ML20086B404
| ML20086B404 | |
| Person / Time | |
|---|---|
| Site: | Arkansas Nuclear  |
| Issue date: | 06/29/1995 |
| From: | ENTERGY OPERATIONS, INC. |
| To: | |
| Shared Package | |
| ML20086B399 | List: |
| References | |
| NUDOCS 9507050363 | |
| Download: ML20086B404 (167) | |
Text
r 1
Attcchment to 1
OCAN069507 Inservice Inspection Summary Report Arkansas Nuclear One, Unit 1 Outage Number: 1R12 i
Outage Completion Date: 4/1/95 Owner L
Arkansas Power & Light Company P. O. Box 551 4
TCBY Building l
Little Rock, Arkansas 72203 Operator Entergy Operations, Inc.
Subsidiary of Entergy Corporation Generating Plant Arkansas Nuclear One 1448 State Road 333 Russellville, AR 72801 Commercial Operating Date: December 19,1974 Submittal Date: June 29,1995 EBR7 R88e! Zi8esL3 Q
Attachment to 0CAN069507 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AND 1R12 OUTAGE
SUMMARY
REPORT l
l l
{
]
Attachment to j
OCANM9507 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules l
l Arkansas Power & Light Company /Entergy Operations, Inc.
. 1.
Owner P. O. Box 551, TCBY Tower, Little Rock, AR 72203
' (Name and Address of Owner) 2.
Plant Arkansas Nuclear One,1448 S.R. 333, Russelhille, AR 72801 (Name and Address of Plant) l 3.
Plant Unit 1
4.
Owner Certificate of Authorization (if required)
N/A f
5.
Commercial Service Date 12/19/74 6.
National Board Number for Unit N 121 7.
Components inspected ASME Code Class 1 (lWB)/ASME Code Class 2 (IWC)/ASME Code Class 3 (IWD) Components & their Supports (IWF) and Non-Code Components and their Sapports.
i Manufacturer l
Component or Manufacturer or Installer State or
_ National
-}
Appurtenance or Installer Serial No.
Province Board No.
Reactor Vessel B&W N/A ARK-9827 N-121 Pressurizer B&W N/A ARK-9826 N-122 j
'f E24A Steam Generator B&W N/A ARK-9825 N-123 E24B Steam Generator B&W N/A ARK-9824 N-124 Class 1 Piping Bechtel(Installer)
N/A N/A N/A Class 2 Piping Bechtel (Installer)
N/A N/A N/A Class 3 Piping Bechtel (Installer)
N/A N/A N/A~
l lass 1 Component Bechtel(Installer)
N/A N/A' N/A f
Supports ass 2 omponent Bechtel(Installer)
N/A N/A N/A-p SSS mPonent Bechtel(Installer)
N/A N/A N/A p
Non-Code Components:
Bechtel(Installer)
N/A N/A N/A.
(Augmented exams) i i
1 b
A b.
Date tG
- E0
- 95 lt M, Date $/~2'/)9(
I". B. Lomax AP&L En(crgy C. W. Thompson,8ANIl Factory Mutual
c-Attachment to OCAN069507 FORM NIS-1 (Back) 8.
Examination Dates 10/20/93 to 4/1/95 9.
Inspection Period Identification:
Second (2nd) Refueling Outage of the Third (3rd) Period 10.
Inspection Interval Identification:
Second (2nd)Inten al 11.
Applicable Edition of Section XI 1980 Addenda Winter 1981 i
12.
Date/ Revision ofInspection Plan:
Revision 31 13.
Abstract of Examinations. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan.
1 See attached "lR12 Outage Summary Repon" 14.
Abstract of Results of Examinations and Tests.
I See attached "lR12 Outage Summary Repon".
i l
15.
Abstract of Corrective Measures Taken.
)
See attached "lR12 Outage Summary Report" 1
We cenify that a) the statements made in this repon are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, and corrective measures taken conform to the rules of ASME Code,Section XI.
Certificate of Authorization No. (if applicable)
N/A Expiration Date N/A Date M44 24 19 96 Signed AP&lJEnterey Operations. Inc.
By A [>.
/3 Owner D. B. Lomax l CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwricht Mutual Insurance Co. of Norwood.
Man have inspected the components descnbed in this Owner's Report during the period 10/20/93 to 4/1/95. 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 inspection plan and as required by the ASME Code,Section XI.
By signing this cenificate neither the Inspector nor his employer makes any warranty, express or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
L.11/. d) lhObCommissionsNB-9985. ARK-1054 "N" "I" "B"
(; )
FactoryMutualEngineering Association Inspectors Signature' National Board, State, Province, and Endorsements C. W. Thompson Date
/24/
19 N
Attachment to OCAN069507 1R12 Outaae Summary Report The regularly-scheduled inservice inspection (ISI) examinations performed prior to and during the Arkansas Nuclear One, Unit 1 (ANO-1), twelfth refueling outage (IR12) are listed in the attached table entitled, "lR12 Completed ISI Examinations." 1R12 was the second refueling outage in the third period of the second 10-year interval. The attached table includes the non-destructive examinations (NDE) conducted, except for pressure tests and associated VT-2 exams, which are summarized below, and the results of eddy current testing of steam generator tubing, which are reported in accordance with ANO-1 Technical Specification 4.18.6. The only VT-2 exams that are listed in the attached table are the Code Category B-E examinations which are specifically listed in IWB-2500 of ASME Section XI. These category B-E exams are all located on either the reactor vessel or the pressurizer and are therefore performed each refueling outage along with the reactor coolant system leak test listed below.
Pressure Tests Period pressure tests were completed during Cycle 12 on the following components:
Test No.
Test Description 1.3 Main Steam (MS), Penetration P-1 to Main Steam Isolation Valve (MSIV)
(Loop A) 1.4 Main Steam, Penetration P-2 to MSIV (Loop B) 1.5 Main Steam Supply to Emergency Feedwater (EFW) Turbine, from MS Loops to Motor Operated Valves (MOVs) 1.11 Service Water (SW) Containment Cooling Coils, Supply / Return Header 1.12A Make Up, Make Up Pump Suction. This includes test 3.19 (Make Up CV-1275 to Penetration in T-4 Tank Room) 1.13 Make Up, Make Up Seal Injection to P-16 1.15 Make Up, Make Up Pump to Injection MOVs 1.16 Emergency Core Cooling System (ECCS), Borated Water Storage Tank (BWST) (T-3) 1.18 ECCS, Sodium Hydroxide Tank - NaOH Tank (T-10) 1.19 ECCS, NaOH Suction Header Inside Auxiliary Building (to MOVs) 1.22 BWST Discharge and Recirculation Piping in T-12A/B Tank Rooms 2.2 EFW to EFW Turbine (K3) Lube Oil Coolers 2.3 EFW Loop A Discharge (P-7A to MOVs) 2.4 EFW Loop B Discharge (P-7B to MOVs) 2.6 Make Up, Make Up Pump (P-36A) 2.7 Make Up, Make Up Pump (P-36B) 2.8 Make Up, Make Up Pump (P-36C) 2.11 ECCS, A Building Spray Pump (P-35A) 2.12 ECCS, B Building Spray Pump (P-35B)
Attachment to
- OCAN069507 Test No.
Test Description 2.15A Make Up, A Loop Supply to MOVs 2.15B Make Up, B Loop 3.l A SW Cooling Coils and Supply / Return Headers in Containment-(including P-55, P-63, VCC-2A, and VCC-2B). Code Case N-498-1 invoked on this j
Class 3 test.
3.lB SW Cooling Coils Supply / Return (including P-21 and P-22). Code Case N-498-1 invoked on this Class 3 test.
4.4 SW to EFW Suction 4.6 A Core Flood Tank to Penetration-31 4.7 B Core Flood Tank to Penetration-32 For all Class I and 2 pressure tests, Code Case N-498-1 was invoked.
1 In addition to the above-mentioned tests, a post outage elevated test was completed on the reactor coolant system.
Overview Over a 10-year interval, a required number of exams must be performed with the results reported to the NRC after each refueling outage. The items examined in IR12 (and pre-outage IR12) are only a sample of the total population of the components and supports in the plant. The exams (approximately 300) were widely scattered throughout the plant. Since this outage was specified as a " north cavity" outage, any south cavity exams that had previously been scheduled for 1R12 were rescheduled for 1R13. Refueling outage IR13 will be the last outage in the second 10-year interval.
In the preparation process for the IR12 outage, as many exams as possible were performed before the outage in order to reduce outage work scope and outage dose in compliance with NRC regulations on personnel exposure (ALARA). Many of the plant systems, such as decay heat, have much lower radiation dose rates during power operation when the systems are essentially dormant. The pre-outage scope consisted of all exams outside of the reactor.
building that could be performed while ANO-1 was still operating at power. Approximately 16% of all IR12 exams were performed before the outage began.
In addition, two examinations on the reactor coolant pump (RCP) motor flywheels were performed between i
1R11 and 1R12 while the new motors were being fabricated in France.
The following major components and areas were inspected in IR12 (and pre-outage IR12):
I.
ASME-Code-Requirec arns
- l. Reactor Vessel
- 2. Steam Generator "A" (Nonh Cavity) i
- 3. Steam Generator "B" (South Cavity) 6 T
OCAN069507
- 4. Pressurizer
- 5. Piping and Hangers [ Reactor Coolant System (RCS), Decay Heat (DH),
Core Flood (CF), High Pressure Injection (HPI), Low Pressure Injection (LPI), Makeup (MU), Main Feedwater (MFW), Building Spray (BS), MS, EFW, & SW)
II.
Augmented Exams
- 1. Pressurizer Level Tap Repair Area
- 2. PressurizerInconelNozzles
- 3. Pressurizer Surge Line
- 4. Pressurizer Safety Valve Discharge Piping
- 5. Main Steam Piping
- 6. RCP SealInjection Piping
- 7. BWST Piping
- 8. Tripod Lifting Rig for Reactor Vessel Head and Internals The following NDE methods were performed in order to accomplish the above-listed exams.
- 1. Ultrasonic Testing (UT)
- 2. Dye Penetrant Testing (PT)
- 3. Magnetic Particle Testing (MT)
- 4. Visual Testing (VT, VT-1 & VT-3)
As a result of these examinations, no significant problems were discovered. The safety-related pressure-retaining boundary in ANO-1 continues to perform its function without any significant degradation.
Henctor Vessel The majority of the pressure-retaining welds in the reactor vessel were ultrasonically examined from the inside surface utilizing Babcock and Wilcox Nuclear Technologies' (BWNT's)
URSULA manipulator.
In addition, all of the interior surfaces and internal welded attachments were examined visually (VT-1 and VT-3). The detailed list of the examinations is contained in the attached table. ISI examinations01-001 and 01-031 were only partially completed in IR12. The flange-to-shell weld (01-001) was examined from the shell side. In IR13, the same weld is scheduled fc,r a manual examination from the flange face. The core support structures (01-031) were all examined except for the plenum. It is likewise scheduled for examination in 1R13. Per 10CFR50.55a(g)(6)(ii)(A),100% of the shell welds were examined to the extent practical. However, greater than 90% coverage of the examination volume of each shell weld was not achieved. Entergy Operations will submit additional information per 10CFR50.55a(g)(6)(ii)(A)(5) to justify an alternative to the examination requirements. Additionally, the bottom head weld,01-006, was not examined due to the limited accessibility as a result of the interferences caused by the flow stabilizer lugs, core stop lugs, and the incore instrumentation nozzles. Relief Request 95-001, which justifies the
Attachment to OCAN069507 omission of the weld examiation, was submitted to the NRC on May 31, 1995 (ICAN059508). No service-induced degradation was detected in the reactor vessel as a result of the inspections conducted.
Component Supports (Haneers)
Component supports and hangers (Code Category F-A) that were inspcted in IR12 are listed in the attached table. Of those inspected, all were found to be acceptable. Overall, the hanger examinations performed this outage produced the best results of any recent outage.
Snubbers Snubbers are inspected per a separate program per ANO-1 Technical Specification 4.16, but are reported here as part of the Outage Summary Report since they serve as component supports. Relief Request 92-001, which was approved on May 19,1993 (OCNA059311),
permits the use of the technical specification requirements in lieu of the ASME Code requirements. The snubbers that fall within the ISI boundaries and that were inspected during 1R12 are listed in the attached table. All snubbers and associated connections to piping were determined to be operable.
Intereranular Stress Corrosion Crackine ANO-1 has a continuing program to look for intergranular stress corrosion cracking (IGSCC) in thin-wall stainless steel piping connected to the BWST. This augmented program is based on NRC Circular 76-06 (" Stress Corrosion Cracks in Stagnant, Low Pressure Stainless Piping Containing Boric Acid Solution at PWR's"), NRC Bulletin 79-17 (" Pipe Cracks in Stagnant Borated Systems at PWR Plants"), and ANO Condition Reports CR-1-91-131 and CR-1-91-199. The examinations performed this outage on the BWST piping are listed in the attached table. During the examinations, all BWST piping welds were found to be acceptable.
Primarv Water Stress Corrosion Cracking ANO-1 has a continuing program to look for primary water stress corrosion cracking (PWSCC) on pressurizer nozzles. Two difTerent examination approaches are utilized. First, the repair weld on one of the upper level taps is examined ultrasonically each outage to determine if any corrosion of the carbon-steel base material is occurring. A repair was performed in IR9 when an Inconel nozzle cracked due to PWSCC. The repair area has been examined in each successive refueling outage (lR10 through 1R12) without detection of corrosion of the base material.
Secondly, ten Inconel-containing locations on the pressurizer, including the above-mentioned repair area, are examined each refueling outage in order to look for new cracks in the Inconel material. The examinations are for the purpose oflocating leaks and are performed either as a visual (VT-2) or as infrared thermography. During 1R12 with the pressurizer at normal 1d
Attachment to OCAN069507 operating pressure and temperature, VT-2 exams were performed. All ten areas were found to be acceptable.
Main Steam Flushine Connection Welds During IR12 two undocumented non-pressure-retaining welds were found on the two main steam lines in the north cavity near steam generator "A" One of these welds is on each of the two 24"-diameter main steam lines. These welds were found as a result of the search this outage which resulted from a discovery of similar welds in the south cavity near steam generator "B" in IR11. The discovery of the two welds during 1R11 prompted the issuance of Condition Report CR-1-93-0377. These two welds in the nonh cavity are remnants from a flushing connection that had been temporarily welded to the lines during construction before initial start-up of the plant. In order to document the existence of these two welds and to avoid any future confusion, a drawing revision was initiated to add these welds.
The ISI plan has been revised to include these two welds which have been assigned numbers of 28-002A and 28-012A. These two welds are included in this Outage Summary Report since they were examined during IR12. However, no future examinations are scheduled since these welds are non-structural and non-pressure-retaining. They are not subject to the examination requirements of Section XI of the ASME Code.
Status of the ISI Plan IR12 is the second refueling outage in the third period of the second 10-year interval. The next refueling outage, IR13, will conclude the second 10-year interval. Since IRll, IR12, and IR13 are in the same period, ISI (NDE) exams may be performed in any of the three outages and still count as third period exams.
Attachment to Page 1.-
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 01-001 B-A B1.30 RCS RCS - REACTOR VESSEL SIELL TO FLANGE CIRC SEAM 01-002 B-A Bl.11 RCS RCS - REACTOR VESSEL SIELL TO SHELL CIRC SEAM 01003 B-A B1.11 RCS RCS - REACTOR VESSEL SIELL TO SHELL BELT REGION 01-004 B-A Bl.Il RCS RCS - REACTOR VESSEL SIELLTO SFELL BELT REGION 01-005 B-A B1.11 RCS RCS - REACTOR VESSEL LOWER SHELLTO TRANSITION PIECE CIRC WELD 01-007 B-A Bl.12 RCS RCS - REACTOR VESSEL INTERMEDIATE SHELL LONG SEAM (AT Z-W)01-008 B-A Bl.12 RCS RCS - REACTOR VESSEL INTERMEDIATE SHELL LONG SEAM (AT X-Y)01-009 B-A Bl.12 RCS RCS - REACTOR VESSEL LOWER SHELL LONG SEAM (AT Z-W)01-010 B-A Bl.12 RCS RCS - REACTOR VESSEL LOWER SHELL LONG SEAM (AT X-Y) 01-010A B-A Bl.51 RCS RCS - REACTOR VESSEL REPAIR WELDS BELTLINE REGION 01-011 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WTLD 01-012 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD
Attichment to Page 2.
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 01-012IR B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INNER RADIUS01-013 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD 01-013IR B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INNER RADIUS01-014 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD 01-0141R B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INNER RADIUS01-015 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD 01-016 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD 010161R B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INNER RADIUS01-017 B-D B3.90 RCS RCS - REACTOR VESSEL NOZZLETO VESSEL WELD 01-0171R B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INNER RADIUS 01418 B-D
- B3.90 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD 01-0181R B-D B3.100 RCS RCS - REACTOR VESSEL NOZZLE TO VESSEL WELD-INhTR RADIUS
Attachment to '
Page 3 '
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 01025 B-F B5.10 RCS RCS - REACTOR VESSEL NOZZLE TO SAFE-END CIRC SEAM DMW 01-026 B-F B5.10 RCS RCS - REACTOR VESSEL NOZZLE TO SAFE-END CIRC SEAM DMW 01-029 B-N-1 B13.10 RCS RCS - REACTOR VESSEL VESSEL INTERIOR 01-030A B-N-2 B13.30 RCS RCS - REACTOR VESSEL INTERIOR ATTACHNENTS WITHIN BEL'IT.INE REGION 01-030B B-N-2 B13.31 RCS RCS - REACTOR VESSEL INTERIOR ATTACHNENTS BEYOND BELTLINE REGION 01-031 B-N-3 B13.32 RCS RCS - REACTOR VESSEL CORE SUPPORT STRUCTURES 01-I-001 THRU -
B-E B4.13 RCS RCS - REACTOR VESSEL INSTRUNENTATION NO7.71 FR (BOTTOM 052 IEAD) 02-N-001 THRU - B-E B4.12 RCS RCS-CRDM CRDM NOZZLE-TO-LEAD WELDS 069 03-018 C-B C2.21 SG STEAM GENERATOR E24A MAIN STEAM NOZZLE-TO-SIELL WELD -
(SECONDARY SIDE)03-020 C-B C2.21 SG STEAM GENERATOR E24A MAIN STEAM NOZZLE-TO-SIELL WELD.
(SECONDARY SIDE)03-050 B-G-2 B7.30 RCS RCS-STEAM GENERATOR E24A STEAM GEN LOWERINSPECTION COVER STUDS03-051 B-G-2 B7.30 RCS RCS-STEAM GENERATOR E24A STEAM GEN LOWERINSPECTION COVER -
NUTS
- ~,_
Attachment to Page 4 -
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT I 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 03-052 F-A Fl.40B RCS RCS-STEAM GENERATOR E24A SUPPORT SKIRT (INCLUDING BOLTING)04-050 B-G-2 B7.30 RCS RCS-STEAM GENERATOR E24B LOWER INSPECTION COVER STUDS04-051 B-G-2 B7.30 RCS RCS-STEAM GENERATOR E24B. LOWER INSPECTION COVER NUTS05-021 B-D B3.Il0 RCS RCS-PRESSURIZER SURGE NOZZLE TO BOTTOM IEAD 05-0211R B-D B3.120 RCS RCS-PRESSURIZER SURGE NOZZLE TO BOTTOM IEAD INNER RADIUS05-022 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SIELL WELD (INTEGRAL ATTACHMENT)05-023 B-ll B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SHELL WELD (INTEGRAL ATTACHMENT)05-024 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TD SHELL WELD (INTEGRAL ATTACHMENT)05-025 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SIELL WELD (INTEGRAL ATTACIBENT)05-026 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SIELL WELD (INTEGRAL ATTACIBENT)05-027 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SHELL WELD (INTEGRAL ATTACIINENT)05-028 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SIELL WELD (INTEGRAL ATTACHMENT)
Attachment td Page 5 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT I 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO, CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 05-029 B-H B8.20 RCS RCS-PRESSURIZER SUPPORT LUG TO SHELL WELD (INTEGRAL ATTACHMENT) 05 030 B-E B4.20 RCS RCS-PRESSURIZER lEATER CONNECTION WELDS05-039 F-A Fl.40 RCS RCS-PRESSURIZER SUPPORT LUGS (INCLUDING BOLTING)-
05-040 B-F B5.50 RCS RCS-PRESSURIZER PZR RELIEF NOZZLE-TO-FLANGE WELD BETWEEN X-Y AXIS05-041 B-F B5.50 RCS RCS-PRESSURIZER PZR RELIEF NOZZLE-TO-FLANGE WELD BETWEEN W-X AXIS05-042 B-F B5.50 RCS RCS-PRESSURIZER PZR RELIEF NOZZLE-TO-FLANGE WELD BETWEEN Z-W AXIS05-043 B-G-2 B7.50 RCS RCS-PRESSURIZER PZR RELIEF VALVE PSV-1000 BOLTING (STUDS AND NUTS)06-014 B-J B9.ll CCA-1 STEAM GEN A TO PUMP I AI PIPE TO SG NOZZLE CIRC SEAM (RCP "C")07-017 B-J B9.11 CCA-1 RCP "C" TO REACTOR VESSEL PIPE TO RVINLET NOZZLE CIRC SEAM 08-014 B-J B9.11 CCA-1 STEAM GEN A TO PUMP 1 A2 PIPE TO SG NOZZLE CIRC SEAM (RCP "D")09-015 B-J B9.11 CCA-1 RCP "D" TO REACTOR VESSEL PIPE TO RVINLET NOZZLE CIRC SEAM 11-015 B-J B9.11 CCA-1 RCP "A" TO REACTOR VESSEL PIPE TO RVINLET NOZZLE CIRC SEAM
- ---~. -.
. = - -. - - - - - - - -
Attechment to Page 6 0CAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 13-015 B-J B9.11 CCA-1 RCP "B" TO REACTOR VESSEL PIPE TO RVINLET NOZZLE CIRC SEAM 14 001 B-J B9.11 CCA-1 RCS-HOT LEG FROM RV TO SG PIPE TO SG "A" INLET NOZZLE CIRC SEAM "A"14-002 B-J B9.11 CCA-1 RCS-HOT LEG FROM RV TD SG ELL TO PIPE CIRC SEAM
.A"14-003 B-J B9.12 CCA-1 RCS-HOT LEG FROM RV TO SG ELL INSIDE LONG SEAM "A"14-004 B-J B9.12 CCA-1 RCS-HOT LEG FROM RV TO SG ELL OlJTSIDE LONG SEAM "A"14-028 B-J B9.11 CCA-1 RCS-HOT LEG FROM RV TO SG RVOUTLET NOZZLE TD PIPE CIRC SEAM
.A"15-026 B-J B9.11 CCA-1 RCS-IIOT LEG FROM RV TO SG RV OUTLET NOZZLE TV PIPE CIRC SEAM
.B" 16-008E N/A N/A CCA-2-10 PRESSURIZER SURGE ELBOW BODY 16-010E N/A N/A CCA-2-10 PRESSURIZER SURGE ELBOW BODY 16-013 F-A Fl.10F CCA-2-10 PRESSURIZER SURGE CCA-2/HS-100 (SNUBBER)16-014 F-A F1.10F CCA-2-10 PRESSURIZER SURGE CCA-2/HS-101 (SNUBBER)16-015 F-A F1.10F CCA-2-10 PRESSURIZER SURGE CCA-2-HS102 (SNUBBER)
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Attcchment to Page 7 OCAN069507 -
ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS a
ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION I8-042 F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4 SIS 8 (SNUBBER)18-046 F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4-HS53 (SNUBBER)18-05I F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4 SIS 58 (SNUBBER) 184)S4 F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4-HS61 (SNUBBER)18-055 F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4 SIS 62 (SNUBBER) 18-056-F-A Fl.10F CCA-4 PRESSURIZER SPRAY CCA-4/HS63 (SNUBBER)19-018 B-J B9.11 CCA-6-14 CORE FLOOD ELL TO PIPE CIRC SEAM 19-019 B-J B9.11 CCA-6-14 CORE FLOOD PIPE TO " SAFE-END" CIRC SEAM ~
19-022 B-J B9.11 CCA-6-14 CORE FLOOD PIPE TO " SAFE-END" CIRC SEAM 19-023 B-J B9.11 CCA-6-14 CORE FLOOD ELL TO PIPE CIRC SEAM 19-024 B-J B911 CCA-6-14 CORE FLOOD PIPE TO ELL CIRC SEAM 20-107 F-A Fl.10F CCA-5 HPITO Al LOOP (P32C)
MU-210B (SNUBBER)
Attachment to Page 8 -
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 20-108 F-A Fl.10F CCA-5 IIPI TO Al LOOP (P32C)
MU-210A (SNUBBER)21-063 B-J B9.11 CCA-5 HPI TO A2 LOOP (P32D)
ELL TO SAFE END CIRC SEAM 21-064 B-F B5.140 CCA-5 HPI TO A2 LOOP (P32D)
SAFE END TO NOZZLE AT P34D DISCH (DMW)23-114 F-A Fl.10F HPI IIPI TO B2 LOOP (P32B)
MU-167A (SNUBBER)25-021 B-F B5.150 CCA-13 RCS DRAINS P32B SUCTION TO COUPLING SE SOCKET WELD (DMW)26-010 C-F C5.21 EBB-1 MAIN FEEDWATER ELL TO PIPE CIRC SEAM 26-059 F-A Fl.20F MFW MAIN FEEDWA111R EBB-lAIS-22 (SNUBBER)26-060 F-A Fl_20F MFW MAIN FEEDWATER EBB-lAIS-23 (SNUBBER)26-061 F-A Fl.20F MFW MAIN FEEDWATER EBB-1AIS-24 (SNUBBER)26-062 F-A Fl.20F MFW MAIN FEEDWATER EBB-1AIS-25 (SNUBBER)26-063 F-A Fl.20F MFW MAIN FEEDWATER EBB-lAIS-26 (SNUBBER)26-068 F-A Ft.20F MFW MAIN FEEDWATER EBB-lAIS-27 (SNUBBER)
.-~
.~
Attachment to Page 9 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 26-082 F-A Fl.20F MFW MAIN FEEDWATER EBB-laIS-28 (SNUBBER)26-083 F-A Fl.20F MFW MAIN FEEDWATER EBB-lAIS-29 (SNUBBER)26-034 F-A Fl.20F MFW MAIN FEEDWATER EBB-l/2MFW-2-H39 (SNUBBER)27-050 F-A Fl.20F MFW MAIN FEEDWATER EBB-1AIS-30 (SNUBBER)27-051 F-A Fl.20F MFW MAIN FEEDWATER EBB-ISIS-31 (SNUBBER)27-052 F-A Fl.20F MFW MAIN FEEDWA~ER EBB-1AIS-32 (SNUBBER)27-053 F-A Fl.20F MFW MAIN FEEDWATER EBB-1AIS-33 (SNUBBER) 274)S4 F-A Fl.20F MFW MAIN FEEDWATER EBB-lAIS-34 (SNUBBER)27-055 F-A Fl.20F MFW MAIN FEEDWATER EBB-lalS-35 (SNUBBER)27-056 F-A
. Fl.20F MFW MAIN FEEDWATER EBB-1AIS-36 (SNUBBER)27-057 F-A Fl.20F MFW MAIN FEEDWATER EBB-1AIS-37 (SNUBBER)27-058 F-A Fl.20F MFW MAIN FEEDWATER EBB-ISIS-38 (SNUBBER)
I
Attichment to Page 10 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 28-002A N/A' N/A EBB-3 MAIN STEAM FLUSHING ATTACHAENT WELD 28-012A N/A N/A EBB-3 MAIN STEAM FLUSHING ATTACHMENT WELD 28-032 F-A Fl.20F MS MAIN STEAM EBB-3/HS-17A&B (2 SNUBBERS)28-033 F-A Fl.20F MS MAIN STEAM EBB-3/HS-16A&B (2 SNUBBERS)28-034 F-A Fl.20F MS MAIN STEAM EBB-3/HS-20 (SNUBBER)28-035 F-A F1.20F MS MAIN STEAM EBB-3/HS-18 (SNUBBER)28-036 F-A Fl.20F MS -
MAIN STEAM EBB-3/HS-19 (SNUBBER)29-008 C-F C5.11 EBB-3 MAIN STEAM SWEEPOLET TO FLANGE CIRC SEAM 29-018 C-F C5.11 EBB-3 MAIN STEAM SWEEPOLET TO FLANGE CIRC SEAM 29-027 C-F C5.11 EBB-3 MAIN STEAM PIPE TO ELL CIRC SEAM 29-028 C-F C5.11 EBB-3 MAIN STEAM ELL TO PIPE CIRC SEAM 30-034 F-A Fl.20F MS MAIN STEAM EBB-3-HS-3A&B (2 SNUBBERS)
4 Attachment to Page 11.
OCAN069507 ~
ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 30-037 F-A Fl.20F MS MAIN STEAM EBB-3-HS-4 (SNUBBER)30-039 F-A Fl.20F MS MAIN STEAM EBB-3-HS-15 (SNUBBER)31-052 F-A Fl.20F MS MAIN STEAM EBB-3-HS-S (SNUBBER)31-206 F-A Fl.30F MS MAIN STEAM EBD-6/1-MS-118-H2O (2 SNUBBERS)32-101 F-A Fl.40B MU MAKE UP PUMP SUCTION MAKE-UP PUMP P-36A SUPPORTS33-067 F-A Fl.20F DH D.H. REMOVAL TO PUMPS GCB-4/HS-49 (SNUBBER)33-101 F-A Ft.40B DH D.H. REMOVAL TO PUMPS DECAY HEAT PUMP P-34A SUPPORTS I
34-086W C-C C3.20 GCB-10 LPI PUMP A DISCHARGE TO GCB-10-H1 (INT. ATTACHMENT)
l 34-092 F-A Fl.20A LPI LPI PUMP A DISCHARGE TO GCB-l/DH-10 PENETRATION 34-107 F-A Fl.20F LPI LPI PUMP A DISCHARGE TO GCB-1-DH-302 (SNUBBER)
35-018 C-F C5.11 GCB-1 LPI PUMP B DISCHARGE TO E35B NOZZLETO REDUCER CIRC SEAM PENE1 RATION 35-018AB C-F C5.12 -
GCB-1 LPI PUMP B DISCHARGETO REDUCER LONG SEAMS PENETRATION l
l l
i
Attachment to Page 12 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 35-018CD C-F C5.12 GCB-1 LPI PUMP B DISCHARGE TO NOZZLE LONG SEAMS PENETRATION 35-027 C-F C5.11 GCB-1 LPI PUMP B DISCHARGE TO PIPE TO TEE CIRC SEAM PENETRATION 35-027AB C-F C5.12 GCB-1 LPI PUMP B DISCHARGE TO TEE LONG SEAMS PENETRATION 35-034 C-F C5.11 GCB-1 LPI PUMP B DISCHARGE TO PIPE TO VALVE CIRC SEAM PENETRATION 35-059 C-F C5.11 GCB-1 LPI PUMP B DISCHARGE TO PIPE TO ELL CIRC SEAM PENETRATION 35-059AB C-F C5.12 GCB-1 LPI PUMP B DISCHARGE TO ELL LONG SEAMS PENETRATION 35-063 C-F C5.11 GCB-1 LPI PUMP B DISCHARGETO PIPE TO ELL CIRC SEAM PENETRATION 35 43AB C-F C5.12 GCB-1 LPI PUMP B DISCHARGE TO ELBOW LONG SEAMS PENETRATION 3548 C-F C5.11 GCB-1 LPI PUMP B DISCHARGE TO PIPE TO ELL CIRC SEAM PENETRATION 3548AB C-F C5.12 GCB-1 LPI PUMP B DISCHARGE TO -
ELL LONG SEAMS PENETRATION 3549 C-F C5.11 GCB-1 LPI PUMP B DISCHARGETO ELL TO PIPE CIRC SEAM PENETRATION 35-074 C-F C5.11 GCB-10 LPI PUMP B DISCHARGE TO PIPE TO TEE CIRC SEAM PENETRATION
=: r.
i Attachment to
- Page 13 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 35-080AB C-F C5.12 GCB-10 LPI PUMP B DISCHARGE TO TEE LONG SEAMS PENETRATION 36-055 C-F C5.21 CCB-1 LPI PENETRATIONS TO CORE ELL TO PIPE CIRC SEAM FLOOD 36-092 F-A Fl.20F LPI LPI PENETRATIONS TO CORE CCB-1-H16 (SNUBBER)
FLOOD 42-018 F-A F1.20B DEI COOLER D.H. REMOVAL COOLER E35B SUPPORT (SOUTH)
E35B 43-101 N/A N/A RCP P32A RCP A & MOTOR FLYWIIEEL RCP SEAL INJECTION PIPING 43-102 N/A N/A RCP P32A RCP A & MOTOR FLYWlEEL RCP SEAL INECTION PIPING i
43-201 N/A N/A RCP P32A RCP A & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 43-202 N/A N/A RCP P32A RCP A & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 43-203 N/A N/A RCP P32A RCP A & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 44-009 SPARE N/A N/A RCP P32B RCP B & MOTOR FLYWlEEL FLYWlEEL-CONSISTING OF ONE SOLID PLATE 44-101 N/A N/A RCP P32B RCP B & MOTORFLYWIEEL RCP SEAL INECTION PIPING 44-102 N/A N/A RCP P32B RCP B & MOTOR FLYWHEEL RCP SEAL INECTION PIPING
Attachment to Page 14 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 44-201 N/A N/A RCP P32B RCP B & MOTOR FLYWHEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 44-202 N/A N/A RCP P32B RCP B & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 45-101 N/A N/A RCP P32C RCP C & MOTOR FLYWHEEL RCP SEAL INECTION PIPING 45-102 N/A N/A RCP P32C RCP C & MOTOR FLYWHEEL RCP SEAL INJECTION PIPING 45-103 N/A N/A RCP P32C RCP C & MOTOR FLYWHEEL RCP SEAL INECTION PIPING 45-201 N/A N/A RCP P32C RCP C & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 45-202 N/A N/A RCP P32C RCP C & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 45-203 N/A N/A RCP P32C RCP C & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 46-101 N/A N/A RCP P32D RCP D & MOTOR FLYWlEEL RCP SEAL INECTION PIPING 46-102 N/A N/A RCP P32D RCP D & MOTOR FLYWlEEL RCP SEAL INECTION PIPING 46-201 N/A N/A RCP P32D RCP D & MOTOR FLYWlEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 46-202 N/A N/A RCP P32D RCP D & MOTOR FLYWHEEL RCP SEAL CONTROLLED BLEED-OFF j
PIPING l
l l
~
Attechment to Page 15 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1.
IR12 COMPLETED ISI EXAMINATIONS l
ISI EXAM NO-CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 46-203 N/A N/A RCP P32D RCP D & MOTOR FLYWHEEL RCP SEAL CONTROLLED BLEED-OFF PIPING 47-001 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE FLANGE TO ELL CIRC SEAM DISCHARGE 47-003 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCIIARGE 47-004 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE
-4 47-005 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 47 006 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIka,
DISCHARGE 47-007 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAa.
DISCHARGE 47-008 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE 47-009 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM.
DISCHARGE 48-002 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE FLANGE TO ELL CIRC SEAM DISCHARGE 48-003 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 48-004 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE
Attrchment to Page 16 0CAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 48-005 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 48-005A N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO PIPE CIRC SEAM DISCHARGE 48-006 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE 48-007 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 48-007A N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO PIPE CIRC SEAM DISCHARGE 48-008 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE 48-009 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 49-101 D-B D2.20 EFW EMERGENCY FEEDWATER TDEFW PUMP P-7A INTEGRALLY-ATTACIED SUPPORTS (PUMP FEET)49-102 F-A Fl.40B EFW ENERGENCY FEEDWATER TDEFW PUMP P-7A SUPPORTS49-103 D-B D2.20 EFW EMERGENCY FEEDWATER MDEFW PUMP P-7B INTEGRALLY-ATTACIED SUPPORTS (PUMP FEET)49-104 F-A Fl.40B EFW EMERGENCY FEEDWATER MDEFW PUMP P-7B SUPPORTS 50-101 F-A Fl.40B SW SERVICE WATER SERVICE WATER PUMP P-4A SUPPORT STRUCTURE
Attachment to Page 17 OCAN069507 -
ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT I q
1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 54-023 F-A Fl.30B SW SERVICE WATER HCD-Il2-H1 54-023W D-B D2.20 SW SERVICE WATER HCD-Il2-H1 (INTEGRAL ATTACHAENT) '55-010 C-F C5.11 GCB-12 BUILDING SPRAY A FLANGE (FE-2410) TO PIPE CIRC WELD 55-201 F-A Fl.40B BS BUILDING SPRAY A BUILDING SPRAY PUMP P-35A SUPPORTS56-013 C-F C5.11 GCB-12 BUILDING SPRAY B PIPE TO FLANGE (FE-2400) CIRC WELD 56-014 C-F C5.11 GCB-12 BUILDING SPRAY B FLANGE (FE-2400) TO PIPE CIRC WELD 56-021 C-F C5.11 GCB-12 BUILDING SPRAY B ELL TO PIPE CIRC WELD
.56-024 C-F C5.11 GCB-12 BUILDING SPRAY B TEE TO VALVE (BS-2B) CIRC WELD 56458 C-F C5.11 GCB-12 BUILDING SPRAY B PIPE TO ELL CIRC WELD 56-059 C-F C5.11 GCB-12 BUILDING SPRAY B PIPE TO ELL CIRC WELD 57-031 F-A F1.30E EFW EMERGENCY FEEDWATER HBD-19/3-EFW-112-H2 57-031W D-B D2.20 EFW EMERGENCY FEEDWATER HBD-19/3-EFW-ll2-H2 (INTEGRAL ATTACHMENT)
Attachment to Page 18 '
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEp1 COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION 63-004 F-A Fl.20F BS BUILDING SPRAY B (INSIDE RB) HCD-8/BS-79A (SNUBBER)70-001 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE FLANGE TO ELL CIRC SEAM DISCHARGE 70-002 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 70-003 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE 70-004 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELL TO PIPE CIRC SEAM DISCHARGE 70-005 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE PIPE TO ELL CIRC SEAM DISCHARGE 70-006 N/A N/A FCB-2 PRESSURIZER SAFETY VALVE ELLTO PIPE CIRC SEAM DISCHARGE A-10000 N/A N/A HEAVY LOADS AUGNENTED INSPECTION INTERNALS HANDLING FIXTURE TRIPOD.
A-10001-1 N/A N/A HEAVY LOADS AUGMENTED INSPECTION LIFTING LUG TO LEG WELD (LEG 1)
A-10001-2 N/A N/A HEAVY LOADS. AUGNENTED INSPECTION LIFTING LUG TO LEG WELD (LEG 2)
A-10002-2 N/A N/A HEAVY LOADS AUGMENTED INSPECTION CLEVIS PLATE TO TOP FLANGE OF HORIZ BEAM WELD (LEG 2)
A-10002-3 N/A N/A HEAVY LOADS AUGhENTED INSPECTION CLEVIS PLATE TO TOP FLANGE OF HORIZ-BEAM WELD (LEG 3)
Attachment to Page 19 d
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 i
IR12 COMPLETED ISI EXAMINATIONS i
IST EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION l
i A-10004-2 N/A N/A IEAW LOADS AUGMENTED INSPECrlON CLEVIS PLATE TO TOP FLANGE OF LEG BEAM WELD (LEG 2)
A-10004-3 N/A N/A IEAW LOADS AUGhENTED INSPECTION CLEVIS PLATE TO TOP FLANGE OF LEG BEAM WELD (LEG 3)
A-10005-2 N/A N/A IEAW LOADS AUGhENTED INSPECTION TOP FLANGE OF LEG BEAM TO HORIZ BEAM WELD (LEG 2)
A-10005-3 N/A N/A IEAW LOADS AUGMENTED INSPECTION TOP FLANGE OF LEG BEAM TO HORIZ l
BEAM WELD (LEG 3) l A-10006-3 N/A N/A HEAWLOADS AUGhENTEDINSPECTION CENTER POLE BASE PLATE TO FLANGE l
WELD (LEG 3)
A-10007-2 N/A N/A HEAW LOADS AUGNENTED INSPECTION BOTTOM FLANGE OF LEG BEAM TO HORIZ BEAM WELD (LEG 2)
A-10008-1-2 N/A N/A FEAWLOADS AUGhENTEDINSPECTION STRUT PLATE TO HORIZ BEAM TOP WELD (LEGS 1 TO 2)
A-10008-2-3 N/A N/A HEAVYLOADS AUGNENTEDINSPECTION STRUr PLATE TO HORIZ BEAM TOP WELD (LEGS 2 TO 3)
A-10008-3-1 N/A N/A IEAW LOADS AUGhENTED INSPECTION STRUT PLATE TO HORIZ BEAM TOP WELD (LEGS 3 TO 1)
A-10009-1-2 N/A N/A lEAVYLOADS AUGMENTEDINSPECTION STRUT PLATE TO HORIZ BEAM BOTTOM WELD (LEGS 1 TO 2)
A-10009-2-3 N/A N/A HEAVYLOADS AUGNENTEDINSPECTION STRUT PLATETO HORIZ BEAM BOTTOM WELD (LEGS 2 TO 3)
A-10010-1-2 N/A N/A IEAVY LOADS AUGMENTED INSPECTION PIPE STRUT TO PLATE WELD (LEGS 1 TO 2)
Attechment to
' Page 20 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A 10010-2-3 N/A N/A HEAVY LOADS AUGNENTED INSPECTION PIPE STRUT TO PLATE WELD (LEGS 2 TO 3)
A-10078 N/A N/A MAIN STEAM AUGhENTED INSPECTION REDUCING TEE TO PIPE CIRC WELD (4")
A-10079 N/A N/A MAIN STEAM AUGMENTED INSPECTION ELL TO PIPE CIRC WELD (4")
A-10080 N/A N/A MAIN STEAM AUGMENTED INSPECTION VALVE CV-2667 TO REDUCER (3")
i A-100SI N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO TEE CIRC WELD (4")
l A-10082 N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO VALVE CV-2613 (4")
A-10083 N/A N/A MAIN STEAM AUGMENTED INSPECTION TEE TO PIPE CIRC WELD (4")
I A-10084 N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO VALVE CV-2663 (4")
A-10085 N/A N/A MAIN STEAM - AUGMENTED INSPECTION ELL TO PIPE CIRC WELD (4")
i i
A-10086
'N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO ELL CIRC WELD (4")
{
A-10087 N/A N/A MAIN STEAM AUGMENTED INSPECTION ELL TO PIPE CIRC WELD (4")
A-10088 N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO REDUCER CIRC WELD (4")
Attachment to Page 21 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS
'l ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A-10089 N/A N/A MAIN STEAM AUGNENTED INSPECTION SWEEPOLET TO TEE CIRC WELD (8")
A-10090 N/A N/A MAIN STEAM AUGMENTED INSPECTION PIPE TO ELL CIRC WELD (8")
A-10091 N/A N/A MAIN STEAM AUGNENTED INSPECTION ELL TO PIPE CIRC WELD (8")
l A-10092 N/A N/A MAIN STEAM AUGNENTED INSPECTION PIPE TO REDUCER CIRC WELD (8")
A-10093 N/A N/A MAIN STEAM AUGMENTED INSPECTION REDUCER TO VALVE CV-2676 (10")
A-10094 N/A N/A MAIN STEAM AUGMENTED INSPECTION ELL TO VALVE CV-2668 (8")
A-10095 N/A N/A MAIN STEAM AUGMENTED INSPECTION SWEEPOLET TO ELL CIRC WELD (8")
A-100 6 N/A N/A MAIN STEAM AUGNENTED INSPECTION ELL *lT) PIPE CIRC WELD (8")
A-10097 N/A N/A MAIN STEAM AUGNENTED INSPECTION ELL TO ELL CIRC WELD (8")
l A-10098 N/A N/A MAIN STEAM AUGMENTED INSPECTION REDUCER TO VALVE CV-2619 (10")
l A-10099 N/A N/A MAIN STEAM AUGNENTED INSPECTION ELL TO VALVE CV-2618 (8")
A-10137 N/A N/A PRESSURIZER AUGMENTED INSPECTION THERMOWELL NOZZLE (PRESSURIZER) u__
_- J
Attrchment to Page 22 OCAN069507 -
ENTERGY OPERATIONS t
ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A-10138 N/A N/A PRESSURIZER AUGMEMED INSPECTION SAMPLING NOZZLE (PRESSURIZER)
A-10139 N/A N/A PRESSURIZER AUGMENTED INSPECTION LOWER LEVEL TAP @ 157' FROM X (PRESSURIZER)
A-10140 N/A N/A PRESSURIZER AUGMENTED INSPECTION LOWER LEVEL TAP @ 217' FROM X (PRESSURIZER)
A-1014 I N/A N/A PRESSURIZER AUGMENTED INSPECTION LOWER LEVEL TAP @ 277* FROM X (PRESSURIZER)
A-10142 N/A N/A PRESSURIZER AUGMENTED INSPECTION UPPER LEVEL TAP @ 157' FROM X (PRESSURIZER)
A-10143 N/A N/A PRESSURIZER AUGMENTED INSPECTION UPPER LEVEL TAP @ 217' FROM X (PRESSURIZER)
A-10144 N/A N/A PRESSURIZER AUGMENIED INSPECTION UPPER LEVEL TAP @ 277* FROM X (PRESSURIZER)
A-10145 N/A N/A PRESSURIZER AUGMENTED INSPECTION SPRAY LINE SAFE-END (PRESSURIZER)
A-10I46 N/A N/A PRESSURIZER AUGMENTED INSPECTION VENT NOZZLE (PRESSURIZER)
A-10173 N/A N/A PRESSURIZER AUGMENTED INSPECrlON UPPER LEVEL TAP REPAIR WELD (PRESSURIZER)
A-10174 N/A N/A MS (NON-AUGMENTED INSPECTION PIPE TO VALVE WELD (CV-6865, FW# 40)
CODE)
A-10175 N/A N/A MS (NON-AUGMENTED INSPECTION PIPE TO VALVE WELD (CV-6865, FW# 41)
CODE) m.
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Attechment to Psgt 23 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A-10176 N/A N/A MS (NON-AUGNENTED INSPECTION PIPE TO VALVE WELD (CV-6864, FW# 44)
CODE)
A-10177 N/A N/A MS (NON-AUGhENTED INSPECTION PIPE TO VALVE WELD (CV-6864, FW# 45)
CODE)
A-10182 F-A Fl.20B BWST PIPING AUGNE? RED INSPECTION HCD-15-H3 A-10183 F-A Fl.20A BWST PIPING AUGMENTED INSPECTION HCB-2-DH-110 A-10185 F-A Fl.20A BWST PIPING AUGNENTED INSPECTION HCB-2-DH-118 A-10189 F-A Fl.20E BWST PIPING AUGNENTED INSPECTION HCB-2-H21 A-10190 F-A F1.208 BWST PIPING AUGMENTED INSPECTION HCB-2-DH-108 A-10193 F-A Fl.20A BWST PIPING AUGNENTED INSPECTION HCB-2-DH-105 A-10194 F-A Fl.20C BWST PIPING AUGMENTED INSPECTION HCB-2-DH-106 A-10195 F-A Fl.20B BWST PIPING AUGMENTED INSPECTION HCB-2-DH-57 A-10197 F-A Fl.20F BWST PIPING AUGMENTED INSPECTION HCB-2/HS-50 (SNUBBER)
A-10202 F-A Fl.20A BWST PIPING AUGMENTED INSPECTION HCB-2-HI l
Att:chment to Page 24 -
OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A-10203 F-A Fl.20A BWST PIPING AUGhENIED INSPECTION HCB-2-H2 A-10203W C-C C3.20 BWST PIPING AUGNENTED INSPECTION HCB-2-H2 (INTEGRAL ATTACHMENT)
A-10209 F-A F1.20B BWST PIPING AUGMENTED INSPECTION HCB-2-DH-117 A-10213 F-A-Fl.20C BWST PIPING AUGMENTED INSPECTION HCB-2-DH-140 A-10220 F-A Fl.20A BWST PIPING AUGNENTED INSPECTION HCB-2-DH-148 A-10225 F-A Fl.20F BWST PIPING AUGMENTED INSPECTION HCB-2/HS-1 (SNUBBER)
A-10339 N/A N/A BWST PIPING AUGNENTED INSPECTION PIPE TO PIPE A-10340 N/A N/A BWST PIPING AUGMENTED INSPECTION PIPE TO PIPE A-10342 N/A N/A BWST PIPING AUGMENTED INSPECTION PIPE TO PIPE A-10343 N/A N/A BWST PIPING AUGNENTED INSPECTION PIPE TO PIPE A-10365 N/A N/A BWST PIPING AUGMENTED INSPECTION PIPE TO PIPE A-10366 N/A N/A BWST PIPING AUGMENTED INSPECTION PIPE TO PIPE
Attachment to Page 25 OCAN069507 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE-UNIT 1 1R12 COMPLETED ISI EXAMINATIONS ISI EXAM NO.
CATEGORY ITEM NO.
SYSTEM COMPONENT DESCRIPTION EXAMINATION AREA DESCRIPTION A-10478 N/A N/A BWST PIPING AUGMENTED INSPECTION VALVE (CA-90A) TO PIPE A-10479 N/A N/A BWST PIPING AUGNENTED INSPECTION PIPE TO TEE l
l t
f l
L___
i
Attachment to OCAN069507 r
i NIS-2 FORMS OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
a Attachment to 0CAN069507 AHSTRACT Repair and replacements were conducted during the twelfth operating cycle concluding with the IR12 refueling outage in accordance with the ASME Code,Section XI,1986 Edition with no Addenda.
Arkwright Mutual Insurance Company (Factory Mutual Systems) served as the Authorized Inspection Agency as defined in ASME Section XI, IWA-2120, reviewing applicable procedures, witnessing examinations and checking for general Code compliance as specified in IWA-2110 of the applicable edition and addenda of the Code.
Refueling Outage IR12 is the second outage of the third period of the second 10-year interval. This report covers repair / replacements performed between October 20,1993 and April 1,1995.
Also included in this report are corrections to several NIS-2 forms that were submitted with previous ANO-1 and ANO-2 ISI outage summary reports (ICAN099201,2CAN019302, and 2CAN079403). Two forms from the IR10 Outage Summary Report have been revised to add the type of pressure test conducted. Six forms from the 2R9 Outage Summary Report and 12 forms from the 2R10 Outage Summary Report have been revised to specify that the affected valve types were safety valves, not globe valves as previously indicated.
Attachment to l
OCAN069507 1R12 NIS-2 FORMS OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS t
t
?
r i
e
Attachment to OCAN069507-J.O. NUMBER ' DESCRIPTION
' COMPONENT I.D.
ACTIVITY
-852399 2" Globe Valve MU-21B Pans Replacement.
[
.902144 2" Globe Valve MU-21A Replaced / Replacement
?902144
= 2"x1.5" Red. Insert
' CCB-7 Replacement.
905751 2" Gate Valve CV-1301 Parts Replacement 907634 4" Gate Valve
- CV-2617 Parts Replacement 916101' CRDM
_ CRDM-65 Parts Replacement 916314-2.5" Globe Valve
. CV-1235 Parts Replacement 919955 1.5" Gate Valve RBD-9D _
Replaced / Replacement 919955 1.5" Gate Valve RBD-9C -
Replaced / Replacement -
+
919955-1.5" Gate Valve RBD-8C Replaced / Replacement -
919955 1.5" Gate Valve RBD-8D Replaced / Replacement 919955 2" Piping CCA-13-2" Replacement -
919955 1.5" Piping CCA-13-1.5" Replacement.
j 919955 2"x2"x1" Tee CCA-13-2"
. Replacement
~!
919955 2"x1.5" Reducer CCA-13-2"/1.5" Replacement.
919955 1.5" Pipe Cap CCA-13-1.5" Replacement 919955 2.5" Piping ;
CCA-13-2.5"
. Replacement 919955 2.5"x1.5" Reducer CCA-13-2.5"/1.5" Replacement 919955 1.5" Gate Valve RBD-8A Replaced / Replacement 919955 1.5" Gate Valve
- RBD-8B Replaced / Replacement 919955 1.5" Gate Valve RBD-9A Replaced / Replacement j
919955 1.5" Gate Valve RBD-9B Replaced / Replacement 919955 2" Piping CCA-13-2" '
Replacement -
~i 919955 1.5" Piping CCA-13-1.5" Replacement 919955 2"x2"xl" Tee CCA-13-2" Replacement 919955 2"xl.5" Reducer CCA-13-2"/1.5"-
Replacement 919955-1.5" Pipe Cap -
CCA-13-1.5" Replacement 919955 2.5" Piping CCA-13-2.5"
' Replacement 919955 2.5"xl.5" Reducer CCA-13-2.5"/1.5" Replacement j
921502 Support 3EFW-2-H2 Repaired e
921502 Support 3EFW-4-113 -
' Repaired 921502 Support 3EFW-4-111 Repaired 921511 Support HCB-5-H2 Repaired 921606 "A" Steam Generator Skirt Repaired l
921606 "B" Steam Generator Skirt Repaired 1
922187 Support EBB-3-HS-17_
. Repaired =
922187 Suppon EBB-1-H2O Repaired 922187 Support CCB-9-H4
. Repaired 922187 Support CCB-9-H6 Repaired 922187 Support CCB-9-H11 Repaired 922187 Support CCB-4-H013
-Repaired -
922574 Support FCB-2-RC-51 Repaired.
.j i
_m.,
i Attachment to 1
OCAN069507 r'
J.O. NUMBER DESCRIPTION COMPONENTIA ACTIVITY 922802 Support
' CCA-13-H14 New 922802 Support CCA-13-H12 New 922802 Support CCA-13-H8 New
.922802' Support CCA-13-H7 New 922802 Support CCA-13-H6.
New 922802 Support CCA-3-MU-131 New 922802 Support CCA-13-H11 New 922802 Support CCA-13-H13 New 923494 6" Globe Valve PSV-2697 Parts Replacement 923790 Support EBB-2-H1 Repaired l
924225 3" Globe Valve CV-1052 Replaced / Replacement 924225 3" Elbow HCB-5-3 Replacement 924225 3" Pipe HCB-5-3 Replacement 924684 14" Gate Valve CV-2415 Parts Replacement ^
927172 Snubber CCA-13-H2 Replaced / Replacement '
927172 Snubber HS-17A Replaced / Replacement 927172 Snubber HS-17B Replaced / Replacement 927172 Snubber 1-MS-118-H20A Replaced / Replacement 927172 Snubber MU-210A Replaced / Replacement I
927494 Support CCB-1-DH-186 Repaired 928335 Heat Exchanger E-35B Parts Replacement 928362 CRDM CRDM-62 Parts Replacement 928516 Piping.
EBB-3-Weld # 28-002A Repaired 928516 Piping EBB-3-Weld # 28-012A Repaired 923591 "A" Steam Generator E-24A Parts Replacement 928681 Check Valve RC-1011
. Replaced / Replacement i
928959 Support FCB-2-HS-13
-Repaired 928959 Support FCB-2-6-RC-19 New 929185 Support CCA-6-H003 Parts Replacement 9
i 1
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations, Inc Date e///// 7f Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addren
- 2. Picnt - Arkansas Nuclear One Unit
/
1448 S R. 333, Russellville, AR 72801 tTO FS2377 Address Repair Orgamzatwn P.O.No., Job No. etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A N=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System MBgE UP ( CC'6-7 )
C (Aff 2
- 5. (a) Applicable Constmetion Code pf4f7 19 /,y Edition, gf/
- Addenda, fy//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
GLO6[
N/A PMTS 2 ' VAIVt' VCinAl AIA 1710-218 AIR RP(MCD1DilT YE.T N/A N/A N/A N
"'^
- 7. Description ofWork EEPlddEb /4/lf D/SC.
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure y Other l l PressureA06 O/yy Psi Test Temp gjpg pg F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
l'i y}
. P ge 1 (Back) l f
i l
FORM NIS-2 (Back) '
- 9. Remarks EEPD?CfD DISC 3//J/~M-YW4 Nfm //BJ D/2. 5/J '/57 i
Apphcable Manufactures Data Reports to be anached CERTIFICATE OF COMPLIANCE i
We cert.fy that the statements made in the repon are correct and this FE7:P//(('/71f>L/T conforms to the rules of the ASME Code,Section XI.
Repair or Replacement f
Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A
.I h,e hb lohet{ Date
[>!lS
,19 %
Signed w
owner or owners Desianee.Tsue
~
D B. Lomax - Manager, Engmeering Programs i
CERTIFICATE OF INSERVICE INSPECTION i
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe i
in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j
Owner's Repon in accordance with the requirements of the ASME Code,Section XI.
i By signing this cenificate neither the Inspector not his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described in this Owner's Report.Funhermore, neither the Inspector nor his employer i
shall be liable in any manner for any personalinjury or propeny damage or a loss of any kind arising from or connected with this inspection, i
l h,ib DM Commissions NB-9985, Ark.-1054 "N". "I", "B" InspectoPs Segnature Natiomt Board, State, Province, and Endorsements C.W. THOMPSON Date la/sF 1997 i
- Factory Mutual Engineering Association
s
- Page 1 (Front) l FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations, Inc Date y//,/ 95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addre
- 2. Plant Ark.ansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 902 /W Address Repair Orgamzahon P.O.No., Job No etc.
- 3. Work Performed by AP&IJEntergy Operations, Inc Type Code Symbol Stamp N/A i
Name Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System D7/l M E U P CCC8-7)
CUISIZ
- 5. (a) Applicable Construction Code Df_4FT 19 /,y Edition, gy)
- Addenda, p//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 "6.
Identification of Components Repairs or Replaced and Replacement Components ASME i
Code National
- Repaired, Stamped l
Name of Name of Manufacturer Board Other Year
- Replaced, (yes 1
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i Z"CtGBC N/A t/AlUC VEL MAJ NA D10-Z/R
/UA TEP/ ACED YE"]
Z " 6(00C N/A t/Alyf
//EKOITJT 11CBlo - N
/710- E///
/113 FCM M CMLNT YEJ E " X /, 3 '
N/A
((D. INSLXT Vallolff NA CCO-7 1997 EEPincr:1CNT NO N/A N/A
- 7. Desctiption ofWork t[RACCD YalW AND INJEET
)
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure Other l l Pressure /ar/A/pl ofrr Psi Test Temp upgfuj, og7 F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-i tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Ptge 1 (Pack) p' FORM NIS-2 (Back)
~
. 9. Remarks NPV-l FT)hn RTTAC//ED FOL YALVE ELP/ACEH19/E Apphoebte Manufacures Date Rapons a be am If]VDVED (DDE ('AJ/~ N WL-/
y CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Empf/ nog /y-conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certifica of Authonzation N N/A Expiration Date N/A Signed W de hbN2)( Date b/J
,19 4 [
f Owner or Owner's Desimisoii. Title
}
D.B. Lomax - Manager, Engineering Programs I
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 i
or Province of Arkansas and employed by Arkwright Mutual Insurance Company a of.
Norwood. MA
'haveinspected the components describe in this Owners Report during the period 10/19/93 to 44)1/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures desenkd in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neitherthe inspector nor his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described in this Owners Report,Furthermont, neither the Inspector norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
b ub.
hMw Commissions NB-9985, Ark.-1054, 'N", 'I", "B" l
'$4P C.
O N
Date
//E 19 96 9 Factory Mutual Engineering Association
f * '"
FORM NPV 1 N CERTIRCATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES
- As Required by the Provision) of th] ASME Cod], Section Ill, Div.1-Sht. 1 of 1
- 1. Manufactured by Kerotest' Manufacturing Corp., Pittsburgh, PA (NU-92087)
(Name anc Address of N Certif6cate Holder)
- 2. Manufactured for Arkansas Power & Listht Co.. Little Rock. Arkansas (Name and Address of Purcrisser or Ownerp
- 3. Location of installation Arkansas Nublear One. Russellville, Arkansas (Name and Addressl 4 Pump or Valve Valve Nominal inlet Sire 2"
2" Outlet Sire (inch)
(inch)
(a) Model No, (b) N Certifi,cate Holder's (c) Canadian Senes No.
Serial Regns1 ration (d) Drawing (f) Nat'l.
(g) Year or Type No.
No.
No.
(e) Class Bd No.
Built gi)
Globe AEB6-2 N/A ARK 5-RQ909-(1) 1 N/A 1983 (2)
Ginbe AEB6-7 [
N/A ARK 5-R9909,-L1) 1 N/A 1983
'J3)
- n1nh, AEB6-8 //
N/A ARK 5-R9909-(11 1
N/A 1983 (4) 01nhe AEB6-9 /
N/A ARK 5-R9909-(1) 1 N/A 1983 (5)
._Q1obe AEB6-15/,
N/A ARK 5-R9909-(1) 1 N/A 1983 (6)
Globe AEB6-16[
N/A ARK 5-R9909-(1) 1 N/A 1983 (7)
Globe AEB6-18 /,
N/A ARK 5-R9909-(1) 1 N/A 1963 (8)
Globe AEB6-19 /,
N/A ARK 5-R9909-(1) 1 N/A 1903 (g)
Globe AEB6-23d N/A ARK 5-R9909-(1) 1 N/A 1963 (10)
Globe AEB6-24V N/A ARY,5-R9909-(1) 1 N/A 1903 3
Flow Control terief description of service for which equipment was designed)
- 6. Design Conditions 2L65 100 ps, F or valve Pressure class (1)
(Pressurer ITemperaturet
- 7. Cold Working Pressure 2h65 ps, at too F
- 8. Pressure Retaining Pieces Mark No Material Spec No Manufacturer Remarks (a) Castings (b) Forgings i
Body - AEB SA182, F316 McWilliams (1) For manually operated valves only.
- Supplemental sheets in form of lists. sketches or drawings may be used provided (1) size is 81/2* = 11", (2i information m stems 1. 2 and 5 on this Data Report is included on each sheet. and (3) each sheet is numbered and number of sheets is recorded at top of this form.
(10/771 This form (E00037) may be obtained from the Order Dept., ASME. 345 E. 47th St.. New York, N.Y.10017
PORM IWV.1.lSeeki s -
- M;rk No.
Metensi Spec. No. ~
Manufacturer Rem rks n
ty.
(C) Softing (di Other Parts S Ah70_ 'Nme 11 6 Joslyn ni e e.
Am hnnet ADT SAh79. 'hrpe 91 6 Josivn h
- 9. Hydrosteth: ves, SLOO
,,4,
oi,coi,,,,,n,i,i,,,,,,,,,,,, 3600 CERTIRCATE OF COfruANCE We certify that the statements made in this report are correct and that this pump, or volve, conforms to the rules of construction of the ASME Code for Nuclear Power Plant Components. Section Ill. Div. i., Edition 197h Addends C'S t-a" 1079
, Code Case No.
N/A
_. pote September 29, 1983
!'[II S;gned Kero s Manufacturing Corp.
d/
g-su comneste eersteers Our ASME Certificate of Authoritation No.
1902 h/25/86 to use the symbol empires sei foes :
CERTIFICATION OF DESIGN j
Design information on file at Kerotest Manufacturing Corp.
Strees onetysis report (Class 1 only) on file et Kerotest Manufacturing Corp.
Design specifications certifed by (1)
Larry D. Young Reg.No.
h557 PE State ARK Strees onetysis comfied by (1)
Richard W. Conley PE Sten PA Reg.No.
20112-E (1) Signature not required. List name only, i
l CENTE OF SHW IfMPECTION 1, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel I 7 TR"4a and employed by ne HefoM Mem pM MN and the State or Province of P* "" ':
1 og h e fnva_ Connecticut have inspected the pump, or volve, desenbod in this Date Report on M9 19 O
, and state that to the best of my knowledge end belief, the N Certificate Holder has con-structed this pump, or valve. in accordance with the ASME Code, Section Ill.
By segms'g this certificate. neither the inspector nor his employer makes any warranty, empressed or impled, concoming the equipment desenbod in this Data Rooort. Furthermore; neither the inspector not his employer shall be liable in any menner for any personal injury or property damage or a loss of any kind ansing from or connected with this inspection.
ca.
N9 to D.
- M Commissions NM nned.cmri is.n sa., sisi.. er. saa no.i
i Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI l
- l. Owner AP&L/Entergy Operations, Inc Date
/// /R/ 9g f
Nam 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
i Address
- 2. Plant Arkansas Nuclear One Unit UN/T /
1448 S.R. 333, Russellville, AR 72801 yg ggg7g/
Address Repair Organizauon P.O.No., Job No. etc.
- 3. Work Performed by AP&I1Entergy Operations,Inc Type Code Symbol Stamp N/A N*"
Authorization No N/A I
1448 S.R. 333. Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System
[J)/] W [ /)f7 ( /fff) )
C/()$J2,.
- 5. (a) Applicable Construction Code SEc7 M 19 7y Edition, J. fg75
- Addenda, g/jp Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code l
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 2* LATE N/A P All T J VDE VE HEAltY VO6T
'/ 't 7 C sf-130 t 193*/
REPLACEMENT YE.S I
N/A N/A N/A N/A
- 7. Description ofWork EEPL/ ICED ll) EDGE
- 8. Tests Conducted 11ydrostatic l l Pneumatic l l Nominal Operating Pressure ]
Other l l Pressureyggm opfp, Psi Test TemPN3/mN#l orir. F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I 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.
t (12/82)
This Form (E00030) may be obtained from the Order Dept., ASNE,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
i J
i
)
I Page 1 (Back) l
)
l FORM NIS-2 (Back)
)
- 9. Remarks NI7 Apphcable Manufacture's Data Reports to be ansched FEPinCED YAL VE WEDGE (Clo SM MM 17-4'M)
(AJEb) J/J //5 7(-N3900Y) f CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this frPuRT/ DEA /7 conforms to the rules of the ASME Code,Section XI.
Repair or Replacement T)pe Code Symbol Stamp N/A I
Cenificate ofAuthorization N N/A Expiration Date N/A Signed hb hr
[ dM )(
Date
(
,19 T1 owner or owner's Desiance. Tale D.B. Lomax - Manager, Engineering Programs CERTIFICATE OF INSERVICE INSPECTION l
I, the undersigned, holding a valid commission issued by the National Board of Boi!ct and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright Mutual Insurance Company
- of j
Norwood. M A haveinspected the componentsdescribe i
in this Owner's Repon during the period 10/19/93 to 4/01/95
, 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 cenificate neither the Inspector nor his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described inthis Owners Report.Funhermore, neither the Inspector norhis employer j
shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
L OMb Commissions NB-9985, Ark.-1054, "N". "I", "B" Inspector's Siplature Nauonal Board, State. Provmee, and Endorsements C.W. THOMPSON Date la/17 19 9b~
i h
- Factory Mutual Engineering Association 7
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations, Inc Date y / g / c/ g Nanz 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addren
- 2. PI:nt Arkansas Nuclear One Unit
/
l 1448 S.R. 333, Russellville, AR 72801 7 0 9 0 7 /o M Address Repair Organization P.O.No. Job No etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A Nanw Authorization No N/A 1448 S.R. 333. Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System /))///A) fJ27)f))
([8B -))
[//)ff [
- 5. (a) Applicable Construction Code B 3 /. 7 19 f,c7 Edition, jfg Addenda, p/J Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 l
l
- 6. Identification of Components Repairs or Replaced and Replacement Components l
l ASME l
Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Scrial No.
No.
Identification Built or Replacement or No)
J
'l
- 6ME N/A mitts VAlUE VELRN IZ76Z9 C V-EGI7 NR FE7MCED YZT
\\
N/A N/A N/A N/A I
- 7. Description ofWork Egr//(tD J70gg /]A/O SvTJ
- 8. Tests Conducted Ilydrostatic l l Pneumatic l l Nominal Operating Pressure Otherl l Pressureg/g g o p g Psi Test Temp jpgg gpg F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in
'1 in., (2) informa-tior. In items I through 6 on this report is included on each sheet, and (3) cach sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12./91
_______.-______._____m__
P ge 1 (Back) ')
4 FORM NIS-2 (Back)
- 9. Remarks Y[17/W(T) 7 dT)D5 V-T NUIT. PD* P3%WI F W2MD Apphcable Manufacture's Data Reports to be anached i
l
[
J I
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Et?7/rENG/T conforms to the rules of the l
ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A I
Certificate of Authorization N N/A Expiration Date N/A W/r hr 08te o3<
,19 T[
Signed t-s k
Date
' Owner or owner's Desianee. Title D.B. Lomax - Manager, Engineering Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Boa.d of Boiler and Pressure Vessel Inspectors and the State i
or Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
._u Ahadu Commissions NB-9985. Ark -1054. "N" "I", "B" gs s gnatu Nauonal Board. State. Province, and Indorsernents Date
[/IF 19 Y I
- Factory Mutual Engineering Association
1 P:ge 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&L/Entergy Operations,Inc Date S/ 22/95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addr.as
- 2. Plant Arkansas Nuclear One Unit
/
1448 SA 333, Russellville, AR 72801 70 c//f /g/
Address Repair Orgamzauon P.O.No Job No..etc.
- 3. Work Performed by AP&L/Entergy Operations, Inc Type Code Symbol Stamp N/A i
N=
Authorization No N/A 1448 S.R. 333. Russellville, AR 7280}
Expriation Date N/A Address
- 4. Identillcation of System FB)fTD/f (DDl///l/l~ P/JR271 C Ct//ff /J
- 5. (e) Applicable Construction Code,J/d/ F 19 f,/ Edition, gjf
- Addenda, p//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N/A NO CK0/n B $ at)
X-J L 3 cK Difl L S
/71,7 KfP//kf7M
/JO N/A
\\
"'^
N/A N/A 7, Description ofWork ((py)({7) jy((f T llfjj2rfj5L y
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure Other l lPressureypp,gnggjy Psi Test Temp,grg,yp (pyy F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-l tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) i FORM NIS-2 (Back)
- 9. Remarks A////
Apphcable Manufacsures Data Reports to be ansched I
t i
I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this (277ntr///DVf conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate ofAuthorization N N/A Expiration Date N/A d/f 2
hr-b1/gX l
Signed Date f
,19 @
owner or owner's Desinnee. Tale D.B. Lomax - Manager, Engmeenng Programs CERTIFICATE OF INSERVICE INSP[dTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvince of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owners Report during the period 10/19/93 to 4/01/95
, 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 neitherthe Inspector nor his employer makes any warranty, expressed orimplied, concerning the
[
ex:minations and corrective measures described in this Owner's Report.Furthermore,'neither the Inspector nor his employer l
shall be liable in any manner for any personalirjury or property damage or a loss of any kind arising from or connected with this inspection.
i r
Oh Commissions NB-9985. Ark -1054, "N", "I". "B" gO Nauanal Board. State. Pnmnce, and Endorsemens N
Date
/ l 5' 19 9f
- Factory Mutual Engineering Association r
l i
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations, Inc Date y//,/95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Ad&esa
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 70 9/4,3/t/
Adhess Repair Organnatiori P.O.No., Job No..ctc.
- 3. Work Performed by AP&UEntergy Operations, Inc Tme Code Symbol Stamp N/A Name Authorization No N/A 1448 S R. 333, Russellville, AR 72801 Expriation Date N/A Address l
- 4. Identification of System //)///f[ UP
( CCB- /0 )
CU155 2
- 5. (a) Applicable Construction Code D g//r T 19 f,g Edition, jy//
Addenda, jy//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Scrial No.
No.
Identification Built or Replacement or No)
Z.5"CLD8E F/3/ ICE N/A PAfT.T YAlIIC COAITX0/ 5 H FilIE Ct/- /Z35 NA FEPlKCRIDIT YEJ N/A N/A N/A N/A
- 7. Description of Work ((fy/7C[D f/lli/E 'PitJ4, J7Z7/l V Ci?6E
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure Other ] Pressure nyj; opfy Psi Test Temppoff ofyr F
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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Pcge 1 (Back) l l
FORM NIS-2 (Back)
- 9. Remarks EEPL/YED INTEYNAL5 /1)/77/ U/72ADE k'/T Cl'D#7/ WS375 'l20J377)
Applicable Manufacture's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this PEPl/IC&r/ElllT confonns to the rules of the j
ASME Code,Section XI.
Repair or Repla.ement Type Code Symbol Stamp N/A Certificate ofAuthorization N N/A Expiration Date N/A b
b7Ady
,19 T{
Signed
- A.
1 Date Owner or Owner's Desiance. Tstle l
D.B. Lomax - Manager, Engineering Pmgrams l
CERTIFICATE OF INSERVICE INSPECTION i
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright MutualInsurance Company
- of l
Norwood. MA haveinspected the componentsdescribe I
in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, 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, Odh Commissions NB-9985. Ark.-1054 "N", "I", "B" I
National Board, State. Provmce, and Endorsements
's N b
(.
C O
Date b//E 19 [
I
- Factory Mutual Engineering Association
^
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI i
i
- 1. Owner AP&I1Entergy Operations,Inc Date y//// 95 Name j
1448 S.R. 333, Russellville, AR 72801 Sheet 1
of 2
i Addren.
- 2. Plant Arkansas Nuclear One Unit
/
1448 SA 333, Russellville, AR 72801 go 9/795g Address Repair Orgaruzation P.O.No., Job No..etc.
- 3. Work Performed by AP&L/Entergy Operations, Inc Type code Symbol Stamp N/A N=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A iE-ZYA1 ~
- 4. Identification of System Kl3D ( COLOLElz D2lll/tl1 CCA- /3-Z ~// 6 "// /Z 'I ~
CLAM i
- 5. (a) Applicable Construction Code EEc1 H
'19 ?g Edition, Afp
- Addenda, J/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
I. 5
- VELAN N/A GATE Vnivf VnlI/C 10 E00- 4D WA ELPLACED YEJ' J. S "
f1NC/10K N/A GATE VAtUE
- DntLIA)(>
ET SY.Z.1-1 EAD-9D 19 15 Ef7/ Alfa 1EA/T YEJ l.S "
VELAA)
N/A GATE VAlVC VAL t/G NA EMD-9 C MA EErlALCO YES E"
RNCHOfC N/A GnTE fnlt/E TM2LiAW E TIb Z ~ k'- t RAD-9 C.
1993 EEPinCE/71FN7 YEJ
- 1. 5 '
VELAN NIA GATC YAtUE YAL t/E 8
KBD-RL.
NA FEPlACC77 YFJ
- 7. Description ofwork FEPUICED P/P//lK, flD7tt/ES ~PH LCP 92-503/A
- 8. Tests Conducted Hydrostatic ] Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure 2t/00 Psi Test Temp ////Jz3/[JL/)'" F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
FORM NIS-2 (Back) i
~l
- 9. Remarks AlPV-l F Mil 5 FDL EERME/MA/7~5
\\
Apphcable Manufacsure's Data Reports to be anached a
J CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this EEfu1(E /nEV7 conforms to the rules of the ASME Code,Section XI.
. Repair or Replacement Type Code Symbol Stamp N/A Certificate ofAuthorization N N/A Expiration Date N/A
)
hr Oh bMA)(
Date
'd f
,19 71 Signed 4
Owner or Owner's Desiance. Title D.B. Lomax - Manager, Engineering Programs J
j CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 3
or Prmince of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the componentsdescribe
=
in this Owners Report during the period 10/19/93 to 4/01/95
, and state that i
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer. makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector not 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.
Mb Commissions NB-9985 Ark.-1054, "N", "1", "B" signature' National Board, State. Provmcc, and Endorsernents C,. THOMPSON Date la//5 19 l
1
- Factory Mutual Engineering Association
PJge 2 (Supplement Sheet)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1.. Owner AP&I1Entergy Operations, Inc Date
//////95 Narne 1448 S.R. 333, Russellville, AR 72801 Sheet 2
of 2
I Address
- 2. Plant Arkansas Nuclear One Unit
/
I' v
l 1448 S.R. 333, Russellville, AR 72801 JD 9/99 5 5 Address Repair Orgamzauon P.O.No.. Job No..etc.
- 3. Work Performed by AP&IJEntergy Operations, Inc Type Code Symbol Stamp N/A Nanw Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
( E-[VA )
l
- 4. IdentificationofSystem Z8D C COLD 1Efr DER /Al) CCR-B- 27 / !& "/ /
C LMS I l
- 5. (a) Applicable Construction Code JEc7 H 19 Trj
- Edition, gg
- Addenda, gf; Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 I
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National Repaired.
Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) iS" DNC//Off N/A GhTE VAlvf TXlflL ING E T T /. 2-I-(,
EBD-8C.
1993 TERMEMDJT YEJ 1, S '
VilflU ylA G ATE VALVE VALVE
//
E6D-P D
//A FEPlAlE7]
YEJ 1.C *
/1NCIIO L N/A GOTC YAIVC DntU IUS ET Slo t - l-'I flBD-RD 1993 FEPLACC/nENT YEJ I
N/A 2 " 1*/P/NL.
VAtlDi)S NA C CA Z
1995~
KEFul([JILA/T NO 0
f.S
- P/PINb YMIOUf NA CC R l. T
199T 12CPIAtCMDJT NO
- 2>'ZP I" 7'EC L/RK1001 NA CC A -l3-Z
- I94r E m n ( CNilh/7 NO l"// T" KfMit YMIDU J NA CCD -/3 - Z Y/J' I991
/7 mall */nLAsi NO 1.C" PPECAP (A FIOU 1 ND ccR-13 i T" l997 PE77MC/MOJ T NO 2 S ~ Pipdl, VALIDU1 NA ccn-l3- :.S
- I99T EEn/NEli611T ND E.S %/[~ Ft N u YM/001 NA CdA/J f$'"//f*
I991~
EL7ID((MENT No
\\
N/A
)
\\
N/A N/A
\\
N/A
\\
N/A L
FORM NPV 1 CERTIFICATE HOLDERS
- DATA REPORT FOR NUCLEAR PUMPS OR VALVES
- As Required by the Provisions of the ASME Code, Section lit, Division 1 Pg.
of Anchor / Darling Valve Co., 701 First Street, Williamsport, PA 17701
- 1. Manutseturea ano cortifiem ey in.m..no.aar.u o,u c.n,,c.
noia.,i
- 2. Manufactureo fo, Entergy Operations, Route 3. Box 137G Russellville, AR 72801 (n.m..no.cor.s. of Puren r or Owner)
Arkansas Nuclear One. 50. of Jct. Hwy. 64W & 3335. Russellville, AR 72801
- 3. i.ocation at inesenstion in.m. anal sacr
)
- 4. Model No., Series No., of Type 99 Drawing W417dOAI Rev.
CRb8
- 5. ASME Code. Section til, Division 1:
i.ainoni 4.a.no.
ici.ui icoa. ca. noa j
Valve I I/2" Outlet size I 1/7"
- 6. Pump or volve Nommelin6et sina l
ImJ tma
- 7. Meteriet: Body RA191-rFM Bonnet SA182-F316 oing unRFM R1 Bottmg M/a i
(el (b)
(cf (d)
(el Cert.
Net'l Body Bonnet Disk Holder's Board Serial Serial Senal Senat No.
No.
No.
No.
No.
KOD-9 0 E-T562-1 1 Nfn i
97 w+s9act E-T562-1-2 N/A 10 76 uts9ast F TR67-1-3 N/A Q
9R W+e9Act E004 0.'
E-T562-1-4 N/A' 2
-29 Ht#2461 E-1562-1-5 N/A 8
30 Ht#2461 E60 f(_
E-T562-1-6 N/A 3
31 H+#2461'
~
E-T562-1-7 N/A 7
34 Ht#2461 E-T562-1-8 N/A 4
32 Hte2461 E-T562-1-9 N/A 5
33 Ht#2461 E-T562-1-10 N/A 6
35 Ht*2461 E-T562-1-11 N/A 11 36 Ht*2461 suom.m.m.i evorm.uon m e of iim....icnn. or er. wing. m., n.
a oro.a.a ii.ir. i. a w = 11. cri information in ei.m. t inrouen 4 on tae. om n.oon. mciuo.o on..cn.n
- i. isi..cn inni.. numo.r.a.no in. nomo.r av.n
- i. r.coro.s.t in. ion av ini vorm.
112/86)
The. term (E000371m.y o. ont.m.a from in. Ora.r D. t.. ASME. 22 Law Onv.. Boa 2300. F.orfeta. NJ07007 2300.
9 O
-w
i
+
FORM NPW1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES' As Required by the Provisions of the ASME Code. Section lit. Division 1 Pg.
of l
- s. uenuteesur.e ene e.rnfiee ny Anchor / Darling Valve Co., 701 First Street Williamsport, PA 17701 (nome one meeroes of N Carefeese Meteori
- 2. Manurecturee fo, Entergy Operations, Route 3. Box 137G. Russellville, AR 72801 an==s one see=se w rweneser er o n.
3 to
,,n.,i,t,,,,,, Arkansas Nuclear One. So. of Jct. Hwy. 64W & 3335. Russellville, AR 72801 in.no one see 4; uoe.1 No s. nee No...r Type DD W9324044 N/A o,,%
enN
- s. Asus cose. seemn m. oiviesen 1:
1989 N/A 1
N/A sesseni seessnes emei ic e caos ns.:
- s. run, or vs. Val e 2"-
2"~
n,,,,,,,,,,, m o,,,,,,,,
(
in.:
un.
- 7. MeterW: Seer SA351-CF8M
,,,, SA182-F316 Norem B1 N/A m
W mi ses le sei Cert.
Net'l Boey gennes oisk Ho6eer's moore see6sl serial serial senalNo.
No.
No.
No.
No.
ED D '1C.
E.T562-4 2 N/A 11 m
HT.#PAA1
~
{
E.Tss>.4 3 win in 29 ur apasi j
1 i
- Suessemented informeeen m hem of hets. sketches, er eroevenge sney to uses eroneed i18 ese to 8% s 11,121informeeen en seeme 1 through 4 en 1%e Date Asseet es snenuses en seen sheet.131 seen sheet es nurneerse end tne nummer of sheete se reseroom et tne too of this form.
.12/88)
This foem (E00037) eney me estesnes from the Oreer Oset ASMt. 22 Law Dehre. See 2300. Feirtale. NJ 07007 2300.
l t
_______________________________________J
FORM NPV 1 (back)
{
)
i Gasket Retainer:
SA351-CF8M
- s. % -
2794 650 1888 wemmesi n =amaem
- 10. cow wwhens amene.
4531
,, e, io,
.11. ", : - u test EROO pet. INek WHoeneet test p AQRA poi.
1 campuumouorosuma oewenseewne.nonewonesgeron C. Bartlett IIWilliam R. Rowlett, Jr. PAsien Arkansas nos.ne.
6436 now,n ne,wt owen,,,,,
P.s.sesse PA f
nos. sie.
campicava or suorconspuassca e
We certWy that the statemente mese in this report are eenoot one that this pume er veive eenfenne to the ruise for constructeen l
ef tne Asus cose.seseen ::.oweien t.
j u cerwiceio of Authenmeen we N1712 assiree 4/15/95 o,,, // W-73.._____ Anchor /Darlino Valve Cmny% ##*# #'
a c.ense. nas-i sese se. _ _ _ _
campicAvr or swor mespecTion i
s w unewmened, heene a vene een n.sen issues by e. womenei news of mean ene preenne veme sneeectwo one ow state XmRNi)(#d ef Pennev1vania ens emotoyee ty t'c icial Uninn ine f*n,
f Botton. Mass.
3,,,,,,,,,,, in,,,,,,,, veave essennes in snie osta neeert en
-/4/M -
O/. is d. and etese that to the test of my L -
_ ene assief. the certificate Heider hee constructos this pump er veive. In seeerennes weh the AsME Code, sessen Ms. oMaien 1.
sy M mis cwenesse, numer em inesesser ner his empey menee wiy wenemy, eessessee er nnwies. eenown.no em component aseenboe in this oste neport. Furmermore, neither the inspector not his employer eheN be Hohle en eny menner for env personei nnsury w presorty w som of kind onesne from et connecies with this inesacoon.
o,,, /A /- 93 A M uma Pennsylvania 2392 Ch6in,ud- /
8'"**'"'-
'"""'"""'"*8 e
7 (1) For menuesy seerstes veives oney.
I
~-. _.
I l
P:ge 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS l
As Required By The Provisions Of The ASME Code Section XI 1
I
of 2 i
Addreu
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 9/975 5 Address Repair Organization PD.No.. Job No..etc.
- 3. Work Performed by AP&UEntergy Operation.c, Inc Type Code Symbol Stamp N/A t
Name Authorization No N/A 144& SA 333, Russellville, AR 72801 Expriation Date N/A
- '" (El4-8 )
- 4. Identification of System E/3D ( COLDLE6 D/?A/AI.)
CCA-B - 2.5"/ Z " / /5 "
CL ASS I
- 5. (a) Applicable Construction Code JECT F 19 P3 Edition, j[f9 Addenda, gg Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped N me of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturt.:
Serial No.
No.
Identification Built or Replacement or No) 1.5
- VELAW N/A
& ATE VAllIE val t/E I B-1 EBD-1/1 IM EEPLIKED YFJ I. S '
AMC//0K N/A
& ATE YAlUf DA2LINtr ETS6Z /-T RSD-1/t
/99.3 EEPu1CEMEAIT YET
/.r$ '
MA'C//O f N/A GRTE YAlVE DAKLINC
[ 3265-4-I EBD-f5 AIA EEPLACED YEJ
- f. S '
HAICIIUll N/A GATE YAL t/E DnELIMG ET SLZ-l-Z 2 B O - Y 15 R93 EEPtALEMEAIT YEJ t.S "
VEUlu N/A
(>ATT VAlUE YRIVE 4
RBO-9A NA REPLA CED YES
- 7. Description ofWork E'ERflCED Yalvr5 RND P/ PIN (,. Pir LCP TZ TD3/A
- 8. Tests Conducte'l Hydrostatic Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure 2y/g Psi Test Temp g//Jg/E/lf'; F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., AShE, 345 E. 47th St., New York, N.Y.10017 i
j REPRINT 12/91
Page 2 1
(Supplement Sheet)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- l. Owner AP&UEntergy Operations, Inc Date
////f / 95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 2
of 2
Addren
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 70 9/9755 Address Repair Organization P.O.No.. Job No..etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A N=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A m
CE Z4 6 )
- 4. Identification of System RDD (COLOfM Df/Q/AD CCA -/3-2ff 2 " [ /,5 "
- 5. (a) Applicable Construction Code JRJ p 19 gg Edition, gg Addenda, g/g Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National Repaired.
Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Z~
RWCll0 f.-
NIA C ATE VnlVE DAR Litv 6 E TSL Z 'f-3 KBD-9A 1973 elfin (E'/?]ENT YEJ I,3
- DNCil0E N/A GATE VAlvi D1 TILING E L 7 '16 7 E60-98 A/A EEPLACCD YES
- l. S '
RAKilOL N/A GATE YAlVE Dut IAIG E rfLZ-l-3 RBD-96 1992 2EPlACErnENT YEJ 2"
N/A Fif/NL VMIDUJ NA CCA -/3-Z "
1997 KEPtnCD1)ENT NO l.S ~ PtFING V/ht1D01 NA CCA If *
/ 99r Il/RatT/)Dv7 AlD Z"xl*e / TET VAK1001 NA CC A '/3 - 2 "
l99T I?iP/MOMEWT AlO Z ~X IIfthwt VM/CUJ NR CCR-/3 - 7"//T" 199T I?fPtNE#)DIT NO l.S " PnY l'AP (AEIDUI Nn C CR ' /3-/. T '
I99 7 Ft'RMOROv7 A/O ZS" PiPull-IfAC/DdJ NA l*lA -/3-ZJ" 1715~
flE PIAtTallW T A/D FJ'x17"ftMit VM/OU J Nn CC A 7.77).T*
/ *19 T fitF/Ml?nlyr NO
\\
N/A
\\
N/A
\\
N/A N/A
\\
N/A
[-
Page1(Back) 1 l
FORM NIS-2 (Back) n l
- 9. Remarks NPY-l FOLOU //7TACHB7 FDL EERA(EM9JTJ l
Apphcable Manufacture's Data Reports to be attached i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this l' A//(N7 confonns to the rules of the E
ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A hv-(1) fatty Date b$
, 19 78 Signed /tp w
Owner or Owner's Desiance. Title D.B. Lomax - Manager. Engineering Programs 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 Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the components describe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shdl 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.
MW Commissions NB-9985. Ark.-1054. "N" "I", "B"
.u Inspector's Signature i National 13oard, State, Province, and i:.ndorsements C.W. THOMPSON Date 15~
19 97 i
- Factory Mutual Engineering Association
)
FORM NPV-1 CERTIFICATE HOLDERS
- DATA REPORT FOR NUCLEAR PUMPS OR VALVES' As Required by the Provisions of the ASME Code, Section lit, Division 1 Pg.
of Anchor / Darling Valve Co., 701 First Street, Williamsport, PA 17701
' 1c uenutectured end eeriiv,ed ny m.mo.no.arn. av N c.rtie,e.t. =>
- 2. 'uanutecturedio, Entergy Operations, Route 3. Box 137G, Russellville, AR 72801 in
.ria er.u os eurch, or o.nori
- 3. wate tin net,,, Arkansas Nuclear One. So. of Jct. Hwy. 64W & 3335. Russellville, AR 72801 (name and seeres.:
- 4. Model No.. Series No., or Type NN Drewing WQ19And1 Rev.
CRb8 1989 N/A 1
N/A-
- s. ASME Code. Section 111, Divieson 1:
i.ei.oni i.eana om.i ici.=>
ccom c no.:
Va1Ve I I/2" Oupet eine 1 1/7"
- 6. Purno or veeve Norninal iniet ei*=
(m.i tin.:
- 7. Meter 6el Body SAMI IEM Bonnet SA182-F316 piek NORFM R1 N/A (el (bl (c)
(d)
- leb, Cert.
Net'l Body Bonnet Disk Holder's Board Serial Serial Serial Serial No.
No.
No.
No, No.
IE-T562 '
1 w/a 1
97 u+#9 ant 1
l [5D-16 o E-T562-L-2 N/A=
10' 9A<
u+moani
^
lESD-96.
E.TEK9 1 1' N/A-Q-
9A
~u+49 Art l
E "562-1-4 N/A 2
29 Ht#24s1
^Htd2&Elu 8
-N/AL 4
E-T562-1-6 N/A 3
31 H+#2461 E-T562-1-7 N/A 7
34 Ht#2461 E-T562-1-8 N/A 4
32 Ht#2461 E-T562-1-9 N/A 5
33 Ht#2461 E-T562-1-10 N/A 6
35 Ht*2461 E-T562-1-ll-N/A 11 36 Ht*2461 suom.m.m me.rm.t.on m eorm of i..t.. n.tehn. or er...no. m., n. u a orov,ma tii me = aw = 11. (2i woon t.on m n.m. i mroven 4 on ttu. Det. Ptoport e. mcium.d on e.ch.h.et. (3) s.ch.heet i. numberec.nd the number of.heet. e. recores.t the too of th. torm.
t12/88)
Thi. form 4E00037) m.y se ont.med from the Oro.t Dept.. ASME, 22 L.. Dnve. Box 2300. F.irteid. NJ07007 2300.
4 4
J
1 1
4 FORM NPV.1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES * -
As Required by the Provisions of the ASME Cons. Section 111. Division 1 Pg.
of
- 1. uenuveciuree ene cera#we ny Anchor / Darling Valve Co., 701 First Street. Williamsport, PA 17701.
(nome one escrees of N Carafasese Meteers
- 2. Menviecturee ve, Entergy Operations, Route 3, Box 137G, Russellville, AR 72801 eieme one emesses w sweneser e, o.nor 1
3,i,eee,,ene, m Arkansas Nuclear One. So. of Jct. Hwy. 64W & 3335. Russellville, AR 72801
)
ineme one seamen t
di Model No. sense W., et Type DD o,,_W9324044 N/A
.l c,
- s. Asus come. secoon m nimie.on :
1989 N/A 1
N/A j
wemmai i eeense enn anos ecceo caos no.
t
- e. pwne er vene Valve 2a 2a we an.
en.:
- 7. Metenet: tesy SA351-CF8M son,,e, SA182-F316 Norem B1 N/A
{
m Cert.
ht's asey sonnet Disk ~
w-me w
m sei f
Hoseer's meere series series ser6es l
senes h.
we.
no, me. -
he.
E-TS62 4-2 N/A in tn HT a? Ant RDD cl A E.TE69.4.1 M/a =
ia-
+
29' ur asasi:
1 I
1 i
i i
I h
t
- some nim swennossa e fe of i. meanee. e, e,s se n., me osse e,s.mos m ese a an e t i, :: two.=esen m nome i eveven e en vue Date mesert es meswees on seen sneet.131 seen sheet. nurneseos one tne numeer of eneste. reeersos et one too of th. form.
i t
112/88)
Th6e fann s0000371 moy me estamos from the Creer Dept ASME. 221.e. Dave. Son 2300. Fasesee. NJ 07007-2300, i
g.
t
-e-,
,,,,.v v
n
FORM NPV 1 (back) a.ne==se-_ Gasket Retainer: SA351-CF8M
- s. > eseidio.fie 2794 650 1888 speemwei nemiserneses 1o. Cand wwnins prenews 4531
,si,too.,
- 11. 0:,.;. - u seet 6Rnn pet. olek deftmerides tem pressure dQRd camncarionopcomew cononSpesensedenewonedgeron C. BartIett IIWilliam R. Rowlett. Jr. P.s. stet. Arkansas 6436
~
no,,,e P.E. state PA 039036-E l
oonen Aspect eerened by nos.rio.
campicATE op Shop conspuaNca We certefy that the statemente made in this report are correct and that this purns or veeve conforme to the rules for constructeri of the ASME Code. Secoon lit. oivessen 1.
N Cerifficate of Authensacon No N1712 4/15/95 g,p,,,,
//- W-73 ow
_ _ Anchor / Darling Valve Ca=aeny% Y#*# #
as coreseen Museen seuunensee _ _ _ _._ - _
CemPicATE Op Shop 58SetCT10N
- l. the unseroepned heading a wadid commission issued by the National Seerd of SoGet and pressure Vessel inesectore and the state XM&EVs4 of Penn t v1 va nia and unseeved av E^""nereial Uninn fne. Cn.
f Botton. Ma55.
have mopected the pump. or veeve, desenned in true Date Report on
-N
/ -it
. and state that to the treet of my ; _.. 1 and belief, the Certificate Holder hoe constructed this pump. or veeve, in seeerdenes wrth the ASME Code. Seceon 118. olviesen 1.
By eM this certfncote, tierther the inesector nor his employer enekes any warranty empressed or implied. concoms t
componeret gesentsed in tfue pote Report. Furthermore, norther the enspector nor his employer ehed be lietWe en any manner for any personal h;ury or property or loss of ny kind eneeng from or connected wrth this i oote /d-/- D e daar#
Pennsylvania 2392 ch.',%, J /
iaan. N - -
~ ~ ~ - ae 8 1
/
l til For menuesy operated weaves only, 1
t t
F
1 Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS -
As Required By The Provisions Of The ASME Code Section XI i
~
- 1. Owner - AP&I1Entergy Operations,Inc Date
<//g/95 Name 1448 SA 333, Russellville, AR 72801 Sheet 1
of
/
Androm
.J 2.- Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JO 92/gD2:
Address Repair Organizataan P.O.No., Job No.,etc.
- 3. Work Performed by AP&I1Entergy Operations, Inc Type Code symbol Stamp N/A N***
Authorization No N/A 1448 SA 333, Russellville, AR 72801 Expriation Date N/A l
Addras
- 4. Identillcation of System [)7]ElCE)\\)C/
ITED IV/)TEY ( EBB-Z)
C/MS E
- 5. (a) Applicable Construction Code /? /fC 19 /,3 Edition, f, TN Addenda, - ///J Code Case (b) Applicable Edition of Section XI Utihzed for Repairs of Replacements 19 86
)
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped; l
Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
CD/NPoNCNT N/A JUf'PM T M C THEL ND MTI)- E H E 1971 KEFA//fD AC LOIRPONENT N/A 1
TuffofT EEC THEL NA 3ETAl-ll- //3 197/
/Zl7AlfE'D AC LuthFDNLNr NIA JUPPDG*
KECT7/El NA TETU-y- llt
/ 97/
EE74/HD A/O N/A N/A
- 7. Description ofWork //E:D/F/CD Jd/%f71 TD /REET DCJM/J JPEE/F/tY) r104/5
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
/fg Psi Test Temp
/y/J F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is j
recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
a
sm Page 1 (Back) l l
FORM NIS-2 (Back) l
- 9.' Remarks A/#
Apphceble Manufacture's Data Repons to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this P/r///f confonns to the rules of the ASME Code,Section XI.
Repair or Replacement f
Type Code Symbol Stamp N/A J
Certificate of Authorization N N/A Expiration Date N/A Signed hr M btw)( Date l5
,19 D Owner or Owner's Dessanee. Tale D.B. Lomax - Manager, Engineering Programs t
CERTIFICATE OF INSERVICE INSPECTION 1 the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright Mutual Insurance Company
- of Norwood, MA haveinspected the components describe
- in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, concerningthe 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 personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
AMw Commissions NB-9985, Ark.-1054, "N", "I", "B" g b O bs a b Nananal Board, State, Provmee, and Endonements s
Date
[e)}$
19 W
/
- Factory Mutual Engineering Association
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI l.: Owner AP&I/Entergy Operations,Inc Date S/ 7/ ff Name 1448 S.R. 333, Russellville, AR 72801 Sheet I
of
/
Ad&m
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R 333, Russellville, AR 72801 J[J 72/f//
Ad&ess Repair Orgamzauon P.O.No.. Job No..etc.
- 3. Work Performed by AP&I/Entergy Operations,Inc Type Code symbol Stamp N/A N=
Authorization No N/A 1448 S.R 333, Russellville, AR 72801 Expriation Date N/A Addre
- 4. Identification of System / /(20)f) {()dJT$
(//ftf-f)
[//fff 2
- 5. (a) Applicable Construction Code /7 /J-(
19 /,3 Edition, /, rn
- Addenda,
///f/
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
COrnfDWAIT N/A llC B T -
Sl/fPOR.T TRCllTEL A/A H 7.
19 71
/7tPMl7)
A/O N/A N/A N/A N/A
- 7. Description otwork //197/FIL7) JufPORT 7D /7/lZT V)CJHL/ JPR/F/f'//72DA/J
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure gg Psi Test Temp /////
F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-i tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
\\
recorded at the top of this form.
(12/82)
This Form (E00030) may be obtamed from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page1(Back) !
f i
FORM NIS-2 (Back)
=
j
- 9. Remarks A/B Apphmble Manufacane's Data Reports to tw anached
-l
-v e
i I
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this
/ncroft conforms to the rules of the j
' ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A
. Certificate of Authorization N N/A Expiration Date N/A i
Signed 2
h M hay 8[ff
,19 Date Owner or Owners Desinnee. Tale D.B. Lomax - Manager. Engineering Programs l
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright Mutual Insurance Company
- of Norwood. MA have inpad the componentsdescribe in this Owner's Report during the period 10/19/91 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this-i Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concemingthe I
' examinations and corrective measures described inthis Owner's Report.Furthermore, neither the Inspector norhis employer
.i shallbe liableinany mannerforany personalinjury orproperty damageora lossofany kindarising fromorconnectedwiththis i
inspection.
i J
Ww Commissions NB-9985. Ark.-1054 "N", "I", "B" tnspectors Signand Neuonal Board, Stau, Province, and Emdarsements
.C.W. THOMPSON I
Date b//C 19 Y
~
- Factory Mutual Engineering Association
.l~
r Page 1 (Front) !
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
[
a
- 1. Owner AP&UEntergy Operations, Inc Date S/M 97 Name i
1448 S.R. 333, Russellville, AR 72801 Sheet 1
of I-
- 2. Plant Arkansas Nuclear One Unit -
/
I448 S.R. 333. Russellville, AR 72801 gg 92/(&
h Repar Organamuon P.O.No. Job No..etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code symbol Stamp N/A N"
Authorization No N/A 1448 S.R. 333. Russellville. AR 72801 Expnation Date N/A l
mess
- 4. Ident1ticauon otSystem FCS
(' W /7 AID "15
- JTDM1 GErl[EA TOES )
C/MS I i
13]L-Y s /Ji/4Ad/o
- 5. (a) Applicable Constmetion Code ggcE F 19 /,f Edition. g./9(,7 Addenda fyy9,f Code Case (b) Applicable Edition of Secuon XI Utilized for Repairs of Replacements 19 86 j
- 6. Identification of Components Repairs or Replaced and Replacement Components l
ASME Code National Repaired.
Stamped Name of Name of Manufacturer Board Other Year Replaced.
(yes Component Manufacturer Serial No.
No.
Identification Built or Replacement -
or No)
W37001 (Jh]CrnTO C K + MI IZ 3 Al-12 3 5//tR T
/ 97/
EEPR/ttD YCJ
~6" JTEn/fl j
GEMTOTOK Gs U I?4 N-l2V JKIR T I4 71 FCPaltit'D YEJ
\\
N/A N/A N/A
.7: Description ofWork(DDDIFIED JF/U A(2CEJJ //0WJ PEE DCP 9D ID3.3 I
S. Tests Conducted Hydrostatic l l Pneumauc l l Nonunal Operating Pressure l l
Other l l Pressure
//4 Psi Test Temp g//
F 1
NOTE: Supplemental Sheets in form oflists sketches, or drawings may be used provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this repon is included on each sheet, and (3) cach sheet is numbered and the number of sheets is
+
recorded at the top of this form.
- 12/82)
This Form tE00030) may be obtamed from the Order Dept.. AShE. 345 E. 47th St.. New York. N.Y.10017 REPRINT 12/91
=
Page 1 (Back) [
i k
FORM NIS-2 (Back) 9; Remnrks f)/]
Applu:able Manufamne's Desa Reports to be enached p
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this EEP/1//T confonns to the rules of the
- ASME Code,Section XI.
Repair or Replacement i
Type Code Spnbol Stamp N/A Certificate fAuthorizationN N/A Expiration Date N/A 3 hr bhh) fed)(
Signed h\\d Date
/f
,19 T[
Owner or Owner's Desunee. Title
[
D.B. Lomax - Manager, Engmeenng Programs I
CERTWICATE OF INSERVICE INSPECTION l
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State -
or Province of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood, MA -
haveinspected the componentsdescribe
{
in this Owner's Report during the period 10/19/91 to 4/01/95
, and state that j
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
i By signing this certificate neither the Inspector nor his employer makes any warranty, expressed orimplied, concerning the i
examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer i
shall be liablein any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this i
inspection.
WN Commissions NB-9985, Ark.-1054. "N". "I", "B" i
'$bN N
al B art Sta e Provmoe, and Endonsmonts C
O Date
/f 19 I
- Factory Mutual Engineering Association
I FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI l
i
- 1. Oner AP&IJEntergy Operations,Inc Date t/// 7/ 7f Nam 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addre.
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 922//7 Address Repair Orgaruzatmn P.O.No. Job No..etc.
- 3. Work Performed by AP&IJEntergy Operations,Inc Type Code Symbol Stamp N/A N==
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Addreu
~ 4. Identification of System /7)R/A) J7~f))pl ([f]f_)-3 )
[(Aff 2
- 5. (a) Applicable Construction Code ///fC 19g Edition, f, rn
- Addenda, gg Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components F
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) h Comi'DNENT N/A EBB.3 E
JUFPM T GEC llTEL Ain H.T-17 19 7/
ELPattCl?
ND i
N
"'^
N/A N
"'^
N/A
- 7. Description ofWork //jDD/ RED JUATf7 TO D6TA/D DES /6N JM/Mt4T/thlf
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other U Pressure y//
Psi Test Temp gg F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
u
~
i Page 1 (Back) l'l l
4 e
FORM NIS-2 (Back) 9.' Remarks N//
Apphcable Manufacture's Data Reports to be anached i
i i
l
?
CERTIFICATE OF COMPLIANCE l
We certify that the statements made in the report are correct and this RF4g conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Sytnbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A hr bWef)(. Date b /4
,19 _ k Signed
)
Owner or Ovmor's tkaiance. Tstle
.l D.B. Iemax - Manager, Engineenng Programs l
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by.
Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe i
in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that I
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
i By signing this certificate neither the inspector nor his employer makes any warranty, expressed orimplied, 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.
]
b
/h Commissions NB-9985. Ark.-1054, "N". "I", B" n
tmpector's Sisnature' National Board, State, Provmee, and Endorisments
'i C.W. THOMPSON Dale b// f 19 I t
- Factory Mutual Engineering Association
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations,Inc Date 9'/2 7/75 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addra
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 707/2/f7 Address Repair Organtzauon P.O No., Job No.,etc.
- 3. Work Performed by AP&IJEntergy Operations, Inc.
Type Code Symbol Stamp N/A Narn' Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identilication of System f))Ap) FEED /0478 (f/38-/)
et//51Z
- 5. (a) Applicable Construction Code /7/5 C 19 (,,3 Edition, g, rv
- Addenda, gg Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Coll)f'DNENI N/A i
St)/'P M T" BE CHTEL Mn E60-/-M ZO
/9 7/
EEPAlfED A/O N/A N/A N/A N/A
- 7. Description ofWork MDD/F/ED JUPfetr TO DST ////) (EJ/6Al JWe/F/CA770A/S.
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
)
Other l l Pressure N/)
Psi Test Temp
/1//J F
NOTE: Suppl: mental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., AShE,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 j
i
~
i Pege 1 (Back).-.
r FORM NIS-2 (Back) i e
- 9. Remarks NM i
Apphcable Manufacture's Data Reports to be anached i
f CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this (fra/g conforris to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A l
'l Cenificat ofAuthorizationN N/A Expiration Date N/A Signed 1(
he kokqR Date
_{
,19 TI Owner or Owner's Desianee. True l
D.B. Lomax - Manager, Engineering Programs i
l CERTIFICATE OF INSERVICE INSPECTION i
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State f
or Province of Arkansas and employed by Arkwright MutualInsurance Company a of l
Norwood. MA haveinspected the componentsdescribe in this Owners Repon during the period 10/19/93 to 4/01/95
, and state that i
to.the best of rny knowledge and belief, the Owner has performed examinations and taken corrective measures described in this '
l
~ Owner's Repon in accordance with the requirements of the ASME Code,Section XI.
l Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe l
examinations and corrective measures described inthis Owners Report.Furthermore, neither the Inspector norhis employer shallbe liablein.ny mannerforany personalinjury orpropeny damageora lossof any kindarising fromorconnectedwiththis inspection.
l Commissions NB-9985, Ark.-1054 "N", "I", "B" Inspecies signaturi Nanonal Board, Stue, Provmce, and Endorsemems C.W. THOMPSON Date 17 19 Y
- Factory Mutual Engineering Association
Pcge 1 (Front)
L FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS l
As Required By The Provisions Of The ASME Code Section XI
~
, l. Owner AP&IJEntergy Operations,Inc Date y//3 / 95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet I
of
/
t Addrm 2J Plant Arkansar Nuclear One Unit
/
.l 1448 S.R. 333, Russellville, AR 72801 70 922/y 7 Address Repar Orgamzation P.O.No., Job No.,etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A N'm' Authorization No N/A
+
1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System Pf[SRILI20! RUk JnMY { CCB /.5')
CLASS 2 S. (a) Applicable Construction Code /7/Jc 19 63 Edition, f, ru
- Addenda, jf/g Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code i
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i Corn PD A)DIT N/A CCD t~
5tJFPotT BEC11T[L N/J HV
/77I EE7AlfCD ND CDmfoAID\\li N/A CCD c
.itJPPQ2T GitH TEL A/D In 197/
trygigtp -
ya LotDPDAJOVT N/A CCD-9~
C JWPDL T BECllTfl A/D H ll 1971 EEPAlfED A/O N/A N/A i
- 7. Description afWork /MDDIf/ED JdWlff TD 0/ITRIAI DETIM) JPld/F/MT/OAU
{
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure y/)
Psi Test Temp j[//)
F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, prmided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
j (12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Pzge 1 (Back) i FORM NIS-2 (Back) r
- 9. Remarks NM Apphcable Manufseture's Data Reports to be anached 1
CERTIFICATE OF COMPLIANCE
[
We certify that the statements made in the report are correct and this EEPNE confonns to the rules of the J
ASME Code,Section XI.
Repair or Replacement T)pe Code Symbol Stamp N/A i
Certificate of Authorization N N/A Expiration Date N/A
,19 v.c (ov- 08 Lod oate 4//r Signed m
owner or Owner's Desiance. Title l
D.B. Lomax - Manager, Engineering Programs i
-(
CERTIFICATE OF INSERVICE INSPECTION j
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State j
or Province of Arkansas and employed by Arkwright MutualInsurance Company
- of Norwood. MA haveinspected the componentsdescribe in this Owners Report during the period 10/19/93 to 4/01/95
, 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 inthis Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or pmperty damage or a loss of any kind arising from or connected with this inspection.
1 i
Commissions NB-9985,' Ark.-1054, "N*, 'I", "B" insp.ctors Signahn Nauonal Board, State. Provmce, and Endorserneras i
C.W. THOMPSON k/ b' 19 Y Date l
- Factory Mutual Engineering Association
l Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
. L. Owner AP&UEntergy Operations,Inc Date 4///3 / 9 f l
Name j
1448 S.R. 333, Russellville, AR 72801 Sheet I
of I
uwm
- 2. Plant Arkansas Nuclear One Unit i
1448 S.R. 333, Russellville, AR 72801
~JO 922/f7 Address Repatr Orgamzauon P.O.No., Job No..etc.
3, Work Performed by AP&UEntergy Operations,Inc Type Code Symbol stamp N/A Na=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A uem l
- 4. IdentificationofSystem P32R JEM IA) JECT /DN (CC8-% /.5")
CLASS Z
- 5. (a) Applicable Construction Code /7/fc 19 f 3 Edition, g rn
- Addenda, gg Code Case -
(b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. - Identification of Components Repairs or Replaced and Replacement Components j
ASME Code a
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No).
i CD/n P00ENT N/A CCD r 50PVCLT 15DI TE1.
Un 14 D 83 1971 KCP?llRCD AfD
\\
"'^
N/A N/A N
"'^
- 7. Description ofWork/7 COIF /07 JtMOKT 72) DDTRID DEJ/62 JPEC//WA170A5
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other ] Pressure gjp Psi Test Temp so F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
1 Ptge 1 (Back)
FORM NIS-2 (Back)
- 9. Remarks N4 Appbcable Manufacture's Data Reports to be attached f
i i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPM/g conforms to the rules of the ASME Code, Section XL Repair or Replacement l
' Type Code Symbol Stamp N/A I
. Certificate of Authorization N N/A Expiration Date N/A Signed he b beg,k Date -
.5
,19 U Owner or Owner's Desianee. Title D.B Lomax-Manager. Engineering Programs CERTIFICATE OF INSERVICE INSPECTION l
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 5
or Province of Arkansas and employed by Arkwright Mutual Insurance Company
- of l
Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this 1
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 orimplied, 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,,asonalinjury or property damage or a loss of any kind arising from or connected with this inspection.
j
{1.
Commissions NB-9985. Ark.-1054. "N", "I". "B" Inspector's Signature i
Nauonal Board, State. Province, and Eih...
C.W. THOMPSON i
Date
/ ) 6" 19 h [.
l 1
l l
0 Factory Mutual Engineering Association
,m.,
I Page 1 (Front) :
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI i
t i
- 1. Owner AP&L/Entergy Operations,Inc Date S/3/FS Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/-
- j Ad*=
l j
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JO 7225 7y Addrous Repaar Organuauon P.O.No Job No etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code symbol Stamp N/A-Nm Authorization No N/A 1448 S.R. 333. Russellville, AR 72801 Expriation Date N/A Add =.
1
- 4. Identification of System F/fl~ffutIZ$ KR /EF CFCB-E )
CM51Z i
i
- 5. (a) Applicable Construction Code /7 /J (
19 (,3 Edition,
(, u Addenda, ////
Code Case j
(b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 i
- 6. Identification of Components Repairs or Replaced and Replacement Components j
ASME Code National
- Repaired, Stamped i
Name of Name of Manufacturer Board Other Year
- Replaced, (yes i
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i l
L OMPM/ENT N/A ITB-Z -
I SUPPD2T BEC/1ITL A/n FC -J~/
/% Y
/7tPRIff7)
A/O N/A N/A N
"'^
N/A
- 7. Description ofWork /DOf)//~/R) 30PPDf 7 TL) /TlWT DES /w JPR/F/(/177DMS
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l.
Other l l Pressure
'/yg Psi Test Temp fy/ 7 F
f NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
Page 1 (Back)'
J l
.i
~!
FORM NIS-2 (Back) i
- 9. Remarks -
.N#
Apphcable Manufacture's Desa Reports to be anached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this F/7B/K confonns to the rules of the ASME Code,Section XI.
Repair or Replacement i
Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A b!/1 Signed h bb bWhdt.)(
19 T[
Date Owner or Owner's Desiance. Tale l
D.B. Lomax Manager, Engineering Programs t
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, 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 personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
hMb Commissions NB-9985 Ark.-1054. "N", "I", "B" inspector's Signature Nataonal Board, State. Primnce, and Endorsements l
C.W. THOMPSON Date b/ /6 19 97 l
- Factory Mutual Enginemng Association y
,r
Page 1 (Front) -
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations, Inc Date
<///,J/'/g Name
' 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of 2_'
m en
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 922102.
Address Repair Orgamzation P.O.No,, Job No..etc.
- 3. Work Performed by AP&llEntergy Operations,Inc Type Code symbol Stamp N/A Nanw Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Addren
- 4. Identification of System ECS [(0(D LE7l pfA/jt)$ ) ((R- }3-2.S'lZ / /.S
- Cl' ASS I
~
5, (a) Applicable Construction Code ///JC 19 t,3 Edition,
(, m
- Addenda, y//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components j
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
CWIPDNEN7 N/A CC A E
[NEW) suf?DtT BECHT"EL AfD Hl'l
/9tf EEPLACCMali AlO tDaroNcni NiA c c A -i.3 -
E (nim JUffDti StCH TE L NA N /E ITib~
EEPintEmDJT NO C0t!!PD/:!LNT N/A C C A-13 ~
(NELJ)
JUf90LT EECl/TEL NA H7 1995 EEPLMC inDJT NO LOGftAJ817 N/A LCR ' /3 ~
(NEN)
Jt)fiDL T Grcll TCL WR M1 1995 llEPlNF MENT NO LCmf0NOV1 N/A L LA (MG))
JUUDA T BtCHTEL NA Hl.
1995 Fl7tAlfMENT NO
- 7. Description of Work NEld SUP/Df U /NSDills1) FtX L CP 92-TD3/A
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure yg Psi Test Temp yg F
l NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
-r-e ~
Pcge 2
. (Supplement Sheet)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI L 1. Owner AP&I1Entergy Operations, Inc Date
(///J/ ff Name i 1448 S.R. 333. Russellville, AR 72801 Sheet 2
of 2 Address 2 Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 92ZF02
- SM A& has Repair Orgamzauon P.O.No. Job No.,stc.
- 3. Work Performed by AP&I1Entergy Operations, Inc Type Code Symbol Stamp N/A-Nana Authorization No N/A 1448 SA 333, Russellville, AR 72801 Expriation Date N/A A
m mw w,,
- 4. IdentificationofSystem Ec3 ((DLDLEC D(A/A)J) C C A Z. T ~
C CA - /J- /.T "
CMSSI
- 5. (a) Applicable Construction Cnde g /gC 19 (,3 Edition, 4 rn
- Addenda, gg Code Case (b) Applicable Edition of Secti n XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components i
ASME Code National
- Repaired, Stamped Name of -
Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement.
or No) inu-0 1997 2hh fmmT YPOY GL C14 TEL NA
^
NO C0tn f'D A/ENT N/A GCfl-8 3 ~
MW SUPP0tLT M Cn4TEL klR H Il l'19 5 EmntEmmT NO.
C00)fDUDUT N/A LL A
- I 3 ~
(NO)l JUPPollT GECil TEL NA H 13
/49T EmnCC mtDT NO N/A k\\
N/A
\\
N/A
\\'
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A g
mi
~,
e
~
v
Page 1 (Back)
FORM NIS-2 (Back)
- 9. Remarks Al#
Apphcable Manufacture's Data Reports to be anached CERTIFICATE OF COMPLIANCE i
We cenify that the statements made in the report are correct and this EEMME/nE'A/ 7 confonns to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A l
Certificate ofAuthorization N N/A Expiration Date N/A
)
Signed he bb f-AO Date b I-
,19 T.(
Owner or Owner's Desianee. Tale D.B. Lomax - Manager, Engineering Programs 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 er Prwince of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the components describe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, concerning the examinations and corrective measures described inthis Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
A hh Commissions NB-9985. Ark.-1054. "N" "I". "B" 1ps Signature National Board, State. Province, and Endarnements l
CM. THOMPSON Date l,3 ) / f' 19 9 b'
- Fectory Mutual Engineering Association
Pcge 1 (Front)
- FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1.. Owner AP&UEntergy Operations, Inc Dr. -
.5/3// 7f N.me 1448 S.R. 333, RusselMlle, AR 72801 Sheet 1
of
/
Addren
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, RusselMlle, AR 72801 TO 923'/ 98/
Address Repair Orgaruzation P.O.No., Job No. etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type code symbol Stamp N/A N'**
Authorization No N/A 1448 S.R. 333 Russellville AR 72801 Expriation Date N/A Address
- 4. Identification of System //J///A/J TEy?//) (' gg-3 )
C/Bff 2 E
- 5. (a) Applicable Construction Code Dg/)FT 19 /,y Edition,
//g Addenda, /f//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
V [UILF N/A wr vat t/E DfE55Et EmZ9BO Psst-2 (A7 AIA 170tDTfDv7 YC1 N/A N/A N/A N/A I_
- 7. Description ofWork 176F/4(ED V/Ht/E D/JC i
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure y j
Other l l Pressure Acmwst ora Psi Test Temp fcawn opfy F
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) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
{
FORM NIS-2 (Back)
~
- 9. Remarks PERlMCD W//UE O/SC.
C P/). WMH//J~6AI)
Appbcable Manufacture's Data Reports to be anached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ErpMtr aftv7 conforms to the rules of the ASME Code,Section XI.
Repair or Replacement
)
Type Code Symbol Stamp N/A Certificate of Authorn.ation N N/A Expiration Date N/A Signed d
h 08hQ Date
}f
,19 TI owner or Owners Deuanee. Title D.B. Lomax - Manager, Engineering Programs b
CERTIFICATE OF INSERVICE INSPECTION 1, the imdersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State i
or Province of Arkansas and employed by Arkwright MutualInsurance Company a of -
l Norwood. MA haveinspected the components describe i
in this Owner's Repon during the period -
10/19/93 to 4/01/95
, 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 cenificate neitherthe Inspector nor his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described in this Owner's Repon.Furthennore, neither the Inspector nor his employer l
shall be liable in any manner for any personalinjury or propeny damage or a loss of any kind arising from or connected with this inspection.
I 0,,u\\),
M Commissions NB-9985, Ark.-1054, "N"
I", 'B" l
inspector's Signature '
Natsonal Board, State, Provmce, and Endonements l
~
C.W. THOMPSON J
6 Date bIJf 19 9 f
- Factory Mutual Engineering Association f
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations,Inc Date we, f c/r Name
- 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addren
- 2. Plant Arkansas Nuclear One Unit
/
- 1448 S.R. 333, Russellville, AR 72801 JD ef 23770 Address Repair orgumzauon P.O.No Job No.,etc.
- 3. Work Performed by AP&IJEntergy Operations, Inc Type Code Symbol Stamp N/A Nanw Authorization No N/A 1448 S.R. 333 Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification otSystem []7)(Wf)JC y f)71)Mj77f
((86-7)
(///jf [
- 5. (e) Applicable Construction Code ///gc 19 4J Edition, 6 rp
- Addenda, gj; Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components t
i ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) cot /IPMllNT N/A JUT +T1K r 13ECT//El AJA EBB - E - // /
/97/
ElPRifCD NO N/A N/A N/A N/A
- 7. Descriptian ofWork HlDDJF/CD JOB @fi~ 70171[lT DE7/6Al JPff/F/FA7/GNJ t
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other R Pressure
/jf)
Psi Test Temp g/jf F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
FORM NIS-2 (Back) t
- 9. Remarks 4/g Apphcable Manufactme's Data Reports to be anacbed 5
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this TEp/9/t conforms to the rules of the ASME Code,Section XI.
Repair or Replacement i
Type Code Symbol Stamp N/A Certificate ofAuthorization N N/A
- Expiration Date N/A Mk 1 MC h Ob bow bA{
Signed
,19 T_[
Date owner or owners Demanee. Tnte r
D.B. Lomax Manager, Engineering Programs i
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 i
or Province of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, 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 personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
l M
Commissions NB-9985, Ark.-1054, "N", "I", "B" g s nag '
Nauonal Board, State. Province, and Endorsements s
Date
{effR 19 9 C r
- Factory Mutual Engineering Association i
l
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI l
i
- 1. Owner AP&IJEntergy Operations,Inc Date e/ / / B / '/ 6.
Name
]
1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
- =
- 2. Plant Arkansas Nuclear One Unit UA//T /
1448 S.R. 333 Russellville, AR 72801 JD
'72Y22f Address Repair Orgamzation P.O.No. Job No e -
k
' 3. Work Performed by AP&IJEntergy Operations, Inc Type Code Symbol Stamp N/A Name Authorization No N/A 1448 S.R. 333 Russellville, AR 72801 Expriation Date N/A
- 4. Identification of System C Z ( UGU)D LDASTE )
C inSS 2
- 5. (a) Applicable Construction Code SEdr E 19 Jg Edition, Afg
- Addenda, jfjy Code Case i
(b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 I
- 6. Identification of Components Repairs or Replaced and Replacen$ent Components i
ASME Code l
National Repaired, -
Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manutacturer Serial No.
No.
Identification Built or Replacement or No) 2*falO6E ANCHCR N/A Vals/E DngiIn) t, JA C V-10SZ NA KEPLACED YE.T 3 ' C,lOSL ANCHDL N/A j
VAlIIE DML I Alts f E ZoC-I-I C V- /DCL
/995 EEPLACC/DLhf7" Yl J*
l
.3 "'
N/A I
ELBold VAE100.5 A//A NCB-S-3 N/A EEPLACEfil1/T NO l
3" N/A 7'/ff" YRflDU.S A///t Hl o - C-3 N//l ELPLnt[Alk7 NO N/A
- 7. Description ofWork EEPLMED VALI!E, PIPul/b / LAID ELBD14.
t
- 8. Tests Conducted Hydrostatic Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
/ryg Psi Test Temp /////g/fj[ff-F
)
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-l tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
I age 1 (Back) '
FORM NIS-2 (Back) 9.~ Remarks AlPV-I rodill A7 TAC //ED F0E TfLPMCORDtIT Appiscable Manufacture's Data Reports to be attached U/JABLE TD JDEUTIFY JAI AAID YlMt Ed/l7 /~CK E&RKlD YAh/[
F CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this murt a CVT conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A Signed hr bdWad( Date
/d
,19 98 Owner or Owner's Desiance. Title D.B. Immax - Manager. Engineering Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 orimplied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
,h.
Commissions NB-9985, Ark.-1054, "N". "I", "B" impector's Signature 3
National Board, State. Province, and ladorsements C.W. THOMPSON Date ff 19 Y
- Factory Mutual Engineering Association j
j
FORM NPV 1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES
- As Required by the Provisions of the ASME Code, Section 111, Division 1 Ps.
of Anchor / Darling Valve Co., 701 First St., Williamsport, PA 17701 3,
u,,,,,,,,,,, w e g
- ine e one essen se w c.enes -i
- 2. Menutectured e, Enteray Operations, Inc., Route 3 Box 137G, Russellville, AR 728_01 insme one sneens se pw nsen, omneri 3.14eemende Arkansas Nuclear One, S. of Jct. Hwy. 64W & 333S, Russellville, AR 728C '
insem ane ssessei
- 4. Model No., Serise No., or Type G1obe DrempingW94-24340 m.
A cm 1989 None 2
- s. ASME Code, Secten W. DMmen 1:
isoment inesones esen wese icon caso nea Valve 3"
3" n,,,,,,, e m,,,,
- s. Puse w e ana seu SA479-S34700,,,,, Studs:
SA564-630-11C SA351-CF8M
,,,,,,,, SA182-F316 o,,g
- 7. Motorist. tody Nuts: 5A194-8M lei (bl lot (di.
(el Cert.
Net'l Sedy Bonnet Disk Holder's Board Sortel Sertal Ser6el Serial No.
No.
No.
No.
No.
E-7205 1 N/A 1
1 1
J i
l l
1 l
)
- Suomements owennseen mi hwm of eses, emetenes. or erewmee may es uses ereviess <11 see is a n x 11, i2) m'ormenon m nome 1 throuen 4 on inne Date Resort e enceused en seen sheet. (3) esen sheet es nummeros one the nummer of sheets se recordes et the too of thee form.
<11/961 Thee form <E00037) may be ottomes from the Oreer Dest.. ASME 22 Law Dnve. Son 2300. Fewho6d. NJ 07007 2300.
l s
e
.2.
g, i
PORM NPV-1 (book)
- a. nemwks 3"-150#-GB Globe Valve with Fisher Diaphragm Actuator f.,
- s. ca.gn conetione 243 190 150
., e,
,,,,e
- eie,,_
gii is.eeene i nones,ei
- 10. cold waning prenewe 275 g, goo.,
- 11. Hymestede test 46 pai. oisk M tem m 303
,si cumpbiiON ortm Desion Sposencaden ewoned by William R. Rowlett Jr. P.Lstees AR 6436 neg no, os.gn nesent owened by Ronaid S. Farrell PA g no PE-035216-E P.E. Stese CamFICATE OF SHOP COMPUANCE We corofy that the stesamente made in this report are commet and that this pump or veeve confonne to the ruise for construccon of the ASME Code, Section IN, Divimon 1.
N Cniincem of Aveiertsedon No N1712 e,,,,ee 4/15/95
/- /A-98geme Anchor /Darlino Valve Compan.g,ned Me#0 o,te iN Cerweesue Heteert laughensee. __ _ __. -_ _ _ _
U i
+
t Celt 1PICATE OF SHOP INSPECTION i, the underesgned, holding a veeid commeomon leeued by the National Board of Boiler and Pressure Vessel inspectors and the steie m o, Penns yl vania end omployed byConnercial Union Ins. Co.
og Boston. Mass.
heve inspected the pump, or vasve, desenbod in this osta Report on
/M-MM' Nd : 19 d, and state that to the best of my knowledge and belief, the Certificete Holder hoe constructed this pump, or vefwe, in socordance with the ASME Code. Section Ill. Divielen 1.
By cogning thee corWficate, norther the inspector nor his employer makes any worrenty, exproceed or imposed, concorrung the component desenbod in this osta Report. Furthermore, norther the inspector nor his empiover shed, be liable in any menner for any personal infury or property demoge eloss of kind ensing from or connected with tNo '.- - _ R-oste /"~O igr At
/
8/f6c.c;.
Pennsylvania 2392
-a ChaY &s 1oudu i/
"****'"*"'"*8 (1) For manually operated veeves oney.
i
~
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I1Entergy Operations, Inc Date y/y/95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Address
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 70 92y67y Address Repair Orgamzauon P.O.No. Job No. etc.
- 3.. Work Performed by AP&llEntergy' Operations, Inc Type Code Symbol Stamp N/A N=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
(
- 4. Identification of System (Off F/00D /CCB-6 )
f/MJ2
- 5. (a) Applicable Construction Code SECT H 19 FD Edition, g-/972
- Addenda,
////
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components f
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) l'/ GA TE N/A M Zf I/ Alt /C YElRAI 31 E/to C V-Z V/ S A/R PLPokTMNT YEJ N/A N/A N/A N/A
- 7. Description ofWork FEP/ mfd SC/1//>CT
' 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure Other l l Pressure AbM OPET.
Psi Test Temp gg Ofyr, F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/02)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
1 i
Page 1 (Back) l FORM NIS-2 (Back)
- 9. Remarks 01O 802 MET SA) TJ2'l36.-Z f7 52)
HEl/ BONMET 3Al311~.2007.
Appbcable Manufacture's Data Reports to be attached 1
I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f/PNYT /f1(N7 confonns to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A h - M k a )(
Date
.5
,19 <[f -
i Signed g
Owner or Owners Desiance. Title D B. Lomax - Manager, Engineering Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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 Inspee.or 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.
b, IA\\,
M Commissions NB-9985, Ark.-1054 "N", "I", "B" Inyctors Signature National Board, State, Province, and EA C.W. THOMPSON Date
/lf 19 6 j
- Factory Mutual Engineering Association
i Page 1 (Fr:nt)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
~
~
- 1. Owner AP&I1Entergy Operations,Inc Date S/7/'ff Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of.
2 Address
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 70 927/72 Address Repair Orgamzation P.O.No.. Job No..etc.
- 3. Work Performed by AP&I1Entergy Operations,Inc Type Code Symbol Stamp N/A Name Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System V//g/0(/S
- 5. (a) Applicable Construction Code g /SC 19 63 Edition, g, en Addenda, gg Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of..
Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N/A CL A*/3 -
JAM 3BUl RD 9'/t, ni mo emn cco ivo N/A C C /1 " /3 -
SNUBBW L/3
/,/ZT7/JL nz ivvr xovicemwr no N/A SAIU6 B M RSA
'/755 -
its-17n 197v etyt/icen Ato N/A JN06BM L /5 4/Z76 //3 HJ- / 7 A
/99T
/ZEP(MCmErtr A/O
"^
3)//)6BE)?
PSA VZ1E-H 3-176 197Y EtPlacLD
^!o
- 7. Description ofWork
- 8. Tests Conducted Hydrostatic. l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
////
Psi Test Temp g/)
F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the n.rmber of sheets is
- recorded at the top of this form.
-(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 2 (Supplement Sheet)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
" 1. Owner AP&UEntergy Operations, Inc Date 5 /9 /r/g Name 1448 S.R. 333, Russellville, AR 72801 Sheet 2
of 2
Address
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 Jg 927/72 Address Repair Organization P.O.No., Job No-,etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A Name Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification of System f/////[]/JJ
- 5. (a) Applicable Construction Code M /5t' 19 /o3 Edition, 4 Tu Addenda, _gg Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N'^
D1088G L/5 6 /274 //Y in -t7a iqw emnccmenT rio 5 NUB 62 AD 3/
'i$$$#
"'^
iuv izcnnccv No N/A l'M I-lip' SNUBBM AD 10 n zo n 199 r etnnermOIT
/JG
"'^
JNUB&O L/3 6125'7/ JS mu-zon inn rcnnCED ND
"'^
Elit)REE L/5 b/257//3 mu-zion mr emnccmcw r ao
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\
N/A
\\-
N/A
\\
N/A
\\
N/A
\\
N/A
.. ~.
Page 1 (Back) y l
s FORM NIS-2 (Back) t
- 9. Remarks A/M j
Appix.we wanuruniro Den a.pon.= ne anun.d l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the s eport are correct and this EcP(Mc/noy7 conforms to the rules of the i
ASME Code,Section XI.
Repair or Replacement
{
Type Code Symbol Stamp N/A
[
t Certificate ofAuthorization N N/A Expiration Date N/A or M batcQ Date
.I
,19 %
Signed cts Owrwr or Owner's Desiance. Tale F
D.B. lomax. Manager, Engineering Programs
{
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 Arkansas and employed by Arkwright Mutual Insurance Company a of 4
Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Ow nets 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 orimplied, concerning the.-
examinations and corrective measures described inthis Owners Rept.rt.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 tnspection.
b M
Commiss ons NB-9985, Ark.-1054, "N", "I", *B' Inspector's signature Nauenal Board, State, Province, and Endormeenemas l
C.W. THOMPSON Date
/If 19 7
- Fectory Mutual Engineering Association
I Page 1 (Front)-
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI l
I j
1, Owner AP&I1Entergy Operations, Inc Date 5 /3 / cff Name 1448 S R. 333, Russellville, AR 72801 Sheet 1
of
/
Addres
- 2. Plant Arkansas Nuclear One Unit
/
1448 SA 333, Russellville, AR 72801 70 92 7 V9e/
Addron Repar Orgamzauon P.O.No.. Job No..etc.
- 3. Work Performed by AP&IJEntergy Operations,Inc Type Code Symbol Stamp N/A Name Authorization No N/A i
1448 SA 333. Russellville AR 7280]
Expriation Date N/A Addreu
- 4. Identification of System T)E/y/y //f,7/T '(((f3-/ )
(*///ff2 5, (a) Applicable Construction Code B /JC 19 /,3 Edition, /j Addenda, /f//
Code Case i
m (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
COi1WAiLNT N/A CCS -l -
(WPCtr ELC 1/TEL NA DH - If f, 197/
FL7//HD
/JO N/A N/A N/A N/A
- 7. Description ofWork 9lDD/F/0) JUMMT TD /REET 7]EJ/u] J W C/f M/177M U i
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure jff/
Psi Test Temp
//g F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-l/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l
i
m-Page 1 (Back) i i
FORM NIS-2 (Back) l
- 9. Remnrks //J5TMilLT) /At6(( (17(J T A N ()
"P/PE CfAl?lR ED1[ KfACEET Y-BRIGYMT Appbcable Manufacsure's Data Reports to be enached i
i t
I, CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this l'fP///f conforms to the rules of the ASME Code,Section XI.
Repair or Replacement I
l Type Code Syrnhol Stamp
-N/A Certificate of Authorization N N/A Expiration Date N/A Signed odh he M 4.k Date I
,19 %
Owner or Owner's Desianee. Tale D.B. Lomax - Manager, Engineering Programs t
i CERIw1CATE OF INSERVICE INSPECTION i
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by
' Arkwright MutualInsurance Company * -
of Norwood. MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this i
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
j Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe j
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 personalinjury or property damage or a loss of any kind arising from or connected with this j
inspection.
{
,th, Commissions NB-9985. Ark.-1054; N", "I", "B" 8
inspecies sien.sure Nauanal Board, State. Prownee, and Imdarnommens I
C.W. THOMPSON Date le/ ; f 19 W
{
I
- Factory Mutual Engineering Asociation i
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI i
- 1. Owner AP&L/Entergy Operations, Inc Date S /9' 95
/
Naan 1448 S R. 333 Russellville, AR 72801 Sheet 1
of
/-
A4ar=
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333. RusselMlle, AR 72801 70 c/2yJJg Addrm Repaar Orgaruzataan F.O.No. Job No..etc.
- 3.. Work Performed by AP&llEntergy Operations, Inc Type Code Symbol Stamp N/A N '""
Authorization No N/A 1448 S.R. 333. RusselMlle. AR 72801 Expriation Date 4
N/A AMrea
- 4. Identificanon of System DECA Y //ERT C6CD-/ )
CLASEZ
- 5. (a) Applicable Construcuan Code SEC7 E 19 /rI Edition.
/fg Addenda.
j/g Code Case (b) Applicable Edition of Secuan XI Utilized for Repairs of Replacements 19 86
- 6. Identificauon of Components Repairs or Replaced and Replacement Components ASME Code National Repaired.
Stamped Name of Name of Manufacturer Board Other Year Replaced.
(yes Component Manufacturer Serial No.
No.
Identificauon Built or Replacement or No)
Lh)HITLDC.K 1 PdKT.S HENTEXC//m%lf 8 F hl 7% '1D NlA l~-3.Vf3 19?D TUUCCmDUT Yrs
\\
N/A N/A N/A t
- 7. Description ofWork FEPMCED 2T JTUDJ DA) t'OnZ.
- 8. Tests Conducted Hydrostaue l l Pneumaue l l Nominal Operaung Pressure l l
Other l l Pressure
/[/A Psi Test Temp ffg F
NOTE: Supplemental Sheets m form oflists sketches. or drawings may be used, provided (1) size is 8 1/2 in. x 1I in.. (2) informa-non in items I 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 tius form.
t121(2)
This Form IE00030) may be obtamed from the Order Dept.. ASME. 345 E. 47th St.. New York. N.Y.10017 REPRINT 12/91
.1
-l Page1(Back) i FORM NIS.2 (Back) t i
- 9. Remarks A/#
ApphonWe Manudactures Dana Reports to be enached f
I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are co:Tect and this EEP/MC/r1EA)7 conforms to the rules of the i
ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A f
Certificate ofAuthorization N N/A Expiration Date N/A Signed on jfE.
for M h 4 Date
,1
,19 kd O'wner or Owner's Desianse. True D.B. Lomax. Manager. Engineering Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State _
cr Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the components describe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe 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 t
J e.J. A!,,-
commissions sB.,,.s.Arh.10s,..s
..l..B.
C,NONON Date b//f 19 h ]
[
- Factory Mutual Engineering Association
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS l
As Required By The Provisions Of The ASME Code Section XI l
~
L ' Ovmer AP&I1Entergy Operations,Inc Date S/22/95 Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
addr
- 2. Plant Arkansas Nuclear One Unit
/
1448 S R. 333, Russellville, AR 72801 70, 72f 36 2 Addrums Repaar Orgamzauon P.O.No Job No etc.
- 3. Work Performed by AP&IJEntergy Operations,Inc Type Code Symbol Stamp N/A N=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Addrem
- 4. Identification of System
[E11t TOL Cc)d i/1LI T f YJ T t ? D
( ClMJ /)
f
- 5. (a) Applicable Construction Code fECT; E 19g Edition, jy,q Addenda, g/g Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
-l
- 6. Identification of Components Repairs or Replaced and Replacement Components t
ASME Code L
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N/A R R TJ CKDrn StN y.T & 1 Crom-to z 1997 EtymcrmOJT Wo
^
N/A N/A N/A
- 7. Description ofWork T(( PLACE FIRA16C 1TDL M4 & Afui EIA/41
- 8. Tests Conducted.
Hydrostatic l l Pneumatic l l Nominal Operating Pressure ]
Other l l PressureN02/Al#( Crnt Psi Test Temp gfamjuff gny F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) i
~
FORM NIS-2 (Back)
- 9. Remarks A/A Apphoeble Manufacture's Data Repons to be enached i
t
+
t CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f/7//3(r/nav7 conforms to the rules of the ASME Code,Section XI.
Repair or Replacement i
Type Code Symbol Stamp N/A Certificate ofAuthorization N N/A Expiration Date N/A Signed d
fdr Ob bf
,19 T.I
{
()(
Date Owner or Owner's Desianee. Tnte D.B. Lomax - Manager Engineering Programs 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 Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owners Report during the peritwi 10/19/93 to 4/01/95
, and state that i
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described in this Owners Report.Funhermore, neither the Inspector nor his employer t
shallbe liableinany mannerforany personalinjury orpropeny damageora lossofany kindarising fromorconnectedwiththis
- inspection.
,Lt h1A Commissions NB-9985, Ark.-1054, "N", "I", "B" 4. _ _
.n. _
C.W. THOMPSON Date b/ /f 19 h}
- Factory Mutual Engineering Association i
l
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Oner AP&I1Entergy Operations,Inc Date Sfa/95-Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addr
- 2. Plant Arkansas Nuclear One Unit
/
1448 S R. 333, Russellville, AR 72801 72f5/6 Address Repair Organszauen P.O.No Job No etc.
- 3. Work Performed by AP&llEntergy Operations,Inc Type Code Symbol Stamp N/A Name Authorization No N/A 1448 S.R. 333. Russellville, AR 72801 Expriation Date N/A Address
- 4. Identification otSystem /7]///237~))]//) { fB/3-3 )
Cl/1552
- 5. (z) Applicable Construction Code Df//ff 19 /J Edition, gg
- Addenda, g//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Ntme of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N/A E86-3~
PtP/A)&
VnelDt]3 AJA a/E1DWEf-D0ZA 197/
PEPd/ffD Ar0 N/A LB8 PJPir)&
VAflDul IUR ft/fl0M Ef-OllR
/9 7/
17EP)1)/TCT)
A/O N/A N/A
- 7. Description ofWork CfDusjD DU1" /NOMAT/DAO ul A/fff)5 /)ND FBt/E7DED 6N WRD#Zi-O/2R
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure ]
Other l l Pressurega grgy Psi TestTemp gg/n Opfy F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) 1 FORM NIS-2 (Back)
I
- 9. Remarks
//B Apphonble Manufacewei Data Reports to be anach=d
)
l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this EP///4 confonns to the rules of the ASME Code. Section XL Repair or Replacement f
Type Code Symbol Stamp N/A f
Certificate of Authorization N N/A Expiration Date N/A Signed d/wh kOV M we Date d
,19 78 Owner or Owner % Desunse. Title i
D.B. Lomax - Manager, Engineenng Pmgrams CERTwICATE 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.
Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the componentsdescribe i
in this Owner's Repon during the period 10/19/93 to 4/01/95
., and state that l
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 neitherthe Inspector nor his employer makes any warranty, expressed orimplied, 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 personalinjury or property damage or a loss of any kind arising from or connected with this
. inspection.
h, u_
M Commissions NB-9985, Ark.-1054. "N", "I", "B"
- inspeews sisnaiwe Neuanal Baani, State, Iwvmoe, annndorsernents C.W. THOMPSON Date b/ /f 19 j
- Factory Mutual Engineering Association I
Pege 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations,Inc Date 5/3/95 Name 1448 S R 333, Russellville, AR 72801 Sheet 1
of
/-
l Addr=.
l
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R 333, Russellville, AR 72801 70, 927f 7/
i Addras Repear Orgaruauon P.O.No Job No..etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type code symbol Stamp N/A N'""
Authorization No N/A 1448 S.R. 333. Russellville, AR 72801 Expriation Date N/A Address 1
- 4. Identification of System f/CS ( '77' J7[]///1 (;f'Wf/f/)TDZ )
C'///51/
IJJZ- % /JB-Y//d/s
- 5. (a) Applicable Construction Code JEC E ]?[
19 /,f-Edition, J. /g 7 Addenda, fggef.f Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Namecf Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No Identification Built or Replacement or No)
'N " J TL/!M fMU GEA/CTMO E Et tJ
/ 2.3 Al-/Z,7 E -Z '/A l97/
FEP/MCME2;T YES N/A N/A N/A N/A
- 7. Description ofWorkFfP/ mfd 0/JE J7?/D O/U LOh/M Ff/D7H N/1A/D//r/C
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure %
Other l l Pressure go,n o g g Psi Test Temp ggpf gpg.
F 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) informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page1(Back).
FORM NIS-2 (Back) 9.' Remarks A/#
Appi.e.bie u rue s o.i. mopon.a.n=hed l
5 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f/R/7(fr//EN T
' conforms to the rules of the 1
ASME cme,Section XI.
Repair or Replacement
{
i
-Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A l
Signed m,)g h Oh h h Date JJ
,19 N Owner or Owners Desanee. Title D.B. Immax - Manager, Engineering Programs i
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwrkht MutualInsurance Company
- of Norwood, MA haveinspected the componentsdescribe in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty,- expressed or implied, concerning the
)
examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
l
,u,
hhk Commissions NB-9985. Ark.-1054, "N", "I", "B" inspectors signature l
Nauon.1 Board, State, Province, and Endorsements C.W. THOMPSON
]
Date b/ / f 19 hI
- Factory Mutual Engineering Association
Page1(Frono FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations, Inc Date g//J/r/[
]
Name l
1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addra.
- 2. Plant Arkansas Nuclear One Unit
/
1448 S R. 333 Russellville, AR 72801 7 g r/2 8 6 f /
Address Repair Orgaruzation P.O.No., Job No..etc.
- 3. Work Performed by AP&IJEntergy Operations, Inc Type Code Symbol Stamp N/A Name Authorization No N/A 1448 S R. 333, Russellville, AR 72801 Expriation Date N/A Address
- 4. IdentificationofSystem EDICTDK l'O(){flAIT JYJT7171 (C'/ASJ / )
- 5. (a) Applicable Construction Code Sg7 pf 19 ff Edition, jf/g Addenda, g//
Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Nameof Manufacturer Board Other Yer.c
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
CflLCIC
/?Tl0DCD N/A VA/ LIE
/710ffl/L MA 2C-/Oli A//1 ECPLACCD NO ClllCK A TirCOD N/A l/ RIVE
/710ffit L MA EC- /0//
l7D EEPLACE/7)(Nr No N/A N/A N
"'^
- 7. Description ofWork 1&M4frP V4///E
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
//g Psi Test Temp ////
F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y 10017 REPRINT 12/91
Page 1 (Back)
FORM 711S-2 (Back)
- 9. Remarks 77//f VDjVE /J AlDT DN Male 22T MDE fDAPD1/EW HoMB//X ApphcaMe Manufacture's Data Reports to be anached 77/E Vn/VE IVAJ' B7DAlyn/f 77//fD IN AC(OfDRAKE' ID/771 77/E M9D DJn1E l'0DE, /ValDim
/992 ADDE 1)DA.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this EEPNJ(f B7(A/T conforms to the rules of the ASME Code,Section XI.
Repatr or Replacement Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A Signed hv.bh b4y Date
,5
, 19 %
Owner or Owner's Dessner Inle D.B. Lomax. Manager. J t:ineering Programs CERTIFICATE OF INSERVICE INSPECTION I
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Arkwright Mutual Insurance Company a of Norwood. MA haveinspected the components describe in this Owner's Report during the period 10/19/93 to 4/01/95
, 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.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
M Commissions NB-9985. Ark.-1054. "N", "I". "B" Inspector's stenature Natsonal Board, State, Provmce, and E.ndorserneras C.W. THOMPSON Date f)/ / I 19 h[
i i
i
- Factory Mutual Engineering Association
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
~
- 1. Owner AP&l/Entergy Operations,Inc Date 5/J /9f Name 1445 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
Addr
- 2. Plant Arkansas Nuclear One Unit i
1448 S.R. 333, Russellville, AR 72801 JO 92795rf Address Repar Orgamzataan P.O.No Job No..etc.
- 3. Work Performed by AP&L/Entergy Operations,Inc Type Code symbol Stamp N/A.
Name Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A Addras
- 4. Identification of System 7 2 [ 5 5 /) 2 ) 7 W
(( [L J O ~
(/T8 *Z )
(M5f[
- 5. (a) Applicable Construction Code g/gC 19 43 Edition, f, ru Addenda, N/J Code Case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Comporents Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
ComPDAllhiT N/A FC8 E-Suff0LT 13EC//TEL
/)/7 HS-/3 1947 ELPAllED A/O N/A N/A N/A
\\
N/A
- 7. Description ofWork mf)D/17L7) JcfPCf T TD //IEET OMEAl JfR/F/f//770AL[
'\\
S. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l lPressme yg Psi Test Temp jyg F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l
Page1(Back) l t
I FORM NIS-2 (Back) f e
- 9. Remarks
/]B Apphcable Manufacture's Data Reports to be anached l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rfP4/<
conforms to the rules of the ASME Code,Section XI.
Repair or Replacement
)
c Type Code Symbol Stamp N/A Certificate ofAuthonzation N N/A Expiration Date N/A Signed j D/ hammy Date i[
,19 T1 Owner er Owner's Desianee. Title D.B.1.omax - Manager. Engmeenng Programs CERTw1CATE 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 Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owners Report during the period 10/19/93 to 4/01/95
, and state that to thebestofmy knowledgeandbelief, theOwner hasperformedexaminations and takencorrective measuresdescribed inthis 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 orimplied, concerning the ex minations and corrective measures described in this Owners Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
,,L Commissions NB-9985. Ark.-1054. "N", "I", "B" -
Inspector's Signature National Bnard, State. Provmcc, and Endorsements C.W. THOMPSON Date
//C 199\\'
- Factory Mutual Engineering Ascociation
-n-.
I l
Page 1 (Frsnt) l FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS j
As Required By The Provisions Of The ASME Code Section XI
of
/
Addre
- 2. Plant Arkansas Nuclear One Unit
/
I448 S.R. 333, Russellville, AR 72801 9279gy Address Repar Orgamzauon P.O.No Job No..etc.
- 3. Work Performed by AP&UEntergy Operations,Inc Type Code symbol stamp N/A l
Na=
Authorization No N/A 1448 S.R. 333, Russellville, AR 72801 Expriation Date N/A m
- 4. Identification of System PMSSUE/ZCK NEUEF C ft' -E )
du15.42 l
B S. (a) Applicable Construction Code ///fc 19 f 3 Edition, g rn
- Addenda,
/4;7 Code Case (b) Applicable Edition of Section XI Utihzed for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped j
Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
C001PDNiNT N/A FCB - E-l,,
(NEtJ)
StJPPOU HEC //TE*L NR 17C ~ 19 l995 ElPlA'Of(N7 NO N/A N/A j
N/A
\\
N/A
\\
- 7. Descsiption ofWork HJJ771L/ET) /JELJ H/1A/M PlX FC 95~ 702/
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
/f//
Psi Test Temp
////
F NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (!) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
_____________________________________________________-.____-._-________________________________J
Page 1 (Back) {
I r
FORM NIS-2 (Back)
' v//
L 9.' Remarks
/
Applicabie Manufacsures Desa Reports to be anached i
I i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this F/P/ MU#EA/7-conforms to the rules of the ASME Code,Section XI.
Repair or Replacement i
Type Code Symbol Stamp N/A Certificat of Authonzation N N/A Expiration Date N/A 3 h k bd% d Date Id
,19 N Signed' CIN Owner or Owner's Desianee. Tale D.B. Lomax - Manager Engineering Programs j
CERTIFICATE OF INSERVICE INSPECTION
.1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State cr Province of Arkansas and employed by Arkwright MutualInsurance Company a of Norwood. MA haveinspected the componentsdescribe in this Owners Report during the period 10/19/91 to 4/01/95
, 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.
i By signing this certifierte neither the Inspector nor his employer makes any warranty, expressed orimplied, concerning the examinations and corrective measures described in this Owners Report.Furthermore, neither the Inspector not his employer.
shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this
' inspection.
]
M' Commissions.
NB-9985. Ark.-1054 "N", "I" 'B" Inspector's Signature Neuonal Board State, Provmos, and Endorsements C.W. THOMPSON Date b/ f f 19 h$
- Factory Mutual Engineering Association
I 1
PEge 1 (Front)
]
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS i
As Required By The Provisions Of The ASME Code Section XI b
.1. Owner AP&UEntergy Operations, Inc Date t///3 / 9,f Name 1448 S.R. 333, Russellville, AR 72801 Sheet 1
of
/
we
- 2. Plant Arkansas Nuclear One Unit
/
1448 S.R. 333, Russellville, AR 72801 JD 727/7f A&hesa Repair Organization P.O.No. Job No..etc.
- 3. Work Performed by AP&UEntergy Operations, Inc Type Code Symbol stamp N/A Na=
Authorization No N/A 1448 S.R. 333 Russellville, AR 72801 Expriation Date N/A an.
- 4. Identification of System ECJ ( CC//-d-/(D C USSS /
- 5. (a) Applicable Construction Code /7 /f(_
19 /,3 Edition, g, in Addenda, jjif/
Code Case (b) Apphcable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
CO(nflWENT N/A CCAs-C wit T JurPDCT BECIITCL NA HDD3 l'178 El7tMCMNT NO N/A N/A N/A N/A
- 7. Description ofWork Ti?Pl/ltfD fl7/JJ/All-7Tol T DD Jt/PMT*
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure
/yg Psi Test Temp g/jf F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I 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 fonn.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASAE,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
P:ge 1 (Back) i L
5 i
- FORM NIS-2 (Back) r
- 9. Remarks NM
[
Appbcable Manufacture's Data Reports to be anased I
r i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this fEPuf 6 M EA17 conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A
[
Signed for boud)(
Date
)J
,19 N Owner or Owner's Dessanee. Titic
[
D.B. Iemax Manager, Engineermg Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State l
or Prmince of Arkansas and employed by Arkwright MutualInsurance Company a of i
Norwood. MA haveinspected the components describe.
l in this Owner's Report during the period 10/19/93 to 4/01/95
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j
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 inthis Owner's Report.Furthermore, neither the Inspector nor his employer i
shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
I Commissions NB-9985. Ark.1054, N", "1". B" WM signature National Board, State, hvince, and Endmemens l
C.W. THOMPSON i
Date b//
19hI
- Fact:ry Mutual Engineering Association i
i
p--.
Attachment to OCAN069507 b
1R10 NIS-2 FORMS OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS (CORRECTIONS) 1 I
i
F0pt NIS-2 APPENDIE II = IEND&TCET RgTISD PORN NIS-2 ONNER'S REPORT FOR REPAIRS OR REPMCDWffS As Required by the Provisions of the ASME Code section II-1.
OWNER AP&L/ENTFRST OPEIULTfoNS. IRC.
3425 0 88~7 Name RT. 1. sof 117 C. RUSfrLLYTTt8 AR. 72801 SIERT
/
ef
/
Address 2.
PLANT aerav un unctram our IREIT arr j
Name i
i n7. 1. nor 117c. messrtiviriv. Am. 72801 3 d,#68 N4PS'06'
{
Address h A-C. y.aiaa tian 70 No., Job No., e tc. ~
{
3.
WORK PDFORMED ST APat/Eurtner OPo.. Twe.
TDI 000E STISOL STRMP N/t.
Ne
&DTHORIE&TICII 310.
v/A RT. 3, Sox 137G. RUSSELLVILLE. AR. 71801 i
Address EIPIRATICK IETE n/A 4.
IDENTIFIC&TIcti 0F STSTEN O/f 5.
(a) APPLICARu CONSTRUCTION CODE M/P 19d EDITICII,
- A-ADDEND &,
- A CODE CASE (b) APPLICA82 DITIchi 0F SECTION II UTILIEED POR RDAIRS OR RDIACEIGNTS 6.
IDENTIFIC&TICII 0F COMP 00tDfTS REPAIRED OR REP! ACID AND REPIAGNINT COO IUO"II' RDAIRED E
"30 IO NAME OF NAME OF NWfDFACTURER CODE OTHER TEAR
- REPuCID, COMPONDff MANUFACTUltER SERIAL 50.
IDDITIFICATION SUILT OR STANPD i
R-u-l
^
$h fddn$/s}b A/h CA- /// 8
) /r $n64 W.
l V 4ko l
1I.C 'l a b 1 2 M Td 99-swreT n
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DESCRIPTIOlt OF NORK Y~$ YMed A bL h5NA' $ ~cl0 S ?
8.
TESTS CONDUCTED: NTDROSTATis O P M TIC D NCBEINAL OPERATDIG PRESSURE %
OTHER Q PREnc
//.I'd asi TEST TINP.
/SO
- T NOTE:
Supplemental sheets far form of lists, sketches, or drawings may be used, provided (1) size is 5% in. s 11 in., (2) information la items I thre@ 6 en this report is -
included en each sheet, and (3) each sheet is,au6ered and the number of sheets is recorded at the top.of this fap.
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sp>021 33718 5 06/30/89 70181 HIS-2 (Back) 9.
REMnRR$
A/87-/
i
~
Applicable Manufacturer'c esta Reports to be Attached
~
l l
I l
I cuartPIcass or courtrancs I
1 l
9q, certify tapat the ' statements made la the report are correct and this i
l
.AmhamM7 l
reptir er replacement eenferne ta the rules of the ASE Code,Section II.
l l
i I
i i
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Type code symbol Steep N/A 1
l l
l Certificate of Author atime No, N/A Espiraties Data _ N/A l
l l
Siped M
,I/'/s w S Date 7//SI9 z 1
h =r er Owner's D'sipes, fitas
,19_ ll e
l.
R. D.'Gillespie - Manager, Central Support i
I I
l l
czarIFIcan or InssavIcz InstscT2m l
l I, the undersiped, bolding a valid commissian issued by the National Board of
- l i
Seiler and Pressure Yessel !aspectors and the State er Province of I
l ARKANSAS and esplayed by *nxvntCET MUTUAL INSURANCE CO.
i
(
I NORWOOD. MASS.
af I
have inmd_ the campeoents described La this l l
owner's Report during the period 0:-07-91 l
te S E7
,1 and state that to the best of my kacCedge and belief, the Owner has performed l
l emaninations and takan corrective asasures described in this owner's Report in l
i accordance with the requiressats of the ASME Code, Sec' ties II.
I I
I I
ty siping this certificate neither the Inspector mer his esplayer makes any l
)
I described in this owner's Report. warranty, empressed or laplied, concerning the l
I Furthermore, neither the Inspector nor his I
I employer shall be liable la any manner for any personal injury or property desage l
cr a less of any kind arising from gr ceanected with this inspecties.
l l
l' I
6 1
- 0. 6. [.lf'M FACTORY MUTUAL SYSTEMS I
i Commissions wn-9947. ARK-r133 "u" "18' I
! gaspector's sapaturedi.* '"**" L A ec I
i sational Soard, state, Province, and Endorsements 1, 9,t
- .i y
i i
I
polm WIS-2 APPENDIE II - MhMD& TORT REVIS O Fotit NIS-2 018tER'S REPORT FOR REPAIRS OR REPLACEMENTS*
As Required by the Provisions of the ASME Code section E!
1.
OWNER AP&L/ENTERET 0P'8ATIONS. INC.
BRTE
- ["'78- /
name RT. 3. Ror 137 c. WestrLLvitt F. Am. 72801 SEET
/
ef
[
Address 2.
PLANT auriutAt NDetram our IREIT enrf Name RT. 3. 10f 137C. RUtttttTTfft. AR. 72801 10, OeP98J24 Address
- pair C.y nisatian 70 No., Job No., etc.
3.
WORK PERPol0ED ST AP&t/rsrrner ops.. rue.
TTPE CODE S1980L ST3MP N/A Base
&DTHORIEhTICII NO.
M/A RT. 3. Box 1370 RUSSELLVILLE, AR. 72801 address EIPIRAT! W RTE m/A 4.
IDENTIFIC& TIC 0f 0F ffSTEli MNb S.
(a) APPLICARLE CONSTRUCTICIf CODE 8MI 19d DITICIf, NA
_ ADDENDA, NA CODE CASE (b)
APPLICASLE EDITICII 0F SECTIGl II UTILIZED POR REPAIRS OR REPIACEMENTS 6.
IDENTIFICATI0It 0F COMP 00 TENTS BEPAIRED OR REPIA=D AllD REPLACENElff CO ASME NAME OF NAME OF H&NUFACNRER "II' OTHER TEAR CED,'
CODE COMPONENT MANUFACTURER SERIAL NO.
IDENTIFICATICII SUILT OR SMB
=.
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Sou==
ALU1A/
SM W/4 M4 PSV-/000 lbf
$nin{i $
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BM0/f9Y Afk Psti-looo
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i DESCRIPTIChi 09 NORE.SEffbtLLY ib11m/ Y h YA AtwlML 1.
r
/
/
8.
TESTI CONDUCTED: NTDROSTATIC D FIIEWi& TIC D INNEINAL OPERATING PRESSURE %
OTHER D PRESSURE BSoo psi TEST TalP.
400
'T HOTE:
SupplementsI sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. s 11 in., (2) information in items 1 thre@ 6 en this report is -
included en each sheet, and (3) each sheet is _aumbered and the mober of sheets is recorded at the top. of this faps.
Fonn NIs-2 SBCTI M II - DITIst m 1 3371333 Fenn mis-a (sack) amnisms de
/ Applicable Manufacturer's Data Reports to be Attached NPr-/ #du$alab&ahSf&ms&
M A M.st 6.AAAAalaAa Y
1/l A7 j
Y V
V I
i czzTIFIcast OF conFLIAus I
j I
I l
eertify th tm/w/ at the ' statements made in the report are correct and this I
l
//
I repair er replacessat conforms to the rules of the Asm Code,Section II.
l I
I i
l l
-l Type code symbol stamp _
N/A i
l I
I certificate of Autherisation No.
N/A Empiration Data w/A l
I i
Siped /f b 1l Data W/s l4 L l
Owner er erJ's Desimos, Title
, 19 _ l l
R. D. Gillespie - Manager, Central Support l
I l
I 1
l GETIFIC&TE OF IMBERVIG INSPsCTIM i
l I, the undersiped, helding a valid commission issued by the sational 5eard of
- i l
Boiler and Pressure vessel Inspectors and the State er Province of l
l AREARtAs I
and employed by *AUVRIGHT MUTUAL INSURANCE CO.
i NORWOOD. MASS.
of I
have imd the cesponents described in this !
I owner's Report durlag the period 01-07-91 to 8 f2
,1 l
and state that to the best of my kacwhedge and belief, the Owner has performed I
asaminations and taken corrective measures described in this owner's Report in l
I accordance with the requirements of the asnt Caen, section II.
i I
I I
ty siping this certificate neither the Inspector mer his employer makes any l I
warranty, sapressed or implied, concerning the===inations and corrective measures ll 4
l described in this owner's Report. Furthermore, neither the Inspector ner his l
l employer shall be liable la any manner for any personal injury er property damage I
er a less of any kind arising from gr ceanected with this inspection.
l l^
. I b O. /_/ O FACTORY MUTUAL SYSTEMS I
l l
Commissions NB-9947. ARK-r133 "N" "18' l
Claspector's $1pature l
I National Seard, state, Frevince, and Endorsements l
.f. O. Elliott I
Dato
'hr % / p.
ig 9,R I
.I l
v l
Attachment to OCAN069507 2R9 NIS-2 FORMS OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS (COIRECTIONS)
\\
Page 1(Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations,Inc Date 10-19-92 N-Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of-I m.
Md-s mapan c..
- P.o.No. Jab No.,sec.
- 3. WorkPerfonnedby AP&UEntergy Operations,Inc Type Code Symbol Stamp N/A Nm.
Authorization No N/A l
. Rt 1. Box 137G, Russellville, AR 72801 Expriation Date '
N/A m-i
- 4. Identification of System M.S.(2 EBB-2 )
l
- 5. (a) Applicable Construction Code sn.nr 19 71 Edition, S-73 Addenda, 1574 CodeCase~
)
i (b) Applicable Edition of Section XI Utilized for Repain of Replacements 19 86
- 6. Identification of Components Repain or Replaced and Replacement Components ASME Code i
National
- Repaired, Stamped I
Name of Name of Manufacturer Board Other Year
- Replamd, (yes Component Manufacturer Serial No.
No.
Identification.
Built or Replamment or No) 8" SAre1Y CROSBY N58090-N/A 2PSV-1053 1979 REPLACED YES VALVE 00 M 5 8"SAre1Y CROSBY N58090-N/A 2PSV-1053 1979 REPLACEMENT YES VALVE 00 0004 N/A N/A N/A
- 7. Description ofWork REPLACED VALVE WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l NominalOperating Pressure y Other R Pressure 1085 Psi Test Temp 550 F
i NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
FORM NIS-2 (Back)
- 9. Remarks TIIESE RELIEF VALVES ARE REPLACED EVERY REFUELING OUTAGE Apphcabis M-r==e's Den acnis no be anached NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expuntion Date N/A Signed d
Date d/r/a fg
,19 owner /rowne o.msn W ' /
D.B. Lomax - Manager, Engmeerms Programs CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesse! Inspectors and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveinspected the componentsdescribed in this Owner's Report during the period 4-20-91 to
/d M
, 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 thiscertificate neither the Inspectornor his employer makes any warranty, expressed orimplied,concerningthe j.
examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shallbe liableinany mannerforany personalinjury orproperty damageora lossofany kindarising fromorconnectedwiththis inspection.
- 9. O. [ _/f Commissions NB-9947, Ark.-1133, "N", "I", "A" g
g Natumal Board, Stee, Pnmnce, and Emdorsemams i
Date OcIA t/
19 C/ 4/
l
e i
I Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I1Entergy Operations,Inc Date 10/17/92 l-Narne l
Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
i 2.' Plant Arkansas Nuclear One Unit Two 1
Rt. 3, Box 137G, Russellville, AR 72801 JO# 00879236 Addrums Repair Oryman=haa P.O.No Job No sec.
- 3. Work Performed by AP&IJEntergy Operations, Inc Type code symbol stamp N/A N=*
Authorization No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A m-
- 4. Identification of system M.S. (2 EBB-2 )
l sm.m 19 71 Edition, S.73 Addenda, 1574 Code Case l
S. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components I
ASME Code i
National
- Repaired, Stamped
{
Name of Name of Manufacturer Board Other Year
- Replaced, (yes Ccmponent Manufacturer Serial No.
No.
Identification Built or Repl-nt or No) 8' SAFETY CROSBY N58090-N/A 2PSV-1002 1979 REPLACED YES VALVE 00-0001 8' SAFETY CROSBY N58090-N/A 2PSV-1002 1979 REPLACEMENT YES VALVE 00-0003 Nih ~
N/A N/A 7, Description ofWork REPLACED VALVE WITH SPARE VALVE
' 8. Tests Conducted Hydrostatic l Pneumatic l NominalOperating Pressure y Other R Pressure 1085 Psi Test Temp 550 F
NOTE: Supplemental Shcets in form oflists, sketches, or drawings may be used, prmided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., AShE, 345 E. 47th St., New York, N.Y.10017 REPRDir 12/91
Pap 1 (Back) i PORM NIS-2 (Back) l
- 9. Remarks THESE RELIEF VALVES ARE REPLACED EVERY REFUELING OUTAGE w u-disa.n ann as,-= = a. n-ass NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED CERTIFICATE OF COMPLIANCE l
We certify that the matanems made in the report are correct and this REPLACEMEDE confanns to the rules of the ASME Code, Sectaan XI.
Repair erRepleannent Type Code Symbol Stamp N/A Certificate of Authornation No.
N/A F W " Date N/A Signed
[f/
Date hjelige f6
,19 9 OwnsA Oe Dunpse.THIe '/
D.B. Lomax. Manager, Fnraamns Programs CERI&ICATE OF INSERVICEINSPECTION 1, the undersigned, holding a valid cornnussion issued by the National Board of Boiler and Pressure Vessel invans and the State or Province of Arkansas and emplopd by Factory Mutual Engineering Association of Norwood. MA have Pd the pa=* described in this Owners Report during the penod 4 20-91 to
/#- R - f 4
, and state that '
to the best of my knowledge and belief, the Owner has performed examinazions and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Secuan XI.
Bysigmng thiscertificate neitherthe laspectornorhis employer makes any warranty, expressed orimphed,concermagthe examinations and corrocuve measures described in this Owner's Report.Furthennore, neither the inq=cear norhis employer shallbe liablein any mannerforany personalinjury orproperty damapora lossofany kind arising from orconnectedwiththis inspection.
h O. [M C - M ons NB-9947, Ark.-l133, "N", 'I", "A" 6.
'TO!d'%:-
Date ' _& eE4u /A 19 9 e/
. =. _ -
\\
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1, owner AP&IlEntergy Operations,Inc Date 10/17/92 Namns Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
us
- 2. Plant Arkansas Nuclear One Unit Two
' Rt. 3, Box 137G, Russellville, AR 72801.
JO# 00875332 i
me=
aspw oraim.i.= r.o.No w, No mc.
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type Code symbol Stamp N/A i
Na=
Authonzstson No N/A l
Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A i
ue=
- 4. Identification of System M.S. (2 EBB-1 )
sm 19 71 Edition, S-73 Addenda, 1574 Code case S. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME I
Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes C mponent Manufacturer Serial No.
No.
Identification Built or Replacement or No) l 8' SAFETY CROSBY N58090-N/A 2PSV-1005 1979 REPLACED YES VALVE 00 0002 8" SAltTY CROSBY N58090-N/A 2PSV-1005 1979 REPLACEMENT YES VALVE 00 0011 N/A N
"'^
7, Description ofWork REPLACED VALVE WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l )(l i
Other Pressure 1000 Psi Test Temp 545 F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-l ti:n in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
'Ihis Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l
REPRINT 12/91 1
Pase 1(Back)
FORM NIS-2 (Back) 1
- 9. Remarks THESE RELIEF VALVES ARE REPLACED EVERY REFUELING OUTAGE Ae-w-M-t a-o Desa aspass in w am NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED i
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 Cer6ficate of Authonzation No.
N/A Expuntion Date
_N/A
[
Signed
/,/ [,
J Date 6/g/g f6
,19 owner 6r ownses omisn Tai.
/
D.B. Imnax - Manager, Engineenns Programs 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 f
or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood, MA have iaW~' the 9ep:= = descrilxd i
in this Owner's Report during the period 4-20-91 to
/0 9)
, and state that t
to the best of my knowledge and belief, the Owner has performed exanunations 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 orimplied, conceratag the examinations and wrrective measures described in this Owner's Report.Furthermore, neither the law-not his..,kryw shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i
inspection.
i i
9O-[/29 Commissions NB-9947, Ark.-l133, "N", "I", "A"
[/
gfp Nauanal Baani, Sune, Pnmace, and Endesmans Date Och, f ;
19 94/
t l
l i
I 7
...m.--.
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1 Owner AP&I1Entergy Operations,Inc Date 10/17/92
)
Nams Rt.3 Box 137G, Russellville, AR 72801 Sheet 1
of 1
m
- 2. Plant Arkansas Nuclear One Unit Two j
Rt. 3, Box 137G, Russellville, AR 72801 JO# 00875333 l
ue=
aspar C..
P.O.No kh Aac.
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type Code Symbol StanP N/A N=
Authorization No N/A i
i Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A
~
ue
- 4. Identification of System M.S. (2 EBB-2 )
f s w r.ul 19 71 Edition, S-73 Addenda, 1574 Code case 5, (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components f
l ASME Code National
- Repened, Stamped Ntme of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) l 8" SAFETY CROSBY N58090-N/A 2PSV-1056 1979 REPLACED YES i
VALVE 00-0010 8" SAFETY CROSBY N58090-N/A 2PSV-1056 1979 REPLACEMENT YES VALVE 00-0012 N
"'^
N/A
- 7. Description of Work REPLACED VALVE WITH SPARE VALVE l
i
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure lXl Other Pressure 1000 Psi Test Temp 545 F
i NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-l ti:n in items I 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
(12/82)
This Form (E00030) may be obtamed from the Ouler Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l
l I
~
i t
Page 1 (Back) l FORM NIS-2 (Back)
- 9. Remarks THESE RELIEF VALVES ARE REPLACED EVERY REFUELING OUTAGE
{
-,-a-NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED i
[
I i
i f
CERTIFICATE OF COMPLIANCE l
We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
RepaarorP placement t
i Type Code Symbol Stamp N/A Certificate ofAutixmustion No.
N/A Expiration Date N/A Signed b) b.
/)
Date 0h}y [f
,19 Jh e o r,o s, w <
D.B. Innax - Manager, Engmeenns Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid cornmission issued by the National Board of Boiler and Pressure Vessel f aMars and the State I
cr Province of Arkansas and employed by Factory Mutual Engineering As:ociation of Norwood. MA haveinspected the componentsdescribed i
in this Owncts Report during the period 4 20-91 to
/B-J# - 91
, and state that i
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures desenled in this Owner's Report in accordance with the requirementr of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his emp'pr makes any wananty, expressed orimplied, concerning the i
examinations and corrective measures described in this Owners Report.Furthermore, neither the IaMar nor his
,bys shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this
(
inspection.
i t
[
$.O. [./2, N Commissions NB-9947, Ark.-1133. "N", "I", "A"
{
//
bupenart Signanse Nauonal Board, State, Provuus, and Eadora. mimes v
J.O. Elliott r
Date OAa_, //
19 94 i
l l
l l
l t
.~.
1 Page 1 (Froot)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&UEntergy Operations,Inc Date 10-17-92 nam
\\
Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
)
-l m.
==
a.p-orpaan.= r.o.u a wo,me.
l
- 3. Work Performed by AP&I/Entergy Operations,Inc Type code Symbol Stamp N/A N=
Authorization No N/A Rf,3. Box 137G, Russellville, AR 72801 Expriation Date N/A
- 4. Identification of System M.S. (2 EBB-2 )
s m r.nl 19 71 Edition, S-73 Addenda, 1574 Code case 5 (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86 i
l
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped i
Name of Name of Manufacturer Board Other Year
- Replaced, (yes l
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 8' SAFETY CROSBY N58090-N/A 2PSV 1055 1979 REPLACED YES
?
VALVE 00-0009
)
8' SAFETY CROSBY N58090-N/A 2PSV-1055 1979 REPLACEMENT YES VALVE 00 0014 WA
)
N
"'^
- 7. Description ofWork REPLACED VALVE WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l NominalOperating Pressure y Other Pressure 1000 Psi Test Temp 545 F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is 4
recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRIKT 12/91
Page 1 (Back)
P P
r FORM NIS-2 (Back)
- 9. Remarks THESE RELIEF VALVES ARE REPLACED EVERY REFUELING OUTAGE Apphcetde p-Am=vs Dea Rapwts to be =nN NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code,Section XI.
Reyur or Fant--t I
I Type Code Symbol Stamp N/A Certificate ofAuthanzation No.
N/A Expiration Date N/A dh/ /6
,19 /
Signed
[
Date owana/own n p.msn Tane
'/
D.B. Lomax - Manager, Engineenng Programs l
I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel faWars and the State l
or Provi:we of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveinspected the componentsdesenhd in this Owner's Report during the period 4-20-91 to
/d-Jo - PJ
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures desenhd 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,,M or implied, conarning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
k, O. (# M Commissions NB-9947, Ark.-1133, "N", "I", "A" g
Nananal Board, State, Pnmace, and Endessmans Date Ce & 44 //
19 9V
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I1Entergy Operations,Inc Date 10/15/92 Name Rt. 3. Box 137G, Russellville, AR 72801 Sheet 1
of 1
ue.=
. 2. Plant Arkansas Nuclear One Unit
_ Two 1
Rt. 3, Box 137G, Russellville, AR 72801 JO# 00875335 l
~
M*.=
Rapar C._
~ -- P.O.Na. Job Na,se.
- 3. W:rk Performed by AP&I1Entergy Operations,Inc Type Code Symbol Stamp N/A Nam
- Authorization No N/A Rt. 3. Box 137G Russellville, AR 72801 Expriation Date N/A us.=
- 4. Identification of System M.S. (2 EBB-2 )
smr.m 19 71 Edition, S.73 Addenda, 1574 Code Case
- 5. (a) ApplicableConstructionCode (b) Applicable Edition of Section XI Utilized for Repairs of Rep 1mts 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components i
i I
ASME Code National
- Repaired, Stamped N*.mc of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 8' SAFETY CROSBY N58090-N/A 2PSV-1054 1979 REPLACED YES VALVE 00 0004 8" SAFETY CROSBY N58090-N/A 2PSV-1054 1979 REPLACEMENT YES VALVE 004)006 N/A N/A
- 7. Description ofWork REPLACED VALVE WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure lXl Other ] Pressure 1000 Psi Test Temp 545 F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-l tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
' Itis Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
Page1(Back) i FORM NIS-2 (Back)
- 9. Remarks THESE VALVES ARE REPLACED EVERY REFUELING OUTAGE I
Apphcninsu-r--es Den Rapans to be anm NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED i'l t
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 i
r Type Code Symbol Stamp N/A Certificate of Authanzation No.
N/A Expiration Date N/A Signed
/1,/ k A
Date (c/p& /(f
,19 h
- os.n <
D.B. Lomax - Manager, Engmeenns Programs CERTIFICATE OF INSERVICE INSPECTION i
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State l
or Provina of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveinspected the componentsdesenbed l
in this Owner's Report during the period 4-20-91 to
/d ~/8 - fd
, and state that to thebestofmy knowledgeandbelief, theOwner hasperformedexaminations and takencorrective measuresdescribed inthis Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, %d orimplied,conarmngthe examinations and corrective measures described in this Owner's Report. Furthermore, neither the Ivar nor his.W 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.
- 9. M. bfA Commissions NB-9947, Ark.-l 133, "N", "I", "A"
(/
j Nauonal Board, suse, Pnmnos, and Endormansens Date Oc&as //
19 '/e/
l i
i
Attachment to
' OCAN069507 2R10 NIS-2 FORMS OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS (CORRECTIONS) x I
7
- b_'JU.F f...
i h'
0
___________.____.__.___--.___.____m.___m..___.___
_-_m___m _ ____ _.
i Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I/Entergy Operations,Inc Date 12/20/92 l
Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
M**m
- 2. Plant Arkansas Nuclear One Unit
.Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00858368 M&am Raper Ory==w= P.O.No Jab No.,sec.
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type Code symbol stamp N/A Nan" Authonzation No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A Amnem
smn 19 68 Edition, W.70 Addenda, 1440 code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Sc: tion XI Utilized for Repairs of Rept-nts 19 86 1
- 6. Identification of Components Repairs or Replaced and Pap!-nt Components ASME Code 1
National Repaired,-
Stamped j
Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Repl-*
or No) 6" SAFETY CROSBY N55605-N/A 2PSV-4633 1975 REPAIRED YES VALVE 00-0003 6" SAFETY CROSBY N55605-N/A 2PSV-4633 1975 PART YES l
VALVE 00 0003 REPLACEMENT N/A i
N
"'^
N/A 7, Description ofWork MACHINED NOZZLE INSERT & REPLACED NOZZLE SEAT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other Pressure N/A Psi TestTemp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
u Page 1 (Back) i FORM NIS-2 (Back)
- 9. Remarks N/A Applicaba wenurammspeu Rapans so he sanded i
P CERTIFICATE OF COMPLIANCE We certify that the stakenents made in the report are correct and this REPAIR / REPLACE confonns to the rules of the ASME Code, Section XL Repair or RT-'
l Type Code Spnbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date N/A l
Signed I[
Date - dj;[g /f7
,19 N
[
o,so e % fro. ' f l
D.B. Lomax. Manager, Engineenng Programs CERTIFICATE Or 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 Arkansae and employed by Factory Mutual Engineering Association I
Norwood. MA haveinspected the ces.g Gdescribed in this Owner's Report during the period 10/20/92 to MM/#
, and state that to the best of my knowledge and belief, the Owner has performed examinations and talen ciorrective measures desenbed in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
i By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, macerning the-examinations and corrective measures desenhd in this Owner's Report.Furthermore, neither the Inspector nor his 4 j
shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this t
inspection.
- 9. O b M.N Commissions NB-9947 Ark.-l 133, "N", "1", "A" g
Inspecte Sipsaure National Board, Suk, Provuum, and Endorsensats J.O. Elhott Date &&- //
19 9 y
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Pmvisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations,Inc Date 01/12/93 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
m
- 2. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 J0# 00859762 Address aspar Oryana=#== P.O.No., Job No.,asc.
- 3. Work Performed by AP&IJEntergy Operations,Inc Type Code Symbol Stamp N/A N='
Authonzation No N/A Rt. 3. Box 137G, RusselMlle, AR 72801 Expnation Date N/A m
sm.m
- 5. (a) Applicable Construction Code 19 68 Edition, W-70 Addenda, 1440 Code case (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Rap!-*
or No) 6" SAFETY CROSBY N55605-N/A 2PSV-4634 1975 PART YES VALVE 004)003 REPLACEMENT
\\
4 N/A N
"'^
- 7. Description ofWork REPLACED DISC INSERT
- 8. TestsConducted Hydrostatic l l Pneumatic l l NominalOperating Pressure R Other l l Pressure N/A Psi Test Temp N/A F
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) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)-
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
FORM NIS-2 (Back) i
- 9. Remarks NEW DISC INSERT S/N N95543-35-0001 l
Appa.c.m u.nur. awes om. a.p== = b..num.d e
CERTIFICATE OF COMPLIANCE We certify that the statenn.a made in the report are correct and this REPLACEMENT confonns to the mies of the ASME Code,Section XI.
Repair or RW-t i
7 Type Code Symbol Stamp N/A Certificate of Authorizatim No.
N/A Expiration Date N/A Signed
,/d M
Date h[v /d
,19 ownvor owners o.msn mu
/
D.B. Lomax - Manager. Engmeering Programs CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel i==c=s and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveiaW the componentsdesenbod in this Owner's Report during the period 10/20/92 to 4'//+'/99
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corfective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis e:nployer makes any warranty, expressed orimplied,concerningthe j
examinations and corrective measures described in this Owner's Report.Furthermore, neitic the Inspector norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kirut r. rising from or connected with this j
inspection.
- 9. d. [
Commissions NB-9947, Ark.-l133, "N", "1", "A" f
//
Insp. acts Signeasts N.taanal Doerd, St.u Province, and Endorasmusas v
J.O. Elliott Date OeTA //
19 99 r
,---,_e,
- Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI-1.' Owner 'AP&I1Entergy Operations,Inc Date 09/14/93 Narne Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
M*"
t
- 2. Plant ' Arkansas Nuclear One Unit Two i
Rt. 3, Box 137G, Russellville, AR 72801 JO# 00874082 M*=
a.,= c._
r.o.uo m* w
- 3. WorkPerformedby AP&I1Entergy Operations, Inc.
Type Code Symbol Stamp N/A Nan" Authorization No N/A Rt. 3 Box 137G Russellville, AR 72801 Expriation Date N/A
~
s m r.nl 19 68 Edition, W-70 A % 1440 Code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Rgh nt Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year Rapt==4 (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 6" SAFETY CROSBY N55605-N/A 2PSV-4633 1975 PART YES VALVE 00-0002 REPLACEMENT 6" SAFETY CROSBY N55605-N/A 2PSV-4634 1975 PART YES VALVE 00-0003 REPLACEMENT N/A N/A N
"'^
- 7. Description ofWork REPLACED NOZZLE INSERT FOR BOTH VALVES
' 8. Tests Conducted Hydrostatic l Pneumatic l l Nominal Operating Pressure l
Other l l Pressure N/A Psi TestTemp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
_,,,.7, e,.m
i Page 1 (Back).
FORM NIS-2 (Back)
- 9. Remarks NEW NOZZLE INSERT S/N N%193-32-0013 FOR VALVE 2PSV-4633 AND NO771R INSERT Appi. mew-
-* Dn. a.,ans a.a.aisd NOZZLE INSERT S/N N96193-31-0002 FOR VALVE 2PSV-4634 i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code, Section XL Repaar or Replacement l
Type Code Symbol Stamp N/A Certificate of Authonzation No.
N/A Expiration Date N/A hh )([]
,19 Signed Date Owner erCwner's Desiense. Tule
/
D.B. Lomax - Manager Engineerms Programs 1
1 l
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesse! Iae~s and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of
- Norwood. MA haveiaW the componentsdescribed in this Owners Report during the period 10/20/92 to M,/N/ff
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken cofrective measures described in this Onefs Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe examinations and corrective measures described in this Owners Report.Furthermore, neither the fa&ar norhis 4-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.
- 9. C. [
Commissions NB-9947, Ark.-Il33, "N", "I", "A" y
g National Board, Staas, Provmos, and Endorsenames Date &h4 //
19 9 4 i
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1
- 1. Owner AP&I1Entergy Operations,Inc Date 01/20/93 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
m m.
- 2. Plant Arkansas Nuclear One Unit Two
, Rt. 3, Box 137G, Russellville, AR 72801 J0# 00874083 m
a.p., ors.=z.uo r.o.uo k* u
- 3. Work Performed by AP&I1Entergy Operations, Inc Type code Symbol Stamp N/A Naa=
Authortzation No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A m
- 4. Identification of System RCS (TOP OF PRESSURIZER) s w r.nl 19 68 Edition, W-70 Addenda, 1440 code case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 6" SAFETY CROSBY N55605-N/A 2PSV 4633 1975 PART YES VALVE 00 0002 REPLACEMENT
\\
"^
\\
"'^
N/A
\\
"'^
- 7. Description ofWork REPLACED NOZZLE INSERT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure N/A Psi Test Temp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
)
i 1
i FORM NIS-2 (Back)
- 9. Remarks NEW NOZZT R INSERT S/N N%193-31-0002 e u-u-o D.i. a.pm. i. b..n-n.4 i
h CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code, Section XL Repair or Replacement I
Type Code Symbol Stamp N/A r
Certificate of Authorization No.
N/A Expiration Date N/A Signed I/
dh,, /8
,19 Date owner a(owner's Demsnse. TiUii //
l D.B. Lomax - Manager, Engineerms Programs 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 Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA havyinspected the componentsdesenhxl 4/JV/#
, and state that -
/
in this Owners Report during the period 10/20/92 to to the best of my knowledge and belief, the Owner has performed examinations and iden corrective sneasures descritxui in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
i Bysigning thiscertificate neitherthe Inspectornorhis employer makes any. warranty, %M orimplied,concerningthe i
examinations and corrective measures described in this Owners Report. Furthermore, neither the fa==*ar nor his
,,k,g -
.i shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
D.O. [RM Commissions NB-9947, Art-1133, "N", "I", "A" p fi N.amal Board. State, Pnmnor, and Endaramasam Date d eL., //
19 'y y l
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Requimd By The Provisions Of The ASME Code Section XI L
i
- 1. Owner AP&I1Entergy Operations,Inc Date 05/20/93 n
Rt.3 Box 137G, Russellville, AR 72801 Sheet 1
of I
m
- 2. Plant : - Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00887843 Addrums Repar Ory=== P.O.No., Job No sec.
- 3. WorkPerformedby AP&I/Entergy Operations,Inc Type code symbol stamp N/A Na"'
Ahon No N/A j.
Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A l.
m,
- 4. Identification of System RCS (TOP OF PRESSURIZER) sm.m 19 68 Edition, W-70 Addenda,1440 code Case
)
- 5. (a) Applicab!c Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code 4
National
- Repaired, Stamped Nr.me of Name of Manufacturer Board Other Year
- Replaced, (yes Ccmponent Manufacturer Serial No.
No.
Identification Built or Replacement or No) 6" SAFETY CROSBY N55605-N/A 2PSV-4634 1975 REPLACED YES VALVE 00-0001 6" SAFETY CROSBY N55605-N/A 2PSV-4634 1975 REPLACEMENT YES VALVE 00-0003 N/A N/A
- 7. Description ofWork REPLACED VALVE WITH REBUILT SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operatmg Pressure y Other R Pressure 2240 Psi Test Temp 650 F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, prmided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Bad)
I FORM NIS-2 (Back) i
- 9. Remarks NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY SUBMITTED w u
-<---c omenepoem en. m 1
l P
t CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code, Section XL Repair or Replarment i
Type Code Symbol Stamp N/A l
Certificate of Authorum No.
n N/A Expiration Date N/A
~
[Ng //
,19 9 Signed Date Owner downer's Deusnes. Tstle " ' /
D.B. Lomax - Manager, Engmeenng Programs 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 Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveinspected the componentsdescribed in this Owners Report during the period 10/20/92 to FIf//f/
,and state that to thebestofmy knowledgeandbelief, theOwner hasperformedexammations and inken' corrective measuresdescribed inthis
{
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 orimplied, concerning the examinations and corrective measures described in this Owner's Repon.Furthermore, neither the Inspector nor his h-i shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
\\
0.O. [ # D Commissions NB-9947, Ark.-1133, "N", "I", "A" f
gg Natmal Board, Same. Pnmnoe, and Endorsemens Date &ehu //
19 9t/
t Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IlEntergy Operations,Inc Date 09/09/93 j
N-no j
Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
M*
i 2.. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Rupellville, AR 72801 JO# 00887846 i
4w a,= ors r.o w u,=.
I
- 3. _ Work Performed by AP&I1Entergy Operations,Inc Type Code Symbol Stamp N/A w===
Au'h'ian No N/A i
~!
Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A us
i su. m 19 68 Edition, W-70 Addenda,1440 Code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Re!-t Components ASME i
Code.
National
- Repaired, Stamped Name of Name of Manufacturer Board Other.
Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 6" SAFETY CROSBY N55605-N/A 2PSV-4633 1975 PART YES VALVE 00-0001 REPLACEMENT
\\
"'^
N/A
_j MA N
"^
- 7. Description ofWork REPLACED DISC INSERT & BELLOWS ASSEMBLY
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure N/A Psi TestTemp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, prwided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back)
FORM NIS-2 (Back)
- 9. Remarks NEW DISC INSERT S/N N96193-32-001I AND NEW BELLOWS S/N K56362-35-0007 appiac.t.i. v-<- e oss. a.p.m io 6. an.4 d CERTIFICATE OF COMPLIANCE-We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Au tion No.
N/A Expiration Date N/A
((h
/[)
,19 -
Signed
[
Date ownes4r owner's Dasypes. TW ' /
D.B. Immax - Manager, Engmeenng Programs CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comnussion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveiah the componentsdescribed in this Owner's Report during the period 10/20/92 to MJV/9#
, and state that to the best of my knowledge and belief, the Owner has performed examinations and tiken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe examinations and corrective measures described inthis Owners Report.Furthermore, neither the tapar norhis 4 shallbe liableinany mannerforany personalinjury orproperty damageora lossof any kindarising fromorconnectedwiththis inspection.
k.6, [ R M Commissions NB-9947, Ark.-1133, "N", "I", "A" g_
gtwo Nataanal Board, Stau, Prowee, and Endanameses d~ M W //
19 9 */
Date c
l
H Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1, owner AP&I/Entergy Operations,Inc Date 04/22/94 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
m 2.~ Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00894157 m.n aapar brannushnaP.O.No JobNo sac.
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type code Symbol f tamp N/A Nan
- Authorization No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expnation Date '
N/A m
- 4. Identification of System M. S. (2 EBB-1 )
8"H 19 71 Edition, S-73 Addenda, 1574 Code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement
.or No) 1 8" SAFETY CROSBY N58090-N/A 2PSV-1003 1979 REPLACED YES VALVE 00-0007 8' SAFETY CROSBY N58090-N/A 2PSV-1003 1979 REPLACEMENT YES VALVE 00-0009 N/A N/A
- 7. Description ofWork REMOVED EXISTING VALVE AND REPLACED WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure lXl Other Pressure 1000 Psi Test Temp 545 F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y 10017
)
REPRINT 12/91 I
i
Page1(Back)
L 1
FORM NIS-2 (Back)
- 9. Remarks THESE SAFETY VALVES ARE REPLACED EVERY REFUELING OUTAGE Apphceba M-r-*-o ossa aspen a he amadied NV-lMANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are cornet and this REPLACEhENT conforms to the rules of the ASME Code,Section XI.
Repair or Replacement i
i Type Code Symbol Stamp N/A Certificate of Authonzati No.
N/A Expiration Date N/A Signed
[
Date
[r[W
/8 19 Owner orbwnds Designes. Tsue" '
D.B. Lomax - Mtnager. Engineenng Programs CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel InMars and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA have iaW~' the components desenbed in this Owners Report during the period 10/20/92 to 4///v/9#
, and state that to the best of my knowledge and belief, the Owner has performed examinations and tal(en cofrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe examinations and corrective measures described in this Ovmer's Report.Furthermore, neither the tapar 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.
90. $.lfM Commissions NB-9947, Ark.-1133, "N", "I", "A" g
gp Nabonal Bonni, Stak, Pnmnos, and Endesmemes
\\
Date dehm / /
19 9 y
f Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1, Owner - AP&I/Entergy Operations,Inc Date 04/22/94 Nans Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of I
us
Menu Rapak C..
P.O.No. Job No.,sec.
- 3. Work Performed by AP&IlEntergy Operations,Inc Type code Symbol Stamp N/A Nm Authorization No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A M*ws
- 4. Identification of System M. S. (2 EBB-1 )
sm
- 5. - (a) Applicable Construction Code 19 71 Edition, S-73 Addenda, 1574 Codecase (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86:
- 6. Identification of Components Repairs or Replaced and Rei-' Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year RelM (yes Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Component 1
8" SAFETY CROSBY N58090-N/A 2PSV-1003 1979 PARTS YES VALVE 00 0007 REPLACEMENT
^
i N
"'^
N/A N
"^
- 7. Description ofWork REPLACED NOZZLE AND DISC INSERT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other Pressure N/A Psi TestTemp N/A F
' NOIY.: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) t FORM NIS-2 (Back)
- 9. Remarks REPLACED NOZZLE INSERT AND DISC INSERT Apphembie M*-e Desa aspwis no be am NEW NOZZLE INSERT S/N N91560-36-0019 NEW DISC INSERT S/N N91562-37-0033 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authonzation No.
N/A Expiration Date N/A
[h /d
,19 %
Signed
[
Date Owner or Okmar's Designse. Tale "I
/
D.B. Lomax - Manager. Engineenng Programs CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel law ~s and the State or Prmince of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA hav;i aW the :=g-:== desenhi i
in this Owner's Report during the period 10/20/92 to
- 47M6
, and state that 1
to thebestofmy knowledgeandbelief, theOwner hasperformedexaminations and takencfrrective measuresdescribe:1 inthis
-)
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
4 Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe j
examinations and corrective measures described in this Owner's Report.Furthermore, neither the laspector norhis w.,a,p.
i shallbe liableinany mannerforany personalinjury orproperty damageora lossofany kindarising fromorconnectedwiththis inspection.
. d' DAM Commissions NB-9947, Ark.-l 133, "N", "1", "A" I
gg National Board, sune, Pnmnos, and Endonsensmas o ho //
19 94/
DCte c
' Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI I
- 1. Owner AP&UEntergy Operations,Inc Date 01/04/94 Names Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
mm
- 2. Plant - Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00900999 Mdrums Repar Orparw-P.O.No., Jab No.,sec.
3.' Work Performed by AP&UEntergy Operations, Inc Type Code Symbol Stamp N/A Nam Authorization No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A m
- 4. Identification of System M.S. (2 EBB-1 )
smr.In 19 71 Edition, S.73 Addenda, 1574 Code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
~. 6. Identification of Components Repairs or Replaced and Pqi+ -==t Components ASME Code National
- Repaired, Stamped i
Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Rehnt or No)
I 8' SAFETY CROSBY N58090-N/A 2PSV-1055 1979 PART YES VALVE 004)002 REPLACEMENT
)
8' SAFETY CROSBY N58090-N/A 2PSV-1055 1979 PART YES i
VALVE 00-0010 REPLACEMENT
)
N/A
]
N/A N/A
- 7. Description ofWork REPLACED NOZZLE INSERT & DISC INSERT IN VALVES
- 8. Tests Conducted Hydmstatic l l Pneumatic l l Nominal Operating Pressure l l
Other l l Pressure N/A Psi TestTemp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
Page I (Back)
FORM NIS-2 (Back)
- 9. Remarks NEW NOZZLE INSERT S/N N91560-36-0024 AND NEW EDISC INSERT S/N N91562-00-0030
-,- a, FOR VALVE S/N N58090-00-0002 AND NEW DISC INSERT S/N 91562-36-0028 FOR VALVE S/N wutnon_nn_nm n l
l' CERTIFICATE OF COMPLIANCE We ceroff at the statements made in the report are correct and this REPLACEMENT confonns to the rules of the d
ASME Code,Section XI.
Repair or Replacement Type Code Spnbol Stamp N/A Certificate ofAuthorizati No.
,N/A Expiration Date N/A I
[h //7
,19 Signed Date D.B. Innax - Manager, Engineenng Pr/
owner erjf=ners ossypse. Tak ograms 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 Arkansas and employed by Factory Mutual Engineering Association of Norwood, MA haveinspected the componentsdescribed in this Owners Report during the period 10/20/97 to 4//f9'/M
, and state that
- to the best of my knowledge and belief, the Owner has performed examinations and (aken corrective measures described in this Owner's Report in accordance with the requirements of the AShE Code,Section XI.
Bysigning thiscertificate neitherthe Inspectornorhis emplaer makes any warranty, expressed orimplied,concermngthe-examinations and corrective measures described inthis Owners Report.Furthermore, neither the Inspector norhis employer shallbe liableinany mannerforany personalinjury orproperty damageora lossofany kindarising fromorconnectedwiththis inspection.
S.O. [_14 9 Commissions NB-9947, Ark.-l 133. "N", "I", "A" (f
gg
- a ai. m=, n-, w s D;te Oc&to p /
199 y
Page 1(Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I/Entergy Operations,Inc
.Date 04/22/94 Name Rt. 3. Box 137G, Russellville, AR 72801 Sheet 1
of 1
m
- 2. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00907972 Addr.as Repar Orgsmamuon P.O.No Job No ste.
- 3. WorkPerformedby AP&I/Entergy Operations,Inc Type code Symbol Stamp N/A N==
Authorization No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A m
- 4. Identification of system M.S. (2 EBB-1 )
smr.In 19 71 Edition, S-73 Addenda, 1574 Codecase
- 5. (a) Applicable Construction Code i
(b) Applicable Edition of Section XI Utilized for Repairs of Replacemeds 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufactun:r Board Other Year
- Replaced, (yes Ccmponent Manufacturer Serial No.
No.
Identification Built or Rap %nt or No) 8 SAFETY CROSBY N58090-N/A 2PSV-1006 1979 PARTS YES VALVE 004)013 REPLACEMENT
\\
"^
\\
"'^
N/A N
"'^
- 7. Description ofWork REPLACED NOZZLE AND DISC INSERTS
- 8. Tests Conducted Hydrostatic l l Pneumatic l l NominalOperating Pressure l l
Other R Pressure N/A Psi Test Temp N/A F
1 NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items 1 through 6 on this nport is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained fmm the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) y i
FORM NIS-2 (Back)
- 9. Remarks REPLACED NOZZLE INSERT AND DISC INSERT Apph=hi. w.=famWs Dma Pgem a to munded NEW DISC INSERT S/N N91562-37-0032 NEW NO7_ZIR INSERT S/N N91560-35-0017 l
i l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorization No.
,N/A Expiration Date N/A Signed
[
Date dka M
,19 ownerergrwner.o isnes.Tais -
/
D.B. Innax - Manager Engineenng Programs CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Ips and the State i
or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA have iaWM the we,~
.i. described in this Owner's Report during the period 10/20/92 to M,7M99 and statethat to the best of my knowledge and belief, the Owner has performed examinations and talien corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
1 Bysigning thiscertificate neitherthe Inspectornorhis employer makes any warranty, expressed orimplied,concerningthe examinations and corrective measures described in this Owner's Report.Furthermore, neither the Iapar norhis employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
- 9. O.
Commissions NB-9947, Ark.-l133, "N", "I", "A" gyp Naional Board. sins. Pnmnos, and Emdenames.
Date oc h //
19 94/
y- +,,
y--
-m s:
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI 1, Owner AP&I1Entergy Operations,Inc Date 04/22/94 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet I
of 1
m
- 2. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00907972 AMreas Rapaar Organaa'a P.O.No Job No., sac.
- 3. WorkPerformedby AP&l1Entergy Operations, Inc Type Code Spubol Stamp N/A Nam
- Authorization No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A m m.
- 4. Identification of System M.S. (2 EBB-1 )
sma
- 5. (a) Applicable Construction Code 19 71 Edition, S.73 Addenda, 1574 Code Case (b) Applicable Edition c '
on XI Utilized for Repaus of Replacements 19 86 r
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component hhnufacturer Serial No.
No.
Identification Built or Replacement or No) 8' SAFETY CROSBY N58090-N/A 2PSV-1006 1979 REPLACED YES VALVE 00 4010 8' SAFETY CROSBY N58090-N/A 2PSV-1006 1979 REPLACEMENT YES VALVE 00 0013 N/A N/A N/A
- 7. Description ofWork REMOVED EXISTING VALVE AND REPLRCED WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure
)(
Other ] Pressure 1000 Psi Test Temp 545 F
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) informa-tion in items I through 6 on this report is included on each s!'ect, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
'nis Form (E00030) may be obtained from the Order DepL, AShE,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) l FORM NIS-2 (Back) i 9, Remarks THESE SAFETY VALVES ARE REPLACED EVERY REFUELING OUTAGE 4,pina.weu r.m-oDas.a.p== a -
NV-I MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confams 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
[
(([v /8
,19 l
Date Owner or owner's Desisnee. Tais "'/
D.B. Lomax - Manager. Engmeerms Programs l
CERTIFICATE OF INSERVICE INSPECTION l
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood, MA haveipspected the componentsdescribed in this Owwr's Report during the period 10/20/92 to 9/J9/ff
, and state that l
to the best of my knowledge and belief, the Owner has performed examinations and tak6n corrective measures described in this i
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 orimplied,concerning the examinations and corrective measures described inthis Owner's R port.Furthermore, neither the laspector nor his employer shall be liable in any manner for any personalirdery or property damage or a loss of any kind arising from or mnnected with this inspection.
- k. O EM-Commissions NB-9947, Ark.-l 133, "N", "1", "A" f
//
lasp=aar's sipus-e National noerd, stain, Pnmnos, and tadess==en v
J.O. Elhott i
1 Date d @a., ii 19 9y i
if Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS.
As Required By De Provisions Of The ASME Code Section XI i
- 1. Owner AP&UEntergy Operations,Inc Date 04/22/94 J
Nanas Rt. 3, Box 137G, Russellville, AR 72801 Sheet l'
of 1
)
um 1
2.' Plant Arkansas Nuclear One Unit Two j
Rt. 3, Box 137G, Russellville, AR 72801 JO#00907980 M&.m Rapeur Orgammanan F.O.No Jab No., sac.
- 3. Work Performed by AP&UEntergy Operations,Inc Type Code symbol Stamp N/A-Nan" Authorizauon No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A l
um
- 4. Identification of System M.S. (2 EBB-2 )
smr.ru S. (a) Applicable Construction Code 19 71 Edition, S.73 Addenda, 1574 Code Case (b) Applicable Edition of Section XI U'ilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement C+-+==
{
ASME' i
Code
[
National
. Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Camponent Manufacturer Serial No.
No.
Identification Built or Replacement or No)
.j i
8' SAFETY CROSBY N58090-N/A -
2PSV-1052 1979 REPLACED YES VALVE 004XX)3 i
8" SAFETY CROSBY N58090-N/A 2PSV-1052 1979 REPLACEMENT YES VALVE 00-0005 i
"'^
N.
N/A
- 7. Description ofWork REMOVED EXISTING VALVE AND REPIACED WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure %
l Other Pressure 1000 Psi Test Temp 545 F
f I
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-I tion in items 1 through 6 on this report is included on each sheet, and (3) each she.M is numbered and the number of sheets is recorded at the top of this form.
- . (12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 ~
[
i REPRINT 12/91 l
Page 1 (Back) l FORM NIS-2 (Back)
)
- 9. Remarks THESE VALVES ARE REPLACED EVERY REFUELING OUTAGE Appiabi. 9-r--e om a.p = = n. m.m.d NV-1 MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED f
i i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENI' conforms to the rules of the -
ASME Code,Section XI.
Repair or Replacement Type Code Symbol Stamp N/A Certificate of Authorintion No.
N/A Expiration Date N/A Signed
[A
[) / g f8
,19 Date o,ere r.o ann. Tai.- '/
D.B. Imnax - Manager, Engineenng Progranu l
CERTIFICATE OF INSERVICE INSPECTION i
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel laspectors and the State or Province of Arkansas and employed by Factory Mutual Engineering Association of W/J#pected the components desenhd have ins Norwood. MA e
9#
, and state that in this Owner's Report during the period 10/20/92 to ts the best of my knowledge and belief, the Owner has performed examinations and tafen cofrective measures desenhd in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the laspector nor his employer makes any warranty, expressed orimplied, concermng the examinations sixt corrective measures described inthis Owner's Report.Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
h, O. [lf Commissions NB-9947, Ark.-l133, "N", "1", "A"
[f in.pectors signanne Nauanal Board, staw, Pnmac, and Endors.nu.as j
v J.O. Elhott Date b e.h //
19 94
i Page 1 (Front) ~
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations,Inc Date 04/22/94 Nams Rt. 3 Box 137G, Russellville, AR 72801 Sheet 1
of I
us.=
- 2. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00907980 M*ms ampu Organume P.O.ho.,D No,mc.
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type Code symbol Stamp N/A j
Nan's Authorization No N/A Rt. 3 Box 137G, Russellville, AR 72801 Expriation Date N/A us=
- 4. Identification of System M.S. (2 EBB-2 )
smr.In 19 71 Edition, S.73 Addenda, 1574 Codecase
- 5. (a) Applicable Construction Code i
(b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME i
Code-National
- Repaired, Stamped Name of Name of Manufacturer Board Otler Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 8" SAFETY CROSBY N58090-N/A 2PSV-1052 1979 PART YES VALVE 00 0003 REPLACEMENT
\\
"^
N/A N/A N/A
- 7. Description ofWork REPLACED NOZZLE AND DISC INSERT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l NominalOperating Pressure Other Pressure N/A Psi TestTemp N/A F
NO"m: Supplemental Sheets in form oflists, sketches, or drawings may be used, prmided (1) size is 8 1/2 in. x 11 in., (2) informa-tion in itenu 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y.10017 J
REPRDG 12/91 i
-.r,-,
.w--
Page 1 (Back)
FORM NIS-2 (Back)
- 9. Remarks REPLACED NO7.7r.F INSERT AND DISC INSERT Appiumbae Manuramurve oma aapen a be anaded NEW NOZZLE INSERT S/N N91560-36-0025 i
NEW DISC INSERT S/N N91562-37-0034 r
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 I
Type Code Symbol Stamp N/A
' Certificate of Authorization No.
F/A Expiration Date N/A
[kg ((
,19 Signed Date Owner or (fwner's Designae. Tale
[
D.B. Iemax - Manager, Engineenng Programs 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 Prwince of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA have ins
- MF/pected the componentsdescribed ff
, and state that in this Owner's Report during the period 10/20/92 to 13 the best of my knowledge and belief, the Owner has performed examinations and talen cIorrective 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 emplo3er makes any warranty, weW orimplied, concerning the examinations and corrective measures described in this Owners Report.Furthermore, neither the Inspector nor his W-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.
E 9.O. [ M Commissions NB-9947, Ark.-l 133, "N", "I", "A"
[/
pfp Nasumal Board. Sials, Pnmnos, and Endmannem Date OCm //
19 96/
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I/Entergy Operations,Inc Date 04/22/94 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
us.m
Mdress Rapear Orgamzataan P.O.No., Jab No.,sec.
- 3. Work Performed by AP&I1Entergy Operations, Inc Type Code Symbol Stamp N/A Name Authorization No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A j
M&am
- 4. Identification of System M.S. (2 EBB-2 )
l smIn 19 71 Edition, S-73 Addenda, 1574 Codecase
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Rep 1mm or No) 8" SAFETY CROSBY N58090-N/A 2PSV-1056 1979 REPLACED YES VALVE 004)012 8' SAFETY CROSBY N58090-N/A 2PSV-1056 1979 REPLACEMENT YES VALVE 00-0010 N/A N/A
- 7. Description ofWork REMOVED EXISTING VALVE AND REPLACED WITH SPARE VALVE
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure y Other Pressure 1000 Psi Test Temp 545 F
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) informa-tion in items I through 5 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
Page 1 (Back) l FORM NIS-2 (Back)
- 9. Remarks THESE VALVES ARE REPLACED EVERY REFUELING OUTAGE wobi. u-r% D.= a.p NV-I MANUFACTURERS DATA REPORT PREVIOUSLY PROVIDED
)
CERTIFICATE OF COMPLIANCE
{
We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the ASME Code,Section XL Repair or Replacement Type Code Symbol Stamp N/A Certificate ofAuthonzation No.
,N/A Expiration Date N/A Signed
[
Date MNN /d
,19 owner or o/nsr's Denisnee. Tale v /
D.B. Lomax Manager, Engineenns Programs 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 Prosince of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveipspected the componentsdesenbed t' /9/9f'
, and state that in this Owners Report during the period 10/20/92 to
/
ti the best of my knowledge and belief, the Owner has performed examinations and takeii corrective measures described in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
By sig,ning this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report.Furthermore, neither the Inspector norhis Ayu shallbe liableinany mannerforany personalinjury orproperty damageora lossofany kindarising fromorconnected withthis inspection.
S.O.b/A h Commissions NB-9947, Ark.-l 133, "N", "I", "A" g
gg Natmat Board, State, Pnmnos, and fadansummes Date Cch / /
19 9 4,r
Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&IJEntergy Operations,Inc Date 04/22/94 Name
' Rt. 3. Box 137G, Russellville, AR 72801 Sheet 1
of 1
Am.
- 2. Plant
' Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 JO# 00907981 Amu aspar C..
P.O.No Job No asc.
l
- 3. WorkPerformedby AP&I1Entergy Operations,Inc Type Code Symbol Stamp N/A N=
Authonzation No N/A Rt. 3. Box 137G, Russellville, AR 72801 Expriation Date N/A Ad*=
- 4. Identification of System M.S. (2 EBB-2 )
s m r.nr
- 5. (a) Applicable Construction Code 19 71 Edition, S-73 Addenda, 1574 Codecase (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components i
ASME Code National
- Repaired, Stamped i
Ncme of Name of M-rewer Board Other Year
- Replaced, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement orNo) l 8'SATETY CROSBY N58090-N/A 2PSV-1056 1979 PARTS YES VALVE 00-0012 REPLACEMENT j
N
=
N/A N
=
- 7. Description ofWork REPLACED N0ZZLE AND DISC INSERT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l NominalOperating Pressure l l
Other ] Pressure N/A Psi TestTemp N/A F
NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, prmided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I 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.
(12/83)
Tids Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
~.
Page 1 (Back) i FORM NIS-2 (Back)
- 9. Remarks REPLACED NOZZLE INSERT AND DISC INSERT w u - u -o o.m a.p n..a.m 4 NEW NO77f R INSERT S/N N91560-36-0022 NEW DISC INSERT S/N N91562-37-0038 i
t 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 l
Type Code Symbol Stamp N/A Certificate ofAuthoruation No.
N/A Expiration Date N/A
[ M /
//
,19 Signed
[,/
Date own..gr.nw.o ann. Tai.
y D.B. Innax - Manager Engineering Programs i
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State f
or Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveing the componentsdesenhd in this Owner's Report during the period 10/20/92 to MM/f(
, and state that I
to thebestofmy knowledgeandbelief, thOwner hasperformedexaminations and likenc6rrective measuresdescribed inthis Owner's Report in acccrdance with the requirements of the AShE Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed orimplied, conarning the examinations and corrective measures &AJued in this Owner's Report.Furthermore, neither the Inspector not his
,1vyn j
shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.
- k. C. [,24 8 Commissions NB-9947, Ark.-l133. "N", "I", "A"
(/
National Board, Staas, Pnmnos, and Enknemmes i
Date Chm //
19 4 V l
l
l Page 1 (Front)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required By The Provisions Of The ASME Code Section XI
- 1. Owner AP&I1Entergy Operations,Inc Date 09/15/92 Name Rt. 3, Box 137G, Russellville, AR 72801 Sheet 1
of 1
Aae
- 2. Plant Arkansas Nuclear One Unit Two Rt. 3, Box 137G, Russellville, AR 72801 J0# 00865111 Address Reper Organizaban P.O.No., Job No asc.
- 3. Work Performed by AP&I/Entergy Operations,Inc Type code symbol Stamp N/A Nann Authorization No N/A Rt. 3, Box 137G, Russellville, AR 72801 Expriation Date N/A
^'*""
t
- 4. Identification of System RCS (TOP OF PRESSURIZER) s m r.n1 19 68 Edition, W-70 Addenda, 1440 code Case I
5.. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs of Replacements 19 86
- 6. Identification of Components Repairs or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replamd, (yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 6" SAnf1Y CROSBY N55605-N/A 2PSV-4633 1975 PART YES VALVE 00 0001 REPLACEMENT 6" SAFETY CROSBY N55605-N/A 2PSV-4634 1975 PART YES VALVE 004004 REPLACEMENT N/A N/A
- 7. Description ofWork REPLACED NOZZLE INSERT & DISC INSERT
- 8. Tests Conducted Hydrostatic l l Pneumatic l l Nominal Operating Pressure l l
Other ] Pressure N/A Psi TestTemp N/A F
l NOTE: Supplemental Sheets in form oflists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informa-tion in items I through 6 on this rqmrt is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
n o
Page1(Back) l i
FORM NIS-2 (Back) 9.' Remarks NEW NOZZLE INSERT S/N 96193-31-0010 FOR VALVE S/N N55605-00-0001 AND NEW DIS Applable M=h=vs Data Rapans to be anschad 1
)
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT confonns to the rules of the l
ASME Code, Section XL Repair or Replacement l
Type Code Symbol Stamp N/A Certificate ofAuthonzation No.
N/A Expiration Date N/A I
Signed I/ N.
f Date db g
,19 k Owner 4r Owner's Desisnee. Title / /
D.B. Lomax Manager, Engineenng Programs CERTIFICATE OF INSERVICE INSPECTION 1,'the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State er Province of Arkansas and employed by Factory Mutual Engineering Association of Norwood. MA haveijspected the componentsdescribed 68/N
, and state that in this Owners Report during the period 10/20/92 to to the best of my knowledge and belief, the Owner has performed examinations and taken corrclctive measures desented in this j
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 orimplied, concerning the examinations and corrective measures described in this Owner's Report.Furthermore, neither the Inspector nor his employer j
shall be liable in any manner for any personalirdury or property damage or a loss of any kind arising from or connected with this inspection.
9. C, [.,//4D Commissions NB-9947, Ark.-1133, "N", "1", "A"
/7 Inspectors Signanwe National Board, Stase, Primnoe, and Emdarsomssas V
J.O. Elhott Date d 'c L a //
19 9 y
.