ML18151A281
| ML18151A281 | |
| Person / Time | |
|---|---|
| Site: | Surry  |
| Issue date: | 12/27/1995 |
| From: | VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.) |
| To: | |
| Shared Package | |
| ML18151A282 | List: |
| References | |
| NUDOCS 9601250199 | |
| Download: ML18151A281 (178) | |
Text
{{#Wiki_filter:Attachment I Page 1 of 35 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power C011pSny, 5000 Dominion Blvd., Glen Allen, VA 23060
- L Owner----------------------------------------
(Name and Address of Owner)
- 2. Plant __s_u_r_ry=---P_o_we_r_S_t_a_t_ion---=,_55_7_0_H-'og=---I-s_la_nd
__Rd_.-='-su~r_r-"y-'-,-v_A_2_3883 _________________ (Name and Address of Plant) 1 NA
- 3. Plant Unit _ _ _ _ _ _ _ _ _ 4. Owner Certificate of Authorization (if required) _ _ _ _ _ _ _ __
; S. Commercial Service Date 12/22/72 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.
;
Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Vestinghouse Tanpa Division 2981 VA 58203 681
- 1-RC-E-1A Reactor Coolant Vestinghouse 458 NA NA p...... 1-RC-P-1A
- Seal Injection Conmerc i al Filters Corporation . NA NA NA
,Filter 1-CH-FL-4A ", .. ,,
Pressurizer Vestinghouse NA VA 58202 1031 1-RC-E~2 RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SIP~ Byron Jackson P~, Inc. NA NA NA
;
1-SJ-P-1A Recirc. Spray P~ 1-RS-P*ZA Byron Jackson P~, Inc. NA NA , NA t.etdn Heat Ex Joseph *oats &Sons, Inc. 1674-2 VA59647 310 1-CH-E*2 Regen Heat Ex Sentr.y Equipment Corporation 4195-A3-7 VA 59812 369 1-CH-E-3 Excess LD H Ex Atlas Industrial Manufacturing 851 VA 58206 702 1-tH-E-4 Con.,any Class 1/2 Piping Southwest Fabricating Comany NA NA NA Class 1/2 Component Supports Southwest Fabricating Conpany NA NA NA
/
9601250199 960117 c. PDR ADOCK 05000280 G PDR
- -** .**
*,
':Note: Supplemental sheets in form of lists, sketches, or drawings may .be used, provided (1,) size is 8Yz 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 _3_/_2_4/_9_4_ _ _ _ _ _ _ to _10_/_2_1_/_95_ _ _ _ _ __
- 9. Inspection Period Identification _ _LE r....s.....t._c_Pe..r._j,..od,,,.__~c""10.._-_1._,,4._-.z9..,_3_-_...J1...0,_-""14:z.-~2.....6 u . > ' - - - - - - - - - - - - - - - - - - -
1u* Th i rd Interval (10-14 10-14-03)
- 10. Inspection Interval Identification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 11. Applicable Edition of Section XI __1_9_89_ _ _ _ _ _ _ _ Addenda _No_n_e_ _ _ _ _ _ _ __
August 17, 1995, Revision 4
- 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 through 12 of abstract of examinations performed See attachment 1, Pages 1 through 4 of abstract of system pressure tests
- 14. Abstract of Results of Examinations and Tests.
See Attachment 1, (examination s1.11111Bry, Pages 1-3)
- 15. Abstract of Corrective Measures.
See Attachment 1, (examination s1.11111Bry, Pages 2 and 3) 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) --ftll\--------- Expiration Date _,,,.__ _ _ _ _ _ _ _ __
Virginia Elect. & Power Co. r / ,-T""I l I -;;r,; Date Signed - - - - - - - - - - - - By Lvv I~~ ..llL-- 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 'lirgiRia and employed by Hartford S B l & l Co of Hartford, CT have inspected the components described in this Owner's Report during the period 03/24/94 10/21/95 .
- - - - - - - - - - - to , 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.
-------,~f-"q,,<-----!.-._~~=--->"---~--
Date Inspector's Signature
/~-'J..7 1996 Commissions _V_A_5_43_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
National Board, State, Province, and Endorsements
- Attachment I Page 2 of 35 Ser;aL No.: 95-594 Docket No.: 50-280
- Examination summary Virginia Electric and Power company Surry Power station Unit 1 1995 Refueling outage 3rd Interval, 1st Period Introduction This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power station Unit 1 from May 24, 1994 through October 21, 1995. The examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code.
Examination procedures were approved prior to the performance of the examinations. Certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.
- Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford Steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.L. Coder), Surry station Quality Assurance Department and Surry technical staff.
Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1989 Code could be applied. Consequently, some examinations are limited or not practical due to geometric configuration or accessibility. Generally these limitations exist at fitting to fitting joints, such as elbow to tee, elbow to valve, reducer to valve, and where integrally welded attachments, lugs and supports preclude access to some part of the examination area. These limitations some-times preclude ultrasonic coupling or access for the required scan length *
- Page 1 of 3
Attachment I Page 3 of 35 Serial No.: 95-594 Docket No.: 50-280 Examinations 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 consid-ered in an attempt to achieve the maximum examination volume. 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 result-ed in a total of two (2) items being reported on the basis of procedure reporting criteria. All other examinations and tests are acceptable. A summary of the indications and their dispositions are as follows:
- 1.* Support 1-CH-HOOl, (Class 1) shown on drawing 11448-WMKS-0102A3Z and on valve 1-RC-HCV-1556C (lines 2"-CH-10-1503/2"-
RC-200-1502) was reported as having broken and missing grouting, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. Per ASME Section XI, IWF-2430, an immediately adjacent support was examined, (there was only one immediately adjacent support, i.e., the line terminated on one side of the rejected support with no additional supports on that line) and the examinations was extended to include additional supports equal in number and similar in type, design and function to those initially examined during the inspection period. No corrective measures were required to be performed on the additional supports that were sched-uled due to expansion of the examinations.
- 2. Weld 1-12, (Class 2) shown on drawing 11448-WMKS-OlOlGl on line 14 11 -WFPD-13-601 was examined by magnetic particle examination, and a linear indication 2.1 11 long extending from the weld toe into check valve 1-FW-041 was reported.
The linear indication was ground out and the excavation was examined with the magnetic particle method to verify removal of the linear indication. The area was repaired by welding under Repair and replacement No. 95-208. A preservice
- Page 2 of 3
Attachment I Page 4 of 35 Serial No.: 95-594 Docket No.: 50-280 e examination was performed using both magnetic particle and ultrasonic test methods, both examinations reported no relevant indications. Per ASME Section XI, IWC-2430, the examinations were extended to include an additional number of welds (10 welds) within the same examination category, equal to the number of welds examined initially during the inspection period. No indications were found on the welds that were scheduled due to expansion of the examinations. 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 100 percent of
- the First Period examinations and 32.9% of the interval examina-tions *
- Page 3 of 3
Attachment I Page 5 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, :rwc & IWF Drawing Marie/ Line Sect XI Sect XI Sect XI Exaa- Exaa-Nlllber Weld No- No_ Class category ltea No_ Method Date Remarks 11448-WMKS-0100A1Z 1-06 1'/z-CH-97-1502 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A1Z 1-17 2-CH-97-1502 1A B-J B9.40 PT 09/14/95 11448-WMKS-0100A1Z 1-18 2-CH-97-1502 1A B-J B9.40 PT 09/14/95 11448-WMKS-0100A1Z 1-CH-H002 2-CH-97-1502 1A F-A F1.10 VT-3 12/05/94 11448-WMKS-0100A2Z 1-01BC 2-CH-5-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A2Z 1-03 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-WMKS-0100A2Z 1-09 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-\.IMKS-0100A2Z 1-12 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-WMKS-0100A2Z 1-CH-H003 2-CH-5-1502 -1A F-A F1.10 VT-3 09/12/95 11448-WMKS-0100A4Z 1-01BC 2-RC-53-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A4Z 1-11 2-RC-53-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-15 2-RC-53-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-18BC 2-RC-55-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A4Z 1-22 2-RC-55-1502 1A B-J B9.40 PT 09/13/95
-~8-WMKS-0100A4Z 1-25 2-RC-55-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-45 2-RC-53-1502 1A B-J B9.40 PT 09/30/95 11448-WMKS-0100A4Z 1-49 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A4Z 1-RC-H001 2-RC-53-1502 1A F-A F1.10 VT-3 10/01/95 11448-WMKS-0100A4Z 1-RC-H003 2-RC-55-1502 1A F-A F1 .10 VT-3 10/01/95 E1 11448-WMKS-0100A4Z 1-RC-HCV-1557A 2-RC-55-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0100A5Z 1-01 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-08 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-11 2-RC-53-1502 1A B-J B9.40 PT 10/03/95 11448-WMKS-0100A5Z 1-16 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-19 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-23 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-26 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100ASZ 1-RC-H017 2-RC-53-1502 1A F-A F1.10 VT-3 09/10/95 11448-WMKS-0100A5Z 1-RC-H018 2-RC-53-1502 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100A5Z 1-RC-H019 2-RC-53-1502 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100A6Z 1-01BC 2-RC-198-1502 1A B-J B9.32 PT 09/13/95
- 8-WMKS-0100A6Z 1-03 2-RC-198-1502 1A B-J B9.40 PT 09/13/95 Page 1 of 12
Attachment I Page 6 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
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IWB, IWC IWF
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Drawing Nark/ Line Sect XI Sect XI Sect XI Exam- Exam-Nllllber Weld No. No. Class category Itea No. Method Date Reaarks 11448-WMKS-0100A6Z 1*08 2-CH-8-1503 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A6Z 1-11 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A6Z 1-15 2-CH-8-1503 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A6Z 1-CH-H003 2-CH-8-1503 1A F-A F1 .10 VT-3 09/12/95 11448-WMKS-0100A6Z 1-RC-H001 2-RC-198-1502 1A F-A F1.40 VT-3 09/12/95 11448-WMKS-0100A7Z 0-01 2-CH-8-1503 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A7Z 0-05 2-CH-8-1503 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A7Z 1-03 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-07 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-11 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-38 2-CH-8-1503 1A B-J B9.40 PT 09/11/95 11448-WMKS-0100A7Z 1-CH-H001 2-CH-8-1503 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100AZ-1 1-05DM 29-RC-1-2501R 1A B-F B5.70 UT/PT 09/14/95 p 11448-WMKS-0100AZ-1 1-06DM 31-RC-2-2501R 1A B-F B5.70 UT/PT 09/13/95 p
~8-WMKS-0100D1 1-SHP-H073 30-SHP-1-601 2A F-A F1.20 VT-3 09/27/95 .11448-WMKS-01 OOD1 H005-1 30-SHP-1-601 2A c-c C3.20 surface 09/25/95 11448-WMKS-0100D1 H006-1 30-SHP-1-601 2A c-c C3.20 Surface 09/30/95 11448-WMKS-0100D1 H009-1 30-SHP-1-601 2A c-c C3.20 Surface 09/20/95 11448-WMKS-0100D1 H009-2 30-SHP-1-601 2A c-c C3.20 Surface 09/20/95 11448-WMKS-0100G1 1-18 14-IJFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0100G1 1-19 14-IJFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0101A2Z 1-01BC 2-RC-57-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0101A2Z 1-22BC 2-RC-56-1502 1A B-J 89.32 PT 09/12/95 11448-WMKS-0101A2Z 1-RC-HCV-1557B 2-RC-56-1502 1A B-G-2 87.70 VT-1 12/19/94 A1 11448-WMKS-0101A3Z 1-01BC 2-RC-199-1502 1A B-J B9.32 PT 09/12/95 11448-WMKS-0101A3Z 1-08 2-CH-9-1502 1A B-J B9.21 PT 09/12/95 11448-WMKS-0101A3Z 1-CH-H001 2-CH-9-1502 1A F-A F1 .40 VT-3 09/13/95 11448-WMKS-0101A3Z 1-CH-HCV-1556B 2-CH-9-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0101G1 1-12 14-IJFPD-13-601 2A C-F-2 C5.51 UT/MT 09/25/95 F1 11448-WMKS-0101G1 1-13 14-IJFPD-13-601 2A C-F-2 C5.51 UT/MT 09/23/95 11448-WMKS-0101G1 1-IJFPD-H078 14-IJFPD-13-601 2A F-A F1.20 VT-3 09/27/95
- 8-WMKS-0101G1 H002-1 14-IJFPD-13-601 2A c-c C3.20 Surface 09/25/95 Page 2 of 12
Attachment I Page 7 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC IWF
'
Drawing Nark/ Line Sect XI Sect XI Sect XI Exaa- Exaa-Nuiber Weld No_ No- Class category Item No_ Method Date Remarks 11448-WMKS-0101G1 H078-1 14-WFPD-13-601 2A c-c C3.20 Surface 09/30/95 11448-WMKS-0102A2Z 1-01BC 2-RC-58-1502 1A B-J B9.32 PT 09/16/95 11448-WMKS-0102A2Z 1-RC-HCV-1557C 2-RC-59-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0102A3Z 1-CH-H001 2-CH-10-1503 1A F-A F1.40 VT-3 09/20/95 F1 11448-WMKS-0102A3Z 1-CH-H002 2-CH-10-1503 1A F-A F1 .10 VT-3 10/02/95 E1 11448-WMKS-0102A3Z 1-CH-HCV-1556C 2-CH-10-1503 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0102AZ-1 1-11 31-RC-8-2501R 1A B-J B9.11 UT/PT 09/17/95 p 11448-WMKS-0102AZ-1 1-12 27'/z-RC-9-2501R 1A B-J B9.11 UT/PT 09/17/95 p 11448-WMKS-0102AZ-1 1-21 31-RC-8-2501R 1A B-J B9.12 UT/PT 09/17/95 11448-WMKS-0102G1 1-16 14-WFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0102G1 1-17 14-WFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-1 0-3L 30-SHP-1-601 2A C-F-2. C5.52 UT/MT 09/15/95 11448-WMKS-0103A2-1 2-26 30-SHP-1-601 2A C-F-2 C5.51 UT/MT 09/15/95 11448-WMKS-0103A2-1 2-28 30-SHP-1-601 2A C-F-2 C5.51 UT/MT 09/15/95
- 8-WMKS-0103A2c1 2-34L 30-SHP-1-601 2A C-F-2 C5.52 UT/MT 09/15/95 11448-WMKS-0103A2-2 4-10 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-2 4-25 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-2 4-28 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-4 1-13BC 30-SHP-22-601 2A C-F-2 C5.81 UT/MT 09/17/95 11448-WMKS-0117A1-1 0-01L 14-RH-18-602 2A C-F-1 C5.12 UT/PT 09/27/95 11448-WMKS-0117A1-1 1-01BC 14-RH-1-1502 1A B-J B9.31 UT/PT 09/15/95 11448-WMKS-0117A1-1 1-05 14-RH-1-1502 1A B-J B9.11 UT/PT 09/15/95 11448-WMKS-0117A1-1 1-RH-H-004 1-RH-P-1A 2A F-A F1.40 VT-3 09/27/95 11448-WMKS-0117A1-1 1-RH-MOV-1700 14-RH-1-1502 1A 8-G-2 87.70 VT-1 09/20/95 A1 11448-WMKS-0117A1-1 1-RH-MOV-1700 14-RH-1-1502 1A 8-M-2 812.50 VT-3 09/24/95 11448-WMKS-0117A1-1 1-RH-MOV-1701 14-RH-1-1502 1A 8-M-2 812.50 VT-3 09/25/95 11448-WMKS-0117A1-1 2-01 14-RH-18-602 2A C-F-1 C5.11 UT/PT 09/27/95 11448-WMKS-0117A1-2 1-RH-HSS-011 10-RH-5-602 2F. TS3.2 TS4.17 VT-3 09/22/95 11448-WMKS-0117A2 1-RH-H0258 10-RH-10-602 2A F-A F1.20 VT-3 09/22/95 11448-WMKS-0117A2 1-RH-HSS-025 12-RH-12-602 2A TS3.2 TS4.17 VT-3 09/22/95 11448-WMKS-0118A2-1 0-34 6-WAPD-1-601 2A C-F-2 C5.51 UT/MT 09/29/95
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~8-WMKS-0118A2-1 0-35 6-WAPD-1-601 2A C-F-2 C5.51 UT/MT 09/29/95 Page 3 of 12
Attachment I Page 8 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC & IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Exa. Exa.
Nullber Weld No. No. Class Category Itea No. Method Date Reaarks 11448*WMKS-0122A1 1-RH*HSS-102 10-RH-16-1502 1A TS3.2 TS4.17 VT-3 12/07/94 11448-WMKS*0122A1 2-09 6-RH-20-152 2A C*F-1 C5.11 UT/PT 09/26/95
. 11448*WMKS*0122A1 2-16 10-RH-16*1502 2A C*F-1 C5.11 UT/PT 09/26/95 11448*WMKS*0122A2 1*01BC 12*RC*24*1502 1A B*J B9.31 UT/PT 09/19/95 11448*WMKS*0122A2 1-04 12-RC-24-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122A2 1-08 12-SI-47-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122A2 1*09 12-SI-47-1502 1A B*J B9.11 UT/PT 09/27/95 11448*WMKS*0122A2 1-SI-147 12-SI *47*1502 1A B*M-2 B12.50 VT-3 10/26/95 11448*WMKS*0122A2 1*Sl*H031A 12-SI-47*1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1*Sl*H031B 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1*SI*H032A 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS-0122A2 1*SI*H032B
- 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1-SI*HSS-026 12-SI-47-1502 1A TS3.2 TS4.17 VT-3 12/07/94 A1 11448*WMKS*0122D1 1*01BC 12-RC-23-1502 1A B*J B9.31 UT/PT 09/15/95
_.8-WMKS*012,2D1 1*13 12-SI-46-1502 1A B*J 119.11 UT/PT 09/13/95 11448*WMKS*0122D1 1*14 12*SI*46*1502 1A B*J B9.11 UT/PT 09/22/95 11448*WMKS*0122D1 1*RH*H011 10-RH-16-1502 1A F*A F1 .10 VT-3 12/07/94 11448*WMKS*0122D1 1*RH*H014 10-RH-16-1502 1A F-A F1 .10 VT-3 12/07/94 11448*WMKS*0122D1 1*SI*H004A 12-Sl *46-1502 .1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122D1 1*SI*H004B 12-SI *46-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122D1 2-01 10-RH-16-1502 1A B*J B9.11 UT/PT 09/26/95 11448*WMKS*0122H1 1-08 6-RC-16-1502 1A B*J B9.11 UT/PT 09/18/95 11448*WMKS*0122H1 1-Sl *239 6-RC-16-1502 1A B*G-2 B7.70 VT-1 12/19/94 A1 11448*WMKS*0122J1 1*01BC 6-RC-21-1502 1A B*J B9.31 UT/PT 09/18/95 11448*WMKS*0122J1 1-02 6-RC-21-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122J1 2-12 6-SI-50-1502 2A C-F-1 C5.11 UT/PT 09/25/95 11448*WMKS*0122K1 1*SI*H016 6-SI-49-1502 2A F*A F1.20 VT*3 12/05/94 11448-WMKS*0122K1 2-06 6-RC-18-1502 1A B*J B9.11 UT/PT 09/13/95 11448*WMKS*0122K1 6*01BC 2-SI-80*1502 2A C*F-1 C5.41 PT 09/23/95 11448*WMKS*0122L1 1-13 12-SI-45-1502 1A B*J B9.11 UT/PT 09/15/95 11448-WMKS*0122L1 1-14 12-SI-45-1502 1A B*J B9.11 UT/PT 09/30/95 ~8-WMKS*0122L1 1*SI*H001 12-RC-22-1502 1A F*A F1 .10 VT-3 12/05/94 Page 4 of 12
Attachment I Page 9 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC IWF
'
Drawing Mark/ Line Sect XI Sect XI Sect XI Exaa- Exaa-NUllber Meld No- NO- Class category Itea No- Method Date Remarks 11448-WMKS-0122L1 1-SI-H003 12-SI-45-1502 1A F-A n.10 VT-3 12/05/94 11448-WMKS-0122L1 1-SI-H005A 12-SI-45-1502 1A F-A F1 .10 VT-3 12/05/94 A1 11448-WMKS-0122L1 1-SI-HOOSB 12-Sl-45-1502 1A F-A F1 .10 VT-3 12/05/94 A1 11448-WMKS-0122L1 1-SI-H006B 12-Sl-45-1502 1A F-A F1 .10 VT-3 09/25/95 11448-WMKS-0122L1 1-SI-HSS-020 12-SI-45-1502 1A TS3.2 TS4.17 VT-3 12/05/94 11448-WMKS-0122L1 H001-1 12-RC-22-1502 1A B-K-1 B10.20 Surface 09/19/95 11448-WMKS-0122L1 H006-1 12-SI-45-1502 1A B-K-1 B10.20 Surface 09/21/95 11448-WMKS-0122L1 H006-2 12-SI-45-1502 1A B-K-1 B10.20 surface 09/21/95 11448-WMKS-0122L1 H006-3 12-SI-45-1502 1A B-K-1 B10.20 surface 09/21/95 11448-WMKS-0122L1 H006-4 12-SI-45-1502 1A B-K-1 B10.20 Surface 09/21/95 11448-WMKS-0123P1 0-06 12-CS-1-153 2A C-F-1 CS.11 UT/PT 09/09/95 11448-WMKS-0123P1 0-10 12-CS-1-153 2A C-F-1 CS.11 UT/PT 09/11/95 11448-WMKS-0123P1 1-CS-H-001 . 12*CS-1-153 2A F-A F1 .20 VT-3 11/17/94 11448-WMKS-0123Q1 0-09 12-CS-2-153 2A C-F-1 CS.11 UT/PT 09/09/95
- . *J8-WMKS-0124A1-1 1-01DM 6-RC-39-1502 1A B-F BS.40 UT/PT 10/03/95
'-
11448-WMKS-0124A1-1 1-02 6-RC-39-1502 1A B-J B9.11 UT/PT 10/03/95 11448-WMKS-0124A1-1 1-RC-SV-1551A 6-RC-39-1502 1A B-M-2 B12.50 VT-3 10/11/95 11448-WMKS-0124A1-1 1-RC-SV-1551B 6-RC-38-1502 1A B-M-2 B12.50 VT-3 10/05/95 11448-WMKS-0124A1-1 1-RC-SV-1551C 6-RC-37-1502 1A B-M-2 B12.50 VT-3 10/05/95 11448-WMKS-0125A1-1 1-RC-H020 4-RC-14-1502 1A F-A F1 .10 VT-3 10/02/95 E1 11448-WMKS-0125A1-1 1-RC-HSS-105 4-RC-14-1502 1A TS3.2 TS4.17 VT-3 09/27/95 11448-WMKS-0125A1-2 1-RC-H002A 4-RC-15-1502 1A F-A F1 .10 VT-3 09/11/95 A1 11448-WMKS-0125A1-2 1-RC-H002B 4-RC-15-1502 1A F-A F1 .10 VT-3 09/11/95 A1 11448-WMKS-0125A1-2 1-RC-H006 4-RC-15-1502 1A F-A F1 .10 VT-3 10/06/95 A1 11448-WMKS-0125A1-2 1-RC-H008 4-RC-15-1502 1A F-A F1.10 VT-3 10/02/95 E1 11448-WMKS-0127C2 1-11 10-SI-152-1502 2A C-F-1 CS.11 UT/PT 09/09/95 11448-WMKS-0127C2 1-SI-H011 10-Sl-152-1502 2A F-A F1.20 VT-3 12/08/94 11448-WMKS-0127J1 1-04 6-RC-17-1502 1A B-J B9.11 UT/PT 09/14/95 11448-WMKS-0127J1 1-SI-241 6-SI-145-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0127J1 1-Sl-79 6-RC-17-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1
*11448-WMKS-0127J1 1-SI-79 6-RC-17-1502 1A B-M-2 B12.50 VT-3 10/01/95 ~8-WMKS-0127J1 2-01 6-SI-145-1502 2A C-F-1 cs~,, UT/PT 09/14/95 Page 5 of 12
Attachment I Page 10 of 35 ., Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, :IWC & :IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Ex.a- Exal-NUllllber Weld No- No- Class category Itea No- Method Date Reaarks 11448-WMKS-0127J1 2-03 6-Sl-145-1502 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-0127J1 2-12 6-Sl-145-1502 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-0127J2 1-07 6-RC-19-1502 1A 8-J 89.11 UT/PT 09/13/95 11448-WMKS-0127J2 1-SI-082 6-RC-19-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J2 1-SI-082 6-RC-19-1502 1A 8-M-2 812.50 VT-3 10/01/95 11448-WMKS-0127J2 1-Sl-242 6-Sl-144-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J2 1-S1-H006 2-SI-85-1502 2A F-A F1.20 VT-3 12/05/94 11448-WMKS-0127J2 2-01 6-Sl-144-1502 2A C-F-1 C5.11 UT/PT 09/13/95 11448-WMKS-0127J2Z 1-26 2-Sl-85-1502 2A C-F-1 C5.30 PT 09/30/95 11448-WMKS-0127J2Z 1-S1-H009 2-Sl-85-1502 2A F-A F1.20 VT-3 09/22/95 11448-WMKS-0127J3 1-06 6-Sl-153-1502 1A 8-J 89.11 UT/PT 09/19/95 11448-WMKS-0127J3 1-Sl-085 6-RC-20-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J3 1-Sl-243 6-SI-153-1502 1A 8-G-2 87.70 VT-1 09/10/95 A1 11448-WMKS-0127J3Z 1-22 2-SI-75-1502 2A C-F-1 C5.30 PT 10/02/95
~)8-WMKS-0127J3Z 1-24 2-Sl-75-1502 2A C-F-1 C5.30 PT 09/30/95 ~ 11448-WMKS-0127J3Z 1-S1-H001 2-Sl-75-1502 2A F-A F1.20 VT-3 09/30/95 11448-WMKS-0127J5 2-13 6-SI-144-1502 2A C-F-1 C5.11 UT/PT 09/23/95 -- 11448-WMKS-1018A3 1-21 14-\IFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1018A3 2-15 14-\IFPD-13-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1018A3 3-19 14-\IFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1101A5 1-02 12-RS-8-153 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-1101A5 1-03 12-RS-8-153 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-1103A1Z 1-RC-FE-1480 2-RC-45-1502 1A B-G-2 87.50 VT-1 09/10/95 11448-WMKS-1103A2 1-RC-MOV-1587 8-RC-13-2501R 1A 8-G-2 87.70 VT-1 12/19/94 A1 11448-WMKS-1103A2Z 1-RC-FE-1482 2-RC-44-1502 1A 8-G-2 87.50 VT-1 09/10/95 A1 11448-WMKS-1103A7 1-02 12-RC-10-2501R 1A 8-J 89.11 UT/PT 09/20/95 11448-WMKS-1103A7 1-RC-H0018 12-RC-10-251;)1R 1A F-A F1 .10 VT-3 09/19/95 11448-WMKS-1105813 0-11 3-CH-251-1502 2A C-F-1 C5.21 UT/PT 09/11/95 11448-WMKS-1105813 0-12 3-CH-251-1502 2A C-F-1 C5.21 UT/PT 09/11/95 11448-WMKS-110583 0-07 3-CH-113-1503 2A C-F-1 C5.21 UT/PT 09/09/95 p 11448-WMKS-110585 0-1 3-CH-113-1503 2A C-F-1 C5.21 UT/PT 09/09/95 ~8-WMKS-110585 2-8D-A 2-CH-20-1503 2A C-F-1 C5.30 PT 12/05/94 Page 6 of 12
Attachment I Page 11 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC & IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Elum. Elum.
Niaber Ueld No. No. Class category Itea No. Method Date Remarks 11448*WMKS*1105B5 2-BP 3-CH-2-1503 2A C*F-1 C5.41 PT 12/03/94 11448*WMKS*1105B6 0-09 4-CH-80-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B6 0-10 3-CH-11-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B7 0-11 2-CH-11-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B7 1-CH*H-001 2-CH-11-1503 2A F*A F1.20 VT-3 12/04/94 11448*WMKS*1105B9 1-CH*H-015 2-CH-90-1503 2A F*A F1.20 VT-3 09/10/95 11448*WMKS*1105B9 H-017-1 2-CH-8-1503 2A c-c C3.20 Surface 09/10/95 i 11448*WMKS*1106A1 0-01 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A1 0-02 3-SI-146-1503 2A C-F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A1 1-SI*H-005 3-SI-146-1503 2A F*A F1.20 VT-3 10/07/95 11448*WMKS*1106A2 0-01 3-SI-147-1503 2A C-F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A3 0-15 2-SI-72-1503 2A C*F-1 C5.30 PT 09/11/95 11448-WMKS*1106A3 1*SI*H006 2-SI-79-1502 2A F*A F1.20 VT-3 12/07/94
- 11448*WMKS*1106A3 2-24 2-SI-73-1503 2A C-F-1 C5.30 PT 09/30/95
,, /8*WMKS-1106A3 H006*1 2-SI-79-1502 2A c-c C3.20 SURFACE 12/07/94
*--*.,1 11448*WMKS-1106A4 1*Sl*H005 2-SI-74-1502 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 1*SI-H011 2-SI-70-1503 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 1*Sl*H013 2-SI-75-1502 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 4-28 2-SI-70-1503 2A C*F-1 C5.30 PT 09/11/95 11448*WMKS*1106A4 H013*1 2-SI-75-1502 2A c-c C3.20 Surface 09/11/95 11448*WMKS*1106A4Z 1-27 2-SI
- 74-1502 2A C-F-1 C5.30 PT 09/30/95 11448*WMKS*1106A7 0*18L 12-SI-1-153 2A C*F-1 C5.12 UT/PT 09/15/95 11448*WMKS*1106A7 1-10 12-SI-1-153 2A C*F-1 C5.11 UT/PT 09/15/95 11448*WMKS*1106A7 1*Sl*H005 10-SI-105-153 2A F*A F1.20 VT-3 12/09/94 11448*WMKS*1106A7 1*SI*H009 10-SI-106-153 2A F*A F1.20 VT-3 12/09/94 11448*WMKS*1106B1 0-07 3-SI-146-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B1 0-08 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B1 0-26 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B2 0-01
- 3-SI-147-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B2 0-09 3-SI-147-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448-WMKS*CH*E-2 1-01 1*CH*E*2 2A C*A C1.20 UT 09/20/95 011 -2811
~8-WMKS*CH*E-2 1-02 1-CH*E-2 2A C*A C1 .10 UT 09/20/95 011 -2811 I Page 7 of 12
Attachment I . Page 12 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC IWF eDrawing Nark/ Line
'
Sect XI Sect XI Sect XI Exaa. Exaa. Numer Weld No. No. Class category ltea No. Method Date Remarks 11448-WMKS-CH*E-2 1*CH*H001 1*CH*E*2 2A F*A F1.40 VT-3 09/19/95 11448-WMKS*CH*E-2 1*CH*H002 1-CH*E-2 2A F*A F1.40 VT-3 09/19/95 11448-WMKS*CH*E-3 1-04 1*CH*E*3 2A C*A C1.20 UT 09/18/95 011 -10 11 11448-WMKS*CH*E-3 1-10 1-CH*E-3 2A C*A C1.20 UT 09/18/95 011 -10 11 11448-WMKS*CH*E-3 1-11 1-CH*E-3 2A C*A C1.30 UT 09/18/95 011 -10 11 11448-WMKS*CH*E-3 1-12 1*CH*E*3 2A C*A C1.30 UT 09/18/95 011 -10 11 11448-WMKS*CH*E-3 1*CH*H003 1-CH*E-3 2A F*A F1.40 VT-3 09/18/95 A1 11448-WMKS*CH*E-3 1*CH*H004 1*CH*E*3 2A F-A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-3 1*CH*H005 1*CH*E*3 2A F*A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-3 1*CH*H006 1-CH*E-3 2A F*A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-4 1-01 1-CH*E-4 2A C*A C1.20 UT 09/19/95 011 -911 11448-WMKS*CH*E-4 1-02 1*CH*E*4 2A C*A C1 .10 UT 09/19/95 011 -911 11448*WMKS*CH*FL*4A 1-01 1*CH*FL*4A 2A C*A C1.20 UT 09/09/95 011 -11 11 11448*WMKS*CH*FL*4A 1-02 1*CH*FL*4A 2A C*A C1 .10 UT 09/09/95 011 -11 11 -~8-WMKS*CH*P*1A 1*CH*H001 1*CH*P*1A 2A F*A F1.40 VT-3 12/05/94 11448*WMKS*RC*E*1A.1 1-01 1*RC*E*1A 1A 8-8 82.40 UT 09/19/95 011 -142 11 11448*WMKS*RC*E*1A.1 2-02 1*RC*E*1A 2A C*A C1.30 UT 09/15/95 011 -142 11 11448*WMKS*RC*E*1A.1 2-03 1*RC*E*1A 2A C*A C1.10 UT 09/15/95 011 -142 11 11448*WMKS*RC*E*1A.1 2-05 1-RC*E-,A 2A C*A C1 .10 UT 10/01/95 011 -142 11 11448*WMKS*RC*E*1A.1 2-06 1*RC*E*1A 2A C*A C1 .10 UT 09/27/95 011 -184 11 11448*WMKS*RC-E*1A.1 2-08 1*RC*E*1A 2A C*A C1.20 UT 09/25/95 011 -184 11 11448-WMKS*RC*E*1A.1 CL HANWAY 1*RC*E*1A 1A 8-G-2 87.30 VT-1 09/10/95 11448*WMKS*RC*E*1A.1 HL HANWAY 1*RC*E*1A 1A 8-G-2 87.30 VT-1 09/10/95 11448*WMKS-RC*E*1A.2 1*RC*1*01ANIR 1*RC*E*1A 1A 8-D 83.140 VT-1 09/21/95 11448*WMKS*RC*E*1A.2 1*RC*1*018NIR 1*RC*E*1A 1A 8-D 83.140 VT-1 09/21/95 11448*WMKS*RC*E*1A.2 1*RC*2*01CNIR 1*RC*E*1A 2A c-8 C2.22 UT 09/25/95 011 -33 11 11448*WMKS*RC*E*1A.2 1*RC*2*01DNIR 1*RC-E-1A 2A C-8 C2.22 UT 09/29/95 011 -1611 11448*WMKS*RC*E*1A.2 1*RC*H002 1*RC*E*1A 2A F-A F1.40 VT-3 12/05/94 11448*WMKS*RC*E*1A.2 1-RC*HSS-138 1*RC*E*1A 2A TS3.2 TS4.17 VT-3 10/09/95 11448-WMKS*RC*E*1A.2 1-RC*HSS-140 1*RC*E*1A 2A TS3.2 TS4.17 VT-3 10/09/95 11448*WMKS*RC*E*1A.2 2-09 1*RC-E*1A 2A C-8 C2.21 UT/MT 09/29/95 011 -16 11 ~8-WMKS*RC*E*1A.2 2-10 1*RC*E*1A 2A C-8 C2.21 UT/MT 09/25/95 011 -33 11 Page 8 of 12
Attachment I Page 13 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC IWF e
&
Drawing Nark/ Line Sect XI Sect XI Sect XI Ex-- Exla. NUlber Yeld No. No. Class category Item No. Method Date Remarks 11448-WMKS-RC-E-2 1-08 1-RC-E-2 1A B-B B2.11 UT 09/25/95 011 -145 11 11448-WMKS-RC-E-2 1-09 1-RC-E-2 1A B-B B2.12 UT 09/25/95 011 -611 11448-WMKS-RC-E-2 1-16 1-RC-E-2 1A B-K-1 B10.10 Surface 09/25/95 011 -9711 11448-WMKS-RC-E-2 1-RC-18NIR 1-RC-E-2 1A B-D B3.120 UT 10/03/95 11448-WMKS*RC-E-2 1-RC-19NIR 1-RC-E-2 1A B-D B3.120 UT 10/08/95 11448-WMKS-RC-E-2 H001-1 1-RC-E-2 1A B-K-1 B10.10 Surface 09/26/95 11448-WMKS-RC-E-2 Heater Elements 1-RC-E-2 1A B-E B4.20 VT-2 10/19/95 11448-WMKS-RC-E-2 Instr1.111ent Nozzle 1-RC-E-2 1A B-E B4.13 VT-2 10/19/95 11448-WMKS-RC-E-2 MANWAY 1-RC-E-2 1A B-G-2 B7.20 VT-1 09/10/95 11448-WMKS-RC-P-1A.2 B01 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B02 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B03 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B04 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 BOS 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 -*8-WMKS-RC-P-1A. 2 B06 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B07 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 BOB 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P*1A.2 LSHB 1-RC-P-1A 1A B-G-2 B7.60 VT-1 09/17/95 11448-WMKS-RC-R-1.1 01-RC-R-1-INT 1-RC-R-1 1A B-N-1 B13.10 VT-3 10/01/95 11448-WMKS-RC-R*1.2 1-01 1-RC-R-1 1A B-A B1.40 UT/MT 09/22/95 11448-WMKS-RC-R-1.2 CRD-69 1-RC-R-1 1~ B-0 B14.10 UT or PT 09/22/95 11448-WMKS-RC-R-1.3 S-21 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-22 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-23 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-24 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-25 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-26 1-RC-R*1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-27 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-28 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-29 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 s-30 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 ~8-WMKS-RC-R-1.3 s-31 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 Page 9 of 12
Attachment I Page 14 of 35 Serial No.: 95*594 Docket No.: 50-280 Abstract of Examinations Performed - Drawing Niaber Nark/ Weld No-Line No-IWB, IWC sect XI Class
' IWF sect XI category B-G-1 sect XI Itea No-B6.30 Exaa.
Method MT/UT Exaa. Date 09/23/95 Remarks 11448-WHKS-RC-R-1.3 S-32 1-RC-R-1 1A 11448-WHKS-RC-R-1.3 S-33 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-34 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-35 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-36 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-37 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-38 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 s-39 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-40 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.4 CCW-21 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-22 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-23 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-24 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-25 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 ~8-WMKS-RC-R-1.4 CCW-26 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95
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f1448-WMKS-RC-R-1.4 CCW-27 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-28 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-29 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-30 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-31 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-32 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-33 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-34 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-35 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-36 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-37 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-38 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-39 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WHKS-RC-R-1.4 CCW-40 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CVW-21 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CVW-22 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 ~8-IIMKS-RC-R-1.4 CVW-23 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 Page 10 of 12
I I Attachment I Page 15 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC IWF
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Drawing Marie/ Line Sect XI Sect XI Sect XI Exam. Exam. Nuii>er Weld No. No. Class category ltea No. Method Date Remarks 11448-WMKS*RC*R-1.4 CVW-24 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-25 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-26 1-RC-R-1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-27 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC-R-1.4 CVW*28 1*RC-R*1 1A B*G-1 B6.50 VT-1 09/21/95 i 11448-WMKS*RC*R-1.4 CVW-29 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-30 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-31 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-32 1*RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-33 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC-R-1.4 CVW-34 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-35 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CW-36 1*RC*R*1 1A B*G-1 B6.50 VT*1 09/22/95 11448-WMKS*RC*R-1.4 CVW-37 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 I
- 8-WMKS*RC*R-1.4 CVW*38 1*RC*R*1 1A B*G*1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CVW-39 1*RC*R*1 1A B*G-1 B6.50 VT*1 09/22/95 11448-WMKS*RC*R-1.4 CVW-40 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 N-21 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-22 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-23 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-24 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N*25 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-26 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-27 1-RC-R-1 1A B-G-1 B6.10 MT 09/23/95 11448-WMKS*RC-R-1.4 N-28 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC-R-1.4 N-29 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-30 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-31 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-32 1-RC*R-1 1A B-G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-33 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-34 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95
~8-WMKS*RC*R*1.4 N-35 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 Page 11 of 12
Attachment I Page 16 of 35 ,. Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nlllber Marie/ Weld No_ Line Sect XI Sect XI Class category Sect XI Item No_ Exam_ Method Ex*- Date Remarks No-11448-WMKS-RC-R-1.4 N-36 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-37 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-38 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-39 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-40 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RH-E-1A 1-A01 1-RH-E-1A 2A C-A C1.20 UT 09/26/95 011 -44 11 11448-WMKS-RH-E-1A 1-A02 1-RH-E-1A 2A C-A C1 .10 UT 09/26/95 011 -44 11 11448-WMKS-RH-E-1A 1-A03 1-RH-E-1A 2A C-8 C2.33 VT-2 10/02/95 11448-WMKS-RH-E-1A 1-A04 1-RH-E-1A 2A C-8 C2.33 VT-2 10/02/95 11448-WMKS-RH-E-1A 1-A05 1-RH-E-1A 2A C-8 C2.31 PT 10/02/95 11448-WMKS-RS-P-2A 2-05 1-RS-P-2A 2A C-G C6.10 PT 09/11/95 011 -25 11 11448-WMKS-RS-P-2A 2-06 1-RS-P-2A 2A C-G C6.10 PT 09/11/95 011 -25 11 11448-WMKS-S1-P-1A 2-05 1-S1-P-1A 2A C-G C6.10 PT 09/11/95 011 -25 11 p 11448-WMKS-S1-P-1A 2-06 1-S1-P-1A 2A C-G C6.10 PT 09/11/95 011 -25 11 . r k s Code: A1 = Reexamination of a component that required corrective measures during a previous examination. E1 = Expansion examination performed due to corrective measures performed on support 1-CH-H001 on drawing 11448-WMKS-0102A3Z. E2 =Expansion examination performed in accordance with IWC-2430 Ca) due to indication on weld 1-12 on drawing 11448-WMKS-0101G1, which exceeded the allowable standards of IWC-3000. F1 = Component failed initial inservice inspection, was repaired, passed reexamination and returned to service. P = Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief will be requested by separate correspondence *
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lt\N I I _,,, °' It\ It\ 0 It\ Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPB-006A-1*1 CONTAINMENT PURGE AIR SUPPLY PIPING 2 C*H C7.30 09/09/95 1*SPB-006A-1*1 CONTAINMENT PURGE AIR SUPPLY PIPING 2 C*H C7.70 09/09/95 1-SPB*006A-1*2 CONTAINMENT PURGE AIR EXHAUST PIPING 2 C*H C7.30 09/09/95 1-SPB-006A*1*2 CONTAINMENT PURGE AIR EXHAUST PIPING 2 C*H C7.70 09/09/95 1-SPB-0478-1-1 FIRE PROTECTION PENETRATION 2 C*H C7.30 09/13/95 1-SPB-0478-1-1 FIRE PROTECTION PENETRATION 2 C*H C7.70 09/13/95 1-SPM-064A-1*1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.30 07/21/95 1-SPM-064A-1*1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.70 07/21/95 1*SPM-064A-1 *2 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.30 07/21/95 1*SPM-064A-1*2 - A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.70 07/21/95 1-SPM-064A-1*3 A S/G MAIN STEAM INSIDE CTMT 2 C*H C7.10 11/28/94 1*SPM-064A-1*3 A S/G MAIN STEAM INSIDE CTMT 2 C*H C7.30 11/28/94 1*SPM-064A-1*3 A S/G MAIN STEAM INSIDE CTMT 2 C*H C7.70 11/28/94 1-SPM*064A*2*1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.30 07/21/95 1-SPM-064A-2*1 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.70 07/21/95 1*SPM*064A*2*2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1*SPM-064A-2*2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C*H C7.70 07/21/95 1*SPM-064A-2*3 B S/G MAIN STEAM INSIDE CTMT 2 C*H C7.10 11/28/94 1*SPM-064A-2*3 B S/G MAIN STEAM INSIDE CTMT 2 C*H C7.30 11/28/94 1-SPM-064A-2*3 B S/G MAIN STEAM INSIDE CTMT 2 C*H C7.70 11/28/94 Page 1 of 14
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.c~- .... Abstract of Examinations Performed. o ca 111 QI*- ..i.,: .µ DI L. 0 QI system Pressure Test Program. .µ 111 QI 0 c(C.UIC Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-2 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-2 . _A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.10 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.30 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.70 11/28/94 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.30 12/24/94 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.70 12/24/94 1-SPM-064B-1-1 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-2 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-3 A,B &C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.30 09/11/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.70 09/11/95 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.30 12/23/94 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.70 12/23/94 Page 2 of 14
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- Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPM*068A*1*2 MAIN FEEDWATER TO 11 811 S/G 2 C*H C7.30 11/28/94 1*SPM*068A*1*2 MAIN FEEDWATER TO 11 811 S/G 2 C*H C7.70 11/28/94 1*SPM*068A-1*3 MAIN FEEDWATER TO C S/G 11 11 2 C*H C7.30 11/28/94 1*SPM-068A*1*3 MAIN FEEDWATER TO 11 C11 S/G 2 C*H C7.70 11/28/94 1*SPM-068A*1*5 FEEDWATER CROSS CONNECT FROM UNIT 2 2 C*H C7.30 10/11/95 1*SPM*068A-1*5 FEEDWATER CROSS CONNECT FROM UNIT 2 2 C*H C7.70 10/11/95 1*SPM-071A*3*4 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 C*H C7.30 09/11/95 1*SPM-071A*3*4 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 C*H C7.70 09/11/95 1*SPM-075C*1*1 INSTRUMENT AIR PENETRATION #47 2 C*H C7.30 09/17/95 1*SPM*D75C*1*1 INSTRUMENT AIR PENETRATION #47 2 C*H C7.70 09/17/95 1*SPM-075C*1*2 INSTRUMENT AIR PENETRATION #58 2 C*H C7.30 09/23/95 1*SPM-075C-1*2 INSTRUMENT AIR PENETRATION #58 2 C*H C7.70 09/23/95 1*SPM-075G-1*1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 C*H C7.30 09/21/95 1*SPM-075G-1*1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 C*H C7.70 09/21/95 1*SPM-075J*1*1 CONTAINMENT INSTRUMENT AIR SUCTION LINE. 2 C*H C7.30 09/11/95 1*SPM-075J*1*1 CONTAINMENT INSTRUMENT AIR SUCTION LINE. 2 C*H C7.70 09/11/95 1-SPM-0828*2*5 RESIDUAL HEAT REMOVAL/SAMPLE 2 C*H C7.30 09/10/05 1-SPM-0828*2*5 RESIDUAL HEAT REMOVAL/SAMPLE 2 C*H C7.70 09/10/05 1-SPM-0828*2*6 PRESSURIZER RELIEF TANK SAMPLE 2 C*H C7.30 09/15/95 1-SPM-0828-2-6 PRESSURIZER RELIEF TANK SAMPLE 2 C*H C7.70 09/15/95 1-SPM-0828*2*7 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C*H C7.30 10/02/95 Page 3 of 14
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.cN~+-' u 111 Ill GI GI*- .JJ. system Pressure Test Program ... CIL.U ... Ill GI 0 CC Q. UI C Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-082B-2-7 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.70 10/02/95 1-SPM-082B-2-8 RCS HOT LEG SAMPLE PENETRATION #56 2 C-H C7.30 10/18/95 1-SPM-082B-2-8 RCS HOT LEG SAMPLE PENETRATION #56 2 C-H C7.70 10/18/95 1-SPM-082B-2-9 RCS COLD LEG SAMPLE PENETRATION #56 2 C-H C7.30 10/18/95 1-SPM-082B-2-9 RCS COLD LEG SAMPLE PENETRATION #56 2 C-H C7.70 10/18/95 1-SPM-083A-1-1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.30 09/22/95 1-SPM-083A-1-1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.70 09/22/95 1-SPM-083A-1-2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE. 2 C-H C7.30 09/12/95 1-SPM-083A-1-2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE. 2 C-H C7.70 09/12/95 1-SPM-083A-1-3 PRIMARY VENT POT VENT 2 C-H C7.30 09/14/95 1-SPM-083A-1-3 PRIMARY VENT POT VENT 2 C-H C7.70 09/14/95 1-SPM*083A*2*1 POST ACCIDENT SAMPLE RETURN 2 C*H C7.30 09/11/95 1*SPM*083A-2*1 POST ACCIDENT SAMPLE RETURN 2 C*H C7.70 09/11/95 1-SPM-083A*2*2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.30 09/22/95 1*SPM*083A-2-2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.70 09/22/95 1-SPM*083B*1*1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.30 09/22/95 1*SPM*083B-1*1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.70 09/22/95 1*SPM*083B*1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE. 2 C*H C7.30 09/12/95 1*SPM-083B*1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARG~. 2 C*H C7.70 09/12/95 1*SPM-083B*3*1 PRIMARY VENT POT VENT 2 C-H C7.30 09/14/95 1*SPM*083B*3-1 PRIMARY VENT POT VENT 2 C*H C7.70 09/14/95 Page 4 of 14
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""'COO l!! ... zz Abstract of Examinations Performed .CN_..., U ca: cu*-~ C11 GI system Pressure Test Program ... IJI '- ..,a,a,o u <Q. UICI Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPM-083B-3*2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.30 09/22/95 1*SPM-083B-3-2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.70 09/22/95 1-SPM-084A-1*3 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.30 09/13/95 1*SPM-084A-1-3 DISCHARGE LINE INTO RWST FROM SI PPS 2 C*H C7.70 09/13/95 1*SPM-084A-2-4 A TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 11 11 2 C-H C7.30 09/12/95 1*SPM-084A-2-4 A TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 11 11 2 C-H C7.70 09/12/95 1-SPM-084A-2*5 8 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 11 11 2 C-H C7.30 09/12/95 1*SPM-084A-2-5 "8 11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 2 C*H C7.70 09/12/95 1*SPM-084A-2*7 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 C*H C7.30 09/13/95 FROM CONTAINMENT SUMP 1-SPM-OB4B-1-3 A INSIDE RECIRC SPRAY PUMP 11 11 2 C-H C7.30 09/22/95 1-SPM-084B-1*3 A INSIDE RECIRC SPRAY PUMP 11 11 2 C*H C7.50 09/22/95 1*SPM-084B-1*3 A INSIDE RECIRC SPRAY PUMP 11 11 2 C-H C7.70 09/22/95 1-SPM-084B*1*4 !'B 11 INSIDE RECIRC SPRAY PUMP 2 C-H C7.30 09/23/95 1*SPM-084B-1-4 11 8 11 INSIDE RECIRC SPRAY PUMP 2 C-H C7.50 _ 09/23/95 1-SPM-084B-1*4 11 8 11 INSIDE RECIRC SPRAY PUMP 2 C*H C7.70 09/23/95 1*SPM-084B-2-1 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 C-H C7.30 09/13/95 FROM CONTAINMENT SUMP 1*SPM-084B-2*1 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 C*H C7.70 09/13/95 FROM CONTAINMENT SUMP 1*SPM-084B*2*2 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2A 2 C-H C7.30 10/07/95 1*SPM-084B-2*2 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS*P-2A 2 C*H C7.50 10/07/95 Page 5 of 14
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_..,.. 11\0 II\ °' II\ Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-084B-2-2 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2A 2 C-H C7.70 10/07/95 1-SPM-084B-2-3 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.30 10/07/95 1-SPM-084B-2-3 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.50 . 10/07/95 1-SPM-084B-2-3 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.70 10/07/95 1-SPM-084B-2-4 OUTSIDE RECIRCULATION SPRAY "B" PEN. PIPING 2 C-H C7.30 09/14/95 1-SPM-084B-2-4 OUTSIDE RECIRCULATION SPRAY 11 B11 PEN. PIPING 2 C-H C7.70 09/14/95 1-SPM-084B-2-5 OUTSIDE RECIRCULATION SPRAY "A" PEN. PIPING 2 C-H C7.30 09/13/95 1-SPM-084B-2-5 OUTSIDE RECIRCULATION SPRAY "A" PEN. PIPING 2 C-H C7.70 09/13/95 1-SPM-085A-1-1 LEAKAGE MONITORING OUTSIDE CONTAINMENT. 2 C-H C7.30 09/22/95 1-SPM-085A-1-1 LEAKAGE MONITORING OUTSIDE CONTAINMENT. 2 C-H C7.70 09/22/95 1-SPM-085A-1-2 LEAKAGE MONITORING INSIDE CONTAINMENT. 2 C-H C7.30 09/22/95 1-SPM-085A-1-2 LEAKAGE MONITORING INSIDE CONTAINMENT. 2 C-H C7.70 09/22/95 1-SPM-085A-1-3 CONTAINMENT VACUUM EJECTOR. 2 C-H C7.30 07/15/95 1-SPM-085A-1-3 CONTAINMENT VACUUM EJECTOR. 2 C-H C7.70 07/15/95 1-SPM-085A-1-4 LEAKAGE MONITORING 2 C-H C7.30 09/22/95 1-SPM-085A-1-4 LEAKAGE MONITORING 2 C-H C7.70 09/22/95 1-SPM-085A-2-1 CONTAINMENT VACUUM PUMP "B" PENETRATION PIPING 2 C-H C7.30 09/22/95 1-SPM-085A-2-1 CONTAINMENT VACUUM PUMP 11B11 PENETRATION PIPING 2 C-H C7.70 09/22/95 1-SPM-085A-2-2 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.30 09/21/95 1-SPM-085A-2-2 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.70 09/21/95 1-SPM-086B-2-1 PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 C-H C7.30 09/10/95 Page 6 bf 14
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Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPM-086B-2*1 PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 C*H C7.70 09/10/95 1-SPM*087A*1*2 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.30 10/02/95 1*SPM-087A-1*2 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C*H C7.70 10/02/95 1-SPM*087A* 1*3 1*RH*P*1A 2 C-H C7.30 10/02/95 1*SPM*087A* 1*3 1*RH*P*1A 2 C-H C7.50 10/02/95 1-SPM*087A-1-3 1-RH*P*1A 2 C-H C7.70 10/02/95 1*SPM*087A-1-4 1*RH-P*1B 2 C-H C7.30 10/09/95 1*SPM*087A-1-4 1*RH-P*1B 2 C*H C7.50 10/09/95 1-SPM-087A-1-4 1*RH-P*1B 2 C*H C7.70 10/09/95 1-SPM-087A-2-1 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.10 10/02/95 1-SPM-087A-2-1 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.30 10/02/95 1*SPM*087A*2*1 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.70 10/02/95 1*SPM*087A*2*2 RHR TO RWST PIPING 2 C*H C7.30 09/20/95 1*SPM*087A*2*2 RHR TO RWST PIPING 2 C*H C7.70 09/20/95 1*SPM-087A-2*5 LETDOWN HEADER 2 C*H C7.30 09/08/95 1-SPM-087A-2-5 LETDOWN HEADER 2 C*H C7.70 09/08/95 1*SPM*088A*1*1 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C-H C7.30 08/08/95 1*SPM*088A*1*1 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C*H C7.70 08/08/95 1-SPM-088A*3*2 BORATE FOR END OF CORE LIFE 2 C-H C7.30 08/03/95 1*SPM*088A*3*2 BORATE FOR END OF CORE LIFE 2 C*H C7.70 08/03/95 1*SPM*088A*4*1 LETDOWN HEADER 2 C*H C7.30 09/08/95 (. Page 7 of 14
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..., ....... COO 0 l!!~zz Abstract of Examinations Performed .cN-+' u 111 GI 111 GI*- ..lll: ..,a,1.u system Pressure Test Program .., 111 GI 0 c( Cl. Ill Q Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-088A-4-1 LETDOWN HEADER 2 C-H C7.70 09/08/95 1-SPM-088B-1-1 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.30 09/13/95 1-SPM-088B-1-1 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.70 09/13/95 1*SPM-088B-1-10 MISC CHARGING 1-CH-FCV-1114A 2 C*H C7.30 08/01/95 1-SPM-088B-1-10 MISC CHARGING 1*CH-FCV-1114A 2 C-H C7.70 08/01/95 1-SPM*088B-1-2 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM-088B-1-2 SEAL RETURN HEADER 2 C-H C7.70 09/08/95 1-SPM*088B*1*5 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C*H C7.30 08/08/95 1-SPM-088B-1-5 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C-H C7.70 08/08/95 1-SPM-088B-1-6 MISC CHARGING 1*CH-218 2 C-H C7.30 08/08/95 1-SPM-088B-1-6 MISC CHARGING 1-CH-218 2 C-H C7.70 08/08/95 1-SPM-088B-1-7 MISC CHARGING 1-CH-228 2 C-H C7.30 09/08/95 1*SPM*088B*1*7 MISC CHARGING 1-CH-228 2 C*H C7.70 09/08/95 1-SPM-088B-1-8 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.30 09/08/95 1-SPM*088B*1*8 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.70 09/08/95 1-SPM-088B-1*9 MISC CHARGING 1-CH-220 2 C*H C7.30 08/07/95 1-SPM-088B-1*9 MISC CHARGING 1-CH-220 2 C*H C7.70 08/07/95 1*SPM-088B-2-10 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.30 09/08/95 1*SPM-088B-2-10 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.70 09/08/95 1-SPM-088B-2*11 MISC CHARGING 1-CH-220 2 C*H C7.30 08/07/95 1-SPM*088B*2*11 MISC CHARGING 1-CH-220 2 C*H C7.70 08/07/95 Page 8 of 14 e> * ,'_
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.CN-..., u m QI m QI*- ..i.,: ... a, ... u System Pressure Test Program .., m QI o ca.enc Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPM*088B*2*8 MISC CHARGING 1-CH-218 2 C*H C7.30 08/08/95 1*SPM*088B*2*8 MISC CHARGING 1-CH-218 2 C*H C7.70 08/08/95 1*SPM*088B*2*9 MISC CHARGING 1-CH-228 2 C*H C7.30 09/08/95 1*SPM*088B*2*9 MISC CHARGING 1-CH-228 2 C*H C7.70 09/08/95 1*SPM*0S8C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND 2 C*H C7.10 09/08/95 ASSOCIATED PIPING. 1*SPM*0S8C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND 2 C*H C7.30 09/08/95 ASSOCIATED PIPING. 1*SPM-088C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND* 2 C*H C7.70 09/08/95
- ASSOCIATED PIPING.
1*SPM*0S8C*1*7 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM*OS8C*1*7 SEAL RETURN HEADER 2 C*H C7.70 09/08/95 1*SPM*OS8C*1*9 LETDOWN HEADER 2 C*H C7.10 09/08/95 1*SPM*088C*1*9 LETDOWN HEADER 2 C*H C7.30 09/08/95 1*SPM*0BBC*1*9 LETDOWN HEADER 2 C*H C7.70 09/08/95 1*SPM*0S8C*2*2 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM*0S8C*2*2 SEAL RETURN HEADER 2 C*H C7.70 09/08/95 1-SPM*0S8C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.30 09/08/95 1*SPM*0S8C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.50 09/08/95 1*SPM*088C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.70 09/08/95 1*SPM-089A*1*1 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30 10/16/95 1*SPM*0S9A*1*1 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 Page 9 of 14
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.CN-..., u COGl*-.JJ. +,.ID)L.0 co QI system Pressure Test Program +iCOGIO CCC.I/IC Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A11
- 2 C-H C7.30 08/15/95 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A11
- 2 C-H C7.50 08/15/95 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A 11
- 2 C-H C7.70 08/15/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 1B 11
- 2 C-H C7.30 09/13/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 1811
- 2 C-H C7.50 09/13/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 18 11
- 2 C-H C7.70 09/13/95 1-SPM-089A-1-5 LHSI PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 C-H C7.30 09/20/95 1-SPM-089A-1-5 LHSI PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 C-H C7.70 10/17/95 1-SPM-089A-2-1 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C-H C7.30 10/16/95 1-SPM-089A-2-1 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C-H C7.70 10/16/95 1-SPM-089A-2-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/04/95 1-SPM-089A-2-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.70 10/04/95 1-SPM-089A-2-3 LOW HEAD SAFETY INJECTION PUMP 11 1A11
- 2 C-H C7.30 08/15/95 1-SPM-089A-2-3 LOW HEAD SAFETY INJECTION PUMP 11 1A11
- 2 C-H C7.70 08/15/95 1-SPM-089A-2-4 LOW HEAD SAFETY INJECTION PUMP 11 1B 11
- 2 C-H C7~30 09/13/95 1-SPM-089A-2-4 LOW HEAD SAFETY INJECTION PUMP 11 18 11 * - 2 C-H C7.70 09/13/95 1-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO 2 C-H C7.30 08/15/95 MOV-1890C.
1-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO 2 C-H C7.70 08/15/95 MOV-1890C. 1-SPM-089A-2-6 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.30 09/13/95 1-SPM-089A-2-6 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.70 09/13/95 Page 10 of 14
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.:.i: system Pressure Test Program t;g>:U8 CCO.IIIQ Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-089A-3-1 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C-H C7.30 09/24/95 TANKS 1-SPM-089A-3-1 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C-H C7.70 09/24/95 TANKS 1-SPM-089A-3-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/16/95 1-SPM-089A-3-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.70 10/04/95 1-SPM-0898-1-2 LOOP 11 A11 SAFETY INJECTION ACCUMULATOR 2 C-H C7.10 07/21/95 1-SPM-0898-1-2 LOOP 11A11 SAFETY INJECTION ACCUMULATOR* 2 C*H C7.30 07/21/95 1-SPM-0898-1-2 LOOP 11A11 SAFETY INJECTION ACCUMULATOR 2 C-H C7.70 07/21/95 1-SPM-0898-1*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/16/95 1*SPM*0898*1*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1*SPM*0898-1*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.30 10/16/95 1-SPM-0898-1-5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.70 10/16/95 1-SPM-0898*1*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30 10/16/95 1*SPM*0898*1*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 1*SPM-0898-1-7 SAFETY INJECTION ACCUMULATOR VENT LINE. 2 C*H C7.30 09/23/95 1-SPM-0898* 1-7 SAFETY INJECTION ACCUMULATOR VENT LINE. 2 C*H C7.70 09/23/95 1*SPM*0898-1-8 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C*H C7.30 09/24/95 TANKS 1-SPM-0898*1*8 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C*H C7.70 09/24/95 TANKS 1-SPM-0898*2*2 LOOP 11 811 SAFETY INJECTION ACCUMULATOR 2 C*H C7. 10 07/21/95 1-SPM-0898*2*2 LOOP 11 811 SAFETY INJECTION ACCUMULATOR 2 C*H C7.30 07/21/95 Page 11 of 14
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- 10/16/95
- 1-SPM-0898*3*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 1-SPM-0898*4*2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.30 10/16/95 1-SPM-0898*4*2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1*SPM*090C*1*1 POST ACCIDENT GASEOUS WASTE SAMPLE 2 C*H C7.30 09/15/95 1*SPM*090C*1*1 POST ACCIDENT GASEOUS WASTE SAMPLE 2 C*H C7.70 09/15/95 1*SPM*090C*1*2 HYDROGEN ANALYZER 104 RETURN 2 C*H C7.30 09/24/95 Page 12 of 14
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+' 11,,o ** cooo l!!o-zz .c N _. +' Abstract of Examinations Performed u ('QI)*-~ ..,a,1..u I'll CII system Pressure Test Program .., 111 CII 0 ,co.enc Sect XI Sect. XI Sect. XI Zone Descr;pt;on Class Category Item Date Remarks 1-SPM-090C-1-2 HYDROGEN ANALYZER 104 RETURN 2 C-H C7.70 09/24/95 1-SPM-090C-1-3 HYDROGEN ANALYZER 204 RETURN 2 C-H C7.30 09/23/95 1-SPM-090C-1-3 HYDROGEN ANALYZER 204 RETURN 2 C-H C7.70 09/23/95 1-SPM-090C-1-4 CONTAINMENT VACUUM PUMP 11 811 PENETRATION PIPING 2 C-H C7.30 09/22/95 1-SPM-090C-1-4 CONTAINMENT VACUUM PUMP "B" PENETRATION PIPING 2 C-H C7.70 09/22/95 1-SPM-090C-1-5 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.30 09/21/95 1-SPM-090C-1-5 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.70
- 09/21/95 1-SPM-118A-2-1 REACTOR CAVITY PURIFICATION RETURN LINE 2 C-H C7.30 09/17/95 1-SPM-118A-2-1 REACTOR CAVITY PURIFICATION RETURN LINE 2 C-H C7.70 09/17/95 1-SPM-118A-2-2 REACTOR CAVITY-PURIFICATION SUCTION LINE 2 C-H C7.30 09/17/95 1-SPM-118A-2-2 REACTOR CAVITY PURIFICATION SUCTION LINE 2 C-H C7.70 09/17/95 1-SPM-124A-1-1 A S/G RECIRCULATION AND TRANSFER 11 11 2 C-H C7.30 09/10/95 1-SPM-124A-1-1 "A" S/G RECIRCULATION AND TRANSFER 2 C-H C7.70 09/10/95 1-SPM-124A-1-2 "A" S/G BLOWDOWN 2 C-H C7.10 09/08/95 1-SPM-124A-1-2 "A" S/G BLOWDOWN 2 C-H C7.30 09/08/95 1-SPM-124A-1-2 A S/G BLOWDOWN 11 11 2 C-H C7.70 09/08/95 1-SPM-124A-2-1 8 S/G RECIRCULATION AND TRANSFER.
11 11 2 C-H C7.30 10/11/95 1-SPM-124A-2-1 8 S/G RECIRCULATION AND TRANSFER. 11 11 2 C-H C7.70 10/11/95 1-SPM-124A-2-2 11 B11 S/G BLOWDOWN 2 C-H C7.10 09/08/95 1-SPM-124A-2-2 8 S/G BLOWDOWN 11 11 2 C-H C7.30 09/08/95 1-SPM-124A-2-2 B S/G BLOWDOWN 11 11 2 C-H C7.70 09/08/95 Page 13 of 14
- Attachment I Page 31 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Snubber Program Per Technical Specifications (T.S.) 4.17, there were no snubber visual examinations required for the Unit 1 refueling outage.
Surry Unit 1 is currently on the extended inspection interval. Snubber functional testing is required each refueling outage by T.S. 4.17 and thirty-six (36) snubbers were selected for func-tional testing and seal replacement. There were no failures identified *
- Page 1 of 1
Attachment I Page 32 of 35 Serial No.: 95-594 Docket No.: 5D-280 Abstract of Examinations Eddy Current Examinations of Nonferromagnetic Steam Generator Tubing Inservice examination was performed on steam generator 11 C 11 In Steam Generator 11 C 11 , all available tubes were inspected full length with bobbin probes. Three-hundred-one tubes were examined in the tube to tube-sheet interference area on the hot-leg side using the RPC probe. Supplemental examinations were also per-formed using RPC probes where additional confirmatory or other data was desired. Tube R38-C74 was plugged as a precautionary measure. This Steam Generator contains a total of five plugged tubes. See the attached list for details. Steam Generator 11 C11 Row Col Locn Ind Remarks
- 31 13 AV4 10 32 15 SC 17 13 16 6H 11 35 17 6H 18 22 18 4H 18 33 18 3C 19 10 23 4H 16 31 23 4H 19 9 24 3C 12 39 25 lC 13 40 26 6C 13 31 27 SH 12 35 28 4C 11
- 21 33 lC 1-1 Page 1 of 4
Attachment I Page 33 of 35 Serial No.: 95-594 Docket No.: 50-280
....._.**
Row 42 36 Col 33 35 Locn 6C 4C Ind 11 12 Remarks 14 38 6H 11 31 38 4C 16 16 41 2H 12 45 44 lC 17 46 44 AV4 10 13 45 2C 10 35 46 AV3 13 6 47 2C 19 34 47 5H 12 19 52 TSC 19
- 35 35 19 10 52 52 54 56 5H lC 4C 2C 16 13 13 17 45 56 2C 15 11 57 TSC 18 13 58 4C 17 4 60 3C 17 27 60 4H 17 28 60 BPH 37 34 60 AVl 16 34 60 AV2 11 34 60 AV3 14 27 65 BPC 12
- 39 69 AV3 Page 2 of 4 17
Attachment I Page 34 of 35 Serial No.: 95-594 Docket No.: 50-280 ,a, ~
-~ ,,_.,,J Row Col Leen Ind Remarks 14 72 4C 14 17 72 BPC 14 26 72 6C 11 23 73 BPH 20 38 74 AV2 14 plugged*
38 74 AV3 17 plugged* 38 74 AV4 29 plugged* 1 75 TSC 12 37 75 AV3 12 37 75 4C 16 14 76 2C 19 30 83 TSC 19 25 84 6H 19 25 84 6C 18
- 17 1
13 87 91 92 2C 1H 6C 17 11 13
- Preventively plugged Page 3 of 4
Attachment I Page 35 of 35 Serial No.: 95-594 Docket No.: 50-280 VIRGINIA ELECTRIC ARD POWER COMPANY STEAM GENERATOR EDDY CURRENT TUBE INSPECTION GLOSSARY OF TERMS
- 1. ROW, COL COLUMN tube identifier numbers an X-Y coordinate system.
- 2. IND INDICATION Character codes and numerics that represent the analysis results of the data for that tube, e.g., 25%
- 3. LOCN LOCATION The location in the tube of the INDI-CATION called.
- 4. 55 A number in the indication column shows the%
through wall depth of the indication.
- 5. TSC Top of Tubesheet Cold leg.
- 6. BPH, BPC BAFFLE PLATE HOT AND COLD
- 7. #C, #H (#=number) of Support Plate Hot or Cold leg.
e.g., 3H, 6H, 7C.
- 8* Av1*, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4.
Note: Where no comment appears in the remarks column the tube is still in service .
- Page 4 of 4
Attachment 2 Surry Power Station Unit 1 lnservice Inspections Repairs and Replacements NIS-2 Forms - ..
Attachment 11 Page 1 of 74 Serial No.: 95-594 Docket No.: 50-280
- Repair and Replacements Repairs and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1989 Edition.
The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems: RR# 94-085, repair/overhaul valve l-CH-HCV-1200C. This replace-ment was performed on work order 00261176-0l, and completed on 9-24-95. RR# 94-162, replaced trim assembly on valve 1-MS-PCV-102A. This replacement was performed on work order 00286844-0l, and complet-ed on 6-16-94. RR# 94-173, replaced hand hole fasteners on steam generator 1-RC-E-lC. This replacement was performed on work order 00297836-02, and completed on 9-6-94. RR# 94-185, replaced bolting on pump 1-SI-P-lB. This replacement was performed on work order 00271112-0l, and completed on 12
- 94 .
RR# 94-187, replaced valve 1-DA-TV-lOOB. This replacement was performed on work order 00303853-03, and completed on 12-13-94. RR# 94-188, replaced valve 1-DA-TV-lOOA. This replacement was performed on work order 00303718-0l, and completed on 12-10-94. RR# 94-189, replaced fasteners on valve 1-RH-MOV-1700. This replacement was performed on work order 00304604-0l, and complet-ed on 12-11-94. RR# 94-194, replaced fasteners on spool pieces on lines 2"-CH 1502/211-CH-15-1502. This replacement was performed on work order 00304268-02, and completed on 12-10-94. RR# 95-005, replace handhole bolts on steam generator 1-RC-E-lC. This replacement was performed on work order 00297836-03, and completed on 12-16-94. RR# 95-125, modify component supports (No. 24 on 8"-SI-14-153 and No. 38 on 10 11 -SI-6-153) to allow installation of shielding. This replacement was performed on work order 00299371-04, and complet-ed on 8-7-95.
- RR# 95-134, tack weld transducer mounts to valve 1-SI-79. This replacement was performed on work order 00304982-0l, and complet-ed on 9-10-95.
Page 1 of 6
Attachment II Page 2 of 74 Serial No.: 95-594 Docket No.: 50-280
- RR# 95-135, tack weld transducer mounts to valve 1-SI-82. This replacement was performed on work order 00304982-02, and complet-ed on 9-10-95.
RR# 95-136, tack weld transducer mounts to valve 1-SI-85. This replacement was performed on work order 00304982-03, and complet-ed on 9-10-95. RR# 95-137, tack weld transducer mounts to valve 1-SI-128. This replacement was performed on work order 00304982-04, and complet-ed on 9-10-95. RR# 95-138, tack weld transducer mounts to valve 1-SI-130. This replacement was performed on work order 00304982-05, and complet-ed on 9-10-95. RR# 95-139, tack weld transducer mounts to valve 1-SI-241. This replacement was performed on work order 00304982-06, and complet-ed on 9-10-95. RR# 95-140, tack weld transducer mounts to valve 1-SI-242. This replacement was performed on work order 00304982-07, and complet-ed on 9-9-95.
- RR# 95-141, tack weld transducer mounts to valve 1-SI-243. This replacement was performed on work order 00304982-08, and complet-ed on 9-10-95.
RR# 95~142, tack weld transducer mounts to valve 1-SI-107. This replacement was performed on work order 00304982-09, and complet-ed on 9-10-95. RR# 95-143, tack weld transducer mounts to valve 1-SI-109. This replacement was performed on work order 00304982-10, and complet-ed on 9-10-95. RR# 95-144, tack weld transducer mounts to valve 1-SI-145. This replacement was performed on work order 00304982-11, and complet-ed on 9-10-95. RR# 95-145, tack weld transducer mounts to valve 1-SI-147. This replacement was performed on work order 00304982-12, and complet-ed on 9-10-95. RR# 95-148, replace bonnet fasteners on valve 1-RH-12. This replacement was performed on work order 00311493-0l, and complet-ed on 9-15-95. RR# 95-149, .replace valve 1-SI-142. This replacement was per-
- formed on work order 00287964-01, and completed on 9-24-95
- Page 2 of 6
Attachment II Page 3 of 74 Serial No.: 95-594 Docket No.: 50-280
- RR# 95-151, replace valve internals on valve 1-RC-HCV-1455B.
This replacement was performed on work order 00299329-02, and completed on 9-24-95. RR# 95-153, repair valve 1-SI-147. This replacement was per-formed on work order 00290194-0l, and completed on 9-23-95. RR# 95-161, remove, ship, test and reinstall safety valve 1-RC-SV-1551A. This replacement was performed on work order 00315442-0l, and completed on 10-14-95. RR# 95-162, remove, ship, test and reinstall safety valve 1-RC-SV-1551B. This replacement was performed on work order 00315444-01, and completed on 10-6-95. RR# 95-163, remove, ship, test and reinstall safety valve 1-RC-SV-1551C. This replacement was performed on work order 00315446-0l, and completed on 10-7-95. RR# 95-166, open and inspect check valve 1-MS-182. This replace-ment was performed on work order 00308903-0l, and completed on 10-18-95.
- RR# 95-167, open and inspect check valve 1-MS-178. This replace-ment was performed on work order 00316985-01, and completed on 10-18-95.
RR# 95-168, open and inspect check valve 1-MS-176. This replace-ment was performed on work order 00316923-01, and completed on 10-18-95. RR# 95-180, repair pump casing 1-RH-P-lA. This repair was per-formed on work order 00325535-0l, and completed on 9-22-95. RR# 95-182, replace snubber l-MS-HSS-8. This replacement was performed on work order 00314169-0l, and completed on 9-27-95. RR# 95-183, replace rod eye on snubber l-SI-HSS-84. This re-placement was performed on work order 00314141-0l, and completed on 9-14-95. RR# 95-184, overhaul valve 1-RC-HCV-1557A. This replacement was performed on work order 00287087-0l, and completed on 10-9-95. RR# 95-185, overhaul valve 1-RC-HCV-1557B: This replacement was performed on work order 00282145-0l, and completed on 10-9-95. RR# 95-186, overhaul valve 1-RC-HCV-1557C. This replacement was performed on work order 00287467-0l, and completed on 10-9-95 *
- Page 3 of 6
Attachment II Page 4 of 74 Serial No.: 95*594 Docket No.: 50-280
- RR# 95-187, replaced flange fasteners on 1-RC-FE-1481. This re-placement was performed on work order 00325751-01, and completed on 9-27-95.
RR# 95-188, replace cover gasket and fasteners on valve 1-SI-88. This replacement was performed on work order 00325765-01, and completed on 9-22-95. RR# 95-189, replaced pressurizer (1-RC-E-2) manway bolts. This replacement was performed on work order 00325812-03, and complet-ed on 10-5-95. RR# 95-192, replace valve 1-RC-11. This replacement was per-formed on work order 00325533-01, and completed on 9-23-95. RR# 95-193, modify pipe support on line No. 4"-CS-97-153 per field change to DCP 94-016. This (modification) replacement was performed on work order 00326103-03, and completed on 9-27-95. RR# 95-194, modify pipe support on line No. 4"-CS-96-153 per field change to DCP 94-016. This (modification) replacement was performed on work order 00326103-02, and completed on 9-27-95.
- RR# 95-195, cut out an one inch section of pipe and reweld. This (modification) replacement was performed on work order 00326103-01, and completed on 9-21-95.
*RR# 95-196, replace valve 1-SI-141. This replacement was per-formed on work order 00326014-01, and completed on 9-24-95.
- RR# 95-197, replace bonnet fasteners on valve 1-RH-MOV-1700.
This replacement was performed on work order 00325905-01, and completed on 9-26-95. RR# 95-198, replaced a fourteen (14) inch pipe section to "A" steam generator, due to flow assisted corrosion, (FAC). This re-placement was performed on work order 00314379-13, and completed on 9-30-95. RR# 95-199, performed a weld overlay on O.D. of pipe, component 1-FW-PSF2-102. This repair was performed on work order 00314379-14, and completed on 9-29-95. RR# 95-200, performed a weld overlay on o.o. of pipe, component 1-FW-PP5D-10. This repair was performed on work order 00314379-16, and completed on 9-29-95. RR# 95-201, replace bonnet fasteners on valve 1-RH-HCV-1142. This replacement was performed on work order 00326321-01, and
- completed on 9-25-95
- Page 4 of 6
Attachment II Page 5 of 74 Serial No.: 95-594 Docket No.: 50-280
- RR# 95~202, inspect and retorque flange fasteners on 1-RH-E-1A.
This replacement was performed on work order 00326322-01, and completed on 9-5-95. RR# 95-203, remove bonnet for replacement of damaged stem on valve 1-RH-MOV-170i. This replacement was performed on work order 00325898-01, and completed on 11-2-95. RR# 95-205, Replaced instrument nozzles 1-RC-126 and 1-RC-130 on pressurizer (1-RC-E-2). This replacement was performed on work order 00325812-04, and completed on 10-4-95. RR# 95-206, replace #1 seal house bolts on 1-RC-P-lA. This re-placement was performed on work order 00316474-03, and completed on 9-24-95. RR# 95-207, replace #1 seal house bolts on 1-RC-P-lB. This re-placement was performed on work order 00316475-03, and completed on 10-4-95. RR# 95-208, repair weld 1-12 on line No. 14 11 -WFPD-13-601. This repair was performed on work order 00326858-01, and completed on 9-30-95.
- RR# 95-209, overhaul valve 1-RC-PCV-1455A. This replacement was performed on work order 00326410-02, and completed on 10-9-95.
RR# 95-210, replace valve 1-CH-RV-1382B. This replacement was performed on work order 00317397-0l, and completed on 9-23-95. RR# 95-211, replace valve 1-RH-RV-1721. This replacement was performed on work order 00317907-0l, and completed on 9-22-95. RR# 95-213, replace valve 1-CH-RV-1382A. This replacement was performed on work order 00317396-0l, and completed on 9-24-95. RR# 95-222, repack valve 1-BD-21, and replace bonnet. This re-placement was performed on work order 00326463-02, and completed on 10-6-95. RR# 95-223, overhaul valve 1-MS-PCV-102B. This replacement was performed on work order 00307972-0l, and completed on 10-13-95. RR# 95-224, repair broken grout around support baseplate on 1-RC-HCV-1557C. This repair was performed on work order 00327895-01, and completed on 10-12-95. RR# 95-225, repair broken grout around support baseplate on 1-RC-HCV-1556C. This repair was performed on work order 00327495-01,
- and completed on 10-13-95. I Page 5 of 6
Attachment II Page 6 of 74 Serial No.: 95-594 Docket No.: 50-280
- RR# 95-226, machine rod eye paddle on snubber 1-RC-HSS-138. This repair was performed on work order 00300427-01, and completed on 10-9-95.
RR# 95-227, replace bonnet on valve l-BD-1. This replacement was performed on work order 00327955-0l, and completed on 10-11-95. RR# 95-228, replace flange fasteners on 1-CH-97-1502. This re-placement was performed on work order 00328098-01, and completed on 10-13-95 *
- Page 6 of 6
Attachment II Page 7 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ ~nd_ _Power ____ Co. _ __ 7/14/94 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - ~ - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo286844-0l, RR#94-162 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v~i=r~g=i=n=i.=aa-=-Po""w""e=r'----------- Type Code Symbol Stamp _ _ _...;N:.;:A:.:....__ _ _ _ _ __
Nama NA
- Authorization N o . - - - - - - - - - - - - - - -
Same as above Expiration Date ____ NA _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _M_a_i_n_st_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
831 ' 1 55 1 7
- 5. (a) Applicable Construction Code 19__ _Edition, __ _ _ _ _ _ _ Addenda, __N_-__'_N_-_ _ _ Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes Plug/stem Fisher NA NA l-MS-PCV-102A NA Replaced No Tag# 2014 Plug/stem Fisher 74594976 NA l-MS-PCV-102A NA Replacement No Replace trim assembly.
- 7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at.the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
,.----
- FORM NIS-2 (Back)
PO# SY-15840
- 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 (i)adL~~~;TSf Owner or Owner's D e s l g ~
/~,;.,Woate ky( tf 91/
,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 inspected the components described in this Owner's Report during the period IO - IM- 93 to I~"' 1 '-I - e, '- , 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 1u n _ _ _... ~..=c:;_-=-~=----=---~---"---'------Commissions _______ v_a_._5_4_3_ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements fU~ Date_ _ _ _ _~?--/~t-1~_19 9~'"(
- Attachment II Page 8 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ Date _ _ 11/21/94 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00297836-02, RR#94-173 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v'-'iur.i,gµi ...nui...,a...._.p.._o,.w.,.e.._r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N,,A,.__ _ _ _ _ __
Name Authorization No. _ _ _ NA_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _.:.;N:.c:A'------------- Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code 831
- 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 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 Studs NA NA NA 1-RC-E-lC NA Replaced No A & G Eng. 59786 Studs II, Inc. LXR NA 1-RC-E-lC NA Replacement No Nuts NA NA NA 1-RC-E-lC NA Replaced No Nuts Team Inc. H416-1 NA 1-RC-E-lC NA Replacement No Replace hand hole fasteners on 1-RC-E-lC.
- 7. Description of W o r k * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 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 l size is 8% in. x 11 in., (21 informa-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)
None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME c_ode, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A___________ SigneWi! /J LA,L--- ..:Z-5£ Owner or ~ r ' s Designee, Title 9:....~ Date_~~~"~,g~*--=.Z.'--'/'-------, 19 ....... . . -- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______H_a_r_t_f_o_r_d_,__C_t_.__________________ have inspected the components described in this Owner's Report during the period ______-+f-l)~~~l=U~--<f~3--to_~/~~~'~"'~-~'"l~L~-----,, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. { ) I\ -/J.. f I,) (\ Va. 543
-----'~..__-""----='-----'----'"----=~"-""-----'-----Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _~/_/'~;}._cg~_19 C/'f
- Attachment II Page 9 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ Date _ _ 12/5/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo271112-01, RR#94-185 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_---'v._,._.*r_,,g,,..i..o.ui...a..._.p""o"'w"'e""r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __....,,.__ _ _ _ _ __
Name Authorization No. ___N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _:.:N:.:A:...__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_f_e_t..=y_I_n..::cj_e_c_t_io_n_*- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 5. (a) Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A__' _ _ _ _ Addenda, __N_-_ 1 _'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)
.~
Studs NA NA NA 1-SI-P-lB NA Replaced No Allied Nut & Studs Bolt Co., Inc. Ht.# 61596 NA 1-SI-P-lB NA Replacement No Nuts NA NA NA 1-SI-P-lB NA Replaced No Cardinal Ind. Nuts Products, Inc. M83691 NA 1-SI-P-lB NA Replacement No Replace bolting, 1-SI-P-lB.
- 7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SSY-382739 (studs), CSY-345358 (nuts)
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ____N_A Signe
.
~
~ J:?4,t/
~nerorO;r's Designee, Title
___________ Expiration Date _ _ _ _N_A
.ZS:Z- £~M-.e-d t
___________ Date_~./.~-~A,,v~~*~6~----. 19 CERTIFICATE OF INSERVICE INSPECTION 9.,-
- 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 a v e ins.e,ec;ted the components described in this Owner's Report during the period f() .. , ..... ~ to /CJ~('(- Y l.
9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~. I. ~
----1-=--=--.c..--~~----~~---Commissions _ _ _ _ _ _ _ Va._ _543
_ _ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ _ _ _~/_-___,,,{;..,____19
- Attachment I I Page 10 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 12/6/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner _ _ _ _ _ _ _ _ _ _- - - , - , - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _ _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - - - , - , - - - - - - - - - - - - - Unit--------------------
Name ¥ 5570 Hog Island Rd., Surry, Va. 23883 W0#00261176-0l, RR#9\*085 Address Repair Orgenlza\~Pi~~~* Job No., etc.
- 3. Work Performed by _ __.v...J..r...:.a,..i.._n.,.i"'a,_""'P"'o"'w"'e"'"r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,N,,,A:s.__ _ _ _ _ __
Name NA Authorization N o . - - - - ' - - - - - - - - - - - - Same as above Expiration Date ____ NA _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. 'Identification of System _ _ _ _c_h_e_m_i_c_a_l_a_n_d_v_o_l_u_m_e_c_o_n_t_r_o_l_ _ _ _ _ _ _ _ _ _ _ _ _~ - - - - - - - - - - - -
1 7
- 5. (al Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A _ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME or Replacement or No) Code Stamped (Yes Trim Copes- Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replaced No Trim Copes- Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replacement No
- 7. Description of Work Repair/overhaul 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 I size is 8% in. x 11 in., (2) informa*
tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E,. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SSY139051
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed (i) £ r '-"'~ 4,/'. .Z-Sf h(!yu&'d! Owner o r ~ Deslgnee, Tltle O.tc. Date--~~-~~--t::.t-----,L 19 9.~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have in:icJed the components described I () .. ( 4 ~ .C. 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
'"~""* (A4t f &- Commissions _ _ _ _ _ _ _ Va._ _543
_ _ _ _ _ _ _ _ _ _ __
. Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ __.(......,*d,..:......-.._fl_19 Cf.5
- Attachment II Page 11 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 1/23/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. *Plant Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00303853-03, RR#94-187 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _J,._r,._*rccig..,iunJ..Ji..aL....1:P,;;o.,.w,a:e.1:r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _.......,."'---------
Name Authorization No. ___N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _.:.N:::A=------------- Address
- 4. Identification of System _ _ _ _v_e_n_t_s_a_n_d_:_.D_ra_i_*n_s_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 l. l 19_5_5_ Edition, __ _ _ _ _ _ _ Addenda, _ _
NA 1 _*_N_-_7_ _ _ Code Case N_-_ (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME or Replacement or No) Code Stamped (Yes
*1 l
'
Valve Crosby NA NA 1-DA-TV-lOOB NA Replaced No SNN95030-Valve Body Crosby 34-009 NA 1-DA-TV-lOOB NA Replacement No N96162-Bonnet Grinnell 00-0009 NA 1-DA-TV-lOOB NA Replacement No Replace valve.
- 7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~
Other O Pressure ,No}> psi Test Temp. Nor °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
l (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- I
~
- FORM NIS-2 (Back)
PO# CNT-391719 (valve body and bonnet)
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. NA Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
-
- Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A ____________
Sign~d ~,t:. ~ Owner or O w m r r ~ l e
- _.zs_z- f ____ ,
Date _ _,/.~~~.v.~,~Z-=..,.... 19 7~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne_p,, 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.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - , ~ - - - - - h a v e inspected the components described in this Owner's Report during the period-----~/_C>_-_f_Y~--'i~3__ to I{) ~ I '-I 'Cj l:, , 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 inspect?:~/ I.) " Va. 543
----~"--'~<----,-----:-"-::-*.,---~--------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ __,_/-~~~3~_19 q ,S-
- Attachment II Page 12 of 74 Serial No.: 95*594 Docket No.: 50*280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 1/23/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __
Address Surry Power Station One
- 2. Plant Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00303718-0l, RR#94-188 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.3uri_.r..,g...i ..
n.._i....... a e...a...w...e...r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ ___J>L.,.__ _ _ _ _ __ Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___,N"'Ac:,__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _v_en_t_s_An_d_D_r_ai_*n_s_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 l.l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Valve Crosby NA NA 1-DA-TV-lOOA NA Replaced No N96162-Valve Crosby 00-0008 NA 1-DA-TV-lOOA NA Replacement No Replace valve.
- 7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
B. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure ~ Other D Pressure llloP psi Test Temp. Alo,: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) PO# SNT-359872
- 9. Remarks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Data Reports to be attached
- \
'i ii
.l~
fj
'i CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI.
Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
--
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed ~ ~ 4 - - - - : : ..ZS..Z- £4t,4"6f! wnerorOr'sDeslgnee, Title Date __'\_..h""~-""=.a.'___.....2._c;(~----, 19 9.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 Hartford, Ct. have insp_;cteg. the components described in this Owner's Report during the period //)*/ti- ~ to It> - I ti 'f C.
'l and state that
* ~ '
to the best of my knowledge and belief, the Owner has performed examinations l!nd 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
'"~'"~"-~t QJL Va. 543 Commissions------------,----------
- Inspector's Signature Natlonal Board, State, Province, and Endorsements Date,_ _ _ _ __,:._-__,/'-_
3 _19 C/ S .,-
- I
Attachment II Page 13 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 1/23/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - , - , - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. Plant Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304604-0l, RR#94-189 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _,~[1-*r._.g..i~o~i~a~P~a=w=e~r,.,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _-Aa..._ _ _ _ _ __
Name Authorization No. ___N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _. ;;.N;;;;A:.. .__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 l. l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)
' ~
'!
Studs NA NA NA 1-RH-MOV-1700 NA Replaced No Nuts NA NA NA 1-RH-MOV-1700 NA Replaced No Tidewater Ind. Studs Fasteners, Inc. Ht.#30033 NA 1-RH-MOV-1700 NA Replacement No Nuts Texas Bolt Co. 218808-A NA 1-RH-MOV-1700 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) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) PO# SY-017343 (studs), PO# CSY-193179 (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 repair or replacement ASME Code, Secti_on XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _____________________________~
- Certificate of Authorization No._*_ _ _NA _ _ _ _ _ _ _ _ _ _ _ Expiration D a t e - - NA- - - - - - - - - - - - -
Signed CJ */)~..!) - ~ ,..- %Sr Date_~a;;,~ ......., ~..Z.=o_.-f~----, 1ef1.:C:::
~~e,Tltle CERTIFICATE OF INSERVICE INSPECTION I, the undersigne91 holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State
.
or Province of virginia Hartford, ct. and employed by HSBI and I Co. of ~ JI
- - - - - - - - - - - - - - - - - - - - - - - - - - - = - - - - - h a v e inspected the components described in this Owner's Report during the period /lJ .. /1,{,l/l, to /O* l&.f-'?{. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in -this Owner's Report. Furthermore, neither the Inspector nor his employer I 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 inspec~~ ~ t. Ii) A
~ - - - .......
Va. 543
~..~,c:;;,....="--=-----~-~~-=~~----Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date._ _ _ _ _..,.~--~'~)~_19 ff£"'
- Attachment II Page 14 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _5/31/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r _ - - - - - - - - - - , - - - - - - - - - - - - -
Name* 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power ____ Station _..,.,.._ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304268-02, RR#94-194 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.v...i""r..,g..._in
... a"-'P"'o""w""e"'r,...,...._ _ _ _ _ _ _ __
1""' Type Code Symbol Stamp _ _ ___.N,,A,,___ _ _ _ _ __ Name Authorization No._...;_NA_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___:N::::A.:__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _c_he_m_i_*c_a_l_an_d_v_o_l_u_m_e_c_o_n_t_r_o_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1 1 7
- 5. (a) Applicable Construction Code 1. 10---=.:_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification
- ..
Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs NA NA NA -CH-14/15-1502 NA Replaced No Studs Mackson, Inc. NA NA -CH-14/15-1502 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) size is BY. in. x 11 in., (2) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT-457431(1)!
- 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
- repair or replacement ASME Code, Section XI.
Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ Certificate of Authorization No. -----'N-'--A"'------------Expiration Date _ _ _ _N_A Signed '2 £ _iJ_ .2 4,4-::: Owner or~*i15esignee, Title
;r.S;;:-
CERTIFICATE OF INSERVICE INSPECTION
,
_ _ _ _ _ _ _ _ _ __ Date _"'"A:;-"':.4~.,,_,.,.f'-'/'--'.'------, 19 9., ....-
- I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of
_______H_a_r_t_f_o_r_d_,_c_t_._________________ have inspected the components described in this Owner's Report during the period _ _ _ _ ____,_/-=()_*...,(_4......_ .. _tf...1=--tO /{)-lc.J- rt. , 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[')~ / . ~ _ _ _ _ _ commissions _______
------ll~l-1"~~-------'-'--_c;-""-~--'~""""":..::...::..... v_a_._ 5_4_3_ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ ~_ _b_-_/__19 C/ r-
*
' - . ~ - * ~ * ~ _ _ JI
Attachment 11 Page 15 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 1/23/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner _ _ _ _ _ _ _ _ _ _----=-=--------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _ Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00297836-03, RR#95-005 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _3~r1~*r...,g:..i~u~i~a~P~o=w=e~r,...,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _......,,.~-------
Name Authorization No. ___N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 1. l 19_5_5_ _ _ _ _ _ _ Addenda, __N_-1_'_N_-_7_ _ _ Code Case Edition, __NA (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Handhole bolts NA NA NA 1-RC-E-lC NA Replaced No Astro Nuclear Ht.#25748 Handhole Bolts Dynamics, Inc. Trace: CAY NA 1-RC-E-lC NA Replacement No
.,
Replace handhole 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) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
.recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT-467081
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A ___________ Expir?1tion 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 inspected the components described in this Owner's Report during the period lb-lY-'t 3 to I 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 inspecti~ I. BL _ ___._,.~---'------"---=------=--------Commissions _ _ _ _ _ _ Va. _ _ _543 _ _ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ ~i---~-'3~_19 Cf S
- Attachment II Page 16 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 12/6/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _ Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00299371-04, RR#95-12s Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,3u[iurc.g1,.1i.1.nui..,a'-"P""o.-wia.er.....__ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,N:,,;A,.___ _ _ _ _ __
Name Authorization No. ___N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____ NA_-'------------- Address
- 4. Identification of System _ _ _ _s_a_f_e_t~y_In_J~*e_c_t_i_o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5 .. (a) Applicable Construction Code B31
- 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Energy & Flat Bar Process Corp. NA NA Hgr.#38 NA Replacement No 1/4" Plate Alfab, Inc. NA NA Hgr.#24 NA Replacement No 4"x3"x5/16" Energy & Tube Steel Process Corp. NA NA Hgr.#24 NA Replacement No
- 2. 5" Pine Hub Inc. NA NA Har.#24 NA Replacement No 2"x2"x1/4" Energy &
Tube Steel Process Corp. NA NA Hgr.#24 NA Replacement No Modify component supports to allow installation of shielding.
- 7. Description of Work Hgr.#24 on 8"-SI-14-153, Hgr.#38 on 10"-SI-6-153.
- 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT495359(flat bar), CSY310249(1/4" plate), CNT470279
- 9. Remarks (4"x3"x5/16" TS), CSY385500 (2 1/2" pipe), CNT489737 (2"x2"xl/4" TS)
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 Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- Certificate of Authorization No, ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed Q.L_ _A_ Owneroi:~nee, Title
~,....-: .:z:J'.:Z:- btt,,~~
.
Date _ __,,,):....a4'c...._._....6-----, 19 'Ir: 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 irginia and employed by HSBI and I Co* of Hartford, Ct. have inspnt~ the components described in this Owner's Report during the period {D .. I~ -C?3to f()" (£{ - l. (,,. , 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(>~ ~ JJ_ lil (\ Va. 543
----~+-"--'""~"""'-'-'---:"---::~Ll'-'--'~"""'".._.'""""=:.,_---Commissions _ _ _ _ _ _- , - - - - - - , - - - - - - - - - - -
. Inspector's Signature National Board, State, Province, end Endorsements Date,_ _ ___,_,-"'-'i.... '----=- - 1 9 q :7--
- Attachment II Page 17 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co.
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date _ _ 11/1/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit _ _ _ _ _ _ __:.__ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-01, RR#95-134 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v'-"i""r""g""i...,n=.ia,,,_,P:..,oa:..:w:..:ce:.=rc-_ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N:::.A=----------
Name NA Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_fe_t_:y:...._I_n.c..j_e_c_ti_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1. 1 1 7
- 5. (al Applicable Construction Code 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacture'r Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Transducer Mount Va. Power NA NA 1-SI-79 NA Replacement No
"
'.
,
7, Description of Work Tack weld transducer mounts to 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 l size is 8% in. x 11 in., (21 informa*
- 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# SY031628.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached
'
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the
' repair or replacement ASME Code, Section XI.
Type Code Symbol Stamp _ _ _ _ _. = N . : - = A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- Certificate of Authorization No. NA Expiration Date -----'N=-=A=------------
Signed Q . f c w ~ T l t l ~ f Mr~ Date_---'-Mi----"-""~"""'-._/_ _ _ _ _ _ ,19 'RJ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commi$sion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______H_a_r_t_f_o_r_d_,__C_t_.----------.-,.-----,-,-...,.----have insi:iecJ.ed the components described in this Owner's Report during the period _ _ _ _ _ _ _'"""'___........,..__........c.to /O~ 14 -9 b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /() A
-----~+..="-"c.,.---=:.....===:...;..--1F1--/.,_,--~""";.:;;..-=---=--Commissions _______ v_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __
~ifn,;ture National Board, State, Province, and Endorsements Date,_ _ _ _ -+-/_,_/-~1._19 qL
- Attachment II Page 18 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner _ _ _ _ _ _ _ _ _ _- : - : - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-02, RR#95-135 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ ___,,yc.i....r.,.,.._;ou.i.1.1'a.._.p"'o"'w"'e'""r---------- Type Code Symbol Stamp _ _ _.,cN,,:A,..__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ ___:N.::.A=-------------- Address
- 4. Identification of System _ _ _ _s_a_fe_t~y~I_n~j_e_c_ti_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 l . l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Transducer Mount Va. Power NA~ NA 1-sr-sl nO NA Replacement No
~
- 7. Description of Work Tack weld transducer mounts to 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 l size is SY. in. x 11 in., (21 informa-
*tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/821 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# SY031628.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. NA Expiration Date _ _ _ _N_A ___________
Signed 0, .£ ,11 Owner or O ~ T l t l e
. * .:cs.r ~,rLd Date Ml(. , ,19 9£:
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspected the components described in this Owner's Report during the period (6 - I Lf ~ ~o ( f/) ~ /lf-Cf l , 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.
-----"""[.)_AJi_0~f.
* 'lkspector's Signature
_8_~_Commissions _ _v_a._543_ __ National Board, State, Province, *and Endorsements Date
- Attachment II Page 19 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - , - , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-03, RR#95-136 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_......,vui...r~g...i.un.1..ia.a...JPi.:so.a.w,.,.e,..r,,...,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __.,N,e:Ae...__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_fe_t....,y'--I_n.::..j_e_ct_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B31.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-_ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-85 NA Replacement No 7, Description of Work Tack weld transducer mounts to valve.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY031628.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- ____N_A___________ Expiration Date _ _ _ _N_A___________
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inspepted the components described in th is Owner's Report during the period { 0-11-1.- j l to ( 0 ... / "1 'Cf '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 inspection. n 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 n
------e+-+-~-!.-~~~~-~--------Commissions _______V_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __
~ ln;ect~ National Board, State, Province, and Endorsements Date_ _ _ _ /_/-_'.1--
__19 ~/.<
- Attachment I I Page 20 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ and _ _Power ____ Co. _ _ __ 11/1/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-04, RR#95-137 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,,v_.i...,rl,j..i..
i o....,,..*aa.....iPc,,o,..w"'e""r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N""A.,___ _ _ _ _ __ Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_f_et...;y:...._I_n..::j_e_c_t_io_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-128 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to valve.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY031628.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ Certificate of Authorization No. _ _ _...cN"'A;.,c...__________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __ Signed ?J_ .,{! d - * * ~ :ZS;r ow~lotowner'~
£44oate_---L.,d~t1,L..- * .L_I_ _, 19 9.C-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of
_______H_a_r_t_f_o_r_d_,_C_t_._________....,...____,,r-=---,-have inspected the components described in this Owner's Report during the period ID-fLf *93 to /d -/'f-9'b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .o-! - ~
-----1'11--'~~L--lb"~"""'=--':--.-:ll.f)f-'-_ _
....."--'=---'----Commissions
.,~ _______V_a_._ 5_4_3_ _ _ _ _ _ _ _ _ __
- Inspector's irs:r.ature National Board, State, Province, and Endorsements Date_ _ _ ___,_/~{-_~ _ _199'.J -
- Attachment II Page 21 of 74 Serial No.: 95*594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co.
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date _ _ 11/1/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _.1_ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-0S, RR#95-138 Address Repair Organization P.O. No., Job No., etc.
- 3. *work Performed by _ __,v~i=r-=>g=in=1=*a~P~o~w=e=r,-,,----------- Type Code Symbol Stamp _ _ _....:Nc::.A.,___ _ _ _ _ __
Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ s_af_e_t_y_I_n_j_e_ct_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l. l 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-130 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to valve.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2,(Back)
PO# SY031628.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _______________________________
- Certificate of Authorization No, NA Expiration Date _ _ _ _N_A ___________
Signed Q i1 ~- - ~ .,. Owner or O w ~ i t l e Z f ~.v~M Date kl,/. f ,19 2s-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 a v e inspectee the components described in this Owner's Report during the period / 0 .. f t.£-93to ( 0 " J'-( -'l , 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.
------ffl~--"<:'...~---"--':-:::-:--/.-'---,--'l:~-6'""""""'~.9r'"""'"'---Commissions _ _ _ _ _ _v_a_._5_ 4 _3_ _ _ _ _ _ _ _ __
-Pin~ature National Board, State, Province, and Endorsements Date_ _ _ _~/~/--_.1_19 qc
- Attachment II Page 22 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. *01111ner _Virginia
______ Electric.and _ _ _.,...,..._ _ _ _Power ____ Co. _ __ Date _ _ 11/1/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ Surry
_ _ _ _Power ____ Station _.,,.,..._ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-06, RR#95-139 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ ___.v_.i..,r.,.!.):...,i0...1...
- a......P,..o...,w""e..,r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _..,,Nce,A,...__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - = - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address 4, Identification of System _ _ _ _ sa_f_e_t-=y_I_nc..je_c_t_i_o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _....:..__ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code 831
- 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer
..
Manufacturer Serial No.
..
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-241 NA Replacement No
'
- 7. Description of Work Tack weld transducer mounts to valve.
- 8. T!)sts Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa*
tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
. recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY031628.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A_______________________________ Signed ~~-Tltlp Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A___________ Date--~~~~cl.~,~I_ _ _ _ _ , 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 inspe,s;!e;:t the components described in this Owner's Report during the period I I 0-/(d -1) to / 0 .... /ld -'7 L , 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-sp_e_c_t-io_n_(M+->~~~J~~---,-J.~*--~-~-----Commissions _______v_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date
- Attachment II Page 23 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ and _ _Power ____ Co. _ __ Date _ _ 11/1/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of_ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One* Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00304982-01, RR#95-140 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,.v_.i..,r'dg.._i...
- a.._.P_,,a,..w._e....
0 1.... r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _......_ _ _ _ _ __ Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___::N.::cA;:___ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_f_et-'y,__I_n..::;j_e_c_ti_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 l.l 19___::__Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7___ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other
-
Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Transducer Mount Va. Power NA NA 1-SI-242 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to valve.
- 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) size is BY. in. x 11 in., (2) informa*
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# SY031628.
- 9. Remarks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ Certificate of Authorization No, _ _ _""'N""A"'------------Expiration Date - - - ~ N = A ~ - - - - - - - - - - CERTIFICATE OF INSERVICE INSPECTION
- I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspect~ the components described in this Owner's Report during the period (O~ty-qs;- to (IJ-1'-\ -<fer , 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. If) (\ _ _ _ _. . . . _._;._.~_.:;c_
.__ _.!'--.--~-=-
Inspector's Signature
. . . .-'-----Commissions _ _National
_ _ _ _V_a_.__5_4_3_ _ _ _ _ _ _ _ _ __ Board, State, Province, and Endorsements Date
- Attachment II Page 24 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-08, RR#95-141 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,vui,.r.l;;jg.._i.....
o,.ia.......P..,,o..,,w..,,e""r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,N,:A=--------- Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ ___:NAc::.:.._ _ _ _ _ _ _ _ _ __ Address
- 4. 'Identification of System _ _ _ _s_a_f_e_ty~I_n_j_e_c_t_io_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-243 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
*..-*.
FORM NIS-2 (Back) PO# SY031628.
- 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 ~horization No. NA Expiration Date NA Signed ~ -rt: *L/ *
- ISL k,v&(d Ownar or O w n ~ l e Date--~~~V:~*~/_ _ _ _ _ , 19 ?.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 Hartford, Ct* have inspectpd the components described in th is Owner's Report during the period / 0- I&.( - 'f 3 to / 0 -. / id- 'f lo , 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
,..,~"***a~£ ~
Commissions _______V_a_._5_4_ 3 _ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _{l,---'--/.-_.1_19 Cj'J:
- Attachment II Page 25 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 11/1/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - . , . . . , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit _ _ One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 2. Plant _ _ _ _ _ _ _ _ _ _- : - : - - - - - - - - - - - - -
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-09, RR#95-142 Address Repair Organization P.O. No., Job No., etc. I* 3. Work Performed by_~v~i... rg...,..i0....1...
- a......Pc..a...
w,.e... r _ _ _ _ _ _ _ _ __ Name Type Code Symbol Stamp _ _ _...,Ne,A..__ _ _ _ _ __ Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_fe_t--'y'---I_n.cc.j_e_ct_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 l.l 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 89 6 . . Identification of Components Repaired or Replaced and Replacement Components
** Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No.
-.
Other
.
Identification Year Built
*.
Repaired,
-Replaced, ASME Code Stamped (Yes or Replacement or Nol l-SI-107 Replacement No Va. Power
- NA Transducer Mount NA NA
. '
- 7. Description of Work Tack weld transducer mounts to 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 l size is 8% in. x 11 in., (21 informa-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 REPRINT 12/91
FORM NIS-2 (Back*) PO# SY031628.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No, ____N_A ___________ Expiration Date _ _ _. . .:::N.::Ac.::.. __ _ _ _ _ _ _ _ __ Signed (2.£ d ~.m:L-4&¥#4 Owner or O ~ T l t l e Date_...a.d,.-=---i:P'""d.""'*.__./'-------, 19 £C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have insp'?j,t~ the components described in this Owner's Report during the period /D -/4 -9 '3 to /b - /LJ- '2.. 'f_ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n ~ -If- j) IT) (\
-----~-=-""-----'"'-.....:.:::........:--lL...,_*_....au"""-.~-=='--'---Commissions
-lnspector'sS;gnatur~
.
Va. 543 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date
*-
Attachment II Page 26 of 74 Serial No.: 95*594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00304982-10, RR#95-143 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,y""i...,r.,.g_.in....,..ia"--'P'-"o,.:,wcsee:r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,Nc::A.:....._ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_fe_t_,y:.._I_n.::.j_e_ct_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l.l 19___:_:__Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Man u factu re r Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME or Replacement or No) Code Stamped (Yes Transducer Mount Va. Pow~r NA NA 1-SI-109 NA Replacement No
'
- 7. Description of Work Tack weld transducer mounts to 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- ' recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY031628.
- 9. Remarks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct ancl this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _~ - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ ___:N:..:=.:A=------------
Signed <il--1': _d_~ Ownl!r or Ow~Daslgnee, Title ft;r Date _ __,~'---"'-"'V:.....__/...._____ , 19 P.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler arid Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspecJed the components described in this Owner's Report during the period /b -/1.f4Cto /1.)-. JLJ -"tf<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. _ _ _ __,,n4--"--"'--......,,. +.:......_f_¥'-.__.(J=-"""'""~-'""'--=---Commissions _ _ _ _ _ _V_a_._ 5_ 4_ 3 _ _ _ _ _ _ _ __
/)'--'----..c..._
~~atura National Board, State, Province, and Endorsements Date
Attachment II Page 27 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-11, RR#95-144 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.y...,j..
rg""1._.*n.,.i.,..a.__.P.,.o.,,w""er=---------- Type Code Symbol Stamp _ _ _""N""A'--------- Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ sa_f_e_t_:y_I_n.c..j_ec_t_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-_ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Tr~nsducer Mount Va. Power NA NA 1-SI-145 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .
- (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY031628.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _ N_A________________________________
- ____N_A___________ Expiration Date _ _ _ _N_A ____________
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, hqlding 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 inspecteJI the components described in this Owner's Report during the period------1r/..,,,D,,_-_./.'""U--....Cf'-=3;...._tO It) ' I Y -q lo 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.~ -i. ~ Va. 543 Commissions-------------,----------- Inspector's Signetu re Netionel Board, State, Province, end Endorsements Date
Attachment II Page 28 of 74 ,. Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 11/1/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - . , - , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _--=-,------------- Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00304982-12, RR#95-145 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_~v~i..r,..g... i ..
o ...
,, a..._.p..,.g..,w..,e.r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,..,..___ _ _ _ __
Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ __ Same as *above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
-4 .. Identification of System _ _ _ _ s_af_e_t~y_I_n=-j_ec_t_i_'o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code 531
- 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7___ Code Case (b) Applicable Edition of Section XI Utilized-for Repairs or Replacements 19 89
\;
- a. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-147 NA Replacement No
- 7. Description of Work Tack weld transducer mounts to 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 l size is BY. in. x 11 in., (21 informa-tion in items 1 through 6 on *this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 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# SY031628.
- 9. Remarks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed (i(2 ~ LJ Owneror~ignee, Title
// .:n':Z- L ~ Date-~~~'fl_tl.~*~ I - - - - , , 19 gr-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 inspes.t!Jd the components described in this Owner's Report during the period /t;- /?f -'f .3 to /{)"' I H* Lb , 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 lmpootloo. g~ / 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
~
Commissions _______v_a_._ 5_4_3_ _ _ _ _ _ _ _ _ __
~lnspector'sSignatu re National Board, State, Province, and Endorsements Date
Attachment II Page 29 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/29/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - . , . . , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. Plant Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23BB3 W0#00311493-0l, RR#95-14B Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,y'""i'""r""a_,,_i..
na.ia"-'P"'o'"'w"'e"'r,..,.---------- Type Code Symbol Stamp _ _ _....:NC!A.:.__ _ _ _ _ __ Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ R_e_si_*d_u_a_l_H_e_at_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
B31 1 55
- 5. (a) Applicable Construction Code _ _ _._____ 19 ___ Edition, _NA
_ _ _ _ _ _ Addenda, _ _ N-1, N-7 _ _ _ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson, Inc. NA NA 1-RH-12 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-12 NA Replacement No
- 7. Description of Work Replace bonnet 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 811:z in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# BNT467650 (studs and nuts), CNT450119 (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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. NA Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signed Qt:__ /J -,<AL./ O w n e ~ s Oesignae, Title T~.:T e:!-~,u<<,,e Date _ _
~
M--=o-=,l..,_,_.,A=19c....----,, 19 ~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______H_a_r_t_f_o_r_d_,_C_t_._________________ have inspect[: the components described in this Owner's Report during the period _ _ _ _ __,_/...,,D"---..../~L{~~-q~3"--_to / 0 ~ J L.j - ~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectir\ ~ _/). I,) n
---~.L..:...JL--',e_,'""'-------.L.\F:c::-'-'""~=--------Comrriissions _______V_a_._ 5_4_3___________
Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _--'-/....c../_- ~l_,_'f_19 '/ :;-
- Attachment II Page 30 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/14/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1__________ ~ Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00287964-01, RR#95-149 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v._,._.*r-,9._.i....n.,.i.,.a..._,_P.,..o..
w.,.e..,r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,N""A.,,__ _ _ _ _ __ Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address 0
- 4. Identification of System _ _ _ _s_a_f_e_t.::.y_In_J:;,,,e_c_t_1._*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Valve ~A* NA NA 1-SI-142 NA Replaced No PN W08-2074B 13 Valve Velan AA,SN 931037 4 NA 1-SI-142 NA Replacement No Energy & SW Flange Process Corp. NA NA 1-SI-142 NA Replacement No Energy & Blind Flanae Process Coro. NA NA 1-SI-142 NA Replacement No John H. Pipe Frischkorn, Inc NA NA 1-SI-142 NA Replacement No 7, Description of Work Replace valve Code case N416-1 applies. 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure ~ Other D Pressure eo"'/) psi Test Temp. t{fJ 1"' °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CSY146966, CNT505428, CNT476806
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _- = N - ' = A " ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Certificate of Authorization No. _ _ __,N,.,A=-----------Expiration Date - - - ~ N = A ~ - - - - - - - - - - -
Signed 0£ LJ Owner or O ~ e , Title
,, .TS'f hJtvv&i£. Date _ _ M_=d~/.~¥~-----, 19PC:
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 inspecbd the components described in this Owner's Report during the period {0 .. I '-{-'jJ to / O*It.( -9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this . Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this
~......,"'~,__,,'---'---'......,.f,___.-'8""""
i_n_s_p-ec-t-io_n..... ...~<-='-------Commissions _______V_a_.__5_4_3____________ Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _ /f~-~/-;t{,----19 9.{"'
Attachment II Page, 31 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 10/25/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ Unit _ _ One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00299329-02, RR#95-151 Address Aepalr Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.yui_,.r-11Q..1.i,..n.._ia......,Pa..o...w..e...r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _. J l W ~ - - - - - ' - -
Name Authorization No. _ _NA_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___.:N:.::A::._~_ _ _..:.__ _ _ _ __ Address
- 4. Identification of System _ _ _ _ R_ea_c_t_o_r_c_o_ol_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ ___.:_ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code 53 1.l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- ... ~*
,
Name of Component Name of Manufacturer Manufacturer Serial No. National Board
. No.
Other Identification Year Built Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No) Plug Copes-Vulc,an Part#131428 NA -RC-HCV-1455B NA Replaced No Plug Copes-Vulcan Part#131428 NA -RC-HCV-1455B NA Replacement No Cardinal Nuts Ind. Products NA NA h.-RC-HCV-1455B NA Replacement No
- 7. Description of Work Replace valve internals.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) Purchase order# CSY463467(trim assembly), CSY321406(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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signe~ /J Owner or Owne~ee, Title
~.c :zrz:--4<f,~U .ZS:,,.._
Date_(5t.~~"""'-.__... _ _ _ _ _, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspect~ the components described in this Owner's Report during ttie period , 3 to ID ~ /tf-'lfo . 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 inspec.~A~ £. /) ,\ Va. 543
-~'--~.__--=-__,,'--"~~~-~-.,...~~~~~-----Commissions _ _ _ _- , - - - - - - - - - - - - , - - - - - - - - - -
1nspector's Signature National Board, State, Province, and Endorsements Date_ _ _----4{,-.:{)'------=c'.l'-'-'!~-19
- Attachment II Page 32 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ and _ _Power ____ Co. _ __ 10/24/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - - , - . , . . - - - - - - - - - - - - Unit {<<.
Name >>J.*"'z:$ 5570 Hog Island Rd., Surry, Va. 23883 W0#00290194f-01, RR#95-153 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,y_..i_,,,r.,,,q_..in..,1""*a"-'P""o""'w"'e"'r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _.;:.;Nc.cA'--------
Name NA Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Da.te~_ _N_A_ _ _ _ _ _ _ _ _ _...:....._ Address
- 4. Identification of System _ _ _ _ s_af_e_t_y_I_n_j_ec_t_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code B31
- 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_*N_-____ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
*,
.. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
Studs Mackson,", Inc. NA NA 1-SI-147 NA Replacement No Nuts Texas Bolt Co. NA NA 1-SI-147 NA Replacement No
- 7. Descript_ion of Work Repair valve, valve leaks by.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal 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) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) Purchase order# BNT467650 (studs), CSY193179 (nuts)
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 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 ()._. Lf OwnFo;=~Tltle fl_ - ~ fs:c e:lka,.v°&!;e Date cir: Z-{f ,19 :,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 Hartford, Ct* have inspec;ed the components described in this Owner's Report during the period /0 - It.,{ ~er~ to /0 ~/ L( - C/ 6 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecD~ _/). A) /") 0
---'~'-""""-_,.'---'----=-(/.-
*
*--~--------Commissions _______
Inspector's Signature V_a_._5_4_3___________ National Board, State, Province, end Endorsements Date._ _ _ /_D_-~il.~19 rs
Attachment II Page 33 of 74 Serial No.: 95-594 Docket No.: so-2ao*
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _10/24/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit _ _One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 2. P l a n t - - - - - - - - - - - - , - , - - - - - - - - - - - - -
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00315442-01, RR#95-161 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ ___.v..._i.._rg:1,1-1....* 0....1...
- a._.p.,q.,.w._er..__ _ _ _ _ _ _ __ Type Code Symbol S t a m P - - - ~ ~ - - - - - - -
Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ___. - " N " " ' A " - - - - - - - - - - - - Address
- 4. Identification of System ____R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- - - - ' ' - - - - - - - -
- 5. (al Applicable Construction Code __8_3_1_*_1_ _ _ _ 19_5_5_ Edition,_NA_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7_ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built
'
..
Repaired, Replaced,
'
ASME Code Stamped or Replacement or No) (Yes studs Mackson, Inc. NA NA 1-RC-SV-1551A NA Replacement No Nuts Mackson, Inc. NA NA ~-RC-SV-1551A NA Replacement No
,*.
,
.. '*
- 7. Description of Work Remove. ship. 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 8% in. x 11 in., (2) informa-
. tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
Purchase order# BNT467650 (studs and nuts).
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A ____________
Signed/"? .,f:. ,J}
~irineror~Designee, Title d'r ,,;r.s;r Date_~O.~... (!~Z~~M~----, 19 ~,r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspect¢ the components described in this Owner's Report during the period /(\
- I '-I ' CJ (,, , and state that to the best of my knowledge and .belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. I n ...f+. _j)* (,) (\
------i(?r-4-'~'Y-""-'~~~--~L--~~~-------Commissions _______V_a_._*_5_4_3____________
~, nspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ --4,l~b---'-i"-"h"-----19 9£
Attachment II Page 34 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 10/24/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00315444-ol, RR#95-162 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_.....,vui...r.!,jg....
i ..... i e......Pa..a. .,.w.,.e. ._r_ _ _ _ _ _ _ _ __ o ... Type Code Symbol Stamp _ _ _.J.ll.tl~------ Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___,Nc::A.:....._ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_~_ac_t_o_r_c_o_ol_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code* B3 l.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackso~',
- Inc, NA NA l*RC-SV-1551B NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-SV-1551B NA Replacement No
'
- 7. Description of Work Remove ship test reinstall safety valve.
- 8. Tests Co_nducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded 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)
Purchase order# BNT467650 (studs and nuts).
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 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 ___________
. / 7 _ / ~ ...Z-S,.z.-.,-~~
Signed~~ L --- *
,""(/F'------, 19 Date--'C2c,__,...,,::'--'-___ 9.C Owner orOr'sOeslgnee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Netional 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 im;~~tpd the components described in this Owner's Report during the period /D- fl/ -Cj 3 to / ~
- Ii/ '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
'"~~*~"-\1-wf ~ Commissions _ _ _ _ _ _ _V_a_._5_4_3___________
- Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ --'/~/)_-~d-~b_19 q j
- Attachment II Page 35 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 10/24/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 1 _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station Unit _ _ One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 2. Plant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00315446-01, RR#95-163 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_~v~i=r'-"g=i=n=i=a~P=o=w=e=r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _..oN:::.Ao.___ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B31** 1 19_5_5_Edition,_N_A _ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson, Inc. NA NA 1-RC-SV-1551C NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-SV-1551C NA Replacement No 7, Description of Work Remove, ship, 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 SY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
FORM NIS-2 (Back) Purchase order# BNT467650 (studs and 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Date_....:Q="--,;_._* ...,W=-----, 19 ~,r-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have in5i:1ected/' the components described in this Owner's Report during the period _ _ _ _ __,_/_D_-__,f'--4__.___".'_q.._.3=--to / 0 - / fl b - 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-"=:...----Commissions _______v_a_._ 5_4_3_ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date ID- IJ_'
- 19 9'5
- Attachment II Page 36 of 74 Serial No.: 95-594 Docket No.: 50-280 I_. 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. _ _ __ 10/25/95-Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power ____ Station _.,.,.._ _ _ _ _ _ _ _ _ __ Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00308903-0l, RR#95-166 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_......>Yui..r.i,g..i.i...
o.. iaa...JP..,.oaw.,.e,...r,,...,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N""A=---------- Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System_~_ _M_a_in_s_t_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- ' - - - - - - - - - - - - - -
1 7
- 5. (al Applicable Construction Code B3 l.l . 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National
- Board No.
Other Identification Year Built Repaired, Replaced, ASME Code, Stamped (Yes or Replacement or Nol Cap Screws Mackson, Inc. NA NA l-MS-182 NA, Replac~ment No
- 7. Description of Work Open and inspect check valve.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 informa-
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 f'"om the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
FORM NIS-2 (Back) Purchase order# CNT500441.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No, ____N_A ___________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
S;gned <il .£~ j/ ~~ Owner or O~eslgnee, Title TS'T ,G,,~ Date _ ____,,a..._..(!_,,7',c....L..tLI'-...___ _ _ , 19 9£: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct.
- - - - - - - - - - - - - - - - - - - - - - - - , - - - - - - = = - - - ~ h a v e inspecteJI the components described in this Owner's Report during the period (b- /4- 93 to /o ~ I '-I - J. r , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer t 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. Commissions _ _ _ _ _ _ Va. _ _ _543 _ _ _ _ _ _ _ _ _ _ __
~--~,,~~ National Board, State, Province, and Endorsements Date
Attachment II Page 37 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Vir.ginia Electric and Power Co. Date _ _ 10/30/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00316985~01, RR#95-167 Address Repair Organization P.O.. No., Job No., etc.
- 3. Work Performed by _ __,vui_.r..g_.i,..n..,iaa.....P-,o..,w,.,e,-r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __.N,.A,___ _ _ _ _ __
Name . NA Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ __ _ c N : . ; : A " - - - - - - - - - - - - Address
- 4. Identification of System_-,--_ _M_a_in_s_t_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _....:.,._ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code 83 1.
1 19_5_5_Edition,~._NA _ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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 Nol Cap screws NA* NA .. NA 1-MS-178 NA Replaced No Cap sc~ews Mackson, Inc. NA NA 1-Ms~178 NA Replacement No
.,
.-
- 7. *Description of Work open and inspect check valve.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-
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# CNT500441.
- 9. R e m a r k s - - - - - : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufactu_rer'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 ~~
~ ~ g n e e , Title
_j} J_/ ..:z:s':T Date _ _ e2 __z.~*-...:ff)-~----, 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 inspecJed the components described in this Owner's Report during the period /O-/"i~'f3 to ID ere.. , 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-sp_e_c_t_,l~,1,--b'--"-'_=1"!~s~pe~c-t-.f""r*-s-;-ig_n_.,~
..u-r~e-~=------Commissions __N_a_t_io_n_a_l_B_o_a_:-~-S-*t_a_t~-~-:-r-ov_l_n-ce-.-a-n_d_E_n_d_o_r_se-m-en_t_s_
Date,_ _ _ _ --+/-'-/_--./,___19 1 £"
- Attachment II Page 38 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 10/25/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
_ _ _Power ____ Station _,,.,.._ _ _ _ _ _ _ _ _ __ Unit _ _ One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00316923-01, RR#95-168 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.v""i.._r~g:...
j Du.Ju'a......Pc..ouow,-e.._r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __.,,,.___ _ _ _ __ Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ___-~Ncc:A.;:,__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ M_a1_*n_s_t_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code 53 1.i 19_5_5_Edition,_N_A_ _ _ _ _.,:..- Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer
,*
Manufacturer Serial No, National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Cap Screws Mackson, Inc., NA . ,,NA 1-MS-176 NA Replacement No
.;
'
- 7. *Description of Work open and inspect check valve.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa*
tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
' (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
Purchase order# CNT500441.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _ N_A_______________________________
-
Certificate of Authorization No. ____N_A___________ Expiration Date ____N_A___________ ft=-""-"-...,-,_"---"'JJ=--..,3::::.,.:z..::_..:....._=~=~z:w""' ....~""*...___ _ _ Date _----"-Ol-=w;"-'-.,L,,..S:.___ _ _ _ , 19 .R.C:
~...._,,,&,;
'l!Jtl:lf{s~!!:'ff;srgnee, Signed ....t{;~~'--'--"r-"""-
Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______H_a_r_t_f_o_r_d_,_C_t_.____________~_____ have inspected the components described in this Owner's Report during the period _ _ _ __,/c.cbc...._""....,_(_,'r:-'7.i...oaS::.....__to / 0 - / ~ - f{C, , 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~r-"'-"-'::::...,"'--.=..:.---=---1£.J'--'.'-,--"~-"'=--"""------Commissions _______V_a_._5_4_ 3 _ _ _ _ _ _ _ _ _ __
-lnspectoYs S i g ~ National Board, State, Province, and Endorsements Date_ _ _ ___:;/_D_,_i_,_19 C(.5
- Attachment II Page 39 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 10/30/95
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _~ - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 1 of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station ~ One
- 2. P l a n t - - - - - - - - - - . . . . . , . , , - - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo32553s-01, RR#9S-180 Address Repair Organization P.O. No., Job Ne:,., etc.
- 3. Work Performed by _ __.V,.ei.,.rga,_1...
*n..,i..,a......P..,.o"'w..
er_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~------- Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ R_es_i_*d_u_a_l_H_ea_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___;__ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code 531 ' 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- '
Name of Component Name of Manufacturer
'
Manufacturer Serial No. National Board No.
*.
Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes Ingersoll Pump casing Rand Co .. 96762 .. NA 1-RH-P-lA NA Repaired No
- 7.
- Description of Work Repair pump casing. Code Case N416-1 applies.
- 8. Tests Conducted:. Hydrostatic Pneumatic D Nominal Operating Pressure 0' Other D Pressure #O) psi Test Temp. uor °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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
None.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
-
Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________ SignedW--£~0.C~< :Ir:£ Date _ _O,~\:cz:4--L-___..,}i..,i:,.....__ _ _ , 19 9C Owner orOwe's Desgnee, 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 inspecrd the components described in this Owner's Report during the period / {) -.(l::1-'? "'.!, to /6 "'/y "'<fb , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this* Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .
-v-,,v1~~~l~. c3-~~-Commissions _ _v_a._543 _ __
- lnspectoFsSigmrture National Board, State, Province, and Endorsements Date_ _ _ _ _~/~/_ ...~/_ _19 96" I
Attachment II Page 40 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 10/30/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00314169-01, RR#95-182 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_---"v-=i='rg:aciae,*n~i,.,a:......:,.P.:a:o.::.w""er~--------- Type Code Symbol Stamp _ _ __,N.:::A=---------
Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System ____M_a_i_*n_s_t_e_am _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1. 1 1 7
- 5. (al Applicable Construction Code 1 9 ~ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Snubber Grinnell* Corp, NA NA 1-MS-HSS-8 NA Replaced No Snubber Grinnell Corp. 33076 NA 1-MS-HSS-8 NA Replacement No
,
.. - ..
- 7. Description of Work.~R=e=l=a=ce~s=n=u=b=b~e=r~.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT459150.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A___________ Expiration Date ____N_A___________
Signed<i()~ ~ Owner~gnee, Title
..$I Date _ _a,~.....,.1'!=*./0""""_____ , 19 9-C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of
_______H_a_r_t_f_o_r_d_,_c_t_.________-;----:----:=ra.--have inspec~d the components described in this Owner's Report during the period _ _ _ _ _ _-4-.::t'l:...""....:....1'--L....-""~ ID .. fL-.f - 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.
-----Jo4"'_1"J-J=--l..c.n_s*p-e""c-to_r_'_s_Sl._lg-n*_a_t_u..,,r&e_.."'"'_~"'------Commissions _______V_a_.__5_4_3____________
f-.£.c National Board, State, Province, and Endorsements Date_ _ _ __,_/....{_-+f--19 CfJ
Attachment 11 Page 41 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 10/19/95
- 1. O w n e r - - - - - - - - - - . , . . , - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _~ - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _-1 ----,__ of_ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - - , - , - - - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00314141-0l, RR#95-183 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_~v~i,.r..,g~io~i~*a~P~o=w-e-r,-,-_ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~-------
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _~ - - - - - Address
- 4. Identification of System _ _ _ _ sa_f_e_t""y_I_n"-je_c_t_i_o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code 53 1.l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
.
National Board"., No. Other
-
Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Rod Eye Grinnell NA NA 1-SI-HSS-84 NA Replaced No Rod Eye Grinnell NA NA 1-SI-HSS-84 NA Replacement No
- 7. Description of Work Replace snubber rod eye. Replacement rod eye was removed from a spare snubber,
- 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 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp ______N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- NA Certifi;J.icate of Autho~rizat~/o. NA
- Expiration Dat~
-Signe~m,T "~ ~
4
; rs0estg8,T1t1e ~Jt;r ~~ Date ua:Ll' ,10 9C 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!!.Pted the components described in this Owner's Report during the period _ _ _ _ _ __,_/-'O=----,.../Y_,.-_j........c.'.?>_to /0-H- '1 '9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio(.J n -D, ?. Ir) n Va.
----',~J----=:..JJ.~----,-..::...::--'-*=~.....:,.-~--=-------Commissions _ _ _ _ _ _ _ _ _ 543 _ _ _ _ _ _ _ _ _ _ _ __
-Inspector's Signature National Board, State, Province, and Endorsements Date _ _ _ _____,{'-'D"--__,_(_,Cf.___19 qS
Attachment II Page 42 of 74 Serial No.: 95*594 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co.
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
10/25/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. Plant Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00287087-01, RR#95-184 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v"'1.:.e*rs.:q,_,i,.,,n,.,i:.,:a'--"P..::o:.::w..::ec:r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __:N:.::A;:___ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_oo_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
3 1 7
- 5. (a) Applicable Construction Code B 1. 1 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Plug Copes-Vulcan Part#194182 NA -RC-HCV-1557A NA Replaced No Plug Copes-Vulcan Part#194182 NA b.-RC-HCV-1557A NA Replacement No Studs Mackson, Inc. NA NA 11.-RC-HCV-1557A NA Replacement No Nuts Mackson Inc. NA NA ll-RC-HCV-1557A NA Replacement No
- 7. Description of Work._o~*v~e=r=h~a_u_l_v_a_l_v_e_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- ' - - - - - - - - - - - - - - - -
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 8Y. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
Purchase order# SSY127580(trim assembly), BNT467650(studs and 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
SignedQ /., ,4 'A~.-< Owner ~ s l g n e e , Title 4:Z- ~/,&Ge <(JO .r z; Date --'-"""--"----""'--'-=-"------,, 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 in:tted the components describad in this Owner's Report during the period /{) 1-1"3 to ID - tu-- z. . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures describad in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe~~.~ ________ Commissions _______v_a_._5_4_3___________
--~+..c...,;L--><--',--'---'LL-:,_.,,,~.,_..,,__
- Inspector's Signature National Board, State, Province, and Endorsements Date
Attachment II Page 43 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 10/24/95
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _ _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry One
- 2. Plant _ _ _ _ _ Power_ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __
Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo282145-01, RR#95-185 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_--'v'-'i,.,r""g"'i"'n"'i"'a'-"-P-=o.:.:.w-=er=----------- Type Code Symbol Starg~----N_A_ _ _ _ _ __
Name Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
55 1 7
- 5. (a) Applicable Construction Code B31. 1 19__ _Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ Code Cesa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__8_9 _ _
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Plug Copes-Vulcan Part#l38120 NA -RC-HCV-1557B NA Replaced No Plug Copes-Vulcan Part#138120 NA -RC-HCV-1557B NA Replacement No Studs Mackson, Inc. NA NA -RC-HCV-1557B NA Replacement No Nuts Mackson, Inc. NA NA' JI.-RC-HCV-1557B NA Replacement No
- 7. Description of Work_os:;.v:.;e=,re..:hc::a:,.:u"'l'----'vc::a:.a:lc..::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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) Purchase Order #CNT368367 (plug), BNT476650 (studs and 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No, ____N_A ___________ Expiration Date _ _ _.....;cN.;;;:A.;;;.__ _ _ _ _ _ _ _ __
Signed (2~ OwnerorOw's Deslgnee, Title
.Z-S°T Date-~Oc....._;;........~~¥'~----, 19 'l.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 Hartford, Ct. the components described in this Owner's Report during the period / D-fl*{ ~ 'f ~ to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection) /'\ + !. ~
......=------'~-----Commissions _______
---~.f.-"£1~'.F--=-=-'-"----*-'I-L----'--'~ V_a_._5_4_3___________
.Jnspector's Signature National Board, State, Province, and Endorsements Date
Attachment II Page 44 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and.Power Co. Date _ _10/24/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. Plant Unit_.-------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00287467-01, RR#95*186 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_----"v,...i..,.r,.._a,.incci:.,'a"--'Pc.so"'w""e"-r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __!N:,::A"---------
Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _......;.N...cA.:.___ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_ac_t_o_r_c_o_o_la_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code B31.l 19~Edition,_NA _ _ _ _ _ _ Addenda, __N_-__'_N_-__*_ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No, Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Plug Copes-Vulc_an Pari;:-#138120 NA -RC-HCV-1557C NA Replaced No Plug Copes-Vulcan Part#l38120 NA -RC-HCV-1557C NA Replacement No
- 7. Description of Work~o~v~e=r=h=a=u=l_v~a"-'l=-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 I size is SY. in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/821 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)
Purchase Order #CNT3213~5
- 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 repair or replacement ASME Code, Sectiqn XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed (l-L ~ ~ :ll:Z-Owner or o~sienee, Title Date~a--'ar.=~-ff------, 19 9S-: 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 a v e inspected the components described in this Owner's Report during the period _ _ _ _ _ _..../....coc...... ......c.,_l.f'---1...L...:'3'--to / 0 -11.f- L er , and state that to the best of my knowledge. and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio~ ~~ _/). /.") /) _ _ _..1~-=,c.....-"-'~'--,=....:c::;_--=--J*-~=--=--=------Commissions _ _ _ _ _ _ v_a_.__5_4_3_ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date
- Attachment II Page 45 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 12/5/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00325751-0l, RR#95-187 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v...,._.r-,g,_i
* ...n._j_.a,.__.Pc.s.ocoweae"'r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N:.::A.:__ _ _ _ _ __
Name NA Authorization N o . - ' - - - - ' - - - - - - - - - - - - Same as above Expiration Date ____ NA_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1
- 5. (a) Applicable Construction Code B3 l, 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson, Inc NA NA 1-RC-FE-1481 NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-FE-1481 NA Replacement No
- 7. Description of Work Replace flange fasteners.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
*-
FORM NIS-2 (Back) PO# BNT467650(studs and 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signed ~ d-
~neror~gnee,
-H - :Z:S"C ,64,,vt,&e Title Date __)__.B:.--"=-...*C._______ , 19 si:c CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct.
- - - - - - - - - - - - - - - - - - - - - - - - - = - - - - - - - h a v e inSJ>ec;ted the components described in this Owner's Report during the period /(')-(\.\.'l3 to /f>"' fi..\ .... CfJ. , 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 lo,poot~~~-~ Comml~loo, """'"" *~~~.;. !::~,.~. ,od Eodo-*M*
/) ,:"'
Date-----1l,.....l,....'-d-~D-19 1_ v
- Attachment II Page 46 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 10/24/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 __________ ~ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00325765-01, RR#95-188 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v~i=r~g~i=n=i=a~P=o=w=e=r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N.::.A=----------
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date ____ NA_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _s_a_f_e_t_y_I_n_je_c_t_i_*o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code 331 ' 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No.
-
Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol studs Mackson*, Inc. NA NA 1-SI-88 NA Replacement No Nova Machine Nuts Products Corp. NA NA 1-SI-88 NA Replacement No
- 7. Description of Work Replace cover gasket and 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(1_2/82) 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) Purchase order# BNT467650 (studs), CSY341267 (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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ Certific~ate Sign*ed o; ~~orization
~
No, wnerorOr'sDeslgnee, Title NA t' 7$. '7*' 4.d,~,e:'.' w _ CERTIFICATE OF INSERVICE INSPECTION Date ~r;: NA Expiration D a ~ - - - - - - - - - - - - - - - 4-9' , 19 9,r-: ** 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 ana employed by HSBI and I Co. of Hartford,_C_t_._________________ have inspected the components described in this Owner's Report during the period _ _ _ _ _ __./_,o,<.._ .. ~I_U~'-'f+-=3-to / t) - l l-\ l {.. , 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. Commissions _______v_a_._ 5_4_ 3 ___________
~or'~igna~ National Board, State, Province, and Endorsements
- Attachment II Page 47 of 74 Serial No.: 95*594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric. _ _ _ _ _ and ___ Power ____ Co. _ __ Date _ _ 12/5/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23BB3 wo#oo325s12-03, RR#95-1B9 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __.v,.i..;rg,._1....* u.....i....
- a.._.P""o"'w"'e...._r,.,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __.N,.A"---------
Name NA Authorization N o . - ~ ~ - - - - - " - - - ~ - - - - Same as above Expiration Date _ ___:N.::.A:.__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ R_ea_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..;..._ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code BJl. l 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other
-Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Dwg.651B293 Manway Bolt (2) Westinghouse HOl, Rev.19 NA 1-RC-E-2 NA Replaced No Dwg.651B293 Manway Bolt (2) Westinghouse HOl, Rev.19 NA 1-RC-E.:2 NA Replacement No -7. Description of Work Replace pressurizer manway bolts.
- 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 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# NS12001
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_______________________________ CERTIFICATE OF INSERVICE INSPECTION
- I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of
_______H_a_r_t_f_o_r_d_,__C_t_.--------..,...,,----~..-,.,-----,-have inspeczd the components described in this Owner's Report during the period /b-.{J..\ ~ '('J to /6 .. ft.f -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. * ~
----~-i----'c__-=--'--'--f-"-_._________ commissions _______v_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __
-Inspector's Signature National Board, State, Province, and Endorsements
,....,-,
Date_ _ _ ~L~i~-~/~[__19 '1::,
- Attachment II Page 48 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/14/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - , - , , - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
____ Power ____ Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00325533-0l, RR#95-192 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_~Y~i~r_.s..i,...n_.i.,.a__._Po=w=esa.r...__ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~-------
Name Authorization No. _ _ _ NA_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____ NA_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
7
- 5. (a) Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-i_,_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Valve NA. NA .*. NA 1-RC-11 NA Replaced No Edward 2"B36124 Valve Valves, Inc. (F316) TS NA 1-RC-11 NA Replacement No PTE#N93-1200 2" Elbow NA M14 NA 1-RC-11 NA Replacement No John H. 2" Pine Frischkorn Inc NA NA 1-RC-11 NA Replacement No John H. 2" Coupling Frischkorn, Inc NA NA 1-RC-11 NA ,Replacement No
- 7. Description of Work Replace valve. Code Case N416-1 applies
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure g Other O Pressure Ala')> psi Test Temp. .Al Cl 'C ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# NT487834, CSY310739, SNT351707, CSY324426
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- 'QZfi~~ ~
Owner or O ~ , T l t l e NA __r£;&
- NA
,:(~:-n_D_a-te~M~P~f4........,I-"~-----, 19 ?.C
- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct.
- - - - - - - - - - - - - - - - - - - - - - - - - - - , - - - - - h a v e inspected/ the components described in this Owner's Report during the period /D- Ud- '1~ to ID - / ?
L/ - b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.) /\ -/+.. !. !J) ~ ___Q_. .~<>L='---'---'----'J.(A!_--'-'"--~~~~------Commissions _ _ _ _ _ _ _ _ _543 Va. _ _ _ _ _ _ _ _ _ _ __
-Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ ___._(_,_(_-..,_/,"""'fo'--19
- Attachment I I Page 49 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co.
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
11/14/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _ _ ~ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326103-o3, RR#95-193 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v~i=r~q=i=n=i=a~P_o~w_er'-:"7---------- Type Code Symbol Stamp ____N_A_ _ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date ____ NA_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _c_o_n_t_a_i_nm_e_n_t_s_p_r_a_y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1. 1 1 7
- 5. (a) Applicable Construction Code 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) (Modified) Pipe Support NA NA NA 4"-CS-97-153 NA Replacement No
- 7. Description of Work Modify pipe support per Field Change to DCP94-016.
- 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT506713 (1/4" plate)
- 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 repair or replacement ASME Code, Section XI. NA Type Code Symbol Stamp --------------------------------
- Certificate of Authorization No. NA Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signed~u~~Li_-~
~lrto;:o~ Deslgnee, Title
..:z:r:z--CMtuu~ Date_~M~~'-'c/.'-......./_.¥
_____ , 19 9C 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 inspecz: the components described in this Owner's Report during the period. / 6- l'-f - '7
- 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.
~i&L
- Inspector's Signature Commissions _______v_a_._5_4_3_ _ _ _ _ _ _ _ _ __
National Board, State, Province, and Endorsements Date._ _ __,__//~-...... ( l( ___19 9. \
- Attachment II Page 50 of 74 Serial No.: 95*594 Docket No.: 50*280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/14/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - , - , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - - - - , - , - - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326103-02, RR#95-194 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v..i..._r.,.g.._in..._,...,*a..__.p..,.o,..wu.e...._r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~-------
Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ co_n_t_a_i_n_m_e_n_t_s_p_r_a_y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l. l 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
. National Board No.
Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) (Modified) Pipe Support NA NA NA 4 11 -CS-96-153 NA Replacement No
- 7. Description of Work Modify pipe support per Field Change to DCP94-016.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# CNT506713 (1/4" plate)
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 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 ____________
Signed0£ d Owner o r ~ e , Title
./ fs:z:- Date _ _~A,6~i,~,/'-'-,~/'--"t/_____ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct.
h~ve_ ,i~sc/9'ted the components described in this Owner's Report during the period / b I'"1 b . , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.!'+/- . /J n .
----'Q~c.A~l--'"'-'=t-~--_p---~-~------Commissions _______v_a_.__ 5_4_3_ _ _ _ _ _ _ _ _ _ __
- I nspector*fsignature National Board, State, Province, and Endorsements Date* 1l--/4 19'9S'
- Attachment II Page 51 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
. As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _ 11/8/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
____ Power _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326l03-0l, RR#95-195 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_---'3._riur,...g~i..uou.i..,.a---"'Pa...,w..,e...r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __wl,__ _ _ _ __
Name Authorization No. ___ NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___;N:.::A:.:...__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ ____:.R:....e_c-'-'iccrc_u_l_a_t_i..:.o=n--'S'-'pc:r:..c.ae<y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B 3 l. l 19_5_ 5_ Edition, __ _ _ _ _ _ _ Addenda, __N_-_*1_,_N_-_
NA 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) (Modified) 2 1/2 "Pipe NA NA NA 2.5 11 -RS-30-153 NA Replaced No
- 7. Description of Work cut out 1 " secti an of pipe and rewel d
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other@" 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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
Boroscopic inspection performed on I.D. to prove unobstructed flow.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appllcabla 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 repair or replacement ASME Code, Section XI. NA Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- Certificate of Authorization No. _ _ _ _ NA_ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _ _ _NA _ _ _ _ _ _ _ _ _ _ __
Signe 0do.f/..i -i.//
~wner o ~ n e e , Title f5:Z: Date_~M,~='6~*-Y _____ , 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 in*s;ted the components described in this Owner's Report during the period _ _ _ _ _ _ _ _..,....~~~~to /D-./IA -])- , 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 -fr- f Ii')
------'u!-+,N=-~=---------.,-'
-
A Inspector's Signature I\
~-Commissions _ _ _ _
Va. 543 National Board, State, Province, end Endorsements Date,_ _ _ _ -f/_-~/~3_19 q_s-
- Attachment II Page 52 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Ow ner _Virginia _ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 11/8/95 Date--------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - . , . . . , - - - - - - - - - - - - Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326014-01, RR#95-196 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _,,,,..._,.,,..,3...._,.,a..,a..as--PP<><a1w*<>eae,e...,---------- Type Code Symbol Stamp _ _ _""""----------
Name Authorization No. ___ NA_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N"'A"'------------- Address
- 4. Identification of System _ _ _.......csccac-=fccecct..._-=I:..:n.,_'.::.e.::.ct.::.1.::.o:..:n.:...._
- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 1.i 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Valve Edwards Valves NA *NA 1-SI-141 NA Replaced No s.o. # Valve Edwards Valves 36-21332 NA 1-SI-141 NA Replacement No Dubose National Reducing Insert Energy Serv.,Inc NA NA 1-SI-141 NA Replacement No Acceptable per
"" m--
lo'T't,l!(!TT-Qn-0183 R "'A NA 1-SI-141 NA Reolacement No John H. 2" Pipe Frischkorn,Inc. NA NA 1-SI-141 NA Replacement No
- 7. Description of Work Rep] ace iraJ ire code case N4l 6-l appJ i es
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure u2("
Other D Pressure NO& psi Test Temp. ,vtir °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
FORM NIS-2 (Back) PO# CNT511308, SNT351707, SY48956, CSY146966
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ----=Nc.::A=-----------Expiration Date _ _ _......;;Ne.A Q~~~--=--*....,~~-"""--~..73',-=:::,,,o'-'fe<.....-.-L.t.t.~~--=-.&=..U,....--.-Date_~~--'-&.Otb~r°~---, Signed ..... Owner o r ~ e e , Title CERTIFICATE OF INSERVICE INSPECTION _ _ _ _ _ _ _ _ _ __ 19 9.C
- 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~gted the components described in this Owner's Report during the period _ _ _ _ _ _~/...cf>:::.....-_.l...,H'+-~-T .....3.... to /6-. f W.. ':[Jo , 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}_ I!) ~
-----~+-'~e:::..,o;::= __l....,...*_ __.,~_."-'-~<<-------Commissions _______ v_a_._ 5_4_3
_ _ _ _---,-_ _ _ _ __
.Jnspector's Signature National Board, State, Province, and Endorsements Date
- Attachment II Page 53 of 74 Ser;aL No.: 95*594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/16/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner Name 5000 Dominion Blvd., Glen Allen, Va.- 23060 1 1 Address Surry Power Station One
- 2. Plant Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00325905-0l, RR#95-197 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v.._i._.r..,g,.,i..,.n...i...a...._.P.:ao"'w""e.._r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __,N"=A::..__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1 55 1 7
- 5. (a) Applicable Construction Code 1. 19 _ __ Edition, _N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ _ 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
- *Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson; Inc. NA NA 1-RH-MOV-1700 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-MOV-1700 NA Replacement No
- 7. Description of Work Replace bonnet 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 8Ya in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# BNT467650, CNT511701
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A___________
Signed/"}__~,;/ ~75:Z-
~ e r o ~ ~ e e , 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 inspect~d the components described in this Owner's Report during the period _ _ _ _ _ _ t-/~0~-.. .i,...,H_._-_'f~~--to J{) - { '-\ - '1 b
' 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-4-..i..,,:AC\,~/---=--'-----\-P ___~--------COmmiSSiOnS _______v_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __
'7- ~r*lfgnature National Board, State, Province, and Endorsements I I- I lo 101S:
**
Attachment I I Page 54 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 12/6/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner _ _ _ _ _ _ _ _ _ _. . . . , . . , - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - , , . . , . - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00314379-13, RR#95-198 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_--'v,..i.,.r...a,..i.._n...i..,.a...,.P"'o"'w"'e""r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _....,Nc,;A::...__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _F_e_e_d_w_a_t_e_r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code 831 ' 1 19_5_5_Edition,_N_A _ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol 14" Pipe NA NA NA 1-FW-PPS-89 NA Replaced No
.75"x2.5"Sockolet NA NA NA NA NA Replaced No 14rr Pipe Frischkorn, Inc NA NA 1-FW-PPS-89 NA Replacement 75"x2.5" Sockolet Hub, Inc. NA NA NA NA Replacement
- 7. Description of Work Replace J4" pipe section to "A" Steam generator due to FAC. Code Case N416-1 applies.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 0 Other D Pressure lllo"? psi Test Temp. N () r °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 informa*
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 I REPRINT 12/91
1-.- FORM NIS-2 (Back) PO# SSY425775(sockolet}, CSY334459(14" pipe}
- 9. Remarks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Date Reports to be attached CERT~FICATE 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.c:Ac.::.. . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ Certificate of Authorization No, _ _ _..::N.c:A"'-----------Expiration Date _ _ _ _N_A Signe~ /J J4.~-< Owner~e?s'iSeslgnee, Title
!LS'f LAJ4,µ#A
_ _ _ _ _ _ _ _ _ __ Date_~]).~.,~~~-~~-------, 19 CERTIFICATE OF INSERVICE INSPECTION 2C:
*-'
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 inn'~ted the components described in this Owner's Report during the period {D-lt.l-'.1,3 to /b-(llc-1,..f.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
'"~""Q..-01. ~ Commissions _ _ _ _ _ _V_a_.__5_4_3___________
- Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _~/~~-~/_(_ _19 q6
Attachment 11 Page 55 of 74 I j Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS O.R REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/2/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00314379-14, RR#95-199 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_---"v...; ...
- n..._,..,*a...,.P""o"'w,.e._r___---'------
rs,.._,... Type Code Symbol Stamp _ _ _.,,,N,:;A...__ _ _ _ _ __ Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ F_ee_d_w_a_t_e_r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Eioard No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 14 11 Pipe NA NA NA 1-FW-PSF2-102 NA Repaired No
- 7. Description of Work Perform a weld overlay on O.D of pipe.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
*-
FORM NIS-2 (Back) None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _ N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ Certificate of Authorization No. ----=-N:::A=-----------Expiration Date _ _ _ _N==A=------------- Signed ( ) ~ LJ - Owner o r ~ , Title
~ --" .Ir':Z- Date _
CERTIFICATE OF INSERVICE INSPECTION _,M'--='-='-"'tbCL...ak=------, 19 z.r:
- 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_.- - - - - - - - - - - - - ~ - - - - h a v e inspectecJ. the components described in this Owner's Report during the period /O- /tf-93 to /0- ll/ - ?' la , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. !_ /i) ~
----~-+---"~~---~rl:.---~~~~~----Commissions _ _ _ _ _ _ _ V_a_._5_4_ 3_ _ _ _ _ _ _ _ _ _ __
-Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ -1,/.....__/--4J,-F--1/f 5
*
.
Attachment II Page 56 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _11/2/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - , , . . , - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00314379-16, RR#95-200 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_~11....i .... *a.....P...a""w"'e....
rg~,~*nu..1.. r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _....w.____ _ _ _ _ __ Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ____;:N..c.A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ F_ee_d_w_a_t_e_r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a ) Applicable Construction Code _ _ B31 1
_._____ 55 19 ___ Edition, _NA _ _ _ _ _ _ Addenda, _ _ N-1, __ N-7 _ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 14" Pipe NA NA NA 1-FW-PP5D-10 NA Repaired No
- 7. Description of Work Perform a we) d over) ay on o p of pipe.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
FORM NIS-2 (Back) 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 repair or replacement ASME Code, Section XI.
.~.
Type Code Symbol Stamp _ _ _ _ _.:Nc:::Ac::....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ____N_A ___________ Expiration Date -----=N..::Ac::..-_ _ _ _ _ _ _ _ __ Signed <[).£: L . ~ . :zrr Owner o r ~ . Tltle Date-~M~*._.,,..4~,Z;.~*-----, 19 2s:": 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 inspe?f the components described in this Owner's Report during the period /() - Jt/-'f '3 to I()~ fl/- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. I /\ .../J . ;f) n ____0
µ_._...~'""-..,,._ 1
__,____,,.__~~=~-----Commissions _______V_a_._5_4_3_ _ _ _ _ _ _ _ _ __
~ s Signature National Board, State, Province, and Endorsements Date
*'
'I
Attachment II Page 57 of 74 Serial No.: 95-594 Docket No.: 5D-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric ~nd Power C6. 11/29/95
- 1. O w n e r - - - - - - - - - - : - : - - - - - - - - - - - - - - Date Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 She_et of Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _: - : - - - - - - - - - - - - - Unit Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326321-01, RR#95-201 Address Repair Organization P.O. No., Job No.; etc.
- 3. Work Performed by _ __.v'""i....r:..ii!.i..iou.1.LJ*a;L....IP:s.oww""e.i.,r,...,....--------- Type Code Symbol Stamp _ _ _......._ _ _ _ _ __
Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _-...cNo.;:A"'-------------- Address
- 4. Identification of System ____R_e_s_i_*d_u_a_l_H_ea..,;.t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code 53 l. l 19_5_5_ _ _ _ _ _ _ Addenda, __N_-_1_*_N_-_7_ _ _ Code Case Edition,_NA (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
..
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson:, Inc. NA NA 1-RH-HCV-1142 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-HCV-1142 NA Replacement No I
- 7. Description of Work RepJ ace bonnet fasteners
- 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 811, in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# BNT467650 (studs), BNT467064 (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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
***
----=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 insr:>ected the components described in this Owner's Report during the period / 0 ~I LI - '.13 to IO - N ~ Cf 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. /;;) /)
-----41Q'-\....,~'F-ldo-'J_..,.."'-' --.,....ll'
*lnspic:to,.,;Sfg~ure
_______ l----".-~ commissions _ _ _ _...,....__V_a_._5_4_3_--,-_ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date,_ _ _....,,_/ '--/---=-i.......1_19 f~
Attachment II Page 58 of 74 Ser;al No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/1/95
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date-----------------'----
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __
, Address
- 2. Plant _ _Surry
_ _ _Power ____ Station _..,.,.._ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326322-0l, RR#95-202 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ ____.y""j..r_..a..,in..,1..,*a...._.P..,,o..,w"'e....
r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _""'N""A"'----------- Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_si_*d_u_a_l_H_e_at_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 l.l 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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes. or Replacement or Nol Studs Mackson, Inc. NA NA 1-RH-E-lA NA Replaced No Allied Nut Nuts and Bolt Co. NA NA 1-RH-E-lA NA Replaced No
'
- 7. Description of Work Inspect* and retorgue flange fasteners.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 informa-
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# SY395215 (nuts), BNT467650 (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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. NA Expiration Date _ _ _ _N_A ___________
Signed ( ) . t?._L~ / rs:z: ~Av& Owner or C J ~ Designee, Title Date _ _,_~---"-4'-"'c........
.{ I"._ _ _ _ _ _ , 19 9..,,..-:
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspec~d the components described in this Owner's Report during the period /b-1'1 -C:Z '3 to /{) .. /cl*? L:. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection /I -A. !. /,") A ___Q"'-:c...,.,~'-'--'"'--.....___._ _,1-:_F----~--------Commissions _______v_a_._5_4_3___________
-Inspector's Signature National Board, State, Province, end Endorsements Date_ _ _ ____./ /_-~t_19 9 5"
......
- Attachment II Page 59 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co._ _ __ 10/30/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _ _ ~ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - ~ - - - - - - - - - - - Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00325898-0l, RR#95-203 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ _v~i=r~g~i=n=i=a~P=o=w=e=r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,N.::.A=----------
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_s_i_d_u_a_l_H_e_a_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code 831 "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 89
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Studs NA NA NA 1-RH-MOV-1701 NA Replaced No Studs Mackson, Inc. NA NA 1-RH-MOV-1701 NA Replacement No
- 7. Description of Work Remove valve bonnet for replacement of damaged stem.
- 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 8Y:z in. x 11 in., (2) informa-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# BNT467650.
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - ~ - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A_ _ _ _ _ _ _ _ _ __
Signed Q ..£~ / ::zs:r Ownerorner'i:oeslgnee, Title Date _ _a=--c:;...,7:L.L-'J=O-----, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct.
- - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - h a v e inspected the components described in this Owner's Report during the period-------1/i....D.,_'""-=(_t.'.{..._~~q~:3=--tO (D-1 t.l. ~?.C. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.() (\ -fr f.~ Va.
-----1~~~r,.<---=c.;;;....e...._.:_-,-,---'~-==-------Commissions _ _ _ _ _ _ _ _ _543 _ _ _ _ _ _ _ _ _ _ __
.Inspector's Signature National Board, State, Province, end Endorsements Date_ _ _ _ __../__,_{_-~/_19 9S:
- Attachment II Page 60 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 12/5/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - - . , . . - - - - - - - - - - - - Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00325812-04, RR#95-205 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_........5,..&..,w,._.T,..e.,,c..._hwn"'o""l"'o..
g..,i.._e.._s_ _ _ _ _ _ _ __ Type Code Symbol Stamp--,-::-:-_..:;NR=-------- Name N-2483 Authorization N o . - - - - - - - - - - - - - - - PO Box 10935, Lynchburg, Va. 24506-0935 Expiration Date _ _ _ _ _--,--6:..../2_1...:/c..9_7_ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code ASME III 19_8_9_Edition;_N_A_ _ _ _ _ _ Addenda, __N_A_ _ _ _ _ Code Case (bl Applicable Edition_ of Section XI Utilized for Repairs or Replacements 19 89
- 6. Identification of Compoi:ients Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes 1-RC-126, Instrument Nozzle Westinghouse .NA 1031 1-RC-E-2 1969 Replaced Yes 1-RC-130, Instrument Nozzle Westinghouse NA 1031 l-RC-E-2 1969 Replaced Yes B&W Nuclear P/Nl243053- l-RC-126, Instrument Nozzle Technologies 001,Serial#l 1031 l-RC-E-2 1995 Replacement Yes B&W Nuclear P/Nl243053- l-RC-130, Tn~t-*ment Nozzle Technoloaies 001 Serial#2 1031 l-RC-E-2 1995 Replacement Yes
- 7. Description of Work Replace instrument nozzles. Code Case N416-l applies.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 0' Other D Pressure NO) psi Test Temp. Ill or °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY. in. x 11 in., (21 informa-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# BKI 511006
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signed 0.-/'. -~- ~ Owner o r ~ n e e , Title
.Z->7" Date _ _).;....:~::...:C.=:....:...
* .:::.r<------, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure* Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct
- have inspecrd . the components described in this Owner's Report during the period / f) ""'/~ ... q :l to / b' I'!~ 'l , 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
'"-""-~ 1-&2- 1nspector's Signature Commissions _______v.,.a--::-._ 5_4_3_-,-_ _ _ _ _ _ _ __
National Board, State, Province, and Endorsements Date /;..-11 19 ~~
- Attachment II Page 61 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 11/30/95 Date_--------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 1 _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00316474-03, RR#95-206 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by_--'v"--'.r~g~i..,_n,..j...a._.P:.,.o..,,w"'e'"r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,Ns,;Ae:..__ _ _ _ _ __
Name Authorization No. _ _ _NA_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _:.;NA:.::__ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
7
- 5. (al Applicable Construction Code 831 "1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-1_'_N_-__ _ _ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Part #/Dwg.
,n SH Bolts(6 ea.) Westinghouse. 4934A79 H16 NA 1-RC-P-lA NA Replaced No Part #/Dwg.
1 SH Bolts(6 ea.) Westinghouse 4934A79 H16 NA 1-RC-P-lA NA Replacement No
- 7. Description of Work Replace #1 seal house bolts.
- 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) informa-
tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SY16838
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - ' ; . __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _. ; : . N = A - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- ___..::N.c:Ac.::..___________ 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 _______H_a_r_t_f_o_r_d_,_c_t_.____________~____ have insp,ted the components described in this Owner's Report during the period _ _ _ _ _ __../0""'-"....,(_U..-'-"'-<i'-'3-to / 0 - C" -.9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectionD./)4 f. /) fl _ _ _ _ _ commissions _ _ _ _ _*_V_a_.__
-----'~l-'--'<--_,..'----"----,-~-==--~c....:::;._ 5_4_3_ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _......./....,,.l~--_f_19 cr.s-
- Attachment II Page 62 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virgi"nia Electric and Power Co. Date _ _ 11/30/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __
Address Surry Power Station One
- 2. Plant Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00316475-03, RR#95-207 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,vui.,.r..sa,_.i""n...i..,a'--"P"'o""w,.e,.r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ ___,N""A.,___ _ _ _ _ __
Name NA Authorization N o . - - ' - - - - - - - - - - - - - - - Same as above Expiration Date ____ NA _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Part #/Dwg. h S H Bolts(6 ea.) Westin~house 4934A79 H16 NA 1-RC-P-lB NA Replaced No Part #/Dwg.
~1 S H Bolts{6 ea.) Westinghouse 4934A79 H16 NA 1-RC-P-lB NA Replacement No
'
- 7. Description of Work Replace #1 seal house bolts.
- 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) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I
Attachment II Page 62 of 74 Serial No.: 95-594 Docket No.: 50-280
*-
FORM NIS-2 (Back) PO# SY16838
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signed~~/_ &<'.:., .:;Br,EA.'6,~.¢ Date_~~~2"~v.~*~rfl=c2~----, 19 9.S-OwnaTSrawnei~nee, Title CERTIFICATE OF INSERVICE INSPECTION I, the.undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspecyid the components described in th is Owner's Report during the period /6
- I ':{-CJ::!> to / 6 - I r..(
- C/ '- , 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 inspecti~ It) f\
---->t~r-*'--=--~---__,,[_._~~~-------Commissions_*_ _ _ _ _ _V_a_._5_4_3_______----'---
. Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _----</'-'a,.'=---__._1_ _19 Cf!.,-
- Attachment I I Page 63 of 74 Serial No.: 95-594 Docket* No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 10/10/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326858-01, RR#95-208 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v'-"i""r.,,g..._in..._1...* a,,__,P,.,o,.,wcsec:r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...,Nc:,A..,___ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ __:__ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _F_ee_d_w_a_t_e_r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1. 1 55 1 7
- 5. (a) Applicable Construction Code 19__ _Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Weld 1-12 NA NA NA Weld 1-12 NA Repaired No
- 7. Description of Work Repair weld 1-12 on drawing 11448-WMKS-lOlGl.
- 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) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
***".".!"*', ***,,* ,_.... :*
- FORM NIS-2 (Back)
None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ____N_A___________ Expiration Date _ _ _ _N_A___________ Signed~..£_c;iA_
~ e r or O ~ n e e , Title
*<<<'. .LS£ Date--0.~e~r;~~/~O~---, 19 CERTIFICATE OF INSERVICE INSPECTION
~.r *-
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co*
- of
_______H_a_r_t_f_o_r_d_,__C_t_.--------------,a:=-----:have inspected the components described in this Owner's Report during the period l{)-l LI.~ q'3 to { ~ .... l L.{' I
'H, , 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 e ~ ~- It) (\
--~4---=-----.....tL,f--'~-~~~-------Commissions _______v_a_.__5_4_3_ _ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ f~6_-..L/_,,b.___19
*
- - '*
..:.i:_" :, . '
Attachment II Page 64 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ and__ Power ____ Co. _ _ __ 12/5/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23BB3 wo#00326410-02, RR#95-209 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,.37'-'"i-'-r~g;.._iou.1...
- a......P""a...woae:.i.r::-:----------- Type Code Symbol Stamp _ _ _...,,.,.~------
Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___:N::.A:..__ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of Systern _ _ _ _ R_ea_c_t_o_r_c_oo_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B31
- 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7___ Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9
- 6. Identification of Components Repaired or Replaced and Replacement Components
- Name of Component Name of Manufacturer M_anufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME _Code Stamped (Yes or Replacement or Nol Copes- Part# rim Assembly(plug) Vulcan, Inc. 13142B NA -RC-PCV-1455A NA Replaced No Copes- Part#
' rim Assembly(plug) Vulcan, Inc. 13142B NA -RC-PCV-1455A NA Replacement No
- 7. Description of Work.....c=mmuw=~--------------------,-__:__ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) informa-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# CNT511961
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Certificate of Authorization No. NA Expiration Date _ _ _ _N_A ____________
Signed <i)J<:/., ,t} :.c.ut,,-".'." Owner or O w n e f ~ e , Title D.Z:~4L~,,e ..* ce*.....'f'" Date_).)-="-"L.,c. .....______ , 199.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_.--------,-,------,-,..=---"'.""have inspectesf the components described __ to lb .. I £.l..- in this Owner's Report during the period _ _ _ _ _+-"'D"---..-,.l_'..\._,_..._._3 lJ.,. , 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-sp_e_c_t-io-n-ll~r===-='--..:.::.--:f.-=-:.--&tL-=-=------Commissions _______V_a_._5_4_3____________
- Inspector's Signature National Board, State, Province, end Endorsements Date _ _ _ _ +/-=~~-~f_f_19 'f ~
Attachment II Page 65 of 74 Serial No.: 95*594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. . 11/7./95
- 1. O w n e r - - - - - - - - - - . , . . . , . . - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _' - - - - - - - - ' - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 2. P l a n t - - - - - - - - - - - - , - , - - - - - - - - - - - - -
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00317397-01, RR#95-2i°O Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v_.i_.r,.g.._in.._* a....._.P..:.o...w..,,e""r--------~-
1....,* Type Code Symbol Stamp _ _ _~N"'A'--------'-- Neme NA Authorization N o , - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ ch_e_m_i_*c_a_l_a_nd_v_o_l_u_m_e_c_o_n_t_r_o_1_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code 83 1.
1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Compon.ent Name of Manufacturer Manufacturer
_Serial No. National Board No.
'.
Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Relief Valve Crosby. Type JB-25,B *.NA 1-CH-RV-1382B NA Replaced No Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382B NA Replacement No
. -*
- 7. Description of Work Replace relief valve.
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure @'
Other D Pressure NO,t>> psi Test Temp. µor °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:z in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- FORM NIS-2 (Back)
PO# SNT378396
- 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 conform*s to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________
Signe£}.£~ :I.ff Owner orner's Deslgnee, Title
~jL/Z Date-~~~""~*~"------, 19 9.£:
CERTIFICATE OF INSERVICE INSPECTION
. I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct.
- - - - - - - - - - - - - - - - - - - - - - - - , - - - - - - - - h a v e ins1?_e.9ted the components descri~ed in this Owner's Report during the period /t>-l':{*'l'3to (()-/4-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 inspecth~~ :. /U I\ Va. 543
---'~>--""'"_,_"'~~-'---'L_.____~ _ _~~-----Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date
Attachment II Page 66 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _12/5/95
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r _ - - - - - - - - - - , - , , - - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 1 _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _Surry
_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00317907-01, RR#95-211 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,v""i,_,r.,.g1=i"'n"'i-"a'-"-P"'o""w""er=.,.,.---------- Type Code Symbol Stanip _ _ _...cN.c:.A;:___ _ _ _ _ __
Name NA Authorization No . .:.*_ _ _ _.:...;..;;.;.:.__ _ _ _ _ _ _ _~ Same as above Expiration Date ____ NA _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
83 1. 1 1 7
- 5. (al Applicable Construction Code 19~Edition,_N_A _ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes Relief Valve Crosby.Valve NA NA 1-RH-RV-1721 NA Replaced No N6997.3.- Relief Valve Crosby Valve 01-0003 NA 1-RH-RV-1721 NA Replacement No 7, Description of Work Replace relief valve.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure ~
Other D Pressure IIOt' psi Test Temp, ~nrr °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) PO# CNT485706
- 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
- repair or replacement ASME Code, Section XI.
Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
- Certificate of Authorization No. _ _ _..;:N.c:Ac.c....__________ Expiration Date _ _ _ _N_A ___________
Signe/.JJj/ L} */ Date_~:::n='~t.t:G-~,-.S:~----, 19 9C
~eroTowWs~tle 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 ins~c;ted the components described in this Owner's Report during the period ID .. I 4 -'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 Joss of any kind arising from or connected with this inspectio~n. ~/f)r\a.. Va. 543
---+-~<-----:...__...---'~--~~-------Commissions _ _ _ _- , - - - - - - - - - - - - - - - - - - -
-lnspector's Signature National Board, State, Province, and Endorsements Date_ _ _--+-/-=l=-~-{'-'-(__19 q£
Attachment I I Page 67 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 11/7 /95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. Owner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _ _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00317396-0l, RR#95-213 Address Repair Organization P.O. No., Job No., etc. 3; Work Performed by _ __.y....i_.r.,.g..,.i,..n...i...,a....._P,,o.,w""e""r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ __eN,,cAs...__ _ _ _ _ __ Name NA Authorization No. _ _ _ _ _....:_....:_....:__;..__ _....:__:__ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _c_h_e_m_i_c_a_l_an_d_v_o_l_u_m_e_c_o_nt_r_o_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 l. 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replaced No Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replacement No
- 7. Description of Work Replace relief valve with valve previously installed at 1-CH-RV-1382B.
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure ~
Other D Pressure AJO~ psi Test Temp. NO,..- °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) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
-- -- -- --
.
FORM NIS-2 (Back) None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. NA Type Code Symbol S t a m P - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Certificate of Authorization No, _ _ _ _ NA_ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _ _ _NA _ _ _ _ _ _ _ _ _ _ __
Signed '2£. / - '/ O w n e r o r ~ e e , Title T,£7"" Date-~A4--=-- ..~.._.,._~'?'-------, 19 2s 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 virginia and employed by HSBI and I Co. of Hartford, ct. have insp~tjld the components described in this Owner's Report during the period (D -.(4-'7.3 to I ti .. ( lf ... 7..b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning th_e 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 ...0... _/) /t) /) Va. 543
-----~_.1->-1'--->1"'1~n=sp=-e.::..c-to_;__r'_s_S...yh1g
...n'"a-tu-~=re:c...a'-------Commissions 0
" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
National Board, State, Province, and Endorsements Date
Attachment II Page 68 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 10/24/95
- 1. O w n e r - - - - - - - - - - . , . . , . . - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _ _~ - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station One
- 2. P l a n t - - - - - - - - - - . . , . , - - - - - - - - - - - - Unit--------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00326463-02, RR#95-222 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,.v.....i ...
rg!,!,1..JPc.LJua.......P"-a... 0 0 w.:e... r _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _.,J,i.eL__ _ _ _ _ __ Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _---=N"-A=-------------- Address
- 4. Identification of System ____B_l_o_w_D_o_wn _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B3 1.i 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_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
- Name of Component Name of Manufacturer
....
Manufacturer Serial No.
..
Board No.
'*
National
..
Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Bonnet Conval, In_c . NA NA 1-BD-21 NA Replaced No Seller ID# Bonnet Conval, inc. 12G4C-105 NA 1-BD-21 NA Replacement No
- 7. Description of Work Repack ,raJ ve rep] ace bonnet
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure ~
Other D Pressure Alo), psi Test Temp. ;VO,: °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-
- tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) Purchase order# SSY137912.
- 9. R e m a r k s - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - , - , - - - - , - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 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~ ~ - - .:zs_z- ~ , . v ~ Owner or o ~ , Title Date _ _ cz_""'::-=*-Z.~Y----,, 19 'iC: 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 ins.g~ted the components described in this Owner's Report during the period _ _ _ _ ___,~,_.(j_-~/Y~--'f_3 __ to It? -(If *'ff.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in* this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~ !. II) t\
----~-~~~---~L~--~--------Commissions _______V_a_.__5_4_3____________
- Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ _ /---=c.D_-_l_b-'--19 er 5(
- f'
Attachment 11 Page 69 of 74 Serial No.: 95-594 Docket No.: 5D-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric ______ and _ _Power ____ Co. _ _ __ 10/25/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
- 2. Plant _ _Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00307972-01, RR#95-223 Address Repair Organization P.O. No., Job No., etc.
- 3. Work Performed by _ __,Vc.i..;.r-iog:.._io....,..,*a.......P""o""w"'e"'r---------- Type Code Symbol Stamp _ _ __.N,::A,...__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ ____;:Nc:A::......_ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _ M_a1_*n_s_t_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (a) Applicable Construction Code B31.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9
- 6. Identification of Components Repaired or Replaced and Replacement Components
..
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Part# Plug & Stem Fisher 11A5392X042 NA 1-MS-PCV-102B NA Replaced No Part# Plug & Stem Fisher 11A53 92X042 NA 1-MS-PCV-102B NA Replacement No
- 7. Description of Work,-.J..IJllll:l:Lru.1..!._:lra..l..Y!L...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
- recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
'-.
FORM NIS-2 (Back) Purchase order# CNT475943.
- 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A ___________________,,____________ Certificate of Authorization No. NA Expiration Date _ _ _ _N_A ___________ Signed~
~+/-r,.Lf/ or0wn~!e~1e p ./__,, $'.z- £.ug~ Date C&,,:; .2..C ,10 PC 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 a v e inspected the components described in this Owner's Report during the period _ _ _ _ _...,/""l>_-~/_'-~/-~r~3~-to Io~ I Y- '(f. ' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this
.=..,-.=.....,LJ-=-.,__
i-n-sp_e_c_t-io-'~"-* _ __,:f~._*-~--------Commissions _______v_a_._5_4_3___________
- Inspector's Signature National Board, State, Province, and Endorsements Date
Attachment II Page 70 of 74 Serial No.: 95-594 Docket No.: 50-280 l 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. _ _ __ 11/2/95 Date_-"------~------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 1 _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One
- 2. Plant _ _ _ _ _ _ _ _ _ _- : : - : - - - - - - - - - - - - - Unit---------------------
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00327895-01, RR#95-224 Address Repair Organization P.O. No., Job No., etc. 3; Work Performed by_----'v...i,.ra.::g,..i""n"'i""a'-"-P"'"ow=er=----------- Type Code Symbol Stamp _ _ __:N:::Ac:.__ _ _ _ _ __ Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l . l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Man ufactu re r Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Component Support NA NA NA -RC-HCV-1557C NA Repaired No
.**.
- 7. Description of Work Repair broken grout around support baseplate.
- 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) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
\ recorded at the top of this form .
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
**
FORM NIS-2 (Back) None
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appllcable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- Certificate of Authorization No. ____N_A _ _ _ _ _ _ _ _ _ _ Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __
Signed Q.cL ,J . ,,, _::TSf Owner o ~ n e e , Title
~v!
Date--~~-~-~--~-----,~ 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.
- - - - - - - - - - - - - - - - - - - - - - - - - - - = , , . - - - - T h a v e inspecte,d the components described in this Owner's Report during the. period (0 -!Ll.- C/ '3 to ~
/D ft.I~ 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 I a loss of any kind arising from or connected with this inspon. fl .{j.. ' /() /) Va. 543
-....u-lJ--u-~!..,_.~bl'"~-=a.---'~--"1-~*--~~~-------Commissions _ _ _ _- , - - - - - - - - - - - - - - - - - - -
~Pecor's Signature National Board, State, Province, and Endorsements Date 1(- l
*
,01.C
Attachment II Page 71 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date _ _11/2/95 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 1. O w n e r - - - - - - - - - - - , - - - - - - - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit _ _One_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 2. P l a n t - - - - - - - - - - - - , - , , - - - - - - - - - - - - -
Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00327495-0l, RR#95-225 Address Repair Organization P.O. No., Job No., etc.
- a._.P.,.o.,.w...
3, Work Performed by _ __.v_.i.._r.,.a1..,*0....1.. er..__ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~------- Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System ____R_e_a_c_t_o_r_co_o_l_an_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code B31
- 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-____ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Component Support NA NA .NA -RC-HCV-1556C NA Repaired No
- 7. Description of Work Repair broken grout around support baseplate.
- 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 SY. in. x 11 in., (21 informa-
- 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) 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 _____________________________~
- Certificate of Authorization No, _ _ _.=Nc;:A:..::..._________ Expiration Date _ _ _.....:cN.:.::A=-----------
Signed ;:}_ J
~;n{fc;,~e,"rltle j)_ ~ 7ff Date-~M~tP~/4~~~-----, 19 ?.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia
- and employed by HSBI and I Co* of Hartford, Ct* have inspec:'} the component~ described in this Owner's Report during the period /tJ., /ff -1Jto /tJ -/4-1'.:'- , 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 inspecti~ /,) n
-- 1
......._.,._~~--~-~-,---~~---~---Commissions
-~
Inspector's Signature _______V_a_._5_4_ 3_ _ _ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date
Attachment II Page n of 74 Ser;aL No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FO~ REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
______ Electric _ _ _,-,-_ _ and_ _Power ____ Co. _ __ Date 11/2/95 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of Address Surry Power Station One
- 2. Plant Unit Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00300427-01, RR#95-226 Address Repair Organization P.O. No., Job No., etc.
3'. Work Performed by _ __.v_.i..,r.,.a.. in... a.._.P""o"'w...e._r_ _ _ _ _ _ _ _ __ 1...,* Type Code Symbol Stamp _ _ __.N,,A"--------- Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _R_ea_c_t_o_r_c_o_o_la_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- 5. (al Applicable Construction Code B3 l.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_1_'_N_-_7___ 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
- Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Pathon-Snubber Paul Munr9E: NA NA 1-RC-HSS-138 NA Repaired No
'
- 7. Description of Work Machine snubber rod eye paddle per BT# S-95-0375 1 Rev. o.
- 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 8Ya in. x 11 in., (2) informa-
- 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. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp ______N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _...:N:..cA=-=-----------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 inspecte9,, the components described in this Owner's Report during the period /CJ- It/,- 't3 to /6 " I ':t -C/ 1c, , 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) () Va.
-----11-~---~--...,...~--,--~-~------Commissions _ _ _ _ _ _ _ _ _ _ 543_ _ _ _ _ _ _ _ _ _ __
- Inspector's Signature National Board, State, Province, and Endorsements Date_ _ __._/-'-/-__.i,__19 CZs-
Attachment II Page 73 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- Virginia Electric and Power Co. 11/30/95
- 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _ _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power One
- 2. Plant _ _ ____ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __
Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00327955-0l, RR#95-227 Address Repair Organization P.O. No., Job No., ate.
- 3. Work Performed by _ __:Vc:i,.;:rcag.:i:.:n=.ia:::...:P:.;:o;..awc:e.:r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp ____N_A_ _ _ _ _ _ __
Name NA Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _B_lo_w_d_o_w_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (a) Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-__'_N_-__ _ 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)
Fig.# Bonnet Conval 12G4-105 NA 1-BD-1 NA Replaced No Fig.# Bonnet Conval 12G4-105 NA 1-BD-1 NA Replacement No
- 7. Description of Work Replace valve bonnet.
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~
Other D Pressure 110> psi Test Temp, Nor °F NOTE: Supplemental sheets in form of lists, sketches, ,or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) PO# SY18342
- 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ ~
- - - - - - - - - - - - - - - E x p i r a t i o n 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~eyted the components described in this Owner's Report during the period /D
- I Lf . . q.3 to (0 *ft.( .. I b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i n s p e 1 : ~ ~. Ir) (\ __ib ... ~~~'--~~---L~--,---~--------Commissions _______v_a_._5_4_3_ _ _ _ _ _- ' - - - - - 1nspector's Signature National Board, State, Province, end Endorsements Date_ _ _ _ __,_/.,.~_-_,_}_19 9S-
Attachment II Page 74 of 74 Serial No.: 95-594 Docket No.: 50-280
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner _Virginia
_ _ _ _ _ _Electric _ _ _ _ _ _and ___ Power ____ Co. _ _ __ 12/5/95 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of_ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address
- 2. Plant _ _ Surry
_ _ _ Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00328098-0l, RR#95-228 Address Repair Organization P.O. No., Job No., etc.
- 3.
- Work Performed by _ _v~1=*r""'g..,1=*n=1=*a~P~o~w=e=r_ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _...:N:.::Ac:..__ _ _ _ _ __
Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date ____ NA_ _ _ _ _ _ _ _ _ _ _ __ Address
- 4. Identification of System _ _ _ _c_h_e_m_i_c_a_l_a_n_d_v_o_l_u_m_e_c_o_n_t_r_o_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 7
- 5. (al Applicable Construction Code B3 l.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, __N_-_'_N_-____ 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)
Allied Nut & Studs Bolt Co., Inc. NA NA l-CH-97-1502 NA Replacement No Cardinal Ind. Nuts Products, Inc. NA NA l-CH-97-1502 NA Replacement No 7, Description of Work Replace flange fasteners.
- 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
FORM NIS-2 (Back) PO# SSY392856(studs), CSY356332(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~ -
~~e,Tltle
/~,/J -tl~e"fSf .&,&,.v& Date_-")-=:S::.=*'-".s':..___ _ _ _ _ , 19 ~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 inspecte9 the components described in this Owner's Report during the period _ _ _ _ _ _/~6_-~1~4---'i-J~-to I {j '"' I LI - 9 k, , 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 inspen ~~ !. /D ~AJ
---'11~,t!.-&L_~~='----...,d::..:.'-='----'~-""'---'""'"",_,"'-"'"'..______ commissions _______v_a_._5_4_3_ _ _ _ _ _ _ _ _ __
Inspector's Signature National Board, State, Province, and Endorsements Date / :}.- /~19 9s-"}}