *--*' , .. ..-r:.._*_ ---JACK CALIBRATION -LINEAR REGRESSION.ANALYSIS _____ C._ON_TRAC.1_N_O_._N..4.l ....... 7 __ _ . JACK DESCRIPTION: PINE TONS: 850 REGISTER NO.: 6002 HEORETICAL RAM AREA (sq.in): 190.45 MAX PRESSURE (psi): 600* CALIBRATING DEVICE USED: BREWER REGISTER NO.: 418 CONSTANT= 15982.7 CALIBRATING GAUGE DESCRIPTION: HEISE DIGITAL REGISTER NO.: S7-2662 ACTUAL COMPUTED* READING (psi) READOUT FORCE (k)' I
1002 11.40 182.203 1490 17.10 273.304 2024 23 .15 370. 000 1 2506 28. 75 459 .503 3014 34.70 554.600 3505 40.50 647.299 4020 46.60 744.794 I 4.+98 52. 30 835. 895 ____ l""-016 ____________
-"'ll. 8 O 188. 5 96 1502 17.40 278.099 I 2032 23. 50 375. 593 :! 2498 28. 75 459. 503 3024 3.+.9o
_____________
_ 3497 40.30 644.103 I 4o11 .+ 6. 15 _______ ? 4 _________________ _ 4510 52.55 839.891
102:? 11.85 189.395 151::? 17.55 280.496 **---------*---. *------... ------------
2017 :!3.40 373.995 2535 29 . .+5 .no.691 . ____ 7996 34. 90 557. 796 3.+97 *--* *---.+o.ss ------* -*--*-652°:893

.+015 46.95 750.388 4506 52. 70 842. 288 * --THESE HAVE OM!T'!'ED FR0!1 THE FINAL COMPUTATIONS . ERRORS JACK CALIBRATION 1.-

ERROR IN STANDARD *************** INTERPOLATION IN GAUGE ********** ACCURACY OF GAGGE *********.***** 0.0100 ksi 0.0000 ksi 0.0000 ksi I ..
ERRORS IN GAUGE CALIBRATION IN MASTER *********
INTERPOLATION IN FIELD GAUGE **** 0.0000 ksi 0.0050 ksi 0.0100 ksi 0.0275 ksi o. oo.5o ksi I *. ERRORS IN FIELD USE OF GAUGE

0.0275 ksi 4.5100 ksi *
.* X ACCURACY ERROR ******************
MA IMUM GAUGE READING USED **************** I **FORCE (k) = 186.827 (sq.in.) X GAUGE READING (ksi) -4.276 (k) ** CORRELATION = 0.99990707 NINO= 1.0000 (NOT < .66667) MAXIMUM ERROR RATIO IN JACK ********** .0165 MAXIMUM ERROR RATIO IN GAUGE ********** 0093 MAXIMUM TOTAL ERROR RATI0*-.-.-.-.-.-.-.-.-.-.-.-.-.-0-1_8_9 _______________ COMPUTED , I * -* *--* . --..-**-.----------}}

ML18058A539

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6.0 GREASE

6.1 INSPECT

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ML18058A539

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6.0 GREASE

6.1 INSPECT

6.1 INSPECT

C. PROCEDURE

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