ML18151A286

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SPS Unit 2 ISI Summary Rept for 1997 Refueling Outage
ML18151A286
Person / Time
Site: Surry Dominion icon.png
Issue date: 01/26/1998
From:
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A287 List:
References
NUDOCS 9801300051
Download: ML18151A286 (182)


Text

{{#Wiki_filter:Attachment 1 Surry Power Station Unit 2 lnservice Inspections Examination Summary and Abstract of Examinations

  • -------......,I, 9801300051 980126 ' PDR ADOCK 05000281 G PDR FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Attachment 1 Page 1 of 29 Serial No.: 97-709 Docket No.: 50-281 1. Owner __ V_i_r_gim_" a_E_l_ec_t_n_*c_an_d_P_o_w_e_r_C_o_m_p=--an---'-y_, _5_00_0_D_om_im_" o_n_B_l_v_d....c.,_G_l_e_n_All_e_n'--, V_A_2_3_0_6_0

__________ _ (Name and Address of Owner) 2. Plant ___ Su_rry_P_o_w_e_r_S_ta_ti_*_on_,_5_5_7_0_H_o_g_I_sl_an_d_R_o_a_d_, _Surry __ , _v_A_2_3_8_83 __________________ _ (Name and Address of Plant) 3. Plant Unit _______ 2 ____ 4. Owner Certificate of Authorization (if required) ___ N_A _____ _ 5. Commercial Service Date 0 5/0ll 73 6. National Board Number for Unit _N_A ____________ _ 7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Steam Generator Westinghouse Tampa Division 2972 VA-58227 6817 2-RC-E-lB Steam Generator Westinghouse Tampa Division 2973 VA58228 6818 2-RC-E-lC Reactor Coolant Westinghouse 494 NA NA Pumn 2-RC-P-lC Pressurizer Westinghouse Tampa Division 1071 VA 58225 6816 2-RC-E-2 ILOop ~top vruve uarllilg NA NA NA 2-RC-MOV-2595 Letdwn Ht Exchanger Joseph Oats & Sons, Inc. 1674-1 VA59648 309 2-CH-E-2 I ~eru IDJ ection Commercial J<'ilters Corporation NA NA NA Filter 2-CH-FL-4A Seal lnj ection Commercial Filters Corporation NA NA NA Filter 2-CH-FL-4B Class 1/2 Piping Southwest Fabricating Company NA NA NA ILlass J.U, ~oumwest .l!aoncaung Lompany NA NA NA Component Supports Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8\li in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/88) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300. FORM NIS-1 (Back) 8. Examination Dates _06_/_0_7/_9_6 ________ to 10/30/97 Second Period (5-10-97 10-01) 9. Inspection Period Identification


10. Inspection Interval Identification

___ Thu.ui._.rd.__T..._nwte .. cv ... awl-1(,-,.5::;-1'""0cc.-9"-'4L.-:.....,;5-:...1.,.,0c=.,-0"'4"') ____________________ _ 11. Applicable Edition of Section XI _1_9_8_9 _________ Addenda _N_o_n_e ________ _ June 9, 1997, Revision 8 12. Date/Revision of Inspection Plan ---------------------------------

13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan. See Attachment 1, Pages 1 through 5 of Abstract of Examinations Performed See Attachment 1, Pages 1 through 18 of Abstract of System Pressure Tests 14. Abstract of Results of Examinations and Tests. See Attachment 1, Examination Summary, Pages land 2 15. Abstract of Corrective Measures.

None performed or required We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI. Certificate of Authorization No. (if applicable) _N_A __________ Expiration Date ....:N:..c.A:_c_ _________ _ Date Virginia Elect. & Power Co. r.-_A/. J J J Signed -------------- By &ld7Jl.tvJ~~ Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by Hartford S B T & I Co of .......,H=a~rt"'fo=r=d~, C~T __________ have inspected the components described in this Owner's Report during the period __ 6!_7_19_6 ________ to 10/30/97 , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /JQ --fh--NB 7933, VA 883 l,,L 1 dL, YJ:~'-" Commissions


Inspector's Signatu/re National Board, State, Province, and Endorsements D~-------~'~,--~--199~ Introduction Examination Summary Virginia Electric and Power Company Surry Power Station Unit 2 1997 Refueling Outage 3rd Interval, 2nd Period Attachment I Page 2 of 29 Serial No.: 97-709 Docket No.: 50-281 This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power Station Unit 2 from June 7, 1996 through October 30, 1997. The examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code. Examination procedures were approved prior to the performance of the examinations. Certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory. Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford Steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. Robert Smith), and Surry cal staff. Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1989 Code could be applied. Consequently, some examinations are limited or not practical due to geometric configuration or accessibility. Generally these limitations exist at fitting to fitting joints, such as elbow to tee, elbow to valve, reducer to valve, and where integrally welded attachments, lugs and supports preclude access to some part of the examination area. These limitations times preclude ultrasonic coupling or access for the required scan length or surface examination. Page 1 of 2 Examinations Attachment I Page 3 of 29 Serial No.: 97-709 Docket No.: 50-281 Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When the required ultrasonic examination volume or area could not be examined 100%, the. examination method was evaluated and alternate beam angles or methods were ered in an attempt to achieve the maximum examination volume. In the case of surface examinations where full coverage could not be achieved, an alternate component was considered for examination. However, where 100% examination was not possible the examination was considered to be a partial and so noted on the examination report. Where the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence. Results Examinations of components, piping and component supports ed in no items being reported on the basis of procedure reporting criteria. Analytical Evaluation Analytical evaluation(s) of examination results (Volumetric and/or Surface examinations): None required or performed. Evaluation Analyses Evaluation analyses of examination results (Visual Examinations) None required or performed. Statement of Interval Status Virginia Electric and Power Company has completed 33.5 percent of the second period examinations and 42 percent of the interval examinations. Page 2 of 2 Attachment I Page 4 of 29 Serial No.: 97-709 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11548-WMKS-01 OOG1 2-WFPD-H006 14"-WFPD-117-601 2A F-A F1 .20 VT-3 10/16/97 11548-WMKS-01 OOG1 2-WFPD-H009 14"-WFPD-117-601 2A F-A F1 .20 VT-3 10/21/97 11548-WMKS-01 OOG1 H001-1 14"-WFPD-117-601 2A C-C C3.20 MT 10/16/97 11548-WMKS-01 OOG1 H001-2 14"-WFPD-117-601 2A C-C C3.20 MT 10/16/97 11548-WMKS-01 OOG1 H005-1 14"-WFPD-117-601 2A C-C C3.20 MT 10/16/97 11548-WMKS-01 OOG1 H005-2 14"-WFPD-117-601 2A C-C C3.20 MT 10/16/97 11548-WMKS-0103A2-1 1-39L 30"-SHP-101-601 2A C-F-2 C5.52 UT/MT 10/20/97 11548-WMKS-0103A2-2 1-31 L 30"-SHP-102-601 2A C-F-2 C5.52 UT/MT 10/19/97 11548-WMKS-0117A1-1 2-RH-HSS-019 14"-RH-101-1502 1A TS3.2 TS4.17 VT-3 10/10/97 A1 11548-WMKS-0117A1-1 2-RH-HSS-020 14"-RH-101-1502 1A TS3.2 TS4.17 VT-3 10/10/97 A1 11548-WMKS-011 SL 1 2-WCMU-H017 6"-WCMU-106-151 3A F-A F1.30 VT-3 10/6/97 11548-WMKS-011 SL 1 H017-1 6"-WCMU-106-151 3A D-B 02.20 VT-3 10/6/97 548-WMKS-0122K1-1 1-01 BC 6"-RC-318-1502 1A B-J 89.31 UT/PT 10/20/97 548-WMKS-0122L 1 2-SI-HSS-025 12"-Sl-245-1502 1A TS3.2 TS4.17 VT-3 10/10/97 11548-WMKS-0123M1 0-01 12"-CS-101-153 2A C-F-1 C5.11 UT/PT 10/17/97 11548-WMKS-0123M1 0-02 12"-CS-101-153 2A C-F-1 C5.11 UT/PT 10/17/97 11548-WMKS-0123M1 0-06 12"-CS-101-153 2A C-F-1 C5.11 UT/PT 10/15/97 11548-WMKS-0124A 1 1-07 6"-RC-338-1502 1A B-J B9.11 UT/PT 10/11/97 11548-WMKS-0124A 1 1-08 6"-RC-338-1502 1A B-J B9.11 UT/PT 10/11/97 11548-WMKS-0124A 1 2-01DM 6"-RC-337-1502 1A B-F 85.40 UT/PT 10/15/97 11548-WMKS-0124A 1 2-07 6"-RC-337-1502 1A B-J 89.11 UT/PT 10/11/97 11548-WMKS-0124A 1 2-08 6"-RC-337-1502 1A B-J 89.11 UT/PT 10/11/97 11548-WMKS-0124A 1 2-RC-HSS-186 3"-RC-335-1502 1A TS3.2 TS4.17 VT-3 10/8/97 11548-WMKS-0124A1 2-RC-SV-2551 A 6"-RC-339-1502 1A B-M-2 812.50 VT-3 10/22/97 11548-WMKS-0124A 1 2-RC-SV-2551 C 6"-RC-337-1502 1A B-G-2 87.70 VT-1 10/3/97 11548-WMKS-0124A 1 3-01 DM 6"-RC-339-1502 1A B-F 85.40 UT/PT 10/15/97 11548-WMKS-0124A 1 3-08 6" -R C-339-1502 1A B-J 89.11 UT/PT 10/11/97 1548-WMKS-0124A 1 4-01DM 4" -R C-334-1502 1A B-F 85.40 UT/PT 10/15/97 548-WMKS-0125A 1 1-01 BC 4"-RC-314-1502 1A B-J B9.31 UT/PT 10/20/97 11548-WMKS-0125A 1 1-07 4"-RC-314-1502 1A B-J 89.11 UT/PT 10/20/97 Page 1 of 5 Attachment I Page 5 of 29 Serial No.: 97-709 Docket No.; 50-281 Abstract of Examinations Performed IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11548-WMKS-0125A 1 2-RC-HSS-100 4"-RC-315-1502 1A TS3.2 TS4.17 VT-3 10/10/97 11548-WMKS-0125A 1 2-RC-HSS-107 4"-RC-315-1502 1A TS3.2 TS4.17 VT-3 10/10/97 A1 11548-WMKS-0127C 1 2-S1-H008 8"-Sl-214-152 2F F-A F1.20 VT-3 10/8/97 11548-WMKS-0127C2 2-12 10"-Sl-348-153 2A C-F-1 C5.11 UT/PT 10/9/97 11548-WMKS-012781 2-CH-H003 8"-CH-317-152 2F F-A F1.20 VT-3 10/7/97 11548-WMKS-012782 2-S1-H027 8"-Sl-170-153 2F F-A F1.20 VT-3 10/17/97 11548-WM KS-012782 2-S1-H037 1 O"-Sl-206-153 2F F-A F1 .20 VT-3 10/7/97 11548-WM KS-2018A5 3-20 14"-WFPD-109-601 2A C-F-2 C5.51 UT/MT 10/12/97 11548-WMKS-CH-11 1-10 3" -C H-303-1503 2A C-F-1 C5.21 UT/PT 10/14/97 11548-WMKS-CH-18 0-08 3"-CH-371-1503 2A C-F-1 C5.21 UT/PT 10/14/97 11548-WMKS-CH-18 0-09 3"-CH-371-1503 2A C-F-1 C5.21 UT/PT 10/14/97 11548-WMKS-CH-18 0-10 3"-CH-371-1503 2A C-F-1 C5.21 UT/PT 10/7/97 548-WMKS-CH-18 2-CH-H003 3"-CH-371-1503 2A F-A F1 .20 VT-3 10/16/97 548-WMKS-CH-24 0-02 2"-CH-322-1503 2A C-F-1 C5.30 PT 10/13/97 11548-WMKS-CH-24 0-03 2"-CH-322-1503 2A C-F-1 C5.30 PT 10/13/97 11548-WMKS-CH-24 0-29 3"-CH-321-1503 2A C-F-1 C5.21 UT/PT 10/3/97 11548-WMKS-CH-24 0-30 3"-CH-321-1503 2A C-F-1 C5.21 UT/PT 10/3/97 11548-WMKS-CH-24 2-CH-H002A 3"-CH-322-1503 2A F-A F1.20 VT-3 10/16/97 11548-WMKS-CH-25 2-CH-H216 3"-CH-311-1503 2A F-A F1 .20 VT-3 10/7/97 11548-WMKS-CH-E-2 1-01 2-CH-E-2 2A C-A C1.20 UT 10/7/97 28"-56" 11548-WMKS-CH-E-2 1-02 2-CH-E-2 2A C-A C1.10 UT 10/7/97 28"-56" 11548-WMKS-CH-E-2 2-CH-H001 2-CH-E-2 2A F-A F1 .40 VT-3 10/7/97 11548-WMKS-CH-E-2 2-CH-H002 2-CH-E-2 2A F-A F1 .40 VT-3 10/7/97 11548-WMKS-CH-E-2 2-CH-H003 2-CH-E-2 3A F-A F1 .40 VT-3 10/7/97 11548-WMKS-CH-E-2 2-CH-H004 2-CH-E-2 3A F-A F1 .40 VT-3 10/7/97 11548-WMKS-CH-E-2 H003-1 2-CH-E-2 3A D-A 01.20 VT-3 10/7/97 11548-WMKS-CH-E-2 H004-1 2-CH-E-2 3A D-A D1 .20 VT-3 10/7/97 11548-WMKS-CH-FL-4A H001-1 2-CH-FL-4A 2A C-C C3.10 Surface 1/6/97 48-WMKS-CH-FL-4B 1-02 2-CH-FL-4B 2A C-A C1.10 UT 1 /17/97 0"-11" 548-WMKS-RC-1024 1-01 2"-CH-393-1502 1A B-J B9.40 PT 10/17/97 Page 2 of5 Attachment I Page 6 of 29 Seriai No.: 97-709 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing_Number Mark No. Line No. Class Category Item Method Date Remarks 11548-WMKS-RC-11-1 1-05DM 29"-RC-304-2501 R 1A B-F B5.70 UT/PT 10/8/97 p 11548-WMKS-RC-11-1 1-06DM 31"-RC-305-2501 R 1A B-F B5.70 UT/PT 10/8/97 p 11548-WMKS-RC-11-1 1-09 31"-RC-305-2501 R 1A B-J B9.11 UT/PT 10/19/97 11548-WMKS-RC-11-1 1-18 31 "-RC-305-2501 R 1A B-JB 9.12 UT/PT 10/8/97 11548-WMKS-RC-11-1 1-19 31 "-RC-305-2501 R 1A B-J B9.12 UT/PT 10/8/97 11548-WMKS-RC-11Z1 1-01 BC 2"-RC-357-1502 1A B-J B9.32 PT 10/8/97 11548-WMKS-RC-11Z1 1-05 2"-RC-357-1502 1A B-J B9.40 PT 10/8/97 11548-WMKS-RC-11 Z1 1-06 2"-RC-357-1502 1A B-JB 9.40 PT 10/8/97 11548-WMKS-RC-11Z1 1-07 2"-RC-357-1502 1A B-J B9.40 PT 10/8/97 11548-WMKS-RC-11 Z1 1-20 2"-RC-356-1502 1A B-J B9.40 PT 10/23/97 11548-WMKS-RC-11Z1 1-21 2"-RC-356-1502 1A B-J B9.40 PT 10/23/97 11548-WMKS-RC-11Z2 1-01 BC 2"-RC-499-1502 1A B-J B9.32 PT 10/8/97 11548-WMKS-RC-11Z2 1-07 2"-RC-499-1502 1A B-J B9.40 PT 10/8/97 548-WM KS-R C-11 Z2 1-08 2"-CH-309-1503 1A B-J B9.40 PT 10/8/97 11548-WMKS-RC-11Z2 2-RC-H001 2"-RC-499-1502 1A F-A F1 .40 VT-3 10/20/97 11548-WMKS-RC-11Z3 1-06 2"-CH-395-1502 1A B-J B9.40 PT 10/9/97 11548-WMKS-RC-11Z3 1-07 2"-CH-395-1502 1A B-J B9.40 PT 10/9/97 11548-WMKS-RC-11Z3 1-08 2"-CH-395-1502 1A B-J B9.40 PT 10/9/97 11548-WMKS-RC-11Z3 1-09 2"-CH-395-1502 1A B-J B9.40 PT 10/9/97 11548-WMKS-RC-11 Z3 Flange "A" 2" -C H-395-1502 1A B-G-2 B7.50 VT-1 1017/97 11548-WMKS-RC-2 1-01 BC 3"-RC-416-1502 1A B-J B9.32 PT 10/8/97 11548-WMKS-RC-2A 2-27BC 1 "-RC-360-1502 1A B-J B9.32 PT 10/11/97 11548-WMKS-RC-6Z 2-RC-FE-2480 2"-RC-345-1502 1A B-G-2 B7.50 VT-1 1017/97 11548-WMKS-RC-7Z 2-RC-FE-2481 2"-RC-346-1502 1A B-G-2 B7.50 VT-1 1017/97 11548-WMKS-RC-E-1 A.2 2-RC-HSS-138 NA 2A TS3.2 TS4.17 VT-3 10/10/97 11548-WMKS-RC-E-1 A.2 2-RC-HSS-140 NA 2A TS3.2 TS4.17 VT-3 10/10/97 11548-WMKS-RC-E-1 B.1 2-02 2-RC-E-1 B 2A C-A C1.30 UT 10/11/97 141"-284" 11548-WMKS-RC-E-1 B.1 2-03 2-RC-E-1 B 2A C-A C1.10 UT 10/11/97 141"-282" 548-WMKS-RC-E-1 B.1 2-05 2-RC-E-1 B 2A C-A C1 .10 UT 10/14/97 141"-282" 11548-WMKS-RC-E-1 B.1 CL-MANWAY 2-RC-E-1 B 1A B-G-2 B7.30 VT-1 10/14/97 Page 3 of5 Attachment I Page 7 of 29 Serial No.: 97-709 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam _prawing Number Mark No. Line No. Class Category Item Method Date Remarks 11548-WMKS-RC-E-1 B.1 HL-MANWAY 2-RC-E-1 B 1A B-G-2 B7.30 VT-1 10/14/97 11548-WMKS-RC-E-1 B.2 2-RC-1-02ANIR 2-RC-E-1 B 1A B-0 B3.140 VT-1 10/20/97 11548-WMKS-RC-E-1 B.2 2-RC-1-02BNIR 2-RC-E-1 B 1A B-0 B3.140 VT-1 10/20/97 11548-WMKS-RC-E-1 C.2 2-09 2-RC-E-1 C 2A C-B C2.21 UT/MT 10/18/97 16"-33" 11548-WM KS-R C-E-2 1-03 2-RC-E-2 1A B-B B2.12 UT 10/12/97 6"-12" 11548-WMKS-RC-E-2 1-04 2-RC-E-2 1A B-B B2.11 UT 10/12/97 145"-290" 11548-WMKS-RC-E-2 1-08 2-RC-E-2 1A B-K B10.10 UT 10/12/97 0"-193" 11548-WMKS-RC-E-2

  • Heater Elements 2-RC-E-2 1A B-E B4.20 VT-2 10/30/97 11548-WMKS-RC-E-2 Lower Sample Nozzles 2-RC-E-2 1A B-E B4.11 VT-2 10/30/97 11548-WMKS-RC-MOV2595 NUTS-1-13 27 "-RC-309-2501 R 1A B-G-1 B6.230 VT-1 10/14/97 11548-WMKS-RC-MOV2595 STUDS-1-13 27 "-RC-309-2501 R 1A B-G-1 B6.210 UT 10/14/97 548-WMKS-RC-P-1 A.1 2-RC-FRAME 2-RC-P-1A 1A F-A F1 .40 VT-3 10/8/97 1548-WMKS-RC-P-1 C.1 2-RC-P-1 C 2-RC-P-1 C 1A B-L-2 B12.20 VT-3 10/15/97 11548-WMKS-RC-P-1 C.2 B-09 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/14/97 11548-WMKS-RC-P-1 C.2 B-10 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/14/97 11548-WMKS-RC-P-1 C.2 B-11 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/14/97 11548-WMKS-RC-P-1 C.2 B-12 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/14/97 11548-WMKS-RC-P-1 C.2 B-13 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-14 2-RC-P-1C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-15 2-RC-P-1C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-16 2-RC-P-1C 1A B-G-1 B6.180 UT 10/16/97 11548-WMKS-RC-P-1 C.2 B-17 2-RC-P-1C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-18 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/16/97 11548-WMKS-RC-P-1 C.2 B-19 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-20 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/16/97 548-WMKS-RC-P-1 C.2 B-21 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/14/97 548-WMKS-RC-P-1 C.2 B-22 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/16/97 Page 4 of5 Attachment I Page 8 of 29 Serial No.: 97-709 Docket No. : 50-281 Abstract of Examinations Performed IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam _p_rawing Number Mark No. Line No. Class Category Item Method Date Remarks 11548-WMKS-RC-P-1 C.2 B-23 2-RC-P-1 C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 B-24 2-RC-P-1C 1A B-G-1 B6.180 UT 10/13/97 11548-WMKS-RC-P-1 C.2 FLANGE 2-RC-P-1C 1A B-G-1 B6.190 VT-1 10/15/97 11548-WMKS-RC-P-1 C.2 LSHB 2-RC-P-1 C 1A B-G-2 B7.60 VT-1 10/13/97 11548-WMKS-RC-R-1.2 1-01 2-RC-R-1 1A B-A B1 .40 UT/MT 10/14/97 179"-358" 11548-WM KS-S l-12A 1-04 3" -S 1-346-1503 2A C-F-1 C5.21 UT/PT 10(7/97 11548-WMKS-Sl-12A 1-05 3"-Sl-346-1503 2A C-F-1 C5.21 UT/PT 10{7!97 11548-WMKS-Sl-12A 2-05 3"-Sl-272-1503 2A C-F-1 C5.21 UT/PT 10/3/97 11548-WMKS-Sl-12A 2-06 3"-Sl-272-1503 2A C-F-1 C5.21 UT/PT 10/3/97 11548-WMKS-Sl-35 1-25 2"-Sl-274-1502 2A C-F-1 C5.30 PT 10/23/97 11548-WMKS-Sl-9 0-01 3"-Sl-290-1503 2A C-F-1 C5.21 UT/PT 10/3/97 11548-WMKS-Sl-9 0-02 3"-Sl-290-1503 2A C-F-1 C5.21 UT/PT 10/3/97 1548-WMKS-WAPD-5 2-WAPD-H004 6"-WAPD-150-601 3A F-A F1 .30 VT-3 10/17/97 A 1 = Reexamination of a component that required corrective measures during a previous examination.

P = Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief will be requested by separate correspondence. Page 5 of 5 Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-086C-1-4 RVLIS TRAINS "A & B" OUTSIDE CTMT 2 C-H C7.30 11/26/96 2-SPM-086C-1-4 RVLIS TRAINS "A & B" OUTSIDE CTMT 2 C-H C7.70 11/26/96 2-SPM-086C-2-3 RVLIS TRAINS "A & B" OUTSIDE CTMT 2 C-H C7.30 11/26/96 2-SPM-086C-2-3 RVLIS TRAINS "A & B" OUTSIDE CTMT 2 C-H C7.70 11/26/96 2-SPM-088A-2-3 NON REGENERATIVE HEAT EXCHANGER 2-CH-E-2 2 C-H C7.10 11/27/96 2-SPM-088A-2-3 NON REGENERATIVE HEAT EXCHANGER 2-CH-E-2 2 C-H C7.30 11/27 /96 2-SPM-088A-2-3 NON REGENERATIVE HEAT EXCHANGER 2-CH-E-2 2 C-H C7.70 11/27/96 2-SPM-088B-2-3 CHARGING ALTERNATE HEADER 2 C-H C7.30 11/27 /96 2-SPM-088B-2-3 CHARGING ALTERNATE HEADER 2 C-H C7. 70 11/27 /96 2-SPM-088C-1-8 CHARGING ALTERNATE HEADER 2 C-H C7.30 11/27/96 2-SPM-088C-1-8 CHARGING ALTERNATE HEADER 2 C-H C7.70 11/27/96 2-SPM-088C-2-7 CHARGING ALTERNATE HEADER 2 C-H c7.3D 11/27 /96 2-SPM-088C-2-7 CHARGING ALTERNATE HEADER 2 C-H C7.70 11/27 /96 2-SPM-089A-3-4 CHARGING ALTERNATE HEADER 2 C-H C7.30 11/27 /96 2-SPM-089A-3-4 CHARGING ALTERNATE HEADER 2 C-H C7.70 11/27/96 2-SPM-084A-1-5 RWST COOLERS HDR 2 C-H C7.30 12/02/96 2-SPM-084A-1-5 RWST COOLERS HDR 2 C-H C7.70 12/02/96 2-SPM-088B-2-2 RWST CROSSTIE 2 C-H C7.30 12/11/96 2-SPM-088B-2-2 RWST CROSSTIE 2 C-H C7.70 12/11/96 2-SPM-088B-2-4 "A" LOW HEAD SAFETY INJECT ION PUMP CROSS-TIE TO 2 C-H C7.30 12/11/96 CHARGING PUMPS t:I C/.1 l"d > 0 (0 "' <+ "11 ()q '1" I><'!"'* (0"' (0"' " Page 1 of 18 '1" t-' (0 § Z 12: 0 a, 0 0 t-t, '1" "" N IJl(CCCH 0..., I I N-.., 0, 0 t-' (0 Zone 2-SPM-0888-2-4 2-SPM-089A-1-5 2-SPM-089A-1-5 2-SPM-089A-2-7 2-SPM-089A-2-7 2-SPM-082A-3-2 2-SPM-082A-3-2 2-SPM-0888-2-5 2-SPM-0888-2-5 2-SPM-0888-2-5 2-SPM-0888-2-7 2-SPM-0888-2-7 2-SPM-0888-1-3 2-SPM-0888-1-3 2-SPM-0888-1-3 2-SPM-0886-2-6 2-SPM-0888-2-6 Abstract of Examinations Performed System Pressure Test Program Description Sect XI Class '~" LOW HEAD SAFETY INJECTION PUMP CROSS-TIE TO 2 CHARGING PUMPS RWST CROSSTIE 2 RWST CROSSTIE 2 "A" LOW HEAD SAFETY INJECTION PUMP CROSS-TIE TO 2 CHARGING PUMPS "A" LOW HEAD SAFETY INJECTION PUMP CROSS-TIE TO 2 CHARGING PUMPS CHARGING PUMP DISCHARGE SAMPLING LINES 2 CHARGING PUMP DISCHARGE SAMPLING LINES 2 CHARGING PUMPS 2-CH-P-1A,1B, AND 1C 2 CHARGING PUMPS 2-CH-P-1A,1B, AND 1C 2 CHARGING PUMPS 2-CH-P-1A,1B, AND 1C 2 CHARGING PUMP DISCHARGE SAMPLING LINES 2 CHARGING PUMP DISCHARGE SAMPLING LINES 2 SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 C-H PUMP Page 2 of 18 Sect. XI Item C7.70 c7.30 C7.70 C7.30 c7.70 C7.30 C7.70 C7.30 C7.50 c7.70 C7.30 C7.70 c7.10 C7.30 c7.70 c7.30 C7.70 Date 12/11/96 12/11/96 12/11/96 12/11/96 12/11/96 01/02/97 01/02/97 01/02/97 01/02/97 01/02/97 01/02/97 01/02/97 01/13/97 01/13/97 01/13/97 01/13/97 01/13/97 Remarks Zone 2-SPM-089A-2-8 2-SPM-089A-2-8 2-SPM-0888-1-11 2-SPM-0888-1-11 1-SPM-082A-1-6 1-SPM-082A-1-6 2-SPM-082A-3-1 2-SPM-082A-3-1 2-SPM-082A-3-3 2-SPM-082A-3-3 2-SPM-088A-1-1 2-SPM-088A-1-1 2-SPM-088A-2-2 2-SPM-088A-2-2 2-SPM-0888-1-4 2-SPM-0888-1-4 2-SPM-0888-1-4 2-SPM-0888-2-1 2-SPM-0888-2-1 2-SPM-088C-1-4 Abstract of Examinations Performed System Pressure Test Program Description Sect XI Class SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP SEAL RETURN HEADER AND SUCTION LINE TO CHARGING 2 PUMP MISC CHARGING 2-CH-FCV-21138 2 MISC CHARGING 2-CH-FCV-21138 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 VOLUME CONTROL TANK LETDOWN HEADER 2 CHARGING HEADER AND SEAL INJECTION FILTER 2 CHARGING HEADER AND SEAL INJECTION FILTER 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H CHARGING HEADER AND SEAL INJECTION FILTER 2 C-H Page 3 of 18 Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 C7.30 C7.70 C7.30 Date 01/13/97 01/13/97 01/13/97 01/13/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/14/97 01/22/97 01/22/97 01/22/97 Remarks Zone 2-SPM-088C-1-4 2-SPM-088C-2-1 2-SPM-088C-2-1 2-SPM-089A-3-3 2-SPM-089A-3-3 2-SPM-084A-1-2 2-SPM-084A-1-2 2-SPM-089A-1-4 2-SPM-089A-1-4 2-SPM-089A-1-8 2-SPM-089A-1-8 1-SPM-079D-1-3 1-SPM-079D-1-3 1-SPM-088A-1-4 1-SPM-088A-1-4 1-SPM-088A-1-4 2-SPM-084A-1-1 2-SPM-084A-1-1 2-SPM-084A-1-1 2-SPM-084A-2-1 2-SPM-084A-2-1 Abstract of Examinations Performed System Pressure Test Program Description CHARGING HEADER AND SEAL INJECTION FILTER CHARGING HEADER AND SEAL INJECTION FILTER CHARGING HEADER AND SEAL INJECTION FILTER CHARGING HEADER AND SEAL INJECTION FILTER CHARGING HEADER AND SEAL INJECTION FILTER Sect XI Class 2 2 2 2 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 LOW HEAD SAFETY INJECTION PUMP SUCTION FROM RWST 2 BORIC ACID TRANSFER PUMP 1-CH-P-2C BORIC ACID TRANSFER PUMP 1-CH-P-2C BORIC ACID TRANSFER PUMP 1-CH-P-2C BORIC ACID TRANSFER PUMP 1-CH-P-2C BORIC ACID TRANSFER PUMP 1-CH-P-2C 2 2 2 2 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 C-H Page 4 of 18 Sect. XI Item C7.70 C7.30 C7.70 C7.30 c7.70 c7.30 C7.70 C7.30 C7.70 c7.30 C7.70 C7.30 c7.70 C7.30 c7.50 c7.70 C7.10 C7.30 C7.70 c7.30 c7.70 Date 01/22/97 01/22/97 01/22/97 01/22/97 01/22/97 02/10/97 02/10/97 02/10/97 02/10/97 02/10/97 D2/10/97 02/18/97 02/18/97 02/18/97 02/18/97 02/18/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 Remarks Zone 2-SPM-084A-3-1 2-SPM-084A-3-1 2-SPM-084A-3-2 2-SPM-084A-3-2 2-SPM-084A-3-3 2-SPM-084A-3-3 2-SPM-084A-3-4 2-SPM-084A-3-4 2-SPM-084A-3-5 2-SPM-084A-3-5 2-SPM-084A-3-5 2-SPM-084A-1-4 2-SPM-084A-1-4 2-SPM-084A-2-2 2-SPM-084A-2-2 2-SPM-084A-2-2 2-SPM-084A-2-3 2-SPM-084A-2-3 2-SPM-084A-2-3 2-SPM-088A-1-2 2-SPM-088A-1-2 Abstract of Examinations Performed System Pressure Test Program Description Sect XI Class REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 REFUELING WATER STORAGE TANK AND ASSOCIATED PIPE 2 RWST/CATCROSS TIE PIPING RWST/CATCROSS TIE PIPING CAT UNDERGROUND PIPING CAT UNDERGROUND PIPING REFUELING WATER CHEMICAL ADDITION TANK REFUELING WATER CHEMICAL ADDITION TANK REFUELING WATER CHEMICAL ADDITION TANK 2-CS-P-1A SUCTION AND DISCHARGE PIPING 2-CS-P-1A SUCTION AND DISCHARGE PIPING 2-CS-P-1A SUCTION AND DISCHARGE PIPING 2-CS-P-1A SUCTION AND DISCHARGE PIPING 2-CS-P-1A SUCTION AND DISCHARGE PIPING 2-CS-P-1B SUCTION AND DISCHARGE PIPING 2-CS-P-1B SUCTION AND DISCHARGE PIPING 2-CS-P-1B SUCTION AND DISCHARGE PIPING BORATE FOR END OFCORE LIFE 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H BORATE FOR END OFCORE LIFE 2 C-H Page 5 of 18 Sect. XI Item c7.30 C7. 70 C7.30 c7.70 c7.30 C7.70 c7.30 C7. 70 c7.10 c7.30 c7.70 c7.30 c7.70 C7.30 C7.50 C7.70 C7.30 c7.50 C7.70 C7.30 C7.70 Date 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 02/19/97 05/06/97 05/06/97 05/06/97 05/06/97 05/06/97 05/06/97 05/06/97 05/06/97 05/07/97 05/07/97 Remarks Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-079D-1-4 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.30 05/07/97 1-SPM-079D-1-4 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.70 05/07/97 1-SPM-088A-1-5 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.10 05/07/97 1-SPM-088A-1-5 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.30 05/07/97 1-SPM-088A-1-5 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.50 05/07/97 1-SPM-088A-1-5 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.70 05/07/97 1-SPM-088A-2-3 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.30 05/07/97 1-SPM-088A-2-3 BORIC ACID TRANSFER PUMP 1-CH-P-ZD 2 C-H C7.70 05/07/97 1-SPM-088A-1-6 BORIC ACID LINES TOCHARGING PUMPS 2 C-H C7.30 05/08/97 1-SPM-088A-1-6 BORIC ACID LINES TOCHARGING PUMPS 2 C-.H C7.70 05/08/97 2-SPM-088B-1-5 BORIC ACID LINES TOCHARGING PUMPS 2 C-H C7.30 05/08/97 2-SPM-088B-1-5 BORIC ACID LINES TOCHARGING PUMPS 2 C-H C7.70 05/08/97 2-SPM-064A-1-3 A S/G MAIN STEAM INSIDECTMT 2 C-H C7.10 10/06/97 2-SPM-064A-1-3 A S/G MAIN STEAM I NSIDECTMT 2 C-H C7.30 10/06/97 2-SPM-064A-1-3 A S/G MAIN STEAM INSIDECTMT 2 C-H C7.70 10/06/97 2-SPM-064A-2-3 B S/G MAIN STEAM INSIDECTMT 2 C-H C7. 10 10/06/97 2-SPM-064A-2-3 B S/G MAIN STEAM I NSIDECTMT 2 C-H C7.30 10/06/97 2-SPM-064A-2-3 B S/G MAIN STEAM INSIDECTMT 2 C-H C7.70 10/06/97 2-SPM-064A-3-3 C S/G MAIN STEAM INSIDECTMT 2 C-H C7.10 10/06/97 2-SPM-064A-3-3 C S/G MAIN STEAM INSIDECTMT 2 C-H C7.30 10/06/97 l;j Cl:l "a> 2-SPM-064A-3-3 C S/G MAIN STEAM INSIDECTMT 2 C-H C7.70 10/06/97 0 CD tT " 11 °' "" ),;' I-'* CD CD c, <Tr'r'§ Page 6 of 18 Z Z _.. CD 0 0 O H, "" .... Ln CC N H a -..i co I I N-.., o, a .... co Zone 2-SPM-068A-1-2 2-SPM-068A-1-2 2-SPM-068A-1-3 2-SPM-068A-1-3 2-SPM-084B-2-2 2-SPM-0848-2-2 2-SPM-084B-2-2 2-SPM-084B-2-3 2-SPM-084B-2-3 2-SPM-084B-2-3 2-SPM-087A-2-5 2-SPM-087A-2-5 2-SPM-088A-2-1 2-SPM-088A-2-1 2-SPM-088C-1-5 2-SPM-088C-1-5 2-SPM-088C-1-9 2-SPM-088C-1-9 2-SPM-088C-1-9 2-SPM-088C-2-3 2-SPM-088C-2-3 Abstract of Examinations Performed System Pressure Test Program Description MAIN FEEDWATER TO 11 8 11 S/G MAIN FEEDWATER TO 11 8 11 S/G MAIN FEEDWATER TO 11 C 11 S/G MAIN FEEDWATER TO 11 c 11 S/G OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2A OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2A OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2A OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2B OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2B OUTSIDE RECIRCULATION SPRAY PUMP2-RS-P-2B LETDOWN HEADER LETDOWN HEADER LETDOWN HEADER LETDOWN HEADER CHARGING TO REGENERATIVE HEAT EXCHANGER CHARGING TO REGENERATIVE HEAT EXCHANGER LETDOWN HEADER LETDOWN HEADER LETDOWN HEADER REACTORCOOLANT PUMP SEAL INJECTION LINES REACTORCOOLANT PUMP SEAL INJECTION LINES Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H 2 C-H Page 7 of 18 Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 Cl.SO C7.70 C7.30 C7.50 Cl.70 C7.30 Cl.70 C7.30 C7.70 C7.30 C7.70 C7.10 Cl.30 C7.70 C7.30 C7.70 Date 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 Remarks Zone 2-SPM-088C-2-5 2-SPM-088C-2-5 2-SPM-088C-2-6 2-SPM-088C-2-6 2-SPM-089A-2-1 2-SPM-089A-2-1 2-SPM-089B-1-2 2-SPM-089B-1-2 2-SPM-089B-1-2 2-SPM-089B-1-5 2-SPM-089B-1-5 2-SPM-089B-2-2 2-SPM-089B-2-2 2-SPM-089B-2-2 2-SPM-089B-2-5 2-SPM-089B-2-5 2-SPM-089B-3-2 2-SPM-089B-3-2 2-SPM-089B-3-2 2-SPM-089B-3-5 2-SPM-089B-3-5 Abstract of Examinations Performed System Pressure Test Program Description REACTORCOOLANT PUMP "B" SEAL RETURN LINE REACTORCOOLANT PUMP 11 8 11 SEAL RETURN LINE REACTORCOOLANT PUMP 11 C 11 SEAL RETURN LINE REACTORCOOLANT PUMP "C" SEAL RETURN LINE SAFETY INJECTION ACCUMULATOR TEST LINE SAFETY INJECTION ACCUMULATOR TEST LINE LOOP "A" SAFETY INJECTION ACCUMULATOR LOOP "A" SAFETY INJECTION ACCUMULATOR LOOP "A" SAFETY INJECTION ACCUMULATOR SAFETY INJECTION ACCUMULATOR TEST LINE SAFETY INJECTION ACCUMULATOR TEST LINE LOOP "B" SAFETY INJECTION ACCUMULATOR LOOP 11 8 11 SAFETY INJECTION ACCUMULATOR LOOP 11 8 11 SAFETY INJECTION ACCUMULATOR SAFETY INJECTION ACCUMULATOR TEST LINE SAFETY INJECTION ACCUMULATOR TEST LINE LOOP "C" SAFETY INJECTION ACCUMULATOR LOOP 11 C 11 SAFETY INJECTION ACCUMULATOR LOOP "C" SAFETY INJECTION ACCUMULATOR SAFETY INJECTION ACCUMULATOR TEST LINE SAFETY INJECTION ACCUMULATOR TEST LINE Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H 2 C-H Page 8 of 18 Sect. Xi Item c7.30 c7.70 C7.70 C7.30 C7.30 C7.70 C7.10 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 c7.30 C7.70 C7.10 C7.30 c7.70 C7.30 C7.70 Date 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 10/06/97 Remarks Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-124A-2-2 11811 S/G BLOWDOWN 2 C-H C7.10 10/06/97 2-SPM-124A-2-2 "B" S/G BLOWDOWN 2 C-H C7.30 10/06/97 2-SPM-124A-2-2 11911 S/G BLOWDOWN 2 C-H C7.70 10/06/97 2-SPM-124A-3-2 11c11 S/G BLOWDOWN 2 C-H C7.10 10/06/97 2-SPM-124A-3-2 11c11 S/G BLOWDOWN 2 C-H c7.30 10/06/97 2-SPM-124A-3-2 11c11 S/G BLOWDOWN 2 C-H C7.70 10/06/97 2-SPM-086C-1-3 RVLIS TRAIN IIAII INSIDECTMT 2 C-H C7.70 10/06/97 2-SPM-086C-1-3 RVLIS TRAIN IIAII INSIDECTMT 2 C-H C7.30 10/06/97 2-SPM-086C-1-5 RVLIS TRAIN 11 8 11 INSIDECTMT 2 C-H C7.30 10/06/97 2-SPM-086C-1-5 RVLIS TRAIN "B" INSIDECTMT 2 C-H C7.70 10/06/97 2-SPM-086C-2-2 RVLIS TRAIN 11 8 11 INSIDECTMT 2 C-H C7.30 10/06/97 2-SPM-086C-2-2 RVLIS TRAIN 11811 INSIDECTMT 2 C-H C7.70 10/06/97 2-SPM-089B-2-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.70 10/07/97 2-SPM-089B-2-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.30 10/07/97 2-SPM-089B-1-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.70 10/07/97 2-SPM-089B-1-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.30 10/07/97 2-SPM-089B-3-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.30 10/07/97 2-SPM-089B-3-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C-H C7.70 10/07/97 2-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.30 10/15/97 2-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.70 10/15/97 t:, r:ll >,j > 2-SPM-084B-1-3 11 8 11 INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.30 10/17/97 0 n, Ill ct " Ii 0, ct Pl' I-'* (I) Ill (I) Ill " ct"""" [ Page 9 of 18 z z -.J (I) 0 0 O ):j '"" ct .... u, <o N H 0 -.J (0 I I N -.J "'0 .... (0 Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-084B-1-3 11g11 INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.50 10/17/97 2-SPM-084B-1-3 11911 INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.70 10/17/97 2-SPM-084B-1-4 "A" INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.30 10/17/97 2-SPM-084B-1-4 IIAII INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.50 10/17/97 2-SPM-084B-1-4 11A11 INSIDE RECIRCULATION SPRAY PUMP 2 C-H C7.70 10/17/97 2-SPM-089A-2-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089A-2-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 2-SPM-089A-3-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089A-3-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 2-SPM-089B-1-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089B-1-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 2-SPM-089B-2-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089B-2-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 2-SPM-089B-3-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089B-3-4 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 2-SPM-089B-4-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.30 10/21/97 2-SPM-089B-4-2 LHSI TO HHS! TO HOT AND COLD LEGS 2 C-H C7.70 10/21/97 1-SPM-090C-1-10 CONTAINMENT VACUUM PUMP "B" 2 C-H C7.30 10/27/97 1-SPM-090C-1-10 CONTAINMENT VACUUM PUMP "B" 2 C-H C7. 70 10/27/97 1-SPM-090C-1-6 POST ACCIDENT GASEOUS WASTE SAMPLE 2 C-H C7.30 10/27/97 1-SPM-090C-1-6 2 C7.70 10/27/97 C Cll "'1 > POST ACCIDENT GASEOUS WASTE SAMPLE C-H 0 (1) t1" c, 11 00 t1" :,;' , ... (1) (1) " t1" t-' ... [ Page 10 of 18 z z 0) (1) 0 0 0 :1 t-+, t1" .... l/1 CC NH 0 ...... (0 I I N....., 0) 0 ... (0 Zone 1-SPM-090C-1-7 1-SPM-090C-1-7 1-SPM-090C-1-8 1-SPM-090C-1-8 1-SPM-090C-1-9 1-SPM-090C-1-9 2-SPB-006A-1-1 2-SPB-006A-1-1 2-SPB-006A-1-2 2-SPB-006A-1-2 2-SPM-066A-2-1 2-SPM-066A-2-1 2-SPM-0758-2-1 2-SPM-0758-2-1 2-SPM-0758-2-2 2-SPM-0758-2-2 2-SPM-075C-1-1 2-SPM-075C-1-1 2-SPM-075C-1-2 2-SPM-075C-1-2 2-SPM-082A-2-5 Abstract of Examinations Performed System Pressure Test Program Description HYDROGEN ANALYZER103 RETURN LINE HYDROGEN ANALYZER103 RETURN LINE HYDROGEN ANALYZER203 RETURN LINE HYDROGEN ANALYZER203 RETURN LINE CONTAINMENT VACUUM PUMP "A" CONTAINMENT VACUUM PUMP "A" CONTAINMENT PURGE AIR SUPPLY CONTAINMENT PURGE AIR SUPPLY CONTAINMENT PURGE AIR EXHAUST CONTAINMENT PURGE AIR EXHAUST CONTAINMENT AIR REMOVAL CONTAINMENT AIR REMOVAL INSTRUMENT AIR PENETRATION

  1. 47 INSTRUMENT AIR PENETRATION
  2. 47 INSTRUMENT AIR PENETRATION
  3. 58 INSTRUMENT AIR PENETRATION
  4. 58 INSTRUMENT AIR PENETRATION
  5. 47 INSTRUMENT AIR PENETRATION
  6. 47 INSTRUMENT AIR PENETRATION
  7. 58 INSTRUMENT AIR PENETRATION
  8. 58 RESIDUAL HEAT REMOVAL/SAMPLE Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Sect. XI Category C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H 2 C-H Page 11 of 18 Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 Date 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27 /97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 Remarks Zone 2-SPM-082A-2-5 2-SPM-082A-2-6 2-SPM-082A-2-6 2-SPM-083A-2-2 2-SPM-083A-2-2 2-SPM-0838-1-2 2-SPM-0838-1-2 2-SPM-0838-3-2 2-SPM-0838-3-2 2-SPM-085A-1-3 2-SPM-085A-1-3 2-SPM-085A-2-1 2-SPM-085A-2-1 2-SPM-085A-2-2 2-SPM-085A-2-2
  • 2-SPM-0868-2-1 2-SPM-0868-2-1 2-SPM-1308-1-1 2-SPM-1308-1-1 2-SPM-1308-1-2 2-SPM-1308-1-2 Abstract of Examinations Performed System Pressure Test Program Description Sect XI Class RESIDUAL HEAT REMOVAL/SAMPLE 2 PRESSURIZER RELIEF TANK SAMPLE 2 PRESSURIZER RELIEF TANK SAMPLE 2 PRIMARY DRAIN TRANSFER PUMP DISCHARGE 2 PRIMARY DRAIN TRANSFER PUMP DISCHARGE 2 PRIMARY DRAIN TRANSFER PUMP DISCHARGE 2 PRIMARY DRAIN TRANSFER PUMP DISCHARGE 2 HRSS WASTE TANK PUMP DISCHARGE 2 HRSS WASTE TANK PUMP DISCHARGE 2 CONTAINMENT VACUUM EJECTOR 2 CONTAINMENT VACUUM EJECTOR 2 CONTAINMENT VACUUM PUMP 11 8 11 2 CONTAINMENT VACUUM PUMP 11 8 11 2 CONTAINMENT VACUUM PUMP "A" 2 CONTAINMENT VACUUM PUMP "A" 2 PRIMARY GRADE WATER INTO CONTAINMENT 2 PRIMARY GRADE WATER INTO CONTAINMENT 2 PARTICULATE RAD MONITOR SAMPLE FROM CONTAINMENT 2 PARTICULATE RAD MONITOR SAMPLE FROM CONTAINMENT 2 PARTICULATE RAD MONITOR SAMPLE INTO CONTAINMENT 2 Sect. XI Category C-H C*H C-H C-H C-H C-H C-H C-H C-H C-H C-H C-H C*H C-H C-H C-H C-H C-H C-H C*H PARTICULATE RAD MONITOR SAMPLE INTO CONTAINMENT 2 C-H Page 12 of 18 Sect. XI Item C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7. 70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 Date 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 10/27/97 Remarks Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2*SPM-068A-1*1 MAIN FEEDWATER TO HAIi S/G 2 C*H C7.30 10/30/97 2*SPM-068A-1*1 MAIN FEEDWATER TO 11A11 S/G 2 C*H C7.70 10/30/97 2*SPM*082A*2*1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2*SPM*082A-2*1 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM*082A*2*2 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2*SPM*082A-2-2 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2*SPM-082A*2*3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2*SPM*082A-2*3 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2*SPM-082A-2-4 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2*SPM*082A-2-4 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM*086A-1-1 REACTOR COOLANT SYSTEM 8-P 815.30 10/30/97 2-SPM-086A-1*1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-086A*1*1 REACTOR COOLANT SYSTEM 8-P 815.60 10/30/97 2*SPM-086A-1-1 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2*SPM-086A*1*2 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-086A-1-2 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM*086A-1-3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-086A-1*3 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-086A*1-4 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM*086A-1-4 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 t:11:/l "d > 2*SPM-086A-1-5 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 0 "' "' <1" n 11 a. <'" Is' .... "'"' "' "' n <1" I--' N § Page 13 of 18 z z ... "' 0 0 O i::J Hi <1" .... Ln<DNH 0 "' (D I I N '-' 0, 0 ... (D Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-086A-1-5 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P B15.60 10/30/97 2-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P B15 .70 10/30/97 2-SPM-086A-2-2 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-2-2 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-2-4 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-2-4 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-2-5 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-2-5 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-3-1 REACTOR COOLANT SYSTEM B-P B15.10 10/30/97 2-SPM-086A-3-1 REACTOR COOLANT SYSTEM B-P B15.30 10/30/97 2-SPM-086A-3-1 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-3-1 REACTOR COOLANT SYSTEM B-P B15.60 10/30/97 2-SPM-086A-3-1 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-086A-3-2 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-086A-3-2 REACTOR COOLANT SYSTEM B-P B15 .70 10/30/97 t:I C/l '"tl > 2-SPM-086A-3-3 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 0 CD t"T "Ii°""" i>I' I-'* CD Page 14 of 18 CD n t"1" r' N § Z ZN CD 0 0 O t:l t-+,"" .... u, <O N H 0 ..., (0 I I N ._, ex, 0 ... (0 Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-086A-3-3 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-086A-3-4 REACTOR COOLANT SYSTEM 8-P B15.50 10/30/97 2-SPM-086A-3-4 REACTOR COOLANT SYSTEM B-P 815.70 10/30/97 2-SPM-086A-3-5 REACTOR COOLANT SYSTEM 8-P B15.50 10/30/97 2-SPM-086A-3-5 REACTOR COOLANT SYSTEM B-P 815.70 10/30/97 2-SPM-086A-3-6 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-086A-3-6 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-086B-1-1 REACTOR COOLANT SYSTEM 8-P 815.20 10/30/97 2-SPM-0868-1-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-0868-1-1 REACTOR COOLANT SYSTEM B-P 815 .70 10/30/97 Z-SPM-0868-1-2 REACTOR COOLANT SYSTEM 8-P B15.50 10/30/97 2-SPM-086B-1-2 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-0868-1-3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-0868-1-3 REACTOR COOLANT SYSTEM 8-P B15 .70 10/30/97 2-SPM-0868-1-4 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-0868-1-4 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-087A-1-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-087A-1-1 REACTOR COOLANT SYSTEM 8-P B15 .70 10/30/97 2-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 0 Cll 'd > 2-SPM-087A-Z-4 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 0 "' I>> t1" "t1 O'O t1" Is',..."'

I>> "'I>> " 15 of 18 tTr"tjlf Page z z "' 0 0 O I'+, t1" .... u,coNH a. -....J <e I I N ._, ex, 0 .... (0 Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-087A-2-4 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-088B-1-2 SEAL RETURN HEADER 2 C-H c7.30 10/30/97 2-SPM-0888-1-2 SEAL RETURN HEADER 2 C-H C7.70 10/30/97 2-SPM-088C-1-1 REACTOR COOLANT SYSTEM B-P 815.50 10/30/97 2-SPM-088C-1-1 REACTOR COOLANT SYSTEM B-P B15 .70 10/30/97 2-SPM-088C-1-2 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-088C-1-2 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-088C-1-3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-088C-1-3 REACTOR COOLANT SYSTEM B-P 815. 70 10/30/97 2-SPM-088C-1-6 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-088C-1-6 REACTOR COOLANT SYSTEM B-P B15.40 10/30/97 2-SPM-088C-1-6 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-088C-1-7 SEAL RETURN HEADER 2 C-H c7.30 10/30/97 2-SPM-088C-1-7 SEAL RETURN HEADER 2 C-H c7.70 10/30/97 2-SPM-088C-2-2 SEAL RETURN HEADER 2 C-H C7.30 10/30/97 2-SPM-088C-2-2 SEAL RETURN HEADER 2 C-H c7.70 10/30/97 2-SPM-088C-2-4 REACTOR COOLANT PUMP IIAII SEAL RETURN LINE 2 C-H c7.30 10/30/97 2-SPM-088C-2-4 REACTOR COOLANT PUMP 11A11 SEAL RETURN LINE 2 C-H c7.70 10/30/97 2-SPM-088C-2-8 REACTOR COOLANT SYSTEM B-P B15.50 10/30/97 2-SPM-088C-2-8 REACTOR COOLANT SYSTEM 8-P B15.60 10/30/97 2-SPM-088C-2-8 tlUl"tji> REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 0 "' "' c1" Cl 11 0,, c1" Is" I-'*"' "' "' "' Cl Page 16 of 18 c1" c"' § z z "' 0 0 O H, c1" .... u, <C NH 0 .... "' I I N .._. "'0 c"'"' Abstract of Examinations Performed System Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 2-SPM-089B-1-1 REACTOR COOLANT SYSTEM B-P 815.50 10/30/97 2-SPM-089B-1-1 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-0898-2-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-089B-2-1 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-089B-3-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-0898-3-1 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-089B-4-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-089B-4-1 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-124A-1-2 "A" S/G8LOWD0WN 2 C-H C7 .10 10/30/97 2-SPM-124A-1-2 11A11 S/G8LOWD0WN 2 C-H C7.30 10/30/97 2-SPM-124A-1-2 11A11 S/G8LOWD0WN 2 C-H C7.70 10/30/97 2-SPM-089B-1-3 REACTOR COOLANT SYSTEM 8-P 815 .70 10/30/97 2-SPM-089B-1-3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-089B-2-3 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-0898-2-3 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-089B-3-3 REACTOR COOLANT SYSTEM 8-P 815.70 10/30/97 2-SPM-089B-3-3 REACTOR COOLANT SYSTEM B-P 815.50 10/30/97 2-SPM-086C-1-2 REACTOR COOLANT SYSTEM B-P B15.70 10/30/97 2-SPM-086C-1-2 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 2-SPM-086C-2-1 REACTOR COOLANT SYSTEM 8-P B15.70 10/30/97 t::l C/l 'ti> 2-SPM-086C-2-1 REACTOR COOLANT SYSTEM 8-P 815.50 10/30/97 0 ct> I>> t1" n '1 °" t1" l>s' ,.... ct> I>> ct> I>> n t1" "°' N § Page 17 of 18 la: z u, ct> 0 0 O ::l H, t1" .... u, (0 N H 0 ..... (0 I I N -..J 0, 0 "" (0 L_ Zone 2-SPM-086C-1-1 2-SPM-086C-1-1 Description REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM Abstract of Examinations Performed System Pressure Test Program Sect XI Class Page 18 of 18 Sect. XI Category B-P B-P Sect. XI Item B15 .70 B15.50 Date 10/30/97 10/30/97 Remarks Abstract of Examinations Snubber Program Attachment I Page 27 of 29 Serial No.: 97-709 Docket No.: 50-281 During the Unit 2 Refueling Outage in October, 1997, there were 55 snubbers selected for functional testing and seal replacement. No failure was found. Visual Inspection was not required due to the extended inspection interval per T.S. 4.17. Informal walkdown of the snubbers vealed no visual failures. All snubbers that were removed for functional testing and/or seal replacements were functionally tested prior to reinstallation and visually inspected prior to Unit 2 startup. Page 1 of 1 Abstract of Examinations Eddy Current Examinations of Nonferromagnetic Steam Generator Tubing Attachment I Page 28 of 29 Serial No.: 97-709 Docket No.: 50-281 Inservice examination was performed on steam generator "B" In Steam Generator "B", all except two available tubes were inspected full length with bobbin probes. Two row one tubes (Rl-C34, Rl-C35) were plugged due to restrictions that would not allow the 0.720" bobbin probe to pass through. These two tubes did allow passage of a 0.680 probe. A 683 tube sample was tested with Rotating Pancake Coil (RPC) probes in the hot leg transition (TSH +/-3") region. A twenty tube sample of the row 1 U-bends was performed with a RPC probe. Supplemental examinations were also performed using bobbin and RPC probes where additional confirmatory or other data was desired. The following tubes were preventively plugged: Row 1 1 37 36 40 Column 34 35 59 69 70 This Steam Generator contains a total of seven plugged tubes. Tubes with indications noted during this outage are as follows: Row Column 1 34 1 35 37 59 32 69 36 69 40 70 Indication Location RST RST 21 12 20 25 Page 1 of 2 AV3 AV2 AV2 AV3 Remarks plugged plugged plugged plugged plugged GLOSSARY OF TERMS 1. ROW, COL COLUMN" Tube identifier numbers coordinate system. Attachment I Page 29 of 29 Serial No.: 97-709 Docket No. : 50-281 an X-Y 2. IND INDICATION Character codes and numerics that 3 . represent the analysis results of the data for that tube, e.g., SAA, 25%, etc. LOCN LOCATION The location in the tube of the INDICATION called. 4. RST RESTRICTED -Indicates that the probe listed in the record would not physically pass the location specified.

5. 18 A number in the indication column shows the% through wall depth of the indication.

Page 2 of 2. Attachment 2 Surry Power Station Unit 2 lnservice Inspections Repairs and Replacements NIS-2 Forms _J Repair and Replacements Attachment 2 Page 1 of 78 Serial No.: 97-709 Docket No.: 50-281 Repair and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1989 Edition. The following paragraphs and the attached NIS-2 forms represent those repairs and replacements performed on Class 1 and Class 2 systems: RR# 96-088, replace fasteners on valve 2-CS-46. This replacement was performed under work order 00331892-01, and completed on 6-13-96. RR# .96-101, replace fasteners on 2-CH-E-6B. This replacement was performed under work order 00344553-04, and completed on 7-10-96. RR# 96-102, replace existing nuts and install capnuts to allow injection of leak seal material on 2-FW-10. This replacement was performed under work order 00344933-01, and completed on 7-25-96. RR# 96-106, repair leak at socket welded connection on line CH-306-602. This repair was performed under work order 00347318-01, and completed on 8-16-96. RR# 96-107, replace fasteners on 2-8I-TV-202A. This replacement was performed under work order 00347789-01, and completed on 8-21-96. RR# 96-108, install temporary support. This replacement was performed under work order 00347318-04, and completed on 9-19-96. RR# 96-115, replace coupling and pipe on line 2"-CH-306-602. This replacement was performed under work order 00350205-01, and completed on 9-13-96. RR# 96-134, replace 2" stainless steel pipe on 2-CH-PP-2.00. This replacement was performed under work order 00351999-01, and completed on 12-20-96. RR# 96-135, install new piping supports. This replacement was performed under work order 00351999-05, and completed on 12-20-96. RR# 96-136, replace 2" stainless steel check valve 2-CH-211. This replacement was performed under work order 00351868-01, and completed on 12-28-96. Page 1 of 6 RR# 96-141, replace fasteners on flange 2-CH-RV-2203. This replacement was performed under work order 00351999-08, and completed on 12-31-96. Attachment 2 Page 2 of 78 Serial No.: 97*709 Docket No.: 50-281 RR# 96-145, replace fasteners on 2-RC-HCV-2557B. This ment was performed under work order 00356388-01, and completed on 12-16-96. RR# 96-146, replace main flange bolts on 2-RC-P-lC. This placement was performed under work order 00356385-01, and pleted on 12-20-96. RR# 96-148, replace two flange nuts on 2"-CH-316-1502. This replacement was performed under work order 00356385-03, and completed on 12-20-96. RR# 97-001, repair weld leak on line 2"-CH-385-602. This repair was performed under work order 00357401-03, and completed on 1-8-97. RR# 97-002, replace relief valve 2-CH-RV-2203. This replacement was performed under work order 00357192-01, and completed on 10-21-97. RR# 97-003, repair weld leak on 2-CH-191. This repair was performed under work order 00357612-01, and completed on 1-10-97. RR# 97-004, replace fasteners on 2-RC-HCV-2244. This replacement was performed under work order 00357822-01, and completed on 1-24-97. RR# 97-053, add additional welds to support. This repair was. performed under work order 00354999-01, and completed on 10-18-97. RR# 97-077, install new body to bonnet gasket on valve 2-CS-15. This replacement was performed under work order 00342506-01, and completed on 10-20-97. RR# 97-114, replace body to bonnet bolts (one at a time) on valve 2-CS-25. This replacement was performed under work order 003601-82-01, and completed on 5-1-97. RR# 97-128, replace spring can hanger 2-MS-RV-201C. This placement was performed under work order 00364363-03, and pleted on 6718-97. RR# 97-131, repair weld leak on 2-CH-HCV-2200C. This repair was performed under work order 00351999-13, and completed on 6-27-97. Page 2 of 6 Attachment 2 Page 3 of 78 Serial No.: 97-709 Docket No.: 50-281 RR# 97-132, modify supports 2-CH-HCV-2200B and 2-CH-HCV-2200C. This replacement was performed under work order 00351999-16, and completed on 6-27-97. RR# 97-134, replace valve 2-CS-MOV-202A. This replacement was performed under work order 00336464-03, and completed on 10-17-97. RR# 97-135, replace valve 2-CS-MOV-202B. This replacement was performed under work order 00336464-03, and completed on 10-17-97. RR# 97-141, replace flow orifice 2-CH-R0-20RLD1. This ment was performed under work order 00351999-02, and completed on 10-21-97. RR# 97-142, replace valve body 2-CH-HCV-2200A. This replacement was performed under work order 00357847-03, and completed on 8-21-97. RR# 97-143, replace flow orifice 2-CH-R0-20RLD3. This ment was performed under work order 00351999-03, and completed on 10-21-97. RR# 97-144, replace valve body'2-CH-HCV-2200B. This replacement was performed under work order 00357848-03, and completed on 10-21-97. RR# 97-145, replace flow orifice 2-CH-R0-20RLD2. This ment was performed under work order 00351999-04, and completed on 10-21-97. RR# 97-146, replace valve body 2-CH-HCV-2200C. This replacement was performed under work order 00357850-03, and completed on 10-21-97. RR# 97-147, replace pipe 2 11-CH-532-602. This replacement was performed under work order 00351999-12, and completed on 10-21-97. RR# 97-148, fabricate, modify and install pipe supports, Supports. This replacement was performed under work order 00351999-11, and completed on 10-25-97. RR# 97-149, replace trim assemb'ly 2-RC-PCV-2456. This ment was performed under work order 00357761-01, and completed on 10-24-97. RR# 97-150, replace trim assembly 2-RC-PCV-2455C. This ment was performed under work order 00371357-01, and completed on 10-22-97. Page 3 of 6 Attachment 2 Page 4 of 78 Serial No.: 97-709 Docket No.: 50-281 RR# 97-151, inspect and repair valve 2-MS-182. This replacement was performed under work order 00369117-01, and completed on 10-8-97. RR# 97-153, inspect and repair valve 2-MS-176. This replacement was performed under work order 00367064-01, and completed on 10-8-97. RR# 97-155, replace fasteners on 2-FW-10. This replacement was performed under work order 00344933-02, and completed on 10-13-97. RR# 97-157, replace valve 2-MS-266. This replacement was formed under work order 00357265-01, and completed on 10-18-97. RR# 97-163, repair valve 2-CH-LCV-2460A. This replacement was performed under work order 00358378-01, and completed on 10-17-97. RR# 97-164, replace flange gasket 2-CH-FE-2180. This replacement was performed under work order 00365230-01, and completed on 10-13-97. RR# 97-165, inspect and repair valve 2-CH-HCV-2200C. This placement was performed under work order 00357850-01, and pleted on 10-24-97. RR# 97-166, inspect and repair valve 2-CH-HCV-2200A. This placement was performed under work order 00357847-01, and pleted on 10-24-97. RR# 97-167, inspect and repair valve 2-CH-HCV-2200B. This placement was performed under work order 00357848-01, and pleted on 10-24-97. RR# 97-168, overhaul valve 2-MS-PCV-202A. This replacement was performed under work order 00361386-01, and completed on 10-12-97. RR# 97-169, overhaul valve 2-MS-PCV-202B. This replacement was performed under work order 00353099-01, and completed on 10-12-97. RR# 97-173, replace pipe 14"-WFPD-117-601. This replacement was performed under work order 00363890-03, and completed on 10-21-97. RR# 97-174, cut, modify, and install piping for replacing valve 2-CS-MOV-202A. This replacement was performed under work order 00336464-01, and completed on 10-10-97. Page 4 of 6 Attachment 2 Page 5 of 78 Serial No.: 97-709 Docket No.: 50-281 RR# 97-175, cut, modify, and install piping for replacing valve 2-CS-MOV-202B. This replacement was performed under work order 00336465-01, and completed on 10-18-97. RR# 97-177, repair PORV 2-MS-RV-lOlA. This replacement was formed under work order 00365700-01, and completed on 9-26-97. RR# 97-178, remove safety valve 2-RC-SV-2551A for testing and reinstall. This replacement was performed under work order 00365793-01, and completed on 10-26-97. RR# 97-179, remove safety valve 2-RC-SV-2551B for testing and reinstall. This replacement was performed under work order 00365794-01, and completed on 10-23-97. RR# 97-180, remove safety valve 2-RC-SV-2551C for testing and reinstall. This replacement was performed under work order 00365795-01, and completed on 10-24-97. RR# 97-198, replace stud and nut on 2-SI-94. This replacement was performed under work order 00375533-01, and completed on 10-14-97. RR# 97-206, replace bonnet stud on 2-RC-MOV-2595. This ment was performed under work order 00375948-01, and completed on 10-17-97. RR# 97-207, replace main flange gasket on 2-RC-P-lC. This placement was performed under work order 00356923-02, and pleted on 10-26-97. RR# 97-208, remove, install and restretch main flange bolts on 2-RC-P-lA. This replacement was performed under work order 003572-05-01, and completed on 10-21-97. RR# 97-209, repair valve 2-DG-TV-208A. This replacement was performed under work order 00368000-01, and completed on 10-22-97. RR# 97-212, install CRDM housing canopy seal clamp at penetration 19 on 2-RC-R-1. This replacement was performed under work order 00376203-01, and completed on 10-24-97. RR# 97-214, remove safety valve 2-MS-SV-204C for testing and reinstall. This replacement was performed under work order 00369714-01, .and completed on 10-26-97. RR# 97-215, replace fasteners on 2-MS-SV-205C. This replacement was performed under work order 00369715-01, and completed on 10-26-97. Page 5 of 6 Attachment 2 Page 6 of 78 Serial No.: 97-709 Docket No.: 50-281 RR# 97-216, replace fasteners on 2-MS-SV-202B. This replacement was performed under work order 00365797-01, and completed on 10-26-97. RR# 97-217, replace fasteners on 2-MS-SV-203B. This replacement was performed under work order 00365798-01, and completed on 10-26-97. RR# 97-218, replace fasteners on 2-MS-SV-204B. This replacement was performed under work order 00365799-01, and completed on 10-26-97. RR# 97-219, replace fasteners on 2-MS-SV-203C. This replacement was performed under work order 00369713-01, and completed on 10-26-97. RR# 97-220, replace fasteners on 2-MS-SV-202C. This replacement was performed under work order 00369712-01, and completed on 10-26-97. RR# 97-221, replace fasteners on 2-MS-SV-201C.

  • This replacement was performed under work order 00369711-01, and completed on 10-26-97 .. RR# 97-222, replace fasteners on 2-MS-SV-201B.

This replacement was performed under work order 00365796-01, and completed on 10-26-97. Page 6 of 6

1. 2. Attachment 2 Page 7 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 7 /31/96 Owner Date __________________

_ Neme 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet ______ of-------------~ Addre11 Surry Power Station Two Plant Unit __________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00331892-0l, RR#96-088 Addre11 Repair Organization P.O. No., Job No., ate. 3. Work Performed by ___ v_i_rg""i-* n_i_a_P_o_w_er _________ _ Type Code Symbol StaffiP ___ NA _______ _ Name Same ae above Authorization No. _______________ _ Expiration Date ___ NA ____________ _ Addre11 Containment Spray 4. Identification of System---------------------------------------- B31.l 55 NA N-1, N-7 5, (al Applicable Construction Code 19 ___ Edition, _______ Addenda, _______ Code Case (bl Applicable Edition'of'Section XI Utilized fo~ 'R~pairs or 0 RliplaceJ1ents'19

  • 89 I* s: Identification of Components Repaired or. Replaced and Re~lacilme~t co*inpon*ents
ASME Code :.*.*, *, I,\ / '** \' *'\* " National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufactu~r Serial No. **No. Identification Built or Replacement or Nol : . *'. ,,.,, I'l"I' Eng. Ht. # ,. Studs Valves 510684 NA , 2-CS-46 NA Replacement No '. ; ,, ,., I,, 'Ht. # Nute Mackson, Inc. AH1393 NA 2-CS-46 NA Replacement No ,, I ... ,: ,,,, H 7_ Description of Work _Replace bonnet studs and nuts. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi* Tes~ ,T~mp. ° F NOTE: Supplemental sheets in form of lists,'sketclies, or drawings may be used, pr,ovi.ded* (1 I size is,8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet Is numbered and the number of sheets is recorded at the top* of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO # CNT-5182-95 (studs)*, CNT-529092 (nuts) 9. Remarks---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed(].~.<< .Z-'Sr 4u(;.,111~ Owner o~O~s Deslgnae, Title Date . X4r ,l/ ,19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have !'3:ected the components described in this Owner's Report during the period to ~i:;!!z::..2 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


+-/?..,,.,.

... 7f2 _ _.._C?.--'--"-+-r-J{-'-_e: __

  • _____ commissions

______ v_a_._8_8_3 _________ _ I~ National Board, State, Province, and Endorsements ' I; Attachment 2 Page 8 of 78 Serial No.: 97*709 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant _____________________ _ Name 5570 'Hog Island Rd., Surry, Va. 23883 Addre11 3. Work Performed by_ ....... v,..i._rg,..1..,* Name Same as above Addre11 10/8/96 Date ___________________ _ Two Unit-------------------- W0#003445J3-04, RR#~6-101 Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp ___ .;.;NA:..:.... ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ c_h_a_r_g_i_ng _____________ ,.,..., __________________ _ 5, (al Applicable Construction Code 53 1.1 19~Edition,_N_A ______ Addenda, __ N_-1_'_N_-_7 ___ Code Case (bl Applicable Edition*of Section XI Utilizad;for Repairli.or Replaceriie;nts' 19

  • 8~, * *, J. ' :,,I U. 6. Identification of Components Repaired or Replab~d aiid Replacement Cotnponents Name of Component Studs Nuts . Name of
  • Manu*facturer Mac~son, Inc. Mackson, Inc. ; 1 Manufacturer
  • Serial No: .. NA NA 7. Description of Work .,Replace fasteners.

Na'tional Board .... ,' No. NA NA .Other * ' Identification 2-CH-E-6B, .;?-CH-E-~B.

8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressu~e psi Tes~ Temp. ' ' ° F Year Built NA NA ASME Code Repaired, Stamped Replaced, (Yes *or Replacement or Nol Replacement No Replacement No NOTE: Supplemental sheets in form of lists, skirt~hes, or drawings may be used, provided, 111 size is 8% in. x 11 in., 12) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet. is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtain.ed from the Order Dept., ASME¥, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 < I FORM NIS-2 (Back) PO #**BNT-46765fr-(studs*-and nuts-)* 9. Remarks----------------------'-------------------------- Applicable

  • Manufacture.r's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________

_ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signe 0 p ".AL/ .fl:'C Deslgnee, Title D t /Ar Y 19 91, a e __ ... _""'"~---"-'------., CERTIFICATE OF INSERVICE INSPECTION I, the undersigne{r holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of irginia and employed by HSBI and I Co* of Hartford, Ct. 79ected the components described in this Owner's Report during the period to 5l/9 2 * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


+-,,,, /7)~--"""'~'~--,.~~*

__ ... _____ commissions ______ v_a_. __ 8_8_3 __________ _ ~gnature National Board, State, Province, and Endorsements Dat.,_e __ ___._/__,D /.__!--1Ll'---_19 f b I + Attachment 2 Page 9 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ______________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ y.._..ir...,a._.i .. Neme Same as above Addre1& 10/17 /96 Date ___________________ _ Two Unit-------------------- W0#00344933-0l, RR#96-102 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,NA"'-------- NA Authorization No.-------------- Expiration Date ___ Nc:,;A'--------------

4. Identification of System ____ F_e_e_d_w_a_t_e_r

_______________________________ _ 5. (a) Applicable Construction Code 831' 1 19~ Edition,_N_A ______ Addenda, __ N_-1_'_N_-_7 ___ Ccrde Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Nuts NA NA NA 2-FW-10 NA Replaced No -Capnuts Team, Inc. Ht.#92778 NA 2-FW-10 NA Replacement No 7, Description of Work Remove existing nuts and install capnuts to allow injection of leak seal material.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BKI-489739

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

Applicable Manufacturer's Data'Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed/Id.,~- ..... .fl"_-r--Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.d,., holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. in this Owner's Report during the period ?/lu/'f t./ to I , ~e . i?,~ected the components described ?-/DI Y / and state that / J ' to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


""""'...-=/7)~.,,l<'..+-'-~"--:.L.:c*~-----Commissions

_______ v_a_. __ B_B_3 ___________ _ lns~ature National Board, State, Province, and Endorsements Date ____ ~/~0+/;~7 __ 19 f b 7 Attachment 2 Page 10 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_--"v.._; ,.rg,1.i.1..1' n,...i.,.a...._.P,.o""w""eri....,., ________ _ Name Same as above AddreH 10/8/96 Date __________________ _ Two Unit-------------------- wo#00347318-01, RR#96-106 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp __ __J&l,.. ______ _ NA Authorization No.-------------- Expiration Date __ .....:..;NA:..:.... __________ _ 4. Identification of System ____ c_h_a_r_g_i_n_g ________________________________ _ 5. (a) Applicable Construction Code B 31*1 19~Edition,_NA ______ . Addenda,_N_-i_,_N_-_ 7 ___ Code Case (b) Applicable Edition of Section XI Utilized.for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced .and Replacement Components

' ASME Code National Repaired, Stamped Name of 'Name of
  • Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 2"*Tee NA NA* NA 2"-CH-306-602 NA Repa:ired No 7. Description of Work Repair leak at socket welded connection.

Code Case *N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D _Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Remarks-----------------~------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and th is repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed C)~ ,/J

  • LfS.Z-~:tn~Deslgnee, Title Date_.,_@,""-*-"A'-"Z-CL*.......w.r

_____ , 19 2k CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co.

  • or Province of and employed by of Hartford, Ct. ~ve inspected the components described / () / 9 '7 and state that I I , to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

t~'"=-~~~*-~-,._.~~-~~-----Commissions

_______ v_a_. __ 8_8_3 ___________ _ insi>ectoi*s Signature National Board, State, Province, and Endorsements Date ___ ___.__/-=U-1-h'-,'IF---19 9 b l Attachment 2 Page 11 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ______________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_--"v...,i ..._rg.;.1..,* ou.1..,* Name Same as above Address 10/8/96 Date __________________ _ Two Unit __________________ _ W0#00347789-01, RR#96-107 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,NA~------- NA Authorization No.-------------- Expiration Date __ _::cN:.:A ___________ _ 4. Identification of System ____ s_a_f_e_t_y_In_J_* e_c_t_i_o_n ____________________________ _ 5. (a) Applicable Construction Code 53 1.1 19_5_5_Edition,_N_A ______

  • Addenda, __ N_-1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc. NA NA 2-SI-TV-202A NA Replacement No Nuts Mackson, Inc. NA NA 2-SI-TV-202A NA Replacement No 7. Description of Work Replace fasteners.
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), CNT-467064 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report" are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signeda~/

-.t4/ IS;;r-Ownero~ Designee, Title Date __ Oc""'* ... ~~..____,C...__

____ , 19 ';p CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have izpected the components described ~/;O, 97 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 7/1~ -77:.., Va.883 -------t:=,..._ __ ld~~* _}1/UA,A/ ______ v_-__ Commissions _____________________ _ nspector'sSig~ National Board, State, Province, and Endorsements Date 10 !1'( I 19 ?b r I Attachment 2 Page 12 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd.,*Glen Allen, Va. 23060 Addre11s Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~JT:a,i;,;,;<;f:;i;;,i,.,.;;,i,a.._.:pp,.,.,.,,,.re.,.,.,_ _________ _ Name Same as above Addre11 Date_l_0_/_1_7_/_9_6 __________ _ Unit __ T_w_o ________________ _ W0#00347318-04, RR#96-108 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....,. ______ _ Authorization No. __ N_A ____________ _ Expiration Date __ _,,cu.A,.__ ___________ _ 4. Identification of System ___ --=cc:.:hc=e:.=m=-i-=-ca"'-1=-a:::n;a;d=-V:...:o:..:l:..:u:::m:.::e--=C-=-on:::::t.:cr=-o:::l=--------------------------

5. (a) Applicable Construction Code 83 1..1 19~Edition,_N_A

______ . Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 sg

  • 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of. Name of* " Manufacturer . Boera Other *veer .. .Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 3/4" Nuts A&G Eng. Lot#065823 NA Temp. Support NA Replacement No Ht. # 1/4" Plate 861048 NA NA Temp. Support NA Replacement No Ht. # 3/4" Threaded Rod 1-4055IV NA NA Temp. Support NA Replacement No Dubose Nat. Ht. # 2" Pipe Energy _Serv. 248612 NA 7'emp. Support NA Replacement No Ht. # 2 1/2" Pipe Hub, Inc. N07998 NA Temp. Support NA Replacement No Dubose Ht. #. 3/4" Plate Steel, Inc. B7219 NA Temp. Support NA Replacement No 7. Description of Work Install . tempora,;y support. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ______ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in,, (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-493024 (2" pipe), CNT-523097 (1/4" plate), CNT-456221

9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached (3/4" rod), SY-383500 (2 1/2" pipe), CSY-318000 (3/4" plate), SSY-391371 (3/4" nuts) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ _______________ Expiration Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ---------------------------,t----,---J;:=;----ha~ il)Spected the components described in this Owner's Report during the period to qLD/97 , and state that to the best of my knowledge and belief, the Owne~ has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected wit.h this inspection. n "ifr_ Va. 883 -----1-~~--=---+!-.+J:-+-+~-1~'-"'c=-=---'-' ____ commissions ____________________ _ lnspacwi:,;Sig~ National Board, State, Province, and Endorsements Date Attachment 2 Page 13 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_-l/.'a.a,.;'rie< 9 Name Same as above Address Date_l_0_/_1_7_/_9_6 __________ _ Unit _T_w_o ________________ _ W0#00350205-01, RR#96-115 Repair Organization P.O. No., Job No., etc. Type Code Symbol StamP----1AA-------- Authorization No. __ N_A ___________ _ Expiration-Date __ ......,...._ __________ _ 4. Identification of System ____ C.=;h::.e::;:m=:i:..::cc:;a:.=1--=an::.d=-.;Vc.:o:.:l:..::u::=m:.::e_c.=;.o::;:n:.:..:t:.:r:.::o:.=l'-------------------------

5. (a) Applicable Construction Code __ B_3_i_._1 ____ 19~Edition,_N_A

______ -Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 a2 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name of* Manufacturer Board Other Year Replaced,-(Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Pipe NA NA NA 2"-CH-306-602 NA Replaced No Coupling NA NA NA 2"-CH-306-602 NA Replaced No Energy & Pipe Process Corp. Ht. # 7030 1 2"-CH-306-602 NA *Replacement No ,..._,,,....., *--n-* M011 ------.,~ ?"-CH-306-602 NA Renlacement No -7. Description of Work Replace coupling and pipe Code case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-473562 (2" pipe), 39527 (2" coupling). DR# S-96-1454 was 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached previously written to document paperwork deficiency of coupling. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A----------------------~-------- NA NA Certificate of Authorization No. ______________ Expiration Date ______________ _ Signed<;;}.£... p_ e-r<-: J:t_:r-own~r's Designea, Title (:2 Date-~"-<aa*l .... i{"..--~L~2----, 19~2~6~-CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,d,,,holdjng 13 valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . v1rg1n1a HSBI and I Co. or Province of and employed by of Hartford, Ct. ~a)'e ~pected the components described in this Owner's Report during the period to ?j/0(17 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /77.<2 ':-Tl,~ --------~"'-"-bo-"=-'--'--~-fr'-~µ,<.-=.J'-""-----Commissions ____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Va. 883 Date ____ ~l~Oa.;-b~J_7~_19 fb I ,i, 1. 2. Attachment 2 Page 14 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 6/06/97 Owner Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 Addre11 Surry Power Station Plant Name Sheet _____ of _____________ Unit ~.Z%: 5570 Hog Island Rd., Surry,. Va. 23883 W0#00351999-0l, RR#96-134 Addre11 Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_r.:;.g_in_1._* a_P_o_w_e_r _________ _ Name Type Code Symbol Authorization No.------.,..-------- Same as above Expiration Date ___ N_A ___________ _ Address Charging System 4. Identification of System _______________________________________ _ B31.l 55 NA N-1, N-7 5, (a) Applicable Construction Code 19 __ . _Edition, _______ Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components I I i ' ,* I ASME Code National Repaired, Stamped Name c;,f I Name of Manufacturer Board Other Year Replaced, (Yes I Component Manufacturer Serial No. No, Identification Built or Replacement or Nol I McJunkin 2" Coupling Corporation NA NA 2-CH-PP-2.00 NA Replacement No Grinnell 3/8" Bolt Corporation NA NA 2-CH-PP-2.00 NA Replacement No 2" Pipe Hub Inc. NA NA 2-CH-PP-2.00 NA Replacement No Dubose Nationa 2" Tee Energy Srvc, I c. NA NA 2-CH-PP-2.00 NA Replacement No Dubose Nationa 2" Elbow Energy Srvc, I c. NA NA 2-CH-PP-2.00 NA Replacement No 7. Description of Work Replace 2" ss piping per .DCP. Co,~ CAs.i ;t/-1/1/;, pldlr)u~!:.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure Ci}" Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) mey be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# 95731 (2" Coupling"); SSY-325956 (3/8" Bolt Flange) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CSY-321292 (2" Pipe); CNT-537762 (2" Tee & Elbow) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ __::.N"'A"------------------------------- Certificate of Authorization No. ----=N'-"A=- __________ Expiration Date ___ ~N=A=----------- Signed Q ~£/~ :I"fr ~~4!#~ Owne~s Designee, Title Date-~~.-,..b-------, 19 f', CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d...c'-,--C_t_. __________ .....,~77 7,,,------have ins~~ted the components described in this Owner's Report during the period to /0,P~PQ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. L~ Commis~ions _______ V_a_._8_8_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date Attachment 2 Page 15 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen,. Va. 23060 AddreH Surry Power Station 2. Plant----------.,..,.----~------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rga:.1._* Name Same as above AddraH 5/30/97 Date ___________________ _ 1 Sheet _____ of _____________ _ Two Unit------------------- W0#00351999-0l, RR#96-134 Repair Organization P.O. No., Job No., ate. Type Code Symbol StawR----'N.;;;A....:. _____ _ Authorization No.---------~---- Expiration Date ___ N_A ___________ _ Charging System 4. Identification of System ______ ~-------------------------------'---- B31.1 55 NA N-1, N-7 5. (al Applicable Construction Code ________ 19 ___ Edition, _______ . Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol McJunkin *"-' 2" Coupling Corporation NA NA 2-CH-PP-2.00 NA Replacement No 7. Description of Work Replace 2" ss piping per DCP. (?.,~"' C7A's4 P...,t/1;-I d),)~A' 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St,. New York, N.Y. 10017 REPRINT 12/91 ,>J1\*1 1'3lll'i' , s rn :t'!. PO# FORM NIS-2 (Back) (2" Coupling)

9. Remarks ____ -----4f._,S:-,_2...1-,jr..,_/'....._

__________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp, ______ N=-A"------------------------------- Certificate of Authorization No. NA Expiration Date ____ .c.N.c:A.::..._ _________ _ Signed /7:(J' f£z: 44'-ULU Date ;J;Jj ~~esignee, Title . .,s?? CERTIFICATE OF INSERVICE INSPECTION I; the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_c_t_. __________ -,,----;-:;1;.--:---- have insp~ted the components described . in this Owner's Report during the period to iq//eff) D , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ____ __,t:2{<,_<C:..J** ... * ... Q"""',.._,._, -~..,C...~* ,.m~ .. :d'-'-"<~c.,=..::..._-'--,-* __ commissions ____ -,---__ v.,.a--,-._8_8-=--3--: _________ _

  • I nspector*sU'at;;e

-'

  • National Board, State, Province, and Endorsements Date, _____ G_/_l_/_19

'12 I l

1. 2. FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 6/27/97 Owner Date Name 5000 Dominion Blvd., Glen Allen, Va. 23060 ,"i,\Vt" ~J. l.. Sheet of Address Surry Power Station Two Plant Unit Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00351999-05, RR#96-135 Attachment 2 Page 16 of 78 Serial No.: 97*709 Docket No.: 50-281 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_r..;;;g_i_n_ia_P_o_w_e_r

_________ _ Name NA Type Code Symbol Sta"llil----------- Authorization NA Same as above Expiration Date ______________ _ Addra11 Charging System 4. Identification of System _______________________________________ _ B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components .. I I ASME I,: Code National Repaired, Stamped Name qt Name of Manufacturer Board Other Year Replaced, (Yes Component I Manufacturer Serial No. No. Identification Built or Replacement or No) Dubose Nationa Component Angle Energy Serve NA NA Supports NA Replacement No Structural Dubose Nationa Component Tubing Energy Serve NA NA Supports NA Replacement No Dubose Nationa Component 1/2" Plate Energy Serve NA NA Supports NA Replacemen No Component 3/4" Plate Alfab, Inc. NA NA Supports NA Replacemen No 1/2 11 Plate Alfab, Inc. l NA NA s,.;,pports NA Replacemen No Install new piping supports.

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) \ .* PO# CNT515681 {~gle); CNT514921 (Structural Tubing) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CNT538662 (1/2 11 Plate); SSY300434 (3/4 11 Plate); SSY319872 (1/2 11 Plate) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ ----=c.c.. _________ Expiration Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. ha~e.inspJcted the components described in this Owner's Report during the period to ~//i>/ 0 I , and state that . ~, to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. _____ _.al"""'c;;,-=--~~Q-.,...,~--~'.A.~Tkv~-----Commissions _______ V_a_._B_B_3....., _________ _ insi>ector~ National Board, State, Province, and Endorsements Date ___ ____.,,t,_/ ......._/°7,__19

9)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 6/27/97 Attachment 2 Page 17 of 78 Serial No.: 97*709 Docket No.: 50*281 1. Owner----------------------- Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen,. Va. 23060 2 Sheet of _____________ _ Addreas Surry Power Station Two 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_r_g_i_n_ia_P_o_w_e_r _________ _ Name Same as above Addreas Unit-------------------- W0#00351999-05, RR#96-135 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stal'%!..----------- Authorization NA Expiration Date ______________ _ Charging System 4. Identification of System _______________________________________ _ B31.l 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components .: , I t I , I ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufectu rer: Serial No. No. Identification Built or Replacement or No) ' Component Flat Bar Hub, Inc. NA NA Supports NA Replacement No Install new piping supports.

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2l tion in items 1 through 6 on this report is included on each sheet, and (3l each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82l This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 _J FORM NIS-2 (Back) PO# CNT424929 (Flat Bar) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and th is replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type_ Code Symbol Stamp, _____ -=.N::.A-=------------------------------- Certificate of Authorization No. NA Expiration Date _____ N_A __________ _ Signed G2 it d J1"f ~&!($,.,.,;~ Owner or ~sDesignee, Title Date~~~~==- ...... ,--"<~"""<: _____ , 19 92 CERTIFICATE OF INSERVICE.INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. h/) 7pected the components described £ D ~D I , and state that to the best of IT!Y knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ______ a..._..,..._,.,Q_~---*-Q------~+-'~~-~-----Commissions _______ V_a_._8_8_3 __________ _ Inspector'~ s<<~ National Board, State, Province, and Endorsements Date <{,/ /°I 19 f'2 L__ Attachment 2 Page 18 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va, 23060 Addre11 Surry Power Station 2. Plant-----------~----------- N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ _;_v_ir ... ge..1.;.;* n.;.;i_a;,,,,;,P_o_w_er.:,_ ________ _ Name Same as above Address 5/09/97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ )ut Jll.J~7 7"' t.v 0 Umt_*------------------- wo#oo351060-01, RR#96-136 Repair Organization P.O. No., Job No., etc. Type Code Symbol StafilP ___ N_A _______ _ Authorization No. _____________ _ Expiration Date ___ NA ___________ _ Charging System 4. Identification ofSystem _____________ ~------~------------------- B31. l 55 NA N-1, N-7* 5; (al Applicable Construction Code 19 ___ Edition, _______ . Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements_19_ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ' i ASME Code National ':lepaired, Stamped Name of Name of Manufacturer* Board .... Other ,. Year Replaced, (Yes Component Manufacturer Serial No. No, ldenti~ication Built or Replacement or No) Edward 2" Valve Valves, Inc. 36-22118 NA 2-CH-211 NA Replacement No 2" Pipe Frischkorn, *Inc. NA NA 2-CH-211 NA Replacement No Consolidated 2" Elbow Power Supply NA NA 2-CH-211 NA Replacement No 7. Description of Work Replace 2" s/s check valve'. fo)>.t CIiis~* #-_~/6-1' -41/l,,,,fr

  • 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ______ *°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 __J FORM NIS-2 (Back) PO# CNT-360346 (2" Valve); CNT-439432 (2" Pipe); 9. Remarks _____________________ ...:_ _____________ __: ________ _ SSY -3 6 71 71 ( 2 11 Elbow) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are.correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed,-41'2~~n-"'"er-.1~"11r""'o"-w"'~!;ler~' ~e~s,,..;"'~"".c._.(,c.tfPe~~oo!.!!!J;'"=-__,4t!£,,,,,.,~~"",.,._.*~'4~- Date__.,Q--4~-,,..-------, 19/1) CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.<!, holdjng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. ------------------------r:--;-cr=-r----:- 0 ve ~spected the components described in this Owner's Report during the period to 19'1 'q J' i) , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Date, __ ~'1-+-;/,-'-)-""':5/ __ 19 7/ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment 2 Page 19 of 78 . Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner----------.,..,------------- Name 2/14/97 Date ___________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant Surry Power Sta.tion Two Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00351999-08, RR#96-141 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by _ __,_v-=i.:.r.,.g:,in"'i"" a"--'P""o"'w_,.e;:.r _________ _ Name Type Code Symbol Stamp __ __,N.,.A:._ _____ _ NA Authorization No. _________ _.:. ___ _ Same as above Expiration Date ___ N_A ___________ _ Addre11 4 Id 'f'

  • f S Chemical and Volume Cont,,:ol . ent1 1cat1on o. ystem _______________________________________

_ B31.1. 55 NA N-1, N-7 5. (al Applicable Constru,ction Code 19_, __ Edition, _______ Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced .and Replacement Components ~r* ' '. ASME Code *N11tional Repaired, Stamped Name*of Name of Manufacturer Board Other

  • Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA ., NA 2-CH-RV-2203 NA Replaced No Studs Mackson, Inc .. NA ' -~A 2-CH-RV-2203

)':<A Replacement No < 7. Description of Work Replace flange studs. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches; or dra;..,,ings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each.sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. -(12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs) 9. Remarks-----------------------'-------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No.--------------- Expiration Date---------------- Signe~~n~~ Date __ ,__U~~~,._d.-F-----, 19 9? CERTIFICATE OF INSERVICE INSPECTION I, the undersigne},holdjng ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of irg1n1a d I db HSBI and I Co. of Hartford, Ct. an empoye Y :~t i7,pected the components described in this Owner's Report during the period to £,Drf"'Z , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /'7(1 ~Adi,. Va. 883 ------1=v.-Ll_.l_n ... sp-L(e=c~t~o~r~-s-s..-*1g~n-+t_,u~re.,.~~~~----Commissions _____________________ _ National Board, State, Province, and Endorsements Date, __ ---=cA=-1-/=-c~--+'f-10'7? Attachinent 2 Page 20 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,, : Ow Virginia Electric and Power Co: 1. ner ----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. Name 5570 Hog Island Rd., Surry, 'va. 23883 Address 3. Work Performed by_~y""j.._r:.,g..,iou.i ...

  • ail....lP.so""'w"'e"'"r

_______ ....;,_ __ Name Same as above Address 2/10/97 Date ___________________ _ Two Unit-------------------- W0#0035638B-01, RR#96-145 Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp ___ ..,..,,, ______ _ Authorization No. __ N_A ___________ _ Expiration Date __ ....;;.;NA;;.;;... __________ _ 4. Identification of System ____ R_ea_c_t_o_r_c_o_o_la_n_t ___ __, _________________________ _ 5, (al. Applicable Construction Code 831' 1 10,:-_-55:,

  • Edition,_N_A

______ Addenda,..,._N_-_ 1'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairi(or Replacements 19 __ 0_9 __ 6. Identification of Components Repaired or Replaced .and Repi'Jd~~ent Components ... . . . ,. " ASME ' Code .National Repaired, Stamped ,** Name of Name of* Manufacturer ., *Board Other Year ' *, Repll!(led,.: -(Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ,. St;,d NA NA NA 2-RC-HCV-2557B NA Replaced No *,, '*, Nuts NA NA ',.** ,., _;:;_* NA 2-RC-HCV-2557B NA Replaced No ., . ,, Stud Mackson, Inc. NA "'. NA 2-RC-HCV-2557B NA Replacement No 1 . ./ ** *i .. ,: 1 -,__ Nuts Mackson, Inc. NA . ' . NA 2-RC~HCV-2557B NA Replacement No . ., . 7. Description of Work_R_e..cp_l_a_c_e_fa_s_t_e_n_e_r_. ________________________________ _ 8. Tests Conducted: Hydrostatic , Pneumatic D Nomin~I Operating Pressure D Other D Pressure ______ psi Test*Temp. . OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained fro~.the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (stud & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules cif the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- Signed (iJ_ _/ ,.d_ ~/ .fi:£ £t1uvU~ ~o~Oeslgnae, Title ~~--6-~~d_._@ _____ ,,s22 CERTIFICATE OF INSERVICE INSPECTION I, the undersignefl,,.hold(ng ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State P f v irginia d I db HSBI and I Co. f or rovince o Hart ford, Ct . an emp oye y o ~;;~;~~;~~;:;~~;;;=====~~~~;g~~~'-g=~~hjve jnspected the components described in this Owner's Report during the period {[ 7!0.,L?Z , and state that to the best of my knowledge and belief, the qwner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor,his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer sh,all be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. //0 --1-/

  • Va. 883 ----'-~+--"--'!4..-""""_

..... _-F--F-+-....._M=-_..,_/-=--{/V-----Commissions _____________________ _ inspecor'Slgna~ National Board, State, Province, and Endorsements Date __ ~F_"&_b+/~/~D __ 19 'r7 Attachment 2 Page 21 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co Name 5000 Dominion Blvd Glen Allen, Va. 23060 Address 2. Plant s, irry Power St at i an Name 5510 Hog Isl and Rd Surry Va. 23883 Address 3. Work Performed by __ v~i_r_g_in_1_* a_P_o_w_e_r,...,.... ________ _ Name Same as above Address Date 12 / 0 3 / 9 7 Unit --"T'"""'"'------------------ 6 'J>d. ___ ___.w..,_o.,,#""a..,_a ... 3..e56"'"'3 ..... 6 ... 5cc-'-"P'""J~ .... Ee.R,.,#,..9'1--/_-..sl.:a.4_,,_6 ______ 1;,/3/97 Repair Organization P.O. Ne( Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. _ ___,,..._ __________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ R_ea_c_t_o_r_c_o_o_l_an_t _____________________________ _ B31. l 55 NA N-1 through N-13 5. (al Applicable Construction Code ________ 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) See Flange Bolts Westinghouse Comments NA 2-RC-P-lC NA Replacement No 7. Description of Work __ R_e~p_la_c_e_m_a_i_n_f_la_n~g~e_b_o_l_t_s_.


8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# 86182, bolt serial #'s 13431, 13436, 13428, 13438 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Qe~~. TiESf Date ___ /,~~~~~-----, 19 9:2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. ~e Aspected the components described "'.>-09) and state that I I ' to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ///J ~) ~/,.._ , Va. 883 -----1-(____..,{l-=-"'_ ='(d._""'1 ... Natlonal Board, State, Province, and Endorsements Date 1r:2-.I c:r:: 19 '.1:::2 I _J I Attachment 2 Page 22 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ----------------------- Name 5000 Dominion Blvd., Glen Allen, Va, 23060 Address Surry Power Station 2. Plant ______________________ ..;.... Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.y..,; ... n;r..,, ..

  • n.._, ...
  • a .... P""'o"'w._e._r

_________ _ Name Same as above Addre11 Date_2_/_1_4_/_9_7 ___________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo356385-03, RR#96-148 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,.,._ ______ _ Authorization No. __ N_A ___________ _ Expiration Date __ --"N=-A=-------------

4. Identification of System ____ c_h_e_m_i_c_a_l_a_n_d_v_o_l_um_e_c_o_n_t_r_o_l

_______________________ _ 5. (al Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ . Code Case (bl Applicable Edition of Section XI Utilized for Repairs oi Replacements 19 89 . 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board* Other Year . Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement

  • or No) Nuts NA NA* NA 2 11-CH-316-1502 NA Replaced *.No Nuts Mackson, Inc, NA . .:.,,., NA 2 11-CH-316-1502 NA Replacement No ! 7. Description of Work Replace two flange nuts. 8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawihgs may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. Expiration Date---------------- Signed () ../ ~4,. .< ~:Z-4-~4 Mt.dz~ Date h,:-4 /1'( Owner or OwMr~ignee, Title ' ,19 9,2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned,.holding a valid commission issued by the National Board of-8.o..ilir andaere$Ur.ll Vessel Inspectors and the State virginia an co. or Province of Har L fui d, CL . and employed by of have ipspected the components described in this Owner's Report during the period to r /IO/" D , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. __ . ..,+h._ Va. 883 ------t--::....,* ct,9'-1::--+.kXM.-,,.--~* -~-./U/~~-'---' __ Commissions _____________________ _ lnectefs National Board, State, Province, end Endorsements Date*--~d-J-,.-,M?~$(_,____19 97

1. 2. 3. Owner 5000 Plant 5570 Attachment 2 Page 23 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1/17/97. Date ___________________

_ Name Dominion Blvd., Glen Allen, Va. 23060 1 Address Surry Power Station Two Unit-------------------- Name Hog Island Rd., Surry, Va. 23883 W0#00357401-03, RR#97-001 Address Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp ___ .e;N::.,A,.._ ______ _ Name NA Authorization No*--~------------ Same as above Expiration Date ___ N_A ___________ _ Address 4. Identification of System ____ ch_~_m_i_c_a_l_an_d_v_o_1_u_m_e_c_o_n_t_r_o_1 _______________________ _ 5, (a) Applicable Construction Code B 3 l. l 19--=-=--Edition,_N_A ______ Addenda,_..,N_-i_,_N_.-_ 7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements*19 8 9 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name*of *

  • Manufacturer Board* Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement .or No) Pipe to Valve Weld NA NA NA 2"-CH-385-602 NA Repaired No* 7. Description of Work Repair weld leak. Code Case N-416-1 applies. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure_. _____ psi Test Temp, ______

  • F NOTE: Supplemental sheets in form of/lists, sketches, or drawings may be used, provided (1) size is 8% in. x* 11 in., (2) tion in items 1 through 6 on this report' is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. ' ; (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT. 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA :?:2 ;t;t~:--1;.--S::-z--k.-, -~-w.-'6-iiG--~--Expi::::n_D_a~t~: .. -"'-""'-.,_-_.-/._- ... 7~~~~~~~~~~~-.-,-g-9_7 __ , Ow~Wesignea, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,4,holdjng iJ valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . v1rg1n1a HSBI and I Co. or Province of and employed by of Hartford, Ct. --------------------------,,----r=,,-------have in~ected the components described in this Owner's Report during the period------"-~--"-+-L-..._ __ to -r-//0?97 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. C--, l Va. 883 ------"===-'"+,,,,."""-+-~-+---~~~"""""/_ '-"'~--Commissions _____________________ _ .Jspecto'r~ National Board, State, Province, and Endorsements Attachment 2 Page 24 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_1_2_/_0_9_/_9_7 ___________ _ Unit _T_w_o ________________ _ W0#00357192-01*, RR#97-002 Repair Org11nlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ___________ _ Expiration Date __ -"""'------------

4. Identification of System ____ c_hc...a_r""g_i~ng"----------------------------------
5. (a) Applicable Construction Code B 3 l.l 19_55 __ Edition,_NA

______ Addendii~1 through N-lJ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_s"'9"---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National *-Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) N72390-Relief Valve Crosbu 00-0004 NA 2-C"-RV-2203 NA Rer.lacement No Replace relief valve. 7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-436063

9. Remarks-----,-----------------------...:._

____________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate,of Authorization No, _______________ Expiration Date---------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned_ .holding a valid commission issued by the National Board otBoiler and P.,ressure. Vessel Inspectors and the State V1rg1n1a HSB~ ana co. or Province of ., ,,. r and employed by of . harCLULu, ~L. --------------------------.---,>-=-----*h911e il)S?ected the components described in this Owner's Report during the period 7 to V@ (" I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ,/7 /) ~.. Va. 883 -------"CLL-.- ... Jd..c:"-L---l-ff---1'---1'-"~~...,.,_._--'-,-'l'.---Commissions _____________________ _ inspectqr~ National Board, State, Province, and Endorsements Attachment 2 Page 25 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_......,_v ... i,..rg:,..J.e., 0 n.!.-'is.ea,.__..P,.o.,,_we,:.re__ ________ _ Name Same as above Address 1/21/97 Date __________________ _ Two Unit-------------------- W0#00357612-0l, RR#97-003 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,,N,,,Ac._ ______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ c_h_e_m_i_c_a_l_a_n_d_v_o_l_um_e_c_o_n_t_r_o_l _______________________ _ 5. (al Applicable Construction Code B 3 1.1 19~Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Beare! Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Pipe To Valve Weld NA NA NA ;t_-CH-191 NA Repaired No ).,t /~? 7. Description of Work_R_e.::p_a_i_r_w_e_l_d_l_e_ak_.


8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPL'IANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA _______________ Expiration Date _______________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,d,,,holdjng ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . v1rg1n1a , HSBI and I Co. or Province of and employed by of Hartford, Ct. ~e ~~ected the components described 'D 9 :Z and state that I / , to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~~,...-h--,,.. Va. 883 -------'~'-=-'l=-l"=rl-~-+-+-+~"/l,(/~~-- '--__ Commissions _____________________ _ National Board, State, Province, and Endorsements . ;,,., ,, :: ... *:;:. :.~ (: > ..... 1,:>'1:\ Attachment 2 Page 26 of 78 Serial No.: 97-709 Docket No.: 50-281 'FORM NIS-2 OWNER'S REPORT.f.OR REPAIRS OR REPLACEMENTS As Required by the Provi~i~'ris ~f the ASME Code Section XI

  • Virginia Electric and Power Co: 1. Owner -.:.~-r*~,.

Name .... *.': .* '-, . ~\. *:J . 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. Plant------------,-.,.------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by ___ v.;.i;;.;* r::..g;<.:i;;.;:n;;.;:i"'a'-"-P""ow"-e"-'r=----------'-- Neme Same as above Addreas .... ..

  • 1/28/97 Date ___ _, ______________

_ 1 1 Sheet ______ of ______________ _ Two Unit-------------------- W0#00357822-01, RR#97-004 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ NA _______ _ NA Authorization No.--------------- Expiration Date ____ NA _________ .....;. __ Chemical and Volume Con):,rol:

4. Identification of System---------------'------'---"--------------------

B31.1 .*f5;**-::* NA N-1,N-7' 5. (a) Applicable Construction Code 19~ Edition,---'------* Addenda, ________ Code Case (b) Applicable Edition ~f Section XI Utilized for Repairsp~-R:~placements 19 89 .. J, *, ... _,,:.,,. 6. Identification of Components Repaired or Replaced .and Replacement Components Name of Component Studs Nuts Studs Nuts " ' -.. '~ .. Name of Manufacturer NA NA Mackson, Inc. Mackson, Inc. --~I 'i , . National -Manufacturer,-

.>..',: B6ard Serial No. . ', No. _j .. , . .. NA NA NA i ~<:: NA NA ; *". * .. _ ., ' NA .. -. * ...*. ,, NA NA *other Identification 2-CH-HCV-2244 2-CH-HCV-2244 2-CH-HCV-2244 2-CH-HCV-2244
7. Description of Work Replace fasteners.
8. Tests Conducted:

Hydrostatic Pneumatic D Noniil)~l;QPerating Pressure D Other D Pressure ______ psi Tes(Temp. °F :vear* Built -NA NA NA NA ASME Code Repaired, Stamped Replaced, (Yes or Replacement or No) Replaced No Replaced No Replacement No Replacement No 'r.i-:~1~~~~-~~

(,~ NOTE: Supplemental sheets in form of lists, sketches; or drawings may be used, provided (1 I size is 8% in. x
  • 11 in., (2) tion in items 1 through 6 on this report is included on. eacl)_.sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of th is form. *:,.,.:: * *, :. * (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., N,!!w York, N.Y. 10017 REPRINT 12/91 -'-.~

FORM NIS-2 (Back) PO # BNT-467650* (studs & nuts) 9. Remarks-------------,------------------------------,------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code* Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No, ____ N_A __________ Expiration Date --+-'--N_A __________ _ Signed Q .. d .fS:Z:-d.u$.,~ Date __ 'C~'JJ~f~'/'l~JA.~r~,~2,....fl'~,, 19 12 Owner or Ow~e. Title . -'-~--CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,,.holdi,ng !I valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . . v 1rg1n1a HSBI and I Co or Province of and employed by

  • of Hartford, ct. h: il)spected the components described in this Owner's Report during the period S-: ¥ to ~tz.0/97 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this_ certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. *~,.,_ Va. 883 -----+~~-,_,.'-""--,.__-+--l'C-..1<~yt,,A..A/-=-=--

-__ Commissions-....,..,.---,------------------ insi>ector'signatura National Board, State, Province, and Endorsements Attachment 2 Page 27 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rg-'-1-* n_i_a_P_o_w_er _________ _ Name Same as above Address 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo354999-01, RR#97-053 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stawf----N_A _______ _ Authorization No.-------------- Expiration Date ___ N_A ___________ _ Recirculation Spray 4. Identification of System _______________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Coda Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 2-RS-PH Support NA NA NA 123Hl.10 NA Repaired No 7. Description of Work Add additional welds to support. 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) NA 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and th is repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A ___________ _ Signed_,,..,()~~e.--e..~~ ..... L.._-"-c,~;=,..__--4,:/),c.,_,~t...o.li'.e.l!J'~*=e=,. .... ;:'------- Date-~/i_'()_-~/~t~""'----, 19 1'° J rner or Owner'sp'esignea, Title 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. --------------------------,---,------have inspected the components described in this Owner's Report during the period to 5;!/[?!0 1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. _____ _,,a=""""'-"'Q'""---'----~+-+-~~<--"'~---'--------Commissions _______ v_a_. __ s_s_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ______ lf_, 7~L~/i_J __ 19._~f~/~ Attachment 2 Page 28 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM 1'.'!IS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreis Surry Power Station 2. Plant----------------------- Name 5570 Hog Island Rd., Surry, Va. 238.83 Address 3. Work Performed by_~v=ir=g~1.=* n=i~a~P~o~w~e=r _________ _ Name Same as above Addraas 11/06/97 Date ____________ -'-------Two Unit---------~---------- W0#00342506-0l, RR#97-077 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ N.,,A..__* ______ _ NA Authorization No.-------------- Expiration Date ___ N_A _______ ~----f Containment Spray 4. Identification o System--------------------~-.,....~---------------- B31 1 55 NA d N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ A. denda, _______ Code Case . (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1g __ 89 __ 6. Identification of Components Repaired or Replaced .and Replacement Components ASME I Code ' . National Repajred, Stamped Name of Name of Manufacturer Board* Other Year . Replifed, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 9/16" Studs & Nuts Mackson, Inc. NA NA 2-CS-15 NA Replacement No 7. Description of Work Install new body to bonnet gasket. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650 (9/16" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed {]~~ -* .L/ 7S'.Z-Own~~ Designee, Title Date __ ~/~/_.~'---"'--------, 19 9,2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ---------------------------+=----- have ilJspected the components described in this Owner's Report during the period _______ <-,t.'-'-=-f-L--<--tO z;/1{;!0 I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any,personal injury or property damage or a loss of any kind arising from or connected with this inspection. /7~ <'-ff-_ Va. 883 ------~C:,...4:J_.....,"""'"...,.__~*~~~,,,_~_,__V7 ..... AA/~~-V"--"--commissions _____________________ _ insi>ectos Signaturi( National Board, State, Province, end Endorsements Date 11 lob 10 97 I

1. 2. FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 5/27/97 Owner Date Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of Address Surry Power Station Plant ,,.:&-Unit -;-,,.,,<l N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00360182-01, RR#97-114 Attachment 2 Page 29 of 78 Serial No.: 97*709 Docket No.: 50*281 Address Aepalr Orgenlzetlon P.O. No., Job No., ate. 3. Work Performed by __ v_i_r::.g_in_i_*

a_P_o_w_e_r _________ _ Name NA Type Code Symbol Sta,n,R----------- Authorization NA Same as above Expiration Date ______________ _ Addren Containment Spray System 4. Identification of System _______________________________________ _ B31. l 55 NA N-1, N-7 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME I Code National Repaired, Stamped Name of Name of' Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or No) Mackson 7/8" Nut Incorporated NA NA 2-CS-25 NA Replacement No 7/8" Threaded Mackson Rod Incorporated NA NA 2-CS-25 NA Replacement No 7. Description of Work Replace body to bonnet bolts one at a time. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, end (3) each sheet is numbered and the nu.mber. of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (7/8" Nut arid 7/8" Threaded Rod) 9. Remarks-----------'-------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ ---------------Expiration Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the N*ational Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_, _C_t_*-----------,.--:~.-:-----hav;,_ in~cted the components described in this Owner's Report during the period to /q//~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.~.~


>.~--"""""""",._.._

__ ~--t<-~"'--"'-------Commissions ____ --:-__ V---,--a--=-. _8_8_3 ___________ _

  • Inspector's Signature National Board, State, Province, and Endorsements Date. _____ b=+a~*t)...~

__ 19 f:z I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment 2 Page 30 of 78 Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner----------~------------ Name 11/07 /97 Date ___________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 1 Addre11 Surry Power Station 2. Plant Two Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00364363-03, RR#97-128 Address Aepalr Organization P.O. No., J.ob No., etc. 3. Work Performed by_......:.V.:.i::.rq"'1"'* na:ai:.:a::....:P-=o-"w""e::.r _________ _ Name Type Code Symbol Stamp ___ .e,NA:.:... ______ _ NA Authorization No. ______________ _ Same as above Expiration Date ___ N_A ___________ _ AddreH Main Steam 4. Identification of System--------------------~-------------------

5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A

______ Addenc/;t 1 through N*l 3 Code Case (bl Applicable Edition of Section-XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced.and Replacement Components ASME Code National .. *,, i Repaired, Stamped Name of Name of Manufacturer Board .. ., >'J,, Other* . ** Year Replaced, '* (Yes Component Manufacturer Serial No. No. Identification

  • Built. or Replacement or Nol \ \ Grinnell Grinnell Support Pipe Supports #41-28026 NA 2-MS-RV*201C NA Replacement No NOVA Mach. Cap Screw Prod. Corp .. NA NA 2-MS-RV-201C NA Replacement No 7. Description of Work Replace spr~ng can hanger. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT~553656 (spring hanger), SNS-414213 (cap screw) 9. Remarks--------------------------------------------- Applicable Manufacturer's Dat,a Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair.or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed(}./! ~--G4.c'.

c~r LAl(y,h~e,(4 . Owner oi owc,r's Designee, Title Date--~b~~+6---r-----, 19 f 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~

1 holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. haYj in:,cted the components described in this Owner's Report during the period to ~{_/ l>[.P I ; and state that . to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor. his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .,,,-n .,*-t--;, Va. 883 ,__ __ ""'CdJ.,dL=-.....,._..~ ... ,-~--,~1-~--t-4,,..4.~AIL~~/'--"----Commissions ___________________ _

  • lnspector'sSidnature National Board, State, Province, and Endorsements Date FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 8/04/97 Attachment 2 Page 31 of 78 Serial No.: 97-709 Docket No.: 50-281 1. Owner-----------------------

Date __________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 AddreliS Sheet _____ of _____________ _ Two Unit __ ~---------------- Surry Power Station 2. Plant -Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00351999-13, RR#97-131 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_rg"'i_* n_i_a_P_o_w_er _________ _ Type Code Symbol Stawf---N:.::A:.:...._ ______ _ Name Authorization No.-------------- Same as above Expiration Date ___ NA ___________ _ Address Charging _ 4. ldemification of System-----------------------------------'------- B31.1 55 NA N--1 through N-13 5, (a) Applicable Construction Code 19 ___ Edition,-------'~ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced _and Replacement Components ASME ' Code National Repaired, Stamped Name of Name o*f Manufacturer Board ,. Year Replaced, (Yes Other Component Manufacturer Serial No. No. Identification Built or Replacement or No) Weld NA NA NA 2-cH-Hcv-*22ooc NA Repaired No 7. Description of Work Repair weld leak. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Ci?" Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _

  • NA NA Certificate of Authorization No. _______________

Expiration Date---------------- Sig~ed <i2 .,t__ :rr:.:r Owmf~esignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.p,,.holdjng II valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. have) ins:ected the components described in this Owner's Report during the period ? to 'Cf-ID t DI , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /7) 'It: , Va. 883 _____ 4~_.,r-_-.~,..,_~.....__,._,,_ ________ commissions _____________________ _ .Jnspector'~ National Board, State, Province, and Endorsements Date. ___ $........,/r-_,,_/--+-'}_19 'f 2 I Attachment 2 Page 32 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 9/04/97 1. Owner----------------------- Date __________________ _ Name 5000 Dominion .B.lvd., Glen Allen, Va. 23060 1 1 Sheet of _____________ _ Address Surry Power Station Two 2. Plant __________ _,,.,.....----------- N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rg=-1-* n_i_* a_P_o_w_e_r _________ _ Name Same as above Unit __________________ _ W0#00351999-16, RR#97-132 Repair Organization P.O. No., Job No,, etc. Type Code Symbol Stawf---N_A ______ _ Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ AddreH Charging 4. Identification of System--------------------~------------------- B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 ~9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Bui!t or Replacement or No) Consolidated 2-CH-HCV-Valve Support Power Supply NA NA 2200 B & C NA Replaced No 7. Description of Work_M_o_d_i_fy_s_u_p_p_o_r_t_s_. ________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be us~q. provided.(1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BSY 359003 (3"X 3"X 1/2" angle) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that"the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ NA NA _______________ Expiration Date _______________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersignep 1 ,hold(ng ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . v1rg1n1a HSBI and I Co. or Province of and employed by of Hartford, Ct. .h,ve ipspected the components described in this Owner's Report during the period-------~+-~'"-+~--..to 7/'lo/9 I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. fie? I O'llAJ ------i~=--~1::;{_,_ _ _.. ___ ...,_~~~-+-+--"'-------Commissions _____________________ _ Inspector's Signature Va. 883 National Board, State, Province, and Endorsements Date-~~~~~~_,_;1',_~~~19 z::2'.'. ' / L Attachment 2 Page 33 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant _______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Date __ 1_2_/_0_1_/_9_7 ___________ _ Sheet ___ l __ of ___ l __________ Unit __ T_w_o ________________ _ W0#00336464-03, RR#97-134 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. ___ N_A ___________ _ Expiration Date ___ ~------------

4. Identification of System ____ c_o_n_t_a_i_n_m_en_t_s~r_a~------------------------------
5. (a) Applicable Construction Code . B31.1 19_5_5_ Edition,_N_A

______ Addenda'!-1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_~~-6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) BW/IP C:.'1 'U,::,l ,ro T..-.t-0,...n,::1,t-' ---.1 "' ,on-A-1 ,rn ?-r"-"~"-?non srn 00,....1--

  • -__ .._ Nn 7. Description of Work __ R_e_p_la_c_e_v_a_l_v_e_._c_o_d_e_c_a_se_N_-_4_1_6_-_1_a_p_p_li_*

e_s_. ----------------------

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) CNT-555934

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No, ____ N_A ___________ Expiration Date _____ N_A __________ _ SigneQ/~ ..T£Z:: Ownw orr{er's Designee, Title Date-~/.-~,,..i+---------, 10?? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have insp 7 cted the components described in this Owner's Report during the period to 'i"';//Lj/0/ , and state that to the best of my knowledge and belief, the Owner has performed examinations and take.n corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


+-/J....,,,..._:(2..._._L~~-~-

,,....~*~-----Commissions _______ v_a_. _8_8_3 __________ _ ~,;;;;.; S~ National Board, State, Province, and Endorsements Date 1,p.. IA-19 9? I Attachment 2 Page 34 of 78 Serial No.: 97-709 Docket ~o.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Date __ 1_2_/_0_1_/_9_7 __________ _ Unit __ T_w_o _______________ _ W0#00336464-03, RR#97-135 Repair Organ,ization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. ___ N_A ___________ _ Exp_iration Date ___ ....,_ ___________ _ 4. Identification of System ___ ____,c"-'o"'n'--=t'-"a'-=i~n""m""en,.,_t"--'S"--'p"-'r'--'a,..y _____________________________ _ 5. (al Applicable Construction Code B31.l 19_s_s_Edition,__:N:.::.A.:... _____ Addend.r,-1 through N-13 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 as 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Ma*nufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) -BW/IP 6" Valve International E138A-4-2 NA 2-CS-MOV-202B NA Reolacement No 7, Description of Work. __ R_e_p_l_a_c_e_*v_a_l_v_e_._c_o_d_e_c_a_s_e_N_-_4_1_6_-_1_a_P_P_l_i_e_s_.


8, Tests Conducted, Hydrostatic D Pneumatic D Nominal Operating Pressure !RI Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) CNT-555934

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. -------------------------,-=--,.-=------have ins9ected the components described in this Owner's Report during the period ______ ...L..r----+-...,_--'7'--_to £;1/D/n I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


<a=<-t_...,,.(2_._..,_)d......,,..,.y~~~~~~-----Commissions

_______ V_a_. _8_8_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date, ____ ~/~~-,,-/~~--19 Z7 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 11/07 /97 Attachment 2 Page 35 of 78 Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Name Date ____________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Addrees Two Unit--------------------- Surry Power Station 2. Plant Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00351999-02, RR#97-141 Address Aepalr Organization P.O. No., Job No., etc. 3. Work Performed by __ v_ir_g"'-1-* n_1_* a_P_o_w_e_r __________ _ Type Code Symbol Stamp ___ N:..cA:.::... ______ _ NA Name Authorization No.--------------- Same as above Expiration Date ___ N_A ____________ _ Address charging 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Astra Nuclear Part #883D Flow Orifice Dynamics Inc. 391G01 45 ( PM NA 2-CH-R0-20RLD1 NA Replacement No Consolidated 2" Pipe Power Sup. NA NA 2-CH-R0-20RLD1 NA Replacement No 7. Description of Work Replace flow orifice. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) P. 0. CNT-543809 (orifice), CNT-548935 (2"pipe) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Q-£~L/ ..:.Z:s.;r bo1&!e#Ld Owner orer's Deslgnea, Title Date __ ~..-1~:Y._v'>~? ______ , 19 9' CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,d,, holdjng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. -------------------------,---,--b,,.-----have

  • nspected the components described in this Owner's Report during the period to S /ID, 0 I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

____ a=-Q-=-~-_\.._~--f"--+-Q+-d .... ;J;i--~' -~--Commissions ____ v_a_* ._B_B 3 _______ _ inspector's~; National Board, State, Province, and Endorsements Date I I / 1 d--10 97 Attachment 2 Page 36 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------,,.,.------------ Name 5000 Dominion BLvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ ....;. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_ir~g""i_n_i_a_P_ow_e_r _________ _ Name Same as above 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit ___________________ _ W0#00357847-03, RR#97-142 F,iepalr Organization P.O. No., Job No., ate. Type Code Symbol Stamp ___ ....:..:NA:..:.... ______ _ ' NA Authcirizatipn No.-------------- Expiration Date ___ NA_* ----------- Address Charging 4. Identification of System-----------'------------------------------ B31.1 55 NA N-1 through N-13 5. (al Applicable Construction.Code 19 ___ Edition, _______ . Addenda, Code Case (bl Applicable Edition of Section XI Utilized tor Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and-Replacement Components I ASME Code Nl!tional Repaired,. Stamped Nar'ne*of Name-of Manufacturer Board ' Other Year ' R!!plilced, (Yes Component Manufact1,1 rer . Serial No. No. Identification Built or Replacement or No) Part# ' Valve Body Copes-Vulcan 359784 . NA 2-CH-HCV-2200A NA Replacement No Consolidated 2" Pipe Power Sup. NA NA 2-CH-HCV_-2200A NA Replacement No Energy & 2" Pipe Process Corp. NA NA 2-CH-HCV-2200A NA Replacement No '/ 7. Description of Work Replace valve body. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure IX] Other D Pressure _____ psi Test Temp. ______ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-544184 (valve body), CNT-552689 (2"pipe), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CNT-548935 (2" pipe) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SignedQ,£ -d.-<' ..T5'::Z:- Owner or~Deslgnee, Title Date--~/,~,-'_,_,6----t~-----, 19 9 Z CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of

  • Hartford, Ct. haainyjcted the components described 5:J-i? [) / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

'.=-~""'-+"'""""f--'-*~+--+-~'4'-h-~<=-.u,c./

___ commissions ______ v_a_. __ 8_8_3 __________ _ ~g£J':i'* National Board, State, Province, and Endorsements Date. _____ ~/_,/ /;'""{;fl_u __ 19 97 I Attachment 2 Page 37 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rg=-i-* n_i_a_P_o_w_er _________ _ Name Same as above 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------,-------------- wo#oo351999-o3, RR#97-143 Repair Organization P.O. No., Job No., ate. Type Code Symbol Sta'J'f---N_A ______ _ Authorization No.-------------- Expiration Date ___ N_A ___________ _ Addra11 Charging 4. Identification of System*---------------~------------------------ B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code National. Repaired, Stamped Name of Name of Manufacturer Boarl:*-'* ,. ' =* Other Yeilr' .

  • Replaced, (Yes Component Manufacturer Serial No. No. Identification Built o.r Replacement or Nol Astro Nuclear Part # Flow orifice Dynamics Inc. 883D391G01 60GPM NA 2-CH-Rci-20RLD3 NA Replacement No Consolidated 2" Pipe Power Sup. NA NA 2-CH-R0-20RLD3 NA Replacement No 7. Description of Work Replace flow orifice. Code Case N-416-1 applies. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pres_sure !)ig Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) P. 0. CNT-543809 (orifice), CNT-548935 (2"pipe) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF C<;)MPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed~ c / --U" :z:rr: &W~efU., O~~Designee, Title Date_~/.~'/~/)_?~------, 19 9 7 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State .

  • virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. have i)6ected the components described // 0. 0 I and state that ' to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

_______ /7(.,,....-:c++,r2~'----c:)-+-.,,.C1<-+-'/l=A-~~---Commissions _____ v_a_._8_8_3 _______ _ ~actor's~L; National Board, State, Province, and Endorsements Date /I/;.;;;._ 19 . 97 7 ..J FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment 2 Page 38 of 78 Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner -----------:-c------------- Neme 11/07/97 Date ____________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 1 AddreH Surry Power Station 2. Plant Two Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00357848-03, RR#97-144 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_.....:.V=.ir,_g:,.iee* n~i:.:* Name Type Code Symbol Stamp __ __,N,.,,Ac.:..... ______ _ NA Authorization No.--------------- Same as above Expiration Date ___ N_A ____________ _ Address 4. Identification of System ____ c_h_a_r_g_i_ng----------------------------------- B3l 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of :; Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# Valve Body Copes-Vulcan 359784 NA 2-CH-HCV-2200B NA Replacement No Consolidated 2" Pipe Power Sup. NA NA 2-CH-HCV-2200B NA Replacement No llnergy & 2" Pipe Process Corp. NA NA 2-CH-HCV-2200B NA Replacement No 7. Description of Work Replace valve body. Code Case N-416-1 applies. 8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure [g] Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-544184 (valve body), CNT-552689 (2"pipe), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CNT-548935 (2" pipe) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SignedQ /_ eu....-: T~ Owner~ner's Designee, Title Date_~,,-.~'j..,.4....,. _______ , 19 l'Z CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and 1 Co* of Hartford, Ct. -----------------------=--t-=-+-,,,------ha~7' ins~ected the components described in this Owner's Report during the period 71 /D. C/7 to ~i/ DfrJ I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By' signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~Q, ... 0 Va. 883 ________ .,,C,.L..U-........,,._"-'-_./~/}~_,_-"-----'-----Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date 11/;;o 19 12 I 0 Attachment 2 Page 39 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Re;quired by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. !\lame 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Pla_nt SJlrry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v:...:i:..:r:..ag<.:i:..:.n:..:i:..:.a:......:.P..:.o.c.w..:.e:..:.r _________ _ Neme Same as above Date 12/04/97 Unit Two W0#00351999-04 1 RR#97-145 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No.--=------------ Expiration Date ___ N_A-------~----- Address Charging 4. Identification of System---------------------------------~--------,B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired.or Replaced and Replacement Components '* ASME Code National Repaired, Stamped Name of Name of Manufacturer Board. Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Astro Nl!clear/ Serial# M 125-1 Flow orifice Dynam:i:cs Inc. & M1125-2 NA 2-CH-R0-20RLD2 NA Replacement No Capitol Pipe 2" Elbow & Steel Prod. Ht # OJ NA 2-CH-R0-20RLD2 NA Replacement No Consolidated 2" Pipe Power supply Ht # Cut R K NA 2-CH-R0-20RLD2 NA Replacement No ' 7. Description of Work __ R_e_p_l_a_c_e_f_l_o_w_o_ri_' f_i_* c_e_._c_o_d_e_c_a_se_N_-_4_1_6_-_1_a_p_p_l_i_e_s _. -------------------

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure J&l Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists; sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-543809 (flow orifice), NS-32947 (elbow), 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CNT-548935 (2" pipe) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.

  • repair or replacement Type Code Symbol Stamp ______ N_A _____________________________

_ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed () -£ ~P ._,,,,,JI/ -Z:S:Z: C""4 a/Ced. Owner or ~s Designee, Title D~----L-L-4~-~-~,19 f7 CERTIFICATE OF INSERVICE INSPECTION I, .the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. to the best of my knowledge and belief, the Owner has performed examinations and taken co Owner's Report in accordance with the requirements of the ASME Code, Section XI. ive measures described in this By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~~--+-.,....=Q"""'"~~*-~--__,._+*~- ... ~~------Commissions _______ v_a_. _8_8_3 __________ _ alnspector's Signature National Board, State, Province, and Endorsements Date; ____ ..._/==-~c+/--"£'"'--_19 z'") 7 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 11/07 /97 Attachment 2 Page 40 of 78 Serial No.: 97*709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner------------------------ Date ____________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ Address Two Unit--------------------- Surry Power Station 2. Plant N11me 5570 Hog Island Rd., Surry, Va. 23883 wo#oo357B5o-o3, RR#97-146 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_r_..g'-i_n_i_a_Po_w_e_r __________ _ Type Code Symbol Stamp ___ c_;NA:..:.... ______ _ Name NA Authorization No.--------------- Same as above Expiration Date ___ N_A ____________ _ Addreas 4. Identification of System ____ c_h_a_r_g_in_g __________________________________ _ B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# Valve Body Copes-Vulcan 359784 NA 2-CH-HCV-2200C NA Replacement No Consolidated 2" Pipe Power Sup. NA NA 2-CH-HCV-2200C NA Replacement No Energy & 2" Pipe Process Corp. NA NA 2-CH-HCV-22 OOC NA Replacement No 7. Description of Work Replace valve body. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure t8J Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-544184 (valve body), CNr552.689 (2 "pipe), 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CNT-548935 (2" pipe) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report*are correct and this replacement conforms to the rules of the ASME Code, Section xi: repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ NA NA Certificate of Authorization No, _______________ Expiration Date--------------- Signed QV--. '!/ rs::z-Owne~esignee, Title Date __ ~//~6-+-------, 19 9 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.d,., holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. in this Owner's Report during the to the best of my knowledge and belief, the Owner has performed examinations and taken c Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propE!_rty damage or a loss of any kind arising from or connected with this inspection. Va. 883 ------+----::;"r---17":>'f-.......,11'--J'T"~-------Commissions ____________________ _ cor's~ National Board, State, Province, and Endorsements Date. _____ ---'-/._'l+=~-D __ 19 t:7 L __ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment 2 Page 41 of 78 Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner------------------------ 11/1 7 /97 Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address Two Unit-------------------- Surry Power Station 2. Plant Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo~51999-12, RR#97-147 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_r-g~i_n_i_a_Po_w_e_r __________ _ Type Code Symbol Stamp ___ ..::N..::A:...._ ______ _ Name NA Authorization No.--------------- Same as above Expiration Date ___ N_A ____________ _ Address Charging 4. Identification of System _________________________________________ _ B31.l 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Energy & Ht# 2" Flange Process Corp. 213XNE NA 2"-CH-532-602 NA Replacement No Energy & 3" Flange Process Corp. Ht# C5076 NA 2"-CH-532-602 NA Replacement No Consolidated Ht# 3" Pipe Power Supply L38697 NA 2"-CH-532-602 NA Replacement No Energy & Ht# 2" Pipe Process Corp. 437526 NA 2"-CH-532-602 NA Replacement No 7. Description of Work __ R_e_p_l_a_c_e_p_ip_e_. _c_o_d_e_c_a_s_e_N_-_4_16_-_1_a_p_p_1_i_e_s_. ______________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO # CNT-42135 (2" flange), CNT-559903 (3" flange), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CNT-542234 (2" pipe), SSY-410675 (3" pipe) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No.--------------- Expiration Date---------------- SigneW f fl IS"':Z Owner o~ar's Designee, Title Date __ _,_,~~4'-F-f'-7 ____ , 19 9? CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,q. holdjng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virg1nia HSBI and I Co. or Province of and employed by of Hartford, Ct. hZmpected the components described 0 J , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~/) 0 -hf----."" Va. 883 -----+~-7"-'~0=-~r--...J::d,.--?-~-,...~-------Commissions _____________________ _ insµector'sSJg~ National Board, State, Province, and Endorsements Date

1. 2. Owner Virginia FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment 2 Page 42 of 78 Serial No.: 97*709 Docket No.: 50-281 Electric and Power Co. Date __ 1_2_/_0_l_/_9_7

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 p. .z Sheet _____ of __ ~.-~---------- Address Plant Surry Power Station Unit __ T_w_o ________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00351999-11, RR#97-148 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_i_r_g_i_n_i_a_P_o_w_e_r __________ _ Name Type Code Symbol Stamp ____ N_A _______ _ Authorization No. ___ N_A ___________ _ Expiration Date----~----------- Address 5. (a) Applicable Construction Code B31.1 19_5_5_Edition,~N=A~ _____ Addendaj"-1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_-B-'l~-

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No.* Identification Built or Replacement or No) Dubose Nat. Tube Steel Enerav Serv NA NA 2-CH-Sunnorts NA Renlacement No Energy & Tube Steel Process Corp. NA NA 2-CH-Supports NA Replacement No Interstate 1/2" Plate Steel Supply NA NA 2-CH-Supports NA Replacement No Consolidated

.. ------... .. --** -... --.. -. ............. . ..., -.... -... --., --** .. --. *-Consolidated 1 /11,r C"l-.+-'Q-,..,. -c, ' '" '" ")_,-.u_c -'" -' ,,-"-7. Description of Work __ F_a_b_ri_* c_a_t_e_,_m_o_d_i_f_y_,_i_n_s_ta_l_l_p_i_p_e_s_u_p_p_o_rt_s_.


8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

  • FORM NIS-2 (Back) PO# CNT-514921 (tube-steel), CNT-505552 (tube steel), 9. Remarks-~--------------------------------------------

Applicable Manufacturer's Data Reports to be attached CNT-539203 (1/2" plate), CNT-555935 (1/4" flat bar), CNT-546862 (1/4" flat bar), CNT-522154 (3/8" Kwik-Bolt) CERTIFICATE OF COMPLIANCE We certify that the statements m~de in the report are correct and this . replacement. conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. ______________ Expiration Date--------------- Date __ ,~l,='L~/,-/ _______ , 19 f' '? CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, )lolding .i valid commission issued by the National Board of.B.oiler and P.res$Ur~Vessel Inspectors and the State v1rg1n1a HSB~ ana ~o. or Province of Hart fora:, Ct. and employed by of have in:9ected the components described in this Owner's Report during the period to q/i>,L()I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any* manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .,,/1// C") ..,f-,1 Va . 8 8 3 _______ _,,0Cka-.~~ ... * ..... YJ--1'4c.,,,.~~~~----Commissions ____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date /;,.._JA 10 9:z ' L Attachment 2 Page 43 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Date __ 1_2_/_0_l_/_9_7 ___________ _ 2 2 Sheet _____ of _____________ _ Two Unit--------------------- W0#00351999-ll, RR#97-148 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. ___ NA ____________ _ Expiration Date ___ "'-"-------------

4. Identification of System ___ __,c"'hc=aeer..,,_,,,i.,_,n.,,_

_________________________________ _ 5. (a) Applicable Construction Code B31.1 19_5_5_Edition,_N_A ______ Addend.!';-1 through N-13 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_~--6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Item# 318" Kwik Bolt HILTI 230397 NA 2-CH-Supports NA Replacement No Fabricate, modify, install pipe supports.

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) NA 9. Remarks---.----------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No.-----------~--- Expiration Date---------------- Signe~'-'~""-r-'~"'rr#-,"'n==e"'r"'*s"'o"'e"-s-ig-'?"'e"-e""','{-e....e,~"'1e'-------'tl!!Cu4.=e=-=...,..-:,.,..~=-"""-':.C::..::...,::_ ___ Date ___ ~_J_~I' _______ , 19 5'l CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have ~pected the components described in this Owner's Report during the period to ¢q~o I

  • and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~.

-~* C Va. 883 ----+-..,_,,...._-=~...,_-+--+~~~------- ommissions _____________________ _ Inspector's Signature National B9ard, State, Province, and Endorsements Date ___ ~/~.;2.'=---'-'-/~~~~-19 97 Attachment 2 Page 44 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. ll/03/97 1. Owner----------------------- Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of _____________ _ Addre11 Surry Power Station Two 2. Plant __________ -:-:------------ N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_r_g_i_n_i_a_P_o_w_e_r _________ _ Name Same as above Addre11 Unit-------------------- W0#00357761-0l, RR#97-149 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stalffil----------- Authorization NA Expiration Date ______________ ......; Reactor Coolant System 4. Identification of System _______________________________________ _ B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Copes-2" Trim Assembly Vulcan, Inc. NA NA 2-RC-PCV-2456 NA Replacement No 7. Description of Work __ R_ep_l_a_c_e_t_r_i_m_a_s_s_e_mb_l_Y_*


8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM-NIS-2 (Back) PO# CNT 555149 (2 11 Trim Assembly)

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements m11de in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ~N=A~------------,-------------------,-- -Certificate of Authorization No. ---~N=A~----------Expiration Date ------=N,.A...__ _________ _ Signe~ d * ./ 2S£;' Ow,re~nea, Title Date-~A'--'~,-+-------, 19 7 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Bo*ard of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. ,,e zpected the components described /D Of and state that ~} . , to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any nianner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.A?,~


.,,Gl.A-=-.-<->....::

...... __, _ __,...,."=-f-"<....C..---"--------Commissions _______ V_a_._8_8_3 __________ _ -lnspac~ National Board, State, Province, and Endorsements Dat.._e ----~/~'/..., 1 ,_/_~r'. ___ 19'77

1. 2. Attachment 2 Page 45 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station Plant Name 5570 Hog Island Rd., Surry, Va. 23883 Address Co. 11/03/97 Date ___________________

_ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- W0#00371357-0l, RR#97-150 Repair Organization P.O. No., Job No., ate. 3. Work Performed by __ v_i_rg=-1-*n_i_a_P_o_w_er _________ _ Type Code Symbol Starg& ____ NA ______ _ Name Authorization No.-------------- Same as above Expiration Date ___ N_A ___________ _ Address Reactor Coolant System 4. Identification of System _______________________________________ _ B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, * (Yes Component Manufacturer Seria*1 No. No. Identification Built or Replacement or Nol Copes-2" Trim Assembly Vulcan, Inc. NA NA 2-RC-PCV-2455C NA Replacement No 7. Description of Work Replace trim assembly.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 555149 (2" Trim Assembly)

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ----'N'-"A=-------------------------------- Certificate of Authorization No. ---~N=A~ __________ Expiration Date ----=N=A~---------- Signed t: ./. V :Z-S.Z:-..{;,L,µ#4,. Date~t:~'/-~___.~--4'--,=-~----, 19 FZ ~;;ner or~gnee, Title '¥-* CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have :6pected the components described -i-//v tJI and state that ' to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


,ctli--:.,....,-~~-',--~~-1-+~~--------Commissions

_______ V_a_._8_8_3 __________ _ inspecic;r*s51gnatur~ National Board, State, Province, and Endorsements Date __ ----"/....,__,/ 1 ,__/71-'-+/ __ 19 97 Attachment 2 Page 46 of 78 Serial No.: 97*709 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner_----------,------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __;.v.a:.ir""g"'ia.:* n,;;,;:i:..;;a'-"'P""o"""w"'"er:;;_ ________ _ Name Sarne as above Address 11/07 /97 Date -1 1 Sheet of Two Unit W0#00369117-01, RR#97-151 Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp ___ ."'"Na.:A _______ _ NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ Main Steam 4. Identification of System~--------------------'-------------------- B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code Na~ional Repaired, Stamped Name of Name of Manufacturer Board ', .. .. Other Replaced, (Yes *Year Component Manufacturer s*erial No, No. Identification Built or Replacement or Nol Part# Disc Anchor/Darling C31207 NA 2-MS-182 NA Replacement No 7. Description of Work Inspect and repair valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ______ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is BY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) . This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 i I . I FORM NIS-2 (Back) PO# CNT-462702

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the.statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Q~~--JJ'.;:r . Ow~-;Jgnee, Title D~--~~=z_l_) ____ ~,19 97 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have insp.,ected the components described in this Owner's Report during the period /O ?7 to ,s-;Y~[D I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ---t,cz ___ yZ=~ ..... -LL--~~~~* __ -________ Commissions--,---,----v_a_. __ 8_8_3_-,----,----------. Inspector's Signature National Board, State, Province, and Endorsements Date // /;o 10 97 I Attachment 2 Page 47 of.78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------~------------ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. N11me 5570 Hog Island Rd,, Surry, Va. 23BB3 Address 3. Work Performed by_....:.v=-ir=-g--'i==* Name Same as above Addre1& 11/07/97 Date 1 1 Sheet of Two Unit W0#00367064-0l, RR#97-153 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ::;;NA:.:... ______ _ NA Authorization No.------------'---- Expiration Date ___ N_A ___________ _ Main Steam 4. Identification of System _______________________________________ _ B31. i 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition,-----'-~--- Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19

  • 89 6. Identification of Components Repaired or Replaced .and Replacement Components ASME ' Code National ,, . Repaired, Stamped " Nania of ' ' ' ~*-.,.~ ' " Replaced, (Yes Name of Manufacturer Board* Other Year Component Manufacturer Serial No. No. Identification Built <fr Replacement or No) Part# Disc *Anchor /Darling C31207 NA 2-MS-176 NA Replacement No 7. Description of Work Inspect and repair valve. 8. Tests Conducted:

Hydrostatic , Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ______ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-462702

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ---~N_A __________ _ Signe ~~-.J. ,.b..23'...Z-Date_--<-/,~'/,__/i _____ , 19 J? (./ftw~,s Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,ct, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. --------------------------,--,-,-+=------have i9spected the components described in this Owner's Report during the period ~//{!} 'Cl-, to ~/ID IO / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


'-~"'--7"""'"---'J'-~-+--+-+~-~------Commissions

_______ v_a_. __ 8_8_3 ___________ _ ~tor's Signature National Board, State, Province, and Endorsements Date ______ !_l-+/~(!~v_* __ 19 z::? Attachment 2 Page 48 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Date __ l_l_/_2_5_/_9_7 ___________ _ Sheet ___ 1 __ of ___ 1 __________ _ Unit __ T_w_o ________________ _ W0#00344933-02, RR#97-155 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. ___ N_A ___________ _ Expiration Date ___ w; ___________ _ 4. Identification of System ___ ~F~e=e=d=w=a=t=e=r _________________________________ _ 5. (al Applicable Construction Code B31. l 19~ Edition,-..:Nc:A.:...._ _____ Addend.J1*1 through N-13 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_......,,'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Stud Mackson Inc. NA NA 2-FW-10 NA Renlacement No Nut Mackson, Inc. NA NA 2-FW-10 NA Replacement No 7, Description of Work. __ R_e_p_l_a_c_e_f_a_st_e_n_e_r_s_.

________________________________ _ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) PO# BNT-467650 (nuts), CNT-558078 (studs) 9. Remarks-~---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. re.pair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date _____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have in~ected the components described in this Owner's Report during the period to ,;:-;/IO /I) I , and state that 7 to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. C.2<2~ Inspector's Signature Commissions _______ V_a_. _8_8_3 __________ _ National Board, State, Province, and Endorsements Date ______ ~~~"----c.f--/_o_ / 19 9;2 f Attachment 2 Page 49 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre1& Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v"'i"'rg.,_ic..* Name Same as above Address 11/17 /97 Date ___________________ _ 1 Two Unit-------------------- wo#00357265-0l, RR#97-157 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ Main Steam 4. Identification of System _______________________________________ _ B31.1 55

  • NA N-1 through N-13 5 .. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-__ 8_9 __ 6. Identification of Components Repaired or Replaced .and Replacement Components ASME Code :
  • National Repaired, _* Stamped Name of Name of Manufacturer'
    • Board
  • Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ' Seller Valve Vogt ID # 21633E NA 2-MS-266 NA Replacement No Energy Steel Ht# 1 1/2" Pipe & Supply Co. _ 230792 NA 2-MS-266 NA Replacement No 7. Description of Work __ R_e_p_la_c_e_v_a_l_v_e_.

_c_o_d_e_c_a_se_N_-_4_1_6_-1_a_P_P_l_i_e_s_.


8. Tests Conducted:

Hy.drostatic

  • Pneumatic D Nominal Operating Pressure Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO # CNT-338169 (valve), CNT-486968 (1 1/2" pipe) 9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ /7 d~ . -e---Signed'1-,?~ ~,er k ~:.£. -OwnerorOer's Daslgnee, Title Date ___ ~/,~Y...,. 1~~7~---, 19----9'-2_ CERTIFICATE.OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ~ve {t')pected the components described in this Owner's Report during the period to S-: /i)~ / , and state that r1 to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this . Owner's Report in accordance with the requirements of the ASME Code,_Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. _____ __,C{)"""'"--'-'""""..,___,.'-_g _ _,.~~~~~*-----Commissions ______ v_a_. __ 8_8_3 __________ _ -Inspector's Signature Nations! Board, State, Province, and Endorsements Date F Attachment 2 Page 50 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rg~i-* n_i_a_P_o_w_er _________ _ Name Same as above 11/06/97 Date __________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo358378-01, RR#97-163 Repair Organization P.O. No., Job No., etc. Type Code Symbol Sta\rf ___ N::c:A:.:..... ______ _ Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ Address Charging 4. Identification of System _______________________________________ _ B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Part# Assembly (Plug) Copes-Vulcan 138120 NA 2-CH-LCV-2460A NA Replacement No 1 1/8" Nuts Mackson, Inc. NA NA 2-CH-LCV-2460A NA Replacement No 7_ Description of Work Repair valve, valve leaks by. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Ottier D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-530451 (trim assy.), BNT-467650 (1 1/8" nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A_. _________ _ Signed r) ... p ;(' ,fl ~,e I~r c.~&,,vP4 Date __ ...-:::...c..';/ 4 4~-----, 19 i'Z Wn~~nee, Title 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co*

  • of Hartford, Ct. -------------------------,-----,r-:,------have i9spected the components described in this Owner's Report during the period------~-~-~--to 7./IO,[O / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/'Ao fr_ Va. 883 _____ _,_<A.....,~~~=~~*-~~---~-~-----Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date l FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As.Required by the Provisions of the ASME Code Section XI 11/06/97 Attachment 2 Page 51 of 78 Serial No.: 97-709 Docket No.: 50-281 Virginia Electric and Power Co. 1. Owner----------------------- Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addren Surry Power Station 2. Plant ______________________ _ Na.me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_ir--'g"-i_n_i_a_P_ow_e_r _________ _ Name Same as above 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo365230-01, RR#97-164 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stawf---N_A _______ _ Authorization No.-------------- Expiration Date ___ NA ___________ _ AddreH Charging 4. Identification of System _______________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 5/8" Studs & Nuts Mackson, Inc. NA NA 2-CH-FE-2180 NA Replacement No 7. Description of Work __ R_e_p_l_ac_e_f_l_a_n_g_e_g_a_s_k_e_t ______________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8Y:, in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650 (5/8" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No, ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed ;;1_ t j ,t_/ fS'.Z-~wnar o~Designee, Title Date __ ______,/,_,/+4---------, 19 9 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. have Jspected the components described ~-:/IIJP I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. fl/),~ Va. 883 ------~~~-~~~,....____..-~,._-+-,,-...~------Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date, ____ ----'--)_1...,.,/_,_,.,?:; __ 19 9'7 Attachment 2 Page 52 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co Name soon Dominion Blvd Glen Allen Va 23060 Address 2. Plant_..,s,.., .. , ... r ... r-'1 ,,_,_.P'"'o ...... wc.oea..r,.._~S,.,t.....aau.t_,.,_* .._n..._n.,___ _________ _ Name 5570 Hog Island Pd Snrrv Va 23883 Address 3. Work Performed by _ __;Vc.,1.,* r,.,g,_,ie.en!.-'i'-"a'---"P-"'o""w-"e-"r _________ _ Name Same as above Address Unit _ _,_....._,.._ ________________ _ wa.uaa3s1aso-01 RR#97 165 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....,Nc!:.A.,__ ______ _ Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ c_h_a_r...:.g_i_n_g _________________________________ _ B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Copes-Part# rim Assembly (Plug) Vulcan, Inc. 131347 NA 2-CH-HCV-2200C NA Replacement No Nova Macn. Studs Products, Inc. NA NA 2-CH-HCV-2200C NA Replacement No Nuts Mackson, Inc. NA NA 2-CH-HCV-2200C NA Replacement No 7. Description of Work __ I_n_s~p~e_c_t~/_r_e=p_a_i_r_va_l_v_e_.

_______________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

    • '* .. ,. FORM NIS-2 (Back) PO# CNT-550160 (trim assembly), CNT-449104 (studs), 9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached BNT-467650 (nuts) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed(i) .. J~A~ .:rs:z-~ll4 Date_--../..,_-~'--d--------,19 )) Own~ ~Desrenea;=rltle ¥J-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have ~ected the components described in this Owner's Report during the period to '2~&,J>! , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ___ _..a~-..._.~o~* ........ ~-)J42~----+-~~~--~----Commissions ______ v_a_._B_B_ 3 __________ _

  • Inspector's Signature National Board, State, Province, and Endorsements Date . !i7 1&-) t:19~ ;

Attachment 2 Page 53 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Vi rgi ni a EJ ectri c and Power Co Name 5000 Dominion Blvd Glen Allen Va 23060 Address 2. Plant __ S ... JuJ ... r_.r'--J-l'-r--'P"'o"""""IA ... lPcc.r..___s ... t ........ aut_, ... * ,._o..._n..__ _________ _ Name 5570 Hog Island Rd 23883 3. Work Performed by __ v:.aie.,r,.;:g,.,ic.cn:,eic.:::ac...:.P.::;o.::.w.:::e=.r _________ _ Name Same as above Address Date _ _.J-"2..,/'-'0"-"3.J...+.../..,_9...i.7 ___________ _ Sheet __ .....1..... __ of __ __.. __________ _ Unit _ _.......,_,__ ________________ _ wo~aa1s1s41-a1 RR#97 166 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....:Nc:.A.:...._ ______ _ Authorization No. __ ~------------ Expiration Date ___ N_A ____________ _ 4. Identification of System ____ c_h_a_r_g_i_n_g _________________________________ _ B31 1 55 NA N-1 through N-13 5. (al Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Copes-Pa.rt # rim Assembly (Plug) Vulcan, Inc. 131347 NA 2-CH-HCV-2200A NA Replacement No Nova Mach. Studs Products, Inc. NA NA 2-CH-HCV-2200A NA R.;placement No Nuts Mackson, Inc. NA NA 2-CH-HCV-2200A NA Replacement No 7. Description of Work _ __cI::.:n::.:s-=p_e_c_t-'-/--'r_e.e.p_a_i_r_v_a_l_v_e_.

_______________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-550160 (trim assembly), CNT-449104 (studs), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached BNT-467650 (nuts) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No, ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed / ~~<' -?"~ Owne~~{} Des1gnee, Tffi'ii.i' Date ____ /.-~.,._,,,__ ____ , 19 1? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. h/; ~ected the components described in this Owner's Report during the period to 5;u/,0 / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


..Ja'===-"-'--"(2"""",._*-1.-...,,~+-~-+-"'-=~c.....:c.....

____ Commissions_--,------V-a_. __ 8_8_3 ___________ _

  • Inspector's Signature National Board, State, Province, and Endorsements Date ;;i_/ 19 n I Attachment 2 Page 54 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant Surry Power st ab on Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __;v..ciccr..=gc.ci.;;.;ncci...ca_P_ow_e_r

__________ _ Name Same as above Address Date 12 / 0 3 / 9 7 Unit Two W0#00357848-0l, RR#97-167 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No*--=------------ Expiration Date ___ N_A ____________ _ 4. Identification of System ____ c_h_a_r_g_i_n_g _________________________________ _ B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Copes-Part# rim Assembly (Plug) Vulcan, Inc. 131347 NA 2-CH-HCV-2200B NA Replacement No Nova Mach. studs Products, Inc. NA NA 2-CH-HCV-2200B NA Replacement No Nuts Mackson, Inc. NA NA 2-CH-HCV-2200B NA Replacement No Copes-Part# 0 ............. .,,. ... ,,,,, ---Th-, -,noac: "~ ?-CH-HCV-2200B NA Renlacement No 7. Description of Work. __ I_n_s..;;pc...e_c_t_;_/_r_e.::.p_a_i_r_v_al_v_e_.


8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3l each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-550160 (trim assembly), CNT-449104 (studs), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached BNT-467650 (nuts), CNT-555625 (bonnet) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed~ /~ zr:z:: Ownero~Designee, Title Date __ _,,l,:.._.~""7,--'---* 19 ? 7 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. haz inspected the components described , fJ q/ 0 / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /7) A" <-f-1 A' Va. 883 -----"'"~~-=,-'-=--"--1.--,YYJ+-1Y4"--'-<<-.,_./l.):'.'.'."::"-l,'-----Commissions _______________ -'-------. Inspector's Signature National Board, State, Province, and Endorsements Date, ____ -'-'/d-~/'--<6=--_19 ??

1. 2. 3. 4. Attachment 2 Page 55 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 12/06/97 Owner Date __________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Addreas Surry Power Station Plant Two Unit _________________ _ N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00361386-0l, RR#97-168 Addrea1 Virginia Power Repair Organization P.O. NgA Job No., etc. Work Performed by Name Same as above Type Code Symbol Starm?---------- Authorizetlon No. ______________ _ Expiration Dete ___ N_A ___________ _ Addreas Identification of System Main Steam B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addende, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of : Manufacturer Board Other Year Replaced, (Yes Component Manufectu rer Serial No, No, Identification Built or Replacement or No) Fisher Tag# Stem & Plug Controls 2147450 NA 2-MS-PCV-202A NA Replacement No Overhaul valve. 7. Description of Work ________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psl Test Temp, ° F NOTE: Supplemental sheets In t'orm of lists, sketches, or drawings may be used, provided (1) size is 8% In. x 11 in., (2) Informs* tion in Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-524773

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed /'J c/1,//-=-~ ...:Z:S,:z= b6.-.,~.,-3e Date ___ ~/~=+--~--. 19 72 ~~r's Deslgnee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia . HSBI and I Co. or Province of and employed by of Hartford, Ct. ha2 in~cted the components described

-/' a 'CJ I and state that I ; I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/?/) Va. 883 ------+-&.:fu!_.,,,'-b,_.(A'""'"_,__r _,,__,,_~~-----Commissions _____________________ _ -lnspectOr's National Board, State, Province, and Endorsements Date

1. 2. 3. 4. -------------------

Attachment 2 Page 56 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre1S Surry Power Station Plant Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power Work Performed by Name Same as above Address Identification of System Main Steam Co. 12/06/97 Date __________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo353099-01, RR#97-169 Repair Organization P.O. N~.!t Job No., etc. Type Code Symbol Authorizetlon NA Expiration Date ______________ _ B31.1 55 NA N-1 through N-13 5, (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Fisher Tag# Stem & Plug Controls 2147450 NA 2-MS-PCV-202B NA Replacement No Overhaul valve. 7. Description of Work=-----------------------------------------

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psl Test Temp. °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is BY. In. x 11 In., (2) tion In items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 1.* FORM NIS-2 (Back) PO# CNT-533186

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No, ____ N_A ___________ Expiration Date ____ N_A---,-_________ _ Signet::2-L d_ -:ZS% M~ Date __ --"-'/Z.=¥'-=-----, 1ef 7 Owner~lgnee, Title ' CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inzected the components described -r:;:§C; or ' and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. //0 Va. 883 -----i~--,,C.-'d{...d__i....;.4-..__-,.. _ __,_-"--=---=-------Commissions _____________________ _ ~lnspacto~ National Board, State, Province, and Endorsements Date __ --+-/~.)__-+--/~£"""----19 0 I


Attachment 2 Page 57 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant _____________________

_ Neme 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_1_2_/_0_9_/_9_7 ___________ _ Unit _T_w_o ________________ _ W0#00363890-03, RR#97-173 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ _....._ __________ _ 4. Identification of System ____ F_e_e_d_w_a_te_r ________________________________ _ 5. (al Applicable Construction Code 831

  • 1 19_5_5 __ Edition,_NA

______ Addendi.~1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.aa..2<--

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired;*.

Stamped Name of Name of Manufacturer Board Other Ye~r

  • Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Energy & n.: ..... .,. ----'" '" Al/ r .. ,...,...,..,... . ---... ---*-~ "-. Replace pipe. Code Case N-416-1 applies. 7. Description of Work*-----------------------------------------
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure Other O Pressure ______ psi Test Temp, * ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-557531

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No.--------------- Expiration Date---------------- Signetla/C~~ .n:z 4,au

  • Owner or O~Designee, Title Date __ __,/.'""z.4

__ _,_ ______ , 19 97 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, .holdi.ng II valid commission issued by the National Board of_Boi!ru and P.ressur11. Vessel Inspectors and the State v1rg1n1a HSe1 ana 1 co. or Province of and employed by of Hartford, Ct. hay.a in,iiected the components described in this Owner's Report during the period to 'f;//(Ji.J2 I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_s_p-ec_t..1,a=n=.,......,"""'Q"'-....c_..,__,_~__,'--""~~f"~-=--"~~'------Commissions _______ v_a_. __ 8_8_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ /~~__,__/_,.cz __ 19 f7 I Attachment 2 Page 58 of 78 Serial No.: 97*709 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/03/97 Date __________________ _ 1. Owner-----------:-.,------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of _____________ _ Addreaa Surry Power Station Two 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ Neme Same as above Address Unit __________________ _ W0#00336464-01, RR#97-174 Repair Organization P.O. No., Job No., etc. Type Code Symbol StamiA ____ N_A ______ _ Authorization No.-------------- Expiration Date ___ N_A ___________ _ Containment Spray 4. Identification of System-------------------------~-------------- B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Coae 19 ___ Edition, _______ Addenda, Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 6" Pipe Tioga Supply I~c. NA NA 2-CS-MOV-202A NA Replacement No 6" Elbow Tioga Supply I~c. NA NA 2-CS-MOV-202A NA Replacement No Consolidated 6" Flange Power Supply NA NA 2-CS-MOV-202A NA Replacement No -8. Tests Conducted: Hydrostatic Pneumatic D Nomi~al Operating Pressure W Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO#* CNT 525276 (6" Pipe), CNT 525150 (6 11 Elbow); . 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CNT 556078 (6 11 Flange) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section x I. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ______ N_A __________ Expiration Date ____ N_A _________ _ Signed /1._ /1_ :TJ':C ~neror~ee, Title Date-~~-,-~_¥__,_/ _______ , 19 2 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_, _C_t_. ----------r=--r-=-------haye i9spected the components described in this Owner's Report during the period-----~-~-..__..__ __ to ~/L.0(0/ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind _arising from or connected with this inspection.


'--'-'---.

_,...,~_."", __..L/=-o.----hp..___,-.__, ....... ;;t'-=-* .... ~'------Commissions _______ V_a_._8_8_3 __________ _ * ~?c,;.;:Signature National Board, State, Province, and Endorsements Date

1. 2. 3. 4. Attachment 2 Page 59 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/03/97 Owner Date __________________

_ Name 5000 Dominion Blyd. ,. Glen Allen,. Va. 23060 1 1 Sheet _____ of _____________ _ Addre11 Surry Power Station Two Plant Unit-------------------- N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00336465-0l, RR#97-175 Addre11 Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Name Type Code Symbol Sta~ ____ N_A ______ _ Authorization No.-------------- Same as above Expiration Date_......,._N_A ___________ _ Addre111 Identification of System Containment Spray B31.l 55 NA N-1 through N-13 5, (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other -.. Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 6" Pipe Tioga Supply I ~c. NA NA 2-CS-MOV-202B NA Replacement No Consolidated 6" Flange Power Supply *NA NA 2-CS-MOV-202B NA Replacement No 7. Description of Work Cut, modify, and install piping for replacing valve . 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure Other D Pressure psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 525276 (6" Pipe), CNT 556078 (6" Flange) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) aceroeut conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ --=N.::A=-------------------------------- Certificate of Authorization No. ----=-N-"'A=------------Expiration Date ___ __,N=A~---------- SigneQ c.f. L~d.L ::Z-Sf ,:.~_,c!&(t Date-~/~'/+-41-+------,19 P2 Owner or~s'i:fesignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. h~ 0 spected the components described

J ,'lJ,, tJ I' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

____ __,a._.."=* .... c;z-. --'le--#*-~~---~"'- _ ... _______ Commissions ____ --,-__ V_a_._8_8_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date // loL! 19 1) 7

1. 2. Attachment 2 Page 60 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/06/97 Owner Date __________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of _____________ _ Addreas Surry Power Station Plant Unit ~=o Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00365700-0l, RR#97-177 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v_ir'"'g""i_n_i_a_P_o_we_r _________ _ Type Code Symbol Stamp---N_A ______ _ Name Authorization No.-------------- Same as above Expiration Date ___ N_A ___________ _ AddreH Main Steam 4. Identification of System _______________________________________ _ B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of 1 Manufacturer Board* Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Schutte & Disc Koerting NA NA 2-MS-RV-lOlA NA Replacement Nq Stud Mackson Inc. NA NA 2-MS-RV*lOlA NA Replacement No Repair PORV. 7. Description of Work ________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-554063 (disc), BNT-467650 (7/8" stud) 9. Remarks---------------'------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the _ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date _______________ _ s;,,ooQ;l.~~"~r.:z-Date __ ~/,~~+~-t=-----, 19 97 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. -------------------------,---r=-----have ilJ,Spected the components described in this Owner's Report during the period to 2;~@ / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /-J0 ("; /'fh.. ) Va. 883 ~'-~Commissions--,-----,------,---........,----,---,-------,--------- insiector's Signature National Board, State, Province, and Endorsements Date, ____ _,/....,_/+-6---'0""---Lb-"-----19 7 / ) Attachment 2 Page 61 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,..,...------------ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ --:-,------------- Neme 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v""1.""* Name Same as above Addre1& 11/07/97 Date ___________________ _ Two Unit ___________________ _ W0#00365793-0l, RR#97-178 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp __ NA Authorization No.-------------- Expiration Date ___ N_A~-----------

4. Identification of System ____ R_e_a_c_t_o_r_c 0_0_l_a_n_t _____________________________

_ 5. (a) Applicable Construction Code 83 1.1 19_55 __ Edition,_NA ______ AddenJt 1 through N-l3 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other *Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 2-RC-SV-2551A NA Replacement No 7. Description of Work Remove safety valve for testing and reinstall.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) P. 0. BNT-467650 (1 3/8" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed'2~ .T.ff Owner orOw'sOesignae, Title //~ 97 Date---~-~4-'""Z-2---+------, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. hj;'.,8 ~spected the components described "J D iJ I and state that I ; , to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /]/) ~""' ~"'

  • Va. 883 ------'~-=--',l,<~"-+----,.......,~-fl/Yv(/(./'-+-'<-.::....--V-

'--' ___ commissions------------,------------lnspector'sSigatu~ National Board, State, Province, and Endorsements Date. ______ ,_1-+/_1_0 __ 19 7'7 Attachment 2 Page 62 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __;_V=.i::.rg.i.;1::.:' n::,:i:.;:a;;_;;;P..=o.:.:.w.=er::._ ________ _ Name Same as above Addre11 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#o0365794-0l, RR#97-179 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .::N::Ac...._ ______ _ NA Authorization No.-------------- Expiration Date ___ NA ___________ _ Reactor Coolant 4. Identification of System _______________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 2-RC-SV-2551B NA Replacement No 7, Description of Work Remove safety valve for testing and reinstall. 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) P. O. BNT-467650 (1 3/8" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,d,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. h9ve ~cted th~ponents described in this Owner's Report during the period '5°I '[) '1 to ,;-;//~f'?'-.? 01 ,~/lfl'1j , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~-C ,--f-1-Va. 883 ------"-~~"-""'=,_.,...__....,-cc._:?)JJ.-4-F-c,,_,.~'-""---'C.-----Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ______ ! r_,J~/~i) __ 19 Y) I i I Attachment 2 Page 63 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,..,.------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v.:...i:.:* r:..ga.:i:.:.n:..:ic.::a:_:.Po=.w::.ce:.:r;_,. ________ _ Name Same as above Address 11/06/97 Date __________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#00365795-0l, RR#97-180 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ N_A _______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ Reactor Coolant 4. Identification of System _______________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 2-Rc-sv-:i.,s51c NA Replacement No --.., ... 7. Description of Work Remove and reinstall safety valve for testing. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650 (1 3/8" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- Signed (}~ft :Z:-S'f b4,~4t'. Date_~/,~'/~~'6 ______ ,199:'7 Owner ~esignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne,q.,holdjng 1l valid commission issued by the National Board of_ Boiler and dPres_sure Vessel Inspectors and the State virginia HSBI an 1 Co. or Province of and employed by of Hartford, Ct. * ------------------------:::;--r--~=-----ha?'- ic~ected the components described in this Owner's Report during the period to ~tL..i:/~ I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ,,/7/) ---fT_

  • Va. 883 --"'-=-GL~~(dc.L......L...._, c-?.J-~~-"'-'~'-----Commissions

________ _ Inspector's Signature National Board, State, Province, and Endorsements Date Attachment 2 Page 64 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 0 Virginia Electric and Power Co. 1. wner ------------------------ 11/25/97 Date ___________________ _ N!3me 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Two Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address W0#003 7 5533 -of. RR#97-198 Repair Organization P.O. No., Job No., etc. NA ),,t .J. 11/iis"/f/7 Virginia Power 3. Work Performed by _________________ _ Type Code Symbol Stamp ___________ _ Name Authorization No. ___ NA ____________ _ Same as above Expiration Date ___ =------------ Address 4. Identification of System ___ -=s-=ac:f-=e-=t..,_v---=.In'-'-'-* e=-c=-t"-'1"-'* o"-'n-'--------------------------------

5. (al Applicable Construction Code B31.1 19_5_5_Edition,_N_A

______ Addenda'J*l through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_~--6. Identification of Components Repaired or Replaced and Replacement Components ASME ".* -**. **. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) C<-, ,.1 M;::ickson Tnc. NA NA 2-SI-94 NA Replacement No . --Cardinal Nut Ind. Products NA NA 2-SI-94 NA Replacement No 7. Description of Work __ R_ep_l_a_c_e_s_t_u_d_a_n_d_n_u_t_.


8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) PO# BNT-467650 (stud), CSY-264274 (nut) 9. Remarks---.----------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have Yt.spected the components described 'r,l/t>, ()1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ___ __.cQ_~-=~1_,.n~sp-1e"'~c'A-to-r'~sll's4~_, "'n4.c.,a"'t~'-'u""re~'-------Commissions _______ V_a_._B_B_3 __________ _ ,i(i National Board, State, Province, and Endorsements Date ____ _,/--';i_~/_0__.__/ _19 77 Attachment 2 Page 65 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_ir~g~1-* n_i_a_P_o_w_er _________ _ Name Same as above AddreH 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#o0375948-01, RR#97-206 Repair Organization P.O. No., Job No., etc. Type Code Symbol Sta\rf----'N:c.:A.:...._ ______ _ Authorization No.-------------- Expiration Date ___ N_A ___________ _ Reactor Coolant 4. Identification of System ________________ "------------------------ B31. l 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1g, __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Stud & Nut Anchor/Darling NA NA 2-RC-MOV-2595 NA Replacement No 7. Description of Work Replace bonnet stud. 8. Tests Conducted: Hydrostatic

  • Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Tem'p, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY, in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO # CSY-154208 (nut), CNT.:-450013 (stud) 9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ NA NA Certificate of ~uthorization No, _______________ Expiration Date ______________ _ Date __ ....... /."--'1 /'----2'--------, 19 9? CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.d,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irg'inia and employed by HSBI and I Co* of Hartford, Ct. ~hJiv~ ;inspected the components described in this Owner's Report during the period to ,;!L.C;/0 1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


~/'fi'=-t:,..a~-+-~~--*-=Pv~-------Commissions

_______ v_a_. _8_8_3 __________ _ ~or'sSlgnatu~ National Board, State, Province, and Endorsements Date Attachment 2 Page 66 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________ ...,... ________ _ Name Same as above Addr1111 Date_l_2_/_0_9_/_9_7 ___________ _ Unit __ T_w_o ________________ _ W0#00356923-02, RR#97-207 Repair Organlz11tlon P.O. No., Job No., ate. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ___________ _ Expiration Date __ ......,..,._ __________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o...;o:..:l:..:a;.;.;n:..:t _____________________________ _ 5. (a) Applicable Construction Code B 3 1. l 19_55 __ Edition,_N_A ______ Addendii: 1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,s"-"'9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) See Flanae Bolts /4\ West* ,..,,,....1-,,...., ,,..e o----'*-"~ ?-DC-D-'C "A Re,....lacement No Replace main flange gasket. 7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ~' \, FORM NIS-2 (Back) PO# NS-27102 (bolt SN 9259, 9285, 9441, & 9255) 9. Remarks--------------------------------,----------------,....---- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No, _______________ Expiration Date _______________ _ Signed Q,£.., L _ '4~ . If£' fAttl,,,rd-:!-4 Owne~wner's Oesignee, Title Date ___ .:./.-=:~_.___,------,, 19 92 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne$1 1.holdi.ng !I valid commission issued by the National Board otBoiler and P-1essure. Vessel Inspectors and the State v1rg1n1a HSB~ ana co. or Province of and employed by of Hartford, Ct. have in,sl}ected the components described in this Owner's Report during the period to 5-;l!vro I

  • and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/'la r---, * --f-J . Va . 8 8 3 _____ _.{,,l-""'_,_""=->-.,.,>-~-L-~~--------Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date, __ ~/_c)-... __ / _7_19 72 I Attachment 2 Page 67 of 78 Serial No.: 97*709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant-----------:-:------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addra11 Date_1_2_/_0_9_/_9_7 ___________ _ Unit _T_w_o _______________ _ W0#00357205-0l, RR#97-208 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ .....,,"'------------. 4. Identification of System ___ ...:R-"e...:ac..;c_t_o.c;.r_c_o_o:.:l:.:a:::n:.::t _____________________________ _ 5, (a) Applicable Construction Code B 3 l. l 19_55 __ Edition,_N_A ______ Addenclii~ 1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-'8""'9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME ,. Code National Repaired, ,. Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol ' See Flange Bol°ts (9) Westinghouse Remarks NA 2-RC*P*lA NA Replacement No Remove/install/restretch main flange bolts. 7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 th.rough 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91


FORM NIS-2 (Back) PO# 86182 (bolt SN 13436), PO# 27102 (bolt SN 9280, 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached 9277, 8282, 9281, 9453, 9446, 9447, & 9449) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP-------------------------------------- Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed (2--t _z:r' .L .6,.,4 ,a.Ed_ Owner o~ ner'sDesignee, Title Date __ ---'l'-°='-/j--4------, 19 9 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1.holdi,ng

i valid commission issued by the National Board of Boiler and Pdres1ureCVessel Inspectors and the State v1rg1n1a HSeI an o. or Province of and employed by of Hartford, Ct. hayein;pected the components described in this Owner's Report during the period to 0/U,!f) I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/70 ---hf Va. 883 --------'.C.lJ,...,,,.....~L?'"""'"___,_. -~......,__...,._,W~~V_l/_V'-- __ commissions _______________ _

  • Inspector's Signature National Board, State, Province, and Endorsements Date Attachment 2 Page 68 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __ -'-.--------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ ..,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_i_rg"'-1-* n_i_* a_P_o_w_e_r _________ _ Name Same as above Addreas 11/12/97 Date __________________ _ 1 1 Sheet _____ of _____________ _ Two Unit __________________ _ W0#00368000-01, RR#97-209 Repair Organization P.O. No., Job No., etc. Type Code Symbol Staw.r-* ___ N_A _______ _ Authorization No.-------------- Expiration Date ___ N_A ___________ _ Vents and Drains 4. Identification of System _______________________________________ _ B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# Plug Fisher Control, 11A5314X03 NA 2-DG-TV-208A NA Replacement No 7. Description of. Work __ R_e_p_a_ir_v_a_l_v_e_*----------------------------------

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY-335931

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

Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- Signe~~ ff.5:Z-Owner or ownfr'.~Tunee, Title Date ___ /,,_,'/ __ ;{~k~----, 19 $? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. hd 0 pected the components described ? '?D DI and state that I ' to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


<cc~=--"-'-'<=,-""'--+**-~+--++-~1/V~~~-"--W"-l"-----Commissions

_____________________ _ Inspector's Signature Va. 883 National Board, State, Province, end Endorsements Date Attachment 2 Page 69 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_l_2_/_0_9_/_9_7 ___________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- W0#00376203-0l, RR#97-212 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ _...,NA"=------------

4. Identification of System ____ R_e_a_c_t_o_r_c_o_o-'l'-a-'n'-t------------------------------

5, (a) Applicable Construction Code B 31**1 19_5_5_Edition,_N_A ______ Addendt 1 through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8"-'9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Canopy ABB Combust. Task# ,la~1 r1 ~--.., __ .!,..., ___ _! __ onnococ '" o_n~_n_, '" n~-1 ,=,...,+-,,~ Install CRDM housing canopy seal clamp. 7. Description of Work ________________________________________

_ B. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-561433

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

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No, _______________ Expiration Date _______________ _ Signed /7,/ / 'e(L_/ f ;7 ~rol&e,J:?si5esignee, Title D~---~-~4~-----,199~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1.holdi,ng II valid commission issued by the National Board of_Boiliu and P-1essure. Vessel Inspectors and the State v1rg1n1a HSB~ ana co. or Province of and employed by of Hartford, Ct. -------------------------=,--...,,,-------hav 7_ i.n~ected the components described in this Owner's Report during the period------.r...,'-'--=.'--._,.__to 2"/IV/0/ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ./'-7/0 Va. 883 _____ ..,c-_u_£.>-~"""-'"--,:..' -~F-,"'-"-=-=-----Commissions_....,........., _________ ,--________ _ ~specter's~ National Board, State, Province, and Endorsements Date _____ /<-=-o/.+/---1'9'--_19 9"7 I I Attachment 2 Page 70 of 78 Serial No.: 97*709 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. N11me 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v_ir~g=-i-* n_i_a_P_o_w_er _________ _ Name Same as above AddreH 11/07 /97 Date ___________________ _ 1 1 Sheet _____ of _____________ _ Two Unit-------------------- wo#oo369714-01, RR#97-214 Repair Organization P.O.* No., Job No., etc. Type Code Symbol Stai;p.f---N_A _______ _ Authorization No.-------------- Expiration Date ___ NA ___________ _ Main Steam 4. Identification of System _______________________________________ _ B31. l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board .*. Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs & Nuts Mackson, Inc. NA NA 2-MS-SV-204C NA Replacement No 7. Description of Work Remove, test, reinstall safety valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I FORM NIS-2 (Back) P. 0. BNT-467650 (1 3/8" studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ..=N.::A~----------------------------- Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SignedJ£.- _d,, ~4/ Zsr d'l'ltv.v~ O~~r's Designee, Title Date_,._/l.....,,.,...4----+-------, 19 97 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. hai iVi?ected the components described in this Owner's Report during the period to '>, ij~ I , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.


'<ca,,,..£4,><""'-'i.----!-')aqi-+--JC-..J'..

'--"'Ac.i.~.::.*-"'-------Commissions _______ v--,--a_. __ 8_8_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date _______ /~('-/,;'--D __ 19 r2 l Attachment 2 Page 71 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Date_l_2....c/_1_5....;/_9_7 ___________ _ Sheet __ l ___ of ___ l __________ _ Unit Two W0#00369715-0l, RR#97-215 Repair Org11nlzetlon P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. _-:;N:c;A:...._ __________ _ Expiration Date __ ~A.------------

4. Identification of System ___ ~M=a=i=n~st~e=a=m"---------------------------------
5. (a) Applicable Construction Code B 3 1. i 19_55 __ Edition,_NA

______ Addenda;l through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_a""'9,....__

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or No) c~ ,,ci_ M--'*---Tnr hl~ hm ?-M" .cu oner-"" o-~1---hln Nuts Mackson, Inc. NA NA 2-MS-SV-205C NA Renlacement No Replace fasteners.
7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date ______________ _ SignedQ.£ j/_ -:. , . :rrr bl<fj,,vcM Ow~eslgnee, Title Date ___ ~/~=ri-~~----, 19 ?'2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1 t,olding valid commission issued by the National Board of Boiler and P.res1ur1L Vessel Inspectors and the State . v1rg1n1a HSBl anal co. or Province of and employed by of Hartford, Ct. _______________________________ have inspected the components described in this Owner's Report during the period-----~,:~c=--/......,,,2'"'1,../....._*f' ... Z __ to /c/24/97 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 111..l/:!- lt7 1./J. 'I Jo#P' _..;./N..e..*-=-°"'=*;:,:t~ .... ~'-'---'~~~=*--------Commissions ______ v_a_._~ __ ,-----,---l;"?",,~-A:~-- 1nspector's Signature National Board, State, Province, and Endorsements Date ___ ~o~--~~"'~~Z.~?~ ___ 19 'f Z

1. 2. 3. 4. Attachment 2 Page n of 78 Serial No.: 97*709 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date_1_2_/_1_5_/_9_7

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Plant Surry Power Station Unit _T_w_o ________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00365797-0l, RR#97-216 Addre11 Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power NA Type Code Symbol Stampe.* ----------- Name Authorization No. _ _.c;N;;.;A ___________ _ Same as above Expiration Date __ -"'-"------------ Addre11 Identification of System Main Steam 5. (al Applicable Construction Code 831

  • 1 19_55 __ Edition,_N_A

______

  • Addendii~1 through N-13 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19._.,_a9,___
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes .Component Manufacturer Serial No. No. Identification Built or Replacement or Nol "r""~ M....,....,1-

-~--... " ')_MC'.l_l'.'l"!T_"'J""""-. '" n-...... 1 enr ,,~ Nuts Mackson, Inc. NA NA 2-MS-SV-202B NA Replacement No Replace fasteners.

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 J FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date _______________ _ /1./~ --c' SigneM..£ U-,....1. '4.& .;L ,,:;:;;,.~tf,u<'66¢ Owneror~r 7 s Oesignee, Title Date __ __./'--'~"'T--'c,,<~------, 19 92 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1.holdi.ng ll valid commission issued by the National Board of Boiler and P1essure Vessel Inspectors and the State virginia HSBI ana I Co. or Province of and employed by of Hartford, Ct. --------------------------,--,-------have injPected the components described in this Owner's Report during the period ,c/µ/'jlz to /<.l/i!,.t./£z-, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this tt;l,Y ~'7 -----'~--""'--~-~,._'....,.'-~JF=~.C.......C=-* _________ Commissions ______ v_a_._~--------~-." ....,M7"'A~* _ Inspector's Signature National Board, State, Province, and Endorsar?ients inspection. Date ___ ~fi~~,,-c_~Z,._L~ ___ 19 S-7 ~------------------


Attachment 2 Page 73 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI , . Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 AddreH Surry Power Station 2.

Neme 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_1_2_/_1_5_/_9_7 ___________ _ Sheet __ 1 ___ of ___ l __________ _ Unit _T_w_o ________________ _ W0#00365798-0l, RR#97-217 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ NA ___________ _ Expiration Date __ -'"'"------------

4. Identification of System ____ M_a_i_n_s_t_ea_m

_______________________________ _ 5. (a) Applicable Construction Code B 3 1.i 19_55 __ Edition,_NA ______ Addend1i~1 through N-l 3 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-s .... 9,.___ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) _q1-,,c1~ M-...-.1..- ..... -.-. T--'" wn ?-MC-CU-?nCH> '" 0= ...... , =,...=....,= .... +-" Nuts Mackson, Inc. NA NA 2-MS-SV-203B NA Reolacement No Replace fasteners.

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Ya in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date ______________ _ Signed r{) ./. j} ;.vv' f XZ-~4t&tt:a, Owner~s Designee, Title Date ___ ~/..=~,._.... ..... ,: _____ , 19 £ 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1.holdi.ng ii valid commission issued by the National Board of Boiler and P.res.&ure. Vessel Inspectors and the State v1rg1n1a HSB~ ana co. or Province of and employed by of Hartford, Ct. -------------------------,---,-----have inspected the components

  • described ,ID /2, 1/~7 to ./~ /~ k / F Z , and state that in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty,-expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/J,'/~ J -~..l~ ,i/1,Jl/v ---~....:C~...::.,<:;.~__:~::c:*,-.,./_....:;~.=...L-<<"-~~:__..::;_*_* ______ commissions ______ v_a_. -*-~-=--,---------,;.,,:.;.:...<:L--- 1 nspector's Signature Date ____ .J<L) ... * <-r,__,,,c __ z=-cz,, ____ 19 Y7 Attachment 2 Page 74 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by _________________ _ Name Same as above Addre11 Date_1_2_/_1_5_/_9_7 __________ _ Unit _T_w_o ________________ _ W0#00365799-0l, RR#97-218 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ -"'"'------------

4. Identification of System ___ ...:M.;.:ao.:i:.:cn'-"'s..;:.t.;;;.ea""m"'"---------------------------------
5. (al Applicable Construction Code 831
  • 1 19_55 __ Edition,_NA

______ . Addendii~1 through N-l 3 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8"""9"--'--

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol Studs Mackson Tnc "'~ '" ?-Mc-sv-0 0*0 NA Renlacement No Nuts Mackson, Inc. NA NA 2-MS-SV-204B NA Replacement No Replace fasteners.
7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure [J Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date--------------- Signed /1.. i _) -t.&k-: J:" f:£ 4/Gtv//a Date /d..i.r* ~ner o~er's Designee, Title , 19 2 CERTIFICATE OF INSERVICE INSPECTION I, the undersignefi, .holdi.ng II valid commission issued by the National Board otBoile.r and P.res:;ure. Vessel Inspectors and the State v1rg1n1a HSB1 ana 1 ~o. or Province of and employed by of Hartford, Ct. _______________________________ have inspected the components described in this Owner's Report during the period r&/21/jt7 to ,1ch41fz , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. mP/: ?".-< y ;'ihz-s;7 ---~~""--~~4"~£~- _____ Commissions ______ v_a_._!J.8_~ __ ,----~,J<z;.,.-~~lll"-'-A:~- 1 nspector's Signature National Board, State, Province, and Endorsements Date ____ ./)"'"",-:..Jt;..___.,,,2=-"=----19 9,7

1. 2. 3. 4. Attachment 2 Page 75 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. "Date_1_2_;_1_5_/_9_7

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet __ 1 ___ of ___ 1 __________ _ Addre11 Plant Surry Power Station Two Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00369713-0l, RR#97-219 Addre11 Aepelr Organization P.O. No., Job No., etc. Virginia Power Work Performed by NA Type Code Symbol Stamp ___________ _ Name Authorization No. __ N_A ___________ _ Same as above Expiration Date __ --"'NA.,_ __________ _ Addre11 Identification of System Main Steam 5. (a) Applicable Construction Code 831*1 19_55 __ Edition,_NA ______ Addenda, N-l through N*1 tode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8""9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) C'h,,.an M-.,-,1..-.--

-.... ... '" " M~ n, on"~ '" -, __ -->-"-Nuts Mackson Inc. NA NA 2-MS-SV-203C NA Reolacement No 7. Description of Work Replace fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SigneQ L,r ~g,~-< _:::r-s_r Date __ ~/.-~+-'-'t"f~----, 19 9") Owneror~'sDesignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1 holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. in this Owner's Report during the period-------,,,,.j~c~O~G-1~",,.~~9~Z __ to have inspech the components described ,c/24, Z and state that I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither-the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n-1& '-/;Z.1/ 1.,,,;a/'l7 .A-.?.;;, / A~ Va.~ *,:: ,v,1. __,~e:::.....,c.....,?c..._' -'~"-'<<4*"""'c...e...~£....,"'--'"' ... 1F'.""~==-* .==.. ________ Commissions ______________ ---' ... =.-~,._,e..y.-.L!!!..__ __ Inspector's Signature National Board, State, Province, and Endorsements Date, __ _,_L)=* ....,_r....,,t:.<--__._2....,Z."'--- ___ 19 17 Attachment 2 Page 76 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________ .,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date _1_2..c/_1_5_/:__9_7 __________ _ Unit __ T_w_o ________________ _ W0#00369712-0l, RR#97-220 Repair Orgenlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ ..... ..._ __________ _ 4. Identification of System ___ -'M"-'a::..:i:..:n=-...c:s.::t.::e.c.:am=--------------------------------

5. (a) Applicable Construction Code 831
  • 1 19_5_5_ Edition,_N_A

______ Addenda, N-l through N-1 code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_s.,_9..__

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National .. Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or No) Studs M~-'*---Tn~ Mh ,rn ?-M"-'"'-?Q?C ,rn Re ....... lacement No Nuts Mackson, Inc. NA NA 2-MS-SV-202C NA Replacement No 7. Description of Work Re lace fasteners.
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Sig~eW~ /_ A/_,-5ff ~4{,d~ O~s Deslgnee, Title Date __ ----'/,..c;~-r"'._ _____ , 19 f Z CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. -------------------------,,----,,------have inspect~ the components described in this Owner's Report during the period _____ ~/~c-/.~.z-*-,:1~A-J: ... *z~-to ;rch 6./fz , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /11} A, . ~241 ;7,/l-i./5'7 ~... / Va. ?:-'V/1 ---'~'----=:.......c--~-'----' .... k=----,,.-"-'.;.-.,_,.C"---'=------------Commissions ______________ __,,,"",,,_,.,_,,Y-~'--- 1 nspector's Signature National Board, State, Province, and Endorsements Date ___ ~/J~r-*e~~'=**=z, ___ 19 77 Attachment 2 Page 77 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________ _ Nlime 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_l_2_/_2_2_/_9_7 ___________ _ Unit _T_w_o ________________ _ W0#00369711-0l, RR#97-221 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ___________ _ Expiration Date __ ...... ..._ __________ _ 4. Identification of System ____ M_a_i_n_s_t_ea_m _______________________________ _ 5. (a) Applicable Construction Code B 3 1. i 19_55 __ Edition,_NA ______ Addenda, N-l through N*1 code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8"'9"---

6. Identification of Components Repaired or Replaced and Replacement Components ASME I Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) "'"""~ M,::,-1----

T~-Mh '" O.M~ ~n.,n,~ '" n~-i ~---ent-. No Nuts Mackson, Inc. NA NA 2-MS-SV-201C NA Replacement No Disc Dresser ACV17 NA 2-MS-SV-201C NA Replacement No 7. Description of Work Replace fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in,, (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ----, FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts), CNT-538440

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

Applicable Manufacturer's Data Reports to be attached (disc) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Cod~ Symbol Stamp _____________________________________ _ NA _______________ Expiration Date _______________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ 1 holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. -------------------------~-------have inspected the components described in this Owner's Report during the period----~"~*~c_/~u-*"'/;""""1'-2~--tO /r,/Ufl7 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. --"'db'--* "-*-~~~.d..,_,p.""'*~-*~~~* --~~-* _______ Commissions ______ v_a_._4_2_4 ___ r_,_N_, _A ___ _ lns~ector's Signature National Board, State; Province, and Endorsements Date ___ _._i.)~'~'£;~*-~,i_z, ____ 19 27


Attachment 2 Page 78 of 78 Serial No.: 97-709 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant-----------:-:------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date _1_2_/_1_5_/_9_7 ___ --,--______ _ Sheet __ l __ of __ l __________ _ Unit _T_w_o ________________ _ W0#00365796-0l, RR#97-222 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ _,,.,.__ __________ _ 4. Identification of System ___ ....cM.:.::a.:.::i;.:.;n;....;;;.s.::.te.::.a"'m"---------------------------------

5. (a) Applicable Construction Coda 831*1 19_55 __ Edition,_N_A_-

_____ Addenda, N-l through N-lcode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-Bo.;9z..__

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ,<;t-.ucl~

M-,,,-.1-- T--'" '" o_M~-~n_o~,n

    • --., *--~ "~ Nuts Mackson, Inc. NA NA 2-MS-SV-201B NA Replacement No 7. Description of Work Replace fasteners.
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ' -, r I FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A __________ Expiration Date ____ N_A __________ _ Signed /7. / L/ .::Z:-<;':Z- ~viniiro~nee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct.

  • in this Owner's Report during the period ______ /.._.,c"'/.--'.&:::.:

.. 1, .. /;-'~""'/._* __ to ha~~hspeA~ the components described /(;) c.. (, 17 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /J?ft'

  • ___ 4?.-=---"'~'J=.

c.c..:..*__.@c.,*****,c..*. __._, =-~-,..;;'----'*==-----Commissions _____ v_a_._~_*~_'(_,z.._'!._~_~_"_/--'.£.,,,_..,.u;~F/!CL.-_ Inspector's Signature National Board, State, Province, and Endorsements Date ___ ~A~r~&~e~t_'v ___ 19 7/}}