ML17332A613

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Rept of ISIs from 920702-941211.
ML17332A613
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 03/03/1995
From:
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
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ML17332A612 List:
References
NUDOCS 9503130327
Download: ML17332A613 (638)
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{{#Wiki_filter:INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Report of Inservice Inspections From July 2, 1992 to December 11, 1994 TABLE OF CONTENTS Section 1 Section 2 Section 2A Section 2B Section 2C Section 2D Section 2E Section 3 Introduction NIS-1 Inservice Inspection Summary Report Examination of Class 1 and Class 2 Systems and Components Steam Generator Eddy Current Inspections and Tube Repairs Reactor Vessel Closure Head Penetration Inspections and Control Rod Drive/Thermocouple Funnel Guide Inspections and Repairs ,System Pressure Tests NIS-2 Repair and Replacement Reports Index NIS-2 Repair and Replacement Reports 9S03130327 950303 PDR ADODK 05000310 Q PDR

INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 INTRODUCTION This report summarizes the Inservice Inspection activities performed at the Cook Nuclear Plant, Unit 2, for the period of July 2, 1992 through December 11, 1994.These activities were per f ormed in accordance with the requirements of the ASME Boiler and Pressure Vessel Code, Section XI, Rules for Inservice Inspection of Nuclear Power Plant Components. As of July 1, 1986, the second ten-year inspection interval began and the applicable code for ISI activities then became the 1983 edition through the summer 1983 addenda.The purpose of this report is to satisfy the requirements of IWA-6000 for the submittal of the Inservice Inspection Summary Report at the completion of each refueling outage.Examination and tests conducted since the preceding summary report (July 1, 1992)are included in this report.Repairs and replacements are also included in this report per the requirements of the 1983 Edition of ASME Section XI IWA-6220(b) 10.Also, contained within this report are the supplemental information'equirements of IWA-6220.Contents of this report have been reviewed and verified correct with supporting documentation available at the plant for review if required. THIS REPORT CONSISTS OF 65 SUPPLEMENTAL PAGES FORM NIS-I OWNERS'ATA REPORT FOR INSERVICE INSPECTION As required by the Provisions of the ASME Code Rules 1.Owner 2.Plant Indiana Michi an Power Co.One Summit S uare Ft.Wa ne IN 46802 (Name an A ress o Owner)Donald C.Cook Nuclear Plant One Cook Place Brid man Mi.49106 (Name an A ress o P ant)3.Plant Unit Two 4.Owner Certification of Authorization (if required)5.Commercial Service Date 07/01/78 6.National Board Number for Unit 1 Mich.M-324232-M 7.Components inspected Component or Appurtenance Manufacturer or Installer Manufacturer or Installer Serial No.State or Province No.National Board No.Reactor Vessel Steam Gen.¹1 Steam Cen.¹2 Steam Cen.¹3 Steam Cen.¹4 Pressurizer Regenerative Ht Exchanger RCP¹1 RCP¹2 RCP¹3 Volume Control Tank West RHR Heat Exchanger West CTS Heat Exchanger Chicago Bridge and Iron Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Joseph Oats&Sons, Inc.Engineers and Fabricators, Inc.Yuba MMGL 11444 MMGL 11445 MMGL 11446 MMGL 11447 1231 183'I-7-I I 524-618J800-C01-9 525-618J800-G01-9 526-618J800-G01-9 1787-3B S-15586-D 69-C-226-1D M-324232-M M-324234-M M-324235-M M-324236-M M-324237-M M-324233-M 37 38 39 40 68 94 430 Note: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1)size is 8.5 in.x 11 in.(2)information in items 1 through 6 on this data 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.

FORM NIS-1 (back)8.Examination Dates 07/02/92 to 12/11/94 9.Inspection Interval from 07/01/86 to 07/01/96 10." Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval.See Attached 11.Abstract of conditions noted.See Attached 12.Abstract of Corrective Measures Recommended and Taken See Attached We certify that the statements made in this report are correct and the examinations and corrective measures taken conform to the rules of the ASME Code, Section XI.1983 Edition w/Summer 1983 Addenda Date Feb rua 21 19 99 Signed indiana Michl an Power Co.By C~Owner C.A Freer Certificate of Authorization No.(if applicable) N/A Expiration Date N/A CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commision issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by Arkwri ht Mutual Ins.Co.*of Norwood Mass.have inspected the components described in this Owner's Report during the period 07/02/92 to 12/11/94 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Date~is.~~/,*-Factory Mutual Engineering Association Inspector'gna re Commissions @11 ara oo 5, z~.keaserncMrs rt/Z Nat ona Boar, State, Province, an En orsements INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 EXAMINATION OF CLASS 1 AND CLASS 2 COMPONENTS Inservice examinations were performed during the period of July 2, 1992 through December 11, 1994.All examinations were in accordance with ASME Section XI, 1983 Edition through 1983 Summer Addenda.Examinations were scheduled and performed according to the Second Ten-Year Long Term Inservice Examination and Testing Plan for Class 1, 2 and 3 Systems and Components for Donald C.Cook Nuclear Plant, Unit 2.This is the currently approved ISI examination plan, which identifies specific activities to be performed on a refueling outage basis.Nondestructive examinations were performed by Southwest Research Institute (SwRI), MQS Inspections and Indiana Michigan Power (IMP)personnel in accordance with procedures which were approved for use at the Cook Nuclear Plant.SwRI performed the required volumetric ultrasonic examinations and surface examination if.one was needed in addition to the volumetric examination. MQS and IMP personnel performed all other surface and visual examinations. The recordable indications found by su'rface and volumetric examinations were evaluated by the allowable standards provided in ASME Section XI.A liquid penetrant indication that exceeded allowable indication standards for surface indications was found on a valve to elbow pipe wel'd (2-SI-78-01). In accordance with IWB-3514.3, the surface indication was examined by a volumetric (ultrasonic) examination and.found to be acceptable with no recordable indications. 'nubber examinations and functional testing were performed in conjunction with maintenance procedures for technical specification surveillance of snubbers.IMP personnel performed VT-3/VT-4 visual examinations on ISI component supports.Design sketch nonconformances and other discrepancies found were evaluated by AEPSC Nuclear Engineering Design Section.All discrepant pipe supports and associated systems met operability limits.However, some of the pipe supports were repaired or modified to be in accordance with the original design intent.The summary pages in this section lists the examinations, tests performed and results.In the following summary pages,"NOREC" is no recordable indications,"GEOM" is geometric indications, and"OTHER" are indications other'han geometric indications. Page 1

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 2 REACTOR PRESSURE VESSEL AND CLOSURE HEAD SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REMARKS C H R**CALIBRATION BLOCK*<<CLOSURE HEAD HERIDIONAL 'WELDS FIG NO A-2 001705 2-CHH-07 8-A UTOL HERIDIONAL WELD AT 334 DEG."81.22 UTOM UT45 UT45T UT60 UT60T DCC-UT150/2/1/0 X--SMRI-LIHITED EXAH DUE TO HEAD SHROUD X--AND CONFIGURATION ~X X X--<<<<RV-2<<<<X CLOSURE HEAD TO FLANGE MELD FIG NO A-2 001900 2-CHC-01 HEAD TO FLANGE B-A B1.40 HT UTOL UTOM UT45 UT45T.UT60 UT60T DCC-HT1/0/0/0 DCC-UT150/2/1/0 X X X X X--<<<<RV-2<<<<X X SMRI-EXAHINED 33K OF MELD.LIHITEO EXAH DUE TO FLANGE CONFIGURATION AND LIFTING LUG.CLOSURE STUDS 004500 2-RPV-STUD 1 THROUGH 54 B-G-1 MT 86.30 UT60 UT88 DCC-HT2/0/1/0 X--SMRI-EXAHINED STUDS NOS.37 THRU 54.DCC-UT18/2/1/0 X X**7-.750-8-CS-10-DCC** CLOSURE NUTS 004600 2-RPV-NUT 1 THROUGH 54 8-G-1 HT 86.10 DCC-HT2/0/1/0 SMRI-EXAHINED NUTS NOS.37 THRU 54.SCRATCHES OR TOOL MARKS NOTED ON SIX NUTS MERE NOT DETRIMENTAL TO FUTURE SERVICE.SEE CNF-001 AND 002.VESSEL FLANGE THREADS 004?00 2-RPV-FLANGE THREADS 1 THROUGH 54 B-G-1 UTO 86.40 DCC-UTS/2/1/0 X--SMRI-EXAMINED FROH STUD HOLES 37 THRU 54.**7-.750-8-CS-10-DCC*<< INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07)0117S;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 3 REACTOR PRESSURE VESSEL AND CLOSURE HEAD SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK"*CLOSURE WASHERS 004800 2-RPV>>'llASHER 1 THROUGH 54 B-G-1 B6.50 VT-1'T DCC-VT7/0/0/0 DCC-HT2/0/1/0 X X SWRI-EXAHINED WASHERS 37 THRU 54.WASHER NO.46 HAD NICK ON OUTSIDE EDGE NOT DETRIHENTAL TO FUTURE SERVICE.SEE CNF-003.

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 PRESSURIZER FIGURE A-4 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 4 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK*>>NOZZLE TO SHELL AND SHELL TO NOZZLE UELDS 006920 4'-2-RC-28 UPPER HEAD TO SPRAY NOZZLE 8-D 83.110 UTOL UTOI/UT45 UT45T UT60 UT60T DCC-UT49/2/1/0 DCC-UT1 5/3/0/0 X>>-SIIRI-LIHITEO EXAH DUE TO NOZZLE X--CONFIGURATION. X X X--~~PL-3.0"CSCL-4 DCC**X NOZZLE INSIDE RADIUS SECTIONS 007000 4'-2-RC-28-IRS UPPER HEAD TO SPRAY NOZZLE 8-D UT19 83.120 DCC-UT11/2/0/0 X--SIIR I"~IR-CSCL-24-DCC~~ NOZZLE TO SAFE-END AND SAFE<<END TO NOZZLE LIELDS 008000 2-PRZ-21 NOZZLE TO SAFE-END 8-F 85.40 PT UT45 UT45T UT45RL UT45RLT DCC-PT1/0/0/0 DCC-UT31/2/0/0 X X X X X SI/RI~*3378028 (6-SS-160-.71)

  • ~

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVlCE DATE: 07101I78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 STEAM GENERATOR NO.24 FIGURE A-5 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 5 SUMHARY EXAHINATION AREA NUMBER IDENTIFICATION ASME SEC.XI CATGY EXAM ITEH NO METHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C M R i*CALIBRATION BLOCK**CIRCUHFERENTIAL WELDS 011300 STM-24-01 LOWER HEAD TO TUBE SHEET B-B UTOW DCC-UT49/2/1/0 X B2.40 UT45 DCC-UT15/3/0/0 UT45T X UT60 UT60T SWRI-LIMITED EXAM DUE TO WELDED X INSULATION PADS.45 AND 60 DEGREE INDICATIONS ARE CODE ACCEPTABLE. X X~~RV-3/DCC-41~~ DATE: 02/22/95 EVIS ION: 0 REACTOR COOLANT SYSTEH INDIANA MICHIGAN POWER COMPANY;DONALD C.COOK NUCLEAR PLANT, BRIDGMAN, MI.UNIT 2 COMMERCIAL SERVICE DATE 07N1/78;NATIONAL BOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS ~PAGE: 6 SUHHARY EXAHINAT ION AREA NUHBER IDENTIF ICATIOH ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C tl R~*CALIBRATION BLOCK**LINE 2-Rc-18 FIG NO A-7A 017560 2-RC-18-06-LU-I LONGITUDINAL SEAM 8-J PT DCC-PT1/0/0/0 X--SMRI-EXAHINED 12 INCHES OF MELO 89.12 UT45 DCC-UT33/2/0/0 X--LENGTH.UT45T X**37;CCSS-X-3.0-9-DCC~* 017580 2-RC-18-06-LU-0 LONGITUDIHAL SEAN 8-J PT DCC-PT1/0/0/0 X--SMRI-EXAHINED 12 INCHES OF MELD 89.12 UT45 DCC-UT33/2/0/0 X--LENGTH.UT45T X~~37-CCSS-X-3.0-9-DCC** 017600 2-Rc-18-06 ELBOM TO PIPE 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT33/2/0/0 X UT45T X**37-CCSS-X-3.0-9-DCC~~ 017800 2-Rc-18-05N 2-IN.NOZZLE (BRANCH CONNECTION) 8-J PT 89.32 12SHP5050NDE001 X--J.O.C18446/07 018000 2-RC-18-08 ELBOll TO PUHP 8-J PT DCC-PT1/0/0/0 X-SMRI-l.IHITED EXAH DUE TO PUHP 89.11 UT45 DCC-UT33/2/0/0 " X, CONFIGURATION UT45T X**37-CCSS-X-3.0-9-DCC** LINE 2-RC-18 FIG NO A-78 018100 2-RC-18-09 PUHP TO PIPE 8-J PT DCC-PT1/0/0/0 X--SMRI-LItlITED EXAH DUE TO PUtlP 89.11 UT45 DCC-UT33/2/0/0 X--CONFIGURATION AND BRANCH CONNECTION. UT45T X*~37-CCSS-X-3.0-9-DCC** LINE 2-RC-19 FIG NO A-8A 020600*2-RC-19-07 PIPE TO ELBOlt 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT33/2/0/0 X UT45T X**37-CCSS-X-3.0-9-DCC*~ INDIANA MICHIGAN POWER COMPANY, DONALD C, COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REACTOR COOLANT SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE 7 SUHHARY EXAMINATiON AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAM ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E C H R REHARKS*~CALIBRATION BLOCK'*LINE 2-RC-19 FIG NO A-BA 020620 2-RC-19-07-LD-I LONGITUDINAL SEAH 8-J 89.12 PT DCC-PT1/0/0/0 X--SURI-EXAHINED 12 INCHES OF MELD UT45 DCC-UT33/2/0/0 X--LENGTH.UT45T X*~37-CCSS-X-3.0-9-DCC~~ 020640 2-RC-19-07-LD-0 LONGITUDINAL SEAH 8-J 89.12 PT DCC-PT1/0/0/0 X--SWRI-EXAHINED 12 INCHES OF IIELD UT45 DCC-UT33/2/0/0 X--LENGTH.UT45T X~~37-CCSS-X-3.0-9-DCC** LINE 2-RC-19 FIG NO A-8B 021550 2-RC-'l9-10N 1-1/2-IN.NOZZLE (BRANCH CONNECTION) 8-J PT 89.32 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-RC-22 FIG NO A-11 026300 2-RC-22-07 REDUCER TO PIPE 8-J 89.11 PT UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X X X X SURI**3378027 (4-SS-120-.430)** 026833 2-RC-22-01N 3-IN.NOZZLE (BRANCH CONNECTION) 8-J PT 89.32 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-RC-23 FIG NO A-12 027500 2-RC-23-01 TEE TO PIPE 8-J PT 89.21 12SHP5050NDE001 X--J.O.C18446/07 INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REACTOR COOLANT SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 8 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEM NO HETHOD PROCEDURE N0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK**LINE 2-RC-24 FIG NO A-13 028300 2-RC-24-02 PIPE TO PIPE B-J PT 89.21 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-RC-25 FIG NO A-14 028800 2-RC-25-02 ELBOW TO PIPE 8-J PT DCC-PT1/0/0/0 X--SWRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X*~3378028 (6-SS-160-.71)** LINE 2-RC-26 FIG NO A-15 029700 2-RC-26-02 ELBOW TO PIPE 8-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X--SWRI DCC-UT31/2/0/0 X X**3378028 (6-SS-160-.71)**'INE 2-RC-27 FIG NO A-16 030700 2-RC-27-03 PIPE TO ELBOW 8-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X--SWRI DCC-UT31/2/0/0 X X**3378028 (6-SS-160-.7'I)** 031200 2-RC-27-09 PIPE TO FutNQE 8-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X--SWRI DCC-UT31/2/0/0 -X X~~3378028 (6-SS-160-.71)*~ 031300 2-RC-27-09-FB FLANGE BOI.TING 8-G-2 VT-1 87.50 12SHP5050NDE006 X--J.O.C18446/07 d INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REACTOR COOLANT SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1{1994), THIRD PERIOD, SECOHD INTERVAL CLASS 1 COHPONENTS PAGE: 9 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION. ASHE SEC.XI CATGY EXAH ITEH NO HETHOO PROCEDURE N, 0 0 G T R E,H E 0 E REHARKS C H R~~CALIBRATION BLOCK~~LINE 2-RC-28 FIG NO A-1?031500 2-RC-28-02 ELBOW TO PIPE 8-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X--SWRI DCC-UT31/2/0/0 X X**33?8027 (4-SS-120-.430)~* 033800 2-RC-28-18 PIPE TO TEE 8-J PT 89.11 UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X-SWRI-LIHITED EXAH DUE TO TEE X--CONF IGURATIOH. X X**337802?(4-SS-120-.430)~~ 034200 2-RC-28-22 PIPE TO TEE 8-J UT45 DCC-UT31/2/0/0 89.11 UT45T.UT60 X--SWRI-LIHITED EXAH DUE TO TEE X--CONFIGURATION. AUGHENTED EXAH'N X-RESPONSE TO NRCB 88-08.*~33?8027 (4-SS-120-.430)~* 034300 2-RC-28-23 TEE TO PIPE 8-J UT45 89.11 UT45T UT60 DCC-UT31/2/0/0 X X X SWRI-LIHITED EXAN DUE TO TEE CONFIGURATION. AUGHENTED EXAN IN RESPONSE TO NRCB 88-08.**3378027 (4-SS-120-.430)** 034400 2-RC-28-24 PIPE TO ELBOW 8-J UT45 89.11 UT45T UT60 OCC-UT31/2/0/0 X--SWRI-AUGHENTEO EXAH IN RESPONSE TO X--NRCB 88-08.X*~33?8027 (4-SS-120-.430)

    • 034800 2-RC-28-28 PIPE TO ELBOW 8-J 89.11 PT UT45 UT45T UT60 UTBSRL DCC-PT1/0/0/0 DCC-UT31/2/0/0 SWRI-UT2/1/1/0 X X X X X SWRI*~33?8027{4-SS-120-.430)**

03?800 2-RC-28-51 ELBO'W TO SAFE-END 8-J PT'9.11 UT45 UT45T DCC-PT1/0/0/0 X--SWRI DCC-UT31/2/0/0 X X**3378027 (4-SS-120-.430)** U INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLOLNT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 l REVISION: 0 REACTOR COOLANT SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 10 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N, 0 0 G T R E H E 0 E REHARKS C H R~~CALIBRATION BLOCK~~LINE 2-RC-29 FIG NO A-18 037900 2-RC-29-01 BRANCH CONNECTION TO ELBOW 8-J PT 89.1'I UT45 UT45T DCC-PT1/0/0/0 X--SWRI LIIIITED EXAH DUE TO BRANCH DCC-UT31/2/0/0 -X-CONNECTION. X**3378027 (4 SS-120-.430)** 039700 2-RC-29-16 PIPE TO ELBOW B-J PT UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X--SWRI X X X~~3378027{4-SS-120-.430)

    • LINE 2 RC-30 FIG NO A-19 041300 2-RC-30-06 PIPE TO TEE 8-J UT45 DCC-UT31/2/0/0 X 89.11 UT45T X UT60 X SWRI-LIHITED EXAH DUE TO TEE CONFIGURATION.

AUGHENTED EXAH IN RESPONSE TO NRCB 88-08.*<<3378027 (4-SS-120-.430)*< LINE 2-RC-31 FIG NO A-20A 045700 2-RC-31-16-FB FLANGE BOLTING 8-G-2 VT-1 87.50 12SHP5050NDE006 X--J.O.C18446/07 LINE 2-RC-34 FIG NO A-23A 056200 2-RC-34-12-FB FlANGE BOLTING B-G-2 VT-1 B7.50 12SHP5050NDE006 X--J.O.C18446/07 LINE 2-RC-513 FIG NO A-25 064900 2-RC-513-21-FB FLANGE BOLTING 8-G-2 VT-1 87.50 12SHP5050NDE006 X--J.O.C18446/07 DATE: 02/22/95 EV IS I ON: 0 REACTOR COOLANT SYSTEH INDIANA MICHIGAN POWER COMPANY;DONALD C.COOK NUCLEAR PLANT, BRIDGMAN, Ml.UNIT 2 COMMERCIAL SERVICE DATE 07101/78;NATIONAL BOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 11 SUNHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R>>*CALIBRATION BLOCK>>>>LINE 2-RC 519 FIG NO A 31 085300 2-RC-519-21-FB FLANGE BOI.TING 8-G-2 VT-1 87,50 12SHP5050NDE006 X--J.O.C18446/0?LINE 2-RC-525 FIG NO A-32 086200 2-RC-525-03 TEE TO PIPE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 6900 2-RC-525-06 PIPE TO ELBOW 8-J PT 89.40 12SHP5050NDE001 --X J.O.C18446/07-PT INDICATION OF.125'S WITHIN ALLOWABLE STANDARDS OF IUS-3514.3.

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/OI/78;NATIONAL BOARD NUMBER'I DATE: 02/21/95 REVISION: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 12

SUMMARY

EXAHINAT ION AREA NUMBER IDENTIFICATION ASHE SEC.XI CATGY EXAM ITEM NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E C H R REMARKS~*CALIBRATION BLOCK~~LINE 2-SI-56 FIG NO A-33 089000 2-S 1-56-11 ELBOW TO PIPE 8-J PT DCC-PT1/0/0/0 X--SWRI B9.11 UT45 DCC-UT31/2/0/0 -X UT45T X~*3378030 (10-SS-140-1.0)

  • ~LINE 2-S1-78 FIG NO A-33 090100 2-S 1-78-01 VALVE TO ELBOW B-J 89.11 PT UT45 UT45T UT85RL SWR I-UT2/1/1/0 1 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X X X X SWRI-LIHITED EXAM DUE TO VALVE CONFIGURATION.

PT INDICATION EXCEEDED ALLOWABLE LENGTH.UT EXAM OF INDICATION REVEALED NO RECORDABLE INDICATION. THEREFORE, INDICATION IS ACCEPTABLE IN ACCORDANCE WITH IWB-3514.3. %*337gQB (6 SS-160,71)*+ LINE 2-SI-57 FIG NO A-34 091050 2-SI-57-02 PIPE TO TEE B-J PT DCC-PT1/0/0/0 X--SWRI-LIHITED EXAH DUE TO PIPE 89~11 UT45 DCC-UT31/2/0/0 X--RESTRAINT. UT45T X UT60*>3378030 (10-$$-14P<<1.P)**091500 2-S 1~57-06 ELBO'W TO PIPE B-J PT DCC-PT1/0/0/0 X--SWRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X*+3378030 (10-SS-140-1.0)

    • 093200 2-SI-57-22 TEE TO PIPE B-J PT DCC-PT1/0/0/0 X 89.11 UT45 DCC-UT31/2/0/0

-X UT45T X SWRI-LINITED EXAH DUE TO TEE CONFIGURATION.

    • 3378030 (10-SS-140-1.0)
  • >>093300 2-SI-57-23 PIPE TO VALVE B-J PT DCC-PT1/0/0/0 X--SWRI-LIHITED EXAH DUE TO VALVE 89.11 UT45 DCC-UT31/2/0/0

-X-CONFIGURATION. UT45T X**3378030 (10-SS-140-1.0) ~*

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiWNN Ml.UNIT 2 COMMERCIAL SERI/ICE DATE: 07/OIi78;NATIONAL BOARD NUMBER 1'ATE: 02/21/95 I REVISION: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 CONPONENTS PAGE: 13 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETNOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R>>>>CALIBRATION BLOCK**LINE 2-SI-58 FIG NO A-35 095500 2-SI-58-08 ELBOM TO PIPE 8-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X--SMRI DCC-UT31/2/0/0 -X X>>>>3378030 (10-SS-140-1.0)>>>> 096300 2-SI-58-16 ELBOW TO PIPE B-J PT 89.11 UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X--SMRI X X X*>>3378030 (10-SS-140-1.0)>>* LINE 2-SI-59 FIG NO A-36 098400 2-SI-59-05 COLLAR TO PIPE B-K-1 PT 810.10 12SHP5050NDE001 X--J.O.C18446/07 098800 2-S I-59-09 ELBOM TO PIPE B-J PT B9.11 UT45 UT45T DCC-PT1/0/0/0 X--SMRI DCC-UT31/2/0/0 -X X*>>3378030 (10-SS-140-1.0)>>* 099700 2-SI-59-18 ELBOW TO PIPE B-J PT B9.11 UT45 UT45T DCC-PT1/0/0/0 X--SMRI DC C-UT31/2/0/0 X X*>>3378028 (6-SS-160-71)>>>>LINE 2-SI-60 FIG NO A-37 101900 2-S I-60-06 ELBOW TO PIPE 8-J PT 89.11 UTOL UT45 UT45T DCC-PT1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X--SMRI X X X**3378029 (8-SS-160-.81)*>> INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAI.CLASS 1 COMPONENTS SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASNE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N0 0 G T R E N E 0 E REMARKS C H R*~CALIBRATION BLOCK*~LINE 2 SI 60 FIG NO A-37 102000 2-S I-60-07 PIPE TO ELBOW 8-J PT DCC-PT1/0/0/0 X--SWRI 89.11 UT45 DCC-UT31/2/0/0 X UT45T X*~3378029 (8-SS-160-.81)** 102950 2-SI-60-17 PIPE TO PIPE 8-J 89.11 PT UT45 UT45T UT60 DCC-P T1/0/0/0 DCC-UT31/2/0/0 X--SWRI X X X~~33?8028 (6-SS-160-.71)

  • ~03200 2-SI-60-19 COLLAR TO PIPE B-K-1.PT 810.10 12SHP5050NDE001 X--J.O.C18446/07 103700 2-SI-60-26 PIPE TO ELBOW 8-J 89.11 PT DCC-PT1/0/0/0 X--SWRI UT45 DCC-UT31/2/0/0

-X UT45T X**3378028{6-SS-160-.71)"* 104000 2-S I-60-29 ELBOW TO PIPE 8-J PT 89.11 UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT31/2/0/0 X X X X S'WRI<*3378028 (6-SS-160-.71)*~ LINE 2-Sl-61 FIG NO A-38104900 2-S I-61-05 PIPE TO ELBOW B-J PT 89.11 UT45 UT45T DCC-PT1/0/0/0 X-" SWRI DCC-UT31/2/0/0 " X X~*3378028 (6-SS-160-.71)** INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EV IS ION: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NOHDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS I I N 0 PAGE 15 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO NETHOD PROCEDURE 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK**LINE 2-SI-61 FIG NO A-38 105200 2-SI-61-08 ELBOW TO PIPE 8-J PT DCC-PT1/0/0/0 X--SWRI 89.11 UT45 DCC-UT31/2/0/0 X UT45T X*~3378028 (6-SS-160-.71)

    • 105600 2-SI-61-12 ELBOW TO PIPE 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X~*3378028 (6-SS-160-.71)~*

LINE 2-51-62 FIG NO A-39 106200 2-S I-62-02-PL 1 THROUGH 4 PIPE LUG 8-K-1 PT B10.10 12SHP5050NDE001 X--J.O.C18446/07-LIHITED EXANINATION DUE TO SUPPORT STRUCTURE. 106700 2-SI-62-02-PL 5 THROUGH 8 PIPE LUG 8-K-1 PT 810.10 12SHP5050NDE001 X--J.O.C18446/07-LIHITED EXAHINATIOH DUE TO A.SUPPORT STRUCTURE. 107300 2-S I-62-05 PIPE TO ELBOW B>>J PT 89.11 UTOL UT45 UT45T DCC-P T1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X--SWRI X X X**3378029 (B-SS-160-.81)*~ 108100 2-S I-62-12 PIPE TO ELBO'M 8-J PT 89.11 UT45 UT45T UT60 DCC-P T1/0/0/0 DCC-UT31/2/0/0 X X X X SWRI<+3378028 (6-SS-160-,71)

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN ML UNIT 2 COMMERCIAL SERYICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EVI SION: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 16 SUHHARY EXAH INATION AREA NUHBER IDENTIF ICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK~*LINE 2-SI-63 FIG NO A-40 111100 2-S I-63-08 ELBOM TO PIPE 8-J 89.11 PT DCC-PT1/0/0/0 X--SMR I UT45 DCC-UT31/2/0/0 X UT45T X>~3378028 (6<<SS-160-.71)*~ 111600 2-S I-63-13 PIPE TO ELBOM 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X~*3378028 (6-SS-160-,71)

  • >112000 2-S I-63-17 PIPE TO VALVE 8-J PT DCC-PT1/0/0/0 X--SMRI-LIHITED EXAH DUE TO VALVE 89.1'I UT45.DCC-UT31/2/0/0 X--CONFIGURATION

~UT45T X~~3378028 (6-SS-160-.71)~~ LINE 2-SI-566 FIG NO A-41 113400 2-SI-566-11 ELBOM TO PIPE 8-J PT 89.40 12SNP5050NDE001 X--J.O.C18446/07 113900 2-S I-566-15 COUPLING TO PIPE BJ PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 115000 2-SI-566-24 PIPE TO BRANCH CONNECTION 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-SI-567 FIG NO A-42 116900 2-SI-567-16 PIPE TO COUPLING 8-J PT 89.40 12SNP5050NDE001 X-J.O.C18446/07

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/OI/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EVI SION: 0 SAFETY IN J ECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAI.CLASS 1 COHPONENTS PAGE: 17 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE 0 G R E E 0 C H 0 T H E REHARKS R">>CALIBRATION BLOCK">>LIHE 2-SI-567 FIG NO A-42 117600 2-SI-567-23 ELBO'W TO PIPE B-J PT B9.40 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-SI-568 FIG NO A-43 119300 2-SI-568-05 ELBOW TO PIPE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 120200 2-SI-568-12 PIPE TO ELBOW 8-J PT 89.40 12SHP5050NDE001 --X J.O.C18446/07-(3)1/8'INEAR INDICATIONS ALLOMABLE PER IMB-3514.3 AND F IG.IMA-3400-1. 121100 2-SI-568-20 PIPE TO ELBOM 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 122200 2-SI-568-28 PIPE TO VALVE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-SI-569 FIG NO A-44 123700 2-SI-569-10 PIPE TO ELBO'M BJ" PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 125700 2-SI-569-25 ELBOM TO PIPE B<<J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGIiAAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78'ATIONAL BOARD NUMBER 1 DATE: 02/21/95 REV IS IOH: 0 SAFETY INJECTION SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0~0 G T R E H E 0 E REMARKS C H R**CALIBRATION BLOCK*~LINE 2-SI-569 FIG NO A-44 126400 2-SI-569-31 ELBOW TO PIPE B-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 126900 2-SI-569-35 ELBOM TO PIPE B-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EVIS I ON: 0 CHEMICAL AND VOLUME CONTROL SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAMINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COMPONENTS SUHHARY EXAMINATION AREA NUHBER IDENTIFICATION ASME SEC.XI CATGY EXAH ITEH NO HETMOD P ROCEDURE N.0 0 G T R E H E 0 E REMARKS C M R**CALIBRATION BLOCK~*LINE 2-CS 119 FIG NO A-46A 131200 2-CS-119-24 REDUCER TO PIPE 8-J PT 89.21 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-CS-120 FIG NO A-47 134200 2-CS-120-03 VALVE TO PIPE 8-J PT 89.21 12SHP5050NDE001 X--J.O.C18446/07 136100 2-CS-120-12 PIPE TO ELBO'N 8-J PT 89.21 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-CS-687 FIG NO A-49 138100 2-CS-687-09 ELBOM TO PIPE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 ItI'O INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 D ATE: 02/21/95 REVISION: 0 RESIDUAL HEAT REHOVAL SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 20 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C N R**CALIBRATION BLOCK**LINE 2-RH-33 FIG NO A-59 148900 2-RH-33-02 PIPE TO ELBOM 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X**3378032 (14-SS-160-1.40)*>> 149400 2-RH-33-07 ELBOM TO PIPE 8-J PT DCC-PT1/0/0/0 X--SMRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X~~3378032 (14-SS-160-1.40)>> 150400 2-RH-33-17 PIPE TO ELBOM 8-J PT.DCC-PT1/0/0/0 X-SMR I 89.11 UT45 DCC-UT31/2/0/0 -X UT45T, X~~3378032 (14-SS-160-1.40) ~*150466 2-RH-33-17-PL PIPE LUG 8-K 1 PT 810.10 12SHP5050NDE001 --X J.O.C18446/07-(3)1/8'OROSITY ALLOMABLE PER IMB.3514.3. 150500 2-RH-33-18 ELBOM TO PIPE 8-J PT DCC-PT1/0/0/0 X SMRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X**3378032 (14-SS-160-1.40)** 150800 2-RK-33-21 PIPE TO VALVE 8-J PT DCC-PT1/0/0/0 X-SMRI 89.11 UT45 DCC-UT31/2/0/0 -X UT45T X*~3378032 (14-SS-160-1.40)~* E INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EV I 8 ION: 0 WASTE DISPOSAL SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R.'~*CALIBRATION BLOCK~*LINE 2-WD-822 FIG NO A-62 152000 2-WD-822-04 PIPE TO VALVE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 152300 2-WD-822-07 TEE TO REDUCER 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 LINE 2-WD-823 FIG NO A-63 152900 2-WD-823-04 PIPE TO VALVE 8-J PT 89.40 12SHP5050NDE001 X--J.O.C18446/07 4l t. INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVAAN Ml.UNIT 2 COMMERCIAL SERVICE DATE.'7/01/78; NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REACTOR COOLANT PUHP NO.21 FIGURE A-64 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1{1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 22 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R*<<CALIBRATION BLOCK<<<<~pullP FLYIIHFE 153500 FLYMHEEI.{IN PLACE)UTO , RG1.14 DCC-UT7/2/1/1 X--SMRI<<<<RC FLYMHEEL-CS 31-DCC** DATE: 02/22/95 REVISION: 0 INDIANA MICHIGAN POWER COMPANY;DONALD C.COOK NUCLEAR PIANT, BRIDGMAN, Ml.UNIT 2 COMMERCIAL SERYICE DATE 07/01/78;NATIONAL BOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 23 REACTOR COOLANT PUHP NO.22 FIGURE A-64 SUHHARY EXAHINATION AREA NUMBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK*~SUPPORT COHPONENT 153750 SUPPORT LUG NO.1 B-K-1 PT 810.20 12SHP5050NDE001 X-J.O.C18446/07 LIHITATION DUE TO SUPPORT STANCHION. 153800 SUPPORT LUG NO.2 B-K-1 PT 810.20 12SHP5050NDE001 X--J.O.C18446/07-LIHITATION DUE TO SUPPORT STANCHION.- 153850 SUPPORT LUG NO.3 B-K-1 PT B10.20 12SHP5050NDE001 X--J.O.C18446/07-LIHITATION DUE TO SUPPORT STANCHION. CIRCUNFERENTIAL TELOS 154050 PUHP CASING MELD B-L-1 VT-1 12SHP5050NDE006 X--J.O.C18446/07-CODE CASE N-481 USED.812.10 SEE AEP:NRC:0969U. PUHP FLYUHEEL 154150 FLYVHEEL (IN PLACE)UTO RG1.14 DCC-UT7/2/1/1 X--SURI~~RC FLYUHEEL-CS-31-DCC*>>

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95~EVI SION: 0 REACTOR COOLANT PUNP NO.23 FIGURE A-64 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 24 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEM NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R*<<CALIBRATION BLOCK**PUHP FLYUHEEL 154850 FLYUHEEL (IN PLACE)UTO RG1.14 DCC-UT7/2/1/1 X SURI-NO EXAHINATION FROH INSPECTION HOLE NO.1 DUE TO SEIZED CAP.ADDITIONAL PT EXAH PERFORHED ON BORE AND KEYUAY AREA UNDER J.O.C26906/33.

    • RC FLYUHEEL-CS-31-DCC~*

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 COOK NUCLEAR PUNT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS VALVE PRESSURE RETAINING BOLTING 2'ND LESS SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASHE SEC.XI, CATGY EXAH ITEN NO HETHOD PROCEDURE N, 0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK**LINE 2-SI-57 FIG NO A-34 220600 S I-166-2 FLANGE BOLTING B-G-2 VT-1 12SHP5050NDE006 X--J.O.C18446/07 87.?0 LINE 2-SI-59 FIG NO A-36 221100 SI-166-4 FLANGE BOLTING I 8-G-2 VT-1 12SHP5050NDE006 X--J.O.C18446/07 B?.70 LINE 2-SI-62 FIG NO A-39A FLANGE BOLTING B-G-2 VT-1~12SHP5050NDE006 X--J.O.C18446/07 87.70 INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: OTIOI I7B;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 STEAH GENERATOR NO.24 FIGURE 8-4 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS PAGE: 26 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAN ITEN NO METHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK*~CIRCUHFERENTIAL MELDS 300340 STH-24-05 STUB BARREL TO SHELL C-A UTOL DCC-UT49/2/1/0 C1.10 UTOU UT45 DCC-UT15/3/0/0 UT45T UT60 UT60T X X X X X X SMRI>>PL-3.0 CS-22-DCC~~

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07l01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EV IS ION: 0 REG NERATIVE HEAT EXCHANGER FIGURE B-5 COOK NUCLEAR PLAHT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 27 SUHHARY EXAHLNATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E RENARKS C H R**CALIBRATION BLOCK~~CIRCUHFERENTIAL WELDS 300480 RNE-2-14 CAP TO SHELL C-A U 745 C1.20 UT45T DCC-UT30/1/D/0 X--SWRI-LIHITED EXAH DUE TO PROXIHITY OF X--NOZZLE.~*9.625-CCSS-X-1.0-2-DCC~* 300490 RHE-2-15 SHELL TO TUBE SHEET C-A UT45 DCC-UT30/1/0/0 X--SWRI-LIHITED EXAH DUE TO PROXIHITY OF C1.30 UT45T X-NOZZLE AND SUPPORT BRACKET*'9.625-CCSS-X-1.0-2-DCC*~ 300500 RHE-2-17 TUBE SHEET TO SHELL C-A UTOL DCC-UT49/2/1/0 X--SWRI-LIHITED EXAH DUE TO SUPPORT C1.30 UT45 DCC-UT30/1/0/0 X--BRACKET.UT45T.X**9.625-CCSS-X-1.0-2-DCC~~ 300510 RHE-2-20 SMELL TO CAP C-A UTOL C1.20 UT45 UT45T DCC-UT49/2/1/0 DCC-UT30/1/0/0 X--SWRI-LIHITED EXAH DUE TO I ROXIHITY OF X--NOZZLE X**9.625-CCSS X-1.0-2-DCC~~ i INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAI BOARD NUMBER 1 DATE: 02/21/95 EVI SION: 0 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 28 CHEHICAL AND VOLUHE CONTROL TANK FIGURE B-6 SUHHARY EXAHINATION AREA NUHBER IDENTIF ICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REMARKS C H R~*CALIBRATION BLOCK~*INTEGRALLY llELDED VESSEL SUPPORTS 300660 2-CVCT-2VS-7, 8, 8 9 C-C PT C3.10 12SHP5050NDE001 --X J.O.C18447/07-TUO ROUNDED INDICATIONS OF 3/16'ACH NOTED AND ACCEPTABI.E PER ASHE SECTION III. INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml., UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/2'I/95 REVISION: 0 CTS HEAT EXCHANGER WEST FIGURE B-7A COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAl CLASS P.COHPONENTS PAGE: 29 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E C H R REHARKS**CALIBRATION BLOCK**CIRCUHFERENTIAL WELDS 300680 W-CTSHEX-2 SHELl TO FLANGE C-A UTOI.DCC-UT49/2/0/0 C1.10 UTOW UT45 DCC-UT45/2/1/0 UT45T UT60 UT60T X X SWRI-LIHITED EXAH DUE TO FLANGE CONFIGURATION AND BOLTING.X X X-**PL-.500-SS-25-PCC** X NOZZLE TO SHELL AND SHELL TO NOZZLE WELDS'300681 W-CTSHEX-IN NOZZLE TO SHELL C-B PT C2.11 12SHP5050NDE001 X INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVIAN ML UNIT 2 COMMERCIAL SERVICE DATE: 07l01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EVIS ION: 0 RHR HEAT EXCHANGER IJEST FIGURE B-BA COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS" OUTAGE 1 (1994).THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 30 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E O E REHARKS C H R**CALIBRATION BLOCK~+CIRCUHFERENTIAL TELOS 300770 U-RHRHEX-2 SHELL TO HEAD C-A C1.20 UTOU UTOL UT45 UT45T DCC-UT49/2/0/0 DCC-UT45/2/1/0 X X X X SURI-LIHITED EXAH DUE TO NOZZLES, SUPPORT PLATES, AND CONCRETE STRUCTURES. ~~PL-1.000-SS-27-DCC~~ 'P P INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 31 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY.EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R<<~CALIBRATION BLOCK~*LINE 2-$1-8 FIG NO B-11 3105?0 2-SI-8-14S ELBOW TO PIPE C-F PT C5.11 12SHP5050NDE001 X-J.O.C18447/07 LINE 2-$I-9 FIG NO B-12 310900 2-S I-9-04F PIPE TO ELBOW C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 311010 2-$1-9-15$PIPE TO ELBOW C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/0?LINE 2-$1-58 FIG NO B-15 311430 2-S I-58-09F VALVE TO PIPE C-F PT C5.2'IUT45 UT45T DCC-PT1/0/0/0 DCC-UT31/2/0/0 X--SWRI LIHITED EXAH DUE TO VALVE X-CONFIGURATION. X+*33?8030 (10-$$140 1.0)**LINE 2-SI-60 FIG NO B 17 S B-1 311670 2-$I-60-11$PIPE TO ELBO'W C-F PT DCC-PT1/0/0/0 X--SWRI C5.21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 -X UT45T X*~33?8029 (B-SS-160-. 81)**LINE 2-SI-62 FIG NO B 19 S B-2 312160 2-S I-62-24S PIPE TO ELBOW C-F PT C5.21 UTOL UT45 UT45T DCC-P T1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X--SWRI X X X~~3378029 (8-$$-160-.81)~~ 1i INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVAAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/0i/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994).THIRD PERIOD.SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 32 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N~0 0 G T R E H E 0 E REMARKS C H R*~CALIBRATION BLOCK~~LINE 2-SI-62 FIG NO B-19 8 8-2 312200 2-SI-62-2?S-PL 1 THROUGH 4 PIPE LUG C-C PT C3.20 12SHP5050NDE001 X"-J.O.C18446/07 LINE 2-SI-78 FIG NO B-23 312600 2-S I-78-01F REDUCER TO PIPE C-F PT DCC-PT1/0/0/0 X--SWRI C5.21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X~*33?8028 (6-SS-160-.71)*~ LINE 2-SI-79 FIG NO B-24 S B-2 312910 2-S I-?9-15S PIPE TO ELBOW C-F C5.21 PT UTOL UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X X X X X S'WRI-LIHITED EXAH DUE TO AS-WELDED CONDITION AND PROXIHITIY OF I-BEAH.h*3378028 (6-SS-160-.71)** LINE 2-RH-14 FIG NO B-26 313050 2-RH-14-04S PIPE TO ELBOW C-F PT C5.11 12SHP5050NDEOO'I X--J.O.C18447/07 313185 2-RH-14-15F-PS PIPE SUPPORT C-C PT C3.20 12SNP5050NDE001 X--J.O.C18447/07 LINE 2-RH-15 FIG NO B-27 3133'?0 2-RH-15-05F ELBOW TO VALVE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E C H R REMARKS~*CALIBRATION BLOCK*~LINE 2-RH-15 FIG NO B-27 313610 2-RH-15-28S PIPE TO ELBOM C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RH-16 FIG NO 8-28 313830 2-RH-16-20S PIPE TO TEE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-'RH-17 FIG NO B-29 ELBOW TO PIPE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RH-18 FIG NO B-30 314280 2-RH-18-23F PIPE TO ELBOW C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RH-19 FIG NO B-31 314530 2-RH-19-13S TEE TO PIPE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RH-20 FIG NO B-32 314830 2-RH-20-08S PIPE TO ELBOU C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 I INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 34 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R~~CALIBRATION BLOCK*~LINE 2-RN-23 FIG NO B-35 315670 2-RH-23-14S TEE TO PIPE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RN 24 FIG NO B-36 315785 2-RH-24-07F-PS PIPE SUPPORT C-C PT C3.20 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-RN 31 FIG NO B-37 fL B-3 v15970 2-RH-31-14F REDUCER TO PIPE C-F C5.21 PT UTOL UT45 UT45T DCC-PT1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X X X X SWRI-LIHTED EXAH DUE TO PIPE REDUCER CONFIGURATION.

  • ~3378029 (8-SS-160-.81)~*

316020 2-RH-31-19F ELBOW TO VALVE C-F C5.21 PT UTOL UT45 UT45T DCC-P T1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X--SWRI-LIHITED EXAH DUE TO VAI.VE X--CONF IGURATION. X X**3378029 (B-SS-160-.81)~* LINE 2-RH-32 FIG NO B-39 316040 2-RH-32-02S PIPE TO ELBOW C-F C5.21 PT UTOL UT45 UT45T UT60 DCC-PT1/0/0/0 DCC-UT49/2/1/0 DCC-UT31/2/0/0 X--S'WRI X X X X--**3378029 (8-SS-160-.81) ++LINE 2-RK-33 FIG NO B-40 316070 2-RH-33-02S PIPE TO ELBOW C-F PT C5.11 12SHP5050NDE001 X--J.O.C18446/07-LIHITATION DUE TO BOX RESTRAINT. INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 CNEHICAL AND VOLUME COHTROL SYSTEM COOK NUCLEAR PLANT UNIT 2 SUMNARY OF NONDESTRUCTIVE EXANINATIOHS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPOHENTS PAGE: 35 SUHHARY EXANIHATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH HO METHOD PROCEDURE N 0 0 G T R E H E 0 E REMARKS C M R~~CALIBRATION BLOCK*~LINE 2-CS-81 FIG NO B-43 316390 2-CS-81-05F PIPE TO STRAINER C-F PT C5.11 12SHP5050HDE001 X--J.O.C18447/07 Ih ,h INDIANA MICMIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07101/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 CONTAINHENT SPRAY SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994).THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAN ITEN NO HETHOD N 0 G R E E 0 PROCEDURE C H E REHARKS R**CALIBRATION BLOCK**LINE 2-CTS-10 FIG NO 8-44 316690 2-CTS-10-25S PIPE TO ELBOW C-F PT C5.11 12SHP5050NDE001 X--J.O.C1844?/07 316700 2-CTS-10-26S ELBO'W TO PIPE C-F PT DCC-PT1/0/0/0 X--SWRI C5.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT35/2/1/0 X UT45T X~*10-SS-40-.365-26-DCC~~ 316710 2-CTS-10-27S PIPE TO ELBOW C-F PT DCC-PT1/0/0/0 X<<SWRI C5.11 UTOL DCC-UT49/2/1/0 X UT45.DCC-UT35/2/1/0 X UT45T X LINE 2-CTS-11 FIG NO 8-45 316?70 2-CTS-11-03S PIPE TO ELBOW C-F PT DCC-PT1/0/0/0 X-<<SWRI C5.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT35/2/1/0 X UT45T X*'10-SS-40-.365-26-DCC~~ LINE 2-CTS-12 FIG NO 8-46 317190 2-CTS-12-12S ELBOW TO PIPE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 LINE 2-CTS-14 FIG NO 8-48 317?90 2-CTS-14-14S PIPE TO ELBOW C-F C5.11 PT UTOL UT45 UT45T DCC-PT1/0/0/0 DCC-UT49/2/1/0 DCC-UT35/2/1/0 X X X X SWRI 1'I INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1.,~*, DATE: 02/21/95 REVISION: 0 CONTAINHENT SPRAY SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL ClASS 2 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE~0 I R 0 G T E H 0 E REHARKS N R~~CALIBRATION BLOCK~*LINE 2-CTS 15 FIG NO B-49 317940 2-CTS-15-01F TEE TO PIPE C-F PT C5.11 12SHP5050NDE001 X--J.O.C18447/07 318100 2-CTS-15-15F ELBOW TO PIPE CF PT C5.11 12SHP5050NDE001 X--J.O.C18447/07

D ATE: 02/22/95 EVIS ION: 0 FEEDMATER SYSTEN INDIANA MICMIGAN POWER COMPANY;DONALD C.COOK NUCLEAR PLANT, BRIDGMAN, MI.UNIT 2 COMMERCIAL SERVICE DATE 07/01/78;NATIONAL BOARD NUMBER 1 COOK NUCLEAR PUUIT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 38 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK"*LINE-FM-75 FIG NO B-55 319380 2-FM-?5-05S PIPE TO ELBOW C-F C5.21 HT UTOL UT45 UT45T DCC-HT1/0/0/0 DCC-UT49/2/1/0 DCC-UT41/2/0/0 X X X X SMRI-SPOT LAHINAR INDICATION NOTED THAT IS CODE ACCEPTABLE.

    • 14-CS-80-.?50-12-DCC~~

LINE 2-FM-80 FIG NO B-60 320160 2-FM-80-06S ELBOW TO PIPE C-F HT C5.11 12SHP5050NDE002 X--J.O.C1844?/0? INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 HAIN STEAH SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 39 SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R i~CALIBRATION BLOCK~~LINE 2-HS-90 FIG NO B-63 320640 2-HS-90-01S-PS C-C HT PIPE TO PENETRATION SEAL WELD C3.20 12SHP5050NDE002 X--J.O.C18447/07 LINE 2-HS-92 FIG NO B-65 321160 2-HS-92-09S PIPE TO FLANGE C-F HT C5.11 12SHP5050NDE002 X--J.O.C18447/07

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 I COOK NUCLEAR PLANT UNIT 2 SUHMARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS PAGE: 40 HAIN STEAH ISOLATION VALVE-LINE 2-HS-90 FIGURES B SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASME SEC.XI CATGY EXAH ITEM NO HETNOD PROCEDURE N 0 0 G T R'E H E 0 E REHARKS C H R~*CALIBRATION BLOCK*~RESSURE RETAINING BOLTING 322980 HSI V-HRV-210 FLANGE BOLTING C-D UTO C4.40 DCC-UT36/0/1/0 X-SLIRI-EXAHINED FROH ACCESSIBLE END OF STUDS IN PLACE.**2.75-8-8-CS-40-DCC~~

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVAAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07(01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REACTOR COOLANT SYSTEN COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COMPONENTS PAGE: 41 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAN ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R~*,CALIBRATION BLOCK~*LINE 2-RC-29 FIG NO A-18 601500 2-GRC-R-504 PIPE SUPPORT COHPONENT F-B VT-3 F2.00 12SHP5050NDE006 X--J.O.C18446/07 LINE 2-RC-31 FIG NO A-20A 602400 2-GRC-R-535 PIPE SUPPORT COMPONENT F-C F3.00 VT-3 12SHP5050NDE006 --X J.O.C18446/07-CONDITION REPORT 94-1870;DESIGN/AS-FOUND DISCREPANCY. EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP. 605540 2-GRC-R-571 PIPE SUPPORT COHPONENT F-B VT-3~12SHP5050NDE006 X--J.O.C18446/07 F2.00 I P INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGiVAAN MI~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EMERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 42 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK~*LINE 2-SI-78 FIG NO A-33 605900 2-GS I-V-604 PIPE SUPPORT COHPONENT F-C VT-3 F3.00 VT-4 12SHP5050NDE006 X--J.O.C18446/07 X LINE 2-SI-76 FIG NO A-34 606100 2-GS I-V-670 PIPE SUPPORT COHPONENT F-C F3.00 VT-3 VT-4 12SHP5050NDE006 X--J.O.C18446/07 X LINE 2-SI-568 FIG NO A-43 3%400 2-GSI-R-700 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18446/07 F2.00 608500 2-GSI-V-699 PIPE SUPPORT COHPONENT F-C F3.00 VT-3 VT-4 12SHP5050NDE006 X--J.O.C18446/07 x--LINE 2-SI-569 FIG NO A-44 609100 2-GSI-R-703 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18446/07 F2.00

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0'EACTOR COOLANT PUHPS COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PAGE: 43 SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO METHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R~*CALIBRATION BLOCK~*PUHP SUPPORTS 609610 RC PUHP NO.22 F-B VT-3 12SHP5050NDE006 X--J.O.C18446/07 F2.00 I INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 REGENERATIVE HEAT EXCHANGER FIGURE 8-5 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R~*CALIBRATION BLOCK~i SUPPORT COHPONENT 700050 CS-5 BRACKET F-C VT-3 12SHP5050NDE006 X--J.O.C18446/07 F3.00 700060 CS-6 BRACKET F-C VT-3 12SHP5050NDE006 X--J.O.C18446/07 F3.00 INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAI.BOARD NUMBER 1 DATE: 02/21/95 RHR HEAT EXCHANGER REST FIGURE B-8A COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 45 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R~~CALIBRATION BLOCK**SUPPORT COHPONENT 700170 W-RHRHEX-SC-1 F-8 VT-3 12SHP505QNDE006 X--J.O.C18447/07 F2.00

INDIANA MICHIGAN POWER COMPANY,'ONALD C.COOK NUCLEAR PLANT, BRIDGMAN ML UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 BORON INJECTION TANK FIGURE B-9 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS N 0 PAGE: 46 SUHHARY EXAHINAT ION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK~~SUPPORT COHPONENT 700210 2-BIT-CS-3 F-B VT-3 12SHP5050NDE006 X--J.O.C1844?/07 F2.00 I INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PIANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE 47 SUHHARY EXAHINATION AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK**LINE 2<<SI-FIG NO B-10 710020 2-GSI-L-110 PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C18447/0?F2.00 LINE 2-SI-B FIG NO B-11 710480 2-GRH-L-37 PIPE RESTRAINT COHPONENT F-C F3.00 VT-3 12SHP5050NDE006 --X J.O.C18447/07-CONDITION REPORT 94-1470;DESIGN/AS-FOUND DISCREPANCY. EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP. LINE 2-SI-9 FIG NO B-12?10725 2-GSI-L-40 PIPE RESTRAINT COHPONENT F-C F3.00 VT-3 12SHP5050NDE006 --X J.O.C18447/0?-CONDITION REPORT 94-1567;DESIGN/AS-FOUND DISCREPANCY. EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP. 710800 2-GS I-V-41 PIPE SUPPORT COHPONENT F-C VT-3 F3.00 VT-4 12SHP5050NDE006 X--J.O.C1844'7/07 X 710900 2-GSI-R-43 PIPE SUPPORT COHPONENT F-B VT-3 F2.00 12SHP5050NDE006 X--J.O.C18447/07 711000 2-GSI-R-42 PIPE SUPPORT COHPONENT F-B VT-3 F2.00 12SHP5050NDE006 X--J.O.C18447/07 LINE 2-SI-62 FIG NO B-19 S B-2?11610 2-GSI-R-555 PIPE SUPPORT COHPONENT F-B VT-3 F2.00 12SHP5050NDE006 X--J.O.C18446/07 I I INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE: 07l01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOHD INTERVAL CLASS 2 COHPONENTS PAGE: 48 SUHHARY EXAHIHATIOH AREA NUHBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R'+~CALIBRATION BLOCK*~LINE 2 RH-14 F G NO B-26 7'13090 2-GRH-R-19 PIPE SUPPORT COMPONENT F-C F3.00 VT-3 12SHP5050NDE006 J.O.C18447/07-CONDITION REPORT 94-1805;DESIGN/AS-FOUND DISCREPANCY. EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP. LINE 2 RH-15 FIG NO B-27 713200 2-GRH-L-1 PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 13300 2-GRH-R-11 PIPE SUPPORT COHPONENT F-C VT-3 12SHP5050HDE006 X--J.O.C18447/0'7 F3.00 LINE 2 RH-16 FIG NO B-28 713370 2-GRH-R-5 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 713380 2-GRH-R-4 PIPE SUPPORT COHPONENT I F-B VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 LINE 2-RH-17 FIG NO B-29 713400 2-GRH-L-805 PIPE SUPPORT COMPONENT F-C VT-3 12SHP5050NDE006 X--J.O.C18447/07 F3.00 713410 2-GRH-R-804 .PIPE SUPPORT COHPONENT F-B F2.00 VT-3 12SHP5050NDE006 --X J.O.C18447/07-CONDITION REPORT 94-1516;DESIGN/AS-FOUND DISCREPANCY. EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/HECP. lV;'(,h INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERYICE DATE: 07101/78;NATIONAL BOARD NUMBER 1 I DATE: 02/21/95 REVISION: 0 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINATION AREA NUHBER IDENT!FICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R~*CALIBRATION BLOCK**LINE 2-RH-20 FIG NO 8-32?14470 2-GS I-L-72 PIPE SUPPORT COHPONENT F-C VT-3 12SHP5050NDE006 X--J.O.C18447/07 F3.00 714540 2-GSI-R-73 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.N 714560 2-GSI-L 75 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00?14565 2-GSI-L-76 PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 LINE 2-RH-21 FIG NO B-33 714755 2-GSI-R-64 PIPE SUPPORT COHPONENT F-C VT-3 12SHP5050NDE006 X--J.O.C18446/07 F3.00 LINE 2-RH-22 FIG NO B-34~?14860 2-GRH-R-32 PIPE SUPPORT COMPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 714890 2-GRH-R-31 PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C1844?/07 F2.00

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI~UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 EHERGENCY CORE COOLING COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINAT ION AREA NUMBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD PROCEDURE N.0 0 G T R E H E 0 E REHARKS C H R*~CALIBRATION BLOCK**LINE 2-RH-22 FIG NO B-34 714895 2-GSI-R-90 PIPE SUPPORT COHPONENT F-C VT-3 F3.00 VT-4 12SHP5050NDE006 X--J.O.C18447/07 LINE 2-RH-31 FIG NO B-37 8 B-3 715340 2-GRH-R-501 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18446/07 F2.00

INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 0?f01/?8;NATIONAL BOARD NUMBER 1 DATE: 02/21/95 REVISION: 0 CONTAINHENT SPRAY SYSTEH COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS SUHHARY EXAHINATION AREA NUMBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEN NO HETHOD P ROC EDURE N,0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK*" LINE 2-CTS-10 FIG NO B-44 715635 2-GCTS V-4 PIPE SUPPORT COHPONENT F-C F3.00 VT-3 VT-4 12SHP5050NDE006 X--J.O.C18447/07 X 715650 2-GCTS-V-5 PIPE SUPPORT COHPONENT F-C VT 3 F3.00 VT-4 12SHP5050NDE006 X--J.O.C18447/07 X LINE 2-CTS-14 FIG NO B-48~716550 2-GCTS-R-18 PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C1844?/07 F2.00 716630 2-GCTS-R-19 PIPE SUPPORT COHPONENT F-C VT-3 12SHP5050NDE006 X--J.O.C18447/07 F3.00 716670 2-GCTS-L-26 PIPE SUPPORT COHPONENT F-8 F2.00 12SHP5050NDE006 X--J.O.C18477/07 716695 2-GCTS-R-28 PIPE SUPPORT COHPONENT F-8 VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 1 P' DATE: 02/22/95 REVISION: 0 FEEDUATER SYSTEH INDIANA MICHIGAN POWER COMPANY;DONALD C.COOK NUCLEAR PLANT, BRIDGMAN, Ml.UNIT 2 COMMERCIAL SERVICE DATE 07/01/78;NATIONAL BOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2

SUMMARY

OF NONDESTRUCTIVE EXAMINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS PAGE: 52 SUHHARY EXAHINATION AREA NUMBER IDENTIFICATION ASME SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E, 0 E C H R REMARKS*~CALIBRATION BLOCKi~LINE 2-FU-71 FIG NO B-51 751000 2-GFV-V-875 PIPE RESTRAINT COHPONENT F-C VT-3 F3.00 VT-4 12SHP5050NDE006 X X J.O.C18447/07-CONDITION REPORT 94-1886;DESIGN/AS-FOUND DISCREPANCY. EVALUATION REVEALED SUPPORT HET OPERABILITY LIHITS BUT UAS REPAIRED TO NEET THE ORIGINAL DESIGN INTENT.751200 2-FW-71-HANGER PIPE RESTRAINT COMPONENT F-B VT-3 12SHP5050NDE006 X--J.O.C18447/07 F2.00 LINE 2-FU-73 FIG NO B-53 PIPE RESTRAINT COHPONENT F-B VT-3 12SMP5050NDE006 X--J.O.C18447/07 F2.00 I DATE: 02/21/95 REVISION: 0 AIN STEAN SYSTEH INDIANA MICHIGAN POWER COMPANY, DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78;NATIONAL BOARD NUMBER 1 I COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS PAGE: 53 SUHHARY EXAHINATION AREA NUMBER IDENTIFICATION ASHE SEC.XI CATGY EXAH ITEH NO HETHOD PROCEDURE N 0 0 G T R E H E 0 E REHARKS C H R**CALIBRATION BLOCK~~LINE 2-HS-95 FIG NO B-68 761500 2-HSH-4 PIPE SUPPORT COHPONENT F-C VT-3 12SHP5050NDE006 X--J.O.C18446/07 F3.00 VT-4 X LINE 2-HS-96 FIG NO B-69 7619M 2-HS-96-06S-PS PIPE SUPPORT COHPONENT F-B VT-3 12SHP5050NDEDM X-J.O.C1 8447/07 F2.CO INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1 978 NATIONAL BOARD NUMBER 1 Technical Specififcation/Inservice Inspection Snubber Examinations and Tests Visual examination of snubbers are separated into three (3)categories: Grinnell"Inaccessible", and"Steam Generator". The functional test surveillances are separated into two (2)categories: "Grinnell" and"Steam Generator". Lists of those snubbers classified as"Accessible","Inaccessible", and"Steam Generator" are attached.Visual Examinations Category a.Grinnell"Accessible" b.Grinnell"Inaccessible" c.Steam Generator Com 1.Date 05-08-94 09-12-94 10-27-94 09-20-94 10-28-94 10-03-94 10-27-94 Comments Results all acceptable all acceptable all acceptable all acceptable all acceptable all acceptable all acceptable Functional Tests Category a.Grinnell b.Steam Generator 09-29-94 10-18-94 sixteen tested, all acceptable, see attached sheet four tested, all acceptable, see attached sheet Com 1.Date Comments Results Note: The five (5)ISI/Non-Tech. Spec.snubbers that are listed on the attached sheets were inspected per Procedure No.**12MHP4030.STP.004 with the As-Found Grinnell"Accessible" snubber inspections. Page 54 INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Snubber Functional Test Surveillances Snubber Mark No.2-GRC-S555 2-GRC-S573 "*2-GRC-S598 2-GRC-S611 2-FW-S4 (U)2-FW-S5 2-FW-S8(U) 2-GBD-S568 2-GCCW-S274 2-GCCW-S320 2-GCCW-S843

  • 2-MSS-1*2-MSS-5 2-MSS-7 2-GCTS-S115(N) 2-GCTS-S115(S) 2-OME-3-3-HSD-3L 2-OME-3-3-HSD-3U 2-OME-3-3-HSD-L1 2-OME-3-4-HSD-3L Date Tested 09-22-94 09-22-94 09-24-94 09-22-94 09-26-94 09-21-94 09-26-94 09-14-94 09-22-94 09-22-94 09-19-94 09-28-94 09-26-94 09-28-94 09-15-94 09-16-94 10-02-94 10-02-94 10-05-94 10-18-94 As-Found Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass*Snubbers that were tested due to functional failures at the previous testing period (last outage).Page 55

INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Unit 2 Grinnell"Accessible" Snubbers Tech.S 41 42.43 44 45 46 47 48 49 50 51 52 53 57 58 59 60 61 63 73 74 75 76 78 79 80 81 82 83 84 85 86 ISI Lon ec.Term Mark Number 2-GBD-S563(L) 2-GBD-S563(U) 2-GBD-S569(L) 2-GBD-S569(U) 2-GBD-S568 2-GRH-S6 2-GRH-S7 2-GRH-S24 2-GRH-S25 2-GCCW-S274 2-GCCW-S308 2-GCCW-S317 2-GCCW-S320 2-GCCW-S838 2-GCCW-S839 2-GCCW-S840 2-GCCW-S843 2-GCCW-S306 2-GCS-S637 2-GSI-S47 2-GSI-S51 2-GSI-S575 2-GSI-S657 2-GCTS-S61 2-GCTS-S113(E) 2-GCTS-S113(W) 2-GCTS-S114(N) 2-GCTS-S114(S) 2-GCTS-S115(N) 2-GCTS-S115(S) 2-GCTS-S116(E) 2-GCTS-S116(W) Plan Snubbers 2-GFW-S868 2-GFW-S869 2-GFW-S873 2-GFW-S885 2-GFW-S891 Azimuth 275 275 275 275 264 72 65 185 Elevation 607 608 607 608 608 581 581 581 580 621 610 621 610 621 621 620 620 596 608 573 573 598 610 579 582 582 582 582 579 579 579 579 617 616 616 606 602 Page 56 INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Unit 2 Grinnell"Inaccessible" Snubbers Tech.S ec.1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 54 55 56 62 64 65 66 67 68 69 70 71 72 77 Mark Number 2-GRC-S537 2-GRC-S538 2-GRC-S555 2-GRC-S562 2-GRC-S564 2-GRC-S566 2-GRC-S573 2-GRC-S575 2-GRC-S582 2-GRC-S592 2-GRC-S594 2-GRC-S596 2-GRC-S598 2-GRC-S599 2-GRC-S609 2-GRC-S611 2-GRC-S623 2-GRC-S624 2-GRC-S626 2-GRC-S629 2-GRC-S630 2-GRC-S632 2-GRC-S631 2-GRC-S587 2-FW-S1 2-FW-S2 U 2-FW-S3 2-FW-S4 U 2-FW-S5 2-FW-S6 2-FW-S7 2-FW-S8 U 2-FW-S9 2-FW-S10(L) 2-FW-S10(U) 2-FW-S11'-FW-S12 2-GCCW-S519 2-GCCW-S521 2-GCCW-S550 2-GCS-S634 2-GCS-S729 2-MSS-1 2-MSS-2 2-MSS-3 2-MSS-4 2-MSS-5 2-MSS-6 2-MSS-7 2-MSS-8 2-GSI-S707 25 41 141 154 317 331 223 208 208 282 291 292 279 289 283 294 277 247 284 283 291 291 291 260 31 26 26 20 155 155 163 157 204 200'00 194 334 334 330 343 132 132 308 299 234 8 17 172 165 191 184 349 356 221 610 614 614 610 614 610 614 610 617 683 683 682 671 672 689 681 682 615 692 687 672 669 670 622 634 633 636 629 637 641 634 629 634 633 636 629 634 636 634 629 623 624 619 613 617 639 635 639 635 635 639 635 639 608 Azimuth Elevation Page 57 INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN Ml.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Unit 2 Steam Generator Snubbers Steam Generator No.S/G g21 Com onent No.2-OME-3-1-HSD-1L 2-OME-3-1-HSD-1U 2-OME-3-1-HSD-3L 2-OME-3-1-HSD-3L Serial Number 25.12620.007-18 25.12620.007-29 25.12620.007-30 25.12620.007-17 S/G N22 2-OME-3-2-HSD-1L 2-OME-3-2-HSD-1U 2-OME-3-2-HSD-3L 2-OME-3-2-HSD-3U 25.12620.007-32 25.12620.007-28 25.12620.007-25 25.12620.007-26 S/G N23 2-OME-3-3-HSD-1L 2-OME-3-3-HSD-1U 2-OME-3-3-HSD-3L 2-OME-3-3-HSD-3U 25.12620.007-24 25.12620.007-27 25.12620.007-22 25.12620.007-21 S/G 524 2-OME-3-4-HSD-1L 2-OME-3-4-HSD-1U 2-OME-3-4-HSD-3L 2-OME-3-4-HSD-3U 25.12620.007-23 25.12620.007-20 25.12620.007-21 25.12620.007-31 Page 58

INDIANA MICHIGAN POWER COMPANY COOK NUCLEAR PLANT, BRIDGMAN, MICHIGAN UNIT ONE COMMERCIAL SERVICE DATE 07-01-1978 NATIONAL BOARD NUMBER 1 STEAM GENERATOR IN-SERVICE INSPECTION Eddy Current inspection of the Unit 2 steam generators was performed during October of 1994.Approximately 6.5%of the total number of tubes in S/Gs 22 and 23 were inspected with an eddy current bobbin coil probe in accordance with Technical Specifications. In addition, due to observed tube damage in the tube lanes of S/Gs 22 and 23, 108 tubes in each generator were inspected from 3" above the flow distribution baffle (FDB)to the end of the tube on the hot and cold legs.Tube damage was attributed to mechanical interaction between the tubes and equipment used to perform Pressure Pulse Cleaning (PPC)on the secondary side of the steam generators. A summary of the inspection scope is listed in the following table.Summa Unit 2 Steam Generator Ins ection Sco e Description S/G 22 S/G 23 TOTAL Inspected Full Length Inspected from the seventh support plate on the cold leg (7C)to tube end hot (TEH)(Selected at random)Low Row Tubes Inspected 7C to TEH Tubes inspected FDB+3" to tube end hot and tube end cold in the tube lane region TOTAL 67 154 14 108 343 67 154 14 108 343 134 308 28 216 686 No imperfections were found as a result of the Technical Specification eddy current*inspection. However, based on the results of the special eddy current maintenance inspection for mechanically damaged tubes, a total of three tubes in S/G 22 and six tubes in S/G 23 were plugged and removed from service.None of the tubes inspected during the special eddy current maintenance inspection exhibited signs of service induced degradation. A listing of the tubes plugged and removed from service is listed in the table below: S/G 22 Row 1 Column 92 Row 1 Column5 Row1 Column 93 Row1 Column 6 Row 1 Column 94 Row 1 Column 7 S/G 23 Row 1 Column 92 Row 1 Column 93 Row 1 Column 94 Page 59

'NDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 Reactor Vessel Closure Head.Inspections RV Closure Head Penetration Ins ections An eddy current inspection was performed on 71 of 78 reactor vessel closure head penetrations. One penetration was found to exhibit crack-like indications. A supplemental forward-scatter-time of flight ultrasonic examination was performed on this penetration and used to characterize the indications as three axial cracks which have a maximum depth of 6.8 mm.While all indications were within the NEI screening criteria, the NRC was contacted for concurrence that any repairs may be deferred until a subsequent outage'V Control Rod Drive Thermocou le Guide Funnel Ins ections Re airs A manual inspection was performed on the 53 Reactor Vessel CRD thermal sleeve guide funnels and the five (5)guide funnels that are installed on the thermocouple columns.Forty-two (42)of the CRD thermal sleeve guide funnels were found to exhibit some degree of movement when they were manually rotated.The maximum radial movement noted on any of the guide funnels was approximately .100 inches.No movement was detected on any of the guide funnels installed on the thermocouple columns;however, one guide funnel was found not to have its anti-rotation pins installed. A design change (MM-580)was generated to restore the guide funnels to a condition equivalent to the original design.The forty-two (42)CRD thermal sleeve guide funnels that exhibited movement and the thermocouple guide funnel that did not have its anti-rotation pins installed were attached to their adjoining components by the use of fillet welds.Page 60 INDIANA MICHIGAN POWER COMPANY DONALD C.COOK NUCLEAR PLANT, BRIDGMAN MI.UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONAL BOARD NUMBER 1 System Pressure Tests Inservice Inspection System Pressure Tests were performed during the Fall 1994 Unit Two Refueling Outage.These tests were in accordance with the requirements of ASME Section XI Articles IWA-5000, IWB-5000, IWC-5000, and IWD-5000 as applicable. A total of twenty-one (21)hydrostatic tests were performed during the outage.2-0HP5070.ISI.012 (Excess Letdown Heat Exchanger) which failed with a weld leak, was repaired and retested satisfactorily. The remaining tests were within allowable acceptance criteria.The tests performed were: PROCEDURE**2-OHP 5070.ISZ.009 DESCRIPTION Component Cooling Water East and West Trains NUMBER OF TESTS COMPLETED**2-OHP 5070.ISI.010 Component Cooling Water Misc.Supply Return Headers**2-OHP 5070.ISI.012 Component Cooling Water Piping Heat Exchanger, RCP Thermal Barriers, RCP Oil Coolers**2-OHP 5070.ISI.016

    • 2-OHP 5070.ZSZ.029 Control Room A/C Circ Water SZ Pump Mini-flow Piping to RWST**2-OHP 5070.ZSI.030 CVCS;Letdown Piping and Components
    • 2-OHP 5070.ISI.031 Volume Control Tank and Associated Piping**2-OHP 5070.ISI.032 RCP Seal Water Piping Supply/Leakoff In addition system functional, inservice and leakage tests were conducted on Class 1, 2 and 3 systems.'his included the entire Reactor Coolant System and associated piping per the requirement of IWB-5221.The results of the system functional, inservice and leakage tests were all within allowable acceptable range.All procedures satisfy the testing and documentation requirements set forth in ASME Section XI, 1983, Summer 1983 Addendum for Class1, Class 2, and Class 3 components and systems for Cook Nuclear Plant.Al procedures were satisfactorily completed by Indiana Michigan Power Company, ISI Hydro Testing, Quality Control and NDE personnel.

Page 61 INDIANA MACHIGAN POWER COMPANY D.C.COOK NUCLEAR PLANT UNIT 2;COMMERCIAL SERVICE 7/1/1978 NATIONAL BOARD NUMBER 1 Job Component Order Activit UNIT Identification Code Class Date Worked T e of Re air or Re lacement C 01238, C04197 C04452 C04828 C06091 C 08309 C 09008 C 09659 C 09946 C09961 C 09962 C09981 C09989 C1 0100 C1 0178 C1 0596 C1 0644 C1 0723 C1 0777 C11199 C11199 C11202 C11 366 C11742 C11743 C11872 C1 2062 C1 2062 C1 2062 C1 2062 C1 3676 C1 3677 C1 4079 C1 4079 C14196 C1 4331 C1 4331 C1 4331 C1 4331 C14689 C1 5292 C1 5292 C1 5292 C1 5292 C1 7096 1 1 2 10 1 3 2 5 2 3 3 3 3 4 2 1 6 8 3 4 3 1 1 3 11 26 23 28 2 2 3 12 5 1 1 1 1 1 2 2 2 2 10 2 GSI-V839 2 IMO-110 2 MRV-213 2 MRV-243 2 DCR-310 2 MRV-223 2 GFW-S885 2 QRV-451 2 NRV-164 2 QRV-162 2 IMO-316 2 IMO-325 2 NRV-164 2 IMO-315 2 NMO-151 2 MRV-221 2 RH-104E 2 OME-4 2 SI-169-L1 2 MMO-240 2 MMO-240 2 RH-109W 2 MRV-233 2 RH-108W 2 RH-108E 2 RC-104-L2 2 ACS-L954 2 ACTS-R818 2 GSF-L54 2 GSI-R1A 2 MRV-221 2 MRV-211 2 MRV-223 2 MRV-223 2 BD-103-4 2 CS-797¹92-21 2 CS-797¹92-26 2 CS-798¹92-20 2 CS-798¹92-22 2 CS-353 2 ASI-L913 2 ASI-L914 2 GSI-L109 2 GSI-L111A 2 MRV-223 2 1 2 2 2 2 2 2 1 2 2 1 1 1 1 2 2 1 10/21/93 INSTALL MISSING NUT 11/18/94 REPLACE WEDGE 7/18/92 MACHINE VALVE PLUG 11/1 3/92 REPLACE PLUG/REPAIR SEAT 8/1 3/92 REPLACE BONNET/PLUG/NUT 11/4/92 REPLACE PLUG/CAGE REPAIR BODY 10/6/92 REPLACE SNUBBER 10/15/92 REPLACE STUDS AND NUTS 7/6/92 REPLACE BONNET STUDS 7/6/92 REPLACE STUDS 8/13/92 REPLACE STUDS AND NUTS 8/8/92 REPLACE STUDS AND NUTS 9/28/94 REPLACE VALVE INTERNALS 9/30/94 REPLACE BOLTING 10/12/94 REPLACE WEDGE 8/8/92 REPLACE PLUG AND STEM ASSEMBLY 9/24/92 REPLACE STUDS AND NUTS 8/6/92 REPLACE MANWAY AND BOLTING REPAIR MANWAY BY MACHINING 8/11/92 REPAIR INBODY SEATING SURFACE 10/23/94 REWELD THE BODY RING SEAL 11/8/94 REPLACE POPPET (PLUG)3/8/93 REPAIR INBODY SEATING SURFACE 9/9/92 REPLACE PLUG AND STEM ASSEMBLY 9/1 9/92 REPLACE BOLTING 9/21/92 REPLACE BOLTING 9/28/94 REPLACE VALVE AND PIPE 6/30/93 MODIFY SUPPORT 10/5/93 MODIFY SUPPORT 6/29/93 MODIFY SUPPORT 6/17/93 MODIFY SUPPORT 1/8/93 REPLACE PLUG, STEM&SEAT RING 1/29/93 REPLACE PLUG, STEM&SEAT RING 5/12/93 REPLACE PLUG;MACHINE BONNET 7/10/93 REPLACE PLUG;MACHINE BODY 11/19/94 REPLACE VALVE AND PIPE 10/11/93 MODIFY SMALL BORE SUPPORT 10/11/93 MODIFY SMALL BORE SUPPORT 10/11/93 MODIFY SMALL BORE SUPPORT 10/11/93 MODIFY SMALL BORE SUPPORT 3/24/93 REPAIR INBODY SEATING SURFACE 10/9/94 HANGER MODIFICATION 10/9/94 HANGER MODIFICATION 10/9/94 MODIFY SUPPORT 10/9/94 MODIFY SUPPORT 9/10/93 REPLACE VALVE Page 62

INDIANA MACHIGAN POWER COMPANY D.C.COOK NUCLEAR PLANT UNIT 2;COMMERCIAL SERVICE 7/1/1978 NATIONAL BOARD NUMBER 1 Job Component Order Activit UNIT Identification Code Class Date Worked T eof Re airorRe lacement C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C17441 C1 7441 C17441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 5 5 5 5 5 5 5 5 5 5 5 5 5 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 GCTS-R500 2 GCTS-R505 2 GCTS-R520 2 GCTS-R535 2 GCTS-R540 2 GCTS-R554 2 GCTS-R558 2 GCTS-R568 2 GCTS-R573 2 GCTS-R574 2 GCTS-R575 2 GCTS-R580 2 GCTS-R583 2 GCTS-R597 2 GCTS-R629 2 GCTS-R630 2 GCTS-R633 2 GCTS-R637 2 GCTS-R641 2 GCTS-R643 2 GCTS-R646 2 GCTS-R647" 2 GCTS-R649 2 GCTS-R651 2 GCTS-R655 2 GCTS-R655 2 GCTS-R657 2 GCTS-R659 2 GCTS-R661 2 GCTS-R663 2 GCTS-R665 2 GCTS-R667 2 GCTS-R668 2 GCTS-R669 2 GCTS-R671 2 GCTS-R673 2 GCTS-R675 2 GCTS-R677 2 GCTS-R679 2 GCTS-R681 2 GCTS-R682 2 GCTS-R685 2 GCTS-R687 2 GCTS-R688 2 GCTS-R689 2 GCTS-R691 2.2 2.2 2 10/26/94 10/26/94 10/26/94 10/20/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 10/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 9/21/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 5/26/94 MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT REPLACE FIG.137 MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT MODIFY SUPPORT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT RINGHEADER SUPPORTS NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT Page 63 Ik I INDIANA MACHIGAN POWER COMPANY D.C.COOK NUCLEAR PLANT UNIT 2;COMMERCIAL SERVICE 7/1/1978 NATIONAL BOARD NUMBER 1 Job Component Order Activit UNIT Identification Code Class Date Worked T eof Re airorRe Iacement'0 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7441 C1 7454 C1 7829 C1 8664 C1 9300 C1 9471 C1 9472 C1 9474 C1 9475 C1 9629 C1 9862 C1 9864 C1 9866 C1 9869 C1 9875 C1 9877 C1 9880 C1 9886 C1 9888 C1 9889 C1 9924 C1 9924 C1 9924 C1 9927 C19927 C1 9927 C1 9930 C1 9930 C1 9942 C20029 C20 030 C20640 C20993 C21013 C21313 C21 425 C21 432 C21 542 C21917 5 5 1 1 1 5 5 1 4 3 2 4 4 4 4 6 1 1 I 1 1 1 1 1 8 3 3 8 3 3 8 3 1 1 1 3 1 8 3 3 7 2 2 GCTS-R693 2 GCTS-R697 2 GCTS-R704 2 GCTS-R708 2 GCTS-R710 2 GCTS-R713 2 GCTS-R721 2 GCTS-V724 2 GSI-L70 2 CS-328-L4 2 IMO-325 2 GCTS-R700 2 FW-70 DET D 2 FW-71 DET D 2 FW-72 DET D 2 FW-73 DET D 2 QRV-111 2 GRC-S555 2 GRC-S573 2 GRC-S598 2 FW-S4-U 2 FW-S5 2 FW-S8-U 2 GBD-S568 2 MSS-1 2 MSS-5 2 MSS-7 2 MMO-210 2 MMO-210 2 MMO-210 2 MMO-220 2 MMO-220 2 MMO-220 2 MMO-230 2 MMO-230 2 No Component¹ 2 GCTS-S115-N 2 GCTS-S115-S 2 QFR-31 2 CONOSEALS 1-2 VCR-207 2 IMO-316 2 BD-101-1 2 QRV-162 2 MRV-241 2 SV-1B-4 2 2 2 2 2 2 2 2 2 1 1 2 2 2 2 2 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2'2 2 2 2.2 2 2 1 2 2 2 2 2 2 10/26/94 MODIFY SUPPORT 10/26/94 MODIFY SUPPORT 5/26/94 NONWELDED REPLACEMENT 5/26/94 NONWELDED REPLACEMENT 5/26/94 NONWELDED REPLACEMENT 10/26/94 MODIFY SUPPORT 5/26/94 NONWELDED REPLACEMENT 10/26/94 MODIFY SUPPORT 9/20/93 MODIFY SUPPORT 9/27/94 REPL BODY TO BONNET BOLTS 9/29/94 REPLACE BOLTING 10/17/94 MODIFY SUPPORT 10/7/94 14" SPOOL INSTALLATION 10/6/94 14" SPOOL INSTALLATION 10/4/94 14" SPOOL INSTALLATION 10/5/94 14" SPOOL INSTALLATION 10/26/94 REPLACE TRIM ASSEMBLY 9/27/94 UPGRADE OF CONTROL VALVE'/27/94 UPGRADE OF CONTROL VALVE 9/27/94 REPLACE VALVE BLOCK 9/30/94 UPGRADE OF CONTROL VALVE 9/24/94 UPGRADE OF CONTROL VALVE 9/30/94 UPGRADE OF CONTROL VALVE 9/15/94 UPGRADE OF CONTROL VALVE 9/30/94 UPGRADE OF CONTROL VALVE 9/30/94 UPGRADE OF CONTROL VALVE 9/30/94 MATERIAL UPGRADE MM-300 11/1/94 REWELD SEAL AND TACK WELD 11/1/94 REPLACE B/B STUDS 11/1/94 REPLACE POPPET 11/1/94 REWELD THE BODY RING SEAL 11/1/94 REPLACE BOLTING 11/1/94 REPLACE POPPET 11/1/94 REWELD THE BODY RING SEAL 11/1/94 REPLACE B/B STUD 8 NUT 9/6/94 INSTALL 4 FEEDWATER PORTS 9/1 8/94 SNUBBER UPGRADE...MM300 9/17/94 SNUBBER UPGRADE...MM300 10/31/94 REPLACE BOLTING 11/1/94 REPLACE THERMOCOUPLE NOZ 10/14/94 REPLACE BOLTING 11/21/94 REPLACE BOLTING 1/24/94 WELD REPAIR THRU WALL DEFECT 1/24/94 REPLACE STUDS AND NUTS 2/21/94 REPL'ACE SEAT RING AND PLUG 10/11/94 REPLACE VALVE DISC Page 64 N' INDIANA MACHIGAN POWER COMPANY D.C.COOK NUCLEAR PLANT UNIT 2;COMMERCIAL SERVICE 7/1/1978 NATIONAL BOARD NUMBER 1 Job Component Order Activity UNIT Identification Code Class Date Worked T e of Re air or Re lacement C23011 C23787 C24544 C24817 C24817 C25993 C26042 2 6 3 1 11 C26053 3 C26158 2 C26162 2 C26408 C26430 C26434 C26497 C26507 C26508 C26546 C26590 C26852 C27211 R09655 R09656 R1 2537 R22608 R22733 R22843 R24359 R25802 R25813 R25826 R25831 R25994 R26005 R26006 R26084 R26086 R26087 R26088 R26093 R26094 R26095 R27507 R27508 R29750 R31 309 2 RC-102-L3 2 MS-135-2 2 IMO-312 2 WCR-958 2 WCR-958 2 SV-1A-2 2 QMO-225 2 QMO-226 2 CCR-460 2 CCR-462 2 OME-3-3 2 CCM-458 2 OME-3-3 2 QMO-201 2 GFW-S873 2 QCR-301 2 SI-151E PIPE 2 QMO-200 2 QMO-420 2 OME-3-3~2 SV-45A 2 SV-45C 2 MSS-1.2 SV-45B 2 GRC-S555 2 GBD-S568 2 MSS-7 2 CTS-103W 2 FW-118-4 2 SV-52 2 SV-107 2 DCR-310 2 DCR-330 2 DCR-320 2 QCR-301 2 QRV-51 2 MRV-212 2 MRV-211 2 MRV-232 2 MRV-231 2 MRV-222 2 CS-451-2 2 CS-451-3 2 SV-52'SI-101 10/26/94 REPLACE STEM AND DISC 1.1/18/94 REPLACE VALVE AND PIPE 10/1 0/94 REPLACE BACKSEAT RET.RING 10/2/94 ROTATE VALVE FOR CPN71 10/2/94 REPLACE STUDS 10/13/94 REPLACE DISC 10/7/94 REPLACE PLUG 10/7/94 REPLACE PLUG 10/1/94 REPLACE STUD 10/4/94 REPLACE PLUG 10/15/94 MACHINE SS MANWAY 10/13/94 REPLACE VALVE AND BOLTING 10/25/94 REPLACE STUD AND NUT 10/1 0/94 REPLACE WEDGE AND STUDS 10/16/94 REPLACE RESERVOIR 10/15/94 REPLACE TRIM ASSEMBLY 10/23/94 REMOVE ARC STRIKE 10/15/94 REPLACE WEDGE 10/31/94 REPLACE VALVE 11/28/94 REPLACE MANWAY STUDS NUTS 10/5/94 REPLACE VALVE 10/5/94 REPLACE VALVE 10/17/94 REPLACE TAPERED LOAD PIN 10/5/94 REPLACE VALVE 10/7/94 REPLACE LOAD PIN 9/22/94 REPLACE TAPERED LOAD PIN 10/4/94 REPLACE LOAD PIN 9/16/94 REPLACE NUTS AND STUDS 10/13/94 REPLACE B/B STUDS 10/7/94 REPLACE FASTENERS 10/22/94 REPLACE BOLTING 10/25/94 REPLACE PLUG 10/24/94 REPLACE VALVE INTERNALS 10/29/94 REPLACE BONNET, PLUG, BOLT 10/4/94 REPLACE TRIM ASSEMBLY 9/27/94 REPLACE VALVE TRIM ASSY 10/13/94 REPLACE PLUG/SEAT RING 10/13/94 REPLACE PLUG/SEAT RING 9/23/94 REPLACE PLUG AND SEATRING 10/11/94 REPLACE PLUG/SEAT RING 10/11/94 REPLACE PLUG AND STEM ASSEMBLY 9/27/94 REPLACE STUDS AND NUTS 9/28/94 REPLACE STUDS AND NUTS 9/22/94 REPLACE FASTENERS 9/19/94 REPLACE DISC Page 65 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHI AN P WER OMPANY Name P.O Box 60 Fort Wa ne IN 46801 Address Date 10-21-3 sheet 1 of 2.Plant D.C.COOK NU LEAR POWER PLANT Name Unit On Co k Plac Bri n MI 4 106 Address 12-1 2-GSI-V-8 HANGER Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe D artment Name S eas 2 Address Expiration Date N A 4.Zdentif ication of System AFETY INJECTION SYSTEM(b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 umm r 1 Add nd 6.Identification of Components Repaired or Replaced and Replacement Components Dame of Component 2-GSZ-V-839 NUT Name'f Manufacturer CARDINAL INDUSTRIAL PRODUCTS INC.Manu f..Seri.al No.N/A Nat.Board No.N/A Other Identi-fication N/A SA194 GR 2H ME30-046623 ASPP13276 Year Bui.lt N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME.Code Stamped (Yes or No)NO NO 7.Description of Work See.Remarks 8.Test Conducted: Hydrostati.c Pneumati.c Nominal Operating Pressure N/A X Other.Pressure si Test Temp.oF'I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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 i.s recorded at the top of thi.s form. Page 2 of 2 FORM NIS-2 (Back)9.Remarks INSTALLED MI SING NUT ON HANGER 2-GSI-V-8 Applicable Manufacturer's Data Reports to be attached R f.0: 12-1 File.2-G I-V-83 I I:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certifica o A zation No.N A Expiration Date N A Signgd F an Pis sk Maint.En.Su ervisor Owner or Owner's Designee, Title Date-/CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~l--s~7 and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements of the ASME Code, Section XZ.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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions dioA.d rC JAN.~)Inspect's Signature National Board, State, Province, Endorsements Date 19/+*FACTORY MUTUAL ENGINEERING ASSOCIATION

PORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI'wner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-06-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C4197-1 2-IMO-110 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System ACCUMULATOR TANK INJECTION (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-IMO-110 N/A N/A N/A N/A N/A REPAIRED NO WEDGE N/A N/A SA-182 TYPE F304 M&E3 0044 155 ASPg8509 N/A REPLACE-MENT NO'1 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is'ncluded on each sheet, and (3)each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED CRACKED WEDGE DUE TO OVER THRUSTING WHILE SETTING VALVE Applicable Manufacturer's Data Reports to be attached LIMIT.NEW WEDGE WAS MACHINED PRIOR TO'INSTALLATION TO ASSURE PROPER FIT.PT EXAM WAS PERFORMED AND ACCEPTED AFTER MACHINING. Ref.JO: C4197-1 File: 2-IMO-110 ISI 1 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fran xsarsk Maint.En.Su ervisor Date 0 I Owner or Owner's Designee, Title 19 N A CERTZFICATE OF ZNSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or'rovince of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.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 arisin from or connected with this inspection.

  • GeZH A Commissions M<4 ops 5 E'v~Inspector's ign ure National Board, State, Province, Endorsements
  • FACTORY MUTUAL ENGINEERING ASSOCIATION X9 9 Date

PORM HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEKZS As Required by the provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Name Date 07-18-2 P.O.Box 60 Fort Wa ne IN 46 1 Address Sheet 1 of'2.Plant D OOK LEAR P WER PLANT Name Unit One Cook Place Brid an MI 4 1 6 4452-2 11 2-MRV-213 6"VLV.Address Repair Org.P.O.No., Job No., etc 3.Work Performed by M intenance De Name Same as 2 rtm n Authori.zation No.N A Expiration Date N A Address 4.Zdentif ication of System MAIN STEAM (b)Applicable Edition of Secti.on XI Utilized for Repairs or Replacements 1983 Summ r 1 83 Add nda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-213 Name of Manufacturer FISHER CONTROLS Manuf.'Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-.fication EXISTING COMPONENT Year Built N/A Repai.red Replaced or Replace-ment REPAIRED ASME Code Stamped~(Yes or No)NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostati.c Pneumatic ,Nominal Operating Pressure N/A'ther PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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 Xs recorded at the top of this form. 4 Page 2 of 2 FORM NIS-2 (Back)9.Remarks MACHINED THE VALVE PLUG TO REMOVE SURFACE ANOMALIES. PT EXAM WAS Applicable Manufacturer's Data Reports to be attached PERFORMED WITH NO RELEVANT INDICAT1ONS NOTED PER.C4452-11 Ref JO: 44 2-2 File: 2-MRV-21 ISI 2 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 XZ.repair or replacement Type Code Symbol Stamp N A Certifica o A ization No.Sigqed.Frank Pi rsk Maint.En.Su e Owner or Ownerss Designee, Title Expiration Date (19 N A CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a val id commission issued by the National Board of Boiler by ARKWRZGHT MUTUAL INS.CO.*of NORWOOD MASS.have'p~t d the components described in this Owner's Report during the period-/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. Commi'ssioos Inspector's ignature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION 197 Y J l FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEM22FZS As Required by the Provisions of the ASME Code Section XZ'~Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa n IN 46 01 Address Plant D..OK NU LEAR P WER PLANT Name Date 11-13-2 Sheet 1 of Unit On ok Plac Brid n MI 4 1 6 4 2-10Se11 2-MRV 24 nVLV Address Repair Org.P.O.No., Job No.", etc 3~Work Performed by Maint nan De artment Name Same as 2 Address Authorization No.N A Expiration Date N A 4.Identification of System'AIN TEAM"""H Summr 1 Adnd 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other.Identi-fication, Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MRV-243 N/A N/A N/A N/A N/A REPAIRED NO VALVE PLUG FZSHER CONTROLS.N/A N/A SA-479 M&E30040030 ASPP15282 N/A REPLACE-MENT NO VALVE BODY SEATING SUFACE FISHER CONTROLS N/A N/A SA-216 GR.WCB CASTING N/A REPAIRED NO 7.Description of Work e Re rks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other X Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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. I Page 2 of 2 FORM NZS>>2 (Back)9.Remarks BUILT UP VALVE B DY SEATINQ SURFACE WITH WELD METAL PER.Applicable Manufacturer's Data Reports to be attached J.O.C-4828 ACT.10 MACHINED AND PREFROMED FINAL SURFA E EXAM N EATIN SURFACE ALSO REPLACED VALVE PL PER-4 2-11-482-1 11 Fil~2-MRV-24 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 Expiration Date Signed Fr nk P s rsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF INSERVZCE INSPECTION Commissions Hi~l o ss-hvP N National Board, State, Province, Endorsements Inspector's ign re*FACTORY MUTUAL ENGINEERING ASSOCIATION Date-'c'9 I, the.undersigned, holding a valid commission issued'by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components descrihed in this moner's Report during the period~i@~r a)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 XZ.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 PORN NIS-2 OWNER'S REPORT ROR REPAIRS OR REPLACHKKXTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN P WER MPANY~~~Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 0-13-2 Sheet 1 of 2.Plant D.COOK NUCLEAR P WER PLANT Name On ook.Plac Brid n MI 4 106 Unit 1-1 2-D R-31 2"VALVE Address Repair 3.Work Performed by Mainten n D r m nt Name Sam as 2 Address Org.P.O.No., Job No., etc Expiration Date N A 4.Identification of System BL WD WN er 1 Ad nda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced'or Replace-ment ASME Code Stamped (Yes or No)2-DCR-310 BONNET N/A HAMMEL DAHL INC.N/A N/A'/A N/A N/A SA-182 GR.F5A MGE30040710 ASPÃ13893** N/A N/A REPLACE-MENT NO REPAIRED NO PLUG CLAMP NUT NELES-JAMESBURY NELES-JAMESBURY N/A N/A N/A N/A ASTM A582 GR.416 MGE30040938 ASPP13822 A-105 GR.HR-1035 MGE30040855 ASPP11110 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. E~J-4~ Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED PLUG Ee CLAMP NUT**BONNET ASSY PART 1 74 AA WAS Applicable Manufacturer's Data Reports to be attached RE EIPT INSPE TED AND ASSI NED P 8 14 LEAK FF LINE W THEN PL ED AND WELDED AND RE SINGED P 1 R 1-1 Fil: 2-D R-310 I I: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date le&-CD~Signed Frank Pisarsk Maint.En.Su ervisor Date.t Owner or Owner's Designee, Title N A CERTIFICATE OF INSERVICE INSPECTION I, the.undersigned, holding a valid commission'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have ins ected the components described in this Owner's Report during the period to'-"'-<', and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commfssioos >C/>6,!Znspec's Signature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION.g-k'h>.r FORM NIS"2 OWNER'S REPORT FOR REPAIRS OR REPLACHMZXTS As Required by the Provisions of the ASME Code Section XZ ,1.Owner INDIANA MI HI AN P WER OMPANY Name BxFrWnN 4681 Address Date 11-4-2 Sheet 1 of 2.Plant D.COOK LEAR POWER PLANT Name n k Pla Bri n MI 4 10 Unit 0-2-MRV-22" VALVE Address Repair Org.P.O.No., Job No., etc 3.Work Performed by intenan De ar ment Name BIll B 2 Address 4.Identification of System MAIN TEAM r1 Adn Expiration Date N A 6.Identification of Components Repaired or Replaced and Replacement Components ~Name of Component 2-MRV-223 PLUG Name of Manufacturer N/A N/A Manuf.Serial No~N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A SA-479 WITH STELLITE P6 Year Built N/A N/A Repaired Replaced or Replace>>ment REPAIRED REPAIRED MACHINZNG ASME Code Stamped (Yes or No)NO NO CAGE SEATING SURFACE VALVE BODY N/A N/A N/A N/A N/A N/A 17-4PH HARDFACING SA-216 GR WCB N/A N/A REPAIRED MACHINING REPAIRED MACHINING NO NO 7.Description of Work R rk 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT*Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~~(1)size is 8-1/2 in.x ll in., (2)information in items 1 through 6 on this report is included, on each'heet-, and (3)each sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2 9.Remarks FORM NZS-1 (Back)MACHININ WAS PERF RMED N THE VALVE B DY PLU AND A E EAT Applicable Manufacturer's Data Reports to be attached T REM VE TEAM UTS MA HINED FA E WERE P*A EPTABLE PRI R T RE E LIN R f 0 Fil 2-MRV-22 I I 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A-'"'"gpss'"'5"-"'""'Expiration Date Signed Frank PisarsT Maint.En.Su ervisor Date<&-Owner or Owner's Designee, Title N A , l9't CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period-2-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 XZ.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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions PA~~oo s S~/Ate Inspector'ig ture" National Boa d, Sta e, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date'v~~c.Z 4i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEKTS As Required by the Provisions of the ASME Code Section XI\1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-6-2 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NU LEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid an MI 49106 C9008-1 2-GFW-S-885 SNUBBER Address Repair Org.P.O.No., Job No., etc Name am a 2 Expiration Date N A Address 4.Identif ication of System FEEDWATER FW (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Add nda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GFW-S-885 Name of Manufacturer N/A Manu f.Serial No.N/A Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment REPLACED ASME Code Stamped (Yes or No)SNUBBER GRINNELL S/N 31284 N/A MGE30024690 ASP/11873 N/A REPLACE-MENT N/A 7.Description of Work R rk 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

FORM NZS<<2 (Back)Page 2 of 2 9.Remarks REPLA ED SNUBBER WITH RINNELL FI 2 HYDRA LI SHO K AND Applicable Manufacturer's Data Reports to be attached SWAY STRUT SUPPESSOR ASSEMBLY SERIAL 31284 M&E 30-024690 R f:C-1 Fil.2-FW-I I: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed ank Pisa sk Maint.En.Su ervisor Date-/5 Owner or Owner's Designee, Title N A CERTIFICATE OF.ZNSERVICE INSPECTION I, t;he undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period r'0 g-C 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 XZ.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. Inspector's g ture Date W-I C 19 Commissions Wr=c oos, E~~Per'ational Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION T

FORM NIS-2 OWNER'REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.'wner INDIANA MI HIGAN POWER OMPANY~~Name P.O Box 60 For Wa ne IN 46801 Address Date 10-1-2 Sheet 1 of 2.Plant D.C.COOK NUCLEAR P WER PLANT Name Unit One ook Place Brid n MI 4 106 Address 65-2 2-RV-451 2"VALVE Repair Org.P.O.No., Job No., etc 3.Work Performed by Main enan e D artm nt Name Same as 2 Address 4.Identification of System BORON MAKEUP CS Expiration Date N A'N Summer 1 83 Add n a 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1 2-QRV 451 STUDS Name of Manufacturer N/A ITT ENGINEERED VALVE Manu f.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASME SA-453 GR.660 ME30-040576 ASP 814879 Year Built N/A N/A Repai red Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NUTS ITT ENGINEERED VALVE N/A N/A ASME SA-194 GR.8F ME30-040562 ASP 114879 N/A REPLACE-MENT NO 7.Description of Work Se Rem rks I 8..Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.DF t NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll in., (2)information in items 1 through 6 on this report is included on each sheet, and (3)eath sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2 FORM NIS-2 (Back)"9.Remarks REPLACED BODY TO BONNET BOLTING THAT WERE CORRODED AND APPEARED Applicable Manufacturer's Data Reports to be attached TO BE ARBON STEEL WITH STAINLESS STEEL.Ref.JO:C-65-2 File: 2-RV-451 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A N A Expiration Date~JZ Signed ank Pi arsk Maint.En.Su e Owner or Owner's Designee, Title N A CERTIFICATE OF INSERVZCE INSPECTION I," the undersigned, holding a valid commission issued by'he National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period I 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 XZ.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.~M~c~Commissions Hi=a aors Inspector's gna e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 9~Date~-/M FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACiRQWTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 07-06-92 P.Box F rt'Wa n IN 4 1 Address Sheet 1 of 2~Plant D.C.COOK NUCLEAR POWER PLANT Name Unit On ook Place Brid n MI 4 106 46-5 2-'NRV-164 4" VALVE Address, Repair Org.P.O.No., Job No., etc" 3.Work Performed by Maintenance De artment Name Same as 2 Address Expirati.on Date N A 4 Identif icati.on of System REACTOR OOLANT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 umm 1 A dend 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-NRV-164 BONNET STUDS Name of Manufacturer COPES VULCAN CARDINAL INDUSTRIAL PRODUCTS ZNC.Manuf.~Serial No.N/A N/A Nat~Board No.N/A N/A Other Identi-fication N/A SA-453 GR.660 M&E30030002 ASP/13888 Year Built N/A N/A Repaired Replaced or Replace-ment REPAZRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si Test Temp.OF NOTE: Supplemental sheets in form of li.sts, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED BONNET STUDS.Applicable Manufacturer's Data Reports to be attached P R f JO: 4 Fil.2-NRV-1 4 I I: 1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date~U~~Signed Frank Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF,ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.+of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /M+>>+/M Commissions ~=A Znspec's Signature National Board@State, Province, Endorsements Date 19~/"FACTORY MUTUAL ENGINEERING ASSOCZATZON

PORN HIS-2 OWNER'S REPORT POR REPAIRS OR REPZACZÃZXTS As Required by the Provisions of the ASME Code Section XI~~1.Owner INDIANA MI HIGAN P WER COMPANY Name P.O Box 60 F r W n IN 4 801 Address 2.Plant D..0 K NU LEAR P WER PLANT Name Date 07-06-2 Sheet 1 of Unit One ook Place Brid n MI 4 106 1-2 2-RV-162 2"VALVE Address Repair Org.P.O.No., Job No.,etc Name Same as 2 Expiration Date N A Address 4.Identification of System LETD WN Summ r 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No+Nat.Board No.Other, Identi.-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QRV-162 STUDS N/A CARDINAL INDUSTRIAL PRODUCTS INC.N/A N/A'N/A N/A N/A STUD-SA-193 GR.B-7 MQE30029005 ASPÃ13745 N/A N/A REPLACE-MENT NO REPAIRED NO 7.Description of Work R marks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other~Pressure si Test Temp.oF C NOTE: Supplemental sheets in form of.lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)iinformation 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. Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED BODY T B NNET TUDS THAT WERE DEGRADED STUDS WERE Appicable Manufacturer's Data Reports To Be Attached UPGRADED TO L-FROM L-4.R f.:-1-2 Fil: 2-RV-162 ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date r n Sigped F an i rsk Maint.En.Su ervisor Date gpss Owner r Owner's Designee, Title 19 N A CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the'National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have ns ected thecomponents described in'this Owner's Report during the period 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 Repbrt 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. .48M Commissions 4.Zd IW Inspector Signature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION +'--l9 j g S FORM NIS" 2 OWNER'REPORT ROR REPAIRS OR REPLACE5GXTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER C MPANY Name Date 08-13-2 P.O.B x 60 Fort Wa n IN 46801 Address.2.Plant D.C CO K NUCLEAR P WER PLANT Name n ok Pla Brid n MI 491 6 Sheet 1 of Unit 2-2-IMO-16"VALVE Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Sam as 2 Address 4.Identification of System Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 3 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.'Serial No.Nat.Bohrd No.Other Identi-.fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-IMO-316 STUDS N/A NOVA PRODUCTS CORP CARDINAL INDUSTRIAL PRODUCTS INC.N/A N/A N/A N/A N/A ASME SA-193 GR.B7 ME30-028963 ASP 113001 ASP 113301 N/A REPLACE-MENT NO REPAIRED NO NUTS NOVA PRODUCTS CORP.CARDINAL INDUSTRIAL PRODUCTS ZNC.N/A N/A ASME SA-194 GR.2H ME30-028963 ASP$13001 ASP/13301 N/A REPLACE-MENT NO 7.Description of Work Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. k Page 2 of 2 FORM NZS<<2 (Back)9.Remarks REPLACED 8 SETS OF CORRODED BONNET STUDS AND NUTS 5 SETS WERE Applicable Manufacturer's Data Reports to be attached FACTURED BY NOVA MACHINE PRODU TS CORP.ASP 13001 3 SETS WERE MANUFACTURED BY CARDINAL PRODUCTS INC ASP 13301 Ref.JO:C-62-File: 2-IMO-1 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A'"""4"'"""'Expiration Date I Signed nk Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A Znspect s Signature*FACTORY MUTUAL ENGINEERING ASSOCIATION Date CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a val id commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS~have ins ected the components described in this Owner's Report.during the period-/-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 XZ.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 4C~ddt" A p~Na ional Board, State, Province, Endorsements ~I PORN NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEÃTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MlCHI AN POWER COMPANY Name P.O.B x 60 Fort Wa ne IN 46801 Address Date 08-8-2 Sheet 1 of"2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One ook Place Brid n MI 4 106 C 81-3 2-IMO-325 8"VALVE Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe D ar ment Name as 2 Address Expiration Date N A 4.Identification of System REA TOR LANT SY TEM Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component.Name of Manufacturer Manuf.Serial No.Nat.Bo'ard No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-IMO-325 STUDS N/A NOVA PRODUCTS CORP.N/A N/A N/A N/A N/A ASME SA-193 GR.B7 ME30-028963 ASPP13001 N/A N/A REPLACE-MENT NO REPAIRED NO NUTS NOVA PRODUCTS CORP.N/A N/A ASME SA-194 GR.2H ME30-028963 ASPP13001 N/A REPLACE-MENT NO 7.Description of Work Se Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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.

Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLA ED CORR DED BONNET STUDS AND NUT Applicable Manufacturer'.s Data Reports to be attached R f.:C 81-File: 2-IM 2 I I 1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Sigped F ank Pis sk Maint.En.Su ervisor Date gg)Owner or Owner's Designeeg Title 19 N A CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 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 XZ.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 /i'i X+~~!lid~+Inspecto s Signature National Board, State, Province, Endorsements Date 198*FACTORY MUTUAL ENGINEERING ASSOCIATION I~ll ii FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKE2FZS As Required by the Provisions of the ASME Code Section Xl 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Date 09-29-94 Sheet 1 of Unit One Cook Place Brid an MI 49106 C9989-3 4"VALVE 2-NRV-164 Address Repair Org.P.O.No., Gob No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System REACTOR COOLANT Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-NRV-164 N/A N/A N/A N/A N/A REAPIRED NO STUDS STUDS CARDINAL INDUSTRIAL PRODUCTS INC.HARDWARE SPECIALTY CO.TAXAS BOLT CO.CARDINAL INDUSTRIAL PRODUCTS CO.N/A N/A N/A N/A N/A N/A ASME SA-453 GRADE 660 M&E30047050 ASPQ14980 ASME SA-453 GRADE 660 M&E30047040 ASPg9611&ASPN10508 ASME SA" 194 GRADE 8F M&E3 021214 0 ASPN16474 N/A N/A N/A REPLACE-MENT REPLACE-MENT REPLACE" MENT NO NO NO SEE ADDITIONAL SHEET 7.Description of Work See Remar s 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. R~h FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI (448 zcI-3 Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 09-29-94 sheet W of Unit C9989-3 4nVALVE 2-NRV-164 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address 4.Zdentif ication of System REACTOR COOLANT Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-NRV-164 TRIM ASSY.BONNET EXTENSION.Name of Manufacturer N/A NOVA MACH1NE PRODUCTS CORP COPES VULCAN ZNC.COPES VULCAN INC.'anuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication N/A ASTM A-194 GRADE 8FA M&E3 0212 142 ASP¹15702 ASTM SA-564 GRADE 660 M&E30036074 ASP¹13829 ASTM A-351 GR.CFSM ASP¹16066 Year Built N/A 1/985 N/A N/A Repaired Replaced or Replace-ment REAP IRED REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO, NO 7.Description of Work See Remar s 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other VT1 Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~~~~~(1)size is 8-1/2 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. I tI FORM NIS-2 (Back)3 3 Page 3, of g 9.Remarks REPLACED BONNET EXTENSION AND TRIM ASSEMBLY DUE TO BONNET TO Applicable Manufacturer's Data Reports to be attached BODY LEAK.ALSO REPLACED STUD AND NUTS.VT 1 EXAM WAS PERFORMED FASTENER MATERIAL PRIOR TO INSTALLATION. Ref.JO: C9989-3 File: 2-NRV-164 ISIS 1 CBRTZFICATB OF COMPLIANCE We certify that the statements, made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date~l Signed Frank isarsk Maint.En.Su ervisor Date I~8 Owner or Owner's Designee, Title N A CERTIFICATE OP ZNSBRVZCE ZNSPECTZON I, the undersigned, holding'valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to-3-9s 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 W<<>oos 5 Er~67%z Inspector'i ture National Board, State, Province, Endorsements Date c~c~n 19 9'5*FACTORY MUTUAL ENGINEERING ASSOCIATION J FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-01-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C10100-3 2-IMO-315 Address Repair Org.P.O.No., Job No., etc 3.Work Per f ormed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-ZMO-315 N/A N/A N/A N/A N/A REPAIRED'O ALL THREAD STUDS NOVA MACHINE PRODUCTS CORP N/A N/A ASTM A-453.1986 GRADE 660 M&E30029999 ASPg15076 REPLACE-MENT NO ITT ENGINEERED VALVES N/A N/A ASME SA-194 GRADE 8F M&E3 0212090 ASPQ11191 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.N OTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. II Page 2 of 2 PORN N1S-2 (Back)9.Remarks REPLACED BONNET TO BODY BOLTING MATERIAL PER 12-MM-574. Applicable Manufacturer's Data Reports to be attached Ref.JO: C10100-3 File: 2-IMO-315 ISI:1 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A N A Signed Fran Pisarsk Maint.En.Su ervisor Date (C~&Owner or Owner's Designee, Title CERTIFICATE OP INSBRVICS INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and.employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to 02 (5.V 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 XZ.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 in)ury or property damage or a loss of any kind arising from or connected with this inspection, Commissions W(=4 oo5~~.E~d'e'r~Inspector' ign re National Board, State, Province, Endorsements Date O~~n~~19*FACTORY MUTUAL ENGINEERING ASSOCIATION iy PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date-10-08-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place-Brid man MI 49106 Sheet 1 of Unit C10178-4 2-NMO-151 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address 4.Identif ication of System CHARGING CVCS Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer.1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component, 2-NMO-151 WEDGE Name of Manufacturer N/A VELAN INC.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASME SA-182 GRADE 316 STELLZTE g6 M&E3 0044145 ASPg5209 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED WEDGE PRIOR TO INSTALLATION WEDGE WAS MACHINED TO Applicable Manufacturer's Data Reports to be attached ASSURE PROPER FIT.Ref.JO: C10178-4 File: 2-NMO-151 IS1 1 CBRTIFZCATE OF COMPLIANCE I We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr i rsvp Ma nt.En.Su ervisor Date<<t 1t Owner or Owner's Designee, Title CERTZFZCATB OF ZNSBRVZCB 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period T 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 We A nuf'..hn/2W Inspector's Si at e National Board, Stat.'e, Province, Endorsements +FACTORY MUTUAL ENGINEERING ASSOCIATION Date~<c.~be'r 19 1 4 PORN NIS-2 OWNER~S REPORT FOR REPAIRS OR REPLACEbG~S As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN P WER MPANY Name P 0 B x 0 Fort Wa n IN 46801 Address Date 0--2 Sheet 1 of 2.Plant D K LEAR POWER PLANT Name Unit ne Co k Place Brid n MI 4 106 Address-1-2 2-MRV-221 2"VALVE Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanC D ar m nt Name Address 4.Identif ication of System MAIN STEAM Expiration Date N A (b)Applicable Edition'of Section XI Utilized for Repairs or Replacements 1983 Summ r 19 Add n a 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-221 PLUG 6 STEM ASSY.Name of Manufacturer FISHER CONTROLS INT.FISHER CONTROLS INT.Manuf.Serial No.N/A Nat.Board No.N/A Other.Identi-fication ASTM,A582 TYPE 416 ME30-040005 ASPS 12622 Year Built 1974 Repaired Replaced or Replace-ment REPAIR REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work e R marks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 1 Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLA ED VALVE INTERNAL WHI H INCLUDE THE PLUG AND TEM Applicable Manufacturer's Data Reports to be attached ASSY.DCCPV702 CN R f.J: C-1-2 File: 2-MRV-221 ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Owner r Owner'ss Designee, Title 19 N A CERTIFICATE OF INSERVZCE INSPECTION I, the..undersigned, holding a valid commission issued'y the National Board of B'oiler by AR16KIGHT MUTUAL INS.CO.*of NORWOOD MASS.have~n e ted the components described in this Owner's Report during the period 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 W>C i'm Znspe or's Signature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION 19/9 +I C is FORM HIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHI AN POWER OMPANY~~Name P.Box 6 Port W n IN 46 01 Address Date-24-2 Sheet 1 of 2.Plant D.C.K LEAR POWER PLANT Name On ook Place Brid an MI 4 106 Unit C-1 44-1 2-RH-104E 14"VALVE Address Repair Org.P.O.Job No., etc 3.Work Performed by Maint nanCe D artmen Name am as 2 Address.Expiration Date~N A 4.Identif ication of System RESIDUAL HEAT REMOVAL RHR umm r 1 83 Add nd 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)'-RH-104E STUDS NOVA MACHINE PRODUCTS N/A N/A ASTM-A-453 GR.660 QL5 ASPfl2915 ME30-030001 N/A REPAIRED REPLACE-MENT NO NUTS TEXAS BOLT CO.N/A N/A SA-194-GR8F ME30-046906 ASPg4184 N/A REPLACE-MENT NO 7.Description of Work S e Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLA ED CARB N TEEL FASTENER WITH TAINLES TEEL FASTENER Applicable Manufacturer's Data Reports to be attached R f.J:-1 44-1 File: 2-RH-1 4E ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certifica o Signed rank rsk Owner or Owner's Designee, Title Expi.ration Date N A-'2-1 CERTIFICATE OF ZNSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRZGHT MUTUAL INS.CO.*of NORWOOD MASS.have nspectgp the components described in this Owner's Report during the period 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 XZ.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or impli.ed, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Znspector 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. Ccmmi.ssicms i c.A7d'ns ctor's Signature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION 'F P~19~~ 3 l,' PORM HIS"2 OWHER'REPORT POR REPAIRS OR REPLACEMEHTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MI HIGAN POWER OMPANY Name Date--2 P B x 6 F rt Wa n IN 46801 Address Sheet 1 of 2~Plant D.C.K NU LEAR P WER PLANT Name One Cook Place Brid n MI 4 106 Unit 1 723-6 2-OME-4 PRE URISER Address Repair Org.P.O.No., Job No., etc 3~Work Performed by MaintenanC D rtm nt Name Same as 2 Address Authorizati.on No.N A Expiration Date N A 4.Identification of System PRESS IZER Summer 1 3 Adden a 6.Identification of Components Repaired or Replaced"and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other k Identi-fi.cation Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes" or No)2-OME-4 PRESSURIZER MANWAY MANWAY COVER BOLTS WESTINGHOUSE WESTINGHOUSE N/A N/A N/A N/A EXISTING SA-193 GR.B7 M&E30009772 ASPÃ9590 1965 N/A REPAIRED'ES REPLACED NO MANWAY COVER WESTZNGHOUSE N/A N/A SA-533 GR+AgCL-1 N/A REPLACED NO 7.Descri.ption of Work Se Remark r 8.Test Conducted: Hydrostatic Pneumati.c Nominal Operating Pressure N/A Other PT/VT-1 Pressure si Test Temp.oF NOTE: Supplemental sheets i.n form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is i.ncluded on each sheet, and (3)each sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)T 2 REPLA ED MANWAY VER AND B LTIN IN ADDITI N T Applicable Manufacturer's Data Reports to.be attached MACHININ F THE MANWAY G KET EATING SURFACE 0 012" AND'~pq REAPPLIED THE PH N GRAPHI FINI H R f"1 72 Fil'ME-4 I I'CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A'"""'IIV Q'"""+Expiration Date Signed r nk Pisarsk Maint.En.Su ervisor Date S+Owner or Owner's Designee, Title 19.N A CERTIFICATE OF INSERVZCE INSPECTION I, the undersigned, holding a valid commission 'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 8'-3-z to<2'nd 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 XZ.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 wi-h this inspection. Znspector's Sig tur Date, Zc Commissions ~i-4~~.rr.wi>iS w.National Board, State, Province, Endorsements"FACTORY MUTUAL ENGINEERING ASSOCIATION 19 9Y

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ'.Owner INDIANA MICHIGAN POWER COMPANY Name.P.O.Box 60 Fort Wa ne IN 46801 Address Plant D.C.COOK NUCLEAR POWER PLANT Name On Cook Pla e Brid man MI 4 106 Date 08-11-92 Sheet 1 of Unit C10777-1 2-SI-16-L1 1" VLV.Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same a.s 2 Address Expiration Date N A 4.Zdentif ication of System RESIDUAL HEAT REMOVAL RHR (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-meat ASME Code Stamped (Yes or No)2-SI-169-L1 N/A N/A N/A N/A N/A REPAIRED NO ZNBODY SEATING SURFACE CONVAL ZNC.N/A N/A STELLZTE N/A REPAIRED MACHINING NO r 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/>>]~X Or>>er ((pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

FORM NZS-2 (Back)Page 2 of 2 9.Remarks THE INBODY SEATING SURFACE WAS RECONDITIONED USING A CONVAL Applicable Manufacturer's Data Reports to be attached MANUAL REFACEING TOOL.Ref.JO:C10777-1 File: 2-SI-16-Ll ISI:1 CERTZFZCATE 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 XZ~repair or replacement Type Code Symbol Stamp N A"'""'K/W'""-" Sigged Frank Pisarsk Maint.En.Su ervisor Owner or Owner's Designee, Title Expiration Date 19 N A I CERTIFICATE OF ZNSERVZCE ZNSPECTZON Z., the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS CO.*of NORWOOD MASS have i sp ted the components described in this Owner's Report during the period 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 Inspec r's Signature National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 Date 4 0 0 R As Required by the provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-23-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C11199-3 Sc 8 2-MMO-240 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance Deoartment Name Same as 2 Address 4.Xdentification of System MAIN STEAM Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MMO-240 N/A N/A N/A N/A N/A REPAXRED NO POPPET ATWOOD MORRILL N/A N/A SA-515 GRADE 70 M&E23044491 N/A REPLACE-MENT NO 7.Description of Work See Remar s 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORN NZS-2 (Back)9.Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED: Ref.JO:C11199-3 &: 8 File: 2-MMO-240 ISI: 2 CBRTIFZCATB OF CONPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificate orization No.N A Expiration Date N A Signed Frank sars Maint.En.Su ervisor Date 1 Owner or Owner's Designee, Title CBRTIFICATB OF ZNSBRVZCB 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 Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 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 k'nd arisingProm or connected with this inspection. /Co~issions ~JC>'~S r Inspector's Si at e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~a.n vnr, "n I FORM HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZRKEXTS As Required by the Provisions of the ASME Code Secti.on XZ l.Owner INDIANA MI HI AN P WER OMPMY Name P Box 6 F r Wa n 1N 46801 Address Date Sheet 1 of 2.Plant D.COOK NU LEAR P WER PLANT Name Unit On k Plac Brid n MI 4 10 Address-112 2-4 2-RH-1 W 4"VLV Repair Org.P.O.No., Job No., etc 3.Work Performed by Main nanC D r m nt Name BIll 2 Address Authorization No.N A Expiration Date N A 4.Identifi.cation of System RE IDUAL HEAT REMOV R R ll3 r1 Ad n 6.Identi.fication of Components Repaired or Replaced and Replacement Components Name of Component 2-RH-109W inbody seating surface Name of Manufacturer Conval Inc.Manuf.Serial No.N/A Nat.Board No.N/A Other Zdenti-ficati.on ASTM-A-732 GRADE 21 (STELLITE)

ASPP 13403 Year Built N/A Repaired Replaced or Replace-ment REPAIRED REPAIR: machining ASME Code Stamped (Yes or No)NO 7.Descripti.on of Work Re rk 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets i.n form of lists, sketches, or drawings may be used, provided (1)si.ze is 8-1/2 in.x ll in., (2)informati.on 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 thi.s form. lt Page 2 of 2 FORM NZS-2 (Back)9.Remarks Th i d a in rf was r ondition in C nval Applicable Manufacturer's Data Reports to be attached rf in 1Th li 1 D inPr rmn S f r thi cpm n nt.D PV830 CN R irdn ME.III 1 s II N-27 hardf cin R f: 112 2-4 Fil 2-RH-1 W ISl'CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR~conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certifica o Au riz ion No.N A Expiration Date N A Owner or Ow er's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS~have inspected the components described in this Owner's Report during the period a 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 an kind arisin from or connected with this inspection. ~l~Commissions ~cd uos5'nspector's gn ure National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Z.-/c It PORN NIS" 2 0%WER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN P Name P 0 Box 60 For Wa Address R COMPANY IN 46801 Date Sheet 1 of 2.Plant k pl K LE Name B R PLANT MI41 Unit hg Address 3.Work Performed by rl Address Name Repair Org.P.O.No., Job No., etc Expiration Date N A 4.Identification of System TEAM R 1 6..Identification of Components Repaired or Replaced and Replacement Components Name of Component.

2-MRV-233 PLUG&STEM ASSY~Name of Manufacturer I FISHER CONTROLS INT.FISHER CONTROLS INT.Manuf.Serial Noi N/A Nat.Boaz;d No.N/A Other Identi-..fication SA479 S31603 COCR/-A ME30-040030 ASP/15164 Year Built Repaired Replaced or Replace-ment REPAIR REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work Re r 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.op NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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 oi sheets is recorded at the top of this form. k~~l Page 2 of 2 9.Remarks'ORM NIS-2 (Back)AL WH H IN Applicable.Manufacturer's Data Reports to be attached YDV72 sR f Fil'-V-2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fr isa s Maint.En.Su ervisor Date-1 7 Qk@Owner or er's Designee, Title N A CERTIFICATE OF ZNSERVICE INSPECTION I, the.undersigned, holding a valid commission iss'ued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpairements of the ASME Code, Section XZ.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 Znspector nor his employer shall be liable in any manner for any personal in$ury or property damage or a loss of any kind arising from or connected with this inspection. Coom1ssloos ~rio.A dd+/A s~Inspecto s Signature National Board, State, Province, Endorsements Date 19~F*FACTORY MUTUAL ENGINEERING ASSOCIATION s~~s s I I PORN NZS-2 OWNER'S REPORT FOR REPAIRS OR'REPLACEbG~S As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHI AN POWER OMPANY Name Date 0-1-2 2.P.O.Box 6 Fort Wa ne IN 46801 Address Plant D'.C.COOK NUCLEAR POWER PLANT Name On ook Place Brid n MI 4 106 Sheet 1 of Unit 11742-1 2-RH-1 8W 8" VALVE Address Repair Org.P.O.No., Job No., etc 3~Work Performed by MaintenanCe De artmen Name Same as 2 Address Expiration Date N A 4.Identification of System RE IDUAL HEAT REMOVAL RHR""~" JL'ummer 1 Add nd 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-.fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-RH-108W STUDS=N/A DUBOSE STEEL INC.N/A N/A N/A N/A N/A ASME SA453 GR.660 CL-B M&E30030000 ASPÃ11944 N/A N/A REPLACE-MENT NO REPAIRED NO 7.Description of Work Remark 8, Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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's recorded at the top of this form. r FORM NIS-2 (Back)Page 2 of 2 9.Remarks REPLACED VALVE TO VALVE OVER STUDS~s Applicable Manufacturer's Data Reports to be attached Ref.JO:C11742-1 Pile.2-RH-108W IS1: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report, are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fran Pisarsk Maint.En.Su ervisor Date B lO Owner or Owner's Designee, Title 19 N A CERTIFICATE OF ZNSERVICE INSPECTION.I, the undersigned, holding a valid commission issued.by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have i spected the components described in this Owner's Report during the period-/-P'2, 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 XZ.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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions bs J.FKIA S'W Inspecto s Signature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION -19'~

POR REPAIRS OR REPLACEMENTS As Required by the Provi.sions of the ASME Code Section XI l.Owner INDIANA MI HI AN P WER MPANY Name Date-21-2 P.O.Box 60 Fort Wa e IN 4 801 Sheet 1 of 2.Plant D Address K LEAR P WE PLANT Unit Name One ok Pl e Brid n MI 4 10 Address 1174-1 2-RH-1 8E" VALVE Repair Org.P.O.No., Job No., etc 3.Work Performed by inten nCe De ar ment Name a 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL"""""II3 S er 1 83 A end 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-RH-108E STUDS Name of'anufacturer DUBOSE STEEL INC.Manuf.Serial.No N/A N/A Nat.Board No, N/A N/A Other Identi-fication N/A SA453 GR660 ME30-030000 ASPÃ11944 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME~Code Stamped (Yes or No)NO NO 7.Description of Work R rk 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be use'd, provided (1)size is 8-1/2 in.x ll 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.

Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED B FASTENERS WlTH STAINLESS STEEL STUDS Applicable Manufacturer's Data Reports to be attached Ref.JO:C11743-1 File: 2-RH-108E 1S1:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date (AU~<Signed FrŽank Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF INSERVICE INSPECTION Inspector'ignature I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions r.+886 A P K National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 09-28-94 Sheet 1 of 2~Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid man MI 49106 Address C11872-3 2-RC-104-L2 Repair Org.P.O.No., Gob No., etc 3.Work Performed by Maintenance De artment" Name Same as 2 Address Expiration Date N A 4.Identif ication of System REACTOR COOLANT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-RC-104-L2 'Name of Manufacturer CONVAL ZNC.Manuf.Serial No.N/A,Nat.Board No.N/A Other Identi-fication SA-182 TYPE F316 MEE30035210 ASPN13491 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASbg Code Stamped (Yes or No)NO 2" SCH.160 FLANGE ALBERT PIPE SUPPLY N/A N/A SA-182 TYPE F304 ME(E30022521

    • ASPN SEE REMARKS REPLACE-MENT NO 2" SCH.160 PIPE RADNOR ALLOYS INC.N/A N/A ASME SA-376 TYPE 304 MEcE30019310 ASPN14295 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic X Pneumatic*Nominal Operating Pressure N/A Other PT Pressure 2520 si Test Temp.AMBIENT 4F~~NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. tl~g Page 2 of 2 PORN NZS-2 (Back)9.Remarks REPLACED VALVE AND ADJACENT PIPING AND FLANGE.PT EXAM WAS Applicable Manufacturer's Data Reports to be attached PERFORMED ON ALL WELDS AN ACCEPTED.HYDRO.EXAM WAS PERFORMED AND ACCEPTED.**FLANGE WAS PURCHASED L"4 AND ISSUED ASP 620.PRIOR TO INSTALLATION THE FLANGE WAS UPGRADED TO L-5 AND ISSUED A NEW ASP NUMBER OF 17355 Ref.JO: C11872-3 File: 2-RC-104-L2 ISI: 1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A"""'-" s I'"""-"'Q'Expiration Date Signed Frank%'Ra MainK.En.Su ervisor Date 4'L8 Owner or Owner's Designee, Title N A CBRTIPZCATE OP INSBRVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to I-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 ind aris'from or connected with this inspection. r-4 r.Commissions W s>S 6'~7K Inspector'zp8i ature National Board, State, Province, Endorsements r*FACTORY.MUTUAL ENGINEERING ASSOCIATION Date<u~u~r

FORM NXS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY~~~Name'.O.Box 60 Fort Wa ne IN 46801 Address 2~Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3-'ork Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Date 6-30-93 Sheet 1 of 2 Unit J.O.C-12062-11 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-ACS<<L954 Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Zdenti.-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1/8"X 3" FLAT BAR N/A N/A N/A A570-90 GR45 ASP-14681 N/A REPLACE-MENT NO 7.Description of Work INSTALL NEW 1 8"X 3"X 3 1 2" SHIM TO ELIMINATE THE EXCESSIVE LATERAL GAP ON THE EXISTING 4" CS PIPING.z&)Test Conducted: Hydrostatic ~Pneumatic I-j Nominal Operating Pressure N/A I X I Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is ncluded on each sheet, and (3)each sheet is numbered and the number of sheets is ecorded at the top of this form.NZS93-08 gl Page 2 of 2 FORM NIS-2 (Back)9.Remarks INSTALLED NEW 1 8"X 3"X 31 2"SHIM PLATE TO ELIMINATE'EXCESSIVE Applicable Manufacturer's Data Reports to be attached LATERAL GAP BETWEEN THE EXISTING 2 1 2" ANGLE AND THE 4" PIPE.SHIM INSTALLATION PER PER MDS-603 REV.5.ASME CLASS II ISI CLASS II J.O.C-12062-11 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Signed c I~~AC(J Owner or wner'Designee, Title Expiration Date Date t./N A: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to P-e-qs 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 Znspector 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Hi"-4 oos 5 Em/A)Inspector's gna re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date u v I ls NIS93-08 4

FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY~~Name P.O.Box 60 Fort Wa ne-IN 46801 Address Date 6-29-93 Sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL-33811 Address Unit Z.O.C-12062-23 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.'290-V 4.Identification of System SPENT*AEP Specifications /MDS Standards 5.(a)Applicable Const.Code*(b)Applicable Edition o f Section 1983 ADDENDA FUEL PIT COOLING/ANSI B31~1-83/AISC 19 Ed., Add.Code Case XZ Utilized for Repairs or Replacements 19~83 W 8 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GSF-L54 Name of Manufacturer Manuf.Serial No.Nat.Board No.other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1/8"X 3" FLAT BAR N/A N/A N/A A570-90 GR45 ASP-14681 N/A REPLACE-MENT NO 7.Description of Work INSTALL NEW 1 8"X 3"X 4"LG.SHIM TO ELIMINATE EXCESSlVE LATERAL GAP ON THE EXISTING 3" SF PIPING.8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A I X I Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided 1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is eluded on each sheet, and (3)each sheet is numbered and the number of sheets is ecorded at the top of this form.NIS93-07 ! Page 2 of 2 FORM NZS-2 (Back)9.Remarks INSTALLED NEW 1 8"X 3"X 4"LG.SHIM PLATE TO ELIMINATE EXCES-Applicable Manufacturer's Data Reports to be attached SIVE LATERAL GAP BETWEEN THE EXISTING 3" ANGLE AND THE 3"PIPE.SHIM INSTALLATION PER PER MDS-603 REV.5.ASME CLASS II ISI CLASS II J.O.C-12062-23 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Expiration Date s&kz Dat e~ZD Type Code Symbol Stamp N A Certificate of Authorization No.Signed Owner r Owner's Designee, Title N A ,l9 93 CERTIFICATE OF ZNSERVICE 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 Michi an and employed by ARKWRIGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period>-9o 3 to P-JM-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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. sr&wa>Air Commissions .~c Xmas Inspector's Signa re National Boar , State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date V~I IM 19 NIS93-07 I7 g3ro-i/FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 10 05 93 Sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C12062-26 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY SYSTEM*AEP Specifications

/MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilised for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2ACTS-R818 Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1/8"PLATE 3 7/8"X 2" N/A N/A N/A A570-90 GR45 ASP.14681 N/A REPLACE-MENT NO 7.Description of Work INSTALL NEW 1 8>>X 3 7 8>>X 2>>SHIM PLATE TO REDUCE THE EXISTING GAP BETWEEN THE 2 1 2>>ANGLE AND THE 2>>CTS PIPING 8.Test Conducted: Hydrostatic ~Pneumatic C-j Nominal Operating Pressure N/A I X I Other+Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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 ecorded at the top of this form.NIS93-29 ~>t a~ll Page 2 of 2 FORM NZS-2 (Back)Remarks INSTALLED NEW 1 8"X 3 7 8"X 2" SHIM PLATE TO REDUCE THE EXIST.Applicable Manufacturer's Data Reports to be attached GAP AND ACHIEVE THE DESIGN CLEARANCE OF 1 8 ASME CLASS II'SI CLASS II Z.O.C12062-26 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 Signed t=n.Owner or wner's Designee, Title Expiration Date Date/I I N A CERTIFICATE OF ZNSERVICE INSPECTION Commissions <~t.aors'S igna re National Board, State, Province, Endorsements"FACTORY MUTUAL ENGINEERING ASSOCIATION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period-7-'9g 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. Inspector's Date 4'o~~~br 19 AZ NIS93-29 I' FORM MIS-2 OWEERI S REPORT FOR REPAIRS OR REPLACEMENTS +37D"/W As Required by the Provisions of the ASME Code Section XZ l.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 6-17-93 Sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C-12062-28 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentification of System'AFETY INJECTION SYSTEM*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component-GSZ-R1A Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Zdenti-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1/819 X 3" FLAT BAR N/A N/A N/A A570-90 G45 ASP-14681 N/A REPLACE-MENT NO 7.Description of Work INSTALL NEW 1 8" SHIM PLATE TO ELIMINATE EXSESSIVE LATERIAL GAP ON THE EXISTING 2 1 2" SI PIPING.8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A f X/other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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 corded at the top of this form.NZS93-04

Page 2 of 2 FORM NZS-2 (Back)Remarks INSTALLED NEW 1 8"X 3"X 4"LONG SHIM PLATE TO ELIMINATE EXCES-Applicable Manufacturer's Data Reports to be attached SIVE LATERIAL GAP AND TO RETURN SUPPORT 2-GSI-R1A BACK TO ITS DESIGN INTENT.SHIM INSTALL PER MDS-603 REV.5.ASME CLASS II ISI CLASS II J.O.C-12062-28 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No.N A Signed Owner or Owner's Designee, Title Date L,j 117 N A 19 3 CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a va 1 id commis s ion issued by the Nationa 1 Board of Boi 1 er and Pressure Vessel Inspectors and the'State or Province of'Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*.of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to 7-s--and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions MiiA.E Inspector's S na re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date 3 eel NIS93-04

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEKEXTS As Required by the Provisions of the ASME Code Section XI 1.Owner IANA Name Date P B x F W IN 4 1 Sheet 1 of 2.Plant D.Address K LEAR P WER PLANT Name Unit Address 3.Work Performed by int n n Name 2 I 4 V-Repair Org.P.O.No., Job No., etc Expirat'on Date N A Address 4.Identification of System MAIN TEAM 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-221 PLUG 6 STEM ASSY SEAT RING Name of Manufacturer FISHER CONTROLS INT FISHER CONTROLS ZNT FISHER CONTROLS INT.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-'ication ASTMiA582 TYPE 416 ME30-040005 ASPP 12622 ASTM-A582 S41600 ME30-040120 ASPP12803 Year Built 1974 N/A Repaired Replaced or Replace-ment REPAIR REPLACE-MENT REPLACE-MENT ASME Code.Stamped (Yes or No)NO NO NO 7.Description of Work Remark 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 4~i 4 r r Page 2 of 2 FORM NZS-2 (Back)9.Remarks D V I WHI H IN L E PL AND TEM Applicable Manufacturer's Data Reports to be attached Y REPLA ED RING EAT D PV7 2 R f-1 7 Pil: 2-MRV-22 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed an Px rsk Maint.En.Su ervisor Date Owner r Owner's Designee, Title 19 CERTIFICATE OF INSERVICE INSPECTION ~I, the undersigned, holding a valid commission issued by the National Board'of Boiler by ARKWRIGHT MUTUAL INS.CO.*.of NORWOOD MASS.have inspected the components described in this Owner's Report during the period ct 3 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. oommiooioos W I mom E~+>Inspector's igna re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~~h FORM HIS-2 OWNER'REPORT FOR REPAIRS OR REPLACERE2FZS As Required by the Provisions of the ASME Code Section XZ MPANY IN 46801 1.Owner INDIANA MI HI AN P WER Name P Box 60 F r W Address Date 1-2 Sheet 1 of 2.Plant D.K LEAR P WER PLANT Name Unit k P1 Bri Address MI 4 1 I'7-2-V-1 2"VALVE Repair Org.P.O.No., Job No., etc Name 2 Expiration Date A Address 4.Identification of System MAIN TEAM U Summer 1 83 Add nda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-211 PLUG 6r STEM ASSY.SEAT RING Name of Manufacturer FISHER CONTROLS INT FISHER CONTROLS ZNT.FISHER CONTROLS INT.Manuf.Serial No.N/A N/A Nat, Board No.N/A N/A, Other Identi-fication ASTMiA582 TYPE 416 ME30-040005 ASPP 12622 ASTM-A582 S41600 ME30-040120 ASPP12803 Year Built 1974 N/A Repaired Replaced or Replace-ment REPAIR REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.'escription of Work R mark I 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLA ED VALVE INTERNAL WHICH IN L PL Applicable Manufacturer's Data Reports to be attached Y REPLA ED RING SEAT DCCPV702 Ref.J-1 77 File: 2-MRV-211 I I 2 CERTIFICATE OF COMPLIANCE V We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A g4 Expiration Date r gpQ Owner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued'by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period J-0-9 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 in)ury o'r property damage or a loss of any kind arising from or connected with this inspection. /Commissions ~i s.a&>P 4'rZ Inspector's Si atu National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date+eh/c.19

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address, Date 05-12-3 Sheet 1 of 2.Plant D.C.OOK NUCLEAR P WER PLANT Name Unit On Cook Place Brid an MI 4 106 Address C14079-03 09 10 2-MRV-223 Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artm nt Name~Same a 2 Address Expiration Date N A 4.Identif ication of System MAIN STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-223 PLUG Name of Manufacturer N/A FISHER CONTROLS Manuf.Serial No.N/A N/A Nat.Board'o.N/A N/A Other Identi-fication N/A SA-479 TYPE 316L Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPAIRED MACHINING ASME Code Stamped (Yes or,No)NO NO BONNET GASKET SURFACE N/A N/A N/A SA-216 GR.WCB N/A REPAIRED MACHZNING NO 7.Description of Work Se Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A PT*Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. k I Page 2 of 2 FORM NIS-2 (Back)9.Remarks VALVE BONNET GASKET SEATING SURFACE WAS BUILT UP BY WELDING AND Applicable Manufacturer's Data Reports to be attached MACHINED TO VENDOR TOLERAN ES.THE PLUG WAS STEAM CUT AND ALSO MACHINED.Ref.JO:C1407-03 0 10 FILE:2-MRV-223 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fr nk Pisarsk Maint.En.Su ervisor Date S Owner or Owner's Designee, Title 19 N A CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by'the Nationa'1 Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~-il-'73 to-v-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 XZ.By signing this certificate neither the Znspector 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 rom or connected with this inspection. Inspector's gna re Date 2 n e 7 19 Commissions Hic.~cos s.E~PA)Z>National Board, St te, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION

~I FORM NIS" 2 OWNER'REPORT FOR REPAIRS OR REPLACEMMZS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 07-10-3 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D..CO K NU LEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid n MI 49106 14 7-12 1 16 2-MRV-22 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summ r 1 83 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Name of Component: Manufacturer Manuf.Serial No."Nat~Board No.Other Identi,-" fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MRV-223 PLUG BODY GASKET SURFACE N/A FISHER CONTROLS N/A'/A N/A N/A N/A N/A N/A N/A SA-479 TYPE 316L ME$30040030 ASPP15164 SA-216 GR.WCB N/A N/A N/A REPAIRED REPLACE-MENT REPAIRED MACHINING NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A PT+Other Pressure si Test Temp.oF M NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORM NZS-2 (Back)9.Remarks VALVE BODY GASKET SEATING SURFACE WAS BUILT UP BY WELDING AND Applicable Manufacturer's Data Reports to be attached MACHINED TO VENDOR TOLERAN ES.THE PLUG W ALSO REPLACED.Ref.JO:C1407-12 15 16 FILE:2-MRV-223 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR REPLACEMENT conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A--"'i5'4""'+'- "'Expiration Date Signed Frank Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF INSERVICE INSPECTION he.undersigned, holding a valid commission'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO." of NORWOOD MASS.have inspected the components described in this Owner's Report during the period r-r/-9 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 Znspector 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 Hr~j ops 5 5,.e Inspector's ign ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 Date u~e.

A~ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner 1NDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address ,Date 10-15-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 49106 Address C14196-5 2-BD-103-4 Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System BLOWDOWN (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-BD-103-4 2" SCH.80 PIPE Name of Manufacturer HENRY VOGT MACHINE CO.TIOGA PIPE SUOOLY CO.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication ASME SA-105 M&E30044248 ASP¹15781 ASME SA-106 GRADE B M&E3 0014981 ASP¹13366 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT NO ASME.Code Stamped (Yes or No)NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other MT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~(1)size is 8-1/2 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. lt U'p Sl Page 2 of 2 FORM NZS-2 (Back)9.Remarks DUE TO DEEP SCORING VALVE AND ADJACENT PIPING WERE REPLACED.Applicable Manufacturer's Data Reports to be attached MAGNETIC PARTICLE EXAM OF WELDS WAS PERFORMED AND ACCEPTED.Ref.JO:C14196-5 File: 2-BD-103-4 ISI:2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fran Pi&arsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTZF1CATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period rO-tv-9Y to 1-3-95 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners 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 kin'd arisi from or connected with this inspection. Commissions ~~"~c~~Inspector's gn re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~c+van.19 r5 4

+deaf'fig FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner IND Name OW 0 Date 10 P.O.Bo 0 Fort Wa ne N 680 Address sheet~of 2.Plant D.C.COOK NUCLEAR POWER LANT Name One Cook Place Brid an M 9106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST~LAKELAND FL.33811 Address Unit J.O.C 4 31-0 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authorization No.0-V 4.Identif ication of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ede f Add Code Case (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component LOGS 92-6 1-CS-751 3/8"U-BOLT 2"FIGe137 LOGS 92-7 1-CS-750 3/8"U-BOLT 2"FIG.137 1/4"X 3" FLAT BAR Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A36 ASP-11875 A36 ASP-11875 A36-90 ASP-14900 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work REPAIR CLASS I SMALL BORE PIPE SUPPORTS PER THE FINDING OF THE SMALL BORE PIPE VERIFICATION PROGRAM.8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure x i Other+Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll inef (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.NIS93-34 1+t FORM NIS-2 OWNERis REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Secti.on XI 1.Owner IND ANA ICHIGAN POW COMPAN Name Date 10 1 O.Bo 6 Fort W e Address 68 sheet~of 2.P lant D~C.COOK NUCLEAR POWE Name One Cook Place Brid an MI 49106 Address 3.Work.Per f ormed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C14331-0 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif icati.on of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Appli.cable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component LOGS 92-8 1CS750&751 3/8"U-BOLT 2"FIG.137 LOGS 92-9 1-CS-750 3/8"U-BOLT 2"FIG.137 1/4"X 3" FLAT BAR Name of Manufacturer N/A N/A N/A Manuf.Seri.al No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A36 ASP-11875 A36 ASP-11875 A36-90 ASP-14900 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Descripti.on of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A I X I Other I-j Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11'in., (2)information in items 1 through 6 on this report is included on each sheet, and (3)each sheet i.s numbered and the number of sheets is recorded at the top of this form.NIS93-34A I) ,~h FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENT8 As Required by the Provisions of the ASME Code Section XI 1.Owner Name P W CO Date 0.0 Box 0 o t Wa e Address 2.Plant D.C.COO UCLEAR POWER P NT Name Sheet 3 of Unit One Cook lace Brid an Address 9 06 J.O C 433 Repair Org.P.O.No., Job No., etc 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XI Utilised for Repairs or Replaceeents 19~83 W E 1983 AD ENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component LOGS 92-10 1CS750&752 3/8"U-BOLT 2"FIGS137 1/4>>X 3>>FLAT BAR LOGS 92-11 1CS750, 751&752 1/4>>X 3 FLAT BAR Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat~Board No.N/A N/A N/A Other Zdenti-fication A36 ASP-11875 A36-90 ASP-14900 A36-90 ASP-14900 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A/X Other~Pressure si.Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS93-34B "f II 6 P PORN NIS 2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner 0 C G POWER CO Name Wa ne N 4 Address Date 10 11 93 Sheet~of 2~Plant.C.COO CLEAR OWER PLAN Name 0 e ok ace Brid an M 9106 Address 3.Work Performed by NISCO Name 283 0 PARKWA ST.LAKELAND FL.3 3 8 1 1 Address Unit Z.O 331-0 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0 90-V 4.Identif icati.on of System CHEMICAL AND VOLUME CONTROL*AEP Specificati.ons /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19'~1983 ADDENDA 6.Identification of Components Repai.red or Replaced and Replacement Components Name of Component LOGS 92-11 1CS750, 751 6 752 3/8"U-BOLT 2"FIG.137 LOGS 92-12 1-CS-752 3/8" NUTS HEAVY HEX LOGS 92-13 1-CS-752 Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication A36 ASP-11875 A194 GR2H ASP-15294 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic I-j Pneumatic t-j Nominal Operating Pressure N/A I X I Other r-j Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll in., (2)information in i.tems 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.NIS93-34C ' FORM NZS-2 OWNERiS REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI , Name OW Date 60 Wa ne I 4 Address Sheet 5 of 2~Plant.C.COOK U LEAR POWER Name One Cook Place B id an MI 49106 Address 3.Work Performed by NISCO Name 8 0 PARKW Y ST.LAKELAND FL.33811 Address Unit J.O.C1433-0 Repai.r Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Ideritif icatio of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replaceeents 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" NUTS HEAVY HEX LOGS 92-14 1-CS-752 3/8" NUTS HEAVY HEX LOGS 92-15 1-CS-749 3/8" NUTS HEAVY HEX Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A194 GR2H ASP-15294 A194 GR2H ASP-15294 A194 GR2H ASP-15294 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A i X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provt.ded (1)size is 8-1/2 in.x 11 in., (2)information i.n 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.NIS93-34D

BORM NZS-2,0%tlERiS REPORT BOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Date.0 2.Plant C t Wa e IN 6 Address EAR POW Sheet~of Unit Name One Cook la e Br d an MI 06 , Address 3.Work Performed by NISCO Name 2 3 P ST.LAKELAND L.3 8 Address J.O.C1433 Repair Org.P.O.No., Job No., etc Authorization No.02 4.Identification of System CHEMICAL AND VOLUME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (h)Applicable Edition of Section Xl Util!.sed for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component LOGS 92-17 1-CS-750 3/8" NUTS HEAVY HEX LOG/92-19 2-CS-797 3/8" NUTS HEAVY HEX LOGS 92-20 2-CS-798 Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication A194 GR2H ASP-15294 A194 GR2H ASP-15294 Year Built N/A N/A Repaired Replaced.or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A/X i Other~Pressure si Test Temp.DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS93-34E

PORN NIS-2 OWNER S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Name WE CO Date.0 O 0 Address ne I Sheet~of 2.Plant.C.COOK NUC EAR POWER LAN Name Unit e Coo d a Address O.C Repair Org.P.O.No., Job No., etc 3.Work Performed by ISCO Name 30 PARKWAY ST.LAKELAND FL.33811 Address Type Code Symbol Stamp V Authorization No.-V 4.Identification of System CHEMICAL AND VOLUME CONTROL.*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (h)Applicable Edition of Section XX Utiliaed for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8"U-BOLT 2"FIG.137 LOGS 92-21 2-CS-797 3/8"U-BOLT 2"FZG.137 LOGS 92-22 2-CS-798 3/8"U-BOLT 2"FIG.137 Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat, Board No.N/A N/A N/A Other Identi-fication A36 ASP-11875 A36 ASP-11875 A36 ASP-11875 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A I X I Other I-j Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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.NZS93-34F 'f 1 4 PORM NIS 2 OWNER S REPORT 7OR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Name OWER 0 Date.O.Bo 6 t Wa ne IN 4680 Address Sheet 8 of 9 2.Plant.C.OO C Name POWE P Unh.t One Cook Pl'ace Br d an MI 49106 Address J.O.C 3-0 Repair Org.P.O.No., Job No., etc 3.Work Performed by 28 0 Address ISCO Name S.LAKELAND F~8 Authorization No.02-V 4~Identifh.cath. on of System CHEMICAL AND VO UME CONTROL*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case~(b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19$3~W 6.'dentification of Components Repaired or Replaced and Replacement Components Name of Component LOGS 92-26 2-CS-797 3/8"U-BOLT 2"FIG.137 LOGS 92-33 1CS751&752 3/8"U-BOLT 2"FIG.137 Name'f Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication A36 ASP-11875 A36 ASP-11875 Year Built N/A N/A=Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY 8.Test Conducted: Hydrostatic I-j Pneumatic I-j Nominal Operating Pressure N/A I X I Other~Pressure si Test Temp.NOTEs Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)sire is 8-1/2 h.n.x 11 h.n., (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.NIS93-34G 'P Page 9 of 9 FORM NIS-2 (Back)9.Remarks S Applicable Manufacturer's Data Reports to be attached OXIMAT CAT 0 ON P SO.W G.WO ERF ED&C S GN E WAS N ERE 0 T ON SHT.SM C C S I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Signed I l~WC Owner or ner's Designee, Title Expiration Date Date 19 N 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to I u 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 axis ng from or connected with this inspection. Commissions i~A oof5 Stoic&M Inspector's ig ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date NIS93-34 4 I pAQ.4~r 0 PORN HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Date 03-24-3 Sheet 1 of 2.Plant D Address K LEAR P WER PLANT Name Unit 3~One Cook Plac Brid n MI 4 106 Address Work Performed by Maint nanCe De artm nt Name Same as 2 Address C-14-1 2--1"VALVE Repair Org.P.O.No., Job No., etc Expiration Date N A 4.Identification of System CHEMI AL Se V LUME C NTR L SY TEM CS"ll3 ummr1 Adn 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-CS-353 inbody seating surface Name of ,Manufacturer N/A Conval Inc.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASTM-A-732 GRADE 21 (STELLITE)

Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPAIR!machining ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 1 4 II I J FORM NIS-2 (Back)Page 2 of 2 , 9.Remarks Th i Od in rfa w r onditi n in a nv l Applicable Manufacturer's Data Reports to be attached manual refacin tool.The a licable Desi n Procurement S ec.to ,for this com onent: DC PV830 CN Re air don to ASME Sec.III la II N-27 har f in R f JO:C1468-1 Fil~2-ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this'REPAIR conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF ZNSERVICE INSPECTION Z, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspecteg the components described in this Owner's Report during the period-9~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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Cammasstaas Inspect's Signature National Board, State, Province, Endorsements Date 19 FF*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHI P WER COMPANY Name P O.Box F r W IN 4 1 Address Date Sheet 1 of 2.Plant D.K LEAR POWER PLANT Name Unit k pl B i n Address 4 1 6 2-02 Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Name 2830 PARKWAY T LAKELAND FL 33 11 Address Type Code Symbol, Stamp V Authorization No.2-V 4.Identification of System AFE IN TI*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed.i Add Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19~WAS 6;Identification of Components Repaired or Replaced and Replacement Components Name of C p 2-GSI-~L111A 3/8" PLATE)(48" X 96" 2-ASI-L913Z Name of Manufacturer N/A Manuf.Serial No.N/A Nato Board No N/A Other Identi-fication A36-90 ASP-16047 7 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 1/8" X 1" g FLAT BAR 2-ASI-L914$ SEE SHT+2 N/A N/A N/A SA479-T304 P ASP-128904 N/A REPLACE-MENT NO 7.Description of Work DI Y PP RT F R IT 2 A B LD N UPP RT PER DE I N DRAWIN Sc REL VANT D R'ND PER R 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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 ecorded at the top of this form.NIS94 s/~~ rg~)1'I N FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPIACEXEXTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MI HI AN POWER COMPANY Name P.Box 60 Fort W e IN 46801 Address Date Sheet 0 4 2 of 3 2.Plant D..OK LEAR P WER PLANT Name Unit On ok Pl Bri an MI 4 1 6 Address J.2 2-02 Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Name 2 3 0 PARKWAY T LAKELAND FL Address Type Code Symbol Stamp V Authorization No.2 0-V 4.Identif ication of System AFETY IN E TI N*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8~W 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/8" X 3".FLAT BAR 2-GSI-L109 ~Name of Manufacturer N/A Manuf.Serial Noi N/A Nat.Board No.N/A Other Identi-fication A570-92GR45 ASP-16652 4 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 1/4" X 6"g FLAT BAR N/A N/A N/A A36-90~ASP-16147 4'/A REPLACE-MENT NO 7.Description of Work EE PA E 1 FOR DE RIPTION COMPONENTS NLY PA E F R ADDITI NAL 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94

Page 3 of 3 FORM NZS-2 (Back)9.Remarks PPORTS M DIFIED T MEET THEIR DE I N I RE UIREMENTS AND Applicable Manufacturer's Data Reports to be attached B IN W E F AR L VT-PE TI N PER RMED EP LE A ME C DE LA II I I DE LA.II J 1 2 2-2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this e la e conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificat of Aut rization No.N A Signed~C>i>Owner Owner's Designee, Title Date N A CERTIFICATE OF INSERVICE ZNSPECT1ON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NOR OOD S.have inspected the components described in this Owner's Report during the period 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 recpxirements of the ASME Code, Section XZ.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 arisi from or connected with this inspection. I Commissions eel or)S 5~cY PC<Inspector's i ture National Boardi State, Province, Endorsements ~,*FACTORY MUTUAL ENGINEERING ASSOCIATION Date NZS94 0 C FORM NIS-2 OWNER'REPORT POR REPAIRS OR REPLAC1WENTS As Required by the Provisions of the ASME Code Section XI i.Owner INDlANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 0-10-Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit ne Cook Plac Brid n MI 4 10 Address C170-10 2-MRV-223 6"VALVE Repair Org.P.O.No., Job No., etc 3~Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MA1N STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-223 VALVE Name of Manufacturer FISHER CONTROLS Manuf.Serial No.N/A Nat~Board No.N/A Other.Identi-fication SA-216 GR.WCB ME/30039735 ASP/4990 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work Se Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X S/A~Other~~Sressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 1 FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED VALVE BY WELDINQ IN NEW VALVE AND PERFORMED A VT-2 Applicable Manufacturer's Data Reports to be attached INSERVICE EXAM.Ref.JO:C170-10 FILE:2-MRV-223 ISI: 2 CERTZPZCATE OP 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"""TZ K-'"'""4""xpiration Date Signed Frank Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIPZCATE OP.INSERVZCE INSPECTION I, the.undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner'Report during the period-93 to-zi-9 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. Inspector's ig ure Date Wa Commissions e w oo s.s National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 9'F FORM NXS-2 OWNER'S.REPORT FOR REPAIRS OR REPLACEEGWZS As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN POWER MPANYname P.O.Box 60 Fort W e IN 46801 Address Sheet 1 of 4 Date 1 20 4 2.Plant D.K NU LEAR POWER PLANT Name Uni.t On k Pl ce Bri Address n MI 491 6 J 0 17441-Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Name 2830 PARKWAY T LAKELAND FL 11 Address Type Code Symbol Stamp V Authorization No.2 0-V 4.Identification of System C NTAINMENT SPRAY*AEP Specifi.cations

/MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W E 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R500 5/8'SX 8.5'9 X ANCHOR 1/4" T S A 2" X 2" 7/8" PLATE 12" X-12" 1/2" X 3"4 FLAT BAR Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi.-fication HKB II ASP-14398>A500-90 GRB ASP-14361 W A36-89 ASP-13747+A36-91~ASP-15946+ Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Descripti.on of Work M DIFY IT 2 LOWER ONTAINME PIPE SUPPORTS PER DE I N DRAWIN 6 RELEVANT D R'ND FOR RF 8.Test Conducted: N/A X Hydrostatic Pneumatic Nominal Operati.ng Pressure Other'Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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 ecorded at the top of this form.NIS94 Jl FORM NZS-2 OWNER'S REPORT FOR REPAZRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1~owner INDIANA MICHIGAN POWER COMPANY Name Date 10 20 4 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 4 2~Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address Unit J.O.C17441-05 Repair Org.P.O.No., Job No., etc 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Type Code Symbol Stamp V Authorization No.02 0-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19'~6.Identification of Components Repaired or Replaced and Replacement Components Name of Component I/2" X 4 FLAT BAR 3/4" PLATE 12" X 12 3/8" X 5 ANCIIOR I/8 X 3" FLAT BAR 3/8" X 4.25 ANCIIOR 2-GCTS-RSOS Name of Manufacturer N/A N/A N/A N/A N/A Manuf.Serial No.N/A N/A NIA NIA Nat.Board No.N/A N/A N/A N/A NIA Other Zdenti-fication A36-90 ASP-15201 A36-89 ASP-13747 IKB II ASP-16096 A570-92 GR45 ASP-16652 IIKB II ASP-14398 Year Built N/A N/A N/A NIA NIA Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE.MENT~REPLACE-MENT REPLACE.MENT ASME Code Stamped (Yes or No)NO NO NO NO NO 3/4" PLATE 12 X 12'I8 X 10 ANCIIORS 3/8 X3 FLAT BAR, 2-GCTS-R520 N/A N/A N/A NIA NIA NIA NIA NIA N/A A36-89 ASP-13747 HKB II ASP-14398 A36-90 ASP-16013 NIA N/A NIA REPLACE-MENT REPLACE-MENT REPLACF MENT NO NO NO I/O ANGLE 3" X 3" 2-GCTS-R535 N/A N/A N/A A36-90 ASP-14944 N/A REPLACE-MENT NO 3/8 X2" FIG.137 N/A I NIA N/A GRINNELL ASP-13582 NIA REPLACE-MENT NO I, W 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMZXTS As Required by the Prove.sions of the ASME Code Section XZ 1.Owner INDIANA M I AN POWER MPANY Name P.O.Box 60 Fort W e IN 468 1 Address Date Sheet~of d 2.Plant D C COOK NU LEAR POWER PLANT Name One Cook Plac Bri an MI 4 106 Address 3.Work Performed by NI Name 2 0 PARKWAY ST LAKE~FL 33811 Address Unit J.O.17441-05 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System ONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code'19 Ed., Add Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R540 1/2" PLATE48" X 96" Name of Manufacturer N/A Manuf.Serial Noa N/A Nat.Board No.N/A Other Identi-fication A36-89 ASP-13931'(Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO NIS94 v+a il s;;-I'I I r Page 4 of 4 FORM NIS-2 (Back)Remarks UPPORTS WERE MODIFIED TO MEET THEIR DE I N BASIS RE IREMENTS Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT-3 IN PE TIONS PERFORMED&AC EPTED.ASME CL.II I I CL.II J.C17441-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 signea 0.8~CHER&~Owner or Owner's Designee, Title Date N A 19~4 CERTZFZCATE OF ZNSERVICE INSPECTZON I g the undersigned, ho lding a va 1 1 d commission i s sued by the National Board of Boi 1 er and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period sz/RH to l--9H I and state that to the best of my knowledge'nd 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. Inspector's S nat e Date Commissions i=<.A<5 E.o d7nr X National Bo rd, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION NIS94

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZ29 NTS As Required by the Provisions of the ASME Code Section XZ 037o-81 1.Owner INDIANA MICHIGAN POWER C M ANY Name P.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 3 Date 1 20 4 2~Plant D..COOK LEAR POWER PLANT Name Unit n Cokp B'n MI 4 Address 17441-05 Repair Org.P.O.No., Job No., etc 3.Work Per f ormed by NI Name 28 0 PARKWAY ST LAKELAND FL Address Type Code Symbol Stamp V Authorization No.2-V 4.Identification of System INMENT P*AEP Specificati.ons /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add~Code Case (b)Applicable Editi.on of Section XI Utilized for Repairs or Replacements 19'~6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R554 1/4" ANGLE 2" X 2" 3/4" PLATE i 12",X 12"'/8" BOLT/5/8" NUT~UNZSTRUT Name of Manufacturer N/A N/A N/A~N/A Manu f.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication A36-93A ASP-17202 if A36-89 ASP-13747.4 SA193-B7 ASP-14271 Y SPRING TYPE ASP-15102 4 Year Bui.lt N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work M DIFY IT 2 LOWER ONTAINMENT PIPE SUPP RT PER DE I N DRAWIN REL VANT D R'ND F R RF II 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si.g Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 i.n.x 11 in., (2)information i.n items 1 through 6 on thi.s 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.NIS94-1

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPEACEXEXTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHI AN POWER COMPANY Name Date 10 20 4 Box 0 F W Address IN 46 01 Sheet 2 of 3 Plant.C.C OK NU LEAR P WER PLANT Name One Cook Pl ce Brid an MI 4 106 Address Work Performed by NI 0 Name 2 0 PARKWAY ST LAKELAND FL 3 11 Address Unit Z O.C17441-05 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V Identification of System CONTAINMENT SPRAY AEP Specifications /MDS Standards/ANSI B31.1-83/AISC{a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilixed for Repairs or Replacements ip~SW S ADDENDA Identification of Components Repaired or Replaced and Replacement Components Name of onent 2-S-R558 1/8" X 2" FLAT BAR'2 GCTS-R568 1/4" T S 3ff X 3ff 1/4" ANGLE 3ff X 3ff 1/4" ANGLE 2" X 2" 1/4" PLATE 48" X 96" 2-GCTS-R573 3/8" ANGLE 3ff X 3ff 2-GCTS-R574 1/4ff T S 3ff X3 ANGLE X 4" 1/4" PLATE 48ff X 96 1/4" ANGLE 2" X 2" Name of Manufacturer N/A N/A ,N/A N/A N/A N/A N/A N/A N/A N/A Manuf.Serial Noe N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Nat Board No.N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Other Identi-f ication A570-90 ASP-14560 A500-GRB ASP-8034 A36-90 ASP-14944 A36-93A ASP-17202 A240-89B TYPE 304 ASP-12492 A36-90 ASP-15971 A500-GRB ASP-8034 A36 ASP-13905 A240-89B TYPE 304 ASP-12492 A36-93A ASP-17202 Year Bui.lt N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped{Yes or No)NO NO NO NO NO NO NO NO NO V'P 4 lt1 C l P P C I V a I.~ Page 3 of 3 FORM NIS-2 (Back)Remarks PP RT WE E M DI IED T MEET THEIR D BA I RE IREMENT Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT-IN PE TI N PERF RMED A EPTED.'ASME L.II I L II J 17441-05 CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 Date Owner or er's Des gnee, Title CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions .i-l~.lJ g 7 Inspector's~sign ure National Baird, Sta e, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERZNG ASSOCIATION Date hee 8'9 9H NZS94-1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMERTTS As Recuired by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Name Date 10 20 4 P.O.Box 60 For@Wayne IN 46801 Address Sheet 1 of 2 Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Bridcman MI 49106 Address'pJork Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address J.O.C17441-05 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V fdentification of System CONTAINMENT SPRAY.Ep Specifica" ions/MDS Standards/ANSI B31.1-83/AISC: a)Applicable Const.Code*19 Eda 9 Add.Code Case it)applicatie Rdirion of section xz Utilized for Repairs or Replacements 19~83 w 3 ADD-NDA 6..dentificat'on of Components Repaired or Replaced and Replacement Components !!arne of=component I-OCTS-R575 /"" PLATE'5'95"-ACTS-R530'":~i ONLY'.-ACTS-R583 .4" PLATE I~X 96~~I-ACTS-R597 i:.'" D ONLY Name of Manufacture N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication A240-89B TYPE 304 ASP-12492 A36 (SHIM)ASP-EXIST A240-89B TYP 304 ASP-12492 A36 ASP-EXIST Year Built N/A N/A N/A N/A Repai red Replaced or Replace-ment REPLACE-MENT REPAIRED REPLACE-MENT REPAIRED ASME Code Stamped (Yes or No)NO NO NO NO Description of Work MODIFY UNIT 2 LONER CONTAINMENT PIPE SUPPORTS PER.'.<SIGN DRAWINGS JR: RELEVANT DCDR'S AND FOR RFC-081 3"'est Conducted: Hydrostatic Pneumatic Nominal Operating Pressure:J/A X Other Pressure z sig Test Temp.oF Supplemlen" al sheets in form of lists, sketches, or drawings may be used, provided l a (s'ze'-8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is'.:lude:I cn e-ch sheet, and (3)each sheet is numbered and the number of sheets is:-~~co mded a" the top of this form.NIS94-2 ll V I Page 2 of 2 9.Remarks FORM NIS-2 (Back), R WE E M D IED T MEET THEIR DE BA I E IRE ENT Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT-3 IN PE TI NS PERFORMED ACCEPTED A ME L II I I L II J 17441-0 CERTZFZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No.N A Signed G isJ Owner or er's Designee, Title Date/I>g 19 N A CBRTZPZCATE OP ZNSERVZCE INSPECTION I g the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD SS.have inspected the components described in this Owner's Report during the period I Csi to--5 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection..A Commissions &~4 os Inspector's sign ure National Board, Sta e, Province, Endorsements Date l H 19~m*FACTORY MUTUAL ENGINEERING ASSOCIATION NZS94-2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAC2XEXTS As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY'Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of Date 1 2 4 2.Plant D K LEAR POWER PLANT Unit Name One Cook Plac'e Brid an MI 49106 Address 3.Work Performed by NI S 0 Name 28 0 PARKWAY ST.LAKELAND FL.Address J.O.C17441-Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System CONTAINMENT SPRAY+AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Editicn of Section XZ Utilized for Repairs or Replacements 19~8W E 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R693 3/8" X 2" A FLAT BAR 2-GCTS-R697> 1/4ff ANGLE 2ff X 2ff Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication A36-91 ASP-15946< A36-93A ASP-17202~Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 3/4" PLATE 12" X 12"~2-GCTS-V724 ~WELD ONLY N/A N/A N/A N/A N/A N/A A36-89 ASP-13747+ A36 ASP-EXIST N/A REPLACE-MWNT N/A REPAIRED NO NO 7.Description of Work M DIFY IT 2 L WER NTAINM PIPE P RT PER'DESI N DRAWIN R RELEVANT D R'S AND FOR RFC-3081 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure z sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-3 E'l FORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMTME'S As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHI AN POWER COMPANY Name Date 1 20 4 P.B x 0 For W Address IN 4 801 Sheet 2 of 2.Plant D.COOK LEAR POWER PLANT'Ije Name Unit One Co k Pl Bri n MI 4 106 Address AT 17441-5 Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Name 283 PARKWAY ST.LAKELAND FL 33 11 Address Type Code Symbol Stamp V Authorization No.02-V 4.Identification of System NTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC S.(a)Applicable Const.Code*19 Ed.f Add.Code Case (t)Applicatla Edition of Section XI Utilized for Repairs or Replacements 19~8W S 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R713 8 1/2" PLATE 48" X 96" Name of Manufacturer N/A Manuf.Serial No.N/A Nat, Board No, N/A Other Identi-fication A36-89 ASP-13931w'ear Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO NIS94-3 H Page 3 of 3 FORM NZS-2 (Back)Remarks UPPORTS WERE MODIFIED TO MEET THEIR DE I N BASIS RE IREMENTS Applicable Manufacturer's Data Reports to be attached AND TO BRIN THEM WITHIN THE F AR LIM T IN PE TI S PERF RMED A EPTED A ME L II I 17441-0 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 Signed Cs>-C Owner Owner's Designee, Title Date 19 N A CERTZFZCATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period l2<P'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 Zns'pector nor his employer shall be liable in any manner for any personal in)ury or property damage or a loss of any kind arising from or connected with this inspection. Commissions W.s&cAs Inspector'Sig ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date 1M r 19 NZS94-3

~4' FORM NIS-2 OWNER.S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY~~Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 5 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY ,*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case~b)Rpp]feeble Edition of Section EZ Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R689 1/2" HVY HEX NUT 1/2"X 4" U-BOLT STD 2-GCTS-R691 1/2" HVY g HEX NUT Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A194(88A)GRADE 2H ASP-13381 FIG 137 ASP-7929 A194(88A)GRADE 2H ASP-13381, Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes, or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic []Pneumatic~Nominal Operating Pressure N/A/~/Other C-j Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-77 t E IP% FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 5 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT'ame One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2 83 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 19~E3 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/2" X 4" I/STD U-BOLT 2-GCTS-R708 1/2" PLATE STAINLESS 1/2" PLATE 1 3/8" ANGLE 4 2 1/2" LEG Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A.N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication FZG 137 ASP-7929 A240(91A)y GRADE 304 ASP-15677 A36-90 ASP-15485 SA36-A89 ASP-14325 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code stamped (Yes or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure Other Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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.NZS94-77A 4~~V 370-d3 FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.owner INDIANA MICHIGAN POWER COMPANY~~~Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 3 of 5 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed.f Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R704 2"X2"X3/8'Ž ANGLE 2-GCTS-R710 2"X2"X3/8"J ANGLE 2-GCTS-R721 Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication A36-88C ASP-11779 A36-88C ASP-11779 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted:.Hydrostatic i i Pneumatic~Nominal Operating Pressure N/A i~i Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-77B <<r v lP D FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 4 of 5'2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Per f ormed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)applicable Edition of Section EZ Utilised for Repairs or Replacements 19~83 W E 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" ANGLE 3" X3 3/8" ANGLE 2 1/2" LEG 3/4" PLATE~Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A36-90 ASP-15971 SA36-A89 ASP-14325 A36-90 ASP-14793 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT.REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure N/A I~I Other+Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-77C

P~'I 437o-b3 Page 5 of 5 FORM NZS-2 (Back)9.Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II J.O.C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct, and this Re lacement.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 Signed gd-Owner or Owner's Designee, Title Expiration Date Date'7 19 N A CERTIFICATE OF ZNSERVZCE INSPECTION Inspector's ig ure I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period g-Jl to T-S-9Y 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 XZ.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 ~ic.l National Board, State, Province, Endorsements Date~u)19*FACTORY MUTUAL ENGINEERING ASSOCIATION NIS94-75 " R'I't~ 437o-d FORM NXS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 2.P.O.Box 60 Fort Wa ne IN 46801 Address r Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet Unit 1 of 7 One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2 83 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/,ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Edef Add Code Case (n)Applicable Edition of Section XZ Utilized for Repairs or Replacements 18~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R668 3/8" ANGLE 3 II X 3 II 3/8" ANGLE 2 1/2" LEG~1/2" PLATE 7/8" PLATE Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat Board No.N/A N/A N/A N/A Other Identi-fication A36-90 ASP-15971 SA36-A89 ASP-14325 A36-90 ASP-15309 A36-90 ASP-15171 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3 08 1.8.Test Conducted: Hydrostatic ))Pneumatic~Nominal Operating Pressure Other t-j Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-76 'I V, V ~'Z-g FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Recyxired by the Provisi.ons of the ASME Code Secti.on XI 1.owner INDIANA MICHIGAN POWER COMPANYNellie P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 7 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address r 3.Work Performed by NISCO Name 2830 PARKWA ST.LAKELAND FL.33811 Address Uni,t Z.O.C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authori.zation No.0290-V 4.Identi.f i.cati.on of System CONTAINMENT SPRAY*AEP Speci.fi.cations /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (t)Applicable Edition of Section XX Utili.zed for Repairs or Replacanants 19~83 W 8 983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R669 Name of Manufacturer Manuf.Serial No.Nat Board No.Other Identi-fi.cation Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)3/8" PLATE N/A N/A N/A a A36-89 ASP-13747 N/A REPLACE-MENT N JU 5/8"X 6" U-BOLT STD 5/8" HVY HEX NUT 2-GCTS-R671 N/A N/A N/A N/A N/A N/A FIG 137N ASP-16503~A194 GR 2H A ASP-15215 N/A N/A REPLACE-MENT REPLACE-MENT No No 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8..Test Conducted: Hydrostatic i i Pneumati.c ~Nomi.nal Operating Pressure N/A Other+Pressure si.g Test Temp.oF NOTE: Supplemental sheets in form of li.sts, sketches, or drawings may be used, provided (1)si.ze is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report i.s i.ncluded on each sheet', and (3)each sheet i.s numbered and the number of sheets is recorded at the top of this form.NIS94-76A ~4 FORM NXS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Reguired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY~~Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 3 of 7 Date 05 2 6 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*-AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*'9 Ed., Add.Code Case applicable Edition of section xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" PLATE J'/2" ANGLE J 4~I)(4 II 1/2" PLATE j'/2" PLATE J 1/2" PLATE Name of Manufacturer N/A N/A N/A N/A N/A'anuf.Serial No.N/A N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A N/A other Identi-fication A36-90 ASP-16047 A36-89 X ASP-13931 A36-90 ASP-14793 A36-90 ASP-15309 A36-89 ASP-15650 Year Built N/A N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)No No NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i)Pneumatic~Nominal Operating Pressure N/A (~i other~Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-76 4 ( wacko-Sp FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY~~~Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2 8 3 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Date 05 26 94 Sheet 4 of 7 Unit Jao.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XX Utilited for Rapaira or Replacements 19~83 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R673 5/8 as HVY HEX NUT 5/8 X 6" 4 STD U-BOLT 2-GCTS-R675 3/8" PLATEJ Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A194 GR 2H x ASP-15215 FIG 137N ASP-16503 A36-90 ASP-16047 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO No 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic )(Pneumatic~Nominal Operating Pressure N/A f~(Other~Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-76C 'VC'i V 43>o-6g FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name~~~P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 5 of 7 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 283 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Unit J.O.C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication o f System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA z 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 1/2" ANGLEy 4" X 4" 10GA.SHEET METAL 1/2" PLATE J Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Zdenti-fication A36-89 ASP-13931 A570-90 GRADE 45 ASP-14422 A36-89 ASP-15650 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 1/2" PLATE J N/A N/A N/A A36-89 ASP-12781 N/A, REPLACE-MENT NO 1/4" PLATE i N/A N/A N/A A36-89 ASP-13747 N/A REPLACE-MENT NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic (i Pneumatic~Nominal Operating Pressure N/A (~i Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-76D

FORM HIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY~~Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Date 05 26 94 Sheet 6 of 7 Unit Type Code Symbol'tamp V Authorization No.0290-V Z.O.C17441-01 Repair Org.P.o.No., Job No., etc 4.Zdentif ication of System'CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (n)Applicable Edition of Section rl Utilized for Repairs or Replacements 19~83 W E 1983 ADDENDA 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R677 5/8" HVY HEX NUT 5/8" X 6" STD U-BOLT Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication A194 GR 2H ASP-15215 FZG 137N ASP-16503 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO.No 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure N/A i~i Other~Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-76E P 4 (t" gs7o-eP Page 7 of 7 I 9.Remarks FORM NZS-2 (Back)Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II J.O.C17441-Ol CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No.N A Expiration Date Signed Date Owner or er's Designee, Title 19 N A CERTIFICATE OF ZNSERVZCE INSPECTION Inspector's Si at e I 9 the undersigned, holding'a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~//to'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 recuirements of the ASME Code, Section XZ.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 in)ury or property damage or a loss of any kind arising om or connected with this inspection. /Commissions M ao J'4 EArj National Boa d, State, Province, Endorsements Date 19'FACTORY MUTUAL ENGINEERING ASSOCIATION NZS94-75 II 0'il h r FORM'IS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Date 05 26 94 Sheet 1 of 5 Unit J.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R646 3"X3ssX3/8"g ANGLE 1/2" PLATE ef'-GCTS-R647 5/8" HVY HEX NUTS Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A36-90 X ASP-15971 A36-89 ASP-15650~A194 GR 2H v ASP-15215 Year Built N/A N/A N/A Repaired Replaced or Replace>>ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure Other~Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-74 A V't II 43/o-0S FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recyxired by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 5 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication o f System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 5/8w X 699~U-BOLT 2-GCTS-R649 3/8" PLATE 4 5/8" HVY g HEX NUT 5/8" X 6" U-BOLT Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication FZG 137N ASP-16503 A36-90 ASP-16047 A194 GR 2Hg ASP-15215 FZG 137N p ASP-16503 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic )(Pneumatic~Nominal Operating Pressure N/A Other+Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-74A h'I TV FORM N1S-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Date 05 26 94 Sheet 3 of 5 Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section EZ Utilized for Repairs or Replacements 19~33 W E 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R651 C4 X 5.4 CHANNEL 2-GCTS-R655 Name of Manufacturer N/A Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication SA36-89 ASP-14434 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 3"X4"Xl/4" J TUBE STEEL N/A 3"X3"Xl/4"/.N/A TUBE STEEL N/A N/A N/A r N/A A500-90 GR.B ASP-14481 A500-90 GRADE B ASP-16756 N/A N/A REPLACE-MENT REPLACE-MENT NO r NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic (i Pneumatic~Nominal Operating Pressure N/A (~i Other Pressure sig Test Temp.DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may-be used, provided (1)size is 8-1/2 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.NIS94-74B

FORM NIS-2 OWNERi S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI l.owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 4 of 5 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT , Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section El Utilized for Repairs or Replacements 19~S3 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/2" PLATE J Name of Manufacturer N/A Manuf.Serial No.N/A Nat.Board No.N/A other Identi-fication A36-89 ASP-15309 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic I I Pneumatic~Nominal operating Pressure N/A I~l other I-I pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-74C

>37o-&X Page 5 of 5 FORM NZS-2 (Back)9.Remarks Appli.cable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O.C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Certificate of Authoriration No.N A Expiration Date N A Signed Date Owner or Owner's Designee, Title 19 gc CERTIFICATE OF ZNSERVZCE INSPECTION Inspector's gna re*FACTORY MUTUAL ENGINEERING ASSOCIATION Date uf I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~-tI-9 5'o 7-5-and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described i.n this Owner's Report in accordance wi.th 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 i.n this Owner's Report.Furthermore, neither the Inspector nor his employer shall be li.able in any manner for any personal in)ury or property damage or a loss of any kind arisin from or connected with this inspection. Commissions P1(c-~<PJ4~cP'A'National Board, Sta e, Province, Endorsements NZS94-74 I l C'r 437O-&Id FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 6 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System CONTAINMENT SPRAY+AEP Specifications /MDS Standards/ANSZ B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (t)Applicable Edition of Section XI Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R679 3/8" PLATE 1/2" ANGLE 4" X 4" 1/2" PLATE 1/2" PLATE v'ame of Manufacturer N/A N/A N/A'/A Manuf..Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication A36-90 ASP-16047 g A36-89 ASP-13931+A36-89 ASP-15309~A36-89 ASP-15650 4 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic [[Pneumatic~Nominal Operating Pressure N/A i~i Other~Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-78 A~C II fl 4 437o-k4 FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 6 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed.p Add.Code Case (b)Applicable Edition of Section Xf Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GCTS-R681 1/2" HVY HEX NUT J 1/2" X 4" STD U-BOLT 3/8" PLATE N/A N/A N/A N/A N/A N/A N/A N/A N/A A194 (88A)GRADE 2H ASP-13381 W FIG 137 ASP-7929~A36-89 ASP-13747 N/A N/A N/A REPLACE-MENT REPLACE-MENT REPLACE-MENT NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic I-j Nominal Operating Pressure N/A/~/Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-78A

>3'-(P FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 3 of 6 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP~Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R682 3/8" ANGLE 3" X 3" 3/8" ANGLE g 2 1/2" LEG 2-GCTS-R685 ,1/2" HVY HEX NUT Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A36-90 ASP-15971 (SA36-A89 v ASP-14325 A194(88A)GRADE 2H ASP-13381 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.. 8.Test Conducted: Hydrostatic i[Pneumatic~Nominal Operating Pressure N/A/~/Other t-j Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-78B l 437o-cop FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANYEarns P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2 83 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Date 05 26 94 Sheet 4 of 6 Unit J-0-C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol stamp V Authorization No.0290-V 4.Zdenti.f icati.on of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~93 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/2" X 4" STD'U-BOLT 2-GCTS-R687 1/2" HEX HEX NUT 1/2 tl X 4 le STD U-BOLT 2-GCTS-R688 Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A other Identi-fication FZG 137 Y ASP-7929 A194(88A)GRADE 2H ASP-13381 FZG 137 Y ASP-7929ŽYear Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081-8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure N/A Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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.NZS94-78C I 8 h E I h 437o-DP FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 5 of 6 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Uni.t J.O.C17441-01 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND Address FL.33811 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed.i Add.Code Case ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" ANGLE 3n X 3n 3/8" ANGLE g 2 1/2" LEG 1/2" PLATE~Name of Manufacturer N/A N/A N/A Manuf.Serial No N/A N/A N/A Nat~Board No.N/A N/A N/A other Identi-fication A36-90 ASP-15971 SA36-A89 ASP-14325 A36-90 ASP-14793 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PE RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic f-j Nominal Operating Pressure N/A/~(Other~Pressure sig Test Temp.oF NOTE: Supplemental sheets, in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-78D P'I gZ7o4(Page 6 of 6 FORM NIS-2 (Back)9.Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O.C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificate of Autho ization No.N A Expiration Date N A Signed I Owner o Owner's Designee, Title Date CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned,'olding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed'by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period V-)i-9e to T-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 XZ.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. Inspector's ign t Date I Commissions Wi~ooze E'~re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 NIS94-75

FORM NIS-2 OWNERS S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ'wner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet Unit 1 of 5 One Cook Place Brid an MI 49106 Address 3.Work Performed by.NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address JaO.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R629 2-GCTS-R630 4"X4"Xl/2">ANGLE 2-GCTS-R633 1/8" FLAT~BAR Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A other Identi-fication A36-90 ASP-14208 A570-91 GRADE 45 ASP-15946$ Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped, (Yes or No)No NO No 7.Description o'f Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic I-j Nominal Operating Pressure N/A/~/other~Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used,-provided (1)size is 8-1/2 in.x ll in.f (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.NZS94-73 4b~~<<lg 0 C AS wfp-@7 FORM NIS-2 OWNERPS REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XZ~~1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name.2830 PARKWAY ST.LAKELAND FL.33811 Address Date 05 26 94 Sheet 2 of 5 Unit J.O.C17441-01 Repair Org.P.O.No., Job Noes etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section El Utilized for Repairs or Replacements 19~83 W E 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" PLATE~1/4" FLAT~BAR 2-GCTS-R637 3/8" PLATE i 1/4" FLAT~BAR Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Xdenti-fication A36-89 ASP-13747~ A36-91 ASP-16312 w A36-89 ASP-13747+ SA36-A89 ASP-13809~Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic~Nominal Operating Pressure N/A (~i Other~Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-73A J FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 3 of 5 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY+AEP Specifications /MDS Standards/ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of section Xf Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/8" FLAT+BAR 2-GCTS-R641 5/Sw HVY HEX NUT+5/8" STDeg U-BOLT 2-GCTS-R643 Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A" N/A N/A Other Identi-fication A570-91 GR45 ASP-15946~A194 GR 2H ASP-15215 4 FIG 137N ASP-16503 4 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description o f Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic [)Pneumatic~Nominal Operating Pressure Ot'her+Pressure sig Test Temp.oF a NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in..x ll 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.NZS94-73B

A87o-fp7 FORM NIS-2 OWNERPS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ, 1.owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Date 05 26 94 Sheet 4 of 5 Unit AT.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (t)Applicable Edition of Section XX Utl.lized for Repairs or Replacements 19~83 W 8 1983 ADDENDA P 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 5/8" HVY HEX NUT 5/8" X U-BOLT STD Name of Manufacturer N/A N/A Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-f ication A194 GR.2H ASP-152158 FZG 137N ASP-16503 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)~NO aa ,NO 7~Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.z 8.Test Conducted: ~Hydrostatic [i Pneumatic~Nominal Operating Pressure Other+Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of listsf sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-73C rt II garo-d/Page 5 of 5 FORM NZS-2 (Back)9.Remarks HANGER 2-GCTS-R629 HAD WELD REPAIR DONE ONLY Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O.C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Signed C.g Owner or er's Designee, Title Expiration Date Date/<~c,/N A 19'F CERTIFICATE OF INSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of.NORWOOD MASS.have inspected the components described in this Owner's Report during the period to-8'-9s 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 recpxirements of the ASME Code, Section XZ.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 rom or connected with this inspectS.on.Znspector's S're Date 19 Commissions Wic 4 National B ard, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION NZS94-73
~e FORM NIS-2 OWNER~S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 283 0 PARKWAY ST.LAKELAND FL.3 3 8 1 1 Address Date 05 26 94 Sheet 1 of 6 Unit Z.O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications

/MDS Standards/.ANSI B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Edas Add.Code Case (b)Applicable Edition of Section El Utilired for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R657 5/8's~HVY HEX NUT 1/2" PLATE~STAINLESS 5/8-X 6"J U-BOLT 2-GCTS-R659 Name of Manufacturer N/A N/A N/A Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication A194 GR 2H ASP-16503 A240 (91A)~GRADE 304 ASP-15677 FIG 137N ASP-16503 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic ((Pneumatic~Nominal Operating Pressure N/A I I Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 ines (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.NZS94-75 1~*4 I FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 2 of 6 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J".O.C17441-01 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~33 W E 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)3"X3"X1/4" J TUBE STEEL N/A N/A N/A A500-90 GR.B ASP-14481 N/A REPLACE-MENT NO 3"X4"X1/4" J TUBE STEEL 3/8" PLATE~2-GCTS-R661 5/8" HVY g HEX NUT N/A N/A N/A N/A N/A N/A N/A N/A N/A A500-90 GR.B ASP-16756 A36-90 ASP-16047 A194 GR 2H ASP-15215 N/A N/A N/A REPLACE-MENT REPLACE-MENT REPLACE-MENT NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3 08 1.8.Test Conducted: Hydrostatic )(Pneumatic~Nominal Operating Pressure N/A I I Other Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings,may be used, provided (1)size is 8-1/2 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.NIS94-75A jl vt cV7O-~S FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet Unit 3 of 6 One Cook Place Brid an MI 49106.-J.O.C17441-01 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XZ Utiliaed for Repairs or Replacements 19~83 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1/2" PLATE STAINLESS J 5/8" X 6" g U-BOLT 2-GCTS-R663 3"X3"Xl/4>>J TUBE STEEL 4"X3"Xl/4" I TUBE STEEL Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication A240 (91A)GRADE 304 g ASP-15677 FIG 137N ASP-16503 ASOO-90 GR.B ASP-14481 ASOO-90 GRADE B ASP-16756 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO No 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic [)Pneumatic t-j Nominal Operating Pressure N/A I 1 Other+Pressure sig Test Temp.OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-75B C 41 ,I FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address.Sheet 4 of 6 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit Z.O.C17441-01 Repair Org.P.O.Noaf Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSZ B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 E 8 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 3/8" PLATE J 1/2" PLATE 2-GCTS-R665 5/8" HVY J HEX NUT 5/8" X 6"J U-BOLT Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication A36-90 ASP-16047 A36-89 ASP-12781 ,A194 GR 2H ASP-15215~PZG 137N ASP-16503 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)No NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPO TS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic t-j Nominal Operating Pressure N/A I I other+Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-75C 1~4' FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 5 of 6 Date 05 26 94 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 283 0 PARKWAY ST LAKELAND FL 3 3 8 1 1 Address Unit J.O.C17441-01 Repair Org.P.o.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Zdentif ication of System CONTAINMENT SPRAY+AEP Specifications /MDS Standards/ANSZ B31.1-83/AZSC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (n)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R667 3/8" PLATE~1/2" ANGLEJ 4al X 4zt 1/2" PLATE/1/4" PLATE i Name of Manufacturer N/A N/A N/A N/A Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Zdenti-fication A36-90 ASP-16047 A36-89 Ad(ASP-13931 A36-89 K ASP-15650 A36-89 y, ASP-13747 Year Built N/A N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)No NO NO NO 7.Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.8.Test Conducted: Hydrostatic i i Pneumatic t-I Nomina'1 Operating Pressure N/A I I Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NZS94-75 Page 6 of 6 FORM NIS-2 (Back)9.Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O.C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 Signed H4 i4~Owner or er's Designee, Title Date 19 CERTIFICATE OF ZNSERVZCE INSPECTION I g the undersigned, ho 1 ding a va 1 id commission issued by the Nationa 1 Board of Boiler and Pressure Vessel Inspectors and the State or Province.of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements 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. Inspector's Signature Date 19 Commissions National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION NZS94-75

PORN NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI'wner INDIANA MI HIGAN P WER COMPANY Name Date-20-P..B x F r Wa Address IN 46 1 Sheet 1 of 2~Plant D.C COOK NU LEAR P WER PLANT Name Unit On o k Plac Brid n MI 4 10 Address 17454-1 2-I-L-7 PP RT Repair Org.P.O.No., Job No., etc 3~Work Performed by n n n D Name 2 Address rmn Expiration Date N A 4.Identif ication of System AFETY IN E TI N YSTEM 83 ummr1 A n 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial'o.Nat.Board No.Other Identi-ficationn Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GSI-L-70 SHIM PLATE N/A DUBOSE STEEL INC.N/A N/A N/A N/A N/A ASTM A-36 M&E30153201 ASP$13127 N/A 1989 REPAIRED NO REPAIRED NO 7.Description of Work S R mark 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. r Page 2 of 2 FORM NIS-2 (Back)9.Remarks IN TALLED A" X" X 1" HIM T REDU E EX E IVE A Applicable Manufacturer's Data Reports to be attached BETWEEN THE WEST L AND ADJA ENT 4" X 13" BEAM-174 4-1 File 2-I-L-7 I I 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Sig ed Fr nk Pisa sk aint.En.Su ervisor Date 4-4/Owner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding.a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have jets ec g the components described in this Owner's Report during the period 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 XZ.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 Znspector 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 /O A'SF'Ae 2~Inspect's Signature National Board, State, Province, Endorsements Date 19 l8*FACTORY MUTUAL ENGINEERING ASSOCIATION FORM NIS-2 OWNER'S REPORT,POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA I IGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Date 09-27-94 Sheet 1 of Unit One Cook Place Brid an MI 49106 C17829-4 2-CS-328-L4 Address Repair Org.P.O.No., J'ob No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address 4.Identification of System CHARGING CVCS Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manu f.Seri.al No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-CS-328-L4 N/A N/A N/A N/A N/A REPAIRED NO ALL THKM)STUDS ALLIED NUT BOLT CO.CARDINAL INDUSTRIAL PRODUCTS INC.N/A N/A N/A N/A ASTM A435 GRADE 660 M&E30047014 ASP¹15347 ASME SA-194 GRADE 8F M&E30212100 ASP¹17230 1986 N/A REPLACE-MENT REPLACE-MENT NO NO 7.'Descripti.on of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si.Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. i'P Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED BONNET TO BODY BOLTING MATERIAL.Applicable Manufacturer's Data Reports to be attached Ref.JO:C17829-4 File: 2-CS-328-L4 ISI 1 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI'epair or replacement Type Code Symbol Stamp N A Signed Frank isars Maint..gn erriser nate Owner or Owner's Designee, Title Expiration Date N A CERTIFICATE OF INSERVZCE ZNSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 9/ac j's<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 XZ.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. Inspector's Date-v~c ai.2 I ure Commissions M~d-l->>~~L'~dP lv s'ational Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERZNG ASSOCIATION ager

.I~4k 4~~D 4.It I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e ,IN 46801 Address Date 09-29-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C18664-3 2-IMO-325 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-IMO" 325 STUDS Name of Manufacturer N/A NOVA MACHINE PRODUCTS CORP ITT ENERGINEERED VALVES Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other identi-fication N/A ASTM A-453 GRADE 660 M&E30029999 ASP¹15076 ASME SA-194 GRADE 8F M&E3 0212090 ASP¹11191 Year Built N/A 1986 N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)No NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)I 9 Remarks REPLACED CARBON STEEL BOLT I NG MATERIAL WITH STAINL Applicable Manufacturer's Data Reports to be attached s FASTENERS. Ref.JO: C18664-3 File: 2-IMO-325 ISI 1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Certific Expiration Date+.m Signed rank sarsk Maint.En.Su ervisor Date<m>Owner or Owner's Designee, Title 19 N A CERTZPZCATE OP ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to ro-2 p-4a 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 XZ.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 r1'=>ooS Inspector's ign ure National Board, State, Province, Endorsements Date Oc v-n b>>s'Zd 19*FACTORY MUTUAL ENGINEERINGASSOCIATION b4 0> /37'-r(FORM NIS"2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA M I P W Name MPANY Date 1 17 4 P..Box 0 Fort W ne IN 46801 Address Sheet 1" of 2 2.Plant D.C C K NU LEAR P WER PLANT Name On Address Unit Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Type Code Symbol Stamp V Name Authorization 'No.2-V Address P 4.Identification of System NTAINMENT SPRAY*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19~~W 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-R700 1/8"X 3" FLAT BAR Name of Manufacturer N/A Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication A570-92 GR45 ASP-16652 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work IN TALL NEW SHIM PLATE TO ELI LATERAL A BETWEEN XI IN"PIPE AND E TE THE EX E IVE 2-T-R700 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A Other~Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94 ES $32O-7(Page 2 of 2 9.Remarks FORM NZS-2 (Back)IFTNI T B RE IPE Applicable Manufacturer's Data Reports to be attached I PP RT B K T IT DE I N BA I RE ENT AND BRIN IT WITH N F AR LIMIT A ME CLA II I I LA S II 1 0-02 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R 1 m conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp Certificate of Authorization No.N A Signed 4<r Owner or wner's Designee, Title Date 19 CERTZPZCATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi hi n and employed by AR I of W have inspected the components described in this Owner's Report during the period ic-z~-0 0 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 XZ.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. Inspector'ommissions mi~o~AP Sig ture National Bayard, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wo>i~19~<NIS94

'I W.K 0~l 0~~~~~~~I 0~~0~~I~~~0 I~~~~~~Q 0~~-~~'~0~0~~~~~0~0~~~~~~0~I~1~0 0~~~~0 0 I 0~~~~~0~~~0~~~~0~~'~0~0~~0 0~~~~0~0~~0~~~0 0 0 0 LR'~'~-~0 0~~~0~~~0~~~0~g 0~~5.~~~~0~~~~~~0~~0~0 i 0~~~0 0 0 1~W Page 2 of 2 FORM NIS-2 (Back)9.Remarks PER CODE CASE N-416-SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO.VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE. ASME CODE CLASS N A ISI CLASS II CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No.Signed I Owner or ner's Design Expiration Date c-Wc i~Date JZ~a/ee, Title 19 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.+of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to I-s-9G-, 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 Znspector nor his employer shall be liable in any manner for any personal in)ury or property damage or a loss of any kind arising from or connected with this inspection. Inspector's gnat e Date Jan vnR Commissions P1i e L An National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 tG

~\hh a 4378-/E FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 10 09 4 Sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 4 106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL 33 11 Address J.O.C1 472-04 Repair Org.P.O.~No., Job Noes etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identif ication of System FEEDWATER*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.N-416 Code Case (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W E 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)14" SCH 80 PIPE SPOOL Dalmine N/A N/A SA 106 Gr B POP 64591-040-3 HTP 933804 N/A REPLACE-MENT NO 7.Description of Work INSTALL A 14" PIPE SPOOL WITH INSPECTION PORT IN TALLED BY OTHERS IN THE FEEDWATER YSTEM.8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. l& Page 2 of 2 FORM NZS-2 (Back)9.Remarks PER CODE CASE N-416-SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURIN 10 YEAR ISI HYDRO.VT-2 PERFORMED AFTER SY TEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE. ASME CODE CLASS N A ISI CLASS II CERTIFICATE OF COMPLIANCE We certify that the stat'ements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Signed-Ci Owner or Owners Designee, Title Expiration Date Date 19 N A CERTIFICATE OF INSERVZCE INSPECTION Inspector's S+nature Date V~evwrz 19~5*FACTORY MUTUAL ENGINEERING ASSOCIATION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*'f NORWOOD MASS.have inspected the components described in this Owner's Report during the period C.-)-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 XZ.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 Ac,4 oa55&i f7 National Board, State, Province, Endorsements

FORM HIS-2 OWNER'REPORT FOR REPAIRS OR REPLAC22KlNTS , As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY~~Name P.O.Box 60 Fort Wa e IN 46 01 Address Date 10 0 94 Sheet 1 of 2 2.Plant D.C.COOK NUCL'EAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name'2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C1 474-04 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System FEEDWATER*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.N-416 Code Case (b)Applicable Edition of Section XX Utilised for Repairs or Replacements 19~83 W 3 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial Nos Nat.Board No.other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)14" SCH 80 PIPE SPOOL Dalmine N/A N/A SA 106 Gr B POP 64591-040-3 HTP 933804 N/A REPLACE-MENT NO 7.Description of Work IN TALL A 14" PIPE SPOOL WITH INSPECTION PORT INSTALLED BY OTHERS IN THE FEEDWATER SY TEM.8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0 I4~,o Page 2 of 2 FORM NZS-2 (Back)9.Remarks PER CODE CASE N-416-SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO.VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE. ASME CODE CLA S N A ISI CLASS II CERTIFICATE OF COMPLZANCE We certify that the statements made in the report are correct and this Re lacement Re air 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 Signed Owner or Owner's Designee, Title Expiration Date N A Date/2 19 CERTIFICATE OF ZNSERVZCE INSPECTZON Inspector's gnatu e*FACTORY MUTUAL ENGINEERING ASSOCIATION 19~$Date Wc~uw I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Znspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period C-I-9W 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. n Commissions ~'c-4 ooG~&~M C National Board, State, Province, Endorsements

FOIQi NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10 13 4 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2 2.Plant D.C.COOK NU LEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33 11 Address Unit J.O.C1 47-04 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System FEEDWATER*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.N-416 Code Case (t)Applicable Edition of Section XX Uti.lized for Repairs.or Replacements 19~83 W S 1983 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manu f.Serial No.Nat.Board No.Other Identi-fication Year Built Repai red Replaced or Replace-ment ASME Code Stamped (Yes or No)14" SCH, 80 PIPE SPOOL Dalmine N/A N/A SA 106 Gr B POP 64591-040-3 HTP 933804 N/A REPLACE-MENT NO 7.Description of Work INSTALL A 14" PIPE SPOOL WITH INSPECTION PORT IN TALLED BY OTHERS IN THE FEEDWATER SYSTEM.8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks PER C DE CA E N-416-SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached~PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO.VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE. ASME CODE CLAS N A I I LASS II CERTIFZCATE OF COMPLZANCE We certify that the statements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificat of Authorization No.N A Signed Owner or ner's Designee, Title Date N A CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period I-RH to i-+-q5" 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. Inspector's gna re Date Ze nuc wK I 19 Commissions H~c-4 oops Er cA 4X National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-30-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name i One Cook Place Brid an MI 49106 Unit C19629-6 2-RV-111 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identif ication of System LETDOWN CVCS (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-QRV-ill TRI'M ASSEMBLY Name of Manufacturer N/A COPES-VULCAN INC.Manuf..Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASME SA-564 GRADE 630 M6'cE30036150 ASP¹16921 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure y si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks VALVE CAGE AND PLUG DID NOT PASS BLUE CHECK REPLACED TRIM Applicable Manufacturer's Data Reports to be attached ASSEMBLY CONSISTING OF 1 CAGE 1 PIN 1 PLUG AND 1 STEM.Ref.JO:C19629-6 File: 2-RV-111 ISI 1 CERTIFICATE OR COMPL'IANCB Ne certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date'-""'s~"'K""'igned Frank Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CBRTZPZCATE OP ZNSBRVZCE 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 Michi an and employed by ARKwRIGHT MUTUAL INs.co.*of NoRwooD MAss.have inspected the components described in this Owner's Report during the period D.-~~~iati'tO a'Z.--+4 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing 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 ~=.4 s i-nspectorr's S'gnatu National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date'I.i 19 P~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-27-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 49106 Address C19862-1 2-GRC-S555 Repair Oxg.P.O.No., Gob No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System PIPING SUPPORT Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GRC"S555 CONTROL VALVE BLOCK&RESERVOIR Name of Manufacturer N/A GRZNNELL CORP'anuf. Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A M&E30040550 ASPg16665 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19862-1 File: 2-GRC-S555 ISI:1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A N A r Signed Fra Pisarsk Maint.En.Su ervisor Date u Owner or Owner's Designee, Title 44 CERTZFZCATE OP INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler'nd Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of.NORWOOD MASS.have inspected the components described in this Owner's Report during the period i'rŽig-9 3 to/4-i-~V 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 XZ.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 Znspector 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 H=!ooSW E~:gN-~Inspector'igna re National Boa d, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19~I f N I~'P FORM NIS-2 OWNER'REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-27-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2~Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C19864-1 2-GRC-S573 Address Repair Org.P.O.No., Gob No., etc work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.identification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Xdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-GRC-S573 CONTROL VALVE BLOCK&RESERVOER Name of Manufacturer N/A GRXNNELL CORP.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A M&E30040551 ASPg17059 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURAT1ON"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19864-1 File: 2-GRC-S573 ISI:1 CBRTZPZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A"""'w"'"-'-r;"~Expiration Date N A Signed 84c xsars Maint.En.Su ervisor Date tt 19 Owner or Owner's Designee, Title CERTZPZCATE OP ZNSBRVZCB 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to wc-"--9Y 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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisin from or connected with this inspection. Commissions ~i~<A ooSS.~n~l~~Z~Inspector's gn re National Board, State, rovince, Endorsements Date ram*FACTORY, MUTUAL ENGINEERING ASSOCIATION 19~V' PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-27-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place'rid man MI 49106 Address C19866-1 2-GRC-S598 Repair Org.P.O.No., J'ob No., etc 3.Work Per f ormed by Maintenance De ar tment Name Same as 2 Address 4.identification of System PIPING SUPPORT Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GRC-S598 N/A N/A N/A N/A N/A REPAIRED NO CONTROL VALVE BLOCK&RESERVOIR GRZNNELL CORP.N/A N/A M&E30040550 ASPg16665 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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 1 recorded at the top of this form. I Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" 1 Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19866-1 File: 2-GRC-S598 ISI 1 CBRTIFICATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A'9 Expiration Date N A Signed Fr Pi s Mai.En.Su ervisor Date 19 Owner or Owner's Designee, Title-1-CERTZFZCATB OF INSBRVICB INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to I2-oL-i'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 recpxirements of the ASME'ode, Section XZ.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 arisin from or connected with this inspection. Commissions Pii;.l.ooS S.+'niY/J r<Inspector' SignatVre National Board, State, Province, Endorsements Date c 9 99 i~a 19~S*FACTORY MUTUAL ENGINEERING ASSOCIATION g tg RORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-29-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C19869-1 2-FW-S4-U Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System PIPING SUPPORT Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-FW-S4-U N/A N/A N/A N/A N/A REPAIRED NO CONTROL VALVE BLOCK RESERVOIR GRZNNELL CORP.N/A N/A M&E30040552 ASPQ17059 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 PORN NZS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19869-1 File: 2-FW-S4-U ISI:2 CBRTIPICATB OP COMPLIANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or, replacement Type Code Symbol Stamp N A""'"'EV"'""'""" Expiration Date N A Signed F Pxsarsk M int.En.Su ervisor Date 19'f Owner or Owner's Designee, Title CBRTZPICATB OP ZNSBRVICB ZNSPBCTZON I,.the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period i/X~I"l~3 to'--I-Vv'nd 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.recpxirements of the ASME Code, Section XZ.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 ~iMau55 Wr//J'~Inspector' xgna'e National Bo rd, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-24-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Bridaman MI 49106 Unit C19875-1 2-FW-S5 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance Deoartment Name Same as 2 Address Expiration Date N A 4.Zdentification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-FW-S5 N/A N/A N/A N/A N/A REPAZRED NO CONTROL VALVE BLOCK RESERVOIR RESERVOZR GRZNNELL CORP.GRZNNELL CORP N/A N/A N/A N/A M&E3 0040551 ASP¹17059 M&E30040552 ASP¹16465 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. V~.s ~I Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR RESERVOIR DID NOT PASS SERVICEABILITY EXAM REPLACED RESERVIOR. Ref.JO: C19875-1 File: 2-FW-S5 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date"""'-" t" Signed Fra isarsk Maxnt.En.Su ervisor Date Owner or Owner's Designee, Title N A 19q CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period g-r~-9u to-3"~(5 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements of the ASME Code, Section XZ.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 aris'ng from or connected with this inspection. Commissions Wi.-t-ops'nspector'i ture National Board, Sta e, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 95 Date~~~ui~3 FORM NXS-2 OWNER'S REPORT FOR REPAXRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Date 09-27-94 Sheet 1 of Unit C19877-1 2-FW-S8-U Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System PIPING SUPPORT (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.identification of Components Repaired or Replaced and Replacement Components Name of Component 2-FW-S8-U CONTROL VALVE BLOCK&RESERVOIR Name of Manufacturer N/A GRINNELL CORP.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A M&E3 0040551 ASPN17059 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See'Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A'RINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19877-1 File: 2-FW-SS-U ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Qgl"" Signed Frank Pisars Mai t.En.Su ervisor Date Owner or Owner's Designee, Title N A CERTZFZCATE OF ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of'Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements 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 ki d arising m or connected with this inspection. Commissions Hi.il u~rr&IP'Inspector's S'e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERING ASSOCIATION Date r~~~ra.br~2-19 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-14-94 P.O.Box 60 Fort Wa e IN 46801 Address'.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid man MI 49106 Address C19880-1 2-GBD-S568 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System PIPING SUPPORT~~Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Manuf., Name of Serial Manufacturer No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GBD-S568 N/A N/A N/A N/A N/A REPAIRED NO CONTROL VALVE BLOCK&RESERVOIR GRZNNELL CORP.N/A N/A M&E30040550 ASP¹16665 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. >J~~'r Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19880-1 File: 2-GBD-S568 ISI:2 CERTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A"'"""K"""'"'"*Q'""'Expiration Date Signed Fr%a ac Pkarsk Maint.En.Su ervisor Date li Owner or Owner's Designee, Title 19 N A CERTZFZCATE OP ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period///: f'-'K ct and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Znspector 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 /.c J ae Inspector's gnat e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19 Date II H l Pl/

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 09-29-94 Sheet 1 of Unit C19886-1 2-MSS-1 Address Repair Org.P.O.No., Gob No., etc 3~Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System PIPING SUPPORT Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.~Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MSS-1 N/A N/A N/A N/A N/A REPAIRED NO CONTROL VALVE BLOCK RESERVOIR GRINNELL CORP.N/A N/A PO005015-041-3 ASP517059 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure , N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. ~ggr N Page 2 of 2 PORN NZS-2 (Back)9.Remarks REPLACED EKISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: Cl 886-1 File: 2-MSS-1 ISI:2 CERTIFICATB OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date N A 9 Signed ank Pxsarsk int.En.Su ervisor Date~t I 19 Owner or Owner's Designee, Title CERTIFICATE OF INSBRVICB INSPBCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period iF'/i3 to 12-og-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 XZ.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 arisin from or connected with this inspection. Commissions ~r.: l c9~S-S w-mfa'c~Inspector's ign ure National Board, State, Province, Endorsements Date~r e~, o i*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name t P.O.Box 60 Fort Wa e IN 46801 Address Date 09-28-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C19888-1 2-MSS-5 Address Repair Org.P.O.No., Gob No., etc 3.work Performed by Maintenance De artment ,Name Same as 2 Address Expiration Date N A PIPING SUPPORT 4.Identification of System (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.BoardNo..Other Identi-fication Year Built Repaired Replaced or Replace-ment.ASME Code Stamped (Yes or No)2-MSS-5 N/A N/A N/A N/A N/A REPAIRED NO CONTROL VALVE BLOCK RESERVOIR GRINNELL CORP.N/A N/A M&E30040552 ASPg17059 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. V-:t FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C19888-1 File: 2-MSS-5 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed&%hn zsa sk Maint.En.Su ervisor Date l Owner or Owner's Designee, Title 19 N A: CERTIFZCATE OF INSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 9C l~i3 to~</I 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 XZ.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 aris'ng from or connected with this inspection. Commissions ~-ooSS E~rt/Inspector'i ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCZATION Date

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ l.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address Date 09-29-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Unit C19889-1 2-MSS-7 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe Deaartment Name Same as 2 Address Expiration Date N A 4.Zdentification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-MSS-7 CONTROL VALVE BLOCK&RESERVOIR Name of Manufacturer N/A GRZNNELL CORP.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication N/A M&E30040552 ASP¹17059 Year Built N/A N/A Repaired Replaced or Replace-ment REPAZRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 13.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. '4 a4 Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. I Ref.JO: C19889-1 File: 2-MSS-7 ISI:2 CERTIFZCATE 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 XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date ni Signed Fra Pi arsk Maint.En.Su ervisor Date Z 8 Owner or Owner's Designee, Title N A , 19S4.CERTZFZCATE OF INSERVICE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State oz Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period fr-iS.9D to/-z-.iS 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 XZ.By signing this certificate neither the Znspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Ownez'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. Inspector'ig ure I Commissions rf.-w.zi.<rL National B6ard, State, Province, Endorsements Date Zc v>c~o 19 cS*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-24-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 49106 Address C19924-3&8 2-MMO-210 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MMO-210 BODY TO BONNET FASTENERS Name of Manufacturer N/A CARD ZNAL INDUSTRIAL PRODUCTS Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication N/A STUDS: ASME SA-193 GRB7 M&E30211630 ASP¹15470 NUTS: ASME SA-194 GR2H M&E30211900 ASP¹15684 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO POPPET ATWOOD MORRZLL N/A N/A SA-515 GRADE 70 M&E23044491 N/A REPLACE-MENT NO 7.Description of Work See Remar s 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp.oF I NOTE: Supplemental sheets in form'of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORM NZS-2 (Back)9.Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED.BODY TO BONNET STUDS AND NUTS WERE REPLACED.I Ref.JO:C19924-3 &8 File: 2-MMO-210 ISI: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code.Symbol Stamp N A Expiration Date Signed Prank isarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A 19'ERTIFICATE OF ZNSERVICE INSPECTION Z, the undersigned, holding a valid commission issued by the.National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period/d'd p 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 XZ.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 aris ng from or connected with this inspection. Commissions ~dA d~JJ W~Pb'SW Inspector' i ature National Board, S te, Province, Endorsements Date Td~v~w'9 Pl*FACTORY MUTUAL ENGINEERING ASSOCIATION II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-22-4 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C19927-3&8 2-MMO-220 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MMO-220 N/A N/A N/A N/A N/A REPAIRED NO BODY TO BONNET STUDS CARDINAL INDUSTRIAL PRODUCTS N/A N/A STUDS:ASME SA-193 GRB7 ME<E30211630 ASPg 15470 N/A REPLACE-MENT NO POPPET ATWOOD MORRILL N/A N/A SA-515 GRADE 70 MGE23044491 N/A REPLACE-MENT NO 7.Description of Work See Remar s 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0 I FORM NZS-2 (Back)Page 2 of 2 9.Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED.BODY TO BONNET STUDS WERE REPLACED.Ref.JO:C19927-3 &8 File: 2-MMO-220 ISI: 2 CERTZFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fran Pisarsk Maint.En.Su ervisor Date n, io Owner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCB INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period i'u-to-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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind aris$ng from or connected with this inspection. Commissions W<<<A<<<J Inspector'i ature National Boaid, State, Province, Endorsements Date~~~-~n'FACTORY MUTUAL ENGINEERING ASSOCIATION 19 t l' FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required-by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-22-94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Sheet 1 of Unit C19930-3 Ke 8 2-MMO-230 Address Repair Org.P.O.No., Gob No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System MAIN STEAM Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MMO-230 BODY TO BONNET FASTENERS Name of Manufacturer N/A CARDINAL INDUSTRIAL PRODUCTS Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A STUDS:ASME SA-193 GRB7 M&E30211630 ASPQ 15470 NUTS:ASME SA-194 GR2H M&E302 11900 ASP515684 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO POPPET ATWOOD MORRILL N/A N/A SA-515 GRADE 70 M&E23044491 N/A REPLACE-MENT NO 7.Description of Work See Remarks oF 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. J&S~l II p V,(& Page 2 of 2 FORM NZS-2 (Back)9.Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED~THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED.BODY TO BONNET STUDS AND NUTS WERE REPLACED.Ref.JO:C19930-3 &8 File: 2-MMO-230 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Signed FrankMisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title Expiration Date N A CERTZPZCATE OP ZNSERVZCE INSPECTION Inspector's i ure*FACTORY MUTUAL ENGINEERING ASSOCIATION Da'te 3 v nvare//I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*.of NORWOOD MASS.have inspected the components described in this Owner's Report during the period n-zY-19 to and state that to the best of'y knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By sign'ing 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 arisi from or connected with this inspection. r Commissions ~<<'~P<~<National oard, State, Province, Endorsements ~~1t FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XX P~1.Owner INDIANA MICHlGAN'POWER COMPANY Name Date 09-06-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid man MI 49106 Address C19942-1 4 FW-INSPECTION PORTS Repair Org.P.O.No., 8'ob No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN FEEDWATER SYSTEM (b)Applicable Edition of Section XX Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Xdentif ication of Components Repaired or Replaced,and Replacement Components Name of Component INSPECTION PORTS FOR FEEDWATER SYSTEM Name of Manufacturer IGM POWER Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication N/A Year Built N/A Repaired Replaced or Replace-ment FABRICA-TION OF 4 PORTS ASME Code Stamped (Yes or No)NO SOCKOLET, WELDOLET, FLANGE BERTSCH COMP.N/A N/A SOCKOLET ASTM A-105)WELDOLET ASTM A-105, FLANGE ASTM A-105 N/A N/A NO 14" PjPE SCH.80 VAN LEEUWEN pxpE 6 TUBE N/A=N/A ASME SA-106 GRADE B N/A N/A NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic F Pneumatic Nominal Operating Pressure N/A Other MT Pressure si Test Temp oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. <'~~a Page 2 of 2 9.Remarks FORM NZS-2 (Back)FABRICATED FOUR INSPECTION PORTS FROM SECTIONS OF 14" PIPE WITH Applicable Manufacturer's Data Reports to be attached A BRANCH CONNECTION AND FLANGE.ALL FOUR ASSEMBLIES WERE MACHINED TO MEET THE RE UIREMENTS OF PLANT MOD 1305.MAGNETIC PARTICLE EXAMS WERE PERFORMED ON ALL WELDS AS RE UIRED AND ACCEPTED.Ref.JO:C19942-1 File:FW INSPECTION PORTS ISI:2 CERTIFICATE OF COMPLIANCE We certify that.the statements made in the report are correct and this FABRICATION conforms to the rules of the ASME Code, Section XI.repair or replacement 'ype Code Symbol Stamp N A Expiration Date Qr Signed Frank sar Maint.En.Su ervisor Date 8 Owner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCE 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 Michiaan and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period I-l c.-'9 v'o~-s-~5 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.By signing this certificate neither the Inspector nox his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Znspectox'or 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 Commissions Wt~4 e PJ'S Inspector' Signa e National Board, Stat , Pxovince, Endorsements Date w>Wc.*FACTORY MUTUAL ENGINEERING ASSOCIATION 19~ I'1 5 FORM NIS-2 OWNER'REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 09-17-94 Sheet 1 of Unit C20029-1 2-GCTS-S115-N Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Zdentification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-S 115-N CONTROL VALVE BLOCK RESERVOZR Name of Manufacturer N/A GRZNNELL CORP.Manufe Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication N/A MEcE30040551 ASP517059 Year Built N/A N/A Repaired Replaced or Replace-ment REPAZRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0~4-'8 h f N 1 /FORM NZS>>2 (Back)Page 2 of 2 9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C20029-1 File: 2-GCTS-S115-N ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date N A Pr Signed g sears t Maint.gn.Sn ervianr Date Il 191 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period/Z Z Iz-I-9Y 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 recpxirements of the ASME Code, Section XZ.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 arisin from or'onnected with this inspection. Commissions Wi<<opsy 8~ÃiV Znspector's ign re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date De t.-~m eR l 19 R Y 2 0 FORM NIS 2 OWNER S REPORT POR REPAIRS OR REPLACZRKNTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 09-17-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name ,One Cook Place Brid an MI 49106 Address Repair 3.Work Performed by Maintenance De artment Name Same as 2 Address Unit C20030-1 2-GCTS-S115-S Org.P.O.No., Job No., etc Expiration Date N A 4.Zdentification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-GCTS-S115-S CONTROL VALVE BLOCK RESERVOIR Name of Manufacturer N/A GRINNELL CORP.Manuf., Serial No.N/A N/A Nat.Board No;N/A N/A Other Identi-fication N/A M&E3 004055 1 ASPg17059 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp, oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0 4 II i'r FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION"A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR. Ref.JO: C20030-1 File'.2-GCTS-S115-S ISI:2 CBRTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A""'"'M-'C""-"-" Expiration Date c Signed Fr Pi Prsrc aint.En.Su ervisor Date Owner or Owner's Designee, Title N A 19'9 CERTIFICATE OF INSBRVZCE 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 Michi an and employed by ARKWRIGHT MUT(JAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 2-Z-+to it i-S'nd 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 XZ.By'igning this certificate neither the Znspector 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 arisi from or connected with this inspection. Commissions rcpt oaS5 m A/Inspector's ign ure National Board, Sta e, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date 0

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI I AN POWER COMPANY Name Date BER 31 1 4 P.B x 60 For Wa IN 46 01 Sheet 1 of 2 Address 2.Plant D C COOK LEAR P WER PLANT Name Unit'2 On Address n I 4 Repair Org.P.O.No., Job No., etc 3.Work Per f ormed by NI CO Name 2 30 PARKWAY ST LAKELAND FL 33 11 Address Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System REA TOR OOLANT P P EAL WATER IN CTION LEAKOFF*AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case~DEEDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-QFR-31 Name of Manufacturer Manuf.Serial No.Nat, Board No.Other Identi-fication Year Built Repaired Replaced or Replace-.ment ASME Code Stamped (Yes or No)~h" X Sg BOLTS N/A N/A N/A SA-453 GR-660 ASP-11944>N/A REPLACE-MENT NO 7.Description of Work SEE REMARKS FOR DE CRIPTION 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A I X I Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94-08B Page 2 of 2 FORM NZS-2 (Back)9.Remarks RE LA ED FA ENER N 2-FR-31 WI'/a" I~A-4 r 66 Applicable Manufacturer's Data Reports to be attached BOLT AMEC II I I LAS II 2 4-3 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement 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 N A Signed Owner o Owner's Designee, Title Date 195 CERTIFICATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period t7-Z"9<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 ~<<l-oo55 f-A/A/~Inspector's 8'ign re National Boardg State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Hc r~~'c 19 NIS93-32

FORM NIS-2 OWNER'REPORT FOR REPAIRS OR REPLACEMBFZS As Recgxired by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address etc Date 09-30-94 Sheet 1 of Unit C209 3-1 RX VESSEL HEAD Repair Org.P.O.No., Job No., 3.Work Performed by WESTINGHOUSE PCI Name Same as 2 Address Expiration Date N A 4.Identification of System REACTOR VESSEL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addend 6.Identification of Components Repaired or Replaced and Replacement Components .Name of Component CORE EXIT THERMO-COUPLE NOZZLES 1-5 Name of Manufacturer ABB COMBUSTION ENGINEERING Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication ASME SA479 TYPE 304 TESTED PER ASTM A262 ASPg16781 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENTS ASME Code Stamped (Yes or No)NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT*Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~~~~~~~~(1)size is 8-1/2 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. 'P' FORM NZS-2 (Back)Page 2 of 2 9, Remarks WESTINGHOUSE CONOSEAL FEMALE FLANGES WERE REPLACED WITH CETNA Applicable Manufacturer's Data Reports to be attached WELDED NOZZLE ASSEMBLIES ON THERMOCOUPLE'S 1 THRU 5.*ALL PT'S RE UIRED ARE DOCUMENTED IN THE JOB ORDER PACKAGE.VT-2 EXAMS WERE PERFORMED AND ACCEPTED.Ref.JO:C20993-1 File: RX VESSEL ISI.1 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Certificate Signed Fran Pisarsk Maint.En.Su ervisor Date 8 Owner or Owner's Designee, Title N A CERTIFZCATE OF INSERVZCE 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 Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Repdrt during the period 0/zZ/~<~to'=s I i~-and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.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. Znspector' i Date r-ure Commissions ~r~l.~~@-National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERZNG ASSOCIATION Cp cd'70-'7/FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEbQBTTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HIGAN POWER C MPANY Name P O.Box 60 Fort Wa n IN 46801 Address 2~Plant D.C OK LE P WER PLANT Name One Cook Place Brid an MI 4 106 Address 3.Work Performed by NI CO Name 2830 PARKWAY ST LAKELAND FL 3 11 Address Date 10 14 3 Sheet 1 of 2 Unit J.O: C21013-08 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identification of System ONTAINMEMT VENTILATI N" AEP Specifications

/MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-VCR-207 Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1nX 8n BOLTS N/A N/A N/A SA-193 B-7 ASP-15841 N/A REPLACE-MENT NO 7.Description of Work REINSTALL VALVE 2-VCR-207 ACTUATOR USING PROCEDURE**12 MHP 5021.028.004. REPLACED 12 A307 BOLTS WITH 12 A1 3 B7 BOLTS.8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A (X Other~Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)~~~size is 8-1/2 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.NIS94-08B P 4 tl Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED PA TENERS ON 2-VCR-207 WITH 1" X""SA-1 3'Gr.B-7 Applicable Manufacturer's Data Reports to be attached BOLTS.BOLT WERE TRIMMED TO PROPER LENGTH.ASME CLA II I I LASS II 21013-08 CERTZFICATE OF COMPLZANCE We certify that the statements made in the report are correct and this R la mn conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Signed A4 Owner or wner's Designee, Title Expiration Date Date N A CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi and employed by ARKWRI HT AL IN*of NORWOOD have inspected the components described in this Owner's Report during the period xy/v to it/<<I'tw 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 Wi oo Inspector' Si nat e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~mac II 19~'J NIS93-32

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 4680'1 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Date 09-30-94 Sheet 1 of Unit C21313-3 2-IMO-316 Address Repair Org.P.'O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement, Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment, ASME Code Stamped (Yes or No)2-ZMO-316 N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD STUDS NOVA MACHINE PRODUCTS CORP N/A N/A ASTM A-453 GRADE 660 ME(E30029999 ASPQ15076 1986 REPLACE-MENT NO ITT ENGINEERED VALVES N/A N/A ASME SA-194 N/A GRADE 8F M&E30212090 ASPQ11191 REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 44 ,~II II" 4 Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED BONNET TO BODY BOLTING MATERIAL PER 12-MM-574. Applicable Manufacturer's Data Reports to be attached Ref.JO: C21313-3 File: 2-IMO-316 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Frank Pisarsk Maint.Ena.Su ervisor Date JS 0 Owner or Owner's Designee, Title N A 19~4 CERTIFICATE OF ZNSERVZCE INSPECTZON the undersigned, holding a valid commission issued by the National@card of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~lc9/'ts to/s/R<and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind aris'ng from or connected with this inspection. Commissions Hic>ooS'9'.E.~d/JZ Inspector'i ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEKE'XTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 01-24-4 P.O.Box 60 Fort Wa n IN 468 1 Address Sheet 1 of 2~Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid n MI 4 106 C21425-3 2-BD-101-1 1"LINE Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artmen Name Same s 2 Address Expiration Date N A 4.Identification of System BLOWDOWN (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Add nda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-BD-101-1 Name of Manufacturer N/A Manuf.Serial No.N/A Npt.Board No.N/A Other Identi-fication N/A Year Built N/A Repaired Replaced or Replace-ment REPAIRED BY WELD-ING ASME Code.Stamped (Yes or No)NO 7.Description of Work See Remark 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT2 Pressure si Test Temp.oFNOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NIS-2 (Back)9~Remar ks GROUND OUT DEFECT WHERE THE 1"LINE TEE'INTO THE 2" STEAM Applicable Manufacturer's Data Reports to be attached GENERATOR BLOWDOWN LINE DOWNSTREAM OF 2-BD-101-1. REWELDED DEFE TED AREA.Ref.JO.C2142-3 File: 2-BD-1 1-1 ISI:2 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 Signed Frank Pisarsk Maint.En.Su ervisor Owner or Owner's Designee, Title Expiration Date Date 30 N A CERTIFICATE OF'INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board'f Boiler by ARKWRIGHT MUTUAL INS.CO.*, of NORWOOD MASS.have inspected the components described in this Owner's Report during the period I"2v-9v to-zo-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 XZ.By signing this certificate neither the Znspector 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. Inspector's ign ure Date nA 19 Commissions Will o~s'S'.b'ational Board, S ate, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION

'I tr C PORN NXS-2 OWNER'S REPORT FOR REPAXRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN P WER MPANY Name Date 1-24-4 P , Box 0 For W Address IN 46 01 Sheet 1 of 2.Plant D 0 K CLEAR P WER PLANT Name Uni.t k Pla Bri n MI 4 1 Address-214 2-7 2-RV-1 2 2"VALVE Repair Org.P.O.No., Job No., etc 3.Work Performed by Maint nance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System LETD WN CVCS r 1 A n 6.Identificati.on of Components Repaired or Replaced and Replacement Components Name of Component. Name of Manufacturer Manuf.Serial No.Nat.Boar.d No.Other Identi-;;. ficati.on Year Built, Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No).2-QRV-162. N/A N/A N/A N/A N/A" REPAIRED NO STUD 6 NUTS~~1,~TEXAS BOLT COMPANY;'" N/A N/A STUD-SA-193 GR.B-7 NUTS-SA194, GR.2H MGE30029005 ASP/7863** ASPP16697~* N/A REPLACE-MENT NO'P 7., Des~iption of Work, rk'.Test.Conducted: Hydrostatic-Pneumatic-'ominal.Operating Pressure,,~ r N/A Other MT Pressure si-Test.Temp.,"-P~'>~~'>NOTE'Supplemental sheets in'orm of lists, sketches, or drawings may'-be used, provided (1)" size'is 8-1/2 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'he top of-thi.s.form; J~>~~>>>>n~.>r'>\ /4 4 t t I FORM NZS-2 (Back)Page 2 of 2 9.Remarks RE LA ED B DY-T B NNET S THA Applicable Manufacturer's Data Reports to LEVEL 4 P 7 6**.MAGNETI PARTI LE WERE P be attached TE TIN F S ED ALITY.W A P IN THEM T ALITY LEVEL P THEN ASSIGNED.R f-2 4 2-7 Fil.2-RV-1 CERTIFICATE OF COMPLIANCE N A We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date--Si ed F nk Pis rsk Maint.En.Su ervisor Date-AZ ,19 9 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I g the undersigned, ho 1 ding a va 1 id commis s ion is sued hy the Nationa 1 Board of Boi 1 er by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period and state that to the hest 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 XZ.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 he 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.~imsi-.l~d d'Pd em)Znsp or's Signature National Board, State, Province, Endorsements Date" 1928*FACTORY MUTUAL ENGINEERING ASSOCIATION 'h1~J~t FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MI HI AN P WER OMPANY Name Date 02-21-4 P 0 B x 0 F r Wa n IN 4 801 Sheet 1 of 2.Plant D Address K CLEAR P WER PLANT Name Unit k P B i n M 4 1 Address 21 4-2 2-V-241 2" VALVE Repair Org.P.O.No., Job No., etc 3.Work Performed by int n n e D artm nt Name Sam as 2 Address Expiration Date N A 4.Identification of System MAI TEAM A 6.Identification of Components Repaired or Replaced and Replacement Components P Name of Component Name=of Manufacturer Manuf.Serial No.Nat.Board No, Other Identi-.fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or.No)2-MRV-241 SEAT RING N/A FISHER CONTROLS N/A N/A N/A N/A N/A ASTM A-582 TYPE 416 MQE30040120 ASPP 12289 N/A N/A REPLACE-MENT NO REPAIRED NO PLUG AND STEM ASSY.FZSHER CONTROLS N/A N/A ASTM A-582 TYPE 416 M6rE30040005 ASPP 12623 N/A REPLACE-MENT NO 7.Description of Work R rk 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTEs Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. ~I P I' Page 2 of 2 FORM NIS-2 (Back)Remarks REPLA ED PL AND TEM ASSEMBLY AL REPLA ED EAT RIN DUE Applicable Manufacturer's Data Reports to be attached T NORMAL WEAR R f.:-21 42-2 Fil 2-MRV-241 I 1 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date/2 Sigped rank P gars Maint.En.Su ervisor Date D-'7 Owner or Owner's Designee, Title N A 19 9g 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS have inspected the components described in this Owner's Report during the period 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection. 4'+~Commissions Y/c g~Žr AZg~Inspector'ignature National Board, State, Province, Endorsements Date*FACTORY MUTUAL ENGINEERING ASSOCIATION M-A'/-19 r"8 P FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-11-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit C21917-1 2-SV-1B-4 Address Repair Org.P.O.No., Gob No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-SV-1B-4 N/A N/A N/A N/A N/A REPAIRED NO DISC DRESSER INDUSTRIES N/A N/A ASTM A-565 GRADE 616 ME<E30037728 ASPg16182 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. It I t'I Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED DISC DUE TQ NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JQ: C21917-1 File: 2-SV-1B-4 ISI:2 CBRTZFZCATE OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fra p earek aint.gn.Sn ervieor Date n e-Owner or Owner's Designee, Title N A CBRTZFZCATB OP ZNSBRVZCB INSPECTION Inspector's ign ure*FACTORY MUTUAL ENGINEERING ASSOCIATION Date Alo~pe e I t 19~I, the undersigned; holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 3 I Ce to Ii" Ic 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 XZ.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 i=4 s National Board, State, Province, Endorsements t'II a 4I N k 4 V r, Q+k p'I FORM NIS-,2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Date 10-03-94 Sheet.1 of Unit C23011-2 2-RC-102-L3 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Zdentif ication of System REACTOR COOLANT (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-RC-102-L3 STEM&PLUG ASSEMBLY N/A CONVAL ZNC.N/A N/A N/A N/A N/A SA-182 TYPE 316 M&E30035574 ASP¹13759 N/A N/A REPLACE-MENT NO REPAIRED NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. C V N e I V Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED STEM AND PLUG ASSEMBLY DUE TO SCORING.Applicable Manufacturer's Data Reports to be attached Ref.JO: C23011-2 File: 2-RC-102-L3 ISI: 1 CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date 4.l Signed F ank Pisarsk Maint.En.Su ervisor Date Ii I'Owner or Owner's Designee, Title N A CERTZFZCATE OF ZNSERVICE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL IN'O.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period~o~9Y)z-is-9g 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 foi any personal injury or property damage or a loss of any kind arisin from or connected with this inspection. Commissions ~~c.c ross Inspector' igna re National Board, State, Province, Endorsements Date Dr r i-n i.wee/s 19 4+*FACTORY MUTUAL ENGINEERING ASSOCIATION S 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-16-94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Sheet 1 of Unit C23787-6 2-MS-135-2 Address Repair Org.P.O.No., 8'ob No.,'etc 3.work Performed by Maintenance Deaartment Name Same as 2 Address Authorization No.N A Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MS-135-2 2" SCH.80 PIPE Name of Manufacturer HENRY VOGT MACHINE CO.RADNOR ALLOYS ZNC.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication ASME SA-,105 M&E30044248 ASPQ15781 ASME SA-106 GRADE B M&E30014981 ASPQ14967 Year Built N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. r 4V 1'4 Page 2 of 2 FORM NZS-2 (Back)9~Remarks REPLACED VALVE AND AD JACENT PIPING DUE TO STEAM CUTS IN VALVE Applicable Manufacturer's Data Reports to be attached IN BODY SEATING AREA.PT EXAMS WERE PERFORMED ON WELD JOINTS AND ACCEPTED.Ref.JO:C23787-6 File: 2-MS-135-2 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Frank Pisarsk Maint.Ena.Supervisor Date l Owner or Owner's Designee, Title N A CERTIFICATE OP ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this'Owner's Report during the period rP I Z.to/-3 ts 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 XZ.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 ~<<>c9c95<Inspector's gna e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19~

II ii 1 RORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-10-94 P.O.Box 60 Port Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Unit C24544-4 2-IMO-312 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-ZMO-3 12 N/A N/A N/A N/A N/A REPAIRED NO BACKSEAT RETAINING RING N/A N/A ASTM A-564 TYPE S/S630 M&E30044062 ASP¹14666 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. ~a 4~~ Page 2 of 2 FORM NZS-2 (Back)9.Remarks GROOVES FOR REMOVING RETAINER RING WERE ROUNDED OFF DURING Applicable Manufacturer's Data Reports to be attached REMOVAL REPLACED RETAINER RING.Ref.JO: C24544-4 File: 2-IMO-312 ISI:2 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A IN"'""4'"" Expi ation Date Signed Fra Pisaisk Maxnt.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CBRTZFICATE OF ZNSBRVICB INSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the, period'to 2" 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. RAP Commissions -~<-~,'>r Inspector' S'na re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date>~-:wk~t 19~/

~~ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date'0-02-94 P.O.Box 60 Fort Wa e IN 46801 Address K 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Sheet" 1 of Unit C24817-1 Ec.11 2-WCR-958 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by.Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System NON-ESSENTIAL SERVICE WATER (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component EXISTING 2-WCR-958 BONNET TO BODY STUDS BONNET TO BODY NUTS Name of Manufacturer N/A ITT ENGINEERED VALVES ZTT ENGINEERED VALVES Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication SA-351 GRADE CF8 ASME SA-453 GRADE 660 M&E30040583 ASPQ13953 ASME SA-194 GRADE 8 M&E30040564 ASP513953 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure N/A Other RT Pressure 138 si Test Temp.AMBIENT 4F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~~(1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks EXISTING VALVE WAS CUT OUT AND REORI ENTATED TO ACHIEVE DES I RED Applicable Manufacturer's Data Reports to be attached ACCESSIBILITY TO 2-CPN-71.VALVE WAS REWELDED IN AND X-RAY EXAM OF WELDS WERE ACCEPTED.BODY TO BONNET FASTENERS WERE REPLACED.Ref.JO:C24817-1 8 11 FILE:2-WCR-958 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR a REPLACEMENT conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fr Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OF ZNSBRVICB 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period O g to (I I 4 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 recyxirements of the ASME Code, Section XZ.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 Znspector 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 r i~"-<opsy Inspector'i ure National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION wba I Date

.4 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME.Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e 1N 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 10-13-94 Sheet 1 of Unit C25993-1 2-SV-1A-2 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Zdentification of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-1A-2 DZSC Name of Manufacturer N/A DRESSER ZNDUSTRZES Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication N/A ASTM A-565 GRADE 616 M&E30037728 ASPg16182 Year Built N/A N/A Repaired Replaced or Replace-ment REPAZRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used", provided (1)size is 8-1/2 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. I t I FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED DISC DUE TO NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JO: C25993-1 File: 2-SV-lA-2 ISI:2 CBRTZRZCATB OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A'-""-"'tet'" Expirat aigned Frank ra Maine.nn.Sn erriaer Date Owner or Owner's Designee, Title on Date N A , Z9 9 CERTIFICATE OF INSBRVZCB ZNSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 0-I a-~~to si-ic-RH 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. Inspector'i Date Commissions icl s'w-r 8/d2.ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION 19'7/

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-07-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address Repair 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System CHARGING CVCS Unit C26042-4 2-MO-'225 Org.P.O.No., Job No., etc Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-QMO-225 VALVE PLUG Name of Manufacturer N/A VELAN INC.Manuf~Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A STELLITE¹6 ME¹30043945 ASP¹15711 Year Built N/A N/A Repaired Replaced oz Replace-ment.REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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. P,~P4+~II~k FORM NIS-2 (Back)Page 2 of 2 9.Remarks VALVE PLUG WAS REPLACED DUE TO CRACK INDICATI NS FOUND DURING Applicable Manufacturer's Data Reports to be attached PT EXAM.THE VALE PLUG WAS CRACKED DUE TO OVERTHRUSTING OF VALVE DURING M.O.V.TESTING.Ref.JO: C26042-4 File: 2-MO-225 ISI:2 CERTIFICATE OP COMPLIANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A""'"""JXE-""'"'L"" Expiration Date Signed Fran Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A CBRTZFZCATE OP ZNSBRVZCB INSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period rO'o/I-)La>>-ndd 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 XZ.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 propeity damage or a loss of any kind arising from or connected with this inspection. rp(gr Znspector's Sign ure Date~~~h.-tZ/C Commissions Hi=I ops'~~~~Wc~National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Z9 94 Ih N FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-07-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Address Repair 3.work Performed by Maintenance De artment Name Unit C26053-3 2-MO-226 Org.P.O.No., Job No., etc Same as 2 Address Expiration Date N A 4.Zdentif ication of System CHARGING CVCS (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-QMO-226 VALVE PLUG Name of Manufacturer N/A VELAN INC.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A STELLZTE N6 MEN30043945 ASPQ15711 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. e r, t I II II FORM NZS-2 (Back)Page 2 of 2 9.Remarks VALVE PLUG WAS REPLACED DUE TO CRACK INDICATIONS FOUND DURING Applicable Manufacturer's Data Reports to be attached PT EXAM.THE VALE PLUG WAS CRACKED DUE TO OVERTHRUSTING OF VALVE DURING M.O.V.TESTING.Ref.JO: C26053-3 File: 2-MO-226 ISI:2 CERTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the,ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Fran is Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A 19 9k CBRTZFZCATE OF ZNSBRVZCE ZNSPBCTION

  • FACTORY MUTUAL ENGINEERZNG ASSOCIATION Date~ave'~hvar

/6 19 9Y I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period r'O to rl-I<.'i Y and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /Commissions M<<>oO<~Inspector' ign re Nati.onal Board, State, Province, Endorsements E 1 t k l II I K 4 l~4 i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 10-01-94 Sheet 1 of Unit C26158-2 2-CCR-460 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System COMPONENT COOLING WATER (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-CCR-460 EXISTING BONNET N/A NELES-ZAMESBURY VALVES N/A N/A N/A N/A N/A N/A CAST STEEL N/A REPAIRED MACHINED NO REPAIRED NO VALVE PLUG BONNET TO BODY STUD: 5/8" ALL THREAD NELES-JAMESBURY CONSOLIDATED POWER SUPPLY N/A N/A N/A N/A ASTM A-582 TYPE 416 ME¹30041007 ASP¹16206 ASME SA-193 GRADE B7 ME¹30028965 ASP¹13558 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-3./2 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. g~1 I'I I f V FORM NIS-2 (Back)Page 2 of 2 9.Remarks BONNET GASKET SEATING SURFACES WERE MACHINED PER MANFACTURES Applicable Manufacturer's Data Reports to be attached DRAWING AND PT EXAM WAS ACCEPTABLE. PLUG WAS REPLACED DUE TO NORMAL WEAR BODY TO BONNET STUD WAS MISPLACED AND REPLACED.Ref.JO: C26158-2 File: 2-CCR-460 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Zu P'xpiration Date Qc Signed'sask Maxnt.En.Su ervisor Date (o'L 7 Owner or Owner's Designee, Title N A ,>99 CERTIFICATE OF INSBRVICS INSPECTION

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~m I~c Zd" 19 99 I, the undersigned, holding a valid commission issued-by the National Board of Boiler and Pressure Vessel Inspectors and the State or, Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to r'n.cp-9s 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 Inspector's S at e National Board, State, Province, Endorsements \ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDlANA MICHIGAN POWER COMPANY Name Date 10-04-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Unit C26162-2 2-CCR-462 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System COMPONENT COOLING WATER (b)Applicable Edition of Section XIUtilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-CCR-462 EXISTING BONNET Name of Manufacturer N/A NELES-JAMES BURY VALVES Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A CAST STEEL Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPAIRED MACHINED ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 1 Page 2 of 2 FORM NZS-2 (Back)9.Remarks BONNET GASKET SEATING SURFACES WERE MACHINED PER MANFACTURES Applicable Manufacturer's Data Reports to be attached DRAWING AND PT EXAM WAS ACCEPTABLE. PLUG WAS NOT REPLACED AS STATED ON R R TRAVELR WRITTEN ON 09-19-94.TRAVELER NOT USED Ref.JO: C26162-2 File: 2-CCR-462 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A'"""'t'r"'"'"'~ Expiration Date Signed ant isarsk saint.gn.Sn ervisnr Date (o Owner or Owner's Designee, Title 19 N A CBRTZPZCATB OP ZNSBRVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period rP'/'fY tO r~AP 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 XZ.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. ~>Hlc..7'ommissions /Ace o~ss.E~~d Znspector'i ature National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc.r o)~etz zg ae~/

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-15-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Unit C26408-2 2-OME-3-3 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System STEAM GENERATING (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6~Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-OME-3-3 STEAM GENERATOR MANWAY MANWAY COVER Name of.Manufacturer WESTINGHOUSE ELECTRIC CO.WESTINGHOUSE ELECTRIC CO.WESTZNGHOUSE ELECTRIC CO.Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication N/A ASTM A-508 CLASS 2A SA-516 GRADE 70 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPAIRED REPAIRED MACHINED REPAIRED MACHINED ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other MT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. F g%t tl ll J' Page 2 of 2 FORM NZS-2 (Back)9.Remarks MACHINED GASKET SEATING SURFACES OF MANWAY AND MANWAY COVER Applicable Manufacturer's Data Reports to be attached TO REMOVE PITTED AREAS.MAGNETIC PARTICLE EXAMS WERE PERFORMED ON ALL MACHINED AREAS AND ACCEPTED.Ref.JO: C26408-2 File: 2-OME-3-3 ISI: 2 CBRTZFZCATB 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 XZ.repair or replacement I Type Code Symbol Stamp N A Certifica e-'-jj--.~Expiration Date Signed Fran Pis rsk MaVnt.En.Su ervisor Date (l Owner or Owner's Designee, Title N A 19 0 CERTIFICATE OF XNSBRVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period ra r Z-/99 y to r r i'r c/o jy 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 recpxirements of the ASME Code, Section XZ.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 r Commissions ~ref oas z.E~:4 rc/9M Inspec or's ignature National Board, St te, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERING ASSOCIATXON Date A/s~c mhc./c FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 10-13-94 Sheet 1 of Unit C26430-7 2-CCM-458 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Zdentif ication of'System COMPONENT COOLING WATER (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.1dentification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer.Manuf, Nat.Serial Board No.No.Other Zdenti-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-CCM-458 BOLTS HENRY PRATT CO.NORTH CENTRAL FASTENERS N/A N/A N/A N/A MEcE30042965 ASP¹14138 ASME SA-193 GRADE B7 MEE30046430 ASP¹3693 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 'E Page 2 of 2 FORM NZS-2 (Back)9.Remarks VALVE REPLACEMENT PARTS ARE NOT AVAILABLE REPLACED VALVE AND Applicable Manufacturer's Data Reports to be attached BOLTS.Ref.JO: C26430-7 File: 2-CCM-458 ISI:2 CBRTZFZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Prank xsarsSc Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTIFICATE OP ZNSBRVZCE ZNSPBCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period lg to Iz.-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 arisi from or connected with this inspection. 4 Commissions wiW tv Prt)Inspector's ign ure National B ard, Sta e, Province, Endorsements Date Dc.cc~'b~A/19 95'FACTORY MUTUAL ENGZNEERZNG ASSOCIATION ,r I FORM NZS-'2 OWNER'S REPORT FOR REPAIRS OR REPLAC22KEXTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA I HI AN P WE MPANY Date 2 4 Name P~Bx Fr W I 4 1 Sheet 1 of 2 2.Plant D Address K LEAR POWER PLANT Name Unit On Cook Pl Bri Address MI 4 1 2 434-0 Repair Org.P.O.No., Job No., etc 3.Work Performed by NI Name 2 30 PARKWAY ST LAKELAND FL.33 11 Address Type Code Symbol Stamp V Authorization No.2-V 4.Identification of System TE*AEP Specifications /MDS Standards 5.(a)Applicable Const.Code*(b)Applicable Edition of Section ENERAT R/ANSI B31~1-83/AISC 19 Ed., Adds Code Case XI Utilized for Repairs or Replacements 19~~W g 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-OME-3-3 Name of Manufacturer Manuf.Serial No, Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)1 7/8" STUD ASSY.1 7/8" NUT&WASHERS N/A N/A N/A N/A N/A N/A MANWAY STUD 3CL13 SA-193 B7 ASP-15386 MANWAY STUD 3HL13 SA-193 B7 ASP-15386 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work WA HER.REPLA E P I Y R 7 11 AND Y F R 2 PE R E**2MHP 021 2 005 8.'Zest Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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.NIS94 l~ Page 2 of 2 FORM NZS-2 (Back)9.Remarks VERIFI D T NO F REI N MATERIAL ENTERED THE H T OR THE Applicable Manufacturer's Data Reports to be attached COLD LE MAINTAINED LEVEL I LEANLINE.CHASED 13 BOLT HOLE PRI R TO REPLACING STUD I I LA I C26434-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement" conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed ucidccm Date i/Owner or er's Designee, Title 19 N A CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTU INS.CO.*of-NOR OOD S.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.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 rom or connected with this inspection. -Commissions MicJ<AS HivPA'Znspector'S EgnatAre National Boar , State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wve~a 19'ZS94 (li FORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEME2FZS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-10-94 Sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Uni't One Cook Place Brid man MI 49106 Address C26497-3 2-MO-201 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System CHARGING CVCS Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-QMO-201 3/4" STUDS ALL KGuUQ)Name of Manufacturer N/A VELAN INC.CARDINAL INDUSTRIAL PRODUCTS Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASME SA-182 GRADE 316 STELLITE¹6 M&E30044145 ASP¹16278 ASME SA-453 GRADE 660 ME¹30212295 ASP¹16300 , Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided~~(1)size is 8-1/2 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. tl V>>lt r k.l~'C I Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED WEDGE AND BODY TO BONNET STUDS PRIOR TO INSTALLATION Applicable Manufacturer's Data Reports to be attached C WEDGE WAS MACHINED TO ASSURE PROPER FIT.Ref.80: C26497-3 File: 2-MO-201 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A"""'"5l'xpiration Date Signed Fran Pxsarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A CERTZFZCATE OF INSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to)z-and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.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 rom or connected with this inspection. Commissions tie 4 cr.s.Gn Mppr~Inspector's S't National Bo rd, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date r-: n~>~-19 I III 0 II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 10-16-94 Sheet 1 of Unit C26507-1 2-GFW-S873 Address Repair Org.,P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System PIPING SUPPORT (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Xdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-GFW-S873 Name of Manufacturer GRZNNELL Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication SNUBBER MGE3 0024691 ASP¹14705 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0 Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED SNUBBER DUE TO CRACKED RESERVOIR. Applicable Manufacturer's Data Reports to be attached Ref.JO:C26507-1 File:2-GFW-S873 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date K)Signed Fran i arak Maint gn.an erviaer Date<(t&Owner or Owner's Designee, Title N A 19+CERTIFICATE OP ZHSERVZCE ZHSPECTZOH I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period r'C/C'nd 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 XZ.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 H':.l on s E'~ie h'lW Inspector's ign ure National Board, State, Province, Endorsements Date O~=r.~~a 19~/*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-15-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid man MI 49106 C26508-1 2-CR-301 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance Department Name Same as 2 Address Expiration Date N A 4.Identif ication of System LETDOWN CVCS (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components .Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QCR-301 TRIM ASSEMBLY N/A COPES-VULCAN INC.N/A N/A N/A N/A N/A ASTM A-479 TYPE 410 MGE30036070 ASPP17064 N/A N/A REPLACE-MENT NO REPAIRED NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressuxe N/A X Other Pressure si Test Temp.oFNOTE: Supplemental, sheets in form of lists, sketches, or dxawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is included on each sheet, and (3)each sheet is numbex'ed and the number of sheets is recorded at the top of this form. 4 , I Page 2 of 2 FORM NZS-2 (Back)9.Remarks TRIM ASSEMBLY WAS ORIGINALY REPLACED ON 1 0-04-94 PER Applicable Manuf acturer'Data Reports to be attached JOB ORDER R26 084-1.DURING REASSEMBLING AND TESTlNG PLUG WAS ROTATED WH I LE SEATED AGAINST THE SEAT RING THIS GALLED THE SEATING SURFACES.REPLACED TRIM ASSEMBLY AGAIN PER C26508-1 Ref.JO: C26508-1 File: 2-CR-301 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.z epai r or replacement Type Code Symbol Stamp N A Expiration Date~t Signed Fran PisarsSc Mai t.En.Su ervisor Date Owner or Owner'Designee, Title N A CERTZFZCATE OF INSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressuze Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner'Report during the period 10 5 v to-Y~and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corzective measures described in this Owner'Report in accordance with the requirements of the ASME Code, Section XZ~By signing this certificate neither the.Inspector nor his employez makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner'Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner f'r any personal injury or property damage or a loss of any kind arisin from or connected with this inspection. /~Commissions M~c 4 opsy'~AA'4'nspector' ign re National Board, Stat, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date-~a 3 19~

FORM NIS"2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address Date 10-23-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Unit C26546-1 SEE REMARKS Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System RESIDUAL HEAT REMOVAL (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)8" PIPE DOWNSTREAM OF 2-SZ-151E N/A N/A N/A SA-376 TYPE 304 N/A REPAZRED NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oFNOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 0 II a I Page 2 of 2 FORM NZS-2 (Back)9.Remarks REMOVED ARC STRIKE BY FILING AND PT EXAM OF AREA WAS ACCEPTED.Applicable Manufacturer's Data Reports to be attached ARC STRIKE WAS LOCATED APP.20'OWNSTREAM OF 2-SI-151E ON THE 8" LINE.Ref.JO: C26546-1 File:2-SI-151E ISI:2 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A'"'4""'xpiration Date Signed Frank Pie arak Maint.En.Sn erviaer Date Owner or Owner's Designee, Title 19 N A CBRTZFZCATE OF ZNSBRVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period-jr-9<to il-IC-~iw 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 Wi=~>><>.S~+<>~Inspector' gn re National Board, State, Province, Endorsements ~FACTORY MUTUAL ENGINEERING ASSOCIATION rt'L~h~g~ FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-15-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Bridaman MI 49106 Unit C26590-3 2-MO-200 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System CHARGING CVCS Expiration Date N A (b)Applicable Ed'ition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QMO-200 WEDGE N/A VELAN ZNC.N/A N/A N/A N/A N/A ASME SA-182 GRADE 316 STELLZTE¹6 MGE300443.45 ASP¹17168 N/A N/A REPLACE" MENT NO REPAIRED NO 7.Description of Work See Remarks 8.Test'Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. A I FORM NIS-2 (Back)Page 2 of 2'.Remarks REPLACED WEDGE PRIOR TO INSTALLATION WEDGE WAS MACHINED TO Applicable Manufacturer's Data Reports to be attached ASSURE PROPER FIT.PT EXAM WAS PERFORMED ON MACHINED SURFACES AND ACCEPTED.Ref.JO: C26590-3 File: 2-MO-200 ISI:l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date N A I Signed Frank Pz arskv Main.En.Supervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE ZNSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period go-gu-)'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 XZ.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 ~>i.-A oos$29~PN Inspector'ig ature National Board, State, Province, Endorsements Date a~u~z*FACTORY MUTUAL ENGINEERING ASSOCIATZON 19' I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-31-94 P.O.Box 60 Fort Wavne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Bridaman MI 49106 Address C26852-1 2-MO-420 Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance Deoartment Name Same as 2 Address Expiration Date N A 4.Identification of System BORON MAKEUP CVCS (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Manuf.Name of'erial Manufacturer No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QMO-420 2" SCH.40 PIPE INVENTORY MANAGEMENT CORP.CHICAGO MECHANICAL INC.1164 N/A N/A N/A ASME SA-182 TYPE F316 M&E30043630 ASP¹15936 A-312 TYPE 304 M&E30016711 ASP¹13597 N/A 1989 REPLACE-MENT REPLACE-MENT NO NO 90 3000¹ELBOW RADNOR ALLOYS INC.N/A N/A ASME SA-182 TYPE F304 ME¹30016998 ASP¹15045 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure N/A Other PT Pressure 188 si Test Temp.AMBIENT OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORM NIS-2 (Back)9.Remarks'REPLACED VALVE AND AD JACENT PIP ING AND FITTINGS.Applicable Manufacturer's Data Reports to be attached HYDRO.AND PT EXAM WAS PERFORMED ON ALL WELDS AND ACCEPTED.Ref.JO: C26852-1 File: 2-MO-420 ISI:2 CERTZFZCATE 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 XZ.repair or replacement Type Code Symbol Stamp N A, Expiration Date Signed Frank Pisarskv Maxnt.En.Su ervisor Date Owner or Owner's Designee, Title I 19 N/A CERTZFICATE OF ZNSERVICE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period c~to I/c and state that to the best of my knowledge and be ief, 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. ~Pc Commissions Air=a~c s's'nspector's ign ure National Board, State, Province, Endor sements*FACTORY MUTUAL ENGZNEERING ASSOCIATION FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZ292TTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MICHIGAN POWER COMPANY Name Date 11 28 4 P.O.Box 60 Fort Wa ne IN 46801 Address sheet 1 of 2 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33811 Address Unit J.O.C27211-04 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System STEAM*AEP Specifications /MDS Standards 5.(a)Applicable Const.Code*(b)Applicable Edition of Section 1983 ADDENDA GENERATOR/ANSI B31.1-83/AISC 19 Ed., Add.Code Case XZ Utilized for Repairs or Replacements 19~83 W 8 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component SG 8 23 1-7/8" X 16.11" MANWAY CLOSURE STUDS 1-7/8" MANWAY CLOSURE NUTS MANWAY CLOSURE SPHERICAL WASHERS UPPER 6 LOWER Name of Manufacturer N/A N/A N/A Manuf.Serial No.MA-49767-9 MA-49767-9 MA-49767-9 Nat.Board No.N/A N/A N/A Other Identi-ficationn SA193 Gr.B7 ASP-15386 SA194 Gr.7 ASP-15386 SA-194 Gr.7 ASP-15386 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO No NO 7.Description of Work REPLACE 1-7 8 DIA.MANWAY STUD NUT AND WASHERS IN STUD HOLE NUMBER 14 FOR STEAM GENERATOR 23 8.Test Conducted: Hydrostatic ~Pneumatic~Nominal Operating Pressure N/A I X I Other+Pressure si Test Temp.OP NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. ~'aw~'C Page 2 of 2 FORM NZS-2 (Back)9.Remarks ASME CLASS I IS I CLASS I J.O 27211 A 4 Applicable Manufacturer's Data Reports to be attached REPLACED 1-7 8".STUD NUT Ec WASHER IN SG 23 MANWAY UNI UE ID NUMBER 23HL-14 SERIAL NUMBER MA-49767-9 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed~Date Owner or ner's Designee, Title N A CERTIFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO-*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period/+~c(5 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. Inspector's WignMure Commissions i-o~;v PA/National Board, Stat , Province, Endorsements Date n c n 19 95*FACTORY MUTUAL ENGINEERING ASSOCIATION I*~Z FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Port Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Pl c Brid an MI 4 106 Address I 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND PL.33811 Address Date 10 05 94 Sheet 1 of 2 Unit J.O.R 655-05 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.0290-V 4.Identif ication of System PRESSURIZER

  • AEP Specifications

/MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code'Case (b(Applicable Edition of Section Xr Utilized for Repairs or Replacements 19~83 W S 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-45A Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)6 X 6 SAFETY VLV CROSBY N56499 00-0001 N/A STYLE HB-86-BP N/A REPLACED NO 6X6 SAFETY VLV 1"X 6 1/2" STUD BOLTS CROSBY N/A RV-1-8010B N/A N/A N/A STYLE HB-86-BP SA453-GR660 ASP17328 N/A N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work REMOVE THE EXISTIN 2-SV-45A SAFETY VALVE FOR SET-POINT TE TING AND REPLACE WITH THE SPARE VALVE PER**12 MHP 5021.001.0 2 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94 Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED ALL OUTLET FLANGE STUDS A1 BS WITH SA453 GR660 Applicable Manufacturer's Data Reports to be attached AL 0 REPLACED THE INLET STUDS WITH SA453 GR660 STUDS.PERFORMED VT-1 VT-2&LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE ASME CLASS I ISI CLASS I Z.O.R9655-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R 1 m R ir conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Signed~nlG Irj~Owner r Owner's Designee, Title Expiration Date 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 Mi hi n and employed by ARKWRZ H M AL I*of NORW D MA have inspected the components described in this Owner's Report during the period I-l-q<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 om or connected with this inspection. ~~7 Commissions i.cl~osC Er PA'Inspector's S nat e National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19~f NIS94 I*e-n~tt II FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l.Owner INDIANA MI HIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Address 3.Work Performed by NISCO Name 2 PARKWAY ST.LAKELAND FL 3811 Address Date 10 05 94 Sheet 1 of 3 Unit J.O.R 6 6-05 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System-PRES URIZER*AEP Specifications

/MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W S 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-45C Name of Manufacturer Manuf.Serial No.Nat.Board No.OtherIdenti-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)6X6 SAFETY VLV CROSBY RV-2-8010C N/A STYLE HB-86-BP N/A REPLACED NO 6 X 6 SAFETY VLV 1"X 6 1/2" STUD BOLTS 1 3/8"Xll" STUD BOLTS CROSBY N/A N/A RV-2-8010B N/A N/A N/A N/A N/A STYLE HB-86-BP SA453-GR660 ASP17328 SA453-GR660 ASP-13508 N/A N/A N/A REPLACE-MENT REPLACE-MENT REPLACE-MENT NO NO NO 7.Description of Work REMOVE THE EXISTING 2-SV-45C SAFETY VALVE FOR SET-POINT TESTIN AND REPLACE WITH THE SPARE VALVE PER**12 MHP 5021.001.0 2 a 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94 w II h FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST.LAKELAND FL.33 11 Address Date 10 05 4 Sheet 2 of 3 Unit J.O.R9659-05 Repair Org.P.O.Noes Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identif ication of System PRESSURIZER +AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed., Add.Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements as~83 W S 1 9 8 3 ADDENDA 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 1 n HEAVY HEX NUTS Name of Manufacturer N/A Manuf.Serial No.N/A Nat.Board No.N/A Other Identi-fication SA194-GR8F ASP-117394 Year Built N/A Repaired Replaced or Replace-ment REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PA E FOR ADDITIONAL COMPONENTS ONLY J.O.R 656-05 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure sig Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94 Page 3 of 3 PORM NIS-2 (Back)9.Remarks REPLA ED ALL OUTLET.FLANGE STUDS A1 3 B8 WITH SA45 GR660 Applicable Manufacturer's Data Reports to be attached ALSO REPLACED THE INLET STUDS WITH SA453 GR660 STUDS.PERFORMED VT-1 VT-2 Sc LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE. ASME CLASS I IS I CLASS I J.O.R 656-05 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lac m n R air conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date i~/Signed-9 41-4 94'~Date Owner or 0 ner's Designee, Title 19 N A CERTZPICATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi hi n and employed by ARKWRI HT M AL I of N RWOOD MA have inspected the components described in this Owner's Report during the period I 9 5 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 XZ.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 arisin from or connected with this inspection. Commissions i 4 o>s Ctx Piv4'/Inspector's na re National Board, State', Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCZATION Date~~~~u NZS94

~, 4 d II g FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-17-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid man MI 49106 Address R12537-1 2-MSS-1 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Exp'iration Date N A 4.Identification of System PIPING SUPPORT (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MSS-1 TAPERED LOAD PZN Name of Manufacturer N/A GRZNNELL CORP.Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A SA-193 GRADE B7 M&E30024975 ASP¹10364 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. I I\>>4 14 Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JO: R12537-1 File: 2-MSS-1 IS1:2 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A""""VV""'"-4-""- Expiration Date Signed Frank xsarsk Maint.En.Su ervisor Date u Owner or Owner's Designee, Title 19 N A CERTIFICATE OF INSBRVICE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS~have inspected the components described in this Owner's Report during the period rv~.~F.r)'o~>>la~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 XZ.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 wi~-.~>o.-~JP'.Inspector's gnat e National Boa'rd, State, Province, Endorsements Date s>~=.-~b<<o Z 19~tH*FACTORY MUTUAL ENGINEERING ASSOCIATION g II &$70-/0/FORM NZS"2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 4 106 Address 3.Work Performed by NISCO Name 2830 PARKWAY ST LAKELAND FL.33811 Address Date 10 05 4 Sheet 1 of 2 Unit J.O.R22608-06 Repair Org.P.O.No., Job No., etc Type Code Symbol Stamp V Authorization No.02 0-V 4.Identification of System PRESSURIZER +AEP Specifications /MDS Standards/ANSI B31.1-83/AISC 5.(a)Applicable Const.Code*19 Ed.,'Add.Code Case (b>Applicable Edition of Section XI Utilized for Repairs or Replacements 19~83 W S 6.identification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-45B Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)6 X 6 SAFETY VLV 6X6 SAFETY VLV 1"X 6 1/2" STUD BOLTS CROSBY CROSBY N/A N56499 01-0007 RV-1-8010A N/A N/A N/A N/A STYLE HB-86-BP STYLE HB-86-BP SA453-GR660 ASP17328 N/A N/A N/A REPLACED REPLACE-MENT REPLACE-MENT NO NO NO 7.Description of Work REMOVE THE EXI TING 2-SV-45B SAFETY VALVE FOR SET-POINT TESTING AND REPLACE WITH THE SPARE VALVE PER**12 MHP 5021.001.0 2 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.NIS94 Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED ALL OUTLET FLANGE STUDS A1 3 B8 WITH SA453 GR660 Applicable Manufacturer's Data Reports to be attached ALSO REPLACED THE INLET STUDS WITH SA453 GR660 STUDS.PERFORMED VT-1 VT-2&LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE. A ME LASS I ISI CLASS I'.O.R22608-06 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re la men Re ir conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Signed Owner o Owner's Designee, Title Expiration Date Date i>5 19 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 Michi an and employed by ARKWRIGHT M AL IN.0.*of N RW D MA have inspected the components described in this Owner's Report during the period i-s" r.S 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 Giom or connected with this inspection. Commissions W~~aors.Z~~PA'Yi Inspector's Siphature National Bo rd, Stat'.e, Province, Endorsements //*FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 NIS94 l",<L I h I ~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-07-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Sheet 1 of Unit R22733-1 2-GRC-S555 Address Repair Org.PRO.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identif ication of System PIPING SUPPORT (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GRC-SSSS TAPERED LOAD PZN N/A GRZNNELL CORP.N/A N/A N/A N/A N/A SA-193 GRADE B7 M&E30024975 ASP¹10364 N/A N/A REPAIRED NO REPLACE-MENT 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x 11 in., (2)information in items 1 through 6 on this report is included on each sheet, and (3)each sheet is numbezed and the number of sheets is-recoided at the top of this form. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JO: R22733-1 File: 2-GRC-S555 ISI:l CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A""-"'" ll'Expiration Date N A Signed Fran isa aint.n.Su ervisor Date (19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSBRVZCB ZNSPECTZON I, the undersigned, holding a valid commission issued by the, National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period re/c,'>'/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 XZ.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 an kind ari ing from or connected with this inspection. Commissions Arcs pvJ En/P/8<~Inspector'i ature National Board, Sta e, Province, Endorsements Date)Dec-c n 9 rg 19 7 P'FACTORY MUTUAL ENGINEERING ASSOCIATION l FORM NZS<<2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-22-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit R22843-1 2-GBD-SS68 Address Repair Org.P.O.No., Gob No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System PIPING SUPPORT Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-GBD-S568 TAPERED LOAD PIN N/A GRINNELL CORP.N/A N/A N/A N/A N/A SA-193 GRADE B7 M&E30024975 ASP¹10364 N/A N/A REPAIRED NO REPLACE-MENT 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. F lI Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JO: R22843-1 File: 2-GBD-S568 ISI:2 CBRTZFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Frank Pisarsk Maint.En.Su ervisor Date~i<I4 Owner or Owner's Designee, Title 19 N A CBRTZFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements 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 arisi from or connected with this inspection. Commissions rK Z~a.5"5~re.O'4 Znspector's ign ure National Board, State, Province, Endorsements Date 19*FACTORY MUTUAL ENGINEERING ASSOCIATION J' FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-14-94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Bridaman MI 49106 Sheet 1 of Unit R24359-1 2-MSS-7 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System PIPING SUPPORT (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component, 2-MSS-7 LOAD PZN Name of Manufacturer N/A NOVA MACHINE PRODUCTS CORP CARDINAL ZNDUSTRIAL PRODUCTS INC.Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication N/A ASTM A-194 GRADE 7 M&E30046553 ASP¹9861 ASME SA-194 GRADE 2H M&E30211925 ASP¹15333 Year Built N/A 1987 N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.

Page 2 of 2 FORM NZS-2 (Back)9.Remarks FABRICATED A NEW LOAD PIN FROM 1-1 4" BOLT ALSO REPLACED Applicable Manufacturer's Data Reports to be attached NUT.Ref.JO: R24359-1 File: 2-MSS-7 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A"""'"V"'"-""'" Expiration Date Qr Signed Fra Pxsarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A , 19/CERTIFICATE OF ZNSERVZCE INSPECTION the undersigned, holding a valid commission i,ssued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the pe iod rC-g.S-Vy to I 3 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 Inspector's S gna e National Board, State, Province, Endorsements Date Sa~mow g9 95*FACTORY MUTUAL ENGINEERZNG ASSOCIATION . FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-16-94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid an MI 49106 R25802-02 2-CTS-103W Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System CONTAINMENT SPRAY Expiration Date N A (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-CTS-103W Name of Manufacturer N/A NOVA MACHINE PRODUCTS CORP Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASTM A-194 GRADE 8F MGE30046903 ASP¹14876 Year Built N/A 1990 Repaired Replaced or Replace-ment REPAIRED REPLACE" MENT'ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. I~ FORM NZS-2 (Back)Page 2 of 2 9.Remarks BODY TO BONNET NUTS WERE NOT CONSISTENT SOME WERE STANDARD Applicable Manufacturer's Data Reports to be attached AND SOME WERE HEAVY HEX NUT.REPLACED ALL BODY TO BONNET NUTS ALSO CUT TWO BODY TO BONNET STUDS TO PROPER LENGHT.Ref.JO:R25802-2 File: 2-CTS-103W XSI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date 1 Signed Fran Pisarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title 19 N A CERTZRICATE OF ZNSSRVICB INSPECTION

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc<~h=i~ZJ 19 W9 I, the undersigned, hOlding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWR1GHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period to io-.~.z-O'I and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements of the ASME Code, Section XZ.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

r Commissions ~'~ons s Inspector's Si ture National Board, State, Province, Endorsements l~4 k.~.4 a" FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 10-13-94 Sheet 1 of Unit R25813-3 2-FW-118-4 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identification of System FEEDWATER (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-FW-118-4 STUDS N/A CARDINAL INDUSTRIAL PRODUCTS N/A N/A N/A N/A N/A ASME SA-193 GRADE B7 M&E30029939 ASPg13033 M&E302 11475 ASPg17165 N/A N/A REPLACE-MENT NO REPAIRED NO CARDINAL INDUSTRIAL PRODUCTS N/A N/A ASME SA-194 GRADE 2H M&E30029939 ASPg13033&M&E30046640 ASPg12730 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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.C Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED BODY TO BONNET STUDS AND NUTS DUE TO NORMAL WEAR.Applicable Manufacturer's Data Reports to be attached Ref.JO:R25813-3 File: 2-FW-118-4 ISI: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration. Date Signed Frank Pisarsk Maint.En.Su ervisor Date 4 I Owner or Owner's Designee, Title 19 N A CERTIFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period.a.~w-".w 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 ~i.~w~;~z~Hr~P Inspector'd Signatuz'e National Board, State, Province, Endorsements Date c3c-.-r~.'i I9*FACTORY MUTUAL ENGINEERING ASSOCIATION A fl', Ir ll'I PORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-07-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 49106 Address R25826-1 2-SV-52 Repair Org;P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identif ication of System LETDOWN CVCS (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-52 ALL THREAD STUDS Name of Manufacturer .N/A NOVA MACHINE'PRODUCTS CORP NOVA MACHINE PRODUCTS CORP Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-ficationn N/A ASME A-453 GRADE 660 ME30-029999 ASP¹15076 ASME SA-194 GRADE 8F ME30-046902 ASP¹15012 Year Built N/A 1986 N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. %It 4~ Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED UNIDENTIFIABLE BOLTING WITH NEW STUDS AND NUTS ON Applicable Manufacturer's Data Reports to be attached OUTLET FLANGE CONNECTION. Ref.JO: R25826-01 File:2-SV-52 IS1: 2 CERTIFICATE OR COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A"'"'"l8'"'"'""h"""'Expiration Date N A Signed Fr n xsarsk aint.En.Su ervisor Date to 19 Owner or Owner's Designee, Title CERTIFICATE OP ZNSERVZCB INSPECTION Z, the undersigned, holding a vali.d commission issued by the National Board of Boiler and Pressure Vessel Inspectors and'he State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period 9w ro-a~-qu 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 XZ.By signing this certificate nei.ther 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 ~i-.-~m55 6 PiV Inspector's i ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGZNEERZNG ASSOCIATION Date 0'oL><4 P.F 19 9H 4 ti if'I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-22-94 P.O.Box 60 Fort Wa ne IN 46801 Address 2.Plant D.C.-COOK NUCLEAR POWER PLANT Name One Cook Place Brid man MI 49106 Sheet 1 of Unit R25831-5 2-SV-107 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance Department Name Same as 2 Address 4.Identification of System CONTAINMENT SPRAY Expiration Date N A (b)Applicable Edition of Section X1 Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)/07 2-SV~~~N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD STUD NOVA MACHINE PRODUCTS CORP NOVA MACHINE PRODUCTS CORP N/A N/A N/A N/A ASTM A-453 GRADE 660 M&E30029999 ASP¹15076 ASME SA-194 GRADE 8F M&E30046902 ASP¹15012 1992 N/A REPLACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.'emarks REPLACED UNIDENTIFIABLE BOLTING MATERIAL.Applicable Manufacturer's Data Reports to be attached Ref.JO: R25831-5 File: 2-SV-107 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date r Signed F k Pxsarsk M int.En.Su ervisor Date Owner or Owner's Designee, Title N A CERTIFICATE OP INSERVICE ZNSPECTION I, the undersigned, holding a=valid commission issued by the National.Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period'~c to zz,-i5-9w 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. Mr.m~Inspector's Date Commissions e"w oars'.~~Jy<~ign re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION

,<aft~e I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e.IN 46801 Address Date 10-25-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place'Brid man MI 49106 Address R25994-2 2-DCR-310 Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System BLOWDOWN (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-" ment ASME Code Stamped (Yes or No)2-DCR-310 N/A N/A N/A N/A N/A REPAIRED NO PLUG NELES JAMES BURY N/A N/A ASTM A"582 TYPE 416 MQE30040938 ASP¹14557 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED VALVE PLUG DUE TO STEAM CUTS.Applicable Manufacturer's Data Reports to be attached Ref.JO:R25994-2 File: 2-DCR-310 lSI:2 CBRTZFZCATS OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Signed 8@k xsarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N A ,.9e<CBRTIFICATB OF INSBRVZCS ZNSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Znspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period ro/9-S r~5'o/--I--~and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .~rig Commissions W=~ooSS, E gjV Inspector' ign re National Board, State, Province, Endorsements Date O~c rufbe 19~Y*FACTORY MUTUAL ENGINEERING ASSOCIATION If 1~ FORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACE'269ITS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Date 10-24-94 Sheet 1 of Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit R26005-2 2-DCR-330 Address Repair 3.work performed by Maintenance De artment Name Same as 2 Address 4.Identification of System BLOWDOWN Org.P.O.No., Job No., etc Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Re aired or Replaced and Replacement Components Name of Component 2-DCR-330 BODY&BONNET PLUG BONNET BOLTING MATERIAL Name of Manufacturer N/A NELES JAMESBURY CARDINAL INDUSTRIAL PRODUCTS INC.NELES JAMESBURY Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication BODY SA-217 GRADE CS BONNET SA-182 GRADE F5A ASTM A-582 TYPE 416 M&E30040938 ASP¹14557 STUD SA" 193 GRADE B7 NUT SA-194 GRADE 2H M&E30028942 ASP¹14688 ASTM A-564 GRADE 630~M&E30040730 ASP¹13822 Year Built N/A pre/N/A 1987 Repaired Replaced or Replace-ment REPAIRED MACHINED REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO NO 7.Description of Work See Remar s 8.Test Conducted: Hydrostatic Pneumatic VT2 Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 'p~ee<f s.<<'-~s~aa Page 2.of 2 FORM NZS-2 (Back)9.Remarks MACHINED VALVE BODY AND BONNET GASKET SEATING SURFACES TO REMOVE Applicable Manufacturer's Data Reports to be attached PITTING.PT EXAM.WAS PREFORMED ON SEATING SURFACES AN ACCEPTED.REPLACE PLUG AND CAGE DUE TO STEAM CUTS.ALSO REPLACED BODY TO BONNET FASTENERS. Ref.JO:R26005-2 File: 2-DCR-330 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR REPLACEMENT conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date+r Signed Fra Pis rsk Maint.En.Su ervisor Date t co Owner or Owner's Designee, Title 19 N A CBRTIBZCATS OP ZNSBRVZCE 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 Michi an and employed by ARKWRIGHT MUTt7AL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period o-5-5/to-C.-9S 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 persona'l injury or property damage or a loss of any kind arisi from or connected with this inspection. Commissions ~<<-~ASS EivA Inspector's ignat.'e National Board, Sta e, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wo~vs~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS, As Required by the Provi'sions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-29-94 P.O.Box 60 Fort Wa ne IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Bridaman MI 49106 R26006-2 2-DCR-320 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance Deaartment Name Same as 2 Address Expiration Date N A 4.Identification of System BLOWDOWN (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-DCR-320 PLUG BONNET BONNET TO BODY BOLT WITH NUT Name of Manufacturer N/A NELES JAMESBURY NELES JAMESBURY CARDINAL INDUSTRIAL PRODUCTS INC.Manuf.Serial No.N/A N/A N/A N/A Nat.Board No.N/A N/A N/A N/A Other Identi-fication N/A ASTM A-582 TYPE 416 M&E30040938 ASP¹14557 ASME SA-182 GRADE F5A M&E30040710 ASP¹17154 STUD SA-193 GRADE B7 NUT SA-194 GRADE 2H M&E30028942 ASP¹14688 Year Built N/A 1991 1992 N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or.No)NO NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other Pressure si Test Temp.O oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. II Page 2 of 2 FORM NIS-2 (Back)9.Remarks REPLACED VALVE BONNET AND PLUG DUE TO DETERIORATION AND STEAM Applicable Manufacturer's Data Reports to be attached CUTS.ALSO REPLACED BROKEN BODY TO BONNET FASTENERS. Ref.JO:R26006-2 File: 2-DCR-320 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date I J'wner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period re ZS-'9Y to/-3-'(s-and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recgxirements of the ASME Code, Section XZ.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 Commissions ~i~S.+os~W~XN c Inspector'ign re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Xc Avail 19Ž~J PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa ne IN 46801 Address I 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Io Date (M.-04-84<7'I Sheet 1 of Unit R26084-1 2-CR-301 Address Repair Org.P.O.No., Gob No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System'ETDOWN CVCS Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QCR-301 N/A N/A N/A N/A N/A REPAIRED NO TRIM ASSEMBLY COPES-VULCAN'IN'/A N/A ASTM A-479 TYPE 410 M6cE30036070 ASPg16770 N/A REPLACE-MENT NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. A~tP"'v Page 2 of 2 FORM NZS-2 (Back)9.Remarks VALVE CAGE AND PLUG ARE P1TTED REPLACED TRIM Applicable Manufacturer's Data Reports to be attached ASSEMBLY CONSISTING OF 1 CAGE 1 PIN 1 PLUG AND 1 STEM.Ref.JO:R26084-1 File: 2-CR-301 ISI:2 CBRTZPZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI~repair or replacement Type Code Symbol Stamp N A Expiration Date Signed n Pisarsk Maint.En.Su ervisor Date u l Owner or Owner's Designee, Title N A CBRTZPICATE OP INSERVICE INSPECTION Inspector's Si atu*FACTORY MUTUAL ENGINEERING ASSOCIATION Date De e~b<<>Z 19~4 Z, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period yO Slots tL-o2 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 XZ.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 f om or connected with this inspection. /.Pc.Commissions ~~">>Ss~~i>4'ational Board, State, Province, Endorsements l'y4$~~'R V'gg FORM NIS-2 OWNER'S REPORT FOR.REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name.Sheet 1 of Unit'ne Cook Place Br id an'ddress MI 49106".R26086-2 2-RV-51 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address 4.Identification of System CHARGING, CVCS Expiration Date N A\(b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda b 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component.Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-QRV-51 N/A N/A N/A N/A N/A REPAIRED NO TRIM ASSEMBLY COPES-VULCAN ZNC.N/A N/A ASME SA-564 GRADE 630 MGE30036072 ASPg13329 N/A REPLACE-MENT NO 7.Description of Work See Remarks v 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other'ressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. r$/I~FORM NZS-2 (Back)Page 2 of 2 9.Remarks REPLACED TRIM ASSEMBLY DUE TO HIGH RADIATION LEVELS.Applicable Manufacturer's Data Reports to be attached Ref.JO:R26086-2 File: 2-RV-51 ISI:1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XX.repair or replacement Type Code Symbol Stamp N A Signed Frank Pisarsk Maint.En.Suaervisor Owner or Owner's Designee, Title Expiration Date Date N A CERTXPZCATE OP XHSERVZCE XHSPECTXOH I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period t A~l~~to 3 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 recgxirements 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 ind arisi+from or connected with this inspection. Commissions ~cl Inspector'MSignature National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGXHEERXHG ASSOCIATION Date FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-13-04 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid man MI 49106 R26087-9 2-MRV-212 Address Repair Org.P.O.No., Job No., etc 3.Work Per formed by MaintenanCe De artment Name Same as 2 Address.Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Zdenti-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MRV-212 FISHER N/A N/A N/A N/A REPAIRED NO EXISTING PLUG&SEAT RING FISHER N/A N/A ASTM A-582 TYPE 416 N/A REPAIRED MACHINED NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NZS-2 (Back)9.Remarks MACHINED APPROX..004 OFF PLUG AND SEAT RING TO REMOVE NORMAL Applicable Manufacturer's Data Reports to be attached PITTING AND STEAM CUTS.PT EXAM OF MACHINED AREAS WAS PERFORMED AND ACCEPTED.Ref.JO: R26087-9 File:2-MRV-212 ISI:2 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A'"" 4".~Expiration Date~r Signed Frank Pisa Maint.En.Su ervisor Date (l t Owner or Owner's Designee, Title N A CBRTZFZCATB OF ZNSBRVZCB ZNSPBCTZON Z, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period pg~(V to I/-i@.-and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.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 ~'~>>S<G~P~>/'nspector 'xgna re National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date~a: rn'b e 4 I&19 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requiied by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-13-04 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid man MI 49106 Address R26088-9 2-MRV-211 Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Zdentification of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-211 EXZSTZNG PLUG&SEAT RING Name of Manufacturer FISHER FZSHER Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Zdenti-fication N/A ASTM A-582 TYPE 416 Year Built N/A N/A Repaired Replaced or Replace-ment REPAZRED REPAZRED MACHZNED ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. I I f'I 4 Page 2 of 2 PORN NIS-2 (Back)9.Remarks MACHINED APPROX..004 OFF PLUG AND SEAT RING TO REMOVE NORMAL Applicable Manufacturer's Data Reports to be attached PITTING AND STEAM CUTS.PT EXAM OF MACHINED AREAS WAS PERFORMED AND ACCEPTED.Ref.JO: R26088-9 File:2-MRV-211 ISI:2 CERTZFZCATE OR COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A'ee'"""'Expiration Date'EJ~, Signed Frank isarsk Maint.En.Su ervisor Date tl Owner or Owner's Designee, Title N A , I99 CERTIFICATE OP ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period ro-'I to//-rc.'jM and state that to the hest 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 XZ.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'mployer shall he liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. r Commissions ic l a>~t5'.Z~PA M Inspector'i ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date Ar I r I(19 e'e' FORM NZS-2 OWNER'REPORT FOR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-23-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid man MI 49106 R26093-2-MRV-232 Address Repair Org.P.O.No., Gob No., etc 3.Work Performed by MaintenanCe De artment Name Same as 2 Address Expiration Date N A 4.Identif ication of System MAIN STEAM (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-232 PLUG Name of Manufacturer N/A FISHER CONTROLS Manuf.Serial No.N/A N/A Nat.Board No.N/A N/A Other Identi-fication N/A ASTM A" 582 TP.S41600 ME(E30040005 ASPg12623 Year Built N/A N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT ASME Code Stamped (Yes or No)NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 PORN NZS-2 (Back)9.Remarks REPACED PLUG DUE TO STEAM CUT.Applicable Manufacturer's Data Reports to be attached Ref.JO: R26093-9 File: 2-MRV-232 ISI:2 CERTZPZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.repair or replacement Type Code Symbol Stamp N A Expiration Date Signed nk isarsk M int.En.Su ervisor Date Owner or Owner's Designee, Title N A CERTIFICATE OP INSBRVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Znspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period g)" V to ic-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 XZ.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 Znspector 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. sZw Ac Commissions'~<.=>.~ S'r~~S'Inspector's ign ture National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date v"-rc~i.~~2S 19 9'I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-11-94 P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Sheet 1 of Unit One Cook Place Brid man MI 49106 R26094-9 2-MRV-231 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System MAIN STEAM (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf.Serial No.Nat.Board No.Other Identi-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-MRV-231 PLUG Ec PLUG ASSEMBLY N/A FISHER CONTROLS N/A N/A N/A N/A N/A ASTM A-582 TP.S41600 MfcE30040005 ASPg15863 N/A N/A REPLACE-MENT NO REPAIRED NO SEAT RING FISHER CONTROLS N/A N/A ASTM A-582 TP.S41600 ASP512803 N/A REPLACE-MENT NO 7.Descxiption of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. J I Page 2 of 2 PORN N1S-2 (Back)9.Remarks REPACED PLUG AND SEAT RING DUE TO STEAM CUTS.Applicable Manufacturer's Data Reports to be attached Ref.JO: R26094-9 File: 2-MRV-231 ISI:2 CBRTZFZCATE OF CONPLZANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A II Expiration Date C Signed Fra Pisarsk Ma nt.En.Su ervisor Date a 4-Owner or Owner's Designee, Title N A CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected'he components described in this Owner's Report during the period~/to/z"/-'PV 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 recpxirements of the ASME Code, Section XZ.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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss ot any kind arising rom or connected with this inspection. Commissions rA S 8.P Inspector's xgnat e National Board, State, Province, Endorsements Date~c-c.-W rf'9 c~*FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 10-11-94 P.O.Box 60 Fort Wa e IN 46801 Address Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Unit R26095-9 2-MRV-222 Address Repair Org.P.O.No., Job No., etc 3.Work Performed by Maintenance Deaartment Name Same as 2 Address 4.Zdentif ication of System MAIN STEAM Expiration Date N A (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component 2-MRV-222 PLUG Ec STEM ASSEMBLY SEAT RZNG Name of Manufacturer N/A FZSHER CONTROLS FZSHER CONTROLS Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Zdenti-fication N/A ASTM A-582 TP.S41600 MGE30040005 ASPQ15863 ASTM A-582 TP.S41600 ASPQ12803 Year Built N/A N/A N/A Repaired Replaced or Replace-ment REPAZRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. FORM NZS-2 (Back)9.Remarks REPACED PLUG AND SEAT RING DUE TO STEAM CUTS.Applicable Manufacturer's Data Reports to be attached Page 2 of 2 Ref.JO: R26095-9 File: 2-MRV-222 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report.are correct and this re lacement conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A Expiration Date r>Signed Fra~sarsk aint.En.Su ervisor Date<s'-1 v 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 recpxirements of the ASME Code, Section XI'y 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 a ising from or connected with this inspection. J'ommissions ~~<<>>~<Inspecto's gnature National Board, State, Province, Endorsements

  • FACTORY MUTUAL ENGINEERING ASSOCIATION Date 0~I<19~x 4 I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60 Fort Wa e IN 46801 Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Date 09-28-94 Sheet 1 of Unit R27508-4 2-CS-451-3 Address Repair Org.P.O.No., Gob No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System REACTOR COOLANT PUMP SEAL WATER INJECTION LEAKOFF (b)Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Zdentification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manuf-Serial No.Nat.Board No.Other Zdenti-fication Year Built Repaired Replaced or Replace-ment ASME Code Stamped (Yes or No)2-CS" 451-3 N/A N/A N/A N/A N/A REPAZ RED NO STUDS 1" ALL'Q&EAD CARD ZNAL ZNDUSTRZAL PRODUCTS TEXAS BOLT CO.N/A N/A N/A N/A SA-453 GRADE 660 MGE30029996 ASPN3.7328 SA-194 GRADE 8F MQE30046905 ASPg3855 N/A N/A REPL'ACE-MENT REPLACE-MENT NO NO 7.Description of Work See Remarks 8.Test Conducted:

Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. Page 2 of 2 FORM NXS-2 (Back)9.Remarks REPLACED UNIDENTIFIABLE FASTENER MATERIAL.Applicable Manufacturer's Data Reports to be attached Ref.JO: R27508-4 File: 2-CS-451-3 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XX.repair or replacement Type Code Symbol Stamp N A'a")"'xpiration Date Signed Frank isarsk Maint.En.Su ervisor Date Owner or Owner's Designee, Title N 19$'~"'P~"I ,~*c'ate Oe~..-~h<>/5 19~4~~'*~",)hQ',g).>>whap ~;<<C>>lit-~CERTZFXCATE OF INSERVZCE INSPECTZON ....,';~".-,.... i-;),'"-.t-~~="', the undersigned, holding a valid commission issued by the National'Board of Boiler'~------'---by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD have inspected the components described in this Owner's Report during,=..We period.'>>"',,' 5-+H~Z.-t5-9e and state that to the best":of";my knowledge'<".and belief, the Owner has performed examinations and taken corrective"'measures ="", described in this Owner's Report in accordance with the requirements, of the ASME,,~.-.) Code, Section XZ.By signing this certificate neither the Inspector nor his employer makes any<~.),>:;:,, warranty, expressed or implied, concerning the examinations and corrective.',measuresw~, described in this Owner's Report.Furthermore neither the Inspectornor 'his'~'<'~f>.';,=~ employer shall be liable in any manner for any personal in$ury or propeity, damage.",'or.'-.'!' loss of any kind arising from or connected with this inspection.,".;""';""=";"..""'.-~4'.,'..-" Commissions W~->>c<<&e>Inspector' gnapbre National Board, State, Pr ovine~.Endoxsementap r*FACTORY MUTUAL ENGZNEERZNQ'SSOCIATION! ~'~):~'.'.$.9~%PL't'iE,~@5'~'y pQ T4~p+AC)I~+6 IQ~~p~~qzp~)))LI I:~~~'>)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.Owner INDIANA MICHIGAN POWER COMPANY Name P.O.Box 60'ort Wa e IN 46801 Address Date 09-22-94 Sheet 1 of 2.Plant D.C.COOK NUCLEAR POWER PLANT Name Unit One Cook Place Brid an MI 49106 Address R29750-9 2-SV-52 Repair Org.P.O.No., J'ob No., etc 3.Work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Zdentif ication of System LETDOWN CVCS (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda.6.Identification of Components Repaired or Replaced and Replacement Components Name of Component 2-SV-52 ALL THREAD STUDS Name of Manufacturer N/A NOVA MACHZNE PRODUCTS CORP NOVA MACHZNE PRODUCTS CORP Manuf.Serial No.N/A N/A N/A Nat.Board No.N/A N/A N/A Other Identi-fication N/A ASME A-453 GRADE 660 ME30-029999 ASP¹15076 ASME SA-194 GRADE 8F ME30-046902 ASP¹15012 Year Built N/A 1986 N/A Repaired Replaced or Replace-ment REPAIRED REPLACE-MENT REPLACE-MENT ASME Code Stamped (Yes or No)NO NO NO 7.Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 in.x ll 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. I Page 2 of 2 FORM NZS-2 (Back))9.Remarks REPLACED UNIDENTIFIABLE BOLTINQ WITH NEW STUDS AND NUTS ON Applicable Manufacturer's Data Reports to be attached INLET FLANGE CONNECTION. Ref.JO: R29750-09 File:2-SV-52 ISI: 2 CBRTZRZCATE OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ~repair or replacement Type Code Symbol Stamp N A--""@Q"""'-"ll""~Expiration Date Signed Frank Pxsarsk~ai t.En.Su ervisor Date (o w Owner or Owner's Designee, Title 19 N A CBRTZFZCATE OF ZNSBRVZCE ZNSPECTZON Inspector's ign ure*FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc.v ah e<>~19 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period+7 SZ pv Pn-.7 P-9V 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 arisi g from or connected with this inspection. Commissions Hic" cc'SS National Board, State, Province, Endorsements FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner INDIANA MICHIGAN POWER COMPANY Name Date 09-19-94 P.O.Box 60 Fort Wa e IN 46801 ,Address 2.Plant D.C.COOK NUCLEAR POWER PLANT Name One Cook Place Brid an MI 49106 Sheet 1 of-2 Unit R31309-2 2-SI-101 Address Repair Org.P.O.No., Job No., etc 3.work Performed by Maintenance De artment Name Same as 2 Address Expiration Date N A 4.Identification of System REFUELING WATER STORAGE TANK SUPPLY (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6.Identification of Components Repaired or Replaced and Replacement Components Name of'omponent 2-SZ-101 Name of Manufacturer N/A Manuf.Serial No.N/A Nat.Board No..N/A Other Identi-fication N/A Year Built N/A Repaired Replaced or Replace-ment REPAIRED ASME Code Stamped (Yes or No)NO DISC WALWORTH CO.N/A N/A ASTM A-351 GRADE CF8 MfcE30033681 ASPg3201 7~Description of Work See Remarks 8.Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure I N/A X Other Pressure si Test Temp.oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8-1/2 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. 4 s a'q r Page 2 of 2 FORM NZS-2 (Back)9.Remarks REPLACED DISC DUE TO CHATTER MARKS.Applicable Manufacturer's Data Reports to be attached Ref.JO: R31309-2 File:2-SI-101 ISI:2 CERTIFICATE OF COMPLIANCE We certify that.the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code, Section XI.repair or replacement Type Code Symbol Stamp N A'-""'O'V""'"-"'Q "~Expiration Date Signed FPank isarsk Maint.En.Su ervisor Date'lt Owner or Owner's Designee, Title N A , 199 CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS.CO.*of NORWOOD MASS.have inspected the components described in this Owner's Report during the period Ci 4'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 XZ.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 ~~4~.E~k'.AlF r Inspector'i ature National Board, State, Province, Endorsements Date f)ee.;m L~e~*FACTORY MUTUAL ENGZNEERING ASSOCIATION Z&~M}}

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