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1992 ISI Rept 2-6.
	ML18058A972
Person / Time
Site:	Palisades
Issue date:	07/16/1992
From:	; CONSUMERS ENERGY CO. (FORMERLY CONSUMERS POWER CO.)
To:	;
Shared Package
ML18058A971	List: ML18058A970; ML18058A972;
References
	NUDOCS 9207210068
	Download: ML18058A972 (362)
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{{#Wiki_filter:ATTACHMENT 1 Consumers Power Company Palisades Plant Docket 50-255 1992 Inservice Inspection Report 2-6 July 16, 1992

PALISADES NUCLEAR PLANT SYSTEM ENGINEERING DEPARTMENT Review and Approval Summary TITLE: ISI REPORT 2-6

 ;:J =ti ___,~

ResponsTIR~ndividual 7 -1'-f- 9Z. pament Head Date 0-/'lr System Engineering Date Manager

PALISADES NUCLEAR PLANT 1992 Inservice Inspection No 2-6 The Inservice Inspection No 2-6 was conducted during the period of February 10, 1992 through April 18, 1992.

Inspections were conducted in accordance with the Palisades Plant Technical Specifications, Section 4.05. The ASME Boiler and Pressure Vessel Code, Section XI 1983 Edition, Summer 1983 Addenda controlled the inspections and provided the acceptance criteria for these examinations. The NDT examinations were performed using liquid penetrant, magnetic particle, manual ultrasonic and visual inspection techniques. Indications were recorded in compliance with applicable procedures; reportable indications which were judged by the examination agencies to be relevant were

documented and transmitted to CPCo, ISI personnel for evaluation. ISI evaluated all reportable indications and dispositioned each by accepting them as is or by performing any necessary repairs and reexaminations.

CPCo's Energy Supply and Technical Services nondestructive testing personnel performed the examinations. Westinghouse Electric Corporation performed a visual inspection of the reactor vessel and the internal components.

Inspection personnel were qualified in accordance with the requirements set forth by IWA-2300, Section XI of the ASME Boiler and Pressure Vessel Codeo All records of procedures, personnel and equi~ment certifications, examination data and dispositions of all reportable indications are on file at the Palisades Nuclear Plant *
PALISADES NUCLEAR PLANT 1992 INSERVICE INSPECTION REPORT Submitted in accordance with ASME Boiler and Pressure Vessel Code, Section XI, Article IWA-6000, 1983 Edition with addenda through summer, 1983.

1. Date: July 13, 1992

2. Corporate Headquarters: Consumers Power Company 212 West Michigan Avenue Jackson, MI 49201

3. Plant: Palisades Nuclear Plant 27780 Blue star Mem Hwy

4. Unit No: 1

5. Commercial Service Date: December 31, 1971

6. Major Components Inspected:

Manufacturer A. component Manufacturer Serial No. Pressurizer Combustion Eng CE-66601 state No. National Board No.

B.

M96728M Component Reactor Vessel NB20851 Manufacturer Combustion Eng Manufacturer Serial No. CE-66110 State No. National Board No. M96725M NB20827

7. completion Date for Inspections: April 18, 1992

a. Code Inspector: Kenneth L Blake Randal1 L* Reigler

9. Authorized Inspection Agency: Protection Mutual, Norwood, MA

10. Abstract: See ISI Report

FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules

1. Owner Consumers Power Company, 212 West Michigan Ave., Jackson, MI (Name and Address of Owner)

2. Plant Palisades Nuclear Plant, 27780 Blue Star Memorial Hwy., Covert, MI (Nam*~ and Address of Plant) 49201 49043

3. Plant Unit _____1______ 4. Owner Certificate of Authorization (if required) _ _ _N_/_A _____

5. Commercial Service Date 12/ 31/71 6. N.itional Board Number for Unit N/ A

                                                                                       ----~--------

7. Components Inspected

                                                     -          Manufacturer Component or                   Manufacturer                   or Installer            State or              National Appurtenance                    or Installer                  Serial No.            Province No.           Board No.

Pressurizer Comb us ti on Engineering CE-66601 M96728M NB20851 Reactor Vessel Combustion Engineering CE-66110 H96725M NB20827 See Table 2 of ISI Report Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 87'2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00029) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS**l (Hack)

8. Examination Dates_ 02/10/92 to 03/18/92 9. Inspection Interval from 11/10/83 to 05/11/95 *

10. Abstract of Examinations. Include a list of examinations: and a statement concerning status of work required for current interval. See ISI Report, Table 2.

11. Abstract of Conditions Noted See ISI Report, Table 1.

12. Abstract of Corrective Measures Recommended and Taken See ISI Report, Table 1.

We certify that the statements made in this report are correct and the examinations and corrective mea-sures taken conform to the rules of the ASME Code, Section XI. Certificate of Authorization No. (if applicable) --~N~/ A ____ Expiration Date --~N~/~A~----- Date _ _ _ 7~+-/_1_'fc...____ 19 <q). -Signed Consumers Power Co. ~Y __::) H-4"~ Owner ~ CERTIFICATE OF INS:ERVICE INSPECTION I, the undersigned, holding a valid commission issued by the 1'htional Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michigan :ind employed by Pro tee tion Mutual Ins. C10f Norwood' MA have inspected the components described in this Owner's Report during the period 02/10/ 92 to 03/18/ 92 . , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the

requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any k;nd .mmg ~:;:::tft with th;, ffi'Pootion.

 ----~+-=-~=-_,,=,._....__ _ _ _ _ Commissions                    - Factory Mutual System /Y/1 ', +/-~.::?.

Inspector's Signature National Board, State, Province, :iildEndorsements Date r-/(p 19 :iL_ (12/82) J

Palisades ISI Report ISI No 2-6 Table 1 Page 1 of 1 TABLE 1 Resolution of Reportable Indication Component Examination Condition Reported Reporting Disposition Reinspect ion Mechanism RPVCH Penetration VT-1 Galled Threads DN-DMZ Replace Bolting PSI Acceptable No 46 Bolting 031792-1 ESS-12-SIS-2Al-6PR VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4175 ESS-12-SIS-2Bl-6PR-2 VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4183 MSS-36-MSL-2Sl-202PR VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4190 ESS-14-SIS-LPA-20SPR2 VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4053 ESS-14-SIS-LPA-203PR VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4049 ESS-24-SIS-SH2-211PR2 VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4043 ESS-8-SIS-HPB-205PR1 VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4069 ESS-6-SIS-CRH-234PR2 VT-3 Loose Nut Data Sheet Tighten Nut Acceptable Pipe Restraint 4158 E-56A-04 UT Geometrical Reflector DN-DMZ Acceptable

                                  )50%                      032092-2   AS-IS

Palisades ISI Repor1 ISI No 2-( Table : Page 1 of r TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results Bl3.1 B-N-1 VT-3 RPV-Vessel Interior Acceptable Bl.40 B-A MT, UT 6-118A Stud Holes 19-36 Acceptable B6.30 B-G-1 MT, UT RPVCH Studs 3 through 20 Acceptable B6.10 B-G-1 MT RPVCH Nuts 3 through 20 Acceptable B6.50 B-G-1 VT-1 RPVCH Washers 1, and 4-20 Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 46 Bolting Acceptable B7.10 B-G-2 VT-1* RPVCH Pent No 47 Bolting Acceptable B7.;l0 B-G-2 VT-1 RPVCH Pent No 48 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 49 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 50 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 51 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 52 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 53 Bolting Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 46 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 47 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 48 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 49 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 50 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 51 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 52 Nuts Acceptable B7.10 B-G-2 VT-1 RPVCH Pent No 53 Nuts Acceptable B2.ll B-B UT 5-988 Pressurizer Weld Acceptable

l Palisades ISI Report ISI No 2-6 Table 2 Page 2 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results B2.22 B-B UT l-983B Pressurizer Weld Acceptable B3.11 B-D UT 3-985 Pressurizer Nozzle Acceptable B3.ll B-D UT 8-986B Pressurizer Nozzle Acceptable B3.12 B-D UT 3-985-IRS Press Nozzle IRS Acceptable B3.12 B-D UT 8-986B-IRS Press Nozzle IRS Acceptable B2.80 B-B UT E-56A-03 Regen Circ Weld Acceptable B2.51 B-B UT E-56A-04 Regen Circ Weld Acceptable B3.15 B-D UT E-56A-07 Regen Nozzle Weld Acceptable B2.80 B-B UT E-56B-03 Regen Circ Weld Acceptable B2.51 B-B UT E-56B-04 Regen Circ Weld Acceptable B3.15 B-D UT E-56B-07 Regen Nozzle Weld Acceptable B9.ll B-J PT, UT ESS-6-SIS-lBl-4 Acceptable B9.40 B-J PT ESS-2-SIS-lAl-6 Acceptable B9.40 B-J PT ESS-2-SIS-lAl-7 Acceptable F3.10 F-C VT-3 ESS-2-SIS-1Bl-7PR Acceptable B9.21 B-J PT ESS-2.5-SIS-lBl-18 Acceptable B9.40 B-J PT ESS-2-SIS-2Bl-14 Acceptable F3.40 F-C VT-3 FWS-18-FWL-ISI-258-PR2 Acceptable F3.50 F-C VT-4 FWS-18-FWL-1Sl-258-PR2 Acceptable C5.11 C-F PT ESS-6-SIS-186-204 Acceptable C5.ll C-F PT ESS-8-SIS-286-201 Acceptable C5.11 C-F PT ESS-6-SIS-1HP-224A Acceptable F2.40 F-B VT-3 ESS-6-SIS-2HP-236PR1 Acceptable

Palisades IS! Report IS! No 2-6 Table 2 Page 3 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results F2.40 F-B VT-3 ESS-6-SIS-2HP-236PR2 Acceptable F2.40 F-B VT-3 ESS-6-SIS-2HP-236PR3 Acceptable F2.40 F-B VT-3 ESS-6-SIS-2HP-236PR4 Acceptable F2.40 F-B VT-3 ESS-6-SIS-2HP-236PR5 Acceptable Fl.10 F-A VT-3 E-56A-S-02 Vessel Support Acceptable

   . Fl.10          F-A*               VT-J.        E-56A-S-03 Vessel *support     Acceptable Cl.20          C-A                UT           E-56A-Ol Head to Shell         Acceptable Cl.20          C-A                UT           E-56A-02 Shell to Tubesheet    Acceptable B9.ll          B-J                PT, UT       PCS-42-RCL-lH-6                Acceptable F2.10          F-B                VT-3         PCS-12-SCS-2Hl-10PRB           Acceptable B9.32          B.,..J             PT           PCS-4-PSS-lPl/2                Acceptable BS.14          B-F                PT           PCS-3-PSS-2Al-l                Acceptable FJ.10          F-C                VT-3         ESS-6-SIS-2Al-11PRA            Acceptable F2.20          F-B*               VT-3         ESS-6-SIS-2Bl-16PR             Acceptable B9.40          B-J                PT           ESS-2-LTC-lA-18                Acceptable F2.20          F-B                VT-3         ESS-2-LTC-1B-24PS              Acceptable B9.40          B-J                PT           ESS-2-LTC-lB-32                Acceptable B9.40          B-J                PT           ESS-2.-LTC-lB-33               Acceptable B9.40          B-J                PT           CVC-2-LDL-2B5-2                Acceptable B9.40          B-J                PT           CVC-2-PSS-lPl-6                Acceptable B7.60          B-G-2              VT-1         1A-2BT-B-1-16 Pump Bolting     Acceptable B7.60          B-G-2              VT-1         1A-2BT-W-1-16 Pump Bolting     Acceptable

Palisades ISI Report

                                                                                      !SI No 2-6 Table 2 Page 4 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results B7.60 B-G-2 VT-1 1B-2BT-B-1-16 Pump Bolting Acceptable B7.60 B-G-2 VT-1 1B-2BT-W-1-16 Pump Bolting Acceptable B7.60 B-G-2 VT-1 2A-2BT-B-1-16 Pump Bolting Acceptable B7.60 B-G-2 VT-1 2A-2BT-W-1-16 Pump Bolting Acceptable B9.40 B-J PT PCS-2-DRL-lBl-7 Acceptable B9.40 B-J PT PCS-2-DRL-2Al-7 Acceptable B7.60 B-G-2 VT-1 2B-2BT-B-1-16 Pump Bolting Acceptable B7.60 B-G-2 VT-1 2B-2BT-W-1-16 Pump Bolting Acceptable B7. 70* B-G-2 VT-1 CK3116~BT Valve Bolting Acceptable C3.20 c-c MT MSS-36-MSL-2Sl-207PS Acceptable F2.30 F-B VT-3 MSS-36-MSL-2Sl-207SS Acceptable C5.21 C-F MT, UT MSS-36-MSL-2Sl-208 Acceptable C3.20 c-c PT ESS-12-SIS-1Bl-7PL-1 Acceptable C3.20 c-c PT ESS-12-SIS-1Bl-7PL-2 Acceptable C3.20 c-c PT ESS-12-SIS-1Bl-7PL-3 Acceptable C3.20 c-c PT ESS-12-SIS-1Bl-7PL-4 Acceptable F3.40 F-C VT-3 ESS-12-SIS-1Bl-7PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1Bl-7PR Acceptable C5.21 C-F PT ESS-6-SIS-2HP-226A Acceptable F2.10 F-:"B VT-3 PCS-4-PSS-lPl-lPR Acceptable F2.20 F-B VT-3 PCS-4-PSS-lPl-BPR Acceptable B9.21 B-J PT PCS-3-PSS-2Al-2 Acceptable

Palisades ISI Report ISI No 2-6 Table 2 Page 5 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2""".6

SUMMARY

. OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results C5.11 C-F PT ESS-12-SIS-1A5-218 Acceptable C5.11 C-F PT ESS-12-SIS-1C5-220 Acceptable C5.ll C-F PT ESS-12-SIS-1C5-221 Acceptable F3.40 F-C VT-3 ESS-12-SIS-1Bl-5PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1Bl-5PR Acceptable F2.40 F-B VT-3 ESS-12-SIS-2Al-4PR-B Acceptable F3.40 F-C VT-3 ESS-12-SIS-2Al-6PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-2Al-6PR Acceptable C5.21 C-F PT, UT ESS-12-SIS-2Bl-2 Acceptable F3.40 F-C VT-3 ESS-12-SIS-2Bl-6PR-l Acceptable F3.50 F-C VT-4 ESS-12-SIS-2Bl-6PR-1 Acceptable F3.40 F-C VT-3 ESS-12-SIS-2Bl-6PR-2 Acceptable F3.50 F-C VT-4 ESS-12-SIS-2Bl-6PR-2 Acceptable F3.40 F-C VT-3 MSS-36-MSL-2Sl-202PR Acceptable F3.50 F-C VT-4 MSS-36-MSL-2Sl-202PR Acceptable F3.40 F-C VT-3 MSS-36-MSL-2Sl-204PR Acceptable F3.50 F-C VT-4 MSS-36-MSL-2Sl-204PR Acceptable F3.40 F-C VT-3 MSS-36-MSL-2Sl-206PR Acceptable F3.50 F-C VT-4 MSS-36-MSL-2Sl-206PR Acceptable C5.21 C-.F PT, UT FWS-18-FWL-lSl-257 Acceptable C5.21 C-F P'I' I UT FWS-18-FWL-lSl-258 Acceptable c5.21 C-F PT, UT FWS-18-FWL-lSl-259 Acceptable c5.21 C-F PT, UT FWS-18-FWL-lSl-260 Acceptable

Palisades ISI Report ISI No 2-6 Table 2 Page 6 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED ANO RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results C5.21 C-F PT, UT FWS-18-FWL-lSl-261 Acceptable FJ.30 F-C VT-3 FWS~18-FWL-2Sl-259PSS1 Acceptable C5.21 C-F PT, UT FWS-18-FWL-281-262 Acceptable FJ.40 F-C VT-3 ESS-12-SIS-1A5-204PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1A5-204PR Acceptable

   , CJ .20         c-c             PT            ESS-12-SIS-1A5-208PL1      Acceptable CJ.20          c-c             PT            ESS-12-SIS-1A5-208PL2      Acceptable CJ.20          c-c             PT            ESS-12-SIS-1A5-208PL3      Acceptable CJ.20          c-c             PT            ESS-12-SIS-1A5-208PL4      Acceptable F3.40          F-C             VT-3          ESS-12-SIS-1B5-204PR       Acceptable FJ.50          F-C             VT-4          ESS-12-SIS-1B5-204PR       Acceptable F2.40          F-B             VT-3          ESS-12-SIS-1B5-208PR       Acceptable F2.40          F-B             VT-3          ESS-12-SIS-105-208PR       Acceptable cs.11          C-F*            PT            ESS-14-CSS-HPA-201         Acceptable C5.12          C-F             PT            ESS-14-CSS-HPA-201LW       Acceptable FJ.40          F-C             VT-3          ESS-14-CSS-1PA-201PR       Acceptable FJ.50          F-C             VT.,..4       ESS-14-CSS-1PA-201PR       Acceptable CS.11          C-F             PT            ESS-14-CSS-HPA-202         Acceptable CS.12          C-F             PT            ESS-14-CSS-HPA-202LO       Acceptable CS.11          C-F             PT            ESS-14-CSS-HPA-203         Acceptable CS.12          C-F             PT            ESS-14-CSS-HPA-202LI       Acceptable C5.12          C-F             PT            ESS-14-CSS-HPA-203LW       Acceptable

Palisades ISI Report ISI No 2-6 Table 2 Page 7 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results F3.40 F-C VT-3 ESS-14-CSS-1PA-204PR1 Acceptable F3.50 F-C VT-4 ESS-14-CSS-1PA-204PR1 Acceptable F3.40 F-C VT-3 ESS-14-CSS-1PA-204PR2 Acceptable F3.50 F-C VT-4 ESS-14-CSS-1PA-204PR2 Acceptable CS.11 C-F PT ESS-14-CSS-lPA-208 Acceptable

   , CS.11             C-F              PT           ESS-10-CSS-lPA-209          Acceptable CS.11             C-F              PT           ESS-10-CSS-lPA-227          Acceptable F3.40             F-C              VT-3         ESS-14-SDC-LPC-201PR        Acceptable F3.50             F-C              VT-4         ESS-14-SDC-LPC-201PR        Acceptable F2.40             F-B              VT-3         ESS-14-SDC-LPC-203PR        Acceptable F3.40             F-C              VT-3         ESS-14-SDC-LPC-205PR        Acceptable F3.50             F-C              VT-4         ESS-14-SDC-LPC-205PR        Acceptable-F3.40             F~C              VT-3         ESS-14-SDC-LPC-207PR        Acceptable F3.50             F-c*             VT-4         ESS-14-SDC-LPC-207PR        Acceptable F2.40             F-B              VT-3         ESS-14-SDC-LPC-211PR        Acceptable C3.20             c-c              PT           ESS-14-SDC-LPD-204PL1-8     Acceptable F2.40             F-B              VT-3         ESS-14-SDC-LPD-204PR1       Acceptable F2.40             F-B              VT-3         ESS-14-SDC-LPD-204PR2       Acceptable F2.40             F-B              VT-3         ESS-6-SIS-HPA-212PR1        Acceptable F2.40             F-B              VT-3         ESS-6-SIS-HPA-212PR2        Acceptable F3.40             F-C              VT-3         ESS-14-SIS-LPA-203PR        Acceptable F3.40             F-C              VT-3         ESS-14-SIS-LPA-205PR1       Acceptable F3.50             F-C              VT-4         ESS-14-SIS-LPA-205PR1       Acceptable

____ L____

Palisades ISI Report ISI No 2-6 Table 2 ' Page 8 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results F3.40 F-C VT-3 ESS-14-SIS-LPA-205PR2 Acceptable F3.40 F-C VT-3 ESS~14-SIS-LPA-207PR1 Acceptable F3.50 F-C VT-4 ESS-14-SIS-LPA-207PR1 Acceptable F2.40 F-B VT-3 ESS-14-SIS-LPA-207PR2 Acceptable F2.40 F-B VT-3 ESS-14-SIS-LPA-213PSS Acceptable C5.ll C-F PT ESS-12-SIS-LPA-216 Acceptable C5.11 C-F PT ESS-12-SIS-lLP-226 Acceptable F3.40 F-C VT-3 ESS-12-SIS-1LP-227PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1LP-227PR Acceptable F2.30 F-B VT-3 ESS-18-SIS-SH1-214PR Acceptable C5.11 C-F PT ESS-18-SIS-SHl-216 Acceptable F3.40 F-C VT-3 ESS-18-SIS-SH1-216PR Acceptable F3.40 F-C VT-3 ESS-18-SIS-SH1-217PR Acceptable F3.50 F-C* VT-4 ESS-18-SIS-SH1-217PR Acceptable F3.40 F-C VT-3 ESS-18-SIS-SH1-218PR Acceptable F3.40 F-C VT-3 ESS-24-SIS-SH2-207PR Acceptable F3.50 F-C VT-4 ESS-24-SIS-SH2-207PR Acceptable F3.40 F-C VT-3 ESS-24-SIS-SH2-208PR Acceptable F3.50 F-C VT-4 ESS-24-SIS-SH2-208PR Acceptable F2.40 F-B VT-3 ESS-24-SIS-SH2-211PR2 Acceptable F3.40 F-C VT-3 ESS-18-SIS-SH2-214PR Acceptable F3.50 F-C VT-4 ESS-18-SIS-SH2-214PR Acceptable F2.40 F-B VT-3 ESS-18-SIS-SH2-215PR Acceptable

Palisades ISI Repor

                                                                                   !SI No 2-Table Page 9 of 1 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results C5.ll C-F PT ESS-14-SDC-LPD-217 Acceptable C5.ll C-F PT ESS-14-SDC-LPD-218 Acceptable C5.12 C-F PT ESS-14-SDC-LPD-218LI Acceptable C5.12 C-F PT ESS-14-SDC-LPD-218LO Acceptable

F2. 40 F-B VT-3 ESS-14-SDC-LPD-219PSS Acceptable C5.11 C-F PT ESS-12-SIS-LPB-217 Acceptable C3.40 c-c PT ESS-10-SIS-LPB-219PL1 Acceptable CJ.40 c-c PT ESS-10-SIS-LPB-219PL2 Acceptable CJ.40 c-c PT ESS-10-SIS-LPB-219PL3 Acceptable C3.40 c-c PT ESS-10-SIS-LPB-219PL4 Acceptable F3.40 F-C VT-3 ESS-10-SIS-LPB-223PR Acceptable F3.50 F-C VT-4 E$S-10-SIS-LPB-223PR Acceptable F2.40 F-B VT-3 ESS-10-SIS-LPB-227PR Acceptable FJ.40 F-C VT-3 ESS-10-SIS-LPB-229PR Acceptable F3.50 F-C VT-4 ESS-10-SIS-LPB-229PR Acceptable C5.11 C-F PT ESS-10-SDC-XC0-204 Acceptable F2.10 F-B VT-3 ESS-12-SIS-1LP-207PSS Acceptable F3.40 F-C VT-3 ESS-12-SIS-1LP-207PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1LP-207PR Acceptable FJ.40 F-C VT-3 ESS-12-SIS-1LP-211PR Acceptable F3.50 F-C VT-4 ESS-12-SIS-1LP-211PR Acceptable*

F2.40 F-B VT-3 ESS-12-SIS-1LP-216PR Acceptable

Palisades ISI Report ISI No 2-6 Table 2 Page 10 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results C5.11 C-F PT ESS-10-SDC-XIB-203 Acceptable F3.40 F-C VT-3 Ess~10-SDC-XIB-204PR Acceptable F3.50 F-C VT-4 ESS-10-SDC-XIB-204PR Acceptable c5.11 C-F PT ESS-10-SDC-XIB-211 Acceptable F3.40 F-C VT-3 ESS-6-SDC-RE1-207PR Acceptable F3.50 F-C VT-4 ESS-6-SDC-RE1-207PR Acceptable C5.11 C-F PT ESS-8-SIS-HPB-201 Acceptable F3.40 F-C VT-3 ESS-8-SIS-HPB-205PR1 Acceptable FJ.50 F-C VT-4 ESS-8-SIS-HPB-205PR1 Acceptable F2.40 F-B VT-3 ESS-8-SIS-HPB-205PR2 Acceptable cs.11 F-:-C PT ESS-8-SIS-HPB-211 Acceptable CS.11 C~F PT ESS-6-SIS-HPC-201B Acceptable F2.10 F-B VT-3 ESS-6-SIS-HPC-201PR Acceptable c5.11 C-F* PT ESS-6-SIS-CRH-214 Acceptable CS.11 C-F PT ESS-6-SIS-CRH-215 Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-215PR Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-217PR Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-220PR Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-223PR Acceptable CS.11 C-F PT ESS-6-SIS-CRH-225 Acceptable C5.11 C-F PT ESS-6-SIS-CRH-226 Acceptable F3.40 F-C VT-3 ESS-6-SIS-CRH-226PR Acceptable F3.50 F-C VT-4 ESS-6-SIS-CRH-226PR Acceptable

Palisades ISI Report ISI No 2-6 Table 2 Page 11 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results F2.40 F-B VT-3 ESS-6-SIS-CRH-226PR1 Acceptable F2.40 F-B VT-3 ESS~6-SIS-CRH-229PRA Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-229PR Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-229PR1 Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-229PR2 Acceptable F2.40 F-B VT-3 ESS-6-SIS-CRH-234PR1A Acceptable C5.21 C-F MT, UT MSS-36-MSL- lSl-211 Acceptable CS.31 C-F MT MSS-36-MSL-1Sl-211A/6D Acceptable FJ.40 F-C VT-3 MSS-36-MSL-1Sl-211APRC Acceptable F3.50 F-C VT-4 MSS-36-MSL-1Sl-211APRC Acceptable C5.21 C-F MT, UT MSS-36-MSL-2Sl-212 Acceptable F2.30 F-B VT-3 MSS-36-MSL-2Sl-212PLS Acceptable F2.40 F-B VT-3 MSS-36-MSL-2Sl-213PRA Acceptable FJ.40 F-C VT-3 MSS-36-MSL-2Sl-213PRB Acceptable FJ.50 F-C VT-4 MSS-36-MSL-2Sl-213PRB Acceptable F2.40 F-B VT-3 MSS-36-MSL-2Sl-213APRA Acceptable CS.21 C-F UT MSS-36-MSL-2Sl-219 Acceptable F3.40 F-C VT-3 MSS-8-MSV-2S2-208PR2 Acceptable FJ.50 F-C VT-4 MSS-8-MSV-2S2-208PR2 Acceptable C5.21 C-F UT FWS-18-FWL-lSl-244 Acceptable c5.21 C-F UT FWS-18-FWL-2Sl-243 Acceptable F2.40 F-B VT-3 ESS-18-SIS-SH1-222PR Acceptable FJ.40 F-C VT-3

ESS-18-SIS-SH1-224PR Acceptable

Palisades ISI Report\ ISI No 2-6 Table 2 Page 12 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6 I

SUMMARY

OF AREAS EXAMINED AND RESULTS I

                                                                                             . I Final ASME Section XI ASME Section XI      Exam             Component            Examination Item No      Category No       Methods         Identification           Results F3.50          F-C             VT-4         ESS-18-SIS-SH1-224PR      Acceptable F2.40          F-B             VT-3         Ess~1a-SIS-SH1-228PRA     Acceptable F2.40          F-B             VT-3         ESS-18-SIS-SH1-230PR      Acceptable C5.11          C-F             PT           ESS-18-SIS-SH2-224        Acceptable F3.40          F-C             VT-3         ESS-6-SIS-CRH-234PR1      Acceptable F3.50          F-C             VT-4         ESS-6-SIS-CRH-234PR1      Acceptable I  F3.40          F-C             VT-3         ESS-6-SIS-CRH-234PR2      Acceptable F3.50          F-C             VT-4         ESS-6-SIS-CRH-234PR2      Acceptable F2.40          F-B             VT-3         ESS-6-SIS-CRH-236PR       Acceptable FJ.40          F-C             VT-3         ESS-6-SIS-CRH-240PR       Acceptable FJ.50          F-C             VT-4         ESS-6-SIS-CRH-240PR       Acceptable C5.22          c~F             MT, UT       MSS-36-MSL-1Sl-208LD      Acceptable CS.22          C~F             MT, UT       MSS-36-MSL-2Sl-208LD      Acceptable CS.22          C-F.            MT, UT       MSS-36-MSL-1Sl-210LU      Acceptable CS.22          C-F             MT, UT       MSS-36-MSL-1Sl-211LD      Acceptable C5.22          C-F             MT, UT       MSS-36-MSL-1Sl-216LU      Acceptable C5.22          C-F             MT, UT       MSS-36-MSL-1Sl-217LD      Acceptable c5.22          C-F             MT, UT       MSS-36-MSL-2Sl-212LU      Acceptable C5.22          C-F             MT, UT       MSS-36-MSL-2Sl-213LD      Acceptable CS.22          C-F             MT, UT       MSS-36-MSL-2Sl-218LU      Acceptable C5.22          C-F             MT, UT       MSS-36-MSL-2Sl-219LD      Acceptable C5.22          C-F             MT, UT       MSS-36-MSL-1Sl-208LUI     Acceptable

Palisades ISI Report

                                                                                 !SI No 2-6 Table 2 Page 13 of 13 TABLE 2 PALISADES INSERVICE INSPECTION NO 2-6

SUMMARY

OF AREAS EXAMINED AND RESULTS Final ASME Section XI ASME Section XI Exam Component Examination Item No Category No Methods Identification Results C5.22 C-F MT, UT MSS-36-MSL-1Sl-208LUO Acceptable C5.22 C-F MT, UT MSS-36-MSL-2Sl-208LUI Acceptable C5.22 C-F MT, UT MSS-36-MSL-2Sl-208LUO Acceptable C5.22 C-F MT, UT MSS-36-MSL-1Sl-210LDO Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-210LDI Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-211LUI Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-211LUO Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-216LDI Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-216LDO Acceptable C5.22 C-F MT, UT MSS-36-MSL-1Sl-217LUI Acceptable CS.22 C-F MT, UT MSS-36-MSL-1Sl-217LUO Acceptable CS.22 C-F MT, UT MSS-36-MSL-2Sl-212LDI Acceptable CS.22 c-F MT, UT MSS-36-MSL-2Sl-212LDO Acceptable CS.22 C-F' MT, UT MSS-36-MSL-2Sl-213LUI Acceptable CS.22 C-F MT, UT MSS-36-MSL-2Sl-213LUO Acceptable CS.22 C-F MT, UT MSS-36-MSL-2Sl-218LDI Acceptable CS.22 C-F MT, UT MSS-36-MSL-2Sl-218LDO Acceptable C5.22 C-F MT, UT MSS-36-MSL-2Sl-219LUI Acceptable CS.22 C-F MT, UT MSS-36-MSL-2Sl-219LUO Acceptable

ATTACHMENT 2 Consumers Power Company Palisades Plant Docket 50-255 NIS-2 Forms July 16, 1992
1. Owner FORM NIS-2 OWNER'S REPORT f:OR REPAIRS OR REPLACEMENTS A1 Requirld by th* Provisions of th* ASME Cod* Section XI Consumers Power ComEanz Nam61 Oat* L~-/L{ ; I

                                                                                                                                /4 !

27780 Blue Star Mem. Hwy. Covert, MI Sheet l of l

                                           *aar-

2. Plant Palisades Nuclear Plant Unit l Name 27780 Blue Star Mem. Hwy. Covert, MI AG-.. AIO.W Ol'V9flhlecl0ft 111.0. No** .Joo No., ftct.

3. Wo~ Performed i:., Consumers Power Company TYiM Cedll SolmOol StimP-~N~/~A;......_ _ _ __

Name Audtottudaft No. _ _ _-::N~/r:A_ _ _ _ __ 27780 Blue Star Mem. Hwy

Covert, MI Explmlon a... _____ N.../_A_ _ _ _ __

                                           .l\don.

4. ldentlfrc.tlon of SVmm _ _ s_f~e..-1.1"'-_I_ .L..__i.-.l\e...-=..;\_...,8_CX?=~l:.--

                                                               ..                                 . . .S'"'""""~£l~sie~~VV\~,--------

5. (11 Al)f)llclbl* Connructlon Code $ec11""'"'A 11.1..:Z.ea1tlon, ........,/[ '176' Addencla. _ _..t;;...,./;.z...,_ _ Code c..

(bl Al)f)I~ Edition of s.ctlon XI Utlllnd for AIPalrt or Atplll*MftU 19 83 S 83

S. lderit.lflcatlon of Compouenu A*red or Pl.._, Ind""~ Componeua

       -                                                                                                                                                   ASME COde Natlonll                                                   Repeirwd,       Stamped N11me of                 NllM of            Manufll:tUrwr         Board                    Odlw               Yw            Repleced,         (Y11 Component             Manufectum               Sariel No.            No,               ldentiflc.tlon           Built   or Rep11C91Mflt       or Nol 5tv.cJ::;i       (d.'"t)  A4-£                                                           f'=':a.      b(
       ~-tj~ S                &<"1*     c..~ . .the;. N/A                 N/A             Sod!>~/                    1~-r~       Re~IAced            Na Nv.1::>      ('t~)      CAl"d~?"A I                                                     f=>.o'
       'M-q                     Iv-cl1ASTr-iA         I    N/A                   tv/A          Sodq_ ~q~ "=<               lqqo ~~(Aeed I

No

7. OetcriptionofWorti: R'.el>lt\c.d bo'Of'eT S\i,ods Ai-0 oi,..lS o" ("\(\\J-S-F~ IO/.

8, Tam Conductad: HydrotUtlc 0 Pneumadc 0 Nominal Opemlnt p,...,. ~ Omer 0 p,_,. Pli T"' Temp.

I' NOTE: SupplerMl'ltll th.- In form of 1-. ....._ or dnwifttl !NY be tlon In it9ml 1 thrautta t on dill ""*' la lncludM Oft ~ anen, end 13t u*..n ._

llfOl'ldlld (1 t . . la h In,* 11 In.. 12) lnfarma* II numberld - ' the numblr of Ul.a 11

 .*       recorded ft the tap of dlil fonn.

(12/B2) .- TI!i1 Form IE00030t "'9¥ be oetelned from me Order DIPt.. ASMI, 3411. 47th St.. New Vortr, N.V. 10017

FOAM NIS*2 (Back)

9. Remark*~-~---O--Y\_e.. ___* __________________________~------~----~---------------~--------

CEAT.,ICATI OF COWLIAHCa ~ Wt certify that tht tttttmenu mtdl In tht rtPOrt lrt corrtc:t Ind thlt \""e.J::.(ilCe~"" conform1 to tht rult1 of tht ASME Code, Section XI. rep8'r or repl1amem Tvpe Code Svmool sump, _ _ _N ___A..__________________________ C.rtiflctte of AuthorlHtlon No, __N_/_A __________ Explmlon Ont _ _ _ _ _N_/_A ______~ Si4Jned -::!.'~. --4--<,-*~ Tltfe OwnercrOwner'10r:;;;J,

                                                   .:i SI":      N,o,    AnA/i,i~

I 1;;./5 Me-------...-.-1-,-....~-----*. 19 __.. . .__ CERTllllCATE OF INSIRVICI IN8'1!CT10N I, the undersigned, ,l'loldi~g 1 vllid commiaion issued by th* N1tionel Bolrd of fJoiltr mnd Pl'MIU~ Vflllt ln1P9C'IOl'l ll'ld th* Stat* or ProvinC9 of Michigan *nd emplovtd bv Protection Mutual. of Norwood , MA* hwe intPCttd th* componenu dtteribed in this Owner's Repon durlnt m. period i-IS-9c:l to ?-IS-9;( md 1t1t1 thtt to th* best of my lcnowlldgS Ind i.i.t, the Owner h* performed nmminadont Ind tlkeft COfT'tCtM rne*ir* dncribtd in thi* Owntr'1 Repon in ICCOl'dtnee whtl tM rtQUlrwnentl of the ASMI Code, Section XI. By signing thi1 ClttiflcaW netdMr me lt'llPICtor nor hit employw maUI lftY -...Tao1Y, *JCPI 11111 or impfied, concerning tht ex1miniition1 end c:orNCtlw ~ dllcrtbld in thl1 Owner'* Aepan, Furthermore. neither the ln1P9CUM' nor hil 9'nptayer shall bt lilD'* in mnv mlftner fOf' 11'¥ ..,.,.... injury or property d1m111or1 I011 of lftY kind Irising from or ~nnected with this

   ;,.,,..;on.                  ~                                                  FACTORY MUTUAL SYSTEM
    --------"~~-----..--...

I n11MOU1r'* lltnatut9

                                                        .......~--CommlllioM /11, '. £0..z..

NatloMA ........ ,,... fl'n:wfnce, ~ lndOrlM!allt1 01te,_ _ _ _ _ _.J___,-1...s__1a 9¢ (12/82t

FORM NIS*2 OWNER'S REPORT F<JR REPAIRS OR REPlACEMINTS As Requirctd by th* Provi1ionf. of th11 .-t.SMI! Code Section XI

   ============================~-~                                                                                     '==========================

1. Owner Consumers Power Company Oat* - /

1,:.:;)111 / Neme ! / 27780 Blue Star Mem. Hwy. Covert, MI Sheet 1 ot _ _ 1 _ _ _ _ _ _ _ __ Addr-

2. P1ant Palisades Nuclear E'lant Unit l Nam*

27780 Blue Star Mem. Hwy. Covert, MI vJ. o. d-"i:fo i31'1 Addtee lltlO.., 0,._.llMton 11.0. No., JOO No., MO,

3. WortsPetformldbllf Townsend & Bottum FOC, Inc. 'T'vpe Cod9 lllmtioe 5..._, __N_f_A_ _ _ _ __

rc*me Aumortuaoit No. __.:*:_:.**-..llN..1.aA_ _ _ _ __ Ann Arbor, MI. ExplmJon a.. NIA Aadnm

4. ldentiflcnion of Symm Cb e VV"\.~ CA ( A~ \j o j I.A~ V V\.\~c {

_ St.~~1"'...w.:v.-.ls. '*.*

   !5. ral AppllclDle ConltNCtlon Code A....L,'SC                                            19~ Edition,                        \  A.,,.). d. *Addlnde.                              .(\)/A 1              Cod*C..

(bl Appllemai* Edition of Selmon XI Utillzld for A'"6rt or AIWll_,,.a ti~ 83

~-

S. lclentiflcftlon of Com*oMa A*rld or,._... ... ,...,.__,, Comoou*a ASME Coda Nation* . . RIPef~,
1Stamped Name of Bon Co~onant N1meof MMuflC'tUIW Maftufmclurw SGrflll N~ No.

o~ Identliladolt YW Built I or Replad. Rapf~ IYH or Nol t--\ fl ':Jc? r-H G~/cc~-H'l.4 c~ca** NlA~ N/A tv;A~~~ l1*~gq -f-R~~l~~j:I No ..***'.T ***-*

                                                                                                                                                                ...} ....,.  .,. ,,   .  ~-~
                                                                                                     . **;*;.;,~1r~i.,
                                                                                                                                      *~ "'                        ..

1. O*tcriot1onotWort1 . K'ep(;,~~ed h** ~e )&Ah§e r- &..ir-'-,cJe ~ *~- ~~cJ$3- sS !

8. Tmm Conducted: Hy.~"'9 a._.:. P~ tJ NM\fnll OP9f'fif"9 .......,_ 0 . .

om.Qg.~ Ptl TanTamo. .,

                . .. ... *. .VT- 3 *' *\~!'.\ ,*. . .                                                                         . *..              : ::. ,'.: '.: .                 ;<,    c'.~! ;_ . ..

N.OT!: ~~ attel'itl [" ..... Of 1118, 1k*a,..; ot drDWMti ,..y-beu.-, .,_ldliU1) dD 11 h lft.

11 In.. 12) I~*

tlon In ltsma t ttl~ I M iftle fflPiftJI ~ 0" _,. aftM. Ind (3) . . . . . . . fl ....... - die ....... of . . . ii

           * - .... - 151 tM top of tttll . . .                               . , , <>?                                        .
                                        /**;'

1121a2l;.":* ,., I

               ,. '.* ........"'!.~**~

Thl1 '°"" l!Oomot IN\' bli *9inectfrcm m* Order caPt..AIMl.3411. 4'Nril..*NM Y@:tl, N.Y.

. *.; *~ jj!*,*. '. '- r-10017

                                                      .:.~.~  l .. ~ .. >*.**                   ~iT*                                                                          *.*       ;   , .~;

9. Flemark1 _

FOAM NIS*Z (Bade) _;N:..-.;;;..0_*_r-_e...__*_________________________________ Aoollcaol4! MMUf~rer' I C1ai _.900,,. tO IM 1n.ct1* CERTl,.CATI OP COW\.IAHCa We ce"ify met me rtat~a mede in m* ""'°".,. con'9Ct ll'ld mlt r-e f; 1Ac<: Met ::;Tconform1 to the rulft of 11'11

  . ASME Code, S.Ction XI.                                                                                    r*w*ot refl1- * "

TvoeCoaeSvmbotSc.mp.____N_/ __A____________________________________________________ N/A N/A Cartlflc:M9 of Autftor!Htton No*-------------Exsa4mtoft O * - - - - - - - - - - - - - Signld _::::i

ft*

Own* or owft;'im TrulJ

                                                   ~- h                      s~.

CIRTIPICATI OP INHRVICI INIPICT10N I, the undersign~ ,toioldi'lt a vllid commiaion im.ild 1:1'1 me Nationll Bon C?f Boiler ll'ld ,,....,,.. V._. lnlP9CtQrt .,d th* State or Province of ~*11ch1gan anchmplovld 1:1'1 Protect.I.on Mutual of Norwood. MA, 11-. in....- ttte COlftl'Onel'ltl dllCt'il>>d in thi1 Owner'* Report durf"I n period 21-1/- ti'? to ?- Jo- q I and 1t1i. tt'ltt to the bite of rny knowtedll N bellef, die Owner ha !Mffomwd 1. .mln.cioM N tlllen COii WM~ .... dllcribld in tl'li1 Owner'* Report In WOicMllCI ...... tM 19q11lNmentl of me ASMI Cod9, Slatton XI. Sy signing thit C9nlflc8W neldW 1M h ISi mae nor 1'111 ""'*""' ,..._ _,, ---* ** * °' a~ lmSllled. canCllmin1 the uarnin1tiont and ~M ,,_.,.. dllu:llbld in mlt Owner'* Recaart. fl'untsem_... neitMr ttl* lnlPICW nor toii1 emplover shaU be liaDle in any mtn!W for 111¥ ..-.11 lniutY orpropeny <Mm*** l*of 111¥ kind aritl"I from orconnectld wittl this i-nSQ. ;. .f. :. ._. .:~;G~n._*" '1/-r.=-*=

                                       " " /::::-s.==:;-----Commlwionl1_;.F~-C-T_~_;:_MU_:_AL..;.V_7..,..s_Ys_T_EM_ _..,..____
                                   ~I srp.ure                                                             N111ellll ._,.,St. . . ,f'OVIM9, Ind lndortM!entt Oate,_J_O_S._u..,./I Y"-----11 "I I (12/82J

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by the Provi1ion1 of the ASME Code Section XI

1. Owner Consumers Power Company Name 01u ld-/'-i-I I ft (

27780 Blue Star Mem. Hwy. Covert, MI Sh"1 l" of 1

                                           .i\ddr-

2. Plant Palisades Nuclear Plant Unit 1 N1me 27780 Blue Star Mem. Hwy. Covert, MI

                                           ,i\d . . . .                                           "eow o,_,1,.tton ... o. No., Joo No., eta.

3. Wortc Perfanned b¥ Consumers Power Company Type Cod9 Symaot lt1mP*-~N~/~A~-----

Autnon1Mton No. _ _ _~N~/~A_ _ _ _ __ 27780 Blue Star Mem. Hwy. Covert, MI Explm!Oft c.. _____ N_/_A_ _ _ _ __ Addne

4. Identification of svmm s ~c'-r:t E~ e. j ~oe/

5. !el AppllclCI* Con1tn1c:tion CodeSec-:t"'q" :r:IL ts.i:::z.edltlon, W /1 "'l7'1 Addenda....-N-""'/A""'~_ _ _ _ Codec.

     !bl Appllcml* Edition of Section XI Utlllnd for Rlt'lln or R_.1..,_,u 19 8 3 S 8 3
           '"l
   -                                                                                                                                             ASME Code NetionlA                                               Rlt'all'9d, Stamp ea N1tn1 of                 Nerne of               Manufecturtr        Soard              Ottter            y,_            Replll:9d,     !Vas Component             Manufact11....,              Serial No.          No.           ldentlflc.tlon        Built      or Rlt'lacement or Nol S-t*t.-.cJS (,}.'-f)       A4 E.                                                         f.o.
    ~-°txS;'                E..._<.t. c,,.         ::-:"". N/A              N/4           So~~-6111               1q~7          K"e.~lAc~ ~o N~T-s        (~'8)       (.,o. ,:::d : ... 11  i                                         p,o.
                                                                                                                                     '           No
    ~A--C\                x~"'<l ** s...,. r A I           N/A              N/A            !)o,;i.tt- ~'1'53     l 01°tc Re~IAceJ I

7. OtscriptionofWonr f\e~l.A,('.'_eJ bon.~-t S1v..ds ,4.1,_J V\~'S' on roV-SP~{cbo

8. Tam Conducted: Hydrottatlc 0 Pneumatic 0 Nominal Oi:iemlng p,...,,. ~

Other 0 P1'911Ure pll Tiit Temp. *I' NOTE: Supplementtl lh-. In farlft of II*. satchel. or drwftnll mlY be u .... prawldld (1) Ille ii D In. x 11 In.. 121 infarml* tion In itlml 1 uu,.,_. I on thll report ii lndudld on e.tt shift, *nd 13t e.tt .._. ii numblnd llld the numblr of .n..a 11 .* recorded It the top of thla form. (12/821 -- Thie Form (E000301 m., be obtliftld from tht Order Dept., ASMI, 3411. 47th 11., New Yortc, N.Y. 10017

FORM NIS*Z (Bade)

9. Aemerk1 ______...._CJ_..\_e....

___*________________________________________________________________ ~ CIRTtPICATI OP COWLIANCa -a-- Wt certify m* mt ltlttmlfttl mede In mt report 11'9 correct ind mlt t--e~(~~ Y'\ l confonn1 to th* rul11 of th* ASME Cade, Section XI. . ,..,.. CH' rept_,.em Type Code Symbol Sqmp _ _ _N .........A...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cartiflcai. of Aumortzltion No, __N_,/_A __________ Explmlon o. . _____N_/_A _______

                                                                                                                     \d-/S                       o.
                                                                                                 ----------~~-----------.19_..                      . . . . __

CERTllllCATE OP INSIRVICI IHmtlCTION I, the und1r1ignld, .hofdi~g 1 vllid commiaion issued by th* N.iionll Bolrd of jloiltr Md Prt1a1'1 VHlll lntPeetOl"I 1nd th* State or Province of Michigan ind tmplovld bv Protection Mutual. of Norwood , MA. h1We inll!MCM th* compan1nt1 d1tcribed in thi1 Owner's AtPQn durtnt me period 1-/5-9o't to 1-15-9..1.. , and 1t111t thlt to th* beet of my knowtldgf Ind blti.f, th* Owner h* performed 1x.,.lnttton1 Ind t...,. c:omctlW ,,,....,.. dtlcribld in thi1 Owner1 Aepon In ICCOrdlnCll wftti tM rtQUlrwnentl of the ASMI Codi, Senion XI. By signint thi1 e1rtlflcat9 nel1Mr die lm1puior nor hit employ* mtlcll lftY ......w. 1411111 *°'implied, conaeming the examinmtion1 ind corr9Ctlw ~,. dlll:ribed In mil OwMr'1 A~. Funtlennofe. "'""- th* lntPKW nor hi1 .n,.,1ov1t shall bt lilblt in lftY meniw for lfl¥ penonll Injury or i:tl'OPl"Y .d1mt11or1 lo* of lftY kind arlling from or C9nntetld with this insoec:tion. 4/-J FACTORY MUTUAL SYSTEM

                         ~                                        eomml1110nt .../\_1
                                                                                    ........ Tre
                                                                                         , *.............2.........._ _ _ _ _ __,,._ _ __

ln.-COr'tl.......,,. Netfontl ao.d, SU.. ,nwfnce, IM lncto~enu Cate l-15 19 u (12/82)

1. Owner-------------~------

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS CONSUMERS POWER COMPANY 27780 BLUE STAR MEMORIAL HWY. As Required by the Provisions of the ASME Code Section XI Name Date 4-24-92 COVERT, MICHIGAN 49043 Sheet 1 of 2 Address

2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO°R1AL HWY.

COVERT, MICHIGAN 49043 T&B w.o. 24100106 Address Repair Organization P .0. No., Job No., etc.

3. work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--=-N=A=--------

Name Authorization No. -----~N~A=-------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N=A~----- Address

4. Identification of System _ _ _ _ _ _C_O_N_T_R_O_L_A_IR _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code ANSI B31.1 19~Edition, _ _N_A_ _ _ _ Addenda, _ _N_A_ _ _ _ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

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

P.O. TEE (1) Q,A.~ITV"L- SOJl-3081-1 2 11 F.S.S.W 3000# t"'r-r. I'~ tJI A NA I.fr f<'ll(,,L< P111L 1981 REPLACED NO

  *INSERT (1) 2X3/4 l,p.p \ T'c...,,__                                                                                      5007-2178-1 F.S.S.W. 3000#              ~Yli=i             e,....                 µp.                          NA                                                        1981        REPLACED        NO
                                                                 ;  +i-.~z6 l~-0415
                                                                                                                ~ ~* *1-fflr VALVE GLOBE (1) 3/4" 600# FS SW                 VOGT                          Jliol;J..?                           NA                                                        1981        REPLACED        NO VALVE CHECK (1)                                                                                                          G20692-l 2 11 800# FS SW                 VOGT                         1-.Jl<:.~z                            NA                                                        1986        REPLACED        NO PIPE SA106 2" SCH/80 SMLS.               Qui+.v&:X f'l')a                        /JfA                            NA                  u.rsoi?-9508-1 l,    I ..... '\:'I        1981        REPLACED        NO

7. Description of Work_--'SC-'C'-"9-=1'--=14-'-'2=---"RE-='-"P-=L=A-""CE~VL~V'--'C=K"'--""C=A--4_,_0:cO~A=N~D'--=A=S"'-SO::..C~I==A=T==E==D:__:.P.:I.:..P=IN:..:.:G,,___ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic [] Nominal Operating Pressure 0 Other 0 Pressurel38-148 psi Test Temp. AMBIENT °F NOTE: Supplemental sheets i~ form ~f lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numberP.<i md the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the _?rder Dept.* ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE k ASME Code, Section XI. We certify that the statements made in the re~ort are correct and this <<;/2 Cf'"'1enbnforms to the rules of the repai or replacement Certificate of Authorization No. -----'N_A=----------Expiration Date _ _ _ _ _ _ N_A_________ Signed___..Tti~"'""'"~=-='-+k--b- <---=--,*---~~~'~O_,_,_/-l~'~~--1--"----Date_--"-S:--_/-=c]_ _ _ _ _ _ 19 9 G Owner or Owrler'SOeSiQr<ee, Title ~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of

                                            ......~-----------------------have inspected the components described
                    .......O..,O"'"D..._..__.MA
   ---"N.....O,..R.,.W in this Owner's Report during the period _ _                          3_-_/_0_-_.:~z_L_ _ _ _ _ to                5 - ll.. - 'l Z.          , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this FACTORY MUTUAL SYSTEM

    -'--'--"'------'---,,<--------------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

fje,JO /'?/ Ct.fl6/W National Board, State, Province, and Endorsements Date Z. Z...

                ------~------
                                        /'?ft      ,Y             19  1L (12/82)

PAGE 2 OF 2 T&B W.O. 24100106 Nerne of ComPonent N1meot MtnuflCUll'lf' MMufei:tum Setlel No. Nation*

                                               !lo.rd No.

Otflw ldentlfk:ftlon v. Built R901il"ld, Reprl!C9d. A.SMI! COd9 St11m~ (Yes Cit Replecemtn1 or Nol P.O. PIPE SA106 3/4" 5026-8811-4 SCH/80 SMLS QW1-N)( {bep tJI A- NA ~.,...~'7 3"q~ 1981 REPLACED NO

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner _ _ _ _ CONSUMERS

______ POWER _ _ _COMPANY _ _ _ _ _ _ _ __ Date _ _ _ _4'-'/...:2::...:4:..!./.:.9..::2_ _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l_ _ of _ _ _=l_ _ _ _ _ _ _ _ __ Address

2. Plant PALISADES NUCLEAR PLANT Unit _ _l~----------------

27780 BLUE STAR MEMb\IT'AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24100106 Address Repair Organization P.O. No., Job No .* etc.

3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--'N'-"A=--------

Name Authorization No. _ _ _ _ _--=.N,,.A=------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ ___._,N""A.________ Address

4. ldentifi~tionofSynem _ _ _ _ _C_O_N_~_O~L_A_I_R_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~

5. (a) Applicable Construction Code AISC 4!J-8'.!JLEdition, NA Addenda, _ __.N""'A..___ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83

S 83

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

HANGER JD2-Hl. 7 CPCO NA NA NONE 1992 REPLACED NO

7. Description of Work _ _ _ _ _.::S.::C..:.9=1_-=14..:.2=-....:N:.:.:EW::.:.:.....:HA=N:.::G::E:.:.;R,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other [!] Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in .. (2) informa-tion in items 1 through 6 on this report is included on each sheet,-and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I We certify that the statements made in the reJ)ort are correct and this ~e.p fq(1"? e.-iTonforms to the rules of the ASME Code, Section XI. . repai or replacement Certificate of Authorization No. _ _ _ _ _ N_A__________ Expiration Date ______N_A__________ Signed_. .,O,. .w-~ e~r-o=r~O, -w_n_e=r.~s~ -e-s,. .1g"'n" e -.-T-i-tr'i" e_;tJ. O_,_/J,~~--T-"~--- __ , Date _ _ ~>__-_/_)~------. 19 9L 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD. MA have inspected the components described in this Owner's Report during the period 3 - I() - 7 ~ to S" - 2 z. -~ l... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in th is 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 i z nma y ner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe~n. FACTORY MUTUAL SYSTEM

       ;f /, .                              .
    --~~--~-_,,~-------------Commissions _ _ _ _~/_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

fj CJ .s 0 ,..i, I c /)I t/.W I National Board, State, Province, and Endorsements Date_ _2-L ___ /'1/11 _______ ~19 ____ 1L _ (12/821

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner _ _ _CONSUMERS

_ _ _ _ _ _POWER ____ COMPANY_ _ _ _ _ _ __ Date _ _ _ _4-'-/'-'2=-4'"-'/-"9-=2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __::l,___ of _ _ _=.l________....:__ Address

2. Plant PALISADES NUCLEAR PLANT Unit _ _.=.l_ _ _ _ _ _ _ _ _ _ _ _ _ __

27780 BLUE STAR MEMO\rfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24100106 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by TOWNSEND & BOTTUM Typ~ Code Symbol Stamp _ _ __.N""'A. , ________

Name Authorization No. _ _ _ _ __,N'""A.., ________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ __.,N,_.A"'-------- Addren

4. Identification of System _ _ _ _ _ CO_N_T_R_O_L_A_I_R_ _ _: - - - - - - - - - - - - - - - - - - - - - - - - -

5. (a) Applicable Construction Code AISC ~ STH Edition, NA Addenda, _ _ _N_A _ _ _ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83

S 83

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

HANGER JD2-Hl.8 CPCO ~ NA NA NONE 1992 REPLACED NO

7. Description of Work _ _ _ _ _ _ _ S_C9'""'1-'---'1"'"4""2'---N-EW'-'-HAN-""'G"'"E_R_ _ _ _ _ _ _ _ _ _ __.___ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other ~ Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, a_nd (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE / We certify that the statements made in the report are correct and this ASME Code, Section XI. r<.r fel.ce t+1.-? T:onforms to the rules of the repa r or replacement Type Code Symbol Stamp _ _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _ _ _ _-'N"-A=-_ _ _ _ _ _ _ _ _ Expiration Date ______N_A_ _ _ _ _ _ _ __ Signed -L. ~ ~O, Owner or Owner's Designee, ti"itle Date S:- I ] , 19 9 £.... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of _N~O~R~'W~O~O~D.._..,__.MA~~------==------------------have inspected the components described in this Owner's Report during the period*_ _ 3 -_/() __ *-?_L _ _ _ _ _ _ _ to .f- l.l - e;' L , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer Jt: / L* shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe~,t*:1*. FACTORY MUTUAL SYSTEM u'J50 /111C.lf/6/7fJ

    --~'-----'--....,,,...._ _ _ _ _ _ _ _ _ _ _ _ Commissions_....:O'------------,----:-=:-------
                                                                                . National Board, State, Province, and Endorsements Date     2. 2. f1/1 tj                    19   41 L (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY

1. O w n e r - - - - - - - - - - - - - - - - - - - - - Date _ _ _ _4_-_2_4_-_9_2___________

Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __:l:....__ of _ _ _.::.l_________ Address

2. Plant PALISADES NUCLEAR PLANT Unit _ _~l_______________

27780 BLUE STAR MEMO~AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24100106 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,N""'A, ,________

Name Authorization No. -------'N.,,,A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ __,,_N,,,..A"'-------- Address

4. ldentifkation ofSynem _ _ _ _ _C_O_N_TR_O_L_A_I_R___________________________

5. (a) Applicable Construction Code AISC ~ 8TH Edition, NA Addenda, _ _ _N_A____ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83

S 83

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) P.O. UNI STRUT 5029-8539-1 PlOOl (1) (},AJt~ r-gu.,T *_ NA NA Ii. ,./-lbP- K-O t.LJ,,:... 1981 REPLACED NO UNISTRUT CLAMP 1010-0854-1 2" Pl217 (1) - iJ.tJISTPU.- r NA NA ff.A:t Jd-1'1 1981 REPLACED NO PLATE 1/2 11 x 8BTh L- H-t."Tn G25855-l 41 x 81 sn:.~ NA NA I-fr~ L/OI rt "l"""f I 1981 REPLACED NO

7. Description of Work _ _ _ _S_C_9_1_-_1_4_2__HA_N_G_E_R_J_D_2_-H_l_.4_RE_L_O_CA_T_E_D__________________

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other[!] Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, imd (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept .. ASME, 345 E. 47th St., New York, N.Y. 10017 [ __

FORM NIS*2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE ef qce,..,e.., We certify that the statements made in the report are correct and this* ~q I'* conforms to the rules of the ASME Code, Section XI. repai or replacement Certificate of Authorization No. _ _ _ _...;N:..;;A=---------- Expiration Date ______N_A_________ Signed_=--1~~=-~~~~~;..UH-:.,..- _ _,__/l/~._O_._/J_~ Owner or Owner's oJsignee, 'title _ _,_____ oate _ _~_-_,"'3______ , 19_9_2-_*_ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD , MA have inspected* the components described in this Owner's Report during the period ..,; ~t:- :J- / 0 ** '1?. to ~ S - Z l. -1 t , and state that to the best of my knowledge and belief, the Ow~elh:sLperformed 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 ins;(.pection. /J ~~ FACTORY MUTUAL SYSTEM

              ~
   --'-----"'-"-"~-------------Commissions fl';JO      1'11Clfl6 /W ln~ture                                                 National Board, State, Province, end Endorsements Date. _ _   )-2.L*

_ _ _ _ _ _ _ _ _19 qt..

(12/821

1. Owner 27730 3 lue Star FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Ccnsu:::e rs
As Required by the Provisions of the ASME Cod* Section XI

                                          ? ...Jwer Co::i:Janv
                                        '.*~em.

Name Hwy. Covert, :a Date _ _ /__,,.__/_fd+,0_9...:..;d-~---- Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __

                                         ..l.ddng

2. Plant Palisades :1'uclear Plant N1me Unit-----------------

27780 iHue Star :!em. Hwy. Covert, ~!I w. o. ;! .J. 4 I D \ ~30 Addr . . Aegelr Ori1niz1tlon P.O. No., .,;oo .~o .. *~c.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp_-:-:N.:...:/"".'".-'I._ _ _ _ _ __

N1me 27780 Blue Star :-fem. Hwy. Covert, :a Au thoriz1tion No. E:w: pi ration 01t1

                                                                                                             -----:":""r:--------

NI.-\ N A Addr. .

4. ld1ntific1tion of System Ca.,.,_de.V\ S Ale... K:e..je.CT S235te...VV".

5. fal Applicable Construction Code 63 {' / 192.5...Edition. N/A Addtf1d*.--.....l..N.;;:..J.;j_.A;:...:.._C.:id1 C.ase fbl Applicable Edition of Section XI Utilized for Replir1 or R!Ql1e1ment1 19 ;b 3 S "'3 3

6. Identification of Component1 Rep1ired or Replaced and Repl1e1ment Components National R!Plired, I ..l.SME Code Stamced Name of Name of M1nu flCtu r., 801rd Othtr Veer Repl1eed, (Yes Component Manuf1Ctul'9r Stritl No. No. Identification Built or Repl1e1m1nt or Nol i

Rc.~l }lc.ec) ('AV-G~l3o C rA V"-e.

                                '-J A.\ \le.           N/A                NfA           -H,eA"'T -tt b.o63B                  l'1'3'b         s1.,,..cJ5;             No
 ~

I i

7. Description of Worlr

8. Tests Conducted: Hydrostm. 0 Pntumltlc 0 Nominll Qpemlng p,....,. esJ Other 0 Prtaul'9 pu Test Torno. *F NOTE: Suppltmtntlt sntm in farm of lllU, 1k1tdl-. or drawlng1 ln9Y be ulld, prawldld IU size II 816 In.* 11 In.. 121 infol'l'l'll*

tlon in itema 1 throu_, I on thlt r9CIQl1 It inc:Nded on .a. sntet, ind 131 each lft* la numbend and the num!Mr of 1heta i1 1'9Cordtd It the top of thla fcnn. ( 12/82) - Thie Form (E000301 m.., be obttintd from th1 Ordtr Oept., ASMI, 3411. 47th St., New Yortr, N.Y. 10017 i

FORM NIS*2 (Back) CERTIFICATE OF COMPLIANCI! We certify tl'lat tl'le st1t1m1nt1 mad1 in tl'll report al'9 correct and thi1 t""e.t"( Ac.ei-,.....1i:;r;onform1 to tl'le rulH of ~ri* ASME Code, Stction XI. r101ir or rt0lec:em1nt Typ1CodeSvmbolSt1mJ1--...... -r--"'f\-'-----------------------------~ C~rtific*t* of AuthoriZltion No. ___N_,;../_:.f\_________ expir1tlon om __....N . . . .~_:A __________ Signed ~~;~~~"itn... n1. '5 !'- A V\A {J0' 01te _ _ _ _ _ 1. ;. . .,.!l~1; ;. ; _

- _ ,19 er>-

CERTIFICATI 0, INSIAVICI INSPICT10N I, tl'le und1r1ignld, l'tolding 1 valid commi11ion isauld by the N1tionlf Bow of Boiler 1nd Preuure v1. .1 ln~tors and tl'I* State or Provine* of M1Wi6M and 1mplcyld by (}&rtEC,Tt (?..J /J:?t-<THAL- of 1 Alo/?.wgol'.l.J}'1A "" intPKtld the component1 d1scribld in tl'li1 Owner's RIQ~rt during th* pertOd ?-1.y*-r~ to ;f-l'-/-9:6 and stlt9 tl'lac to th1 best of my knowledge Ind belief, the Owner h* performed 1x1minadon1 end taken corrwctMI m*-.iret detcribld in tl'lis Owner's RtQort in accord.nee with the rwqulrwmenu of th* ASMI Code, Solctlon XI. By signing thil c<<tiflcam neither dte IMSllCUW nor hi1 lfftPfoVW maae eny ~. exprwd Ot implied, conCllf'ning tl'le ex1min1tion1 ind cornctlve ~"' dmcribed in thi1 Owner'* Report. 'u~ neither di* In~ nor hi1 emolcvtr snail bl lilbl* in 1ny m1nrw for llfY penonli Injury or property dlm9 or* tea of ,,,., kind lriling from or connected with tl'I is

   ;"'°""10"*                    ~                                                   /?tCTotf'.'1' t>-u.<TUAL SI'S"""'
    ---------'~.-..-i......~~---.o....;----commllliOftl 1n...,.1S(tftiiure
                                                                                       /'v], ~     ve    ;l..

NetloNt lloefW, St..., l'rovlnoe, lftd lncsortM1eritt 01'9 l-1 c/ 11 9o?. (12/82)

FO.-M Nll*2 OWNl"'I Al'°RT PO,. .-1PAIAI Ofll "IPUCIMINTS

1. 0¥11,,.. Consumers Power 27780 Blue Sear Mem. Hwy.

A* Required by me Prowi*iont of t:M ASMI Code Section XI Neme Com~anI Covert, MI Oete SM9t s >/d-0 /q;J.. l of J l

                                         *ci*-                                                                  ~-------------

Palisades Nuclear Plant. Unit l

2. """ Neme 27780 Blu* Scar Mam. Rwy. Covert, MI w.o. I d.Lf\03.)~

411... ,_ ..... 0 ............. '*0* Ne,.~- Ne., .cs.

l. WDltl ,.,..,....

Consumar* Pov*r Co~&ny ~Codi.,._. ,...._"'!"N~/l"'!'A______

                                                   ,,......                         ..................                     NI A 27780 Blue Star Me11a. Hwy. Covu*e, MI                                   1...,._o.                ---~N:.-;/~A~------

4. ldlnttflallOft of sv.-.. G\Q_~V"'-.\c...A \ ct \jo (tAt"'Y"'L-

CoNr--o (

s. f1j . . . ,le. . . ConlCNft!Oft Codi s~cnOI'\ 11[ 1t:z!::Lldli!Oft, ;,///.I. 'Ltdl ..... NIA .Codec..

       !bl Aoollc*9 ldlflofl of s.tiOft XI Uttllnlll fot "'"'"or "****ia 11~ 83                                             '

I. ldefttlflcMtoft of eo.....,........................._ ..... C.-***

                                                                                                                                             ~SMI Cade N.me of                  """"'of
                                                     ,...,_,_.,,.       Nft!Oftll son                  01Mr               Y*          ,..,.....

AtlMIM, Qt,..,..,,.,,, 5111110~ IY11 or Nol ComoonlM MMUf.ctuf'W Serllt No. No. ldlmiflcadOft Built I Ck:-C\JC'diaS kcr-~ST ki5-1o~S N/A

                                                                                     ~a.
                                                                                    ;J~c-f'f\ -1~'1A            jq(6 Re~A~l'ed              (..;

1eS I l

7. Otteriction of Woftr Re-f>\AC.,~ Se..,a, \ we,\ d Af'"\e\' \I A\ve VV\A. *,~V\A \-'\Ge I

9. T'tltl Conduct": MydtoaCllUI 0 llNUlliMtl 0 Noml"lt o.,..d,.,...... la Odlef 0. ,,.._,. Pit T"' T.,,.. *I' NOTI: Sullllll.,.... . , _ lft ............ I' 1hll. or dl'lwWlll lftlY . _ . , . .. .,,~ IU ... f l

IR.a 11 IA. 121 lftfama.

tloft 111 11111111 tNeutll I

dtll . - t II.,,.. 1M
_,.

        ........ Ute,. of .... ,....
                                                                         ....._,.._Iii .... ._           fl :ws**      *IN,......, of.,_. ie 112/121 .-                   '"'" '°"" floaa:llln ""' ........ from me Ordlr  o.r.. AIMii. Ml L .,.,. ... NM VOtts. N*.,. 10017

CU./tLl fl-l 119~~1 ._,.....,,_..,wall ..... '9U9'19N .,......,,. . . . . "I

                                       ?"i '.'t\/             .,....,~                        ~

JalSJ.S 'IVnl~ 1.1101:)\i'j t/ (/ U j:/f *uo1~e11111 M ..-UU00 .10..., . . . . . JIU111 Nlf fOllOl I IO-..,.P AUNDIG IO Alftfut .............. .....YI Mii U! etQt!I eQ 11111'

 . .,.,. *' __.,, 9111 """"' ......... ""' ......._, *.-..C lfliP "' ,. Iii                   ** All H      I I . . ., . , . . . . . . IUO!*'!......

~ "9tfllUI! IO** t

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- FORM NPV-! MANlJFACTURl::R~... DATA REPORT FOR NUC:l.E.\R fl'Mrs OR VALVES*

i Maeufactuttd lor Consumers Power Company Midland, Michigan _~*'No. 7220-M-l29A Rev. 5

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 '     l.ocuioa      or  Plant    Midland Plant.                Midland. Michigan
 .~ft                                             J.W* Check Valve, Serial #'e                          NU3-l, ,'{U)-9, NU3-16 N coVal-ldnuifica1ion G 0 P 'f Service:            tater, steam            & gyi C*> Dnwma No.           KL-D-9958-(2) Rev.O P~r-~                           try__c_._T_o_n~g_e_l_~         --------------~

SE: I Of I I (b) Natiooal Board No._N_/_A_ _ _ __

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           ..utaQOUCllGll QI lMIS fDllM U AUlKOIUll.D                                                           au.&U'IY VUUllCAJIDll DDCUMtar T~rTAL-IUl'A!lDUCl TH!!; ~Dl OMLT

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY

1. O w n e r - - - - - - - - - . . . . , - , - - - - - - - - - - - - Date _ _ _4:....-.:;;2:=1:....-.:..9.::.2_ _ _ _ _ _:.___ _ _ __

Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=1:...-_ of _ _ _=-1_ _ _ _ _ _ _ __ Address

2. Plant . PALISADES NUCLEAR PLANT Unit _ _:.l_______________

27780 BLUE STAR MEMOWfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24103443 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,N=A=-------

Name Authorization No. _ _ _ _ __,N""A=-___.:.___ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ __.. N,_.A. ________ Address

4. ldentif~nionofSynem _ _S_T_E_~ __ G_EN_E_~_T_O_R_S_O_A_~_C_I_R_C_~

__ T_IO_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code AISC 4J: STH Edition, NA Addenda, _ _ _ N_A_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

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

P.O.

                                             -                                      DY92-003 SPRING CAN                   NPS                  rJ/H           ;J/,q          Ir+-.,.+ l:l: vu=*-o<.o               1992      ~PLACED         NO Re f' i"lceJ Spr1.., '7 cQ...,

7. Description of Work _ _~_.---_P_E_R_S_C_9_1-_1_2_3__HA_N_G_ER_D_B_B_6_-_H_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                              .-0~_,,'i"l-

8. Tests Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Pressure D Other~ Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f<.;:.,pbc1?"'1f!"7 -/;onforms to the rules of the ASME Code, Section XI. . repai/or replacement Certificate of Authorization No. _____N_A_________ Expiration Date ----~-N_A_________ Signed ~ ~ ;V,O, Owner or Owner's Desiifnee, Title Date_~~-~-~'-----, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressur!! Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD, MA have inspected the components described in this Owner's Report during the period "1- -(o - q;J.. to 1- -/CJ -9:Z. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM

_________ __,_~----=-.-.~-"'----Commissions _ _/VJ_~/~--*-~-'--'=-P<.;....a~------------ 1nspe~ National Board, State, Province, and Endorsements Date_ _ _ _ _ t-..__-""'""/0=-_19 90?.. (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by the Provisions of the ASME Code Section XI

1. Owner Consumers Power ComEanz 01te Nam*

27780 Blue Star Mem. Hwy. Covert, MI Sh"' 1 of 1 Addr-

2. Pl1nt Palisades Nuclear Plant Unit 1 Name 27780 Blue Star Mem. Hwy. Covert, MI Ad*- . ~ ...., 0,..,.1..,1.,. ,,0. No., Joo No., 9'a.

3. Wortc Performed b\I Consumers Power Company Type Cod9 l¥m0al Samp NI A 27780 Blue Star Mem. Hwy. Covert, MI AudtOrfutton No. _ _

Explmlon o..____N

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s. (1) AppllclDle Construction Cod9 A.AJST ::?/, J 19 3/e. Edition, 8 '- Addlnda, _ _...J)/A_ _ _ _ Code C..

(b) AppllclDle Edition of Section XI Utlllnd for Replin or R1Plecement119 83 S 83

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Serlli No. No. ldlntlflcatlon Built or Rest111:81Nnt or Nol Chect_ JCiqz ~lac-cd Vatt1~ ¥o:Jt !VtA ;U/11 c~ -c eLJ40 3 ,<Jo

1. 01script1onofwortr R::Qlacc... lfclafl\. witl .lfQgt ~]-tic b~ c.veld i1t@_* __

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Om1r p,_,. pli T11t Temp. *" *

                       ¥ -           /  J..o~/ leak i2al::c Test/           !1-(l/J.

NOTE: S41pptllftllltlt .,,_ In fonn of 11... 1atcN1. or drawltl* !NY be ulld. prawtdld 11) Ille II b In,* 11 In., 12) lnfamw* tlon In itlml 1 ttirou* I on thll repan II lncdudld on _.. lh..r, 1nd 13) ..n .._. II numblNd ..a tM num1Mr of .n.... 11 rteorded n the tap of thll 1°""' (12/821 .- Thia Form IE000301 '"911 be obtelned from me Order DtPt., ASMI, 3411. 47th St., N.w Yortc, N.Y. 10017

FORM NIS*Z (Back) CER'i'll'ICAfl Ofi! C~~IANCC We certify mat mo statements mede in the ~rt lf9 COl'l'WCt llnd mlt ~nfonns to the rulH of the ASME Cade, Section XI. r111alr ociitccem~ Type Code Symbol Sump _ _ _ _ N.......A___________________________ N/A C.rtifl~camof umorizatlon No. N/A , Explmlon Om . s1caned_ Own

                          £ ,d,LJ,~~

or Owner'* OeeitnM, Tltte' ~ o.. _/!_'!J_l'_ L.::::¥ 1 l_z__ q___ ,,9 CERTIFICATE O' INSIRVICI IN91ECT10N I, the undersigned, .noldi~g 1 vii id commiaion issued by th* Nationlt Boera of $oiler end Pl'ftal1 V**I lnspectol'1 end th* State or Provinc:9 of~higan and emptoved by Protection Mu tua of Norwood, MA. hm intPeettd me compcnenu detcribed in this Owner's Reoon durlnt me period J- 9¢ to T-9-9.;.?. 11nd ltl19 th11t to the b&ltt of my lcnowl,._ lftd beti.t, the Owner h* perionMd exemin.clont Ind tllceft c:orrectM me..,,... described in this Owner'1 Report In c:ordl'lll'lCO wid9 die rtiqUlrementl of the ASMI Code, S.CIM XI. By signing this e1ttificd nenNr me ln1111 cor nor hit employ* mam any wwnmv. *JCP11md or imptild, concerning the ex1mination1 and CCfT'eCtlw ,,_.,. dwrle.d in mie Oww't R"'°"9 F~nNtmot9. neither ttle lnllllC!Df' nor hit """'°".,. shall be lilGI* in eny m*nw for any penonet injury or prapeny d1m111or1 lo* of any kind lriling from or ci;innected with this inspection. ;/J,.., FACTORY MUTUAL SYSTEM

                               '-'(__~
    -------,-n1P---*,.;;;;1"!'S~ltNtu'"'""-.,.."'------

Commlalont ft'1t *.. fa;J... N1t1ont11 lcMfd, SUUt. ,rovlnce, Ind lndonM1ent1 01?9*_ _ _ _ _ 1'---"""9__,, 9...< (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI r

1. Owner Consumers Power Company Date J<-c..,e 2. "'2>' 199'2..

Name 27780 Blue Star Mem. Hwy. Covert, MI Sheet 1 of 1 Addreu

2. Plant Palisades Nuclear Plant Unit 1 Name 27780 Blue Star Mem. Hwy. Covert, MI w.o. II 24104*409 Addreu Rep11lr Org*nlzetlon P.O. No., Job No., etc.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp __N.;..:.,/..,..A_ _ _ _ _ __

Name Authorization No. _ _ _ _N,..,...,/...,.A_ _ _ _ _ __ 27780 Blue Star Mem. Hwy. Covert, MI Expiration Oate _ _ _ _ _N....:/'--A _ _ _ _ _ __ Addreta

4. Identification ofSystem _ _ ~~~~~~~~~~~~~-~~-~~~~~~C~~~'~o~~---~~~-r~'~~~~~------------

5. (a) Applicable Construction Code B"3 J. J 19 5'~ Edition,__,IYJ~/h""-_ _ _ Addend11,....;..N._.fh"'-'-----Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 63 S 83

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

..** Tto'lO.decV ,Vov~ /Vk..cA;,,~ Z.oo4- n..aJ. I w/A Repke ProJ. Col'"/). IJ//t 1~2784'} /'}90 No Z" Nt., t ~.-bi;q r1ac4;..,e N~

z..003-4Z.oo, / MA /C/8~ -Rep/qceJ ..Vo Prcd. O""o

iJ./~73583 2 N"1.r c~iinca J,, ,c;f',,,.;e5 I./~

                                                                  )02.C/-75'"62.3 Hf4-" 30'35"'0          µA             199 /      /?epfqceJ        /l)o Ca..-jjnq(                            ;029-8674.3 2       /\./"' T In 1.1sfr;p-;        N/A           f/t.1t3o,S°C             Nfa           J<]9 I      Re,:ikceJ        No I
                                                               ~     n'-i.fs      o,...,     ck-E5Jl47

8. Tests Conducted: Hydrost1ttc 0 Pneumatic D Nominal Operating Pres1ur1.l8J Other 0 Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, providld (1) aiz* 1181' In. JC 11 in., (2) informa-tion in items 1 through 6 on this report i1 includld on each sheet, and (3) eech sheet 11 numbered and the number of sheets ia recorded at th1 top of this form.

(12/82) *- This Form (E00030) may be obtained from the Order Oept.,"ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Menufacturer's Oeta Aeport1 to be ettached CERTIFICATE OF COMPLIANCE /. . We certify that the statements made in the report are correct and this ~t;/2 1(f"1fnhonforms to the rules of the ASME Code, Section XI. repair or replacement

Certificate of Authorization No. _____tv_,,,_/&_.._________ Expiration Date _ _ _ _ _ _"""'.,.0--..19- _________

Signed_~-~~~---~...,,...-~~-~-' Owner or Owner's Oe1ignee, T'1tle _O~,__4~'--.--

                                                                                         ~        A"-~_Date r-             ~                               '19  9"2 CERTIFICATE OFINSERVICE 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 fVlt'CJf1"<iuAtl                                      and employed by Of?+,7f:C.T(o,./ D""ll.-1.Wf\L                                                 of
   - _ ..........N.,._,,o.,/?...,..l.+.)(~..>o..._.LJ"'I *+._&!..__~~----------------------have inspected the components described in this Owner's Report during the period _ _ _ _ _ _ _-,..tS..._-                   r. . . .    ......2. .sl-
                                                                                                             ....._to--'l._-.../,_..S=-_-9.~-- - - - - , . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warrantY, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a lou of any kind arising from or connected with this

   '°'"""~"*                                       ~~~~                                                          Plcr<>fi!-7' ,._,.,-,,...,,_ .SI'S,..,..,
    --------;~---~-----------------Commissions _ _._/1......,:?...<.~~7'...::~~?2,,.,_______,..___,..________

ln11>ector'1Slgneture

Netlon81 Board, State, Province, end Endorsement*

Date _ _ _ ___..?_~ . ___19 9o<.

                                                            . . 1_s (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by th* Provisions of the ASME Code Stctlon XI

1. Owner Consumers Power Company

                                                        ,....,,,.                                                           01t1 ___              M_:....q;..;.r_c;;;.:b~--""/..::.0.,_0 __.:..1_9~9_::2-=-

27780 Blue Star :fem. Hwy. Covert, MI ShMt _ _ l _ _ of _ _ l _ _ _ _ _ _ _ __ Acldr. . Palisades Nuclear Plant Unit _ _l ______________

2. Plant Nem*

27780 Blue Star Mem. Hwy. Covert, MI

                                                                                                                                           ,.ectetr O""'l11ftfon 111.0. No., JOO No.,            ~c.

3. Worts Pwfonnld i., Townsend & Bottum FCC, Inc. Type Cod9 lvmbot smno __N_l_A_._ _ _ _ __

Name AumortzMIOn No. _ _ _-.o:ii..i...c;:i.__ _ _ _ __ Ann Arbor, MI. Explmlon c.. _____.Nu.1.a.A.....__ _ _ _ __ Aclclre9 j

4. Identification of SV"9m _ _ s__ h_Y-f-l"i_""1.......,e_e_r_..e_d ____Sc__,;,q,..,jf...e;; o.'~1~1...1-a.;..r....;J;,.;.:.5'_ _ _ _ _ _ _ _ _ _ _ __

5. (al ADOtlcmle Conn~ton Codeh11VSI 83 /. I 19~Edttlon, /'I~

(bl AoollcaDI* Edition of Sec!ton XI Utilized for Reollrt or Rept~u 19 83 S 83 ASME Code Natt on* Reoelrtd, St1mcitct Ntmt of Name of Menvf9Ctllrwr Bon Ottler Yw Reotteed, IYH Component* Menufectu,., Sert* No. No. ldlfttlflCM!On Built or Reol.:ement or Nol A'.-icho;- rJPH-1003 ttt,dra.."" Ii c. 11 '-4. bbe.I" 5 Oar/;,..,q 15"4 2. N/19 SN/3- 39 /99o RefJqceJ No I p.o. A/o

                                                                                                                             /oJo-1316, I

7. 011eriptlon of warti._._f<i...e..,.e_/._a._c ....e._r__1..v_,_.*h-~.........n._e-...i.v_...-.s_n_"<_£i_6_e_r-_,.)~"'--e.......;.~-'°--.;;.S<..;;e;.;.r,.._v_1_c..;e;..

                                                     ...e.....,J__S,:;._,,,,_"'...6,,.£ exp;rQ he.,,,

1

                                                                                                                                                                 /,*  f;.

8. Tttta Conducted: Hydromdo 0 PneumMto 0 Nomtn* Opernln;,,....,. 0 Otttlf' 0 p,....,,. P11 T"' Ttmp. *II NOT!: Suptl!llMl'tll l h - In farm of ,..._ ,..._, Oil nwi"ll '"IY bl ulld. prautdlcl 11 I Ille ii D In.

11 In.. 12) infom'll*

tlon In itll'ftl 1 throu_.

on mil l'IPClft ii lftdudld on -=*' lhelt. ind 131 .... . _ II numDlrld lfld tM runOlr of.,...... i*

recordld

me tap of_ mil fonft.

* (12/82)... -                   Thie 'o"" I1!000301 m9¥ bl obUIMd from me Ol'dl? Dept.. AIMI, 341 I. 47"' St., New Yortl, N. Y. 10017

FOAM NIS*Z (Back) CERTl,.CATI Of! COlll'LIANC:a Wt ctrtify that mt stlttmentl mlde in mt ~rt lfW correct and mlt (ep bcel"t'leY'I fc"onform1 to tht rul" of tlit ASME COde, Section XI. . r-~ ot ,._,_.,.... TvPtCodeSymbolStamP----N_/ __A____________________________________________________ cenmc:m of Audtorizatlon No. _ _N_/_A_________ exolretlOft D*----N_l_A ________ s~ntd ~o....,,_, Owner or Owner'* p;;x; TIU* o.. Md CIATIPICATI Of! INHRVICI INIPICTION I, tl'lt undtr1i~ ttoldittt

vllid commiaion iautd bV mt Natlonll Board C!f loilet Ind Pr--..rw v . - lnlSMCtOrs and tlit St*tt or PravinC9 of ichigan Ind emolovtd bV Protection Mutual of Nqrwoqd, MA* hwe In..-. me components dtti:ribed in thit Owner'1 Raoort durl"I me oertod 6 /tl'ltll I 2 "I z_ to h f1t?/?.lt. 19 '1 z._ 111d 1t1tll that to tl'lt belt of my lcnowfedll end i.ti.t, tM Owner h* perfonned txllftlNdoftt end tlilaft C0111Cti"4 ,,,._,,...decribed in this Owner'1 RllJOft In wordmncm with m. 19C1Uiram9ml of me ASMI Codi, S.Clan XI, By 1ignint thit C9niflaW neitlWihe ln1111 D nor hie arnpiOyW ,..,._..., ..,,...,, 1api1 ud °' impUad, concmtning tl'lt ex1mlnetiont Md ~lw , . _ . , . Ju lbad In mil Owner'* Aepan.

shall be liable in any man,.forMYPlfDI* lftfury orsil"QPlft'Y dim* """'*"'°"' Mithw lfl* lnllllCW nor hit tm0lovtr or a loll of MY kind ltfll,. from orconnecttd wltft this in~~~ ~- FACTORY MUTUAL SYSTEM

      ;(~:,..._____                                         CommlllioM---5--..¥_7__/'J       __ ,c_#_.__________~

1,,....,.tl..,._.re NnloMI ..... Stdio °"lncie, el'° 1Mo"9f'lentt 11 'fl-(12/821

1. Owner 27780 Blue Star FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Consumers Power Company As R&quired by the Provi1ions of me ASMI Code ~ion XI

                                                ~em.

Neme Hwy. Covert, MI D1t1 no.re_ l 4 l

                                                                                                                                                        /0,    I
                                                                                                                                                                          /992-Sh Mt                        of Adar-

2. F'llnt Palisades Nuclear Plant Unit l

N1me 27780 Blue Star Mem. Hwy. Covert, MI Adarel9 ,.. . . . Or;erilHtlOft lt.O. No .* JOO No ** fte.

3. Wort& Pwfarmtd b'I Townsend & Bottum FOC, Inc:. T'ype COde lvmoat StllftP __N_/_A_ _ _ _ __

Ann Arbor, MI. N1me A\lthorlZftlon No. _ _ _ ExDlmlon o..,_____

                                                                                                                                                       --ol""'L.-------

N~/A _ _ _ _ _ __ Addn9

4. ldentiflcnion of svnem ____E._,,,~+~1:.,.....,e...e_r-....._e_J___s;_q...,.k..;e-;;z~'-1..;..q.;....r.;;;J.:..;;..s_ _ _ _ _ _ _ _ _ _ _ _ __

    !5. (11 Ai:iollclD.. Conmuc:tton Code M5I B3/. I 19 b 7 Edltlon,_.-"...                                   /-.11-..__ Addend8,, _ _;v.../ ...11___ Codt                                   c..

(bl Ai:iollclDl* l!dltton of Stctton Xt Utilized for R*lln or R*t-*1etni tt 8 3 S 8 3

S. 1denttflCltlon of Components AIPlirtd or ,...,.._ Ind "IOf.-Mftt Come>>ouena ASME Codi N1tton* Repllrtd, Stamcld Neme of N1me of Mll\uflCNrwr Bon Omer y.., R*lll*f, IYH Compontnt MenufKtU,., Serl* No. No. ldenttflc:Mlon Built or Rlt'lm:ement or Nol Hydra. .... {; c. _.,:;..., c4or Af?H- 1003-S~~bber f?ar/jv,c 154 I

                                                                                     µ/19                     5NB-37 t=/90                                   f<e17/q ceJ                 ).Jo T

P:o. A.lo 1010- 1316, I

7. Description of w.ti_......,e;r-/_c;,_c_e_tP___).,_.,_L'(.....l_b_e.;..r__w-_.;,..1...._..-n..;;e_.....,

_ _....s-_n...L'(-..;.J.;.6.;,e;..r_..;..J_"<;..e;._....;..fo_ _s_e;..r...;.v_1_c.,;;e;,_

                                                                                                                                      );(e              e:>c/Jirq           I 0"'(,

B. it1t1 Conducted: HydrGIMIG 0 PrteulMtto 0 Nominll Operwtl. . ,,.....,. 0 Ottter 0 P,...,,. Pit T'tat T'""9. *fl NOT!: SuPS!lementll lh.- In form of I - ,..-., °' drawi"tl nwy b9 ulld. ..,_,._, (1) .... II ltl In.

11 In.. 12) lnforml*

tlon In ittml 1 throutll I Oft thll report II INludld Oft ..n sh911, ind 131 ..,. " - II .......,.. llld tfte ,......, of.,.. . is llCOfdld

the toP of "'" fonn.

*   (12/82,_ --                     Tiiis l'orm I!00030t .,,., be abnined from me Order Dept., AIMI, 341 I. 47th St., New Yort&, N. Y. 10017

FOAM NIS*2 (Back) CERT.,ICATI OP COMILIAHCI /.

w. c*rtify thlt th* rtatlfMntl mlde in th* l"lf)Ort . . COtl"lc:t Ind ml* rea qce11-1er1 f-conform1 to th*"" of tt'I*

ASME COde, Section XI. repatt °' ~*..,...,.. TvCHCodeSymbolStamD----N-/ A____________________________,____._____________________ Certificate of Aumori11tlon No. _ _N/A _ _ _ _ _ _ _ _ _ _ _ ExPlmton D * - - - - - - - - - - - - - N/A S~nld ~ o....,,_, Ownw or Owner 1

                                        ~     Title O.. MevJi CIRTIPICATI OP INllRVICI INIPICTION I, tt'I* undersign~ ,totoldi'!l I vllld commiaion issued by th* N1tlon* ao.d ~f Boilet Ind         p,._,,. v.... ln.-:t0rs end the Stat*

or ProvinC9 of ~*11ch1gan anchmplGyed by Protection Mutual ::if Norwood. MA* h.we lnlPllCWd the components dtctibld in mi* Owner's R9'1Qn dlartng the period 6 fJ~~Jl I? 2 L- to t lie,.;/ l'J'JZ- and nai. tr.at to th* belt of my lcnowied19 lftCI blfi.f, the Owner h* performed b.nlnadoM lftd tlllen coi1eache IM9U1'91 d91cribed in this Owner'1 Repon In acc:o1delm with the ,._i'*"'"'I of the ASMI Codi, S.Claft XI, By signing thil <<*tlflcam ne6dw tM ln1111 1cw nor hie employs rnUll ll'Y ...,....,, 141 119 or lmsitled. CDMtming th* examinationt Ind COIT'9Cthle ~ ~m Ibid In mil OwMt'1 Report. l'unMI....., MhlMr d'll lnllllCtDI not hi1 emplover shill b9 lllOI* in env m1nMrfor.., PlfDtll lnfury orprapeny dim* or* loaof ll'Y kind ar111,. from or connected w~ thi1 i-n~_lf1._~--i~:;:-**---~"'l;~/='=-h!iiM;w';;----------CommilliOM-F-A*~-T-~-=-:~MU...-~~~--

                    ~                 SlpMu,.

7~s-Y~S~T-EM--~~------ NntoMI . . . . . St... ,,.,,,...., end lnd01'99!1ftq 01'9 6 fl (J( 1 1* I 11 9 2-- (12/82J

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Consumers Power Company Date _ _,_7+-/_.:.._7+-/ q--1!::~:._____ _

Name ~ I 27780 Blue Star Hem. Hwy. Covert, ~11 Sheet _ _l _ _ of _ _l __________ Addreu

2. Plant Palisades Nuclear Plant Unit ___ l _______________

Name 27780 Blue Star Hem. Hwy. Covert, MI Addreu Repair Organization P.O. No., Job No., ate.

3. Work Performed by Consumers Power Company Type Code Symbol StamP--..:.,---------N/A Name Authorization N o . - - - -N/A :-:-..--------

27780 Blue Star Mem. Hwy. Covert, NI Expiration Date _ _ _ _ _N_:_/_A_______ Addreu

4. ldentifka~onofSy~em_~~~~~;~~~~~-~~-~~~~-~l~A_.~~-'--~~~~~~~~e~~~-----------~

5. (a) Applicable Construction Code Sec..\ i 0 1'\ -m.. 19 ~Edition, \ q~ Addenda,_....:..N..::.::O:..:;i./..::*'-"C:=----Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 '8S S i3

6. Identification of Components Repaired or Replaced and Replacement Components
Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No, Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes i Co l"'\61.<SI.:0"1 CPc.o ~.,..;Al CR.b.-\7 ltc....a.i~~~..c:l. ~Dd3 NIA; ~~'tU...-~~ m~ ~\~ ~es !

                                 -           o-.J                                                                                \                            I I

I

I B. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating PreS1ure ~ Other 0 Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplemental sheets in form of lim, sketches, or drawings may be used, provided 111 1ize l18% in. x 11 in., (21 informa-tion in items 1 through 6 on thi1 report i1 included on each sheet, and (3) each sheet 11 number9d and the number of sheets i1 recorded at the top of thi1 form * (12/82) - This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 1001 7

FORM NIS-2 (Back)

9. Remarks _S_ee.. __A_T\ __._A_o....:..h...;.e_c)=-*---....;._---------.,.-----~--

Applicable Manufacturer's Data Aaport1 to be attached

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this \"e.~\ AC.e ~onforms to the rules of the ASME Code, Section XI. repair or repl11cam11nt TypeCodeSymbolStamp _ __...f'J__,,~~-,4.-------------------------------

Certificate of Authorization No. ---""N_,6'--.1..A.....;..________ Expiration Date _ _ __.N_""v-;'--~--------- Signed r- c:;\ Date _ _ _ _ _ CERTIFICATE OF INSERVICE INSPECTION

                                                                                                                   /--'-"

7

                                                                                                                          /.___7. . . . ._,  19 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of l'vz/Wt"<:u+N                   and employed by f>r?.c,7c;;c,:r,*ccJ
                                                                             .                  l\4c:..c.,TudL                                          of NaRt. ;oqO.I 0=1A-

have inspected the components described in this Owner's Report during the period z-l<e-9.:J. to jiZ-/<P-9.;t , 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 werre_nty, expressed or implied, concerning the examinations and corrective meesuras described in this Owner's Report. Furthermore, neither the Inspector nor his employer

   '""'"loo.                 . ~_'.:'        /J-"

shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this F/ICJa..'l' ,,_,,_ff...,.,_ S 'i'STI,.,,.,

    --------~_,_              ____.,.._ _ _ _ _ _ _ _ Commissions.....1.Cn....:...:..E._*..;.*_7'><-=~6:::::0.._ _ _ _ _ _ _ _ _ _ _ _ _.,..

Inspector'1 Slgn11tur* Netlon*I Bo11rd, St*t*, Provine*, 11nd Endor..ments Oate_ _ _ _ __._7_-_./...::(p:;.....__19 9o2 (12/B2)

FORM N*2 N OR NPT CERTIFICATE HOLDERS" CATA REPORT FOR IDENTICAL NUCLEAR PARTS ANO APPURTENANCES* As Required by the Provisions of the ASME Code. Section Ill. Division 1 Not To E.:11ceed One Day's Production Pg. -1._ of _L Combusc .... on Engineering, Inc., ABB Comba,, ...... ou E::rg.Lnc:ei: ... 11g .iuclear

                 '* M1nu11c1und1nacaniliedby              Fower, lqewington Gpema.,.;Jj..Dll=oi; .. r ltd.'* .~ec;;ingcou, NH 03801 Combustion Engineering, Inc., NPB, 1000 Prospect Hill Rd., Windsor, CT

2. Manulactured lor _ _ _ _ _ _ __.;;;...._ _ _ _ _ _ _ _ _ _..,...-~..,.---------------..

_ _ _.... ,,_-... 06095-0500

3. Loc11ion ol insunuion Comsumers Power Co. , Palisades Plant, Michigan CND-E-466 7 _ _ _,..

4. Tvo* _..,a..e~*-'_..,0.,.1_ __ None 1992

                                    ,............            See Remarks
                                                                   ~i..  ..... ,...,.            11.,....IWeft'llN                       ICJIHI

5. ASME Code. Section 111: __1...9_8_6__________1_9_8_8_______ l ________-:::---=:N:.:o..:.:n:.:e:____

l*Ot4'9N ~ ICIHll 1(ocie c,,,.,.. 1

5. F1bric111d in 1ccord1nc1 wi1ll Const. Soec. !Div. 2 only I _ ...N..,._l4=----- Revision _ _-.N..,_/. ,A_ _ _ O~te _ __.N_./_i.___ __

7. Remarks: SA-182-F347 Tensile 75,000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75,000 See Back 8. Nam. tllicltness rin.I

Min. design tllicltness rin.I
Dia. ID lh & in.J

9. Wiien aoolicable, Cenilica1* Holdets' d11a 1eoons ar* 11uc:lled lor eac:ll item of 111is repon:

L1n91ll overall Ill & in.I *

°'

Put Aoourtenanc* ~I Pan Of Aoounenance National Serial Numll., llllK~DIP. Serial Numbirr Bo11d Numller

                                                                      ~iliiiiiis:!l'.U                                                                       in Numerical Order Assembly No.

Mfy. S/N 1112966-77 Assy 17 20 9 12 61------------;---------~

  * .. :.             1212%6-78 Assv 18                                 2020                                 12 71------------:-------------~

131 2966-H Assv 19 2021 12 81----------;----------~ l'I 2966-82 Assv 23 2022 12 91-------------~-----------! 151 2966-84 Assv 26 2023 + 1301-----------~---------1 161 171 131 132 '-----------;-----------"

                      !St                                 I                                                 133 191                                                                          I 13' 1101                                                                                    135 1111                                                                                    136 1121                                                                                     13 1----------~------------------1 11---------+------------1 1131                                                                                     138 1141                                                                                    139 1151                                                                                    140 1161                                                                                    141 1171                                                                                    14 1181                                                                                    143~---------+----------~

1191 14' 1201 1451 1211 14&1 1221 1471 1231 1481 124l 1491 1251 - 150I

           .10.                             21~QQ                                     600 Desitft 111es1we
            *su1ar1  "'*"II.,.,...,..._ IN,.,,,. ef hll. ._

psi T111141-

                                                               . ....._ * .,.......,                                111*

Ill _ ..*a*.

                                                                                                                *f Hyclro. IUI 111nsur*-_.;;...._ _ _ _ _ 1111mo.

w....-. * ....... J

                                                                                                                                                                                         *f
                                                                                                                                                                   ~ . . lftll 0111 tnert ..
            --HCAIAffl.l.:lle            ill_ _ _        _         __        _ _......,, _..

l iwM 9 r .........

                                                                                                  -1tlM                   _ .a_  1. 121                        l&W 11:151* I                                        lJlil * - llOOOCOI -       .. ecn- I*- .... a- o...... ASMC. 22 L- o-.... 2300. '*Ioele. HI 07007 2lCO

FORM N*2 .(baclcJ

      **:"i"                                                                                                                                              Mfr. Seti1f N o . - - - - - -

CERTlflCAT! OF OESIGN

Oesign soecific11ion* canilied by ResEonsibility of Others P.E. si.11a Reg. no. Oes19n 11oon

canilied by Res12onsibilitz of Others P.E. s111e Re9. no.

CERTIFICATE OF SHOP COMPUANCE i;:. We cemfy 11111 Ille s1111men1s mad* in tllis regon 111 conec1 1nd 11'1&1 Ulis lt111sal conform to tll* NIH of construc1ion of Ill* ASME Code. Seclion Ill. Parts II

~*

NPT Cerulic11e of Autllorizalion no. N-2041 Expires February 20, 1993 I om<i!/§r,,,L 9 ;J__ Name Combustion Engineering

                                                                              ""c:..w.s...........

Signed G. £:£2.:zt.= CERTIFICATE OF SHOP INSPECTION I. Ille undeni9n1d. holding 1 valid commission issued by Ill* National Board of Boiler and Pressur* Vessel lnsoec:ors ind the s1;1e or province of 1nchmoloyed by H. S* B *I. & I. Co*

of Hartford* CT /lave insoeclld mes* i1ems described in this dat11 r1port on 4/zs/£2!
Ind Sllll 11111 10 the best of my lulowledg1 and b1li1f, 1111 Cartirica1a Holder /las f1t1ric111ed these pans Of 1ppur11nanccs in accordance with th* ASME Code. Section

.'*. Ill. hell part Us11d hH been autllotiad lor stamping on Ill* dat* shown 1bova.

Sy s1gn1ng this c1111fic11a. nli1ller Ille inspector nor his employer makes any w1rr1nty, expressed or implied. conc11nU.9 1111 equioment duc11bed 111 this dall report. Fvt1llerm0t1, neither 1111 inspector nor his 1mployer sllaG be liable in any manner lor any personal iniury or property damage or loss of any kind uising from or c0Mect1d w1t11 Ulis ins11ec1ion.

                               ,$-&z S'igned/ a'~

0111

                                                                             ~ ............

Commission* Al#a2 #.(:Jes z

                                                                                                                                     .... . . . . . . . .1 ........................................

MATERIAL NOH. THICKNESS(IN) MIN. DESIGN THICKNESS (IN). DIA. I.D. (Fr. & IN) LENGTH (Fr & IN) OL9 SA-182-F347 .406". .391" 2.06 11 4. 25"

Lower Flange

                                                                       .125                                       .12                                      2.06"                              1/4"
        .       SA-182-F304 Access Tube Flange
        ...                                                                                                       .12                                       1.260"                            39.500" SA-213-T347                                            .125
        ..      Access Tube SA-182-F347                                            .3135                                      .301                                     8.000"                             8.59" Seal Housing 1

1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Coda Section XI Consu;:;iers Power Company Name*

Date _7-1-f--/-=-f.i I I f_'=f.i.=_d.-:..___ _ _ 27780 Blue Star Xem. Hwy. Covert, MI Sheet _ _ _ _ of _ _1__________ Addreu

2. Plant Palisades Nuclear Plant Unit _ _l________________

Ne me 27780 Blue Star ;.[em. Hwy. Covert, HI w.o. ii ~lfl0=\5~7 Addrea Aep*lr Org*niznlon P.O. No .. Job No., etc.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp_~N~/r:A_ _ _ _ _ _ __

7 Authorization No. _ _ _ _ N="'/,A~------- N*me 27780 Blue Star Mem. Hwy. Covert, MI Expiration Date _ _ _ _ _ _ N_/_A________ Addr. .

4. l~n~f~~~n~Svttem_~~~~-'~*~-~A~~~-~~~--'..;..A..;..~~~\-~~~~~~~e~~~.~----------~

5. (a) Applicable Construction Code "$e,c..\ioV\. JJL *19~Edition, \~ Addenda,_..:..~_o..;..w,.;.,,.;:E:.......__ code Case (bl Applicable Edition of Seetion XI Utilized for Repairs or Replacements 19 '8 3 S '3 S

6. Identification of Components Repaired or Replaced and Replacement Components ASME !

Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or Nol

C..\>ca 5e.r-;"' I rRf'\-sl l.D..-bWiT'CV\

C.v.a. it\CZ,H*i..1:1 Jod~ f'J/A 1

'~ bb - ~.). m"l \C$(~e.d lre_s

8. Tests Conduct~: Hydro1tmtle 0 Pneumatic 0 Nominal Operating Prenunt~

Other 0 Prenu1'8 _ _ _ _ _ p1I Test Temp, *F NOTE: Supplemental shffh in form of llltl, sketch*, or drlwinge IMV be used, provided (1 I size ii Sli in, JC 11 in., 121 informa-tion in items 1 through 8 on thl1 report I* included on uch sheet, and (3) eech shMC 11 numbered and th* number of 1hHU i1 recorded It the tap of thi1 form *

(12/821 - This Form (E00030) may be obtained from tne Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS*2 (Back) Applicable Manufacturer'* 011t1 Aeport1 to be 1ttached CERTIFICATE OF COMPLIANCE __,.... We certify that the statements made in the report are correct and this t:e ~ L4u ~ ""~onforms to the rules of the ASME Code, Section x r. rep1ir or repl1eamant Certificate of Authorization No. __*.....,N__,,../,__.A._...________ Expiration Dat*--_._~....,./t.._A.__.-_ _ _ _ _ _ __ Signed ..:::J 'j1-' ..::[ Ownar or c+/-' Owner'*~. Title S('-* Av..A (1AST o;j Oate _ _ _ 7___,_/_"6' 7 __,19 tJd CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnSl)ectors and the State or Province of /Vlt'(!lkC.,/h./ and employed by ptC.orr;.cr,*cu../ l\,:g...T<=<A(... of No/C~QQD, mth hwe inspected th* components described in this Owner's Repon during the period z-/(p -9,;i. to r- l(q-992 and state that to the best of my knowledg9 end ~lief, the Owner has performed ex1min1tions ind taken corrective menur11 described in this Owner's ReJ)ort in accordance with the r9quil"lment1 of the ASME Code, Section XI. By signing this certificate neither th* lnspectOr nor his employer m1k* 1ny WlllT_lnty, expreaed or implied, concerning the examination1 and corrective m1aura described in this Own1r'1 Report. Furthermore, neither the lnspectOr nor his employer shall be liable in any manner for 1ftY penonal injury or prop1rtyd1m199 or I io11 of lftY kind 1ri1ing from or connected with this

   ;* .,.,.....              ~                                                        F/IC<o;!.';' A-1<-<.T<..u>L S'IS..,.,,.,
    ------....,.--~          .......--~'"""',........,....,..._.....____ commission1 _ _~1'\-*-,...;..:,~~=--'zt.G,~ el...,..__________,,,______

I n1Dec:tor'1 Slgn.iure N1tlonel Boant, St1te, Province, Ind Endorumanu Oate._ _ _ _ ____.J......_.-/i_.G,....__19 9.z< (12/821 I

FORM N*2 N OR NPT CERTIFICATE HOLDERS" CATA REPORT FOR IDENTICAL NUCl.EAR PARTS ANO APPURTENANCES* As Required by the Provisions of the ASME Code. Section Ill, Division 1 Not To E.:11ceed One Day's Production Pg. _L_ of _l_ Combusc.1.otl .:.ngi.neerihg, Inc., ABB Combu,,,c.1.ou E.tg.J..n .. er ... ug .iuclear

i. M1nuiactuied1ndc1nili1dby Power, dewihgtOn OpemlJilii.,.;Al:j..,£l;td;;:wv .. r ltd., dew.l.ngcou, NH 03801 Combustion Engineering, Inc., NPB, 1000 Prospect Hill Rd., Wi~dsor, CT

2. Manufactured lo*--------"'-----.;...-~==~=~-::::::=:~-------------...,., _ _ _.... _........ 06095-0500

3. lomion of insian.uion Comsumers Power Co. I Palisades Plant I Michigan CND-E-466 7 ---*"

4. Type 't) ,,., Q7 See Remarks None 1992 ldr**iMt,..J """4"\.INC..,._,

5. ASME Code, Section 111: __1..;.9_8_6__________1_9_8_8_______ 1______ ---::--N;;.,.1. ;. o.;. ; n.;:e___

                                                                  .........                              IMiMNM                          &cl*H*                            ICH* , .... ,.. *
                 &. F1bric11ed in accordance wi1h Const. Spec. (Civ. 2 onlvl--'N...._I.::.!_ _ _ _ Revision _ ......

_.. N._.l....A...____ Oa1e -~N..../_!____

7. Remarks: SA-182-F347 Tensile 75,000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75,000 See Back 8. Nam. lhickn-ss f111.I

Min. design lhickness rin.J
Dia. IC Ut & in.I
l1n91h overall Ill & in.I *

9. When applicable. Cenilic:u* Holdtts' data recrons are 1111clled for each i11m of 1his repon:

Pan or Appunen*nc1 JUilll'liil Pan or Apput11n1nc1 N11ional Seri*I Number llllK~CCP. Serial Number Board Numcer

                                                                         ~~BU                                                                                      in Numerical Order Assembly No.

Mfy. S/N 111 2966-77 Assy 17 20 9 125} 1212%6-78 Assv 18 2020 1271 131 2966-7Q Assv 19 1*12966-82 Assv 23 2021 2022 .,_.. 1281 1291 151 2966-84 Assv 26 2023 1301 161 1311 171 1321 181 I 1331 191 I 1341 1101 1351 1111 1351 1121 1371 1131 1381 1141 1391 11 !SI 1401 1161 141) 1171 1421 1181 1431 1191 14"1 1201 1451 1211 1411 1221 1471 1231 1481 1241 1491 1251 150I

          .10. Duivnll'UIWl-..::2,_....5... o...o___ pti Tanp._....6....00..._____ *f                                                             .................
                                                -**---llle-ef Hy$o. IUt prHSY'I -..;;;..~=---H tamp.                              'F
            *S...1111 lllQM.. MlenN.... ill lftl ,...,. ef hta. PetdWI. * ........ llla'Y M _.. ........ Ill t11e *I'* a 1. 121iftf...._ .. 1191111J...._JM°"'dltl1qe1t tt
           -*-*--.1:111-                                                                  l l l t t l l i t - a t _ _ ....... , _

llSrlSl* I Tllis I-.-~ - .. - :1- Ille 0 - a ..... ASMI. 22 Uw o...,, le* 2300. ,,.,,.... HJ 07007 7l00

FORM N*2 (baclcl Mir. Serial N o . - - - - - - CUTll'ICAT! OJI DESIGN

ResEonsibility of Others Oesi9n soecilialion* c.niliea by

                                                                                         *--                                 P.E. stat*                  Reg. no.

Oes19n r*o0t1" c.nili*d by "ResEonsibilit! of Others CEHTIFICA TE OF SHOP COMPLIANCE P.E. Stat* Re9. no *

~-

We c1111fy 11111 Ill* s1a1emen1s mad* in 1/lis reoon 11* canect and 11111 lllis llllH*I conform 10 111* nilu of cons1111c1ion of Ill* ASME Cad*. S*ctian Ill. Parts II

~*

NPT Certificate al Autllariu11an no. N-2041 E:spires February 20, 1993 I om¥~,L 9;i._ Nam* Combustion lldf Engineerin~ c:: .. w.c~** ......... Signed G. £{2.zr= CERTIFICATE OF SHOP INSPECTION

      .**          I. the undersigned. holding a valid commission issued by Ill* National Board al Bailer and Pressure Vessel lnspec:ars and the state or province ol and employedby          H* S* B.         I. & I.       Co

of Hart ford . CT have in101c11d tllese items described in tllis d.Jta 1111011 on 4/u/£Z
anc:t stall 111a1 10 the bes1 of my knowledge and belief. the Certificate Holder has latuicated !lien parts OI a11pur1enances in accordance will\ the ASME Code. Sec11on Ill. hell p111 ij11ed has.been authorized for s1am11in1J on the da11shown1baw.

By s19ning \Ills c1111foc11e. nei1h11 Iha inspec:or nor his em11lay11 makes any warranty. ex11ressed or implied. conc11nu.g Ille equipment descrobed on 11111 data reoort. FUtthermore. 111i1her Ill* insoector nor his employ., WJI b* uable in any manner for any personal inrury or prope11y damage or

      £~          loss of any kind arisinlj from or coMected witll tllis insoection.
                                                    / 4-1£~

... ~= R?£"kz ~;!v? #.(Jes z:

                                                                        ~.............

Date S"tgned Commissions IN**I . . --.1 .,....,~.,.,.... ,. . . . . . . ,... MIN. DESIGN DIA. I.D. LENGTH OVERALL . MATERIAL NOH. THICKNESS(IN) THICKNESS (IN). (Fr & IN) (Fr & IN)

SA-182-F347
406" . .391" 2.06" 4.25"
Lower Flange SA-182-F304 .125 .12 2.06" 1/4" Access Tube Flange SA-213-T347 .125 .12 1.260" 39.500" Access Tube SA-182-F347 .3135 .301 8.000 11 8.59" Seal Housing

- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Consu;:;iers Power ComEany Name Date --z/6 8~

                                                                                                       /       i 27780 Blue Star               ~1em. Hwy. Covert, MI                Sheet 1        of 1

Addreu

2. Plant Palisades Nuclear Plant Unit l

Name 27780 Blue Star ~1em. Hwy. Covert, MI w.o. ii ~Lf-IO L.J5L-r4 Addrau Rapalr Organization P.O. No., Job No .* etc.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp N/A Name Authorization No. N/A 27780 Blue Star Mem. Hwy. Covert, MI Expiration Date N/A Addrau

4. Identification of System f=:r--.:""""-A~tl Coof A~ SbSTe-~

5. (al Applicable Construction Code Sec.\~o""' -:III' 19j:fu_Edition, \ <:\~ Addenda, !'-/(!)....!~ Coda Ca$8 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 $3 S i "3

6. Identification of Components Repaired or Replaced and Replacement Components I

ASME l Code ! National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

                            ~""'6'.sT:c"'                                         ' Cf:>Co _se..,.i.tt \

r~~~-d5 c \q37 rv/-1\ . ~ .,:,qbb-fPI 1qqo ~e~l.4uJ Yes

                                *--,*...,,'1.."i~
                                  .../

I

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure .8'.J Other 0 Prasslire _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of liltl, sketches, or drawings may be used, provided 111 size is 8% in. x 11 in., 121 informa-tion in items 1 through 6 on thi1 repart is included on each sheet, and (31 each sheet 11 numblrwd and the number of sheet* is recorded at the top of this form *

(12/82) - This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks See... Af--\-_,qc,kd

_c- Applicable Manufacture,(s Data Report1 to be attached

                     ~          O\       The-          N-d-           t>AIA               R~~oFI CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this  r:;f( ;\Ce""""-'"""i:"f;;onforms to the rules of the ASME Code, Section XI.                                                           rapai or replacement TypeCodeSymbolS~mP--~~-,~~-L~~--------------------------------

Certificate of Authorization No. -~N_,~/)_J\__________ Expiration Date --.JN--.::;.i:h--.:A=--=---------- Signed ~~ignee. ~~ /7'r',Q, lb CT* oate _ _ _ _ _ _7_,_,~/ __~ .......--. 19 :Jc). 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 MiC/lc"<flJd,./ and employed by {>gaT<;;e:1'i"o,J /Yl<..ATU,flL of Alcte_Woo0 1 MA. *

have inspected the components described in this Owner's Report during the period ;1-/(p -92 to r-/(p -9;} , and state that to the best of my knowledge and Q&lief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the niquirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makBI any warr~ntv, 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 lou of any kind arising from or connected with this inspection. ~ Frtc.Totf!.'/ /)-1(..(,,((..A...l'tl.. Sy°.S(~n--1*

    ---------"=......._,~---------Commissions                                /h    '~ "'J{, ..::l.
                        ~                                                       National Board, State, Province, and Endorsements oata, _ _ _ _ _......      r_-../-"&""--_19
                                    .           9o<

(12/82)

1. Manufactured FORM N-2 N OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL an~ :irtilled by

2. Manul*CIUttd for Combustion Engineering NUCLEAR PARTS AND APPURTENANCES*

As Required by the Provisions of the ASME Code, Section Ill, Division 1 Comb us ti on r.:n L e SS Old Dover Road Not To Exceed One Day's Production r Inc. B Combustion En _ _ _ ,.,.,,..,..,.,,._M, Newington, NH I N ? B . 1000 Prospect Hi 1 J Road Pg. _l_ ot _l_ Nuclear Power, ewingtoi:i Operations Windsor, CT 0 609 S- 0 S 00 ..._ - - .... _.,.._, 3

            . Loca1ionolinuanuion                 CC'nsumers Power Co., Palisades Plant, Michicran
                                                                                                                                ~        .... M*elN See Remarks_ _ _ _ _ _ _ _ _ _ _N_o_n_e_ _ _ ----=l.::9..:9c.:G:...__ __
                                                                    ""'*l*l. INC . ..... I                   llffl ...... ur ..... tN                                rCAHI                                      ...

5. ASME CO<l*. Sec11on Ill: _ _ _ _1_9 _8_6________,. . ;;;1""9-'8;;..8.;:;.. ._______,l=------ _____,N-"o=n'-"e,___ _

1*°'"4_, ,..,...,..., 1c1u.11 *C-* Co* ... 1

6. F1blic11e~ in *ccord1nc1 wilh Const, Spec. IDiv. 2 only) _ _ _ _N_/_A___ Rovision _ _ _ _N,.;,/_A _ _ _ Date _ _ _ _N.;../_A___

7. SA-182-F347 Rtmarks:_~:...._::.:.~--------"...:..:C:...::..=..:::..::. Tensi'le _ _ _ _75 000

                                                                                                               -**      ,;_;;~1;,,,::.=-::...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

SA-182-F304 Tensile 75,000 SA-213.:.T347 Tensile 75 000 See Back 8. Nom. 1hicknoss r.n.J

Min. ~uign 1hickntss lin.I
Di*. JO 111 & in.I
Ler>Qlh ovenll Ill & in.I --*---

9. When app.liuble. CenHic1tc Holders* data reporu ue 1tuched fQI each item al this report:

I Put or Appurten*nCI ~MX Part or Apourtenance N11io,,al I Seri.11 Number ~~~- Serial Number 8011d Number x!X~~~

                                                                                                                                                               ..                             in Numerical Order ASSP.mbly              No.

Mff.934S.N. I 111 2966-66 Assy 2 126! 121 2966-E."1 Assv 4 193S 1271 ' \ 131 2966-68 Assv s 1936

                                                                                                   .._                       1281 _ \ .

141 2966-69 AS!:iV 11 1937 1291 \. 151 2966-70 Assv 1 1938 1301 '\ 161 2966-71 Asc::v lB 1939 1311 \... 171\. IJ2J \... I I 181 '\. 1331 '\ 191 '\. 13"1 '\.

                                                                                                                                                                      \...

1101

                                                                                                                          1351                                                                                                -,  "*

1111 1121 1131

                                         '\.
                                             '\.

13151 1371 1381

                                                                                                                                                                         ""   \

11"1 '\. 1391 '\ 1151 '\. 1"01 '\ 1161 r'-. 1411 '\ 1171 '\. 1"21

'\

1181 '\. 14JI '\ 1191 '\. JUI I '\ 1201 '\. 1"51 \... 12tl 1221

                                                                                   '\.
                                                                                           '\.

1"61 1"71 " \...

             , 12JI 12"1
            . 1251                    . - .
                                                                                               '\.
                                                                                                   '\.

1481 1"91 1501 -- .. - -- - - - *-*

                                                                                                                                                                                                                       " '\
                                                                                                                                                                                                                            '\
                                                                                                           '\.                                                                                                                 '\

10. o..~ Pttssure _ __:2:,J,r...;S~O""O____ psi Tt1n9. _ _;;6_;0""0=-------*F Hydro. 1tst p<essu**---=3'-"-'1=2-=5'--___ 111tmp.B0°F MIN.

l_,.,......-..&. . . .t

        *~1.t             infonna1ion in \h4 form of 1111. ,._elil;MS. * **"'""9* may be vied~ (U MH r. I',

I, 121 iftlonnat'°"' wt ttem' l *n4 l.,. ,,.. Uta""°"'

        ""°"°*d on   **cl'& Meet. Ill ucr. ahe*I r. ,,.,,,.,..o.t*d end ""'- ~ of "'-*ts iii *tC'CWdH ** the '" of thlt lo*"'*

Thi* form l[OOQ.fi0t may bit obla.ned lrom 1"" Orftt Oept .. ASMl. 22' law ()ri.e. los ?JOO. ,*. . 1...-td. HJ 07001-2)00

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Consuwe:rs Powe:r Company Date _ _ ""]-L-l-/_7-.!-...,/q'---L::i1:,)::.....:...,___ _

Name I I 27780 Blue Sta:r i-!em. Hwy. Cove:rt, MI Sheet _ _l __ of _ _l __________ Addreu

2. Plant Palisades N'uclea:r Plant Unit ___ l _______________

Name 27780 Blue Sta:r :.-!em. Hwy. Cove:rt, MI w.o. ti c)'j IO=f 553 Addreu Repair Organization P.O. No., Job No., etc.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp _ _ N_/,..,A________

Name Authorization No. ----.,...N..:../,...,A,..._------- 27780 Blue Star Mem. Hwy. Covert, ~n Expiration Date _ _ _ _ _N.. .:. . /_A_______ Addreu

4. ldentif~~ionofSyttem_~~-~~~~~A~~-~~-~~~~~~l~A~~~l~-~~~~~S~~~e~~~~----------

5. (al Applicable Construction Code5ec.""'\.'o"'- 1j[ 19.1'._Edition, \4'TI Addenda, do..v§ Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 ~3 'S' 'g S

6. Identification of Components Repaired or Replaced and Replacement Components
Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes I I I CD""' bl..<St .: O"\ C ~ca S"e'!"'\A I cJ~~-5 ~~\~.-..~!"-\ .....( JO;}.\ N/A** =*~qt...b--,q' 1'1l14 F::'e~Aced Yes

                                 ~             ...                                                                                  \

i i I

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Presture g)

                                                                                                                                                              --1 Other  0    Pressure. _ _ _ _ _ psi Test Temp.                      *F NOTE: Supplemental sheets in form of lists, sketch*, or drawings may be used, provided (1I1ize fa 8% In. x 11 in., (2) informa-tion in item1 1 through 6 on this report i1 included on each sheet, and (3) each sheet fa numbered and the number of sheets i1 recorded at the top of this form *

(12/82) - This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS*2 (Back)

9. Remarks __;~-...;:::....;;;;.._......A--'-~-'-T....:.....:..A...;.:C=;_,c..:.he-=-::;;::d~*-----------------------

Appllcable Manufacturar's Data Aeport1 to b* attached

                                                   .            CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~\:'\Ace..IML:;ronforms to the rules of the ASME Code, Section XI.                                                                     r11po1r or replacem*nt TypeCodeSymbolStamp _ _ _                      f'-l__,~~---:A----------------------------

Certificate of Authorization No. _ _ _,_N_.,.1/__.A<....-:--------Expiration Date _ __,N'--'-._0_;.q--'---------- Signed --==l f:t * ~ Ownerc>(Qwn~gnff, Tltl* Sr- A ~A l11s-r Date _ _ _ _/ ___+-/_-:z_

                                                                                \J CERTIFICATE OF INSERVICE INSPECTION
                                                                                                                 . I

__,19 q~ I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of fVJ1'C/11"GtteJ and employed by P/2.<;>T<5-c=T,"a,..i ML.(;THAl of W w

have inspected the components described in this Owner's Report during the period to +/--lw-9?£ , and state that to the best of my knowledge and belief, the Owner has performed examination1 and taken corrective measures described in th is Owner's Report in accordance with the requirements of the ASME Code,. Section XI.

By signing this certificate neither the Inspector nor his employer meke1 any wami.ntv, expreued or implied, concerning the examinations and corrective meuun11 described in this Owner's Repart. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any pel'IOnal injury or property damage or a loss of any kind arising from or connected with this

   '""'""""*               ~                                                          Ptcr"'"7' ""-*T'-'-"L S'I~
    -------~""'"-'==---.-;........-.-----------Commissions...1.fl1..;;...:""~*-~fii:..;~~d..=---------------

1n11>Rtor'1 Slgneture Nmtlonel Boerd, Stat*, Provine*, and Endor..m*nts Date_ _ _ _ ___.7. . .-/.._.(o

                                            . . ____19 9r1.

(12/821 L

FORM N-2 N OR NPT CERTIFICATE HOLDERS' CATA REPORT FOR IDENTICAL NUCL.EAR PARTS ANO APPURTENANCES* _As Required by tho Provisions of the ASME Code, Section Ill, Division 1 Not To E.xceed One Day's Production Pg. _L_ of _l_ Combusc ... on i:.ngI.1 .. er ...ng, .1.nc., ABB Comba.,,..... uu E.rg.!.n.:et.-.ng .mclear I. Manul*ctund and c1rtilied by Power, dewington 0 pe~Wi.,.*....c:.t Ai-4 , - , + - ~,. :t

                                                                                                                               ... .us&-..ou~=.i; ........ , .~e ... ngcou, r.a
                                                                                                                                                                                      -.n:r 0380 l 2.

Combustion Engineering, Inc., NPB, 1000 Prospect Hill Rd., Windsor, CT Manulactured lor _ _ _ _ _ _ ___:;___ _ _..;;;__-.,..--....,---.-:-""".':'.=:---------------..,... ___................ 06095-0500

3. locarion of installation Comsumers Power Co., Palisades Plant. Michigan ~#4_..D ..

CND-E-4667

4. Tve1* peir 07 See Remarks ldrew-.,,...J ""'-41.IMC.."9.J

5. ASME Code, Section Ill: _ _ 1_9_8_6______ - - - - - - - - -

6. F1b1icated in accordance wirl\ Const. Spec. 10i'I. 2 onJyJ _ _......_.._ _ __

7. Remarks: SA-182-F347 Tensile 75,000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75,000 See Back 8. Nom. thickness fin.I

Min. design t/lickness fin.I

9. When apo~ble. Cenifica111 Holders' data 1e11ons are anacl'led lor Hell i11m of t!U repon:

Dia. 10 111 &. in.I

Len9tl\ overall Ill & in.I
Pare or Apgurtenanc* ~I Pan or Apoun1nance National Serial Numller EllllKiitO!P. Serial Numb11r 801rd Numller

                                                                           ~illiiiUl!:'llil                                                              in Numerical Creer Assembly No.

Mfy. S/N m 2966-77 Assv 17 20 9 126! 121 2966-78 Assv 18 131 2966-79 Assv 19 2020 2021 ..,_ 1271 1281 141 2966-82 Assv 23 2022 1291 151 2966-84 Assv 26 2023 1301 161 1311 171 1321 181 I I 1331 191 I 1341 1101 1351 1111 1381 1121 1371 1131 1381 1141 1391 1151 1401 1161 1411 1171 1421 1181 1431 1191 1441 1201 1451 1211 1461 1221 1471 1231 14111 124) 1491 1251 1501

          .10. D** 0tn*ur*--=2..,...S..,,O..,O-..._ _ pa Tanci. _ _                         60_0_____ *f Hy0to. 11111 PfHllUll -~:.._.....;;._ _ _ 11 temp.
                                                                                                                                                                                  °F
           *s...... RGCl.f .. lftfenNl.... illldle ,.... ** hll.'llletdMta. **l'Wlriftt*m.eylMwM~ 111 . . . . . . . , .
                                        ~**--**--                       ....

1.121 .................... J * - l cn &AltOHI lloer1 .. 18'Hl* I Tllill 1 - 1£00040! may te - :.- Ille 0 - OlllL., .ur.tl. 22 Law o..... le* 2:100. "-* HJ 07007 2~00

FORM N*2 (baclcl

- .*** Mir. Serial N o . - - - - - -

CERTl11CATI Of' DESIGN

ResEonsibility of Others Oesign s111ciflca1ion1 ceniffed by

                                                                                        *--                                P.E. 1111e                     Reg. no.

0Htgn 18Dor1

ceniffed by *Res:eonsibilit:;! of Others P.E. 11.111 Reg. no.

CERTIFICATE OF SHOP COMl'UANCE We ce111fy 11111 Ille statem1n1s made in 1Ns reoon 111 conect and lllat Ulis llllnel conform 10 1111 rules of con11ruc1ion of Ill* ASME Code, Section Ill. Parts II NPT Cenrfic.11* of Au1horiza11on no. N-2041 E2pirH February 20, 1993 I omo<f{PG,L 9~ Name Combustion Engineerin~

                                                                            .,,,,,C.. Wc.aa*,......*            Si9ned      G. f:-f.?. 7.r.=

CERTIFICATE OF SHOP INSPECTION I. the undersigned, holding a valid commission issued by Ille National Bo11d al Boile1 ind Presswe Vessel lns11ec:ars 1nd the st.111 or province al

*~

and emgloyed by H. S. B. I. & I. Co.

-* al Hartfgrd

CT ll11t* ins11ec11d Illes* items described in Ulis d1111epott on 4/z.s/£2!
and SI.Ill lhH 10 lhe besl of my knowledge and beffel. Ille C1rtific111 Hald11 II.ls f.1bric111d lhese pans or 1ppur11nances in 1cco1d.1nc1 will! 1111 ASME Cade. Section

 .::~  .          Ill. Each part ij11ed hH been 11111\0riHd l0t stamping on 1111 dale shown above*

By signing 11111 certific11e. nei1lllf Ille inspectOI nor llis 1mplcr,lf makes 1ny w11r1nry. upressed 01 implied, c:ancunmg Ille equipmen1 described

                  "' 11111 d.111 teport. Funllerm011. n1i1ll11 Ille insaect01 nor his employet snaa be ~ble in any m1Mer 101 any personil mrury or property dam19e or loss ol any kind arising from 01 connected willl Ulis insoec1ion.
                         ;#&-&z                    / a-P~                                                                   A/?IZ<J? d-<:Jcs z:
 ~=

011. Signed

                                                                          .....................                 Commissions
                                                                                                                             &H11 I . . IMll .,..~.......,.." U*r.- 1* . . . . . . ,.. I

..
DIA. I.D. LENGTH OVERALL .

MIN. DESIGN MATERIAL NOH. THICKNESS (IN) THICKNESS (IN). (Fr & IN) (Fr & IN)

SA-182-F347 .406 11 .391" 2.06 11 4.25"
Lower Flange SA-182-F304 .125 .12 2.06 11 1/4" Access Tube Flange

  *.*      SA-213-T347                                             .125                                     .12                              1.260"                               39.500"
 ..        Access Tube SA-182-F347                                             .3135                                    .301                             8.000"                               8.59" Seal Housing

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Coda Section XI

1. Owner Consumers Power Company Name Date_7~/_,,,7--l-/'--4"""-"".}.<-----

                                                                                                /           I 27780 Blue Star ::-fem. Hwy.                 Cover.t,     ~11         Sheet _ _l _ _ of _ _l __________

Addreu

2. Plant Palisades Nuclear Plant Unit _ _l________________

Name 27780 Blue Star Mem. Hwy. Covert, MI w.o. 11 s)~ (O '-f.551j Addresa Repair Organization P.O. No., Job No., etc,

3. Work Performed by Consumers Power Company Type Code Symbol Stamp _ _ N..;../,...A_ _ _ _ _ _ __

Name Authorization No. _ _ _ _ _N_/..,..A.,....-_ _ _ _ _ __ 27780 Blue Star Hem. Hwy. Covert, ~11 Expiration Date _ _ _ _ _ _ N.,:./_A_ _ _ _ _ _ __ Addrea

4. Identification of System f=t. i t"?A!'~ Cool A~ s~VV\

5. (al Applicable Construction Code$e.ct""' N 19,]fu__Edition, \m Addenda, No A.If: Code Cai8 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 '&3' S i ~

6. Identification of Components Repaired or Replaced and Replacement Components
Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME or Replacement or No) Code Stamped (Yes Co~b"'S\\c~ c t'C.O Se.I'\-"' l cR~-15 P~AL'l *r\U.~ ...a IJ

                                                 ~oll              NIA          * ..11~-8°1               1qq~ ~~{Aced ~s
                                             \;j                                                                             I l

I I I, I i I

7. Description of Work Re.. ~ l Aced Co~t:o \ l'-od d I' i'le.. Se A (

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure ~

Other 0 Presaura _ _ _ _ _ psi Test Temp. *F NOTE: Supplemental sheets in form of Jim, sketches, or drawings may be used, provided (1) size is 8% In. x 11 in., (21 informa-tion in itam1 1 through 6 on thi1 report 11 included on each sheet, and 131 eech sheet i1 numb...wd and the number of sheets is recorded at the top of this form * (12/821 - This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Report* to b* .stt11chad CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this (':e ~\ Ace~-;fc"onforms to the rules of the ASME Code, Section x I. r11p11i or r11pl11cem9nt TypeCodeSymbolStamP--~f'J__,,._~-'-/4.----------------------------~- Certificate of Authorization No. __A_________ Expiration Oata _ _ _N_,,_~_:A

                                             --+-N--=;...,,._/                                                                       __________

Signed--=-..::::J~?fl-...........,,..~-*~

                                      -* 1:J~----~$=--r-_...._A~~-A---,-IJ.6"tt-=-'--Data _ _ _ _

Owner or OwnmnH, Titl* ~ 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 m 1'Clf,'C;&J and employed by P@.ore._-s:.Ti<ri,J muTu.dL I __7_ 19 '9;>.. 7.......,/ of N~tewQoi). MA. . have inspected the components described in this Owner's Report during the period ']:-/(p

9.,2. to
J'-/(p - 9?2. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Coda, Section XI.

By signing this certificate neither the Inspector nor his employer makes any wamiritv. exprelsed or implied, concerning the examinati9ns and corrective mea1un11 described in this Owner's Report. Furthermore,. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Fl'ic..Totz.'1 /'r-zuT~l.. S'r'S~

    --------~+:-""""";....:,.'-"'"""""""'~=""------Commission1 1n~                                                        _ _.l1-:..'1
                                                                                                  ......1_,',.__1-<.     ~"".;2..'-=-----,-----------

National Bo*rd, St1t*, Province, 11nd EndorMments Oate_ _ _ _ _ _y.,___,-/:.....;G:o=-_19 9..1. (12/821

FORM N-2 N OR NPT CERTIFICATE HOLDERS" DATA RE?ORT FCR IDENTJC)..L NUCLEAR PARTS ANO APPURTENANCES* Aa Required by 1he ?ravi:sian:s of 1he ASME Code. Sec:ian Ill. Divi:ian 1 Nat To E.xceed One Oay'.s Produc:ion

J. Loc21ion of insuUuicn -~c~o<J.ml1's-.u~m!.5ew!...:S;i._'P~o~".J.::e...r:.....lC~o~ * .l.'_.:.'P.::a~l:.:1=:"s~a~d:.:e=:=s=-P:::-:1.:a:..:.n::.;t::...;..

                                                                                                                                                                                * ._.:..:M,.,i:..;:c:..:.:i.:..:i:..:l?:.;a:n.:..:..._ _ _ _ _ _ __

CND-E-4667 ___....

                     .c r YO*-............

1;1,.,.

                                            ,~-.-

Qi Seo

                                               ..........~~.-,-----"~~.....

Re:na,.ks None _..;,,L~**M~~u....,...::..ii-----u,-._--,-M,-~-,M---------~~.c:..:.~"='-------~7~~.-~..... 1992 --,-------

s. ASMe Cod*, Scc11cn 111: __ 1_9_8_6______________1_9_8_8__. ________l _______ ---:---..:N;..:o:..:n.:.:e:.......__

I*...,_. INH~ ICIHll 1(.;1u C4 H,.. I

5. F1bricatcd in acccrdanc1 with Cons1. Spec. !Ci.,,, 2 onlyf--~~I.:.f.::!________ Revision _ .....~ f ...l ______ Cate ---~~/_l_ _ __

1. Remuts: ___:=.;SA!:l.-......:.;18:::..:..2-_F~3::..:4:;..7:__ _~T~e:.:.:n:s.:.i.:.l.:.e_ _ ___:7..:5:.. !,:. .:::0:.. :::0:.. :::0:..-_______: - - - - - - -

SA-l82-F304 Tensile 75,000

*.:*                                           SA-213-!347                                     Tensile                                      75,000 See Back                                                  *                                                 *

8. Nom. thickness (in.I ______ Min. design thickness an.1 _____ Cia. IO 111 & i n . I - - - - - Lcnglh overall Ch & i n . I - - - - - -

9. When apgttcable, Ccnilic~11 Holders' da11 rei:ons 111 auacl'led for ucll i1em ol 1IWI 1epon:

I Part ar Apgurienanca JU£r&HK Part ar Apgur11nanca Nation~ I S*rial Num!ler BXDK Serial Num!ler

                                                                                                                                                                       .                                                           So11d Numcer Assembly No.                                            ~JOOWUf                                                                                                                                 in Numerical       Cu~er Mfg. S/N

- 1112966-80 Assv 21 121 2966-81 Assv 1J1 2966-83 Assv 151 151 171 221 241 2016 2017 2018

+-

1251 1271 1231 1291 1:101 13tl 1:121 I I I I I I

                            !81                                                                                               l:l:ll 191                                                                                               l:l"I                                                                                                                        I 1101                                                                                               1351 1111                                                                                               1:!111 1121 11JI 1141 1151 1161 I

I I l:l71 1:181 l:l91 I.COi (411 II I 1171 I 1"21 I 1181 I 1.Cll I 1191 I 1441 I 1201 I 1"51 I 12tl I I I 1221 I '"" 1"71 I I I 1231 I.CBI 12*1 (491 I 1251 1501 I I I

              .1 O. Oni<pt pressure _ . -....... 2.500
                *s.,.....,...._. _,.,....,... iLit lftll

.....:"----- ;si T111111o _ _.6_.0_.o.....____ *F Hy.sro. 1111 prasun __J;;..;..,.;;J.. ;.2.;;:J______ 11 m ~0 *F

                                                          ,.,,.. *I l1IL 1&eteftet. * .,,..... atY . . v11* .........i 111 **,. 1'1

1. l21 ..,._,._ * ...,.., Z,,.,. 2.,. a... fall, * ..,. tt

                                                                                                                                                                                                                              ...              11 11
               -  ......... _.,. ....     ~I   HCll - 1 1 1 _. . _                   .... _     .. _ . , , . ,_,.. . n IM-9' ..... ,......

1&:151* I Tllil , _ 1(00040! """ .. ....;. ,,_ .... °'*' 0 ..... .olSMI. Z2 ~-en...... z:ico. ,,.,,.,.,HJ o:co1 Z:IOO

FORM N*2 (bacl<J Ml1. Serial N o . - - - - - - CEATIFIC.lTE OF OESIGH

Responsibility of Others 01S19A sD*cilica1ion1 c11tili..i 11y P.E.. sllle 1119. no.

  *~.*

. *:* Oes1gn regon

c11ulied lly Rest>onsibilitz of Others P.E..s111* 1119. no.

CE!ITIFIC.l TE OF SHOP CCMPUAHCE

  '="*   We c1n1ly 1P1ai !Pl* sia11m1n11m1dein111i1 roDOn ir* carrec1 and Iliac !his 11111..1            Parts                                                                 II
  *.*    conform 10 tPI* Niu al constrvc1ion al tit* ASME Cad*. S*c1ian Ill.

NPT Car11lin11 al Au1Plariza11on no. N-2041 Ezpiros February 20, 1993 I om~s/j~ Name Combustion Engineering

                                                                 .,,,_ f C:**WlllUI* ,....,.~*

Si;ned G~z.2~ CE!ITIFICATE OF SHOP INSPECTION

**~

I. IPle 11ndersigned. llolding a valid commission issued llY Ill* Ha1ianal Board ol Boiler and Pressu11 Vessel lns111c:ors and 1he s1a1e or province ol

 -~
 *.~                                  and emgfoyedlly           H. S. B.          I. & I.        Co.
 *""*  ol        Hart ford. CT            llal** insDec:ed Illes* i1ems described in lllb da1a rei:ior1 on       Z/z.-c/      f'?

and suet 11u1 10 rhe llesc of my knowltd'i* and b*ttd. Ill* Certilica1* Holder llH fatuicaced lllese parts or a11i:i1111enances in accorc1anc1 wi111111e ASME Coc:e. Sec11on

 .:*. Ill. Eacn pa11 lis11c1 llas been au1Ploriud lor s1am11in9 on Ille date shown abov* *
  .,   Sy signing !Ills c1111lic11*. neither Ill* ins111c:or nor llis employer makes any warraniv. upressed or impfied, ccnc11r.ing 111e ec:uiomen1 c:escrrbecl in  1P11i da1a re;iort. Funllermore. nci111er Ille insaec1or nor his employer shaQ be Gable in any mar.ncr lor any pencnal iniury or proper1y damage or i

loss of any kind arising lrom or COM*cted w1111 lllis ins111c1ion.

              &/2.lZZ,Z,,
                                          ~~-*-*                                                                    ~4'c~ 4/1i:_C..S.Z:

Cate Signed

                                                                                               -       Commissions
                                                                                                                     &N*** .. ............."""'""".... " ....... .,...........

1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the-ASME Coda Section XI CoP_Su::\ers Power Company Date _ __.]~/_{)~/---!...!~ ;t._,~---.-

Name 7 I 27780 Blue Star Xem. Hwy. Covert, XI Sheet _ _ _ _ of _ _1__________ Addreu

2. Plant Palisades Nuclear Plant Unit ___ l _______________

Name 27780 Blue Star ;.1em. Hwy. Covert, MI w. o. it c:l. Lt Io Lt 5 55 Addreu Repair Organization P.O. No., Job No .. etc.

3. Work Performed by Consumers Power Company Type Code Symbol Stamp __N'."'.:,.:.,/,..,A_ _ _ _ _ _ __

Authorization No. -----:-N:-'/.,..A~------- Nam* 27780 Blue Star Mem. Hwy. Covert, MI Expiration Date _ _ _ _ _N,_.;.,/_A_ _ _ _ _ _ __ Addreta

4. Identification of System ~\w-.A I"--~ Ceo {A~ S(Js-t°e..vY\.

5. (a) Applicable Construction Code ~11'°"' -nI* 19.Z&_Edition, )'j~ Addenda, #o;</s Code Case (b) Applicable Edition of Section XI Utilized for Repairs or RE1Qlacements 19 <:&3 'S ~"3

6. Identification of Components Repaired or Replaced and Replacement Component*

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Yeer Built Repaired, Replaced, or Replacement ASME Code I Stamped (Yes or Nol I CF'Co se~iAI C.O IN\b~""' cR:~-ss ~,~\~ni~ J.olb N/A. ~ _Jqt.t.-<i<o 1qqd R~IAced Ye~ I

7. pescription of wortc._....1..R.._e~~l-'l....A.-C.-e._J_..;::Co::;......~_'1"1

                                                                              ....~_...:..\_('i~od=--d=....;\'-_i:;..iyii..;;e.-.....:.S-.:..e""'A.&...:..\_.:..\t\...:..o_<A_S.,..__

i~* ,;;..+'---

 -8. Tests COnducted:       Hydrostmtie           0        Pneum.tic        0         Nominal Operating Prenure                     ~

Other 0 Prenure _ _ _ _ _ pli Test Temp, °F NOTE: Supplemental sheotl in form of 11111, 1lc1tchft, or d111wing1 may be uaed, provldld 111 1iz* 11 81' in. x 11 in., (21 informa* tion in items 1 through 6 on thi1 report 11 included on llCh sheet, and (31 eectl shMt 11 numberecl end the number of 1hHt1 i1 recorded mt the top of thl1 form *

(12/821 - This Form (E000301 mey bl obt1in1d from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _...;:Se;.-.to...;;;:____"""A"i-t~___.A....;..C~~....;:::;..d_*_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable M*nufmcturer'1 O*t* .Report* to be attmched t'r t' AC-e~~onforms to the rules of the CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ASME Code, Section XI. r~*ir r replmcement Certi.ficata of Authorization No, _ _...N'-"._.,:/_;..A.;....________ Expiration 01te _ _ _...N--'h~:A_,__________ Signed .:::J./::1.3-._b Owner or os:fse1ignM, Title Sr- AV\.A /}1.'S"'\'

                                                                                        '::J Oat*---'~/-~           ;

_ _ , 19 t::fi:} 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 /1:11 'W Gael and employed by 1pt?+:,n:._-c.r<<oeJ My n.. vtL of Nqf<....LJooU.1}1ft* I have inspeeted the components described in this Owner's Aepon during the period J-/<0-922. to 7-1(:,-9,a , and state that to the best of my knowledge and l;lelief, the Owner hat performed examinations and taken corrective measurH described in this Owner's Aepon in accordance with the requirements of the ASME Code, Section XI. By signing this cenificate neither th* Inspector nor his employer mak* any w8rrantv, uprllled or implied, concerning the examinations and correctiw meesur11 described in this Owner's Report, Funherrnore, neither th* lnapectOr nor his employer shall be liable. in any manner for any pel'IOnal Injury or property damage or 1 loa of any kind *l*int from or connected with this

                                    ~                                                               F:~7'~-::~~

1 inspection. S'J'ST&>->

    ---------~.P..                      . . . .~...,... . . . . .--.-...________ commlnion1.....:r...;.i-.:..:.

1napector'1 Slgnnur* 1 ..:...~?3!!!.~~...._==------------------- Nttlonel loeN, State, Province, 1nc:1 Endor.-nenu Oate,_ _ _ _ _ _7_.__-.....l....~...__19 9.6 (12/82)

. . FORM N-2 N OR NPT CERTIFICATE HOLCE.MS' CATA RE?ORT FCR IOENTlC:.L

1. Manufactured and ..nilied by I,,

NUCLEAR PARTS ANO APPURTENANCES* A:J Required by th11 ?revision:!. of the ASME Code, Sec:ion Ill, Division 1 Not To E.xceed One Cay's Produc:ion Pg. -1_ of _l_ u5~uc ~ 6 u clear J.1c*.. ~ugcon, ~ra 03801 Rd., Windsor, CT 06095-0500

3. Locarion cl insralluion Comsumers Power Co., Palisades Plant. Mic~i~an

                                                                                                                                                             ~ . . . ,Meir. . . .

CND-E-4667

                              .c. Type          Re,.          Q7                       Seo Remarks IC.,. ..... ,_,J                           ""'61'L JNC.. N.I S. ASME Cede, Section 111: __1_9_8_6_________...;;.~----

110*_... d

6. F1brica1ed in accordanca will! Const. Spec. !Civ. 2 onlvl-""'"'-'-=-----

7

Remarks: ___s:;.;A~--*.:.;18::.;2: . -. . :F:. .:3: . .4. . :____

7 -=.T.=.e::.n;:.;s1::.:*1;:.;e::...._ _ _. .;.7.=.5.:. ,. ; .0. ; .0.; .0_ _~-----:------- SA-182-F304 Tensile 75,000

    *.:*                                                  SA-213-T347                                           Tensile                                       75,000 see Back         a.                                        *

Nam. tllickness lin.J _ _ _ _ Min. design thickness lin.J _ _ _ _ Oia. JO Ill & i n . I - - - - lcn91ll overall !It & i n . I - - - -

9. When appr.cable, Cer1ificare Holders' data re;ons are aructied for uch icem ol rhis report:

Pan or Appunenance ~K Pin er Appunenanc:e National Serial Number ~x~ Serial Number Board Numccr

. Assembly No. !tiOOQiOOOOO( in Nvmerical Cr~er Mfg. S/N 1112266-80 Assv 21 2Qlfi t 1261 1212266-81 Assv 221 2QlZ I 1271 I Assv 241 2018 i I 1:112966-83 I

12SI 1291 I

                                     !SI                                           I                                                                   IJOI                                   I 161                                          I                                                             I      1311                                  I l7l                                          I                                                                    1:321                                 I 181                                          I                                                             I      13JI                                  I 191                                          I                                                             I      1341                                  I 1101                                           I                                                             I     IJSI                                   I 1111                                           I                                                                   1:!61                                  I 1121                                                                                                                1371                                  I I

11:!1 1141 1151 I I 1381 IJ91 1401 I I 1161 I I 1411 I 1171 I 1421 I 1181 I l4JJ I 1191 I l.C41 I 1201 I 1*51 I I 1211 l.C61 I I 1221 I I 1471 I II 12JI l.C81 1 i2.c1 l.C91 I l:ZSI 1(501 I I

                       .10. DesicJn 11renur*--=2....-=S_,O...O         ____ psi T1mp. --'6""'0""'0--.____ "F Hydlo. 1111 pressur1                                                          3' .1.:Z::>
                                                                                                                                                                                             .................      n  1ern11~u.F
                        *swo""'"'Mla.I .. 1°""'1..n ift l"'9 ,.,,,. el 1111. 1ae1C1M1. * *1wiftt1 may De v11* Of9"CIH 111JU*,.1 11 .a 1. l21 iftlennasa1 ***tml %1ftlll ~on.,... dlll 1*0011 *e
                                                         **Cft ........ ,...,.,*

ll"Ctvclltd on Helt .,. **** IJI .i .... 1"41 f'UfnOer ** IA**ll .. IKOfGed II .... In ** """ IOtnt. 16:851* I Thill'°'"' l(C0GA01....,, De *01- """' " 01d11 01ai.. ASME. 22 u .. c..... !GI l:JCO. ,,........ llJ o:co1 2:100

FOAM N*2 (bacl1e ol Au1hariza1ron no. N-2041 Expiies February 20, 1993 I om c¥2s/J;;;_ N*me Combustion Engineering IHl'T c.u.ioe.11* ~*~* Signed GPL2~ CERTIFICATE CF SHOP INSPECTION

\ .; I; Ille undersiqned. holding
v*lid commission issued by Ille Na1ion*I eoard ol Bailer and Pressure Vessel lnspec:o1s and the stale or province of
" .;' *nd omplayedby H* S. B *I. & I. Co* *"'* ol Hart ford. CT have insaec:ed these iiems described in this data repon on Z/z.;-/Z?
and stale llm 10 1he
;~
best of my knowledt;e and belief. Ille Cet1ifica1e Holder hu fabricated these parts or appurtenances in accordance with the ASME Coce. Sectron
.:.**. Ill. heh pan listtd has been 1u1hariied for s1ampin9 on the dale shown above
By signing lhrs c1r1rfica1e. neither 1111 inspec:ar nor his employer makes any wa11an1y. expressed or implied. ccncerr:ing the ec:uipmen1 cesc11bed
"'1hrs da1a 110011. Fu11hermore. nei1her 1he inspector nor his employer shall be Gable in any mar-.ner for any perscnal inJUrY or properly damage or .~
loss al any kind arising from or connec:ed w11h this ins11ec1ian.
~9if2*~*****-*
Om z/2..£L'7,z,, Signed Commissions Al..t.?"Z 4./-ri:._c..S1..- IH... I llldl ...... ,,., ............UI ......... .,.. .......... I MIN. DESIGN DIA. I.D. LENGTH OVERALL THICKNESS (IN). MATERIAL NOM. THICKNESS (IN) (Fr & IN) (Fr & IN) SA-182-F347
Lower .406 11 .391" 2.06 11 4.25" Flange SA-182-F304 .125 .12 2.06" 1/4" Access Tube* Flange SA-213-T347 .125 .12 1.260 11 39.500 11
.. Access Tube SA-182-F347 .3135 .301 8.000 11 8.59 11 Seal Housing 11
1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI C..Jri_su::iers Power Company Name 27780 Blue Star ;.rem. Hwy. Covert, m Sheet _ _ _ _ of _ _1__________
Addrau
2. Plant Palisades Nuclear Plant Unit------------------
N1me 27780 Blue Star :rem. Hwy. Covert, MI w.o. ii d-4IOL{S5b Addrea Aap*lr Org1nlzatlon P.O. No., Job No .. ate.
3. Work Performed by Consumers Power Company Type Code Symbol Stamp _-:-:N~/r-:A_.'---------
N1me Authorization No. _ _ _ _7N=-"/*A:-------- 27780 Blue Star Mem. Hwy. Covert, MI Expiration Date _ _ _ _ _N_,.:../_A_ _ _ _ _ _ __ Addreta
4. l~ntif~~~n~Synem_~~~~~~~~~~A~~~~~-~~~-'.:..A_~_.:..{_ _~~~~~~-~-~-~-----------

5. (al Applicable Construction Cod1$c.."i"'io""- 11L 19 '8°b Edition, ~ Addenda, /\/'o,J<:; Code Ca~
(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_1.-..~_S_ 153
6. Identification of Components Repaired or Replaced and Replacement Components I
ASME J Code I National Repaired, Stamped I Name of Name of Manufscturer Board Other Year Replaced, (Yes or No)
I Component Manufacturer Serial No. No. Identification Built or Replacement Lt"c.o S"e.,...\AI cR~-Lt-d.
Cc ""'b"Si ic-1"\ E.~ :,"'ee':""\~ '<q5g rv;{4 , :t:f:~bt..- 70 ('9190 f<'~ IACe.J \"ciS
7. Description of Work \< e. ~ I.fl.c..ed CoV\..T~ \ i'""cd

8. Tests Conducted: Hydrost!tle 0 Pneumstfc 0 Nominal Opuatlng Pressure~
Other 0 Prenure _ _ _ _ _ psl Test Temp. °F NOTE: Supplemental sheet* in form of 11111, 1k11ch11, or drawings may be used, provldld 11 I size 11 8li in. x 11 in., (2) inforln9* tion in items 1 through 6 on this report 11 included on each sheet, and (3) elCh shMt 11 numberwd and th* number of 1heet1 is recorded at the top of this form *
(12/821 - This Form.(E00030l may bt obtained from thtr Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FOAM NIS-2 (Back)
9. Remari1ed FORM N*2 N OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL I. M*r>UflCIUlld ane ;111ill*d by 10 , Combustion NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code, Sec1ion Ill, Division 1 Comb us ti on r:n : SS Old Dover Road Not To Exceed One Day's Production Engineering, Inc,, N P B BB Combustion
~~..._..,....,,.,..,,..,.,,.,.,_"'Newington, NH 1000 prospect Hi Pg. _l_ ot _l_~~
~~J J Bnad Nuclear Power, ewingtory Operations~~
~~Windsor, CT 0609S-OSOO ..._ .... _ ....,_.,....,,~~
~~J. Loc1tionofinJ1anaiion CC'nsumers Power Co., Palisades Plant, Michioan~~
~~.CND-8-4667, .._ __ ,..,~~
~~4 . Type Rev . S See Remarks None~~
---~"'""------ 1990 1or**., ,..** ..... n., .. c.""9.I lt9f't.,..,.,.....,,,.. tC"" '? .........
S. ASME Codi, Sec11on 111: _ _ _ _1_9_*_8_6____ ------'l'-9'-8""""8___ ------------- l ICIU II .,..,,... ___.....,....__,_.,...,.~--- None 6, F 1bt*Ca\1'1"' cco1dlt"'1Ct wilh Consc Spec. !Div. 2 o n l y ! - - - - - - - ftrv111on - - - - - - - N/A N/A 0110 N/A 1
~~7. S ~-1s2-F347 Tensile R1m11ks:_~n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~'.....;..."-"---------------------~~
75 000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75 000 See Back B. Nom. 1nionus nn.I
Min. ~ui9n 1nicknus fi,,.I

Oi1. 10 II* & in.I --*--L1n;1h ov11111111 & i n . I - - " * - - -
~~9. Wl"len 1poli~ble. Cenificllt Holden* dlU reporu art 11uc:l'\1d tor rich item o( 1his renort:~~
I P1rl 01 Appu111n1nce ~l<X P.111 Of Al)pu1U:nanc1 N11ional I Numb~t Serial Numbtt ~~~* Seri.al
.. Board Numbt1 No. ~"'~~~ in Numerical Order e
AssP.mbly Mfl. S.N. Ill 2966-66 Assy 2 934 1261 121 2966-E. *, Assv 4 l93S 1271 ' \ IJI 2966-68 Assv s 1936 1291~ 141 2966-69 AS!:iV 1 1937 ISi 2966-70 2gi:;i:;_71 Assv 1l<1!!V l 1
~~~ 1938 +-~~
1939 1291 IJOI ' \. '\ 161 IJ 11 111\. IJ21 \. I
\.
~~181 191 1101~~
' ' -, IJ:ll 1J*1 IJSI " \. J 1111 1121 11 ll ' " "'\.
~~l::l51 f::l71 llll~~
~~' '\.~~
fl *1 ~ **-*
~~....... - *- ~ #" .. ~* ..... -- - IHI ......... -~ . ..~~
~~11 SI 1401~~
~~" '\~~
~~1161 It 71 1191 141) 1*21 14JI~~
~~" '\.~~
1191 1201 IHI l*~I
'\. \.
1211 1221 14 61 1*11
\. '\
~~12JI IHI 1251~~
' ' -, 1481 1491 ISOI \. \. '\
~~10.~~
~~*~*"ltl ou09n pnuure_......;;2'"',_S_O_...O_ _.....,..._ "'°'""**'°"in'"°""' er'"'* t~tlcMt.~~
~~P*i~~
*'~' ""' M ' ..,....,rd Temp. -__6"'0.....,0_-_____
~~v1...i~~
~~- 'F Hvcs,--o-. '11 Mu ro11)1111u11 it a*,* I, 121 infwme1....-~~
~~Jr 125-Ill",.,,,., J ,,... l.,. ,,..., **u ,,..,,~~
'\. *1111mp.B0°F*MIN-,
A
,7;37 W'IClvid*t' ""Ucl'I IA***. IJI UC" 11\.etl it """""'"'** ~ U\41 """""'"' ol """'" it record*t' ** lhot IC>ti ol ,,..,. lotm, tl1U1°I TN1 I"'"' ltOOO*OI " 1" 001-d Ir-"" 0.dOf Ot11 .. ASMI, 2J ~.,. o,;..,, llo1 1:100, i..,1-. HJ 01001*1)00

1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Coda Section XI Consu2ers Power Company Name 27780 Blue Star :fem. Hwy. Covert, MI Sheet _ _ 1_ _ 0t _ _l___________
~~Addreu Palisades Nuclear Plant Unit _ _l________________~~
2. Plant N*m*
~~27780 Blue Star :rem. Hwy. Covert, MI~~
~~. Addr- A*P*lr Or;*nlntlon P.O. No., Job No., ate.~~
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp_-:-:N:'-/~A~------~~
~~N*m* Authorization No. -----:-N:"'/,A:--------- 27780 Blue Star Mem. Hwy.* Covert, MI Expiration Oat*.------N..:../_A.:.__ _ _ _ _ __ Addr-~~
4. ldentif~at~nofSynem_~~~~~'-~~A~~~~~~~~~~~'A~~~1~~~~~~p~~e~~~~~~~~~~~~~~~-

5. (a) Applicable Construction Code S"ec."Tlo'""JJI 19'.&6._edition, lqgg Addenda,-.:..N....,_/aL..~---Cod* Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 '8~ S' ~ 'S
6. ldentif.ication of Components Repaired or Replaced and Replacement Componant1 ASME Code National Repaired, 'Stamped Name of Name of Menufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
& ......&u.sT-o"' CP~ se... \Al r R:~-Jh E.~ \ r-ee""i....a ..... ...J \47q tv/A '4,.:At..~-1')... (l:}qo ite~l-Aced Yes
~~7. Description of Work f;e.. ~ 1-Ace.J~~
~~Con.\ l'-r1 l~~
~~8. Tests Conducted: Hydro1tatia 0 Pneumatic 0 Nominal OP.rating Prenure ~~~
Other 0 *Prenurw _ _ _ _ _ p1i Test Temp. °F NOTE: Supplementll shfftl in form of llltl, 1ketch*, or dniwin91 !MY be ul8d, provldld 111 1lze I* 8Mi In. x 11 in., 121 informe* tion in item* 1 throu~ 8 on thl1 report 11 included on uch sheet, and 131 11cn shift 11 numbend end the number of 1ht1t1 i1 recorded It the top of thl1 form *
~~(12/821 - Thi1 Form (E00030l m1V be obtained from th11 Order 011pt~. ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS-2 (Back)~~
~~9. Remarks -=5...,e=-~=-__._A.........\_\.._. ._A"""ch;;.....;......:..eJ~...;.'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
APpllcsble Menuf1eturer'1 Data Aeporu to be anachecl CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~I AceWll!..."";\\conforms to the rules of ihe ASME Code, Section XI. repair or r1pl1eement TypeCodeSymbolStamp_~__,~__,~./"--_.A____________________~----------------- Certificate of Authorization No, _ _ .N--"~/_,_A...;...________ expiration Oate _ _ _N_...+,6_A _________ s;,,,.. Z~;!&,.. : Sr- A"'A GsT a... _______7.:-,t.,/~_,'8'. ._ , ,9 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, .hold~n.g a valid commission issued by the ~!°nal Bolf~ of Boiler an~ressure Vessel Inspectors and the State or Province of Md:,l/t?.,&i and employed by t:!&oT§<.T* <.JN IV!u<HAL of Ho/ZU..)O<?LJ.I /kZA-
have inspected the components described in this Owner's Report during th* period 7-tS-U to z-1.s::-9,J. . and state that to the best of my knowledge and Qltlief, th* Owner has performed examin1tlons and taken corrective measures describ9d in this Owner's Report in accordance with the requirements of the ASME Codi, Section XI.
By signing this certificat9 neither th* lnspecior nor his employer m1k* 1ny w.rr1ntY, expr9119d or implied, concerning ,the examinations and correctiw me-.,,. d11eribed in this Owner's Repan, Furthermore, neith* the Inspector nor his employer shall be liable in any m111ner for lnY pel'IOnll Injury or property dam1ge or 11011of111y kind *ising from or connected with this
~~,,.,..,;.,,0~ Nia:,~. ;~.__ SYs,._, -------~.&..::=:...lo.l~~~....;.---'------Commi11ions 1n1Pect0r'1 Slgneture~~
~~1;..;..'--*~-=~fl'-=---------------~~
~~Nation* lloatd, State, Province, and Endor.-nenu oat.,_ _ _ _ _.... r__..-1....s__,s 9...<. (12/821~~
.... . ~.:* .r3 .!..** 'L **- ~::-.. ....* ..*~.1.. '.b.::* 1 'J, :1.. *:1 fORM N*2 N 011 Nl'T Cl!llT1'1CAT! HOLO!AS' DATA lll!l'OllT fOA IOl!NTICAL NUCUAA l"AATI ANO APP\IRTENANCES 0 At R.quftd by tt.. l'ToYl-'ont of IM ASMI! Codo. S.Ctlon Ill. Olvltlon 1 Not To bc..d Ono Doy'* l'roductlon Pg. _l_ of _l_
1. MwitJf~W'ldc<<i~borsO~untign~gin~crin'!:;s~*"BB Combu~tion ~ngineeri~g g~~lear Polier eli nqton rations, "~""""' , Neliinqton, N 01

1. u.....,1.c~1orABB CgmhqntiQn E;nginccriog. Inc: . 1000 Prpnpect Hill Rn,:id. Windsor, CT
~~___,._ 06095-0500~~
~~l. loctt'Oft" 11"111.a.t~ Cgnzs1pner3~~
** r,... Rev CND-E-4667, 05 Powor Cg Seo Remarks Palisades Plant. Michigan Non~- 1990 ~. ASMf c ..... s..1- " _ _ _ _ ....1.-9 ...a..,6...__ _ _ _ _ _ _1._9
~~_ _ e'------"----- a ---oe-~"'N,,..o~,,,n"'!'-,_ _~~
~~8. '""°""Cl - - - ,.;a, C-1. - * !Cow. 2 .....,, _ _ _ _ ...N/'"'""---.""'"91on ---~N.t.a.__ o*** ___,N""/'-"/\'"----~~
1 . .._.,.., 511-182-FJ47 rcnsjle 75.000 Sll-182-!'304 Tensile 75.000 SA-213-T347 Tensile 75,000 See Back ** "-* u.nnou fin.I--*--"'"'*~ - lln.J _ _*__ ow.. 10111 * ""' - - * - - L""9** ....... I I * * " ' * ' - - - -
~~1. ~~.Cr ... liu&.e ~* Nta ""*°'*.,. ~ lor *Kf'I itM' el 1Ne ,.,,...,:~~
~~,.,, Ct Aclp.,ir't9f\lt'let ~~~
s.....-- IKltDQ( Assembly No. ~lflOMlo in~roetlOt'O*t Hf~. S/N 111 2966-72 /\sSV l Cl79 1201---------+---*~--~-----; 121 29/;f;-71 ,n_ 7 1aan 1271---------+----~-~-----; Jll 29/;F.-74 /\JJSV 15 1981
,., 1211~--------+-----------t 1291---------+------~----1 ISi 130!---------+-----------1 ISi 171 llll---------+-----------t ll11---------+-------
ltl Jll1---------+------------ 1341~--------+----~-~~---; 1101 ll~l-------~-*-----~~----1 1111 JJSl-~-~-----t------~~~--t 1121 JJ7l---------+---~---~~--t 11ll llll---------+------~~---1 1141 lll1---------+--------~-- 1151 1111 J40t --------T----------i 1411~----~-~-+------------l 1171 101--------t---------1 11tl 101--------t---------t 1111 120!
"---------+-----------! ~1---------+------~----t 1211 1*81---------t-~~--------t 1211 1471---------+-------~---1 12JI 1411---------+-----------1 \1" 1491---------+------~----t 1211 J!!Ot ---------+-----------!
~~10. ~....... l soo .,.. r - 600~~
~~................... 1111 ............................... " ....... ,....... _ .......... . . .~~
~~ft*l11 1~~
~~., -**'"1.,.....,,~~
~~J,12~~
,,.....,.tCOCI04Gl...,N*....,i,..,._..ar.DeiM.AM. JJ\.11WO.... ..., l>oo.r,.,.._ . ...,Cl?OOt .. 1.....ao*1 Hin, * ..._..,_,... .......................................................... ~111.,****** ' * ' " . . . . . . . . . . . . . . . . . ,.._ ............. ..
J)OO
-~.'*-*:*, *--:._:*** .....,._ C L~B fi .:1. ;f:; i.4 ....... **.::~ ~*
.~
c;"" FORM H*2 lbaclll Mh.S...iailNo. c:vrrn:A Tt OI DUIC>I o.~ '""*011ot*1 c:"~"ll'T 0."9"'._............. Respopsihi l j Responsibility of Others -- ty pf Othgrs '*'* 1111* - - - -
,.,t: .***** - - - - "-"* "-9. 1"'9, - - - - "°* - - - -
curr..lC.A n OI ~ COIUl.IAHCI We C"1rf'T 1"-1 rN *1*1.-.nll '9\ede il't ~ ~ ett co-K1 .,,,,., ~ rhtt 11~1 -------..&.J,,._...,,_________ c.,,,..,..,. te '""- """ .. ~INCltaf' . . ,...., ASMI c .... ~ *.
~~....rc.-. ... tf,_,_,_.... t:~~Z~~~
~~0.., ,j,n/91~~
~~) I .. ...,. ABB o:~~
~~N-2041 Colllbustion Engineering, Inc.~~
~~...,.,t;___,~~
~~Nuclear P9't!1r~~
~
~~Z ,.....,..,.. ..... yta CClmRCA n C'I SH04' WSl"llCTIOfC I, .... ...--.~. N.H.~~
*olod , _ . . . . . , _ . , . , .............. - * .. - ..,...._.,..,.. H.S.B.I. ' I. Co. - .......... v..... - .... - ......................... I *' Hart ford CT """""'on->Kte<d tr'\e"N 111.,.... Oncrei.d., ~ .,,. 11 '9pef'I °"' ? 1 ::f\,,,,)!::.> 9\ . ~ 11e1e IN* 10 '""
b4tl of""" \now. . . end btetf. ~ C~ett Hioilidllff "N l~t~ h'M p.t1t11 Of' 99P11t~*t In ICCOl'~W wntt IN ASMfCOdl. SfttlOn PH he" 04f'1 i..1M t\N "'""" twl~H lcw ti~..., IN U,. ~ llOOW. lh ~ tT'1tt c.,11f.c.tle, ,..,,..., '""' ~or , _ .... ~ '"'"" .,,,.. *W1'9ftly, upr"Nd OI """*"* COftC9f"-"9 fN ~ ct.writl<<I
'*OOfl* ""1~rnotl, "'M'* U\e rtt.plC1.0t l"Of ... """'°'°""' ~ b4 ~ in ....., ~ lot' ""Y PtfMNll....,., tt propttty ~ OI c-- "' rP'litt Nie lo't**'.,,,.""""'""'M"l9°""'°"e~"""""'~~.
~~o"' ..,'.2...,J~"1~u_..:i_'l.1 ~ ~ cei \ ~ * :w-=-=l. - ).,,jC\.\\l.'O\~~
~~. . 1 ~. MATERIAL NOH. nuooa:ss CINI KIN. DESIGN THICXNESS i.!fil DIA. I.D.~~
~~(FT & IN) LENGTH OVEAAU. (FT ' IN)~~
*sA-182-F347 Lower Flange ,406" .391" 2.06" 4.25" SA-182-F304 Access Tube Flange .125" .12" 2,06" 1/4" SA-2l3-TJ47 Access Tube .125" .12" l,260" 39.500" SA-182-1"347 Seal Houlin9 .JlJS" ,Jol* e.ooo* .....
1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Consu.-:iers Power Company Name Date _ _,7'-JL---/--=-..~t---/t1,~~:::....___ _
~~27780 Blue Star Y!:em. Hwy. Covert, ~11 Sheet _ _ _ _ of _ _1__________ Addrea~~
~~2. Plant Palisades Nuclear Plant Unit _ _l________________~~
~~N*m* 27780 Blue Star :--rem. Hwy. Covert, MI Addr*a Aapelr Or;*nlzatlon P.O. No .* Job No .* etc.~~
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp_-:-:N:'":/.:A_ _ _ _ _ _ __~~
~~Authorization No. _ _ _ _ N~/7"'A~------- 7 N*me 27780 Blue Star Mem. Hwy. Covert, MI Expiration Oata _ _ _ _ _ _ N.:,./_A_ _ _ _ _ _ __ Addr. .~~
4. Identification of svnem~~~-~~i~~~A~~~~~~~~~-~~(~~~~~\~~-~~~~~~~~~~~~~~~~~~~~~-

5. (a) Applicable Construction Coda Sec\icl'\. 'ill* 19~Edition, \'1~cg Addenda, No/\.lfi:. Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 191~ 'S i~
~~6. Identification of Components Repeired or Replaced and Replacement Componentl.~~
I ASME i Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Menu factu rer Serial No. No. Identification Built or Replacement or No) CP-bc..S"t~ O\.'\ CPcc S°e'!'-\A \ r~~-3Lf E, .......
.:~el"'\"'1 - ... \t93b f\J/A *"' ~'lb6-h~ ll'.1'90 ~@l/Jl£J Yes
7. Description of wor1c~fsi.;:o;e~~F-'-A..t.::c.ed~=--__;;~;._~_\_r--o_.;.l_ _"1_od__d_t-,_\_"l_e..._S=-=e:;..:A...:..:...(-~~o_v.S..:.___i~--.J-:-'_

8. Tests Conduc~ed: Hydrostatle 0 Pneumatic 0 Nominal Operating Preaure j2g Other 0 Praaure _ _ _ _ _ p1i Test Temp. *F NOTE: Supplemental sheet* in form of llm, 1ketcha, or drawinga m.v be uaed, provldld 111 1ize 118'4! In. x 11 In., (2) informia*
tion in item1 1 thrau~ 8 on thi1 reC2Qft 11 included on uch sheet, and 131 e8d'I shwt 11 numbend and th* numbw of shletl i1 recorded at th* top of thi1 form *
~~(12/82) - This Form (E00030) mev be obtained from the Order Dept., ASME, 345 E. 47th St., New Yortc, N.Y. 10017~~
~~FORM NIS-2 (Back)~~
~~9. Remarks --"==S=e.:;..;:e..=--_Art~"'--'-'_A.;.;;c..,=hi:....:...::e=J=--:.'---------------------~~
CERTIFICATE OF COMPLIANCE We certify that the statements made.in the report are correct and this t"e ~I ACew-a~onforms to the rules of the ASME Code, Section XI. ropeir'or r1plec:ement TypeCodeSymbolStamp ____ __~tt1--~~-'---'"'----------------------------------------------- f'J M~ Certificate of Authorization No. --'-i_:,....:,,&.L.:__ _ _ _ _ _ _ _ _ _ _ Expiration Oete --...1.-=-.1/c:..-li....;. (\J /A" _ _ _ _ _ _ _ __ Signed _ _ -::::/...:...:#~~...:.....,:ff"=::..vi.:.x'_,'l/'-----..::S~!""-:.____:....A...:V\.....;;.:....A.:....:./~S=:..'1"'°_0ate-----7~/.__-g...__, 19 '1.d-
/
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Botrd of Boiler and Pres11.1re Vessel Inspectors and the State or Province of rvi,*ct-/iGftc./ and employed by pi?eTE:C..Tia,..{ f\"1U-T'-AAL of "10/2.Wool),. Q=1/T. have inspected the components described in this Owner's Report during the period '1-l(q-9;2 to 7-f{g-9,..1 , and state that to the best of my knowledge and belief, the Owner has performed examinations end takan corrective measures de1c:ribed in this Owner's Report in accordance with the requirements of the ASME Coda, Secilon XI. Sy signing this certificate neither th* Inspector nor his employer mak* 1ny wemintv, exprneed or implied, concerning the examinations and corrective measun1 dascribad in this Owner's Repart. Furthermore. neither the lnspictar nor his employer shall be liable in any menner far any pal"IOnal injury or property_demage or a loa of any kind arising from or connected with this
;o,.oc*loo. . . ~ F~Ta£\" ,,_,...._7....,.L s 'r'S.,,_., --------~--"'=~;,,..,..,:;..;-....-~----Comminians I n1Pec:tor'1 Signature /n1 ~ M, Netlonal Boan:t, Stata, Province, md Endo~enu
oate._ _ _ _ _.....r___.-/._.,.....__19 9dl (12/821

1*
~~FOAM N*2 N OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL M*nuficiu*rd in~ :ir1lfl<ld by Combustion ;::n '~~
. NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code, Section Ill, Division 1 SS Old Dover Road Not To Exceed One Day's Production 2 Minufmuttd 10, Combustion Engineering. Inc .. N P B . 1 OQQ prospect Hi 11 Bead 8 Combustion _ _ _ , .... , .......... - ..,Newington, NH Pg. _l_ of _l_
~~Windsor, CT 06095-0500 - - -.... ,_..... _,~~
~~J. L<><llionofirisianuion~nsumers Power Co., Palisades Plant, Michiaan~~
...._...,,.W..etM .CND-E-4667, 4 . TyP* Rev. 05 See Remarks ____________ Norie ______.....;;~~---- ....;....;:;...;.;;...;;. 1990 l(.ltHI * ., * .,, 9wiffl
~~1. . . ..., - * * """*l"l, , _ , . - * * .............. .--..,..~~
~~S. ASME COd1. Stcuon Ill: _ _ _ _1_9_8;...6_________1_9_8_8_ _ _~~
~~,,~_, ,............ -----=----- ,,.....~~
~~l ----...,,,,,"'-""'---- None~~
~~.c ... c.... ,_.,~~
~~N/A N/A N/A~~
~~!i. $1blic11t'11'1 1ccord1nc1 wi1h Const. Spec. f01v. 2 o n l y ) - - - - - - - Rrvision - - - - - - - 01u~~
~~7. SA-182-F347.~~
RtmorkS:----------------------'---..;_------------------~ Tensile -** 75,000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75 000 See Back a. Nom. 1hickn11s nn.> - - * - - M i n . ~ui9n 1hieknus fin.I---*-- Dia. ID Ill & i n . I - - * - - L1nt;11ll ovcnll lh &. i l l . I - - * - - -
~~9. Wh1n 1oolic..able, Cenilic111 Holders' dau reoons "' .iuched lot c1cJ'I i11m of thit nf)Ott:~~
I Pan 01 Apounen1nc1 ~MX P111 or Appu1'en1nce N11ion1I I Ssri1I Number ~~~- Scri1I Nvmbrr
. Boord Numbtt )(!X~~~ Ui Numerical Order AssP.mbly No.
Mfl. S.N. ~ 2966-66 Assy 2 934 111 126! 121 IJI 2966-. *, 2966-68 ASSY 4 Assv 5 1935 1936 .... 1271 \. 1281~ 1*1 2966-69 As~v l l 1937 1291 \. 151 2966-70 Assv l) 1938 IJOI \. 161 2966-71 }\c::crn 1 1939 IJ11 \. I 171. '\. IJ21 \. I I 1il1 '\. IJJI \. -* 191 fl 01
'\. ,, IJCJ IJ51 \. \..
1111 '\.. IJ51 \.. fl 21 '\. r:m \..
~~'\. '\~~
~~11 JI 1:181~~
~~'\.~~
~~11'1 1151 '\. 1:191 1401~~
~~' \..~~
~~1181 1171 1181~~
~~' '\. '\.~~
~~141)" 14 21 l*JI~~
\.. \. \.
1191 '\. IUI \. 1201 '\.. IHI \. 1211 '\.. 1*61 \.. 1221 '\. 14 71 \. 12JI '\.. 1481 \. 1241 '\. 1491 \. 1251
' '\. !SOI \. \.
~~10. DuiQn P'"'"'"-*--=2_.,_5.. o..o. . . .___ P*i Ttmp. __6~0..;;0-..____ *F Hvd*o. 1rs1pttnure __3_.,_1..2=s____ 1111rno.ao., MIN,~~
*~111 f\fWf"l\11~ in IP'lt fe-m et t*U. f'ittcMt. * **.nr..t1 MIT N vtM ~f'1f 111 .tu ii 1'1
~~1. 121 "'f0tmttteft ""tltfftt J 1M ~.,. ,,_, **u , * ..,, ,,~~
~~~tt: on llc.l'I ""'* Ill ucr. tMtl it """""H**d llNt \1\4 ~'of &JWtll it *..corOH 11 1""- 10, of,,., loun.~~
~~IG'Ul* I . Thit loi"' 1(000.01 ""' bo oOl-4 h..., ,... 0.0*t DtOI .. ASMl. 21 l*w Orio*. l!o* JJOO. i..,1-. HJ 01001* 2:100~~
1. Owner FOR~ NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Consu;aers Power Company Nam*
~~Date_*/~/~]~/:...._j....µ.do...__ I 7 27780 Blue Star ~*!em. Hwy. Covert, m Sheet _ _ l __ of _ _l __________ Addreu~~
~~2. Plant Palisades Nuclear Plant Unit _ _l________________~~
N1me 27780 Blue Star :rem. Hwy. Covert, MI w*o* ii...) tot I o 4 Sb~ Addrea Aep1lr Org1nlz1tlon P.O. No., Job No .. ate.
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp _~N~/-:-A________~~
~~Authorization No. -----:-N~/-:-A:--------- N1me 27780 Blue Star Xem. Hwy. Covert, MI Expiration Date _ _ _ _ _N_/_A_______ Addrea~~
4. Identification of Synem __ ~~-~-~~~~~~~~-~~-~~~~ __(_~_~_l__~~~~~~~~~~~~~~----------

5. (a) Applicable Construction Code$eGtioY'\ :rrL
19 '?b Edition, I~ Addenda,__.tJc=o=,./=E'--__ Coda Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 'j 3 S 15

6. Identification of Components Repaired or Replaced and Replacement Componenu ASME Code National Rap aired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. ldantiflcation Built or Replacement or Nol cP ....... ~si-iot'\ C~CD Ser-iA\
~~1<1st:t \lf\O ~~IA~d ~es 1 c.~~-35 E::""°'i~~I'~~ N/A ~AG\'16-((~~
~~.J \~~
I
7. Description of Work

8. Tests Conducted: Hydro1t1tle 0 Pneum1tlc 0 Nominal Operating Prenu,.. ~
Other 0 PraS1Ul'9 _ _ _ _ _ p1i Test Temp, °F NOTE: Supplemental shntl in form of llltl, sketch*, or drawin91 may bl uRd, pravldld (11 1lz* 11 Blfi in. x' 11 in., (21 informa-tion in itama 1 through e on thl1 report 11 included on MCh sheet, and (31 eecn sheet 11 numbered and the number of 1hfftl i1 recorded It th~ top of thll form *
~~(12/82) - This Form (E000301 m1y bl obtainld from the Order Capt., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS*2 (Back)~~
~~9. Remarks __,,$""'-e_e_~A~--rr _ _.._A.._C..._h_._.e-'J=--*- - - - - - - - - - - - - - - - - - - - - - - -~~
~~_c-- s id e_, cl. 0 _I_~~
~~~ \k Applicable M1nufec:tur1r'{ 01t1 Reports to be 1tt1chld N - ;+ D AT;A. Kt:-~"'~~
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f""'eP.,l ,i'CeW\4~onforms to the rules of th9 rep1ir 'or r1pl1<:1ment ASME Code, Section XI. Certificate of Authorization No. - - - - - - - - - - - - - - E x p i r a t i o n Oat*--..:..(\J-=;/_A__,_ _ _ _ _ _ _ __ Signed__,,,...._..............,...._._____,__,~---S-r- __r(l_""-_A_l_s__:i"'_oate _ _ _ _ _7_.... 7
/6
_____, 19 l'J;i. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Bomrd of Boiler and PreS1Ur* Vessel Inspectors and the State or Province of &i,*CJ./,*(7At./ and employed by fr6)Tt£Ctc~,..j Mu.-r'+{tL . of No!?.Lu<:xW . f'nA. have inspected the components described in this Owner's Rep~rt during the period ;1-/4...: 9-2 to ;l-&- 9.;?. , and state that to the best of my knowledp and l:lelief, the Owner hes performed examin1tion11nd taken correctiwi measures describitd in this Owner's Report in accord1nce with the requintment1 of the ASME Code, Section XI. By signing this certificate neither th* lnlC)ector nor his employer m1k* eny w.~ntY, exprlllld or implied, concerning the examinations and correctiw m1aun11 described in this Owner's Report. Furthermore, neither th* Inspector nor his employer shall be liable in any manner for any penonll injury or property damege or a loa of eny kind *laing from or connected with this 1 10
~ Ft'le.roJZ.7' M<-CT"-"'l- sys72n-! ---------.~~=-...,.,-".......___. ......____ commiuion1_~/VJ-.1.:..'.:..*'._J3~'io:,t:;J..-;.;;;..._ _ _ _ _~-----
~~1n1Pector'1 Slgnnure N1tlonll Board, St1t1, Province, 1nc:t E ndor..,,1nt1 Oate_ _ _ _ _..... 7=_-.._/,.,.'1.___19 9rl (12/82)~~
1.
~~2 FORM N*2 N OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAi. M*nuliciuttd in< :ir1lll.d by Combustion r.n '~~
- NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code, Section Ill, Division 1 55 Old Dover Road l.41nul1C1111td IOI Combustion Engineering, Inc . N p' a Not To Exceed One Day's Production BB Combustion En ineerin
~~- - -... .,,-..... - .. ,Newington, NH 0380 ewingtor:i J 000 Prospect Hj 11 Bead Pg. _l_ ot _l_~~
~~Nuclear Power, Operations~~
~~Windsor, CT 06095-0500 - _ _.,..,_.,.._, '~~
~~J. Loei10onolinsrall1tion.-J:£nsumers Power Co., Palisades Plant, Michiaan~~
.CND-~-4667, .._ _ _ ,,., ~. TvP*Rev. 5 See Remarks None 1990 l*t-'"""I ,..,I Lltlotl'I . . . . c. ,...,I II*"'- *W ..... IN r(.JlHt ,., ..........
~~5* .ASME CCXI*. Srctoon 111: _ _ _...:1:..:9:..'8::.. .:;.6____ -----"l-'-9-"8"-'8'---- -----=1:....-_________N'"""o""n...,e.__ _~~
~~,........... 1(11111 ICH* Cnt,.. I~~
~~5. Fi1>1oe*1t'1in1ccord1nc1 wilh Conti. Spec. IOiv. 2 only) _ _ _N_/_A___ Rtvi1ion _ _ _N-'-/_A_ _ _ O*lt ____N.:.../_A_ __~~
7 RimJtks: __;S:;A~-=l..:B..:2_-_F_3_4_7_ _ _ _....;T;..e;..n;.:..:=.s.::i.::l~e;___ _~7-=5~,-=0:..:0:..:0:.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ SA-l82-F304 Tensile 75,000 Sll.-213-T347 Tensile 75 000 See Back 9. NO<T1. 1hicknu1 rin.I
Min, ~ui9n 1hickn111 fin.I

Oia. 10 l11 & in.I

Ltnglh ovtnll lfl " in.I --'*---
~~9. Whan 1ppliublr, C1nillc111 Holders' d111 repons 1rr 11ucl'lcd for each l11m ol 1hi1 ref""~~
I Pul cit Apoun1n1nc1 ~a<x P1rt or Appur11n1ncr N11ior,.1 I Sui1I Numbtf ~~~* Scri1I Number Boord Numbu
~~>t:x~~~~~
~~.. in Numerical Order Ass~mbly No.~~
Mfl. S.N. 2966-66 Assy 2 934 126! 111 121 2966-E."1 Assv 4 1935 1271 '\ 131 2966-68 ac:sv 5 1936 1281~ 141 2966-69 AS!>V l 1937 1291 \. 151 161 2966-70 2966-71 Assv ll.c:~v H u 1938 1939
.__ IJOI IJ 11 \. \.
~~171." iJ21 '\~~
'\
I 181 '\.. IJJI 191 '\.. IJ'I \. 1101 ', 1351 '\ 1111 '\.. IJlll '\.
~~'\.~~
1121 11 JI '\.. r:rn 13111 "' \. 11'1 IJ91 1151 '\.. 1401 \.
\.
~~1161 1171 "'\.. 14 11 I' 21 \.~~
~~'\..~~
~~11 SI 1191 1201~~
~~~ '\..~~
~~1431 IUI IHI~~
' '\. '\:
1211 ~ 1461 ~ 1221 '\.. 14 71 \. 1231 '\.. 1'91 ~ IHI '\.. 1'91 \. IHI ISOI \.
~~' '\.. \.~~
~~10. Ou~n pru1ur 1 _ _:2:.J':..:5:.0=0---- psi Temp, __6;;..o ......~~
~~o_____ *F Hyd10. 1111 p1n1u11 _ _::3..r.r..:1:;;2=5____ 1111m11.60*F MIN,~~
....... ....-.c ..... *~, .. inf~atiein in tM fcwm If ltU. ***tCIMt. W **"'""'91 l'ftlY IN"'" ........... 111 tin it I' 1 a I, 121 .,.,.,.,..,...,_wt t4e"'t l tM l _.. lr.t *eu , * ..,,*I ~** lift HUI '"""* l:ll llCl'I .,..,. it """"l>tn* .,... l.N ~I ef tNett ft r.cw*t11 ti I..._ 109 11 1"91 le'"'*
lltUl*I Thie,.,.,,. l(OOO*o1 ........ <>01-d ,,_ .... o. ... o ..... .ASM(, JJ l*w °""'* ... JJOO. ,.,..,_, HJ01001*1JOO
1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Consu::iel:'s As Required by the Provisions of the ASME Coda Section XI Power Company Data _/~/-=-1sf-/--=-q:L:::....:___ __
~~Nam* I 27780 Blue Star :fem. Hwy. Covel:'t, MI Sheet _ _l_ _ of _ _1__________ Addrea~~
~~2. Plant Palisades Nuclear Plant Unit _ _l________________~~
~~Nim* 27780 Blue Star ~!em. Hwy. Covert, HI Addrea A~P*lr Or;anlzttlon P.O. No., Job No .. etc.~~
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp_-.,...,N.;.,/,.,A_ _ _ _ _ _ __~~
~~Name Authorization No. ----~N:-"/rA,....._ _ _ _ _ __ 27780 Blue Star Mem. Hwy. Covert, MI Expiration Date _ _ _ _ _N-'-/_A_ _ _ _ _ _ __ Addrea~~
4. Identification of System Pr-- i W\ A""j (po I A Y...l $() s-te.. YV\

5. (a) Applicable Construction Code Sec.\~~ 1JI:.19~Edition. \'1;6-:8 Addenda,_.:.N=o.:.,,./;::...;:~:...---Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 '&~ S i~
6. ldentifi~ation of Components Repaired or Replaced and Replacement Co.mponent1 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)
~~CR~ -Li-4 Co~b1.1.'S"f'DI'\ E ""°- '"'""i..a....,~~
~~;).Oda N/A; C ~CD S"c.~\ A I ~d'ib'-- /<d m;t ~e~IAC.ed 1'es~~
~~8. Tests Conducted: Hydrostatie 0 Pneum.tlc 0 Nominal Operating Pre-..re ~~~
Other 0 Prauu,.. _ _ _ _ _ psl Test Temp. °F NOTE: Supplemental shnt1 in form of llltl, 1k1tche1, or dr1win91 m1y be used, providld 1111IZ111 h In. x 11 in., (2) informa* e tion in item* t throultl on thi1 report 11 included on 9ICh sheet, and 131 e1ch sheet 11 numbend and th* number of 1hHU i1 recorded It the top of this form *
~~(12/B21 - This Form (E000301 may be obtained from the Order OeQt., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) APPiicabie M1nufacturer'1 D1t1 Report1 to be 1tt1clud CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this l"'"e ~I Ace.~onforms to the rules of ihe ASME Code, Section x I. r91)1ir or replacem1nt TypeCodeSymbolStamp _ _.l'J_;_r~--..:/J.. _____________________________~ 7
/
~~Certificate of Authorization No. _ _..N........,;"""'/--'A'----------Expiration Oat9 _ _..../\J-;;0<--_A__________ Signed -==l 1=f ~ -~~
~~A <5 r- _.A \I\. A /:1$\ Date _ _ _ _ /.....;.,.:./_~.;;.__ _ _ , 19 '1d-..~~
owner orOW~ignH, Title 'O I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Bo1rd of Boiler and Pressure Vessel Inspectors and the State or Province of /vi* *t!.JI; '<?lt.ttf and employed by pt2.oTfcD'o,.,J Mu TL.<tx<- of NQR.Lµoo0 1 MA=*
have inspected the components described in this Owner's Report during the period z-/(p-9,J to r-/(q-9..J. , and state that to the best of my knowledge and l;lelief, the Owner has performed examinations and taken corrective meaures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the lnmpector nor his employer mak* any wam1ntY, exprlllld or implied, concerning the examinations and corrective measu,.. described in this Owner's Report. Furthermore. neither th* Inspector nor his employer shall be liable in any manner for any pel'9Dnal injury or property dam11g1 or 1 loa of any kind arising from or connected with this inSQection. ~ fftcrotZ..'//\-?(A.(< ...u'tL S Y'ST&->-7
~~--------1-~. . . ~ :.i:~;. .i;.~ .:. ; ; . . . .~~
1n~nu7. ___ commis1ion1_.r..1'..;.=1...u1~**__."Ua.,.."'riQ..------------- N1tlonel Boerd, Stete, Province, 1nd Endorsemenu oate._ _ _ _ _ ____,g 9il _.r.___-/_eo (12/821
0 0 0 * , "** ** ~I* I
** FORM N*2 N OR NPT CERTIFICATE HOLDERS' CATA REPORT FOR IDENTICAL '* Manulacturedandceniliedby Comoust~on NUCLEAR PARTS ANO APPURTENANCES*
~~A!J Required by the Provisions of the ASME Code, Section Ill, Division 1 Not To E.xceed One Cay's Production~~
.i::.IIgi.u:er ... ng, Inc., ABB Comoa,, ..... ou b.rg.J.nc:er ...:ng uuclear Power, iqewington opemilili.,.@...nilltil...ovc:r ltd.' .fowingcon, NH 03801 Pg. -1._ of _L Combustion Engineering, Inc., NPB, 1000 Prospect Hill Rd., ____
~~2. Manufactured lor _ _ _....:........:...._ _ _:::...__ _ _-=~--......:..--......:..--~----------_;_~~
~~Windsor, _06095-0500 CT~~
~~4. Type '2e,,~~
, 07,.... See Remarks &lft.itl..I041C.. N.I ---*u
3. Location of installation _ _.:.C.i.O:.iim~s~u~m~e:.:r..,sii........Pi...o~w.::..::e:.:r-...;C"'o=-=-....._..P_.a..,l:.:i=:*s~a':'d::::e7s7:::P:::':l"'a...n_t"-'-,..-M..i.c.h;.;;i_*.,g..;;;a~n;;....________
~~CND-E-466 7 None ICJUO 1992~~
~~..,., .. °""'u~~
~~5. ASME Code. Section 111: _...:l...:9...;8;,,.;6;,,.;__ _ _ _ _ _ _ _ _1_9_8_8_______ l ______ --~....;N~o=-r.::.'.::.e_ __~~
~~l*G*UaN lMffftUJ ICl*nl rCcae c.... ,.. '~~
6. Fabricated in accordance wi1h Const. Spec. !Div. 2 onlyl _ .....N.,.._f.=.d_ _ _ _ Revision _ __,N~/.:::A.______ Da1e --"'N'-'/_.~;;....___

7. Remarks: SA-182-F347 Tensile 75,000 SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75,000 See Back 8. Nam. Uiiclr.ness rin.I
Min. design Uiiclr.ness rm.I

Dia. 10 !It & in.I

Lcn91h ovenll llt & in.I *
~~9. When applicable. Cenilicate Htllders' data repomr are. uudled far each ilem of 1his report:~~
Pan or Appurtenance ~I Pan or Appurtenance National Serial Number !li(K~CCP. Serial Number Baud Numller
.. ~ ~l'l'ii1iiliil'.1!?4il in Numerical Creer Assembly No.
~~Mfy. S/N 111 2966-77 Assv 17 20 9 126! 1212%6-78 131 2966-7Q Assv Assv 18 19 2020 2021~~
1271 (281 141 2966-82 Assv 23 2022 1291 1s1 2966-84 Assv 26 2023 1301 161 1311 171 1321 181 I I 1331 191 I (341 1101 1351 1111 1361 I 1121 1371 I 1131 1381 I 1141 1391 1.
1151 1401 I 1161 1411 1171 1421 1181 1431 1191 1441 1201 1451 1211 1461 1221 1471 1231 1481 1241* 1491 1251 1501
.10. D*si9nD1a*ure_..:2::.;*a..5~0~0-___ psi Temp._.-60.;.0~---- *f HycUo. lesl pressure -~.:..::=:.____ n temp. .................... *f *~161 .. -*""*HA 111-.1:11 ..ca -*ill-.. . ---** "'" ' **-.. ,°""',_.in UM lenn *f 1111. ****~*. OI drawiftQ1 may tte utetl Df9¥'ldd 111JU* .. 1*,
~~100~~
1. 121 iftfGm11heft wt .. ..,,., 2 1...-l on u... 0 111 r*00tt **
111e .1.,,,.1-. 11:'51* 1 Thill 1 - ltOOO*Ol INY DI oot- l1om Ille Orcln Doot.. ASMI. 22 Law 01We. Boo 2300. ,,.,,.. Id. HJ 07007 2l00
~~... FORM N*2 (bacld Mir. Serial N o . - - - - - -~~
~~CERTIFICATE OF DESIGN~~
\
~~ResEonsibility of Others Design soecilica1ions certified by~~
~~...... ..__..... P.E. Sla!B Reg. no * **. ***::* Design reoon~~
~~certified by Res:eonsibilit:t: of Others P.E. s1a1e Reg. no.~~
..........-C:4"Uel CERTIFICATE OF SHOP COMPLIANCE We ce111fy 1ha1 lhe s1a1emen1s made in 1his 110011 anr co11ec1 and lha1 1his llhesel conform 10 lhe n.rlu of cons1n.rc1ion of lh* ASME Code. Sec1ion Ill
~~Parts I I~~
NPT Cerulica1e of Au1horiza1ian no. N-2041 E>pires February 20, 1993 I Oaie~G/** 9~ Name Combustion Engineering IHl'I Ce1Wc.a1* rto1Gt11I Signed G. f.~£2 .:zr.= CERTIFICATE CF SHOP INSPECTION I, lhe undersigned. holding a valid commission issued by 1he National Board of Boile1 and Pressure Vessel lnsoec:ors and the s1a1e or province al and employed by H* S* B*I* & I. Co* ol Hart ford
CT have insoec1ed lheso irems described in 1his data report on 2,/z11;/£Z

and state 1ha1 10 1he bes1 ol my knowledge and belief. the Certificate Holder has lallricated these pans or appurtenances in accardance wilh Ille ASME Code. Secuon
~~;:,**. Ill. Each pan lisied has been au111orized for s1amping on lhe da1e shown above.~~
~~By s1gn1ng 1ll1s ce11ifica1e. nei1her lhe inspector no* his employer makes any wa11an1y. upressed or implied. concuning Ille eQuipmen1 described~~
'" lh*s data reporl. Futlhermare, nei1ller !he inspeclar nor his employer shaR be Gable in any maMer far any personal inJUry or prope11y damage or ~~**. loss of any kind arising from or caMec1ad w11h this inspection* .. ~=
~~Oa1e~ Signed~~
/
Wf'~ IA~UHlfttoec***
*Commissions ,,W,2v:? Alecsz INt11 I 84 Wll.I 111d'.MW9Mll'nlll "" ** urew .,.. ..., I MATERIAL NOM. THICKNESS (IN)
~~MIN. DESIGN THICKNESS (IN)*. DIA. I.D. (Fr & IN) LENGTH (Fr & IN) OVERALL. SA-182-F347~~
406" . .391" 2.06 11 4.25 11

Lower Flange SA-182-F304 .125 .12 2.06 11 1/4" Access Tube Flange SA-213-T347 .125 .12 1.260 11 39.500"
'* Access Tube SA-182-F347 .3135 .301 s.000 11 s.59 11 Seal Housing
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~=====================-*-*-*-~~
As Required by the Provisions of the ASME Code Section XI Consu:::ers Power Company Name Date 27780 Blue Star '.:-1em. Hwy. Covert, MI Sheet _ _ _ _ of ______________ _ Addr** Palisades ~uclear Plant
2. Plant Ne me Unit _ _ l------------*------*
27780 Blue Star '.:-!em. Hwy. Covert, MI w. 0. if J. l..f ( 0 ~ 6 f 7 Addre* Fl*P*lr Or;*nlznlon To. No., Job N~--
~~3. Work Performed by Consumers Power Company Type Code Svmbol Stemp __N .../.,..A_ __~~
Ne me Authoriz111ion No. _ _ _ _~:-;-:..,/-:'A_ _ _ _ _ __ 27780 Blue Star Mem. Hwy. Covert, MI Expiration 01te _ _ _ _ _N...;/_A _______ Addr . .
4. ldentif~ation of System _ _~~~~;~~~~~~~-~~-~~~~~~...;~~l~~~~~\--~~~~~-~~~~~~~~~~------~

5. (al Applicable Construction Code f:;3 ( * / 19 SS Edition, 1 .J/A 1 Addtnd1,....._6/,...,.../A.__ _ _ Codl! CaSfi (bl Applicable Edition of Section XI Utilized for Rep1ir1 or Repl1eemtnt1 19 !>3 S 1f1
6. Identification of Components Rep1ired or Replacld and Replac:em*nt Component*
~~. ~SME i Coda /~~
Nation1I Rep11irid, Stampad J Name of Name of M1nuf1eturer Bo1rd Other Year Replleed, I Yes II Component ManufactUrwr- Serial No. No. Id1ntiflcatlon Built or Repl1e1m1nt or Nol I
~~'-le. Al ~~~
~~N A N/A l t\Gl I N/A NA ~ 19~~~
~~...__ ____.___~_ __._---"-~~'--J~~
~~7. OescriptionofWortr ISe.~\Aced lco\ AcceSS' <<A~ V\~S Av-0 Tt--A.~~r:-- ~be~~
~~. . T\4""-je. V'\V...\S'.~~
8.' Testa Conducted: Hvdrottatl* 0 Pn1Umltfc 0 Nomlnll 0Ptrwtlng p...._.. liJ *
Other 0. Preaure,_ _ _ _ _ pil Tut Temp. *F NOTE: Supplament81 lh..a In farm of llltl, 1keccti-. or drlwin911Ny be ulld. pnwldld 111 aze II h In.* 1i ifi., 12) initlfm1*
tlon in itlmS 1 through e on thll rwpon It included on -=t'I 1h1et, and 131 nch lhMI II numblnd lftd the nUIHW of ah~ ie recorded n the top of mil form. ,
~~(12/821 - Thia Form (E000301 m.., be obt1intd from the Order Dept;, ASMI!, 3411. ti7th St., New Vortc, N.V. 10017~~
FORM NIS*2 (Back) APollcatlle Manufec:turar'1 Otta Reoorn to be anec:ned CERTIFICATE OF COMPLIANC! We certify tnat tlie statements made in tne report ant correct and this !"-e~ACAI."""'-- :;:r:onforms to the rules of iM ASME Code, Section XI. regei or reglacement TypeCodeSvmbolStamp _ _~"-.\......,~,!"';[,.,,,..,-fl.;___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ Certificate of Authorization No. _ _:.l'J_1tJ"-A __________ ExPir1tion Otte--._N_..,.tt . . 'A Signed 4ft-.?r-* Owner n or Ow~gn*. Tltle Sr- A_ ~~ST V Oate _ _ _ _ ,""/"---loi"'
/ -,, 19 4d-CERTIFICATI OF INSERVICI INSPl!CTION I, tne undersigned, nolding a valid commiuion issued by the N1tion1l Bo*d of Boiler 1nd Presaare Vessel Inspectors and tlie State or Province of M1'<;//,-§,qA/ and employed by p<So7j;c.7j'o4 Q?UT'-<AL. of 6/of?+Hoo ~/ MA h111e inmp<<ted the components described in tnis Owner's Repo" during th* period z-l(o -9.6 to f -/(&, - u and Stlte that to the btst of my knowledge Md ~lef. th* Owner h111 performed exMtin1tlon1 1nd tllilen correctlw me.um detc:ribtd in this Owner's Repo" in ac:cordMCe with die IWquirernentl of th* ASME Code, Section XI.
By signing this certiflcat9 nei1Mr di* lnspectOr nor his llftSlloV* !Nldl any wwruny, exsw-ct or implied, concerning tne examinations and correctiw ,,,...,,. cHlcrlbed in dl_il Owner's RICIQrt. Furtherrriorw, neither die lnspectOt nar hit lml)loyer shall bl liable in ll'IY mMner for MY penonll Injury or property d1mege or 1loaof lftY kind *lling from or connected with this inspection. ~ Frtc.rote Y /V1<-4T~L Sct'St'"'Z~ _______ .....,..;;........,,...~===._,---Commlnlon1 In~ ~ l'V11'. l<ee$ Nation* lo8rd, Staie, ,rovlnce, llld lnclorMments Oate*------J"'--'-t"""to--19 9;?. (12/82)
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner _ _ _ _ _ _ _ _- : - . , . - - - - - - - - - - - Date _ _ _ _4:.L/-=2'"'-7.....~~
~~/9""'2=-----------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ _ l _ _ of _ _- - ' l = - - - - - - - - - - Addren~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~~AL HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 2410469G Addren Repair Organization P.O. No., Job No., etc.
~~3. Work Performed bV TOWNSEND & BOTTUM TyP.e Code Symbol Stamp _ _~N=A~------~~
Name Authorization No. _ _ _ _ _..::.N::.:A.:.....______ ANN ARBOR, MICHIGAN 48106 Expiration Data _ _ _ _ ___,N=A=------- Addren
~~4. Identification of System SAFETY INJECTION CONTAINMENT SPRAY AND SHUT DOWN COOLING~~
~~.AISG~~
5. (al Applicable Construction Code * ~ ¥J *aTH Edition, NA Addenda, _ _ _N_A_ _ _ Code Case (bl Applicable Edition of Section XI UtiliZ~Q{ Repairs or Replacements 19 83
~~S 83~~
~~. ~.i-t~~~
~~6. Identification of Components Repaired or Replac;;.& and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Idantification P.O. Year Built Repaired, Replaced, or. Replacement or Nol ASME Code Stamped (Yes JAM NUT C'o.rd Ina. I G23873-3 l<eflo,te,.,.,e~~ 3/4" ~\.\"'-'h*1e..~ NA NA }hi' ff&</ S--::J q ~ ,.J/4 Rl3P:A::E~3"., ~NO HEX HEAD BOLT f!.b.rJI nOv/ G~3873-7 (<e('k re,.,e-;_~ - 1/2-13 X 4 11 LG r .... A~"'"'-h-'e." NA NA i,lT "'nl'l::"~oz-1 tJ/!l .._, "
~~.~NO HEAVY HEX NUT Chrd1"a...I G23873-1 ({q1/qCfMt"1J --~~
~~1/2 11 1Jv1)(,k<..\-r 1e.:=:. NA NA H1~ M'I 31'1 tJ/A Rl3P1Hft!B :s, ~NO "C.~~
7. Description of Work REPLACE MISSING CLAMP BOLT AND ADD JAM NUT TO LOAD BOLT

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other~ Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, providad (1) size is S1n 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 *
(12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 1OOi7
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached We certify that the statements made in the ASME Code, Section XI. CERTIFICATEOFCOMPLIANCE re~ort ara *correct and this Rr ep cue.,._.,e"'lf 1,., repair r raplacem~ conforms to the rules of the S-v-.
-9<_
~~Certificate of Authorization No. _____N_A_________ Expiration Date ______N_A Signed~~µ) ~n~.lfitle 0 12 *-~-'-#,~,o_._-'-,4,-'-'~--"==--+=---Date_---"-s-_-_I_,_)_ _ _ _ _, 19 9 G~~
~~.::>..:..:..:.=::.=...,,___,< - -~~
CERTIFICATE OF INSERVICE INSPECTION I, the un*cc **c*gned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provir.. MICHIGAN and employed by PROTECTION MUTUAL of NORW01*jl~_.,,...__ _ _ _ _- = - - - - - - - - - - - - - - - - - - h a v e inspected the components described in this Owner's Report during the period 2- z. 1'111 t/ 'l t. to 2. i)f/IN-C. ? 1- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this FACTORY MUTUAL SYSTEM 19 f Z-(12/82)
~~1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by the Provision* of the ASME Cod* Section XI Consumers Power Com2anz Name 01t* 1d-/Lt/i I~~
)
~~27780 Blue Star Mem. Hwy. Covert, MI ShMt l of l Addr-~~
~~2. Pl1nt Palisades Nuclear Plant Unit l N1me 27780 Blue Star Mem. Hwy. Covert, MI~~
~~~aollr ~--~~
~~Orget1IHttOf'I 111.0. No., Joo No ** ftO.~~
~~3. Wortc Pwfarmed b¥ Consumers Power Company Type Codi SVmOoi StlmP-":':N~/~A_ _ _ _ __.~~
~~Autnorindon No. _ _ _""'!:N~/~A~----- Name 27780 Blue Star Mem. Hwy. Covert, MI E:icplm!On c... _____N_/_A_ _ _ _ __ Adcn9~~
"* 1dent1t1Qt1on ot svmm_. .S=-1"~-e-J . Y\......,.~........__.Ll__.L-1......e. .......{_..,.~__,,;;o....;c:i-..~~l--$;;;.-.:..~~S~~..=..:..W\~--------
~~5. !1) AppllclDle Conmuctlon Code SeCT;o,.., :ITL 19~Edltl~+w/('1/'1 Addeftda.. _ _._f'-J.;;:.;y;;....;..*L\.:..._Code c..~~
~~(b) AQt)llcable Edition of Section XI Utlllnd for RIPllrt or Repl..,_,tl 19 83 S 83~~
- ASME COd1 Natlonll Replll'9d, Stamped N1me of NllM of ManufCNrer BOlrd Other v.. Repleced, !Yes Component Manufectu,.... Slrlat No. No. Identiflc.tlon Built or Replacement or No)
~~Sl"'cl5 (~~) A~E. ?.a.~~
~~"'Yl,-1' )<' C:: If N u T's U,,LJ)~~
~~E"'"l* C..o. 7.-G-, Cflt'-cJ\1"'.A \ N/-4 NIA S::>d b,\l 1~~
!='.o. \Cij<D Re.~IAced \
~~No v~I* X CJ . I ~l.A":>-n'"' : A I (\J/4 ~/4 So3o-£1d.q iqqo Re~lA.ced /\fo~~
7. Description of Wortr f\e.~ IAced -f1 A Vl:J S-tv..ds . A ~J V\\,a,\s Al (\r\\j- s~~ \0 !

a. Tem Conducted: Hydrostatic 0 Pneum9dc D Nominll Operating ,,...,,..181 Om* 0 p.....,,. pll Tm Temp, *,
~~NOTE: SuPll!ernentti ..,... In fOftft of u... ~ or dnwintl mlY be u~~
Pl'CMdld 11) aa 11 h In** 11 In.. (2) lnfonN*
~~tlon In it9ml 1 thrautlll I on tf'lll ~ II lnctudld on .ctt sheet, and 13, .ctt lhM II numb9nd end die numDlr of .,,.... 11 r1eordld~~
th* top of tl'lll fonn. *
(12/82, -- Tiiis Form IE000301.,,.. be obUIMd from me Order Dept., ASMI, 3411. 47ttt St., Nwr Yortc, N.Y. 10017
FORM NIS*Z (Bade)
~~9. Aem1rk1 _ _.N_. . a_v._'\_e___.___,_________________________________~~
CEATl"CATI OP COAl'LIANCI We ce"lfy met the statemems mede In th* l"IPOrt ire correct Ind thlt ~et I ,4Ce IN'4-~nform1 to th* nJfft of tnt ASME Cade, Section XI. r't'ai °" re.,lecamem Type Code SVmbOI S~---N~-.A--------------------------- Certiflcm of Authoriration No. N/A Explmlon o.. _____N_/_A_______ Signed ==:J Own*#. ;:?r _- --6 Tiife or Own.,.*~. ~ S-1; N.o, NV\4f;sb.. 1 _____id/ S __ , 19 Cl I
~~.....__,./_ _~~
CEATl"CATI OP INSIAVICI INIPICTION I, tne undersigned, ."oldi~g 1 valid commiaion issued by th* Nnlon.i Bon of itoiler and Pr"""! Vltlll lnsPeetOl'I 1nd tn1 State or Province of Michigan inchmployecl by Protection Mutua of Norwood, MA* 11.,. in~ me comPontnu d1teribed in thi* Owner's Aepo" durlnt me perfod 1-ts -99?. to ;f-1$- 9..?J. I and ltlW ,,,,t to the belt of my knowleclgs Ind beti.f, the Owner h* performed eumlnatlont Ind t.ic.n corr9C'tiw me.uret delcribtd in this Owner'1 Repon In ICCOrd9nCll wttft die rwqulNINMI of me ASMI Code, Section XI. By signlnt thl* cenlflcat9 nei1Nr the ln111H'tor nor hit employ* makll lllY wnncy, '""' d or imP'ied, concerning th* u1miN1tion1 11nd corTWCtlw ~,. d9cribed in thi1 Owner'* A..._ FunMnnort. nei1Mr the ln1P9CUW nor ,,it 1mPlover shall be lilOI* in..,., mlftner for lftY penon* lnfulV or property dMt... or a lo* of lftY kind lrfling from or c9nneeted with this
~~;n,....;on. ~ FACTORY MUTUAL SYSTEM -----~- ~~~-""'""--..~~
~~1n11:seouu*1 lltMtu1'9~~
~~............_ _ _ eomm1..1one M1'. 7§¢,,~~
~~N1tl0Nlt ao.rd, St.-, ftrovlnce, lftCS 1nc10,..,,.,,t1 oate _ _ _ _ _ _ r. . -1.. ....:s........_11 9e< (12192,~~
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by tht Provisions of tht ASME Codt Stction XI Consumers Power Company Name Date fVlaj 8 " 1qq Z.~~
~~27780 Blue Star Mem. Hwy. Covert, MI Sheet l of 1 Aeldr-~~
2. Pl*nt Palisades Nuclear Plant Unit 1 Name 27780 Blue Star Mem. Hwy. Covert, MI w.o. II 24l048Z I Addre9 lltao..,. o....,.11nton ,,o. No., ~oo No., no.

3. WortE Performed b¥ Consumers Power Company Type Code litmbal Samp NI A Name Authorlutieln No. _ _
~~Eicplrwtlon Dtts _ _ _ _ _~~
~~~N:./;A~::::.:.:.:.:.::-:~~
~~N_/A ______ 27780 Blue Star Mem. Hwy. Covert, MI Aeldna~~
~~4. ldentlfic.tion of Symm (oM{Jo!l t:-Af {oc:Jf/19 ~tjJieM~~
!5. (1) Apptlcmte Construction Coat J3 3 I. /* 19 8/, Edition, ;q& t Addenda. ;.J//I (bl Appllcmf* Edition of Secilon XI Utillnd for ...... or AIPlllCllNnU 19 83 s 83
~~S. ldenti~lcatlon of Compooena A..,.irtd or A..,.._ Ind i.IPl-.ntnt Compooenca~~
- ASME COda N1tlonlf R1Pail'9d, . Stamped Name of Name of MMUflCNr9r Boerd Ottier v.. R9"1ced, !Yes Component M*nuf-=ium Serl* No, No, ldentiflc:stlon Built or Replecernant or Nol ..., I Pott 2ao.3- ')5~~'-.~1 J3ol ti/l 4 ~IA iJ/A NIA 4424 t..1) qz "-r .. -~
JJ
~~~441- ?*'~~
~~9. Tem Conducted: Hydrostatic 0 Pntumedc 0 Nomlnll Opernlnt ,,...,. 0 Omer g' p.....,,. .AJo M. pll Ttst Tamp. /JIA~~
11
~~.VT-Z ~ j.Sfe,,y, I /l~ r.v/c.t:.- J..~~ -r~t.~~
NOTE: SupPementit .,... In fGnft of llltl......,., or chwin9I INY be ulld. pnwldld ,, , Ille la"' In** 11 In.. (2) lnforml* tlon In itlml 1 tlH'OU_. I on mla "'*' la lncludld on -=tt an*. ind (3) ..,. lh.- la numblnd Ind the numDlr of an.- 11 1'8Corded ft the tap of ttlll fonn. *
* {12/92) .- Thia Form (E000301 m-. be obte!Md from me Order Dept., ASMI, 3411. 47tll St., New YortE, N.Y. 10017
FORM NIS*2 (Bade) CERTIPICATI OF COWLIAHCa Wt certify mn mt stnemenu mede In me report 1rt corrtet Ind mlt R.§f~wr !!3nform1 to th* l'\llt1 of th* ASME Code, Stction XI. r-.ialr ot:~i__,,em Type Code Symbol sump ___ N~_A ___________________________ N/A
~~--------------Explmlon D*--------------~~
S~nld14i~~~4f,:.~~~~i/k:.~~...J,,:.~~11&~:..___ o.u ~ , 19 CERTIFICATE OF INSIRVICI 1Nat!CT10N I, the undersigned, .holdi~g 1 vllid commiaion iauld by tht Nationel Botrcl of ~oiler and P1'9t1Ur.J VHWI lnsPeetOl"I 1nd th* Statt orProvinC9of Michigan indtmplovtdbv Protection Mutua.L of Norwood, . MA. nae in~ me componenu dttcribed in thi1 Owner's Repon durlnt tn. period °f '14 -9;? to 1- -l'i-'i';l and 1til19 that to tht best of my knowltdlS end beli.t, the Owner h* performed txemln.clon1 lftd tlkan COfnC1M rne.Ml'ff delcribld in this Owntr'i Report in ICCOrd9'Cll wtdl tM .,.qulremenu of the ASMI Code, Section XI. By signing thi1 c:ertiflcaW netiMr me IN111Ctor nor hit emptoy* lft81111 lftY ....-rMtY, Hiii d or implied, concerning th* _exami,,.tion1 and carrectlw ~"' dmcrilMd in mi1 Owner'1 Report. Funhermort. ntidter me lnlPICUW nor hit emplovtr shall be iilOlt in .,,., mlftMf for 111¥ penan* injury or l'~"Y demt11or1 lo* of lftY kind lrili. . from or cC?nnlCttd with this
"'""'*"* ~ FACTORY MUTUAL SYSTEM ------------~.._.=-.....,...,,.._--...._
~~1n1Ptotor'1 SltnMu,. ____ eommla~M-~/V? ....4?...,0L~-~----~--------~~
~~......1.***-;i N1tlontll loard, Sutt. 'rovlnce. and lndo,.,,enu oatt_ _ _ _ 7_-_1'___ ./ 1, 9e (12/82t~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner Consuuers Power Company Name Date -b:...<-.+-/~3---IO I I A'----'-=J..._ __~~
~~27780 Blue Star :V1em. Hwy. Covert, MI Sheet _ _l _ _ of _ _l __________ Addreu~~
~~2. Plant Palisades Nuclear Plant Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
~~Name 27780 Bl.ue Star Mem. Hwy. Covert, MI Addran Repair Organization P.O. No., Job No., ate.~~
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp _ _ N/A~--------~~
Name Authorization No. _ _ _ _ _N_- / .,..A,.._-------- 27780 Blue Star Xem. Hwy. Covert, :VII Expiration Date _ _ _ _ _ _ N..:.../_A_ _ _ _ _ _ __ Addreu
4. ldentif~ationof Synem __~~~~~~~;~~~e~~~~~-~~~LA~.~~-~~~,~~~,A~~-~~~---~~~~~~~\=~~~~~--------

5. (a) Applicable Construction Code ~3 (' j 1955 Edition,__.dJ.-'J-<fA'-'-_ _ _ _ Addenda,_.M.'""l"'ftlu.-._ _ _ _ Code ca.a (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 '33 S "63 A

6. Identification of Components Repaired or Replaced and Replacement Components 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) 1 I
~~I I r'Y\ode.. r 5.~7L- S ~ 1~67 ~e ~*~ \ r"ed NC :~~
7. De~~ptionofWork_~~~~~~-A-~-~--~--~ A_\_~-~--*--~-----------------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating PreS1ure l2S'.J Other ~ Pressure _ _ _ _ _ psi Test Temp. °F Qo-~o NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) 1ize i18% in. x 11 in., (2) informa-tion in item1 1 through 6 on this report i1 included on each sheet, and (3) each sheet 11 numberwd 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. 1001:
FORM NIS*2 (Back) Applicable Manufactur111r'1 Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ('"-e ~A\ t'" conforms to the rules of the ASME Code, Section XI. repair o . r111plecem111nt TypeCodeSymbolStamp _ _..f>J,---'-~~---'-~-'-------------------------------------------------------------~ Certificate of Authorization No. _ _... N.....;_~/t.....:..A__________ Expiration Date --+N~f4,_.._.____________ Signed .:::],iH. d-* ..fu Title S"r-owner or Own111r's rn .AV".A. (4~\Date
'V
~~_ _--=b+-/_:::3::_o I~~
~~. -~~
~~19qd--~~
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 /l-11'e.t/.i'bA,,J and employed by P&TE:c..T;o...t 0"14Ty.AL of
/\lo/CL..JooD 1 me have inspected the components described in this Owner's Report during the period f-/5-9.;;J. to r-/S-9o2. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in th is Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neith~r 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
;"""";°"* ~ ~¥ fi?<<T<<A<- S'?.sT"""1 -----------------~4-"='"-~"'---~----------
1n1pector'1 Signature Commissions_.....:...;v,.....:.!..'..;~-'-Tk-==:.1.?S.~............................................................- National Board, State, Province, and Endorsements Oate,_ _ _ _ _ _ J........-/,_..S=--19 9.?t (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
~~_ _ _ _ _ _POWER -:--- COMPANY~~
~~--------- Date _ _ _-'4'---=2~1'--~9-=1'-'- - - - - - - -~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l"--- of _ _ _.::.l_ _ _ _ _ _ _ __ Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit l 27780 BLUE STAR M~~AL HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 24104956 AddrHI Repair Organization P.O. No., Job No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,N""A~------~~
Nam* Authorization No. _ _ _ _ _~N..,_.,A,________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _..1N~Aa._______ Addraa
~~4. Identification of System _ _ _C_O_N_TA_I_NME~~
~~__NT__S_PRA_Y_RE_C_I_R_CULA __T_I_O_N_SA_FE_TY __I_N_J_E_C_T_IO_N_ _ _ _ _ _ _ _ _ _ __~~
5. (al Applicable Construction Code _ _ _A_I_S_C_~4J STH Edition, _ _N_A ____ Addenda, ___N_A___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19......,.8_.3_..,.S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
~~PLATE 7/16" X 3" Ll-tK.G"N-::. X 4-1/2 11 LG A36 5 f1:.""E1.- NA NA ,.ee.::18406-9 *1992~~
"&c.!l?ai ~ , tz *<:.!?~ ~ - NO ~@?/tS/'t'Z...
7. Description of Work REPAIFH3B HANGER PER FC-929 HANGER #HC23-HS (Q)

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other [JI Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketch111, or drewings ITlllY bl used, provided 11lsize118% in. x 11 in., (2) informa*
tion in items 1 through 6 on this report is included on each 1heet;11nd 131 e.ch sheet is numbered and the number of 1heet1 is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
*THIS MODIFICATION. (ORIGINAL 1976)
~~FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be ntachad~~
~~CERTIFICATE OF COMPLIANC~~~
We certify that the statements made in the report ara correct and thist:J.l.t:~!l.Q~~~ld.=~nforms 10 the rules of the ASME Code, Section XI. 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 MICHIGAN and employed by PROTECTION MUTUAL of _N.......O....R..,W
.......O..,,O....D......,.,__.*MA ....* ..._______-=---------,,=-----,:--------have inspected the components described in this Owner's Report during the period _ _ _ _._]-.__-~l_'S~--9~'.2'.~--to y -IS -'f.;z , and stat! that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures describ8d in this Owner's Report in accordance with the requiraments of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning th!! examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emplpyer 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
;"""";oo. ~ FACTORY MUTUAL SYSTEM ---------'~<--==-,...--"""'-"'-'-;::;;o.----~Commissions-L/Y?....;_.;;~/~*~*-4-~--~.?l.......__ _ _ _ _ _ _-=-_____
~~Insp.c:tor'1 Signature Nat!Onet Boerd, St*t*, Province, *nd Endorumenu oate _ _ _ _ _ _ Z~-/~.5~_19 9.;J (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER~~
_ _ _COMPANY Date _ _ _ _4..:..--'2=..1=---"9'-=2=------------ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ _.;;:l'--_of ____;l~-------~ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 277 80 BLUE STAR MEM&llAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24104956 Repair Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--=-N=A=--------~~
~~Name Authorization No. _ _ _ _ _...::N.:.:A=------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _=N=A~------~~
~~4. Identification of System _ _C_O_N_T_A_I_NME_N_T_S_P_RA_Y_RE_C_I_R_C_ULA~~
~~__ T_IO_N_S_A_F_E_TY __ IN_J_E_C_T_I_O_N_ _ _ _ _ _ _ _ _ _ __~~
~~5. (a) Applicable Construction Code B31.1 19~Edition, _ _N_A____ Addenda, _ _ _ NA~~
~~_ _ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component 6 11 SCH. 10 S.S.~~
Name of Manufacturer Manufacturer Serial No. National Board No. Other Identification P.O. G23155-1 Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol DP<L-rn1rJe: PIPE NA NA 1-h- *5::i.S33 µ/A REPLACED NO VALVE BALL, 6" BNL INDUS.,. G0009417-1 S.S. SCH 10 ENDS TRIES,INC. rl q llDCJ7-H tJ 11-- JJ/A REPLACED ,Jo
7. Description of Work INSTALLATION OF BALL VAL VE MV-ES108 & NEW SCHEDULE 10 S.S. PIPE

8. Tests Conducted: Hydrostatic IX] Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure 220-0+20 psf Test Temp. AMBIENT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings miy be used, provided (1) aize Is 8% in. x 11 In., (2) lnforma-tion in items 1 through 6 on this report 11 included on each sheet, and (3) each sheet 11 numbered and the number of sheets is recorded at the top of this form *
~~(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturer's Data Report* to be attached CERTIFICATE OF COMPLIANC We certify that the statements made in the report are correct and this..:....:~:i=.::~:;;~~-£' ASME Code, Section XI. or Province of 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD, MA have inspected the components described in this Owner's Report during the period _ _ _ _ _1..__-._l.:::S.._-...9...~=---to J-1.S-j.1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warrantv, 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. FACTORY MUTUAL SYSTEM
~~--'--------/G'-""~"""'-'.._"""':::..;..~~----Commissions......,M_"',._*._.-'~'-'"'....,=---------------~~
~~1nspactor'1 Slgnatur* National Bo11rd, St*t*, Prov Inca, and Endorsamant1 Data._ _ _ _~z-- (-=5----19 .. 9J (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
(;

1. Owner _ _ _CONS'!]MERS POWER _ _ _ _ _ __
~~COMPANY Date _ _ _...;4_-..;;;2..;;;l_-.;;...9=2--,--------~~
~~... . Name 27780 BLUE STAR MEMORIAL HWY. 1 of _ _........,:._2_ _ _ _ _ __~~
~~COVERT. MICHIGAN 49043 Sheet~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 2 77 80 BLUE STAR Mllf6W!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W, 0. 24104956 Rapalr Organization P.O. No., Job No ** etc.~~
~~3. Work Performed bv TOWNSEND & BOTTUM Type Codt Symbol St1mp _ _~N~A,___ _ _ __~~
Name Authorization No. _ _ _ _ _...,N,..,A~_ __.;__ _ ANN ARBOR, MICHIGAN 48106 Expiration Dat*-.,..------'N....,A.....__ _ _ _ __ Addrea
~~4. Identification of System _ _ _ _*._C..... __I_NME_N_T_S_PRA_Y_RE_C_I_R:_C_ULA_T_I_O_N_S_AFE_;_;TY.:..;:_...;;I~N~J.;;..EC.;;..T~I~O;;.:N~---------~~
~~ONIA~~
5. (al Applicable Construction Code _ _ _A_I_S_C_ _4J BTH Edition, _ _N_A_;,____ Addenda,. _ _ _N_A_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repain or Replacements 19_8 3_..,.S
~~........ 83~~
. 6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Year Replaced, (Yes Name of Component. ' Name of Manufacturer Manufacturer Serl1I No.
Boerd. No. Other Identification Built or Replacement or No) P.O. 5/8 11 '/J THRD ROD X BERGEN *5006 9" LG PATIERSON NA 5/8"'/J MACHINE RO BERGEN 5000 X 4'-6" LG PATTERSON NA H*II*
* :L.TYPE 548#A 8fZE** BERGEN 3100 606#'** PATIERSON NA 5/8" r/J HEX NUT BERGEN PATTERSON NA NA 5/8"'/J WELDED EYE BERGEN ROD 0"-9-1/4" LG PATTERSON NA NA 1<4\ac.Ct:t ~ +.1~:.t/1-
7. Description of Work !HlPl\Ill!!B' HANGER PER FC-929 HANGER #HC23-H4

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other QI Pressure psi Test Temp. "F VISUAL EXAM NOTE: Supplemental sheets in form of nits, sketches, or drawings may bt used, provided (1 l size ii 8li in. x 11 in., (2) informs*
tion in items 1 through 6 on this report is included on each sheet. 11nd (3) eech sheet is numbel"ld 11nd the number of shlllltl is recorded llt the. top of this form.* (12/82) This Form (E000301 mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
*THIS MODIFICATION. (ORIGINAL 1981)
~~FORM NIS-2 (Back)~~
~~9. Remarks ___~~~~~-N_O_NE~---~~~-~---~---~----......,,--.--~-*-------~~~----~~
Appllcabla Manufacturar'a Cata Reports to b* attached CERTIFICATE OF COMPLIANCE We certify that the statemenu made in the n!port are correct and thls...;ri~~:!9;~~Jt.t.!:::;..~c*onforms to the rules of th* ASME Code, Section XI. repair rapl-mant 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 MICHIGAN and employed by PROTECTION MUTUAL of
.....,,N...,O..R..,tJ.._n.,....o.,.D.._.._MA * ........_______________-_-___________-==-----=------h8Vll Jnspected the components described in this Owner's Report during the perlod------11-..._-....l..,S...._-9 ...:J.....__to :f - IS -9:2 , and state that to the best of my knowledge and belief, the Owner h* performed examinations and taken corrective measures described In this Owner's Report*in accordance with tM requirements of the ASME Code, Section XI.
By signing this certific:ata neither the Inspector nor his employer makes any warranty, expressed or implied, concerning th~ examinations and correc:tnie mnsur11 described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any m.,ner for any penonal injury or property damage or a loss of any kind mislng from or connected with this i_n_sp_ec_t-io_n_. -----.--~--=------. . . . . .____ eommissions~&'-F-'Au.1C_,*~'-O"'~.:ay111:;;ii.:;M'1.,.-u*_r_uAL--S-Y_S_T_EM__,,...._---- 1napec:tor'1 Signature National Board, StaU. Province, and Endon.nanu oate,_ _ _ _ _ _____1s 90l 7..__-....IS (12/821
PAGE 2 OF 2 T&B W.O. 24104956 HANGER #HC23-H4 Nll'M of Component N1meof Menuf1CU1rw MenuflCtUIWf s.rt* No. N11ton* loetd No. 01:tlw ldentifk:8tlon v. Built Reolil"ld, Aeorle9d. ASM! COde Stamoed (Y11 or At0lll*ftlfl1 or Nol 5/8"r/J WELDED EYE BERGEN G0021924-3 ~."' ~NO ROD X3'-10" LG PATTERSON 5004 NA P~r-1-~sa>~318' 1992 REPLACED NO T.S. 6X6Xl/2"X LEA\/1TI G0018407-5 2'-0" LG A500 11 oi iit ~')~<;C'/,, 1992 GRB cpcn NA NA REPLACED NO T.S. 3X3Xl/4Xl'- LEA-V1T\ G0018407-7 6"LG A500 GRB . CPCO NA NA In,. : /IF'1d.ll ~I 1992 REPLACED NO T.S. 2X2X3/16Xi. W6Z-00 TI1 BG'Of G0018407-6 C..~ 10" LG A500 GRB- tl-1'1'G7Z-I CPCO NA NA 11-h#:" Tl~ I 11'1 1992 REPLACED NO PLATE 3/4"X5"X5" LIA.KENS t:.rEEl.. LG A36 1J0:~8406-7 CPCO NA NA 12 ~~) 6 1992 REPLACED NO
7. Description of Work. _ _ _I""'N""S;;. ; T; ;,A;.; ;L;.; ;LE;; ;,D; . . ;HAN=;.; ;G; ; ;E; . ; R. .;P;.; E; .;R.;. . ; .F.; ;C_-9;. ;2; ;. ;9'---=HA""N""G""E;; ,R;. .;:H.: :.C2:: 3: . -. :H:=2:.:.*.;: 3_ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic 0 Pneumatic D Nomlnll Opemlng Pressure 0 Other [JI Pressure psi Test Temp. *F VISUAL EXAM NOTE: Supplemental sheet* in form of llm, sketches, or drawing1 may be used, provided 11 I size II~ In. x 11 in., (21 inform1*
tion in items 1 through 6 on this report i* Included on each sheet, and (3) etch sheet I* numberwd and the number of sheeu ii recorded at the top of this fonn. , (12/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks _____________N_O_NE _________________________________________--0:,..--------------------------~~~
Applicable Manufacturer's Dau Repom to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thi1..!fc!::l!Uf:!~~l!Clo:imt-cQnforms to the rules of the ASME Code, Section XI. repair o --===---' TypeCodeSymbolStamp _____________N_A _______________________________________________________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the Nationel Board of Boiler and Pressure Vassel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD
MA -= have inspected the components described in this Owner's Report during the period 1 -/S -9o?. to =/-tS-Zl , 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 tha requirement* of the ASME Code, Section XI.
By signing thl1 certificate neither the Inspector nor his employer mak11 any warranty, exprened or implied, concerning th~ examinations and correc:tiw nieuul'll described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in eiiy manner for any personal injury or property damage or a loss of any kind arising from or connected with this
;,.,~"""*?!1 ~If !1 FACTORY MUTUAL SYSTl!ll ----------------~~~-- .....-5""~~-w~-~~ ......---------Commissiona.....:.11-1--=~'~:...... ~-=.,.._,...._________________________~
I nspac:tor'1 Slgn.iura National Board, Stata, Province, end Endorsements oate,_ _ _ _ _ __19 9o< 7_-"-';s (12/B21
PAGE 2 OF 2 T&B W.O. 24104956 HANGER HC23-H2.3 N1meof Component N1me of MMUfeciurw Mlnufctu,., Ser!ll No. NatlOMt IOltd No. Othw Identif IC8doft P.O. Yw IYllt Reoelrwd, R1DCIC9d. ASMI COde Stamoe<t (Ytt or Aept llC9fMt'l1 or Nol PALTE 1/4X3"X3" l...iA K!:NS Sm::!. G0018406-9 LG A36 CPCO NA NA i-h-,., ~ ~') < 1992 REPLACED NO
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _-'4_-..: :2. : :l_-..: . 9.: ." 2*________ N1me 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=!'-- of _ _ _-'--_2_ _ _ _ _ __
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 277 80 BLUE STAR MEJlOTfAL HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 24104956 R1p1lr Organlutlon P.O. No., Job No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM TypeCodaSymbolStamp _ ___i.N~A"---------~~
N1me Authorizatlon No. _ _ _ _ _~N~A~------- ANN ARBOR, MICHIGAN 48106 Expiration D1te ________N.,.A. ._______
4. Identification of System _ _ _....;C;;..;;O""N""TA;.;.I:::NME=""N""T'-=SP::...;RA=Y;.....:.;RE::.C.::;I:::R""C""'ULA==-TI:::O:..::N.:.....::S::.:A;:..FE::.TY~....;:I::.;N::.J::.EC::::;T:::..:I::..::O~N:...___________

5. (al Applicable Construction Code _ _ _A_I_S_C __....;:;J_ _ Edition, _ _N_A.;.; . . _____ Addenda, _ _. ;;N.;;;;A:;___ Code C-(bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19"""8......_3_...,S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME
- Code Nation1I Repaired, Stamped Name of I
Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
~~!:~72 tax1§~8 '-~~
3 1 L..E'R-Vl-rT - G0018407-7 GRB CPCO NA NA &i ij::. .,~, ,,, 1992 'REPLACED NO T.S. 2X2X3/16X i..Ja..i::><::"X> Tl.A 6e:' G0018407-6 8.Rn3/16 LG ASOO l:>f' Arl?erc!.lf!A. CPCO NA NA 1-h-~T6'JJt'1 1992 REPLACED NO PLATE 3/4Xl l..<<i<etl/S STEC:L G0018406-7 3/4 X l"-6 11 LG A36 ,* CPCO NA MA JrutR.. <31? 1992 REPLACED NO T.S. 3X3Xl/4Xl'- l.GP..V I 1T" G0018407-7 8~LG ASOO CPCO NA NA :~ri1 IJt:9.;2JI~/ 1 QQ? REDT.Ar.l<D NO PLATE l"X3-l/2X l-U/<.i:N!S. 5Ta.""l.. G0018406-6 3-1/2 LG A36 CPCO NA NA Hr~R'JC/3 1992 REPLACED NO
7. Description of Work _ _ _I_N_S_TA_LL_E_D_HAN __GE_R__P_E_R_FC_-_9_2_9_HAN __G_E_R__ HC"'2""'3'---H"'2-'-."'"2------------------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preau,.. 0 Other QI Prenul'9 psi Test Temp, °F VISUAL EXAM NOTE: Supplernentat sheets in form of llsts, sketches, or d,.winga rmy be used, provided (1) size i1 ~ In. x 11 in., (2) infonna*
tion in items 1 through 6 on this report is included on each sheet, ind (3) each shfft i1 numband and the number of shHtl i1 recorded at the top of this form. (12/82) This Form (E000301 may bit obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks _ _ _~~--N_O_NE~---~---~-------~---~-------~-------~~
~~Applicabla Manufactur*r'1 Data Raport1 to be attach9d~~
~~CERTIFICATE OF COMPLIANCE .~~
~~We certify that the statements made in the report are correct and this reelar~~orms to the rules of the ASME Code, Section XI.~~
~~r-siair 0 lac*m*nt~~
~~~---~.;;....~-------Expiration Date _ _ _ __.;;N....;;A.;;...._ _ _ _ _ _ __~~
~~Signe~~~~~==;:...!::=.:.4~~:6~1...::~~:!tl~L:..G.:~~lar&.~~Date ~ 2(.~~
19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Preuure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD, MA -= have inspected the components described in this Owner's Report during the period 1-/S-9.;J. to ;:f-IS-'l:l. , and stat1t that to the best of my knowledge and belief, .the Owner h81 performed examinations and taken corrective measures described in this Owner's Report in accordance with tha requirements of the ASME Code, Section XI.
By signing this certific:au neither the Inspector nor his employer mak* any warranty, expressed or implied, concerning th!' examinations and correctiw meuurm described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in a'ny manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~------~--~_,_"""_,.,.....,.,...~--..------Commi11ion1_../Y?_*.....,,~:....,.~.-:"""-------------~~~
I n1;1ector'1 Signature Natlonal Boercl, State, Provine*, and E ndonemenu Date_ _ _ _ _J~-.._/S=-_19 902 (12/821
PAGE 2 OF 2 T&B W.O. 24104956 HANGER HC23-H2.2 NllM of Companent Nemeof MlftUfll:U.lrw Miilufecuirw Serl81 No. N1tt0ft81 Soetd No. Otflw Id<<ttlflc8doft v.. Built Fll10e!rwd, ReprlCld, ASM! COde StM'!O.O (Yts or fll epta::91Mftt or Nol PLATE l/4X3X4" LwKE"AJ~ ::.TEEL.. G0018406-9 LG A36 CPCO NA NA )+rl=L 13 8'8"1 g 1992 REPLACED NO
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _4.:...-_:2:...:1:...--=9:...;:2=---------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=!'--- of _ _- - ' l = - - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit----'!=----------------~~
27780 BLUE STAR M'£MO"i'fAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Aepelr Organlutlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,.N,_.,A,.___ _ _ _ __~~
Nam* Authorization No. _ _ _ _ _....N,_,,,A,.___ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N!..!,5:!A....__ _ _ __
~~~ ldentH~ationofSy~em _ _ _ _ C_ON_~_I_~ __ NT_S_P_~_Y_~_C_I_R_C_~_A_T_I_O_N_SA_~_~ __I_NJ_E_C_T_I_O_N_ _ _ _ _ _ _ _ _~~~
5. (al Applicable Construction Code AISC ~--Edition, _ _N_A ____ Addenda, _ _ _N_A_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. lden,tification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
~~~~~ ~NO T.S. 4X4XS/16X -~~
3'-6-1/4" LG lEAvilf G0018407-8 Ac;nn r.RR NA NA 1-h.>>:%:3 H.J. I t. *1992 REaAce.O t!J) "HS*'i'?.-
1. Description of Work: _ __j:H~lE~P~A!!I:!!~;!?B!JHA~N~G!E~R_;P~EgRL_!F:gC_::-92,;2~9!....__!!HAN~G~E~R~#G~C~l!:f0!_:-~R~2.!..~2~(Q~)!....__ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Preaure D Other [JI Preaure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of llm, sketches, or drawings may be used, provided 111 size is 8% in. x 11 in., 121 informa-tion in items 1 through 6 on this report is included on each sheet, and 131 e1ch sheet is numbered and the number of sheets is recorded at the top of this form.
~~(12/82) This Form IE00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017~~
*THIS MODIFICATION
~~FORM NIS-2 (Back) NONE~~
~~9. Remarks---------------------------------------------~~~
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rgJ_lace~onforms to the rules of the ASME Code, Section XI. . repair or ceme 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA -= have inspected the components described in this Owner's Report during the period f-15-9.2 to ]=-/S-9~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measur* 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. FACTORY MUTUAL SYSTEM
~~----------~~ ....---~"'=----=---Commission1__./"r?~,_1._* ~~'"'-""-------------~~
~~lnspector'1 Slgn.wre National Boerd, State, Province, and EndorMmentl Date_ _ _ _ __._J_-..-/=5~~
~~. __19 9o(~~
~~(12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR_ REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. O w n e r - - - - - - - - - - - - - - - - - - - - Date _ _ _ _4.:...-....:2::..;l::..;-....:9:..:2::..;'_ _ _ _ _ _ _ __~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 .Sheat_--=l'-- of _ _ _.:.l_ _ _ _ _ _ _ __ Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit l 27780 BLUE STAR MFJ:.f6WfAL HWY.~~
COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Addrea Repair Orgenlzlltlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Coda Symbol Stamp _ ___.N"'A~------~~
~~N*m* Authorization No. _ _ _ _ __,N""A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _.=:N!£A~------ Addrea~~
4. Identification of System __C_O_N_~_I_~_~ __S_P_~_Y_~_C_I_R_C_~_A_T_IO_N_S_A_F_E_~~-IN_J_E_C~T_I~O_N_____________

5. (a) Applicable Construction Coda _ _ _A.. .;I;. . :. S. . ;C_ __;4J, 8TH Edition, _ _N_A____ Addenda, _ _ _N_A___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19....:8......._3_...,S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
P.O. l/2"X3" STD "U" PUS-030 G18410-2 KEPtltef:_-0 ~ 'D BOLT NPS NA ~...+"' PIAS-030 *1992 -***~*-- NO ANGLE 3X3Xl/4X 14oerNWES7et.W G0018409-8 fldllf~ EP/A ti)) 7" LG A36 STE~ Loll A-f"wO NA NA ~:r~&,075"3 *1992 NO
*-***~*--
~~QSft'..Ac£O ~ r is- q-z-~~
1. Description of Work _ _ _ _R_lE_P_A_I_R:B_B_HAN __G_E_R_P_E_R_F_C_-_9_2_9_HAN_....;G_E_R_#.;...G.:..C....;l.;...O.:..-_R....;2;..;*..;;1;______________

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other[] Preuure _ _ _ _ _ psi Test Temp. _ _ _ _ _* F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drewings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each *sheet i1 numbered and the number of sheeu is recorded at the top of this form.
~~(12/82) This Form lE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
*THIS MODIFICATION.
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to b* *ttachlld CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ara correct and this...!(j.9~tg;d!:~~!z:.'OQ[lforms to the rules of the ASME Code, Section XI. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and PreS1U111 Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD , MA -= have inspected the components described in this. Owner's Report during the period *r-JS-9.;2 to ]-tS-9,;; , and state that to the best of my knowledge and belief, 'the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requiraments of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning th_e examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a Ion of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~~~~~~~~~~--""-'..::::.~---~~
~~I nsp~~~
~~......."'"""'~~~~Commissions....:./l-1--'~'~~-4-14?-=~;l..~~~~~~~~~~~~~~~~~
~~Nmtlon81 Bo*rd, St8te, Province, *nd Endor111ment1 Date r-IS 1s 90l (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~
~~CONSUMERS POWER COMPANY Oate _ _ _ _4:. . -. :2:. :;l:. . -. .:.9-=2:. . .---.,..------~~
~~1. Ovvner - - - - - - ... , - ** .~~
~~-* - -**Name 27780 BLUE Sl'AR. MEMORIAL HWY.~~
~~COVERT. MICHIGAN 49043 Sheet 1 of 1~~
2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO!'fAL HWY.
COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Rei>alr Organization P .o. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _ _N~A2--------~~
Nam* . Authorization No. _ _ _ _ _,!::!N~A,_______ ANN ARBOR, MICHIGAN*48106 Expiration D1t1 _ _ _ _ ___.N,..A.a..-______ Addrea
4. Identification of System _ _.....;;;CONTA==I;:..;NME=NT"-=--=Sc:.P.;;.;RA=:Y.:......:RE=.:C::.=I:;.;R::.=CULA=:::TI=.::O.:;N:....S=:AFETY=.==:....I::N~JE=C.::.T.::.IO:::Nc:..__ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code _ _..;;A;:;.I;:.S;:.C.;..__....;;4J 8TH Edition, _ __;N;..:;:A~___ Addenda, _ _..:,N..:.A;;___ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19_,8..,_3..__S.._ 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manufecturer "Board Other Year. Replaced,. (Yes Component. .- Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
~~~~~.a ~~~
STD. "U" BOLT G25188-1 NPS PUS-020 NA I~H-ji<P~s-o c.o *1992 NO ANGLE 2X2X3/8X 1?<J~µo i<-e:
~L.Gt!.-rr2 IO... Ji.~018409-4 ~e~tACE!JN. .. ~ ~-1t~73o *1992 3J.-4u LG A36 <:1-""~L.- NA NA ""~
~~NO PLATE 1/2X4X L-uK-EN.S ~018406-8 R_~~ACCl'.Jh'iPJ~~
. 8-1/2LG A36 ~TCCl_ NA NA #>,,1>3573 *1992 *-- NO PLATE 1/4Xl-l/2 ~><ENS "'G0018406-9 lle7llf~
XS"LG A36 Sn:.'1::Z- NA NA ~T-\ok R g~q ~ *1992* NO i:lePL.ACBJ AUJ 'T*l51'-
~~. RBPhiJUm HANGER PER FC-929 HANGER #GClO-HSA~~
7. Description of W o r k * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic D Pneumatic 0 Nominal Opemlng Pressu,.. D Other []I Pressure psi Test Temp. *F VISUAL EXAM NOTE: Supplemental shetrts in form of lists, sketches, or drawings may be used, provided 111 1iz11 l1 8% in. x 11 in., 121 infonna*
tion in items 1 through 6 on this report is included on eech sheet, and (31 each sheet is numbered end the number of sheets is recorded at the top of this form. 112/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
*THIS MODIFICATION.
~~FORM NIS-2 (Back)~~
9. Remarks~~~~~~N_O_NE~~~~~~~~~~~~~~~...,....,..,~...,....,..,...,....,..,...,....,..,...,....,..,..,.....~...,....,..,**_*~_'...,....,..,.....,...,....,..,~~...,....,..,...,....,..,...,....,..,~~...,....,..,
~~Appllcable Menufacturer'1 Oeu Reporu to b~-~tuch9d~~
** CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ara correct and this R:fllace.&nt ~fonns to the rules of the ASME Code, Section XI. ** repelr Q(feplecement CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid "commission issued bv the National Board of Boiler and Pressure Veml Inspectors and the State or Province of MICHIGAN *nd employed bv PROTECTION MUTUAL of NORWOOD, MA -* hsve in~ed the components described in this Owner's Report during the period *r-tS- fol to ""f-1S-9d. , and state that to the best o*f my knowledge and belief, the Owner has performed examinations 1nd taken corrective measures described In this Owner's Report in accordanc:1 with the requirements of the ASME Code, Section XI.
~~By. signing~~
. this certif"latl neither the Inspector. nor his employer makes any Wlln'lnty, expressed or implied, concerning the examinations end corrective measures described in this Owner's Report. Furthennore, neither the Inspector nor his employet shall be liable* in any m1nner for any personal injury or property damage or 11 loss of 1ny kind 1rising from or connected with this inspection.~ FACTORY MUTUAL SYSTEM ...,....,..,~~...,....,..,...,....,..,...,....,..,...,....,..,...,....,..,...,....,..,~ ......=---""--=---~...,....,..,-...,....,..,...,....,..,Commisslon1-1./!2....;..~I~*,--'~~~~::;;:=--....,....,..,~...,....,..,...,....,..,...,....,..,...,....,..,........,....,..,...,....,..,...,....,..,...,....,..,...,....,..,.
ln1Pector'1Slgn8tUrw Netlonel Bo*rd, suu, Province, and Endo....-nents Date_ _ _ _......,7,__.-/"""'S"--_19 9~ (12/82)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS ______ POWER~~
_ _ _COMPANY_ _ _ _ _ _ __ Date _ _ _ _4_-_2_1_-.;;..9_2_________ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_~l_ _ of _ _~l"---------- Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M"EM&~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24104956 Repair Or11enlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _~N=A~------~~
Nam* Authorization No. _ _ _ _ _. ._N'"""A,,________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N.. . . .,A. _______
4. Identification of System _ _ _ _ C_ON_T_A_I_NME_N_T_S_P_RA_Y_RE_C_I_R_C_ULA_T_I_O_N_SA_F_E_TY__IN_J_E_C_T_I_O_N_ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code AISC 4J BTH Edition, _ _N_A____ Addenda, _ _ _N_A___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired.or Replaced and Replacement Componants Nationel Repaired, ASME Code Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacemant *or Nol P.O.
T.S. 2X2X3/16X i,Ut'LOEO TLU3& G0018407-6 ~!P£AC£0.tfiJ 6 I -2 11 LG ASOO GRE ()F A-rYI i;;:g \ (!_A NA NA 'Wr'itT(,., 111'7 *1992 NO T.S. 2X2X3/16X W8.-0i:>""b 11-IBG'. G0018407-6 fl§:PllfCd) ~ ~ 1F.1:rn 1
-iO"LG ASOO g~ G"ie.J t!.Pr NA NA 1-h' it T/,. JI I 7 *1992 NO PLATE l/4X3"X3" Lu.i::;:.c/\J.S STE"L-G0018406-9 ~ EfL!rtt:!Jtk.. ~
LG A36 NA NA /.tr Ji: r~ S1'8 7 g *1992 n~nA NO TYPE RO, SWAY STRUT NPS SRS-06 NA Gl8410-l Parr ""_5es-" *1992 ~tti~~~ NO
~~7. Description of Work _ _ _ _~_H!l_P_f_,I_~~~
~~'ilEPL.Ate()~~
~~fiP~~
~~'B_HAN ?-fS-47..-~~
~~__G_E_R_P_E_R_F_C_-_92_9_ _HAN_G_E_R_#_G_Cl_O_-_H_2_B_ _ _ _ _ _ _ _ _ _ __~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Prauure 0 Other QI Preuura _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of llm, sketch111, or drawings !MY be ullld, provided (11 size is 8% In. x 11 in., (21 informa-tion in items 1 through 6 on thi1 report is included on each sheet, end (31 ech sheet is numbered and the number of 1heet1 is recorded et the top of this form.
~~(12/821 This Form (E00030I may be obteined from the Ordar Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
*ALL HANGER COMPONENTS REPLACED WITH THIS MODIFICATION.
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify thauhe statements made in the report are correct and this..:.f.=-==~o::..a=--~ ASME Code, Section XI. 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD
MA have inspected the components described in this Owner's Report during the period T -/ S-9,.;l, to 1-ts-9.;J. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 01J /} FACTORY MUTUAL SYSTEM
~~---------~-+-""""'"-+""""'U:;;.L...;;;...____~~
I n1Pector'1 Slgneture commissions Jn/. ~ Natlonel Board, Stete, Province, and Endorument1 Date l-1s 19 9~ (12/82)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _4_-_2_1-_9_2_________ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ _l __ of _ _ _l~-------- Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO°lr.t'AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24104956 Aepelr Org11nlutlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNS END & BOTTUM Type Code Symbol Stamp _ _~N=A~-----~~
~~Nam* Authorization No. -----~N"'A"-------- ANN ARBOR, MICHIGAN 48106 Expir11tion Date _ _ _ _ ____.N=A=------- Addraa~~
~~4. ldentif~a~on of System _ _ _ _ __IN_J_E_C_T_I_O_N_ _ _ _ _ _ _ _ _ __~~
~~CO_N_~_I_~_N_T_S_P_~_Y_~_C_I_R_C_~_T_I_O_N_SA_F_E_~~~
5. (al Applicable Construction Code AISC ~8TH Edition, _ _N_A ____ Addenda, _ _ _N_A___ Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manu factu re r Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
~~P.O. f<~~ffll~ ~ NO ANGLE 3"X3 11 Xl/4" A./oe.THlvCST~ G0018409-8~~
~~STC<"ll. ~ t;.i I R~~~
X7" LG A36 NA NA 1-l=r*{d)?S ~- *1992 ANGLE 3"X3 11 Xl/4" /.bf2.T~ wesrEJU'J G0018409-8 ((flp'f[fg~ VNO Xl'-4" LG A36 STEEL -J W//2..6 N}fl NIA W1~1oC7.53 *1992 PcFU!tel) <!!P f--J$47-
7. Description of Work ~PAI~i HANGER PER FC-929 HANGER #GClO-Hl.lA

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Preaure D Other IJI Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM .
NOTE: Supplemental sheets in form of Um, sketch111, or drawings 11111y be used, provided (1) size i1 BY.. in. x 11 in., (2) informa-tion in item* 1 through 6 on this report i1 included on each sheet, and (3) elCh 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
*THIS MODIFICATION. (ORIGINAL 1981)
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this...:.{j=...:::~:..:...;::;;;...~=--ic_conforms to the rules of the ASME Code, Section XI.
~~~:~""J ~rOw~tle A"'"'"?"J1 j , L ~ ~4~,p;:::_n_,~'-a"'t""e~=--'Z.,._,/.!!:.-_N_A~~
~~~ -U 19 9z_~~
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 MICHIGAN and employed by PROTECTION MUTUAL of
.....i.;'"""'u.a~LW._,__.J..;.i.,a....-------------,:---::--.,.,..-::-------.,,, have insi:iected the components described in this Owner's Report during the periodi----1.-L.!.""-....L.Jli!::>~---to ?-IS-9iJ... , and state that to the best ~f mv. ~nowledge 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, S8f~ion XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_sp_e_c-tio_n_._ _ _ _ _ _ _....,* I nspec:tor'1 n
,~ ._. . . o:=;J ~:. . ;IJ.___ =--12-* . : Commission1--1M~FLl:'-~'-T-/.~~R~Yle:e<.:::.MU--T-U_AL
~~__s_Y_S_T_EM NHlonml Board, Stat*, Province, and EndorHmantl Oate._ _ _ _ _f<--';_/'""'"S=--19 9..2 (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1ci.~~
~~CONSUMERS POWER COMPANY~~
~~1. Owner~------------------ Date _ _ _-'4'----=2:..::l'----=-9-=2-*- - - - - - - -~~
.;,* N*m*
~~27780 BLUE S['AR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_-'!=-- of _ ____.;...._2_ _ _ _ _ __~~
2. Plant PALISADES NUCLEAR PLANT Unit 1 2 77 80 BLUE STAR MFibflAL HWY.
COVERT, MICHIGAN 49043 T&B W.O. 24104956 Rmp*lr Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTrUM Type Code Symbol Stemp _ __...,N,.,A._______~~
Name Authorization No. _ _ _ ___,N,..,A'-=------ ANN ARBOR, MICHIGAN 48106 Explratlon Date _ _ _ _ ___.Nu.AL------ AddreD
4. Identification of System _ _ _C....;O"'-NTA=I;;;;NME=;;..;;NT;;;.....;;S..;..P.;;.;RA;;;;;Y;....;;.RE=.CI""R"'C:;.;;ULA=T""I;.;:O;;;;;N'--""SA:.;:FE==TI~I==N~JE=C=T.:.:IO::..:N;.:,___ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code AISC 41__ Edltion, _ _..;;N~A;...__ _ Addende,. _ _ _N_A_ _ _Codt Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes
~~! Built or Replacement or Nol Component~~
~~Manufacturer Sarlal No. No. ldantlflatlon P.O.~~
T.S. 2X2X3/16X WGU)Sl ni 1 1 -7 11 LG A500 OF" t\rh6121 <!..A NA NA LG TANGENT HEAVY BERGEN DUTY "U" BOLT PATTERSON P6502 NA
'.):.S. 2X2X3 16X 9" LG A500 GRB NA NA T.S. 2X2X3/16X 5-3/4 LG A500 . NA NA ANGLE 2X2Xl/4X 4-1/2 LG A36 NA -NA. ~,s.qL
7. Description of Work: _ _ _Jftml~[f.!!j\I~I1~H3i!!BJHAN~[gGE_g]R!LJP~E:BR_;F[!C~-:,291,292,__.!!HANMijG~E~RL,t#GC~lbQOl:.-J:J.HlAMJ((!:O!])_ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other !JI Praaurt psi Test Temp. *F VISUAL EXAM NOTE: Supplemental* sheets in form of lists, sketches, or dnwings may be used; provided (1) size is 8% In. x 11 in.. 121 informa*
tlon in items 1 through 6 on this report ii Included on each sheet, and (3) each* sheet 11 numbered and the number of shettl ii recorded at the top of this form: (12/82) This Form (E00030) may be obtelned from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
*COMPLETE HANGER COMPONENTS REPLACED WITH THIS MODIFICATION.
~~.. FORM NIS-2 (Back)~~
~~9. Remarks _ _ _ _ _ _ _N_O_NE ______________________....,,.,,---------------~~~
~~Appllc:.ble M*nufmcturer'1 Deta Reports to .b~'~ttached~~
.* CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and thls.!f.!::t~~;;.e::~~~Q(!forms to the rules of the ASME Code, Section XI. ** repair CERTIFICATE OF INSERVICE INSPECTION ,19
I, the undersigned. holding a valid commission issued by the National Board of Boiler lll'.ld Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD

MA - have inspected the components described in this Owner's Report during the period
' *.~ ... 1-tS-9;J,, to ;/-l.S-9,.:J,, and state that to th& best of my knowledge encl belief, tha Owner ha performed examin1tlons and taken corrective meesures described In this Owner's Repo~ jn accordance with the requlremenu of the ASME Code, Section XI.
By'signlng this certificate neither the lnspec:tar. nor his employer maka any waminty, expressed or Implied. concerning the examinations and correctiw measures described in this Owner's Report. Furthermore, neither the lnspac:tor nor his employer shall be liable In eny manner for any personal injury or property damage or a loa of any kind arising from or connected with this
~~;""'"""°'* ~ FACTORY MUTUAL SYSTEM~~
~~_ _ _.....,..._ _ _ _ _ _ ~...p.-:;....;....,fl!&.=:;...;.."-""--Commialons />?, *. ~~~
~~...~~
~~I nspector'1 Slgnaturw Natlonal Board, Staie, Province, and Endon.nenu Date ]-15 19 9.A.~~
(12/821
PAGE 2 OF 2 T&B W.O. 24104956 HANGER #GClO-HlA(Q) Nll'M of Component N1mtof MlnUflCUlrw M9ftuf.:tUM Serfll No. Nettori* Soetd No. Othw I d9ntlflc8doft Yw Built Regllt'ld, ReprlCld. ASMI COde Stll'l'loecl (Y11 or AepllC9fMftt or Nol P.O. LJ,j tc.e..J _~ PLATE l/4"X3"X G0018406-9 WL.AaO* 3" A-36 srEEL NA NA J..frP:: R ~ S' ~ 8' *1992 RE'P:tli::ERE13* NO PLATE l/4"X l"x LL-\ k.EN'.5 G0018406-9 Ref't.AaD 2" A-36 STE8- NA NA J.h*'*- B '3' f;q,<<? *1992 NO
~~~ *COMPLETE HANGER COMPONENTS REPLACED WITH THIS MODIFICATION.~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
1. O w n e r - - - - - - - - - - - - - - - - - - - - Date _ _ _ _4.:....-...:2::..:l=---=9:....:2::...__ _ _ _ _ _ __
Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l'--- of _ _- - ' l = - - - - - - - - - Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' l = - - - - - - - - - - - - - - -~~
27780 BLUE STAR Mfili&"ffAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Repair Organlutlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N~A~------~~
Nam* Authorizatlon No. _ _ _ _ _....N~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N..,,,.,A._______
4. Identification of System _ _ _ _--"C""O~NT""A_I::.N.::.ME=N.::.T-'S""P""-RA=Y-'-'RE:;.;C::..:I::.R:::=C""ULA=T::..:I::..:O::..:.N:.....:::S:.:AFE=.=TY=--=I;:,.:N=-JE=..C:::.:T::.::I::..::O:.:.;N'----------
5..(a) Applicable Construction Code AISC ~ 8TH Edition, _ _N_A ____ Addanda, _ _ _N_A___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repairad, Replaced, ASME Code Stamped (Yes Name of Name of Manufacturer Board Other Year Component Manufacturer Serial No. No. Identification Built or Replacement or No)
P.O. ANGLE 2X2Xl/4X k:ol+>JOK - G0018409-3 ~~l~8JA:L 0'-4-1/2 LG A36 1£(.G(!. r1Z I C. 6T"~ NA NA *~ J' q '?/,, Cj *1992 .. -- NO
~~?e'PLAcQ'.7 ,e '?-IS'*'h-~~
7. Description of Work _ _ _..;fl:..:!'El:::.:P;.;;A:=I;.:.;~=:B:;....:HAN=:.::G=E:::.:R..;P:..:E:::R.:....:.F..::;C_-9~2:::.:9:._..:.:HAN:.::.:.G:::E:::R;....;:.#.::;D..::;C=..2-...:Rl=.:*. . : 1 ' - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preaure 0 Other QI Pressure _ _ _ _ _ psi Test Temp, °F VISUAL EXAM
NOTE: Supplemental sheets in form of lists, sketches, or drawings may bl used, provided 11 I size 11 8% In. x 11 in., (2) informa-tion in items 1 through 8 on this report is included on each sheet, and (3) a.ch sheet is numbered and the number of sheets is recorded at the top of this form.
~~(12/82)~~
*THIS MODIFICATION.
This Form (E00030) mev be obtained from the Order Dept., ASME, 346 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Aeport1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.J!::f-!!::!!::!~~~=""-E:: ASME Code, Section XI. repair 0
19 92..

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD' . .MA -= have inspected the components described in this Owner's Report during the period 1-JS-9.:l to ?f-15-'Jnl . , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. j/J O FACTORY MUTUAL SYSTEM ________ 'j.,_.,.6,~-~-...~~------~---Commission1__,_/V>--'-&..:'* 1n1Pector'1 Slgneture
*.__J4'L...:'-;l.='---------------
Natlonel Boerd, St"u, Province, and EndorMment1 Date 1~1.s 19 9J. (12/82)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~
~~CONSUMERS POWER COMPANY~~
~~1. Owner------------------~ Oate _ _ _.....;4:....-...;;:2;.::l:....-~9.::::2c.-________~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ _ l __ of _ _ _ _ _2 _ _ _ _ _ __ Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MFJ.!.6W!fAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24104956 Repair Orvanlutlon P.O. No., Job No., ate.~~
~~3. Work Performed bv TOWNSEND & BOTTUM Type Code Symbol Stamp _ _~N=A~------~~
Name Authorization No. _ _ _ _ __.,N..,.A,,_______ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ ___.N""A=------- Addrea
~~~ __~~
~~ldentif~ationofSystem _ _c_o_~ I_~_N_T_S_P~_Y_~_CI_R_C_~ __TI_O_N_S_A_F_ETI __I_N_J_E_CT_I_O_N_ _ _ _ _ _ _ _ _ _ __~~
5. (a) Applicable Construction Code _ _ _A_I_S_C_ _~ 8TH Edition, _ _N_A ____ Addenda, _ _ _N_A_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.8,,._,3_..,S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, ASME Code Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component *Manufacturer Serial No. No, ldentifiC*ion Built or Replacement or Nol P.O.
a:;="~ 7/8X6"0 U-BOLT .- Gl8410-3 HEAVY DUTI NPS PUH.060 NA *1992 NO PLATE 1/2"X3X Lu.r::eN-S G0018406-8 aeplcatcJ ~ 10-1/2 LG A36 ~T<=..<o~ NA NA Hr ll= re 3:5?'1 *1992 lit8P1'd:~ NO
~~'-"'-,q v ,.,,- ~~~~~~~
~~T.S. 3X3Xl/4X G0018407-7 (;~O"LG ASOO NA NA <!'.OIL.. iJ:~~
*1992 NO qz.it.5"(
PLATE 1/4X4XOu- t-1,.{ KeN.S G0018406-9 ~cPL2Lul. ~ 511 LG A36 sn:.~ NA NA ..irit B ~ 3'"18 *1992 litSPA+/-litS~ NO PLATE 1/4X4-1/2 t-U. k.E;V-5 G,8406-9 ~auJ.~~ X4-l/2LG A36 ~11::.""'"EL NA NA H B~~76' *1992 R:l!l:P.'i;E~~ NO REPl.Ae&O 7-1~ 1. Description of Work RBPi't!RHB HANGER PER FC-929 HANGER #DC2-H8 .1
8. Tests Conducted: Hydrostetlc 0 Pneumatic 0 Nominal Operetlng Pressure 0 Other QI Pressure psi Test Temp, °F VISUAL EXAM NOTE: Supplemental sheets in form of llStl, sketches, or drawings may be used, provided (1 l size i1 8% in. x 11 in., (2) inf01'11111*
tion in items 1 through 6 on this report i1 included on each sheet, and (3) e.ch sheet i1 numbertd and the number of sheets is recorded at the top of this form. (12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017
*THIS MODIFI~ATION. (ORIGINAL PER ~V. 3, 1980)
~~FORM NIS-2 (Back)~~
~
~~9. Remarks ______~_____N_O_NE~~~~~~~~~~~~~~~------~~__,,.--~--~--~~--~~~~~~--~~
~~APPlicable M11nuf11cturar'1 Data Reports to ba attached~~
~ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this..!<1~~:t.:'4::C::-,:r!~~~==-~onforms to the rules of the 1"9Pair r I ASME Code, Section XI.
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid eommission issued bv the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL of NORWOOD , MA -= have inspected the components described in this-owner's- Report during the period 1-t.S-9;J. to 7--tS-9;). , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any wamsntv. expressed or implied, concerning th~ examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in 1iny manner for lll1Y personal injury or property damage or a loss of any kind arising from or connected with this
;"""'"do". ~~ FACTORY MUTUAL SYSTEM --~~----~----~~--= . . . . . ._.......--....._____~---Commissions ......../'11~-'-:--"*~--~~
~~1n1Pector's SlgnatUl'9~~
~~......--~----------~-----------~~
National Board, State, Province, and Endorwmants Date J-1s 1s 902. (12/82)
FAGE 2 OF 2 T&B W.O. 24104956 HANGER #DC2-H8.l N1me of Componettt N1me of MMUfleiUIW M.ftufctUm' Sette! No. NationIt loercl No. Ottiw IcMnUfk:Mfoft Yw IYllt Reoel,_, R1e1rlCld, ASMI! Cade Stam09d {Yff 0t Reotll*Mft1 or Nol P.O. PLATE 1/4 X 2X 9-3/4 LG A36 i- IA K.0"S
$~ NA NA j~l8406-9 #:. p.., %S-C, g *1992 ~aced~ ~ --tt'E'R:SB NO *THIS MODIFICATION. (ORIGINAL PER REV. 3, 1980)
~~1. Owner _ _ _CONSUMERS FORM NIS*2_0WNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
______ POWER _ _ _COMPANY Date _ _ _ _4~-~2=1~-~9~2~---------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ _l __ of _ _ _l~-------- Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit_--:1=----------------~~
~~27780 BLUE STAR -"fi'AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Repair Org11nlutlon P.O. No., Job No., nc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--=N....A...._______~~
Nam* Authorization No. _ _ _ _ _~N=A~------ ANN ARBOR, MICHIGAN 48106 Expiration Data _ _ _ _ _ _... N.,.A.________ Addrea
4. Identification of System _ _ _ _C~O=N=T=A=I=NME==NT~S=P~RA~Y~RE~C=IR~C=ULA==T=I=O=N~SA=F~E=TY~~I=N=J-=E=C=T=IO=N'-'-----------

5. (a) Applicable Construction Code B31.l 19~Edition, _ _N_A_ _ _ _ Addenda, _ _N_A_ _ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
Nation iii Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 11 6 SCH lOS T~'iLO/C. Gl3005-l STANDARD TEE FoP-~6 NA NA H~-r, l';).~ff~"ft rJ/IJ REPLACED NO
7. Description of Work _ _ _I_N_ST_A_L_LA_T_I_O_N_O_F_6_l_.'*_s_c_HE_D_UL_E_l_o_s_._s_._TE_E_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic[!] Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure 220-0+20 psi Test Temp. AMBIENT °F-NOTE: Supplemental sheets in form ~f lists, sketch111, or drawings may be used, provided 11) size is 8% in. x 11 in,. 12) lnforma*
tion in items 1 through 6 on this report is lnduded on each sheet, and (3) each sheet Is numbered and the number of sheets ia recorded at the top of this form *
~~(12/82) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the re~ort are correct and thistl \a.cc:: ~ conforms to the rules of the repair rep I acem ent ASME Code, Section XI.
~~~ :c.: . T~te~of"'-"l A<-u=:.th-o-=2'-io~nz" ~-'ti :::::/.:~::N:::..A:.:::.:'-"'.-""-'--""---""'-""--'-'-'-.::::~~~-E-xp-i::::n ;;?µ---Z-/__~~
~r f~ ~ ~ --Z..- .. ..U..,o ... N_A_ _ _ _.-- -
Owner's Deslgnee, 19 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel ln$pectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of
.....,N.,,O..,R,..W.._...O""O"'D~._..MA...._____________--::::r---,::,..------=have inspected the components described in this Owner's Report during the period _ _ _ ___.1....._-_..l_,,S'---9.~~ ...:;;o...--to l- tS -9?1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither th1t 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. FACTORY MUTUAL SYSTEM
~/)If -----------~-~---~;.....-~~--Commissions Inspector's Signature /Yu~ ~
~~National Board, State, Province, and Endorsements Date 1-ts 19 9,J (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER_ _ _COMPANY _ _ _ _ _ _ __~~
Date _ _ ___,,4_-.:::.2=.1-_9"-'2=------------ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 . Sheet_--=1'--- of_ _--'l=---------- Addrea
~~2. Plant PALISADES NUCLEAR PLANT. Unit 1 277 80 BLUE STAR -~ HWY.~~
COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Repair Orgenlzatlon P.O. No., Job No .* etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type, Code Symbol Stamp _ ___.,N....A=--------~~
Nam* Authorizatlon No. _ _ _ _ __,,N""'A....__ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _..,,N!iJA.___ _ _ __ AddrM8
~~4. Identification of System _ _ ___;C...,O,..N....T,..A""I~NME.....,,N.,.T..__,S""'P_.RA,..._.Y__.,RE""""'CI....R"'C"'......... ULAT....Io.:O..,,N_S....A..,F...,E""TY.....__,.I..,N::.1.JaE,,.,CT~~
~~....I...,O"'N...___ _ _ _ _ _ _ __~~
5. (al Applicable Construction Code B31.1 19J!2..._Edition, _ _N_A;....__ _ _ Addend11, _ __;NA;.:;;.;;.._ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME
*, Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes . Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
6"¢ LONG RADIUS TAYLOR FORGE G23155-3 90° ELBOW SCH liO STAINLESS NA NA HT LFWY-1 1991 REPLACED NO 6"0 LONG RADIUS TAYLOR FORGE G23155-3 90° ELBOW SCH 40 STAINLESS NA NA HT LFWY-2 1991 REPLACED NO 6"¢ SCH 40 S.S. SANDVIG 2003-3162 Q PIPE INC. NA NA HT 469468 1991 REPLACED NO
7. Description of Work._-=I=..:.N::;.ST=A""L=L::-;;N.:.;;EW=--"'S""CHE=D:..:ULE=:........:4..::0-=S=TA""I=NLE=:..::S:..::S-=S=TE=E=L:.....;:P:..:I:..::P..=E:......:::&:.....:::.EL=B=O::..:W::.:S::....__ _ _ _ _ _ _ _ __
B. Tests Conducted: Hydrostatic[!] Pneumatic D Nominal Operating Pressure 0 Other 0 Pressure 625-0+20 psi Test Temp. AMBIENT °F NOTE: Supplemental sheets In form of llltl, sketches, or drawings ITllY be used, provided (1 I size is 8% in. x 11 in.. (2) lnforma* tion in Items 1 through 6 on this report Is lnduded on each sheet, and (3) each sheet 11 numbered and the number of sheets i1 recorded at the top of this form. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the re~ort are correct and this...:C.:=:..::=~~;i,,i.~ ASME Code, Section XI. or Province of MICHIGAN CERTIFICATE OF INSERVICE INSPECTION and employed by PROTECTION MUTUAL C/Z..
~~,19 _ _ __~~
~~I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State~~
of
_.,,Nu.O""R..,W..,,.O"'O"'D~._..,MAig,,_-------------=..-----:=.-------have inspected the components described in this Owner's Report during the period _ _ _ _ _7...__-,,_/,,.S=<---... Z...:2."'---to :f-tS-9ol , 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. ~ FACTORY MUTUAL SYSTEM
~~----------~+-"=~--<---=--'-~'"---Commissions_...IYJ....;....:""'-=*.__.7"-='-"d......,._ _ _ _ _ _ _ _ _ _ _ _ __~~
~~I nspector'1 Signature National Bo.rd, Stmte, Province, and Endorsements Date . r-IS 19 9c< (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
_ _ _ _ _ POWER As Required by the Provisions of the ASME Code Section XI ____ COMPANY Date _ _ _ _4~-~2""1--9~2=----------- N11m11 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043* . Sheet _ _l:::_._of_ _~l_ _ _ _ _ _ __ Addrea . ~*
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~mi_ HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 24104956 Repair Organization P.O. No., Job No., etc.
~~3. Work Perfonned by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _ _.""'N::A=-------~~
Name Authorizatlon No. _ _ _ ___,N,,,.A,.,,__ _ _ _ __ ANN ARBOR. MICHIGAN 48106 Expiration Date _ _ _ _ ___._N...A...__ _ _ __
4. Identification of System_---"C"""ONTA=:.:::I:::NME=::..:NT.=.....:S::..:P'"'"RA:::.:.:.Y_.RE=C::..:I::;R,,,CULA==TI=O.:.:.N_.S:<:AFE~*:::TY~...,IN....,JE=.::C:::To.:::I,,.ON..,__.,------------

5. (a) Applicable Construction Code B31. l 19~Edition, _ _NA _ _ _ _ Addende, _ _NA _ _ _ _ Code Case (b} Applicable Edition of Saction XI Utilized for Repairs or Replac:emenu 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
~~P.O. oi:1:>. :>~~
1'"LAf'lGE, W.N*~*R:. FACE * .:i:Ot"":R-L G23155-4 t1 3elQ://: SH'40 NA NA J) '-}O~ 0 H ;./A
. REPLACED NO 6"S.S. FLANGE G23155-5 W.N. R. FACE :COEA--L-300# SCH 10 NA NA 0 lJ/)(y) 1-h-~ ,<J/A REPLACED NO 3/4" STUDS A193 Nov A G23155-6 GR B7 5-3/4 11 LG tl'l~*N~
11 NA NA \.ti" w7<gtJ?t. f1J/4 REPLACED NO 3/4 NUTS HEAVY NOlltJ. G23155-7
~XG~S94 GR 2H d/A /l'l~1.J6 NA NA l-lr:1;-!?<::>'1 'i'll/o REPLACED NO SPECTACLE J"es~ G23155-8 ~G~gf jo@IAN s.\--e.e..\ NA NA U,. '° S-0.S-S I ,.J/A REPLACED NO
7. Description of Work INSTALLATION OF SPECTACLE FLANGE ASSEMBLY

8. Tests Conducted: Hydrostatic [!] Pneumatic 0 Nominal Operating Prissunt 0 OtherO_Pressure 625-0+20 psi TestTemp. AMBIENT °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8% In. x 11 In** (2) Informa-tion In Items 1 throu!ti 6 on this report Is Included on each sheet, end (3) each sheet Is numbered and the number of sheetl is recorded et the top of this fonn *
~~(12/821 This Fenn (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS*2 (Back) NONE~~
~~9. Remarks-------------------------------------------~~~
~~Applicable Manufacturer's Data Raporu to be attac:_hecl~~
~~.. ..~ -~~
CERTIFICATE OF COMPLIANCE We certify that the statemenu made in the re~ort are correct and this ~~-6' conforms to the rules of the ASME Code, Section XI. .* repair o lacam;Db
~~,19 qz_~~
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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD. MA have inspected the components described in this Owner's Report during the period * *1-1S - 9.J, to z-/S -9.il . , 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 warrantv. expressed or implied, co_ncerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in eny manner for any personal Injury or property damage or a loss of any kind arising from or connected with this
~~,,.,_;,.;,.. ~ /} FACTORY !llIT1lAL SYSTEM ---------~ . . . .----"'==_____.._...____ Commissions JI?,*.~~
~~lnspactor'1 Signature Jt;,;2 Natlon81 Board, Stata, Province, and Endonament1 Date_ _ ____.f_-_*~/S=--__19 . 9.?l (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. O w n e r - - - - - - - - - - - - - - - - - - - - Date _ _ _ _4'---=2::...:l=---=9:....:2=----------~~
Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_.......;:l:...___ of _ _- - ' l = - - - - - - - - - - Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit _ - - ' l = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR M'£M&"lrfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24104956 Fl*P*lr Organization P.O. No., Job* No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--=.N:.::.A=--------~~
Name Authorization No. _ _ _ _ _,.o;N!,.!i:A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _~N.,,,A._._______
4. Identification of System _ _ _ _. .;,C. ;. ON"""TA_I_NME=-.;;.. NT--'S::.. ;P-=RA..;.;;..;;;Y_RE-=C-I_R_C.. ;;.UL_A-'T""I_O.. ;;.N. . ;. .;;.S. . ;AF::.. ;E::.. ;TY;:.::_..::I::.. ;N..:. JE::.C.:.;T.:.;I::.. ;O..:. N;___ _ _ _ _ _ _ __

5. (a) Appficable Construction Goda AISC ~ 8TH Edition, _ _N_A~___ Addanda, _ _ _N..::A..:. ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components National Repaired, Replaced, ASME Coda Stamped (Yes Name of Name of Manufacturer Board Other Year Component Manufacturer Serial No. No. Idantificetion Built or Replacement or Nol P~D.
1 11 ~ BOLT W/HEX C.i'\-<lCl I () a, I - vv~ '":)i2 RePtAtW NUT ASTM A-325 NA N~l/ 400.::>co *1992 ~1u:i;wm, 3-112" LG IT,...\ <..k1e!:> 1-' - * ,. 1 L:_ J:t' ~ VJl// NO Nu."1" }.f-r~ P3Z 70(,,
~~-RePLAl60 @.> ":l*tS*q?.-~~
~~7. Description of Work _ _ _R_ffi.....;P;....A_I_~~~
~~__ '9_HAN_....;G_E;.,,.R_P_E_R_F_C_-,;.,9_29;....._HAN __ G_ER_#_H_C__2_3_-Rl_._l_ _ _ _ _ _ _ _ _ _ _ _ __~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Preaur* D Other QI Preaure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM
NOTE: Supplemental sheet* in form of lists, sketch*, or drawing1 may be used, provided 11 l size 11 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report i1 included on each sheet, and (3) each sheet i1 numbered and the number of sheeta is recorded at the top of thi1 form.
~~(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
*THIS MODIFICATION. (ORIGINAL 1981)
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this....;;<.;;;:.i::-="":::_.;.;.-=.....=~ ASME Code, Section XI. Cf
19 _ _Z-__

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of
~~,D __.MA~~
~~_..N. ,0. .,R.,W. . ., O. .,O. ........ .......______=---------==-----,,,-----=have inspected the components described~~
~~9. . ...~~
in this Owner's Report during the period _ _ _ _ _ _7.,._-_..../....S_-.... ~~-to "l-tS-7'.il. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~ II FACTORY MUTUAL SYSTEM
~~---------~-1--==-"E==,..--...=-....__,_ Inspector'* Slgnnure~~
____ commissions /\?,*. f'.~ National Boerct, State, Province, and Endorsement* Date 1-ts 19 9~ (12/821
FORM Nll-2 OWNIR'S RIPO .. T l'O .. "IPAIRI 0 .. "IPUclMINTS Aa Recsuired by the Proviaioftl of the ASMI Codi Slcdon XI
~~1. Ownef' Consumers Power N.,...~~
Com~any Oete Ju.)y 7,s /99L 27780 Blue Scar Mem. Hwy. Covert. MI Sheet l 1
~~.ill.a*- 1 of~~
2. Plant Palisades Nuclear Plant Unit Neme 27780 Blua Star Mem. Hwy. Covert, MI Ad . . . """ o,._...._ ,,o. Ne** ~- Ne.. tte..

3. 'Notti,.,,........_, Townsend & Bottum FOC, Inc.
Neme Tv;e COdl ~,_.. ....__ N_/A _ . - - - - - - A.udtottlldoll N& _ _ _.wN~'.-4------ Ann Arbor, MI. Exotl'8doft0.. NIA
4. ldeftttfladoft of SVmm _ _ _ _ _ _...6-.-n...-j"'"'i,..11.;;;e_e_r,.;;e;;;;;J_....;..s;..;,;*;..;rc..;~~fo'-'<..:...;i..S.;.Y".:;;j.;;;5_ _ _ _ _ _ _ _ _ __

s. (1) A.OOflc-.CofttmMftloftCOdl (IJSC ~~ldltfolt, NM AcAddll~----.:.#~~L-CodlC..
(bl A-'lclbl9 ldlttoft of~ JCI Uttllnd for,....,,. or ,...1-11111 83 S 83 ASMI Coa. Stamcild Nemeot N.,.of ,.._,.....,,. NltlOMt lloent Otlltr Y*
~~.A. . . .~~
A*I .... (YH or,.IPl.-..nt ar Na) c°""'°""" ~,..,,... Sett* No. No. ldlfttifladM lullt f.ICP..(DC2. -R. 6. / CPCo N/;q JV?, HC..l</f5c 2- 1981 f<epaire.J /Vo R6'.J
1. o~cloftot.,.~'*--~--.e-/J___6_~_;_/_-~~f~--Fc~c-r___H_c_R-...;./_o_c_~--:-R.;..m.;~~I----------

8. Ttm Concfuctl** H\ldrOI.... 0 ,,..,,.... 0 Nomln* OC* .... ,,_.a.
Ottter(J 'N1111t1: pe TmT..,. *rr. ' VT-/, VT NO,..: Su.illf*ial .,._Ill,_. of I - e' 11,,_ or.._......., .......... tth* llD la.* lft..12)
~~.... .._mil..................~~
~~11 lftfarml. t1cMi..1. . . 1~**dlll,...111Nt1***_......_.,.ca ot..._ia~~
~~~--- '°""~~
112/ta** Tltft llOG03Gt ,.., 11119 oMl!IMd from tfte Order 0... AIMI. M I. '7dt a.,._ VOftl, N.V. 1OQ1 7
t'b 1 ' S!-l .a*o
~~-~9PUl llUI ._.,_,, ......_... ....,..N .,._,... l,ollUl..,1~~
~~lil!lSAS 'lVOJ.~:J: - ~ . .,. . .,~~
~~l!IP wifM PIUIC°°....,. ..... ,Uf11 Alll fl090f t a lllUllP ~Cl'° Alftful ............. _,...,,, . . ut ....-11 IQ 1111.fS 1!11~~
..."°'°"" .IOI.I,......,, MP .,.,eu .......,IMPll\tl "UOlleW VIUMO ""' UI 111q1 llf ..,_., . . . .llO .... IUO!PYIWSXI *111 lu~ ,... *
~~r * * .._._ *...., _._ ....... l!lf '°" m 1*a1 _......., *D111a. lf"1 lu1ul!* As~~
*1x ...-S 'IPCO lfllW 9'P fO 11-.-1..... 9'P ...... *llP U I ut MMICI l,llUMO *1111 U! PIQ!.mtp..,,_.,MP*'*.,...,._...,.,, 11ua pewao.-
1 1 - - 0 MP 'f1191Q

llsl*1MOU111Aw10 Piel *111 01 a111i c1u PUI z::z-s/-£ oi t'Z-sl-t:. ,...,.., ... luflnp UOC11e1 *r*IMo *1"1 u, PIQ!nati:> ti~ MP 1110**u1 _,... 'YW 'p00M10N 0
,c ten* nw UOT*::::>a*o.:zd All peAo~ pu; ueb'ttt::::>T~ 10 a:>ll!AO.lct ~ *ms 111i p11111=-c11u1 _ . " ~ SIGll "lfOI 10 IMIOI ""°9aeN *"1 Aq ...,., ..,..,"""*' PlllA 111&11p1011 Ptul!&JePun 111i '1 llOW>>l*I DMlllNI lfO liw:tllfl.llll:> ~ -- ~ *aJ.L~~
~~f U --w --+- (/ ~ 'OW ~ (/ r. ~ l*ll!S~~
-------Y-/-N----*a ~1--------Y-/_N__ 'ON uotlllt'DIP"W fO matl!UfO -------------------------y-/""N--,~s IOQWAS IPO:> ICIAJ. ...._,1~ ~ "" 'IX UO!l"S' 'IPO~ IWS*
~~11.1i ,o 111~ 111i oi llALID,uo~ .P~ ~* ,, '2J 11"1 ~ ~ ua ~ *"1 u1 * " ' 1au10*11u *"111"1 ~IU~ eN. f .-WI,._,:> lfO l.&.~"Lllll:>~~
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~- As Required by the Provisions of the ASME Code Section XI~~
~~(,,cn.:;:..::::ers ?.Jc.;er Co::i"anv~~
~~~.fem.~~
~~Name Hwy. Covert, :u Sheet _ _ _ _ ot _ _1__________ 27730 3lue Star~~
~~~ddreu~~
~~2. Plant Palisades ~uclear Plant Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
Name 27780 Blue Star :!em. Hwy. Covert, ~!I Addr . . Aac1fr Or91nl11tlon P.O. No .. Joo .'lo .. 1tc. J, Work Performed by Consumers Power Company Tvo1CodeSvmbolStunp __-~~~/_A;,__ _______ Nune Authorization No. :l' I A 27780 Blue Star ~em. Hwy. Covert, :u -------:~,.------------- Ex oi 1'1ti on 01t1 :l' A Addr. .
~~~ ld~tifi~ti~~~rum _ _~-*-~-~-~--A~~~--'-~~--~'~A~~~~----*~~~j~S~~--e_~ ____________________~~
5. (al Aoolicable Construction Code ~c.:..\i<>r. :crr t9.::zl_Edition, l\AJ ]g Addende,___.N_._-_4-;...'1...:.::::b;..._.C.:id1 C.ue (b) Aoalicaole Edition of Section XI Utilized for Rep1ir1 or R90t1e1m1nt1 19 'B3 '5 ~S'

6. ld1ntiflc1tion of Components Repeil'9d or Reot1etd and Rept1e1ment Comoonent1
\ ~SME Coce Nationet R901il'9d, Stamced !
I Name of Name of M1nuf1CtUrer Board Other Yitar R90lactd, 1Yes Component Manuf1eturer or Replacement or ~o) S1riel No. No. \ td1ntiflcarlon Built I i
r::..-.c::o"'*e S"'~**
~~. Co"""'b "'ST'""~~
~~N - ,_ 7:10 E:."'-G i t"E!e.t"-;...o. d45"lf-3 N/A ~-qJ.-Ohlf 1q74 ~~A\te~ Ye5~~
~
~~Ii I~~
~~-r~ S\A l \ed ~e, \ \ CO \ \ oY'- i ""Ct:- te.. -El'.A V\Gl e.._~~
~~7, Description of Wortr _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' - ' . ; : : , ;_ _ _ _ __~~
~~8. T11t1 Conduc:tld: Hydrottme 0 Pneumftfe 0 Nomlnel Ooeretlnt P~ (8 Other 0 Prtaure pli Tut Temo. 0 fC~~
NOT&: Supplementll lhftll In form of lltU, 1ketchW. or draMn91 "-Y be u.t, PfOridld 11) aze fl 116 In.* 11 ln** 121 informe*
tion in lteme 1 thrau_. I on thlt repon fl included on eldt lhen, 1nd 13) ncft lh* II numbend encl th9 numaer of meea i1 rteorded et the top of thla fomt. ( 12/82) - Thi1 Form ( EOQ030) m1Y be obt1lnld fro,,; the Order Dept** ASMI, 3411. 47th St., New Yortl, N. Y. 1001 7
FORM NIS*2 (Back)
~~9. Re..,,ar~s _Se~e.._...._A..._t"_r.'--AG_h~ed~~N..;::_~~-JM.~o:!..:.~...i..:...:..A..!-.-..!..:E\}~e:...ff::..c:==.:...~....:..*_ _ _ _ __~~
~~Apgllc1ble M1nulec:n1r1r'1 01t1 l'leoom to tie 1"1:hed CERTIFICATE OF COMPLIANCI We certify that the stat1m1nt1 mad* in tl'I* repon arw correct and thit ASM E Codi, Section XI. r-e~ A\ reo1ir~~
~~'° ar reotec:emeni conforms to the rules of !M Typ1Cod1SvmbolSt1mp _ _ ~(\J,_,.,~'---~-------------------------------------------------~~
~~Cenific1t1 of Autl'loriZltion No. _ .....N....;;../'"-::..A...;..________ expirltion om_...... N..../;~~
~~......A____________~~
s;, ... ~#w~....~.sr-- AnAl:JsT o... ______ J. 1./~/_ ;,1_' ,:_ CERTIFICATI 0' INSIRVICI INSPl!CTlON I, the undersigned, .hold'.ng 1 vii id comminion issued by tl'll ~tionll Bon, of Soifer end Preaure V1t11I lnsQICtort and the State or Provine* of /VI, CJic GA,./ and 1mplayld by j;rCQTE<!,;1 <<!Jel D"'lu.T<.<dL of
/\../ogc..yooD, Mfr* . 1'11¥9 inlPICfld th1 compon1nu described in this Owner's A~rt durlnt me period J- -It./ 4.¢.. to J* t<f. 9 ~ md stl19 that to the blti of my ltnowtldgl Ind belief, me Own11 l'I* performed 1xMtin1tlon1 Ind taken corT'ICtiw m*~tll dltcribed in this Owner's Report in accord.a with tft9 iwqulren1et1t1 of th* ASMI Codi, Section XI.
By signing this C9ftiflca19 neither dte IMPIC'l'Or not hit employw meUI 1nY ~. 1....-.t or implied, conC9t'ning the ex1mi.,.tion1 and cornctill9 meema111 dllcribed in mia Owner'* Report. Fu~ neidtw me ln..-ctar nor hi1 emotovtr snall be liaale in ll'IY menrw fat MY penaftli Injury or p~ dMt8119 or* 109 of ,,., kind .i11,. from or connected with this
,.,...,,;... 4! ~ f'Y1cn>.er """r""L sr~ -------------~...-:.-w.-"""'~~L~~~=--------CommlaiOM~~/\1~1~*~-~J1o..:;;;i...~----~------~-------
~~1n...,...1Sltnfture NeiloMI INN, Stltl, °"Ince. Mct llldonmnentt 01r.._ _ _ ____..;t_-"""1.... '{.....__11 9d. (12/82)~~
*..... i\ ' ., . ;. '* ,.*, i.lol * **\, -***u- *** **** . '*""" ... * , ** *****,: 11*1 I \ "" -.:-.- ~- .;.--=--
~~o::-.ous-:io~ ::r.r.~ :-.~-~~~
Ir.~., Windsor, Cor.r.ecticut (;,j \: ... r.i..l.&C(.,a:,.:J :,y _ _ _ _ _ _ _ _ _ ___;:__ Consumers Pm*:e:- ::~..:-:~*~_r..z., Inc. , Cov2rt, M.;_ic.=:. ;. ;.h"""i. . _g..; ;.a.;.;.n__________
~~\~......, .r...s ..O.!r* ** el M....lact..,.., el c-pl*l* L...Ci*w coaporwft&)~~
2.. !.ic:nti{i.::uion-~;m1 facnuc:r'* Serial lllo. ol Pan _2_9_5_4_-__J________ Nat*I Bd. No. _ _N_../._A;. ;. . _________ (a) C.::on~uuc:c:d Accotdin' to Dr:awi..ng No. 2966-E-2954 Orawi.D1 Prc:pare-d by Cambusti on Engi neprj ng, Inc. (~ nc~crip:i~o!P~lospc:ctc:d _____ Instr1r.1entation _ _ _ _ _ _ _ _ _Flange _ _~-----------------~--- Winter (c) ... ?';>!ic.J.bic: *..S.\li-:CoJc:Scctionlll,Editioo--1SJ...l_, Adclc:Ddada&e 1972 , Caac:No. N/A Class _ __.._______
>* Remarks: This flanae will be attachedJ.s.ing 1-J/2* djarreter studs, tu a Nuclear * -, (Brief '9acrl~U- el *errice I
~~wMea. -~at *** "-*le-cl)~~
~~Reactor Pressure Vessel Head~~
'.\'c: cc::::;y :h:it c!\e scaci:mc:nts made: in chis rcro:c arc: corrccc and this *es~l pa:t or appwtenaoce as_.dc:Cinc:d in the: Cock con*
~~o=s to 1~c rules oi c ~nsc:ucrion o! the AS\!E Code Scctior. Ill.~~
~~(The: ::?;>!ic.J.b!.: Oc-lii&fl 5?cciiicath>n :ind Stress Rcr->n :ire: noc ihc respoasibility o( the pan Manuf:acturc:r. An apr-urtcn.=.nc.:~~
~'.::nui:ic:~rc:r is rc:s('lonsi;,lc for fornishint: a scr;a::uc: Oesi;n S."'C'ci(icaci- and Suess Report i( the appunena.nc:e is noc includeci i::i the co.:n;ioncnt Design S;:>ecification and Suess Rcpon.) ,r' _ .:- '.).uc: _ __.___..______ 19~ -,y..-. S1.,:;ned Coo:-.bustion Enginnering,Inc. Uy t. _.......... ~/ .~*u
~~_._,-*.-,~~r~~
/~ /, /,,-: A Ol*-' ec
~~w.,) John ,E. Wal.1 er Cc:ci!ic:ite of Authorization E xpares . _March~~
~~_ _ _ _7, _,__ 1975 _______ c eru.,-aca1e o f nu1~~
~~& boraz:a11~0. .Maca~r _ of __ Q;.;a~~
~~__ 1i_ty Ass~ranc:e N-374~~
~~oc~~~~~u~nonfileu _ _ _ _ _~~
Strc s s :analysis report CERTIFICATIO~ OA file at _ _ _c_o_rnb_. OF DESIG~ FOH APPURTE.~A:-lCE C~o-~~u~s~t_i~o~n~E::.;n~g~i~n~~~r-.i~n~a~*~I~n~c-*~*-W~i~n=d~~-o~r~*~C_o_n....n~e_c_t-i_c~u_t___ ___u_s__t_i..;::o"'"n'-"E:.;.n_g;i..;i:..:n""'e::.;e""r:.. ....1* n~g. . ._I.n..,.c.... (wbea applicable) or_...........c. o. ...n....n~e-c..t.......i ..c..u....t.___
~~'-' "--'w....1...* n....d.....s .....~~
Oc:si;* speciticatioas ceni!ied by _ _ _D_._J_._M_c_L_a_u_.g._h_l_i_n______ Prof.Ea1 .Scacc Conn. Re 1 *.No--J95j_ Sr:css ;i~;ilysis report ccnificd by_ _ _o_._J_._M_c_L_a_u_g_h_l_i_n______ Prof. Ea1.Sra1e Conn. Re,. No -:/955 CERTIFICATE OF SllOP ISSPECTION -.J co
!, inc: ur:dcai;;ned, noldin; a *alid coinmis~ion iuue-d by the Naiiooal Board of Boiler and Pressure VC's~cl lns~1ors l .l~!./.,: 1::c: Smc:.o: Province oi Connecticut and CIDrloye-d by The Hartford Steam Bo1ler llI Co * .,: 1-:ar:ford, Connecticut ha*e ias;>ec1e-c1 ihe pan of a pressure *use! described in chis ~.l;.~... :.;.c: .. :C':' s ?.l:ti:i! l)a1a Rct>ort on=-::Jpr* l .S-
~~19.d, and sune 1hac ,to che bcsc of 111y knowlcd,:e~~
~~.l~...: ac:r.,-:-. :::c ~l;nufaecurcr has conurucccJ this r:an an acc_otdance with &he AS\4£ Code Sec1ion Ill.~~
li)* ,:!=~ir:.; 1iai, ccniiic:ue, nci1hcr thC' Inspector nor hi9 C'tllf'loic. *akcs any wuranty, ez;i:ess~c! or implied, concern*
~~~..: :;.c '-p.J.:1 cic:~.:ri~cJ ir: 1hi li ~ianulaccurcr' s Panial Data RC';ion. Funhe11110re, nei1her the lnsreccor nor his cmployc::~~
~:-..i..: :..: ::.;.t.lc: in any manner for any persoaal injuzy or propnry dama1e or a loss of any kind ~11*i!'g from or conneeted ...-i:h c.-.i, i:u;:>c:c:ion. -
~~co.~i ss.ons --'/fi"---'JJ_r_*_r.._._b>_u_IJllr.._D__l_Y_f'_J_..._____~~
~ .. lonaA BMrd. . . . . . . Pre*1nce *ftd ~o * *S;..r.':):*r.-.c:.,_: .:--..*r:* 1:\ fonn o{ !***** *il*IC'h** or dr.awanca ..,., be -. ... .1*pro*Mll*d (6) **** 6* ay.** a 11**. (J) U.l* ... *Uen an U*** l*l °"Ou*
c:.~ .. rC";,.t.1: ** 1r.*l..U*d on **Ch ab**l, ..W (J) **ch *h**I a* *waMNd .,_a n..-be, el eM*** I* rwrerde4 ia 11** l. Ae-.rk*.
1\l,,UH*: w..: t ~ ~ :-. .: ~ * . *s C. ... ** *. ~"*'Jr.ct:
~~~*: o;. G :,,,... *:onr.~;,;:~~
~~CERTI FiC.-!.7iGi\J OF c001PMEN i~~
?roicct PALISAD~S Cor.tract ------------- - ----'2=S"-'6_6__ _ ---------- .. - --- - -
Component INSTR0:*1ENTATION FLANGES - 3 Component Code No. _41_- _::.Q- ~QQj Vendor ~PM Ell Vendor Dwg. No. 2S66- ~-2954 Rev. ~
,\lfi;. Crder/ 9330742 Supp. .:.~v. ?urc."lase Order No. No. Specification No. 2966-_4_85-43i Nu.
Tag Nos. S/N 2954- 1 , 2954-2, 2954-3 Sh;pmeni No. l We heraby cen:ify the above referenced equipment wa~ fabncaied and tested 1n accordance with t!ie *.-h: S.:> r deri:V":"L; .**'"'.J Oraer He~..1.rem.?nts, tog1Hher with referenced Codes, Specifications and Procedures and is acceptable ic. .1.1p.T.er:: Certified by Vendor Representative & Title ~.;te Except as indicated,* tP.chnical documentation required prior to shipment and req1:iring Functional Gr :;up review nc.. i ***:~ re~***** . reviewed, a_nd accepted. C-E Cognizant Engineer uc.;1: Exct?:>t as indica[i?a. * :he aoove referenced equipment ha'. satisfactori1y ;:>ass.?CJ a final insi:;.ection ;md/or a rev;t?w -,f ** .** :. docume:-.~ation preparatory w shipment. Documented evidence of satisfactory fabric.atic.n and required tl~<.ng is avail;ib1e ard ~.;_. e:
~~-naintai:ied on file in accord;;nce with P .OJM.O. requirements .. Certification oy C-E does .101 co:isri tu~e approvai of .;,,~' .~~ ,,. *.~~
~~nateri'31s or ~quipment vmici1 will not fulfill the rec;uirements es;abl1sr.ed by the ?.OJM.0. The St?ller shall accept full res;i0r..:b*i.t'I~~
~~for its work c... d compiiance with the procurement documentlsl.~~
~ ~ ** ,,.w,...
~~ncfMc.~c11uu.1wa~~
~~~ uate Distribution:~~
~~co To: T. H. Ga:r:cn --.J~~
~:.gr .* Ver.dot Qi.lality Assurance co cc: ~jcC_a~-l~e~°-'--~~~~~~~~~~~~ c..n Cus1omer S1:e Erection Aepr-Utive c..c S.E. ~E~t~h;.;._~~~~~~~~~~~
~~C*E*E*.tc:11on De.>t. S11e Aepr-tatift~~
~~~- J~'/ar.e C*E Proje.:r :. * .;r i.....c. Thorr.ton -- ~c:~ ?roduc:tionC~o~n~t~r~orl-----------~ -C.E"Pu;O::-ias~;,g----~~
~~_;. r. ,_S_mit.b.___ * - c-e F.,nct1on*I E"l!rg. Group~~
~~i;:i1.;,;.;9.A ,lU/21~~
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~As Required by the Provisions of the ASME Cod* S*ction XI~~
~~1. Owner c~~-5*..:.:::a t:'3 ? J'.:e r Co::!:ianv~~
~*m*
oat*--'~/_('-+~fr.!.::~:..;;____ I ! 27730 31:..ie Sc:ar '.*!em. Hwy. Covert, :u Addn*
~~2. Plant ?alisades ~uclear Plant Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
N1me 27730 Blue Star :!em. Hwy. Covert, ~I w. o . 1 1 c:;) ~ Io Slf.S ( Addr- Reo11r Or;1nlz111on P.O. No .. *oa ~o .. nc.
~~3. Work P1rformld bv __c_o_n_s_u_rn_e_r_s_P.,.o,...w_e_r_C_o_m..:.p_a_n..;y:.-_ Type Code Symbol St1mp --~:-:-'~/~A;..._______~~
~~Autnoriznion No. ----":":~~/~A_______ N1m* 27730 Blue Star ~em. Hwy. Covert, :u Expir1tion 01tt _ _ _ ___;~;..:,..*;.;;A_ _ _ _ _ __ Addr-~~
~~~ ld1ntif~1tion~Svtt1m __~~-~-'-*~_A_r~~~-~~~~-'~A~~~-'--~~~~~~~~~~~-------------~~
S. fal Ac:>Dlicaal1 Construction Code $eCTl"""'- "IJI,9,.1.2edition, tJDV\iL. Addlnd1, _ _...1N....;;,/'--A....;._C.xt1 CiM (bl Applicm11 Edition of Section XI Utilized for Rtc:>lil'1 or Replac1m1nt1 19 1>5 :S 'i 3
~~6. td1ntiflc1tion of Components Rep1il"lcl or Replaced and Repl1e1m1nt Compon1nt1 I '~~
~~I J.SME , Coot~~
~~Nation* Rt01il"lcl, Stamcurd !~~
I Name of Name of M1nuf1et11r1r Boercl Om1r Y11r RIOllCld, IY!s Component M1nufacturwr No. or Replacement or !llol Seritl No. ldentiflcsrton Built I
~~~b\A.S"T'*Dt'\ S/N ~-Sof\ ~,,._~"'"~ /0)17-1 .)c)'gf,~ ~-'35tl1S"* ~ l'fll /:!.e~ lACe~ ~5 i~~
~~I i~~
~~7. OltCl'iDtion of wonr.......,R....e~~~'A_ced~~
~~_____-+-~-r--\_V\l'\_A_"".Zl......-l'V\._A_....._w_A..,.~,.__-s;.,~-~;..d~...;..A-vd.....;;.._Y\;...;..;;""-..;;.~~*--~~
~~8. Tt1t1 Conductlcl: HyclroatMle 0 P"9UIMllo 0 Nomlntl Opemlnt ........,. ~~~
Omer 0 ,,....,. P* Tiit Temp. ., NOT!: ~pplemeMll ...... In forlft of llftl. 1Utcfttl. or drawi"tl ITllY be ulld. proridld (1 I ltle II h In. a 11 In.. 121 infonN* tlon in lhl'N 1 throuth I on thil repan II inctudld on l9dl 8"111, and (31 ..n It!* II numblrld end the numblr of lft..a i1 rwcordlcl et th* tclP of thil fonn. 112/82) - Thia Form IE00030) m~ be obtalnlcl from tl'll Ordlr Dept.. ASMI, 3411. 47th St., NIW Vorll, N.V. 10017
~~9. Re..,11r111 --=S_ee. __A__\ _\_A_c_he._d_.;....f'J-FORM NIS*2 (Back)~~
__f _.::~::.;.A.:._T.;_;A~~R~e~a::;.~~-=------ Aggllc1D11 Menufectur1r'1 Oeui ~eoom ca De enec Id CERTIFICATE OF COMPLIANCI Wt certify mat thl 1t1tem1nt1 mad1 in thl report 119 c:orrtet 1nd mis t~ ~f;4Q!Wod.~onform1 to th* rules of ~"' ASME Codi, Section XI. rt1C11ir'11r r1111ecemett1 Typ1COd1SymbolStemp _ _..f\J_....;~~--~~~------------------~~------------~--~----~~-- C1rtific:1i1 of Autl'loriznion No. _ _.:.N...;::._./:....oAi....;.________ expimlon o... ____N__0...;..A...;..________ s;,,,. 0
!!t:§f&i "": Sr- A~ bst o... _____7~,/J...-l_'-1.:--. 19 CIRTIPICATI OP INSIRVICI INIPICTION I, tl'l1 und1"ignld, holding 1 vllld cammisaion iauld by m1 Nationll lolrd of lloiler lftd ,,...,,. v...i ln1P1Cto1'1 end tl'l1 Sm*
or Province of M '@* <izA,J and tmPloYld by f R.orc:cCf9cl Mu.THAL of Alot:L..;oop .mA. .,.,. iri..,lld d'lt camponenu dncribld in mis Ownlt'1 Repon durlnt die pertod tlS-1..2, m z-IS-9..,2 * . and sim tl'l1t to tfll belt of my knowted19 .,. blH*f. die Owner .,. performed IXlllllNdoM . . i.un COiiKdW IMWl'll dllcribld in tl'lil Own1r'1 Report In accoran.. w6tll d'll 19q11llWMfttl of dll ASMI Cod9, Sectm XI. By signing ttlit cenlflc:MI - - tN ln1111C11W nor hit ..,....oY* ...._ .., _...,If, ,... d or imdied. conmming tn1 tx1minatiana Ind C01rec1h* _ , . itua Ibid in d'lil W t "lllOft. Pw1Mnniw .. ntld'ls lfttl In..., nor hit lftlPIOV., stllll bl liiblt In any,...,..,.,_.., ...,_.11 lnfurv or praotftY dlmlllor* lollof 111¥ kind lrllifll from oreonneetld wittl ~l'lis inc1aion. Fillfc..77:> R..'( M'"<.T"""'- St's~
~~-----~-=- =~==-~---Commltlt0nl.A-7/.'i<e.c3 ln**_.I ...,._,,.~~
Nt3torS?,. r.13.cl NnleMI ..... I.._, ........... W * *,.....,ttll o.,...._ _ _ _..... r_-_ts__,, 9ol (12/121
I' ,,...,.~~v*~1 FORM N-1 MA.'iCf..\CltJRERS- DATA REPORT FOR SUCLEAR VESSELS **Revision 1 Aa req*lr*d lay dae Piovtaloaa of th .U'tlE Code R*lee
~~£0 ptrost 70277 yPit 1 Sheet 1 of 4~~
M*11fac111recl 11i,. com!?ustion Enqineerinq,lnc.-2,*PSGCN0,911 W.Main St. ,Chatta. ,TN. 37402 CH*** ** M~1* _, MMYiHt-r)
2. wanufcctur11d fer Conswners Power Company, 212 W. Michigan Ave ** Jackson, Michiqan 49201 01*** _,.*mu *I,._ .....,,
J. T;pe Vert. ICiad Heat Ex. V4i!uel No. ( 70277-1 ) (. -- ) Na!r"i id. No. 22864 Yr. luilt~ (H.ta. *Vert.) <T*IW.J.cll*.. ll 0 H*.t Ea.) (Mira. hri*I If.. ) (it*I* a kall 111.) 3a. Appfo:able ASME Code: Sec1ioa JU, Editio* 1977 , Acldeada clas* None , Cue No. 1484 ClaH 1 . (Tu.bing)
~~11. . a 4-1 iacL to be compleced for 1iD1le wall we11el1, jacl:ett of jacketed we1Hll, or 1helll of laeaa esclau1er1.~~
~~Upper SA-533 N~.i 4. 75 11 ~oaio* 1 I-nside 2.00~~
~~4. Shells Material~' ex 1 T.S.~~
~~(ICJall lp:c ..... , B'?/ non (MJa. Nns* 1pH&lled) Thickne11-ia. Allowucel:2.i11. Dia..i9c._ic. Leaada...ll fa. 9. 65 U..~~
'" s.... Loe1 Dbl. Butt H.T. 1 yes LT. yes EfficleaCJ 100 Ginh Dbl.* Bytt H.T. 1 DI ~*
~~l.T. No. of Co1111H SA-516~~
~~6. Heads (*} t.laaerial L-u-(T ................,~~
~~G[a2Q TlllcllMll er-T.S. RacUu1 ZQ.QQQ ICnucllle lt*dlllll (b) Material SU1pt1..1 CM&cal Alie* Aftcl* ... ... SA533 .GrB.g,1 T.S. M*.U*.,.*rtcsi ,... D&-11er~~
§0,000 . . . . . . 111.....
cc....... c ......., (*) TOJ::? 3.25" 116.25" - - 116.25" - Concave (b) Bottom 7.00" 75.oo* - - 75.00_"__ - Concave If remowabi~ lmha ued N/A Other fHreeiei-...--.-------~~-
~~<M***n*l, liPec. lie., T .1., llHo *-be*) CD11n1M~~
~~8tta111 *ll*t*&I)~~
~~'* Jae** Closure ...,A~--sc_______ z ___ ;5 c..... -*- w c_.. :::;_ .. !ll- ... : __ :&---*c::: _ ... z....... u~~
~~Secondarv L De1ip Preisurell.000 .,....,~~
~~Primary~~
~~'* Ta Sheeca: Su1cioaar,,.~~
~~2500 psia lseaa 9 and 10 co be eampletecl for cube Hcdoea. 5 SO 650~~
, 3 , 9 iL Arcacbanc\r,TJ:~9 f J,911:1 Floada1o Inconel Maserial(i&* re... lie.) Dia. ~cPM*
~~1-. 11UcbeH IL Aaac...e r - * - - - - - -~~
~~.IQ. T*c Material SB-163 O.D .750* 1'ielwue. .042 er 1a1einsbe1 N-*r B , 219 Type_..,__~-::~~
~~CIUMa ..... lfe.) t*na* II &o U iac:I. so lie coapleted f* l*er ch-'-'* of iacket.. ***11,~~
dlueel1 of ..., __...,.,..

koala.. CenoeJ*
S/A IL a.II: Macerial T.S. ThickattH-la. Allowuce-Ja. Dla.-11.-la. Le.,da-fc.-im * (IUa. . , . . . . . . . . . u.... JI/A 12. le-* L-a c................, H.T. 1
~~<Y***lf*)~~
LT. Effld*cr A G&nla H.T. 1 LT.. N* el C..11*------- B/A JS* . . . _ <~> Ma.n.I T.S. (*) Ma1aial T.S. Cc> llaeedel T.S.----
....... TMIM*M C- .._Ide &Ullltleel C..aeel .... ~**
~~a.a. n.1 IW. ........ (C....a W C-*.e) nd*--- ---- ------- ----- ------ ---- ------- C*l T... ....._ (ltt 0 - 1 (c) Fl..a!a1~~
~~If .-owaltle, lMtlts *Hd (*)~~
~~'1J/& 14. .,.... ........1 Cll*WU&.S,.e. N... T.a..11a** psi .,~~
*11p..._.......T,_.M ! Lae1 ..... -*-1
~~rn,,<W Drop weipl Qarpr ...act (c)~~
~~Odaer fasceaJn1-------.----~- P......Jc Hr*nwJc * } C:..Wud* CD.._ . .~~
eate11t llillllllJ

a t - i . , . , . _ witil eea..W. , . _ . . . . .... ..,u.e11a..
T** PAGE 6 OF 12 pal
FORM N*l CMek) Item* llcol- * '- c . . .le1H IM all *HHI* wlter* .,p1ic*W*. N/A I". ~f.-.y Y*h" O.tl**ea ,._.,., _ _ Si .. 1"9 NnulC"a: L*c*ci- ----*-
"-***£****
Steam O..tl*** **~ t et *-t-* ~~"o"631 .. FdE'q. s~6*~~U. T~c.~ In ti**ftl*l1 eqra Hew we"'!~~'(!* Inst. Nozz. 3 .815" Pie! ~AlQ~rl! l"~~h1lf2Q In top bead Welded Level Indication No_z.~.i, _ .934" Pi"Ce SA106GrB .175" In cone shell Welded
17. IHpHU* ........... No 4 Siu 18 00" Lee*** In upper she11 and Bottom Head Opnin1a HuAolu, H* f Siae 6.00" Locau* In Intermediate Shell Md Low!r Shell 11i1uded, No. N/A Siae Locaci*----------------------

11. S.ppena: Skin yes L*1s - L*1* - Odin - An8ClllecMftlded to Primary Head (YH . . . ., ' ". . . . ,, ( ......., (DeMrUie) (WMH
~~H**)~~
19. lleauh: Steam* Generator to be used in the primarv system of a Pressurized water nuclear power plante Overall lenqth of 9enerator is 61'-8.04". This data report consists of fourC4) sheets. For continuation of Items 4.16,17, and 19 see Supplemental ~heet, Page 2 of 4 and Page 3 of 4. *
~~(8rtef **et9ll* el ........ I* *Mell nHel *H . . . . .., CER11F1CA110N OF DESIGN 11~~
~~,... . . Combustion Engineering, Inc. ,Chattanooga, 'l'H. "".. *&1r*** ***.c _ 010 .. Combustion Enqineerinq, Inc., Chattanooga, TN.~~
D..... * ,.**a ..................,. W.O.William* ...,......... Wi*c ......... E-21394 ltnH _ .. ,.,,,.....*-Ill**.., F. P. Hill, Jr. '""* .... *** Tenn. **** "** 5275
** cerrify diac Ila*******...** ..c1. i* *l* aRd **c sill* HdearR. ftaHI coe'°'?iZ: ch* nllu of conacna.
~~ti* of che ASME Cocle, Seed* m. leMft . - t:.llCl9CC~~
~~~S~l.on ll ~~~
Dsae JULY 6, 19~~pe4 Enqineerinq,Inc. 1, , _.. ~ *
- (llaftlaf......, R. A. Hillis C*nificace of audloriaacioa £spirea January 9, 1990 C.niflcace of Audloriaati* No. N-1979 CERTinCATE OF SHOP INSPEcnON nas1. MADS.,. Combustion Enqineering, Inc.
~~Chattanooga, Tennessee r,, Ille lllllMHllM~ *e&IUftc ....au ._............ .., ......._. .... ., ............._ v.........,...... **Uliler U.* .....~~
~~.. * ,..,,,.* ., Tennessee _. _.,.,.* .., **The B. s . I. t:.~~
J'.

Co. ., Hartford. CT *
~~....._ 1.-.*1u die ,... . . . ff*Nl M*ett** la dlle ............... DMa , ....~~
~~Hgyembtr 5. 11 ..il.. *M Mate t11M .. 8"1 lle*t el -~ . . . .1*41* a.41 Mllel............... llaa:e_..,..... 1111* ....... .,....a ............ wlill tlle ARIS c.-....u.m.~~
. , *la.............u......................... - ......................................... *-...-. ........ - .............. ~ &a W* ..._,.....,.. D......... F.,.__, Ml._ IM...,_,. - Me .....,., -.U lie U*&e I * *r ..,._, laJllP? * ,..... . . . . . . . . **._.el_, MM! *II... " -
~~eaa .... wta lllla ,_,...._,~~
~~a...,*- ht* JULY 6, .A - &:'"'! 1 c......._. RB 7972 . 'rH 1041~~
~~..u..a .........................~~
~~cmmnCATE OF nF.LD AS&JIBLY INSPEC110N uel &ft~~
***w* .,... 1111 AmS c.... ....._ m. ~* _, ......, .. ....,....., .................................... . ...
~~TM **rtllff -~~
I ............ _ . ...,..._. te

llJllrMaeate IHI -.A/w
*......................... ., ........,...111....... ..._.leTHtel .-a. ., .............ur....................,.... - .........,.. ....... ---** ......... - ...................... ,,.._ ...... a .. ......_, ,_ .......... 111 IM* ..~......-. Dal* ........ F . . . . _ , ..,~ * .,.....,. ............ ., ... ~.,...... **llllft ...... ........... - Me ...."'..._
~~_............... . ,.. ellell lieu.Me .. *r - I~~
- I D**
~~c-a...... . ..................................~~
..__ .. u.a.A.C7nn TMe .... C. .>la *
t

h .,_ . . Allmo 141 ** *7111 II.. ... Y.-, 11.Y. aton IPAGE.5"30F~J
~~I. Manufactured by: Collbustion En ineerin , lnc.,-2,*PSGCNO, 911 W. Hain St., Chattanoo a, TN. 371.02 Sheet 2 of 4~~
~~2. Manufactured for: Const111ers Power C011pany, 212 W. Hie igan Ave., Jackson. Hichig~n 49201~~
]. Type Vert. YUMl llo. 70277-1 lattonal Id. llo. 22864 Year lutlt 1981 ". Shell tlatertal T.S. Mln.Tblt. Corrosion AllOWllDCe laalde Dia. Length eo.ooo Cone Shell In termed I.ate . SA-533,GrA.CLl
~~.. 5.125" 4.125" 1/16" 155.5"~~
230.00" 155.50" Ill" .63" 115.U" Lower

4. us*
~~.. 155.50" U2.8l" Stay Cap SA-516",Gr 70 70,000 1.375" 22.38" U.69" 1.D~~
~~Rad.~~
~~Stay Forging SA-508.CU 80.000 s.so* Clad 23.38" 16.82"~~
6. Nozzle*
Hin. llelnforcement llov Purpose limber IMlde Dia. Type tlaterlal 'l'latclmeaa Material Att<<hed Water Sa*pling 2 .81" Bar SB-166 .175" In Upper Shell Welded Level Indication 6 .815" Pipe SA-106,Gr.I .175" In Up. 6 Lwr.Shell Welded Pri*ary Hd. Drain 2 .6U" Bar SB-166 .175" In lottOll Head Weld~d Inspection Port 2 2.00* Forg. SA-105 *645" In Shell WeJded Recirculation Noz. 1 5.75" Forg. SA-508,CL.3 .117" IntegHl Welded Safe End 1 5. 75" . Forg. SA-508.CL.1 .111" lnte1ral Welded Auxiliary Feedwat~r 1 3.875" Fors. SA-508 , Cl** 3 .937" Integral Welded Cap l 3.875" Forg. SA-508,CL.1 .937" Intearal Wdded Peedwater Noz. l 15.750.. Fors. SA-508,CL.J 1.220" Integral Welded Safe End l 15.750" Forg. SA-508,CL.l 1.220" Integral Welded
~~&lowdown Noz.~~
~~Prh111ry Inlet l 1~~
~~.5. 76" 42.44" Pipe For1.~~
~~SA-106,Gr.C SA-508,CL.3~~
.557" 4.09" In Tubesheet Integral Welded Welded SAff" F.nd l 42. 44 .. Forg. SA-508,CL.l 4.09" Inte1ral Wf!ldP.d Prt*ary Outlet 2 30.44" Forg. 5A-S08.CL.J l.03" lnte1ral WP.ld~d Safe End 2 J0.44" Forg. SA-508,CL.l 3.03" Inte1ral WeldP.d P11r.r 7 nr- , .
l.
~~Manufactured by:~~
2. SUPPLPJIENTAL SHEET 10 *N-1 IWIUPACTURER'S bATA lt!PORT Collbuation En1ineertng, Inc. ,-2,*PSGCNO, 911 w. Hain St., Chattanooga, TN. Manufactured for1 ConsU11ers Power Collpany, 212 w. Michigan Ave., Jar.kaon, Hichtgan 4q201 37402 Sheet 3 of 4 *
~~3. Type Vert. Ye.Ml.lo. 70277-1~~
lattoaal 14. lo. 22864 Yeer lutlt 1981 I. 5" 8UN-2A 17

Manholes: Covers: SA-533.Cr.A,CL.l 26.00" dia. 4 Nuts: SA-193.Cr.87 1.625"8UN-2A 80 llaterial Size Number Material Size lhmber
1. 5" 8UN-2a Studss SA-540,Gr.124.CL.3 1.625"8UN-2A 80 llatertal Size Humber Handholes: Covers: SA-516, Cr. 70 13. 75" die. Nuts: SA-193,Gr.17 1.00" 8UN-2A 40 Material Size tlatertal Size lumber
~~Studs: SA-193, Cr.87 1.00" 8UN-2A 40 tlatertal Size Number~~
~~19. Remarb:~~
Inside of pri**ry h~ad clad with stainless steel and Inconel: SPA-S.11; ENlCrPe(Inco 112), SPA-5.14; EltNiCr-J, SFA-5.91 ER-308. Elt-304L. Tubeaheet clad vlth Inconel: SPA-5.14; ERNlCr-3, PriMAry Nozzle clad vtth atalnle** steel: SFA-5.9; ER-J04L.
~~Power Syste*s Croup. Chattanooga Nuclear Operations~~
** The Hartford Stea* Boiler Inspection and Insurance Collpany
i *
~~SUPPLEMENTAL SHEET tu FORM N-1 MANUFACTURER'S DATA REPORT~~
~~l. Manufactured By: Combustion Engineering, lnc.-2, *PSGCNO, 911 West Main St., Chattanooga, TN. 37402~~
~~Sheet 4 of 4~~
2. Manufactured For: Cons1111ers Power.Company, 212 W. Michigan Ave., Jackson, Michigan 49201.

3. Type Vertical
~~Vessel No. 70277-1 National Bd. No. 22864 Year Built 1981~~
~~~* ., ~~ DJ.PTll =%,..~~
~~1 -*-**-~~
~~- -- -- ***- - *.. t-1 \11£vJ A-A.~~
~~I ..~~
~ ~ 0 ~w
~~(!J~~
<(
~~LaWER Sff&.11. -a.. REPAIR OF L£\IEL._X@l~lfr!OAI A./OZl.LE_ I~~
~~. .,. . ;I.A! ACCORDA1, '-£ WIT./-/ PA~A Al~ AL A 'J~~
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~1. Owner 27730 31.:.le Scar~~
~~- As Required by the Provisions of the ASME Cod* Section XI C...;ri_.:;*..:.:::~ t:"S ?-:)wer C.J::i:Janv ~*""*Hwy .~~
~~-~em.~~
.lddr**
~~Covert, :u Du1 _ ___,l7/~11 +,/_1~;}-~---~~
~~'+....;....,~~
~~2. Pl1nt ?ali.sades ~iuclear Plant Unit _ _l_______________~~
~~N1n"le 27i30 Blue Star :rem. Hwy. Covert, :!I Addr- Flec11r Org1nlzn1on 11'.0. No., .100 ~o .. etc.~~
~~3. Work Ptrformld bv Consumers Power Company Tyg1 Code Symbol St1mo_~~"'."*~/"'."A_ _ _ _ _ __~~
N1me Authoriz1tion 1110. ----~);.;.,/~A;,________ 2 7780 Blue Star :tern. Hwy. Covert, :n Exs:iinition 01te _ _ _ _ _..;)l'..;..;A;.;__ _ _ _ __ Addr-C. 1~ntifiati~~~rum _ _~~~~~;~~~A~r~b~~~=~ __l_A_~ __c _ _S~~~s_t_e_~-~--------~ S. 111 Apptic1bl* Construction Code S",,::..:1*!.:\ 1JI' 19]2edition, No~
~~!bl Applicacte edition of Section XI Utilized for R1Q1irt or Rl!lCll1Ctmtnt1 19 Sf~ 'S' ~ 3~~
~~6. Identification of Coms:ion1nt1 Rt01irtd or Aeplactd ind Rept1e1m1nt Coms:iontnts I~~
r .l5ME CO di N1tionel Repaired, Stamced: N1m1 of N1me of Menufac:iurwr Bclfd Om1r Y11r Reotacld, 1Yes I Component Manufacturwr Striel No. No. I dentiflc*lon Built or Replctmtnt or ~o) i i 0 CP """'bi...S\* °"'- E-~s 7o'&77-J. "d"d'BbS VV'1-ns17,....., \'1~1 Re.p.IACed tres 6Nli~"i""" I II I 8, T11t1 Conducttd: Hydrolt9'1e 0 Prteumattc 0 Nomlnll OP9ml"I p,...,,. 2!} Other 0 p,.._.,. pal Tiit Tln!D. * *fl NOT!: Supplemenut ah.... In farm of 11111. 1ketc:MI. M chwi19 INY be u * .. awidlll 11) Ila II f t In. a 11 In.. 12) lnfomoe* tlon in it91M 1 throu* e on dtll ""*" II inctudld on . - . lftlft, and 13) ..,. .,_ II llllll'lblNd Md tM ftW'ftlMr of ..,_.. i1 recon:ltd a the top of thll fonn. 112/821 - Thia Form IE00030t m9¥ be obteiMd front the Order Dttn.. ASMI, 3411. '7th St.. New Yortl, N.Y. 10017
~~9. Re..,artts FOAM NIS*2 (Back>~~
___.5_;=e_e____A.........t Ac::...=;.t..~~d;.._--i..N.=;._-...;1:....-_...h::::..:...~~A_:._--!:g;:::.:t::::...PFC>;_t'-_.:_\.:..L-~~~- Acicillc11111 M1n11teciurer'1 Oeu ~1e1orui to 11111n.cl'lld CERTIFICATE OF COMPLIANCI Wt c1rtifv thlt th* st1t1m1nt1 mid* in th* rwport ire corl'ICt and thl1 re£1 ~ - 11 ~onform1 to tilt rulft of!"' ASME Code, Section XI. . . reoair 'rt0lacaman1
~~-------------Exgimlon O*--N~/)._.A-.-_~------~~
Signed 5\ 0~-----___.J~/_._I~~-- CIRTIPICATI 011 INllRVICI INm'ICTION I, the undtrtignld, holding 1 vllld commiaion i1a11d bV die N1tion11 Ion of loiler lftd ,,...,,. v.... lntD1Ctot1 '"d the Sratt or ProvinC9 of Mff!JlitGaef *nd 1mgt0yld bV Mori;.c;pqcJ MKT<.ffll of o!atC4 mo'i me. ,,.,. i n _ . th1 componena dllCtibld in thi1 Owner'* RIDOft durlnl die period ?-ts-9.,;z ID ?-ts-9.pl * * '"d ttm rh1t to die belt of my knawledll llld .,....,. die Owner h* l*formld **IMllDM lftd uan cow1*1tve.....,... dlleribed in thi1 Own1r'1 Regon '" ICCOl'dlnce whit die ............. of me ASMI Codi....... XI. By 1igni"I dlia C9rtlflcaW ....._ dte h 1111e1m nor his .........,. ,,.._"" ......w. ** d or implied. cancmmint th* txlmiftltiOM Ind ***llW - lt1HP1!1111 In dlla ~ ....................... die '"--nor hi* "'IDloYtr stllll be Ii_,.* In lftY INllW far""....,.. inlutY or 111,..,.Y dim811 *
~~loa of"" kind.,...,. fram or COlll&Nd widl this incection. F~Y /"1"4T~ .S YSIEn-7~~
----~"""1111i.,;;:=::U;;=-----Comm.-..b?'~ zte.:i In _ _.,........,. Netleftll . . .C{1-2fkr.S:,2 're,./ . . . . . . . ,,_._.. . . 1,...,_,.tml 01a.__ _ _ _7_-1 s___,, 901 (12/121
FORM S-1 M.~~UFACTIJRERS' DATA REPdRT FeR N~GL6AR Vi~SELS Revision 1 Contract 70277 Unit ~* req*ired by tlie ProviaioH of &Jae .\!ME Code R*IH Sheet 1 of 3 L M._faciuied by Combustion Enqineerinq,Inc.-2,*PSGCN0,911 W.Main St. ,Chatta. ,TN. 37402 CN*- *M ...._ ** el M*~Ml-r)
~~2. M*ufanwe4 fcw Cons'Ulllers Power Company, 212 W. Michigan Ave., Jackson, Michigan 49201 (Neae ~ . . . . . . af l'-lae*et)~~
~~J. Type Vert. ICind Heat Ex. Veuel No. ( 70277-2 ) < -- ) Nac'J BL No. 22865 Yr. Bui.lc.1:.2.il. (Hena.~~
V*"*' <T*'**JeelHle*,H**I &a.) (IUH. lerl.el M**> ct1a1a

lcal* lle.J
k. App!icabli? A.SAitE Code: Sec:tioa ID, Edilioa 1977 , Addeacla clace--*N..o_n_,e=--------* C.H No. 1484 CJ au l ('l'Ubing) 11*11111 4-1 lac:L IO be c:ompleced f0t 1ia1I* wall *uHll, jac:l:11t of jac:liesecl fflMl1, oc n*lh of beat eac:liaa1era.
~~upper SA-533 tJMiL 4. 15u Conoaion I lns1di 2.00~~
~~4. Shell: Material GrA,CLl T.S. 80.000 Thic:kneu-ia. A.llowaace::!.\a. Dia._12_ia.Leap!s.-.!ia. 9. 65 i.n.~~
~~(KJ.411 . . .ec. Ne.J (MJa. ., . . . . . *PH&I...,~~
~~s. Se. .c Loma DbL Butt H.T.*____y.e~*--- ll.T.-"""""v.:e.:s.___ _ _ _ Effic:i*CJ----.:.1.;;.0.;;.0___ "~~
~~Ginh Phl. Butt H.T.*____y,..e.,s_ _ _ ll.T.--v~e.,s.__ ____ No. ofCo11r1ea _ _ _ _ _ _ __ SA-516~~
~~6. Heads (a) Material_.-GiWr..,*._71..10"--T.S. 70. 000 (b) M**erial SA5 3 3~~
GrB

CL1 T.s. ____..B-.;O""'".Oii:;Oii:;O_ _ __
L**ll- C.- Knuckle SllJptlHI Cetd*al H*m*"9*rteal Plat .... ta PNH. (T... ~- * ...S*J Thlck11H* **4111** **Clue ***.. Apea Aftsl* *et111ue Dlaa***r (C**H er Cnca**> (*l Top 3. 25" 116. 25_"___ - - - - - - - - .:.1.:.1=.6~.::.25::."-- _ _ _ _ _c..,o...n...c...... a v_e...__ Cb> Bottom 7. 00" 75. 00_"___ - - - - - - - - - __7.::5~*~00~"-- - - - - ___c..o..n-.c-a-.v......,e__ JI ,~,,.we, bolu u*d ---N~t,...A________.....,._ _ _ _ _ _ _ Ocher fa11ni*i *- (llet*n*a. tpec...... T.1....... N-**> ,s...... - **Hh *k***ll)
~~'7. Jacbc a*o1.-_ _ _ _ _ _N~/1111A~=~~~~~~-=-~=~~=~~~~~~~-------~~
~~(lhac;a;; .. 01** i **It Gr, ***~i:=-~"4i*~V-.~=~s;~~
aW*dS Drop W11p1 ~Q~~* PH-- ac CharpJ l111p*C1 50min11.a. Hyclroaullic * } Ten Secondary Secondary psia L Deaip Prc1sare~ pei ar 550 °r a1 aa.p. of 100 "F. -C..Mwtw P1e1111re 1235 p1i q Primary 2500 650 Primary 3110 11*** 9 ucl 10 ro be camplececl for rube Mccioa1.
~~t. T~~
a.ere Sca&ioa*I)'* Mamial SA-SOB .¢L3 Di1. 164" ia. T1tic:be11 2$. $61a. Acrac:laanr weXaea (Xlllcl * . .ff. M**> (l*JHt te ......) (W*l'9._ **11*1)
~~Floadaa. Inconel Mamial Nik~~
~~<*&m * ...-.....,~~
~~Dia. _ _ _ _ _ ia. TIUcbe11 _ _ _ 1a. Aluc. . . *t------ JI. T ..Hz Ma&erial SB-163 O.D .7S0a, 11a1cbHa. .042 Jacu* or .,. insbe1 Naaber a. 219 Tne U-Bend 1~~
~~. (ICJM .........., <**aa1111~~
V>
ltea* II to lot i*~I. co be COlllPl*ced f* imer ch..t>>ere of Jaclin-4 "***I*.* cb8ule of line nclaupra. 11/A B/A 12. . . . . . a..., H.T.1...________"!""'"9_LT.-------1flclner------- " Al.*J.ee....... ......, (l'H
~~Jfe)~~
Girda*------H.T. - - - - - - - - L T . - - - - - - - Ne. el c.....,_______ 1 N/A U. ......, (a) Maserial _ _ _ T.S. _ _ _ <*> .....,,.. ___ T.s. _ _ _ (c) Macal.a ____ T.s. _ _ __
~~~..~~
~~c..... S-111* su-... aau. c-... ..............~~
**~ * ...._ ~
cc-**c-..., (*) T ... ..._, ....,_ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (.) Q-.1 (c>,.._&J.s ff,_.* .,,., laoh1 . .e.1 <*><bt------Cc>-----06a fa1lftiq1 .....---~~~- CM*..aaa.lt9**"** T.... - ... __,, Pa-a- (Dea-.. * - *
~~UMU)~~
~~Demip .... ~ pai ar: _ _ _ _ _0 r ac . . . . el Dre111 we1alac - - - - o..,,a.,acc_Mlt H,._...a..} T** C..W.-d* Pnann *11~~
~~'HPeatWellllHe ...T,_.. .~~
1 Llac ..._ - * - ' * ****-' .,_. ._ . wllll . . . . . . . . . . . . . . at- . . . . ._........_ PAGE 10 ~* 12
FORM N*l (Mield h-* Ilic-I- .. .,. c . . .le1M S. all HH*la wt.ere epplicaWe. _ _ Siae N/A I'\. Mf,.,., Valwr O.tletaa N_.,., Loca1i-l<a. Not,,IC"a: Ovtl***
,.i ....... Di .. _.llH Tne llletnl*I TMcll-**
M**nl*I 14** Steam Out et 1 34.00" Forg:. SA508CL1 3.00" Integral Welded Inst. Noz~. 3 .§15" Pi2!: ~AlQ§~:.:I l"5s;;b,J.§Q ID t2P b~1d W~lded Level Indication NQ.:; :--.i. _ 12~4" Pi:e! ~AlQ§~;r;:&I .175" In con* shell Welded
17. lnapecd*M*ahelH, No 4 Si* 18.00"Loc*ti* In upper shell and Bottom Head Opeaili1r. Hu6ole .. No.. 4 Sin 6. 00" Loc*d* In Intennediate Shell and :tower Shell n ......... No. NIA' Siu Locad*'-----------------------

11. Supporm Sirin ves L*1* - L*a* - Odter - AnaclledWelded to Primary Head (TH
lie, (llumMr) (II_..) (DeHriM, (WMN

Hew)
~~J9. lteaarlia: Steam Generator to be used in the primary system of a Pressurized water nucleax 11 l th of generator i s 61' - 8 , 04"~~
~~This data report consists of power three(3) plant. sheets. Qven,enq Fgr continuntjot 0 f Items 4.lfi.17. nnd 19 5H' Supplemental Shell.,~~
~~Page 2 gf 3 fnd Poqe 3 of l.~~
~~,.,.., ...., ..... ., ....... ,_ *11&*11 . . . . . . . . . **a.-~~~
~~CERTIFlCATION OF DESIGN Dei1i.- 1. , _1_ _ 111* .. Combustion Engineering. Inc ** Chattanooga * '1'N,~~
" ". . .. , ,111 ....,. _ 111. . . Combustion Engineering. Inc ** Chattanooga. TH*
D .......... n.............n.,.,, w.o.willinms ...,, ........ Wisc, .... ..._ E-21394 ltNH . . . . . . . . . . . . . HftUI**., r I p 0 Hi 1] . .Ir ...,, .... . . . . Tenn .... 11e....5.2.2.S
** cenify diar rhe aaare. .ars .... ia dsi* Jell.Oft ,,~ car,.cc ....t daar daia **clear ft*HI coaform1 co rhe ..1.. of coD11ru.
~~wi* of dae ASME Code, Secdon lll.~~
~~.Da1e JULY 6,~~
~~{.;omDUStl.on 19~~ped Engineering.Inc. R~~
~~. , . 4_. QC~-* ~ ;~~~
(llUlllMl_, R. A. Billi* C*rcifinre of auchoriucion EapirH January 9 , 1990 Ceniflcace of Allthoriaadoa No. N-1979 CERTIFICATE OF SHOP INSPECl'ION nan MADS aT Combustion Engineering. Inc.
~~0>1t;tnnoog1. TeMessee J,. IM ......rel11t14 llal""c a **WI c-aH... IH** . , lfte llata-1 *~ If ....ft .......... YHHI ......._ UMllN Ille lt*ll~~
.......,._.If TenMsse* _._...,_,., *~e R.S.B.I. i I. Co. e1 Hartfor4, C'r * .._.*._......... ,....._ ...... ,...,...,.di&* ............ 111e ..., r1 ._. llM91HI*
~~II*_,..,.,.... D** , .... ~ N9't'mh'r S,~~
~~-4 ..ur1,1111 .....,..._ 1181:1*..,..., 1111e ..,.,._-*Ml ., -ll . ...,~~
~~a. ......._* .,..,. &M AIMS c.... 1"11.m.~~
~~8r *As.... IM* .,..,. . ., Mllller .._ ........ w We .... ,,., . . . . . . . - - - .......... II' -.u... .._...... ,.........~~
*** ..I ......_. la a&a ..._,... _ .... D** **~* P.,....,..., *llMf Ille ........ - Me .....,., -.UM U*ae *.., _ _ , .... _, ..,._, 1111.., ........, .............. ., ................ - ........................... ***
~~JULY 6.4~~
~~. e &:'°"** c.......... RB 7972 TH 1041 w.u..............................~~
~~CERTIF1CATE OF F1ELD ASR:MBLY INSPEC'l10N~~
~~. . . . . . . . . . . ftlllft*** ..............._ ...... ~~~
HI .. **..,_* w11111 ... AlllS c.-, IMtl*
~~. . ._ t i e Teet If ....~~
m.
~~- .. .1 . . . . . . . . la IMe * ._.... _.... Dale **...._ ,._...._, Mllller allle ........ - ~~~
~~Tlla * ...._. -**I ............ _ . **,IHtH le a llr**.... M* - . *..** ....., ._ UAle~~
~~' a_,_,...~~
~~IHI aMller D** II . I~~
................... c--..... ....._........................... .. ........ U.LA.C7nlJ --*-~f~:e-:;;;;~r ~ . . . . . . . . . ..
I.
SUPPLEHENTAL SHEET TO PORH

twnJPACTURIR'S DATA REPORT Manufactured bys Coabuatton En lneertn

Inc.,-2,*PSCCNO, 911 W. tlaln St., Chattanooga, TN. 37402 Sht>el , l
2. Manufactured fora Consuaera Power Company, 212 W. Michigan Ave .* Jae son, Hlchigan 49201 3* Type Vert. Veuel lo. 70277-2 latloaal Id. lo. 22865 Year lullt 1981

4. Shell Corrosion llatertal. T.S. Ria.Tblt. Allowance Inatde Dia. len&tb Cone Shell SA-5JJ,6iA,CLl 80,000 lntet'llediate * .. 5.125" 4 .125" t/16"
~~.. 155.5" ' 230.00" 155.50" 84.6)"~~
115.U* Lower *
4 .125" .. 155.50" 122.83" stay cap SA-516,Gr 70 70,000 1.375" " 22.38" 11.69" l.D. Rad.
~~Stay Forging SA-508,CU 80,000 5.50" Clad 23.38" 76.82"~~
6. lozzlea Kin. Reinforcement How Purpose lhmber IDatde Dia. Type llatertal Tbicbaesa Material Attached Water Supling 2 .81" Bar SB-166 .175" In Upper Sht>ll Welded I
~~Level Indication 6 .815* t:tipe SA-106,Gr.B .175" In Up.~~
Lwr.Shell Welded Priaary Hd. Drain 2 .6U" Bar SB-166 .175" In Bott011 Head Welded Inspection .Port: 2 2.00* Porg. SA-105 .645" In Shell Welded Recirculation No&. 1 S.75" Forg. SA-508,CL.3

717" Integral Welded Safe End l S.75" Porg. SA-508,CL.l

717" Integral Welded Auxiliary Peedvater 1 3.875" Forg. SA-508,CL.3 .937" Integral Welded cap I i 3.875" Porg. SA-508, Cl** 1 .937" Integral Wt!ldf'd Feedwater Noz. I 1 15.750* Porg. SA-508,CL.3 1.220" Integral Safe End Welded 1 15.750* Porg. SA-508,CL.1 1.220* Integral Welded
&lowdown Noz. I 5.76" Pipe SA-106. Gr.* C .557" In Tubesheet Welded Prt..ry Inlet l 42.44" Forg. SA-508,CL.3 4.09" Integral Safe End Welded 1 42.44" Fors. SA-508.CL.l 4.oq* Integral Welded Prt*ry Ouflet 2 30.44" Porg. SA-508,CL.J 3.0)" Integral Welded Safe End 2 30.44" Pora. SA-508,CL.l l.Ol" Integral Welded l.>
C>
~
0
~~~ PA r:r 11 '"'" 1?~~
I.
SUPPLDIUTAL Sir

1'0 POlll llAllUPACTUU'.R'S DATA REPORT Manufactured bys Collbustton Engineertns. Inc. ,-2. *.!'~CCNO, 911 w. Hain st., Chattanoo a, TN. 37402 Sheet J of l
~~~- llanufactured fora Con*u.era Power eo.pany, 212 W. Hie igan Ave., Jackson. Michigan 49201 I. Type Vert. VaMl lo. 70277-2 latioaal Id. lo. 22865 Year Built 1981~~
~~1. 5" 19UN-2A l7. tlaaholeaa Covers: SA-533,Gr.A.CL.1 26.00" dia. 4 Nuts: SA-193,Gr.87 l.625"8UN-2A 80 I~~
II 11aterW Size Number Kat.erial Size lhmber iI 1.5" 8UN-2a ftudsa SA-540.Gr.124,CL.3 l.625"8UN-2A 80 I llatertaI Size Nuaber II I
!:overat SA-516, Gr. 70 13.75" dia. Nut*: SA-193,Gr.87 1.00" 8UN-2A 40 I llateriil Size Material Size Nulllber Studa: SA-193, Gr.87 1.00 11 8UN-2A 40 llatiertal Size timber
~~19. aaarb:~~
Inaide of pri.. ry head clad with atainlesa steel and lnconel: SPA-S.11; ENiCrFe(lnc~ 182), SPA-5.14; ERNiCr-J, SFA-5.9; ER-308. ER-304L. Tubesheet clad vlth lnconel; SPA-5.14; ERNiCr-3, Priaary Nozzle clad with stainless steel: SPA-5.9; BR-304L. The follovina tube* were pluged prior to *hop hydroz Row 18, Line 159; Row 36, Line 101; Row 42. Une 16 *.
~~Power Syste*s Group. Chattanoosa Nuclear Operations~~
** The Hartford Ste** Boiler Inspection and Insurance Co*pany
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~As Required by the Provisions of the ASME Cod* Section XI~~
~~1. Owner C-:-r. .s*.::::ers ?.Y.*e r Co:'.'l:Janv~~
!'.i*m*
~~27730 31.ue Scar :-~em. Hwy. Covert, :u SnHt _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __~~
~~.lddr-~~
~~2. Pl1nt Palisades :foclear Plant Unit-----------------~~
N*me 27i30 Blue Star :tem. Hwy. Covert, ~I w.o. ;J , ) '-t Io 51 d-0 Addr- Fleoelr Or;anlzetlon P.O. No .. .;oo No .. nc.
~~3. wortc Ptrformtd bv Consumers Power Company Tvo* Code Svmbol St1mp_....;..:;.:.,/..;A_ _ _ _ _ __~~
~~N*rne Authorization No.-----::--;~*;..,../.":"":\_ _ _ _ _ __ 27780 Blue Star ~em. Hwy. Covert, :u Expiration 01te _ _ _ __..;.~~A:,__ _ _ _ __~~
4. ldtntific1tion of svsttm ALT. S1'~!!:1 ScdR._LY - C.v'-oS<>1 l

5. (11 Aoolic1bl* Construction Code fs.31.! 19 SS Edition, NIA Addeftd1, rv!_A C.Jde C*sa
~~!bl Applic&OI* Edition of Section XI Utilized for Rtplirs or Reo1ec1ment1 19 ~3 ~ ]'?>~~
~~8. ldtntiflc1tion of Component1 Reoeirtd or Repleced 1nd R1Plecem1nt Comoonenu I~~
~~I I~~
~~-lSME II *:oce I *.~~
N1tlonll Reoeirtd, Stamced: N1m1 of NllM of M1nuf1CtUrer Bo1rd Other Yter Reolectd, {Y!s I Comoonent M1nuf1CUArwr Serial No. No. I dentiflcnlon Built or Reo1ec1m1nt or ~ol I I
'j ..,,.\AO:, ~Al ~ STIA.dS r"1-o5~1 Cf..r-cJ,*tr>A. l N/-4 N/A ~,q,3q \~t!\O R~lAced No. I N..,."T_s .+i.AI~ ~C'1-oS~l r,A~di'r\4 N/A N/:A ...,.,.~£. 14411 ~~1~~ No I '
~~I I i~~
~~8. Ttm Conducted: Hydrostltte 0 PMUIMl!o 0 Nomlnll 0P9mll'll p,._.. 2J Other 0 p,....,. Pll Tftt Temp.~~
ir NOT!: !Mppl.....ni ...... In farin of lldl, 1kltcMI. or drawi"tl msy be ulld, Pl'Oildld 11 J llae II n In.* 11 In.. 12) informm*
tlon in ibml 1 throupl'I on thll ""*' II indudld on llCft ltlen, ind 13J ..n ltl* II numb9nd lftd the fNlftblr of ltlem i1 r9COI d9d 81 the top of ttlll fomt. Ttil1 Form IE000301 mey be obfllMd from tht Order OIPC., ASMI, 3'I I. 47ttl St., N... Vorll, N.Y. 1001 7 112/121 -
FORM NIS*2 (Back) CERTIFICATE OF COMPLIANCI Wt ctrtifv tl'llt tl'lt st1ttmtnt1 midi in tl'll report 11'1 eorrtet and thi1 ~~I Aee....-.#--;:rconform1 to tl'lt rults of ~"' ASME Codi, Section XI. r1111ir or reotecemenc Tvp1Cod1SvmbolSt1mp __ __~t1"---...A......__~----~----------------------~--------~----~----~~ t--.J Ctrtific1t1 of .Autl'loriHtion No._N ___/,_A __________________ Expimlon o.. ___N_/; __.A_____________ Signed oizi!i:J:~ Tltll s r- AMI~-::\ o** ____1--..1'-J_,_;;>...___, **~ CIRTIFICATI 01' INlllllVICI INm'ICTICHI I, tn1 und1'1ignld, nolding 1 v*ld c:ommiaion iauld by m1 Nnion* Ion of loiter Md,,...,,. Veat lntPICIOrt 1nd tnt St1t1 or Provine* of Mj@{adtl and emptovld by {Jrq,Te~r.*qtl (\"1yl'1AL of Not?wopA. mtt* h-. i n . . - t1t1 eonipcmentl dtteritlld in tni1 Owner's A~ durl"I die period "'f *Jl./*9ri co ] *tc.l-'1¢. * *1nd atm tl'l1t to tt11 bin of my knowledll end betlef, die Owner h* DlffOl'mld n1111inMloftl end i-... carr*tt.. ,..._,,.. dlcribld in ,,,,, Own1r'1 Aapon In ICCOl'd8ncll wttll the '9QUINIMfltl of me AIMI Codi, ._.... >Cl. o........_ _ _ _r;.....;-1-.¥...__1* 9..1 (12/121
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Consuv.ers Power Company Name Date _ _~~
J_t..{_,...,-::e..~_-2_C}~_;l;....7.!.....:...7-=2-=--- 27780 Blue Star ;':-[em. Hwy. Covert, MI Sheet _ _l __ of _ _l __________ Addr*u Palisades Nuclear Plant Unit _ _l_______________
2. Plant N*m*
27780 Blue Star Mem. Hwy. Covert, MI Addrea A*P*lr Or;*nlzetlon P.O. No., Job No., etc.
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp_-:-:N~/r-:A_ _ _ _ _ __~~
N*m* Authorization No. _ _ _ _':":N~/r-:A_ _ _ _ _ __ 27780 Blue Star Hem. Hwy. Covert, MI Expiration Date _ __...._ _N_/:...A:.;;__ _ _ _ _ __ Addr-
4. Identification of System _ _ _'~/9..1-.'_'__:::S=:...7$r..;~::-~d>i.;:"""'7;..:...!,-=G~:z:~G~~~cs:;~Af~:.t:7k~t£Js...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. la) Applicable Construction Code~e Sec JJl,; 77 Edition Nott.It: Addenda,_.M ~=~=-----Code case (b) Applicable Edition of Section XI Utilized for Repairs ;;;lacemen~s 19 B"?> S 83
6. Identification of Components Repeired or Replaced and Replacement Component1 ASME Code 'j National Repaired, Stamped, Replaced, (Yes I Name of Name of Manufacturer Board Other Year I or Replacement or Nol Component Menu factu rer Serial No. No. Identification Built !
~~7o-Z.77-/ *z.'Z. 0 6 t!/ Yes IJ;,, ""/,.. P.o, 363 80. 4~~
~~~ ~k, lot~~
~~8. Tests Conducted: Hydrostatic D Pnaum1tic 0 Other 0 Preaure psi Test Temp,-----~~
NOTE: Supplemental shnt1 in form of llm, 1k.tcha, or drawin91 m1y be ulld, provided 11) 1lz* la h In. x 11 in., 121 informa-tion in itema 1 through 8 on this report 11 included on uch 1h11t, ind (3) each shMt 11 number'9d Ind the number of 1h..u i1 recorded It the top of thl1 form *
~~(12/821 - This Form IE000301 mav be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 1001 7~~
~~FORM NIS-2 (Back)~~
~~9. Remarks _ _ 5_e_e__A_*f;-'-~"'"""q-...c-'~-'e=J::;..i.....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
Appllcable Manufacturer'* Data Fleport1 to be attached CERTIFICATE OF COMPLIANCE , We certify that the statements made in the repo" are correct and this /?~pg,,,.. conforms to the rules of the repair 6r replacement ASME Code, Section XI. TypeCodeSymbolStamp _ _ _ _ _ _ _ IV-'-~~/'t...:...-~-----------~---------~-~ Ce"ificate of Authorization No. _ _ _ _ ___.('_,...._ IV .1-4 µ !1.a. 1 _ _ _ _ _ _ Expiration 01t*----.....il!.~...1*T~------- Signed ~ ~ Owner or Owner';o;;:;,;;;:+ie
~~#.0.~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Bo1rd of Boiler and Preuure Vesset lnsPectors and the State or Province of M1Clb(1.Ar-1 and employed by ('R.aJ'K,T1'0<<.( /\c1µTy.AL of Natewooj) . MIT
h1V1 inspected the componlnts described in this Owner's R:port during thl period "=f-14-9¢. to '?-t'i-9.jL , and state that to the best of my knowledge and belief, the Owner hes performed examinations and takan corrective meaures described in this Owner's Report in accordance with th* 1"9quirement1 of the ASME Codi, Section XI.
By signing this certificate neither the Inspector nor his employer rnak* any wamintv, expreued or implied, concerning the examinations and corrective me1111r11 described in this Owner's Raport. Furthermore, neither th* Inspector nor his employer shall be liable in any manner for any penanal Injury or property damage or a loa of any kind arising from or connected with this inspection. rAeTa~Y A-lulc..utL.. ST'.sre-,,... ______-CA~ ..~"---=~:=1.----Commi11ion1""'"'"frJ.....;..:1:..:::.___.n..114'~....l--=N~* IS'-=.M.J_-..;;I~!""'B;.A._N_ I nsp1etor'1 Slgnnure B::o..1111<9.... N1tlonel Boerd, St1t1, Province, 1nd Endorwment1 Oate*_ _ _ _ ___.:f_-..._lt{.....__19 9.?l (12/821
fORM ~-1 ~A.~l.Jf."CTIJRER~ DATA REPORT FOR !'4UCL£AR VESSELS Revision l Gppt;;a5t 70277 Ynit 1 Aa re.-ir"cl Illy tu ProvlaloH or die .~E Code Ralea Sheet l of 4 Naa*f*ct11re4 by,..ic.,omb~-...u...s...t ...i.,.o...n....,.E.,.n_g..,1..
n...,..e...e_r...i,_n.,.9......,r..,n-:c~.-~2~,~*~P~S~GC~N0~,~9:-.:1:.:l~W~.Ma~.:;i~n~S;..;;t;.;.;_j*1.;Ch::.:;a::.t.:.::t.:a..:*..::*..:':.:.:.:*:.......:3:.7:...4:;0~2 (N*- *M M*eH rtl . . .~. .t-rt
.. 1..aufecr11tecl for Con1mer1 Power Company, 212 W. Michigan Ave., Jackson, Michigan 49201 (NH1* lllwll edV.H *f PwcbeHtt 3, Type Vert. ICind Heat Ex. Vnul No, ( 70277-1 ) ( -- . ) Nec'I 8d. No. 22864 Yr B1&ih 1981 (Hort*** Vert.) CT*M.Jeca.ie'lll,He11t E*.J (Wire. S.rtel Ne.) (ilet* 11 ke1e Me.) ' -
3e. Applicable ASr.4E Code~ Secrioo llJ, Editioa_....:.l.c9..:.7..:7__ , Addenda dac*--..:N.:;o~ni::lie1.-_ _ _ _ _ _ , Cue No. 1484 c1... 1 (Tubinq) hem* 4-t incl. to be completed for 1in1le wall ve11el1, jad:eu of i*ckeced *e11el1, or 1helll of beet uchaaaua. Upper SA-533 lii~aA 4
~~75" Cono1ioo 1 Inside 2. 00~~
4. Shell: Material t;~A, CT 1 T.S. SO OQO Thickneu-io. AJlo*aoceliin. Dia.J..<1c._ ia. Len1ds._..ll fr. 9. 65 iA.
~~(IUad II SpH. No.) (Wla. * ' ...... *PHI.fled)~~
5. s. ...: Looi Dbl. Butt H.T. 1* yes R.T. yes Efficieo"J' 100 ~
Ciinh Dbl. Butt H.T. 1 :ic:e§! R.T. :ic:e1 No. of Covn1 1 SA-516 eo,ooo
~~6. Heads (T~.~~
~~(1) ).lacerial l.ocellcm 11011-..., ** , Gr. 70 ThlcllnH* T.S. Crown~~
**dlua 7Q,QQQ ICnYCllle ll1dlua (b) Material SA533 ,GrB 1 CLl T.S.
~~Elllpllcal Re lie Col\!cal AP** An11e Homt1,llertcl!~~
... ,118 Dl-oter .. 114* to Pre11, (CM***
~~Cot1c1 .. )~~
(*) TOE 3.25" 116.25 11 116. 2s* Concave (b) Bottom 7.00" 75.00" 75.oo* Concave If removable, boh1 used _ __....N"'/~A:.:..._.,.........__,,,,........,,,...,,...~-...,.,..----- Ocher f11tenial (Metertal, Spec. "o" T .S., SIH, NWDber) ~(::D~e~1-n~iai~.-.-.-,-ta-c""11_1_11_01-c""11),....._ Tut Secondary Secondary psi a
1. De1ip Preuurc21000 .,.~., _ ......s_5_0=--_°F ac cemp_. of---==::--- °F. ~cur Preu1111 1235 p*i g Primary 2500 650 Primary 3110 h*** 9 and 10 10 be C001pleted for tubr aecdona.

9. Tube Sheeu: Sta*iooal')'* MHerial SA-SoS .¢L3 Di*.
(Kind* lpH. Ne,) 164R (Swbject 18 PNll*) ia. lliid:HH 25 561-. Anacb*nr Welded (Wol4o4, 8-.&1od) Floatina- ~uerial NIA Die. _ _ _ _ _ ia. TlaickneH_ ia. Anech.-at (llUm
~~lpec. N**> ------~~
~~Inconel iocbu~~
~~10. Tubea: Material SB-163 O.D.~a. Thicknua.~~
042 or aa .. inc;he!I Naaber B. 219 TJpe U-Bend (Kln4 11 s,.c, Me.) (IDel11M w U) hc1n* 11 co 14 iacl. to be completed for inaer chmmbera of jacketed *1Uel1, or cheonela of llea1 **chu ..re.
* ~ ominal Cono1ioa *J/A II. Shell: Marerial T.S. ThicknuL-in. AJlo*aac*-ia. Dle.- h.-ia. LH1rll-fr._.i.a.
~~cxa.-.........., c111... .,,.... epeclll*~~~
~~_ .*_~~
N/A 12. Sc . .a: Loo1 H.T.'--------R*T*-------EfGci*C7--~=~~-- '1. (Wol._.. llM*o l!ftale) CY*= ar nQ>> G i r d l - - - - - - - H.T. 1--------- R~T. - - - - - - - - No. of Co.r*H-------- N/A IS. Headaa (*) Material---- T.S. - - - - (b) Meaerial - - - - t.s. - - - - (c) Mat*rial _ _ _ _ T.s. ____
. Tlllcll11Ha ere-llnuekle lla'8ua &11..,UHI aat&e ~*
Cea.Ice! A..la He.......... Pa.a Daa-t9 (C-a *
**-* le C_..,.,
p,. ... (a) Top, llon09e ead*--- (b) ea.....1 (c) Floacin1 If reeouble, bolts 11aecl (a) .. _.....J.b' (c) _ _ _ _ _ a.., faatnU.1~-~~"!""""=~-- Clll*erial, l . . c. N... T .a.. lln. JI_.,, Drop wei ... I Pa....de (Dee-..
~~allHll 1ketdl)~~
~~Ch*rpJ J11pK11.__ _ , . " . ,. . . . . . - }. THI~~
~~°'----- ..~~
30 lrP-.~r.,.G:u"*E..*_*:** --F-~-fl'P"li.*...,, 0 N/A * ._ De*ip prea*ur*' ,,, ., - ° F ., re ... *. eo.w..11.. 1 If Peet-14 H*el*Troa1e4
~~SUPPLEKENTAL SHEET TO POIU* HAHUPACl'URER'S DATA .REPORT~~
*She. of "
Manufactured by: Co*hustion Engineering, Inc .* -2.*PSGCNO. 911 W. Hain St .* Chattanooga, TN. 17402 llanufactured for: Cnnsu*r.r.'s Powt-r C0111po11y, 212 W. Hic:higon Ave .* Jackson. ttichlgan 49201 Type Vea*t. Ve*ael llo. 70277-1 llational Id. llo. 22864 'fear Built 1981 Shell Corrosion Katertal T.S. "io.'lbk. Allovaoce Inside Dia. Lena th Cone Shell SA-Sll,Gr~.ca.1 80,000 5.125" 1/16" 155.5" ' 230.00" 8....1* lnteraediate * " 4.125" " 155.50" 115.U" Lower " " ,. .125" II 155.50" 122.83" Stay C.:ap SA-516.Gr 70 70,000 1. 375" ti 22.38" 11.69" l.D. Ra1 Stay ..*oa*ging SA-508,CLl 80,000 5.50" Clad 23.38" 76.82" Nozzle* Min. Reinforcement Bow
.Purpoae lhmber 'loaide Dia. Type Material Thickness tlat.erial Attac:he-Water Suplin1 2 .81* Bar SB-166 .175 11 In Upper Shell Welded Level Indication 6 .815" Pipe SA-106,Gr.B .175" In Up. & Lwr.Shell Welded Priaary Hd. brain 2 .6U* Bar SB-166 .175" In Bottom Head Welded Inspection Port 2 2.00* Forg. SA-105 .645" In ~hell Welded Recirculation Noz. 1 5.75" Forg. SA-508,CL.3 . 717" Integral Welded Safe End 1 . 5.75" t'org. SA-508,CL.l . 717" Integral Welded Auxiliary Feedwater J 3.875" Forg. SA-508,CL.3 .937" Integral Welded Cap 1* 3.875" Forg. SA-508.CL.l .937" Integral Welded Peedwater Noz. 1 15.750" t"org. SA-508,CL.3 1.220" Integral Welded Safe End l 15. 750" forg. SA-508,CL.l 1.220" Integral Welded Rlnwctnwn Nn7.. I !\. 76" l't pr SA-106,Gr.C .557" In Tubesheec Welded Pri. . ry inlet 1 42.44" 1-'org. SA-508,CL.3 ". 09" Integral w~ lct .. ct Saft- End 1 42.U" Forg. SA-508,CL.1 Integral ". 09" Welded Priury Outlet 2 30.44" t'org. SA-.508 CL. 3 3.03" Integral I
~~Welded Safe t;nd 2 30.44" Forg. SA-508,CL.l 3.03" Integral Welded~~
SUPPLFJIENTAL SHEET TO

PO~ tlANUPACfURER'S DATA REPORT ttanufactured by: Co*bustion EnQineering. Inc. ,-2,*PSGCNO. 1 *

W. Hain St., Chattanooga, TN.
~~ttanufactured for: Consumers Power Coapany,, 212 W. Hichigan Ave .* Jackson, Michigan 49201 37402~~
~~sh~ '>f "~~
~~Type Vert. V**.el lo. 70277-1 .. tioaal Id. lo. 22864 Year Built 1981~~
'i 1.5" 8UN-2A . ttanhole*: Covers: SA-533,Gr.A.CL.l 2&.00" dia. 4 Nuts: SA-193,Gr.87 l. 62S"8UN-2A 80 Material Size Nuaber Material SiW MumlM I. 5" 8UN-2a Studs: SA-540,Gr.824,CL.J 1.625"8UN-2A 80 Material Size Number llandbole*: Covers: SA-516. Gr. 10 13. 75" dia. 4 Nuts: SA-193,Gr.87 1.00" 8UN-2A 40 llaterial Size Number Material Size lhl8bf Stud&: : SA-193. Gr.* 87 1.00" 8UN-2A 40 "-terial Size Nuaber
'* Remaru: ln*tde of prlaary head clad with *talnless steel and lnconel: SFA-5.lli ENiCrFe(Inco 182), SFA-5.14; ERN1Cr-l, SFA-5.' ER-308. U-304L. Tubesheet clad with lnconeli SFA-5.14i ERNiCr-3, Priaary Nozzle clad with stainless st.eel: SFA-5.9; ER-l04L. Power Systems Group, Chattanooga Nuclear Operations The Hartford Stea11 Boiler lnspect.ion and Insurance Company
SUPPL[HENIAL SHEET TO 1 1-1 MANUFACTURER'S DATA REPORT
~~4 of~~
1. Manufactured By: Combustion Engineering, lnc.-2, *PSGCNO, 911 West Main St., Chattanooga, TN. 37402

2. Manufactured For: Consuners Power Company, 212 W. Michigan Ave., Jackson, Michigan 49201.

3. Type Vertical Vessel No. 70277-1 National Bd. No. 22864 Year Built 1981 IJhPTJ/ = ~7L 3
~~' ,~~~
IA' _\j/EvJ -A*
~~------*~~~
LoWER Sll£1L _Rf_PAI R OF L£\/£L_ __:r/ij_f}/C. ,tj_T/Q1.J N??Zf /.F ___ _
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner C..:-nsu:::.:rs ?ower Co:n!Janv Oat1 _ _ --,~!f....:....:(.Q~l_q..!..!:::*;;)..::....:___ __~~
N*m* I I 27730 Blue Star :fem. Hwy. Covert, MI ShHt ___l ____ of ____l ____________________ Addre*
2. Plant Palisades :iucl.:ar Plant N1me 27780 Blue Star :rem. Hwy. Covert, MI Addr- Fleoalr Ort1nl11t1on P.O. No., Joo No .. etc.

3. Work Performed by Consumers Power Company Tvge COde Symbol Stamp __~N~/".'"A_____________
N1me Authorization No. _ _ _ _':":N.:.,/~A;...._______ 27780 Blue Star :-tern. Hwy. Covert, XI Expil'ltion Otte N /A Addr-
4. ld1ntific1tion of sv1tem_....1.0(\..;...~A~~..;,Y\~.....S;::5Ti~..;;e..~~~V"'~;.._..:$::...:::.=~rS""t~:.:~~~~;....------------------

5. (al Applicable Construction Code ~""'- I[. 19 Se.c.. ::J.2 Edition. N oY'\L. Addend1, ..... ......i.t>J~/r....;..~.4~-Code Ca11 (bl Applicable Edition of Section XI Utilized for Repai" or Replecement1 19 i3 s ~~
~~S. Identification of Components Rep1irld or Replaced and Repl1e9m1nt Components I~~
~~~SME :~~
I Code Nationll Flep1irld, Stamc*d, Nam* of Component N1m1 of Manufacturer M1nufacturer Serial No. Board No. Oth1r I dentiflc.ilon Year Built AeollCld, or Reolecement or Nol (Yes I Sie AV""\ Ge-"', Co -1::. 11"!.'T'*°"'- $/N l,t..._tT ..l.
~~- . . .\~~
~~tc.r.-A '1"'\L~ "'0..~~
~~- 7~"7"7-~ J;;).~5 Ni - 'ffS\ 7 t..--. I~( Ke~'4~.cJ Ye.s~~
~~7. Description of Wortr ~e ~l AC~~~
8, Te1t1 Conducted: Hydrmtltle 0 PfltUIMtlc 0 Nomlnll Operetfng p,...,.. if Other 0* Prwwurw pli Tiit Temp. ., NOTE: Su~llNflUI sh... In farm of llm, 1kltch-. or drawi"ll !NY blu .... prawl... CO Ille llb In.a 11In.,121 lnfonN* tlon in lhrftl 1 thn..i9" I on ttlll report II includld on -=" ltleec, and 131 lldl . . . II numbllwd end the number of ....... i1 recorded n the toP of tttll form. (12/82) - Thi1 Form IE000301 mmy bl obtlined from the Order Dept., ASM*, 3411. 47th St., New Vorll, N.V. 10017
~~9. Re.,,arics FORM NIS*2 1Bae6cl~~
_S_e_e...__A.....:"t_\-~-~-ed--=-__f\._\_-......(__~......_l\_T_A_ _~~tpF--,...._l.______ Aoollcatila Menyfecturel"'1 01m1 Fleoum to tie aiuc:nea CERTIFICATE OF COMPLIANCI We certify that th* 1t1t1m1nt1 made in tl'I* rwi::iort are correct and tl'li1 ASME Codi, Section XI. r-e t' '4Ce ~::;t'onfonn1 tot"* rules of m9 r111C1air or raolec:ement Tvi::i1Cod1SvmbOISt1rnp~--.....t=-{, ......~..l'-~z4...-._~~~-~~~-~~---~--~~-~--~--~ C1rtific1t1 of Autl'lorizetion No. _ _ _ N._,,..!?_A________ expiration om ___N_.,.;,_~--------- Signed --=:::J#~ Ownw or o~... Title Sr-CEATIFICATI O' INSERVICI ltm'ICTION I, th* undersigned. holding* velld commiaion im1ed bV the N1tionll Bowd of Boiler end Preaurw v . . .1 ln1P9Ctors 1nd ,,,. Stitt or Province of fvl1'CJf{(aAtl and emplayed by pl'U>rtcr,*oet M'4T~ of AfoR.wop'i::J
MA-. l'lwe in.-cnd ltl* companent1 described in m i1 Owner's R~rr durlnt 1t1e period '1-(1.( -U to jt -/Cf - 9.jl

11nd 1t1tt t,,1t to the belt of my knowledgl end beflef, tne Owner l'I* performed ...,..1nnlon1 end teken corractM m--.m delcribed in t,, is Own1r'1 Repon In accordlftee wldt die rwquiremlt'ltl of me ASMI Code, Slctlon XI.
By 1ignint this certlflclt9 neltMr dte lftlllH'lOf nor hits llllDloyw mekll lftY ~. *AOI 11d or implied, conaerning t"* 1x1minetiont end cornctive ,,_,,.. c:t.crtbed in dlia Oww'I Report. 'u*~ Midw dte li'I_., nor him emplay1r 11'11!1 be Ii_,.* In eny men,,., tar eny ....,., Injury or property dllNll9 or* IOll of eny kind.,.., . ftam or connecnd with t,,;, insotetion. r'J o /) /) ;;,c.1",ey /l1&.c.T<.Ll1L sys~
~~~ eomm1111onef'VI,*, 7teql Nd ~'1-Sd. - r, t?,, ,.,/~~
I n*llltDr'I lltNllU,. NetloNI ...,., lta19. °"I-. Md lftdo,...,entt Deit,_ _ _ _ _ 1..._-_lc./...__11 9il (12/82)
rul"\lll "*' "'"'~""r "'-'\.lnc.n~ Ul\11\ ftt.r\Jt\I tUK ,"'iUl.l..t.AI\ Y~t..1-:i l\eVlSl.On l. Contract 70277 Unit~* ~q*lred ~y t~e ProvhloH oldie '91E Code Relu Sheet 1 of 3
.,..,.ufacnued by Combustion Enqineerinq,Inc.-2,*PsGCN0,911 W.Hain St. ,Chatta. ,TN. 37402 (Na- . . . . . . . . . el MM~HI_,,
wu.ufactured far .Consuzners Power Company, 212 W. Michigan Ave., Jackson, Michigan 49201 p_,.. *.., (l'h** aftd . . . . . . .,
). Type Vert. Kind Heat Ex. Vuul No. ( 70277-2 ) ( -- ) Nac'l Bd. No. 22865 Yr. & 11 ill 1981° (Horta. ""\'or1.) (T11nll.J*clle1ed, H**I &a.) (Ufre. hr&al Ne.) ci1a1e II Ital* Ne.)
3a. Applicable ASt.4E Code: Sectioe Ill, Editiet1'--""l'-'9~7""'7'---* Add4nda da1~---=-N:.:o:;.:n.:.;e=-------* Cue No. 1484 c1... l (Tubing) ltemt 4-3 incl. 10 be completed fOf ;inale *all *euel1, jac!:eu of jacketed *enell, °' abella.of beat ncba111er1. upper SA-5 33 ;mL 4. I 5" Corcoiion .f,_ Inside 2. 00
~~4. Shell: Material GrA,CLl T.S. 80,000 Thicknen-in. Allowance_~n. Dia._~2_ie.Lenat!i.--11c. 9.65i.n.~~
~~(kind II Spec. No.) (Mia. of rans* ap*cltled)~~
~~5. Suma: Loni Db 1 *. Butt H. T. *_ _ ___.y...e:.:s-.._ _ R. T. -......i:V..::e:.:s=------ Efficincy _ _ _ _ _1_0_0;;..__ _ ~~~
~~Ginh Dbl. Butt H.T. 1_ _ ___.y..,,e..s...____ R.T. _ ______ No. of Cowae*-------- __.y~e-.s SA-516~~
6. Head1 (*) J.lacl'rial !:it.20 T.S. 2Q.QQQ (b) Material SAS 33 .GrB. CLl T.S. aQ1QQQ Loealloft Clo- Kn..clile &lllptlul Conical H**l*Ph*rlcaJ P'l1t ltd* 10 p, ....
(T011, llotl Olft, end a) ThlcknH* ***Ii** **div* *aue ApH Anel* **dl111 Dl***l*r (COii*** cw Cot1cne) (*) To:e 3.25" 116.25" 116. 25" Concave (b) Bot tan 7 .00" 75 .00" 75.00" Concave If remo vab-le, bolts used _ ___.N~/...A._.,.....,....,.._"""",.......,,,...,.......,,.,..-.,....._---- Ocher futt'nial"':":-~---...,...--,_.- (Materlel, Spec, flle., T.I., llH, N,.ber) (D*acrl.b* er euach *llHcll) Tue Secondary I. Secondary Duian Pressure 1~ ,.t psia 11 _ _s""5 ...o __ °F a1 temp. of _ __.._ __ Preuwe 12 35 p*i s Primary 2500 650 Primary 3110 he** 9 and 10 to be co111pleted for cube seccioes. 9, Tube Sheen: Stationary. Material SA-508.CLJ Dia. 164" in.Tiiickneu ;;?S.SPie. Anacluneec We1ded (Kind* ..... ff**> (S*ject te PftHo) (Welded, 8ol1*d) Floatin1. "4acerial N/A Dia. _ _ _ _ _ iA. ThickneH ie. Anac-.ac _ _ _ _ __ Inconel <K&M * ...c. ffa.> inclaee
~~10. Tubei: Material SB-163 O.D.-lSaa. Thicknua. .042 or 1*1* inches N11aber B. 219 T1pe....iU~--Bl.lie..,n..iid_ __~~
* .(Kind
Spec. Ne.) (ltnlcht

U) hems 11 to 14 inC'l. ro be completed for i*er ch1111bcr* of jacketed **Isela, or channels of hea1 esclaupre.
. ~Of!Jiaal CorroaiH N/A 11. Shell: Marerial T.S. Thicknn._ia. AIJo*anc*-in. Dia._ f1._ia. L1q1h_ft._i.D.
('IClnd * ..... N ..> (Ille. el ...... *.-C &li*4 N/A 12. Seams: Loni H.T.'--------**T*--------EfGcinCJ--------" (W*ld*~ Dtil*o Sa,.Je) (YH ar lfe) Girm _ _ _ _ _ _ _ H. T. 1- - - - - - - - - ll. T. - - - - - - - - No. of C o v a e * - - - - - - - - N/A 13. Heads: (a) Material _ _ _ _ T.S. _ _ _ _ (b) Ma11erial _ _ _ _ T.S. - - - - (c) Ma1erial _ _ _ _ T.S. _ _ _ __ C.- Ka*lll* IU ...leel Cenlcel H**l....lt*AI Pl* lld* le PNH. Tltlelll..... **IH- .... *&ta. ~* ...... *~ Dia-** (Can*** ... c_ ..., (*) Top 1 boftOla, end*--- (b) Cheanel (c) Floaiin1 If retnouble, bolu uaed ( a l ( b ' (c) Odler fHi . .i*1-----....... . . - - - -
~~<11*1*1*1*1pec. N*** T .a** lln, ".._..., Drop weip1 Pa....dc (De*cr&e * .., . . " *llnch>~~
~~.N/A 14. O.aip pteSlure 1 psi** 1 If Peet**l4 tkat*TNalellll a..,, 1.,acc~~
~~°F ac ,.. ., el ft-lit °F.~~
llJnacadc - } CoaWaad*
+TeSI PrHHH P*i 'Lioa eclh** ,,.. .. ,...1 a. *st*-.1 .......... *llh celacl.._. , . . . ., . , _ . . . . 9"Uc AGE..,;J,j_QF~
~~SUPPLEMENTAL SHEET TO FORt MANUFACTURER'S DATA REPORT~~
She. lf l Manufactured by: r.o*bustion Engineering, lnl~. ,-2,*PSGCNO, 911 W. Hain St .. Chattanooga, TN. 37402 Manufactured for: Con&U11e1*s rower Ce>11pany, 212 W. Michigan Ave., Jackson, Hlchigan 49201 Type Vert. Ve**el.llo. 70277-2 National Id. No. 22865 Year Built 1981 Shell Corrosion Haterial T.S. "in. Tbk. Allowance lo.aide Dia. Leagtb Cone Shell SA-5ll,GrA,CL1 80.000 S.125" lnteraediate . " 4.125" 1/16"
.. 155.5" ' 210.00" 155.50" 8* .63 11 115. 44 11 l.ower " " 4. 125" . 155.50" 122.83" Stay Cap SA-Slb,Gr 70 70,000 l. 375" .. 22.38" 11.69" l.D. Ra*
Stay Forging SA-508.CLl 80,000 5.50 Clad 23.38" 76.82" Nozzles Kin. Reioforce*ent How Purpose Number laaide Dia. Type Haterial 11alckness Haterial Att.acbet Water Saapling 2 .81" Bar SB-166 .175" In Upper Shell Welded Level Indication 6 .81S" l'ipe SA-106,Gr.B .175" In Up. & Lwr.Shell Welded Pri*ary Hd. Drain 2 .6U" Bar SB-166 .175" In Bottom Head Welded Inspection Port 2 2.00" 1-*org. SA-105 . 6'85" In Shel,l Weldrd Recirculation Noz. I S.75 11 t'org. SA-508, CL. 3 .717" Integral Welded Safe End l 5.75" Forg. SA-508,CL.l .717" Integral Welded Auxiliary t*eedwatel' 1 3.875" 1-*org. SA-508,CL.3 .937" Integral Welded Gap l l.87S" Forg. SA-508,CL.l .937 11 Integral Welded feedwat~a* Noz. I 15.750" t'org. SA-508,CL.3 l. 220" Integral Weld~d Safe End I 15.750" Forg. SA-508,CL.l 1.220" Integral Welded &lowdown Noz. 1 S.76" l'ipe SA-106, G1*. C .557" Priaary Inlet In Tubesheet Welded l 42.44" Forg. SA-508,CL.J le. 09" Integral Sah End 1 Welded 42.44" t'org. SA-508,CL.l 4.0<)" Integral Pri*ary Outlet 2 10.U" ..-o.-g. Welded SA-508,CL.J 3.03" Integr-al Welded Safe End 2 30.44" 1-*org. SA-508,CL.1 J. 0.l" Integral Welded
SUPPLEMENTAL SHEET TO FO*
~~ttanufactur-=d by: <:omhustion Engineering, Inc. ,-2.*PSGCNO,~~
~~~ MANUFACTURER'S DATA REPORT W. Hain St., Chattanooga. TN.~~
~~Manufactured for: Consuaers Power Co*pany,,212 W. Hichigan Ave., Jackson, Michigan 49201 37402~~
*Sh of l Type Vert. VUHl lo. 70277-2 llatiooal Id. llo. 22865 Year Built 1981 tlallboles: Covers: .. SA-533,Gr.A.CL.l 26.00" dia. 4 Nuts: SA-193,Gr.87
1. 5" 8UN-2A

l. 625"8UN-2A 80
~~...teri*l Size Number Material Size lhmbe1~~
1. S" 8UN-2a Studs: SA-S40,Gr.B24,CL.1 I .625"8UN-2A 80 llaterlal Size Nuaber Handholes: Covers: SA-516, Gr. 70 ll.75" dia. 4 Nuts: SA-193,Gr.87 I. 00" 8UN-2A 40 Material Size Nt111ber Hate rial Size Numbe Studs: SA-193, Gr.87 1.00" 8UN-2A 40 Material Size
'* R-.rka: Inside of priaary head clRd with stainless steel and Inconel: SFA-S.11; ENiCrFe(lnco 182), SFA-5.14; ERNitr-3. SFA-5.q ER-308, ER-304L. Tubesheet clad with lnconel; St'A-S.14; ERNiCr-3, Primary Nozzle clad with stainless steel: SFA-5.9; ER-304L. The following tubes were plugged prior to shop hydro: Row 18, Line 159; Row 36, Line 101; Row 42, Line 16. Power Systt>mfi Ga*oup, Ghattanooga Nuclear Opea*ar ions
~~'fhe Hartford ::iteaa Boiler Inspect ion and lnsu1*ance Company~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 27780 BLUE STAR MEMORIAL HWY.~~
As Required by the Provisions of the ASME Code Section XI POWER _ _ _COMPANY N11m11 _ _ _ _ _ __ Date _ _ _....;4::;..-_,2"'1=--..::.9.=.2_ _ _ _ _ _ _ _ __ COVERT. MICHIGAN 49043 Sheet_--=1'--_of _ _- - ' 1 = - - - - - - - - -
~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&'fiAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24105912 R*P*lr Orgenlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTl'UM Type Code Symbol Stemp _ _--"N~A~-----~~
Ne me Authorizetlon No. _ _ _ _ _....N:.!:A~----- ANN ARBOR, MICHIGAN 48106 Explmlon Dne _ _ _ _ _ _NU.A:JA.______ Addreu
4. Identification of System _ _ _P_RE_S;.;S;...URI~""ZE;;;;R;.;....;;S;;;;AFE::..=TY=-....AND=_.;.;:REL=I==E=F--"VA...,L,..VE:.=-...,P..::I.._P""INwG"'-------------

5. (1) Applicable Construction Code ASA B31.l 19_2LEdition, _ _NA _ _ _ _ Addend1, _ __;NA;.;;;;;.._ _ _Cocle Case (bl Applicable Edition of Section XI Utilized for Repairs or ReplllClmlnts 19 83 S 83

6. Identification of Componenu Repaired or Repleced end Repl11C1111ent Components ASME Code National Repaired, Stamped Name of Narrie*of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
~~-('/,_ ~JJ'l~~
~~P.O.~~
~~LJi~~
~
HEX NUTS C."r-.:il;l"\4. I 5029-8674.,-1 1-l/411 ia :Lt\cJCA~r'i C!.'S° NA NA 1990 REPLACED NO
7. Description of Work REMOVE/REINSTALL VALVE PRV-1043B

8. Tests Conducted: Hydrosutlc 0 Pneumatic 0 Nominal Opemlng Preaun 0 Other i!I Praaun psi Test Temp. *F VISUAL EXAM NOTE: Supplemental sham In form of 11111, sketch*, orchwinp-ybeullld,pruvlded (1) slz* 1181' In. x 11 In.. (21 lnfomm*
tlon In Items 1 through 6 on this nport ii Included on llCh sheet, and 131 each sheet Is numbenid and the number of lhlltl Is recorded at the top of this form. (12/82) This Fonn (E00030) mmy be obtained from th! Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS*2 (Back) Applicable Manufacturer's Daui Reports to be attached 1.> CERTIFICATE OF COMPLIANCE . We certify that the statements m8de In the ~rt are correct and this t"e~IACi!~conforms to the rul&S of the ASME Code, Section XI. repair or r1Ph1cemant Certificate of Authorization No. _ _ _ _"'N""A~-------Expiration D11te _ _ _ _.......;;;N.;.;;A.;;...._ _ _ _ _ _ __ Signed Jt?"-'4- ~ . Owner or Owners De1i11nZ. Title
~~/V;O, A', ~~~
~~A..~-fi..- Date ~~~
~
~~4 . 19 9 2-~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 11 valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD

MA hllVll inspected the components described in th Is Owner's Report during the period 6 -f- ' L to ' - J - ? L. and state thlt to the best of my knowledge and belief, the Owner hm performed examinations and taken corrective measures descrlbGd In this Owner's Report In 8CCOrdMC8 with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employ* makes any waCTanty, elCPl'Ulld or implied, concerning the examinations and corrective measures described In this Owner's Report. Furthermore, neith* the lnspec:tOr nor his employer shall be liable in any manner for any pel'IOnal Injury or property dalyiage or a loa of any kind arising from or connected with this
~~'7~4"- ~~~
~~__,_L..__. . .*----.-------------Commiaions_..._;~~
~~. 1Pector'1 Slgllftllre F~~::y ~:;AL SYSTFJ{~~
Netlo"81 Board, State, Province, 11nd Endon.nont11 oate.__ s__J;;_IA__e..._ _ _ _ _1s '\...- 11 112/82)
FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cod* Section XI
~~1. Owner CJnsu:::ers ?ower Co:npany N*me 27780 Blue Star :fem. Hwy. Covert, :u ShHt _ _i_ _ of _ _ i __________~~
Addre*
~~2. Pl1nt Palisades 'N'uclear Plant Unit _ _l _______________~~
~~N1me 27780 Blue Star :rem. Hwy. Covert, MI Addr- Aeoelr Orv1nlzetlon P.O. No., Joo No., etc.~~
~~3. Work Performed bv Consumers Power Company Type Code Svmt>ol Stemp _...:N...:/~A..;...._ _ _ _ __~~
N1m1 Authorization No. _ _ _~~~/A,,_._ _ _ _ __ 27780 Blue Star Xem. Hwy. Covert, XI Expir1tion 01te _ _ _ __.;.;N..:../.;;;A;,___ _ _ _ __
4. ld1ntific1tion of Svsttm MA\ V\ S""i'e AVV\..

5. !11 Applicable Constn.ietion Code Se,c\,*on "IIr t9..:Z.:Z.Edition, Nace,. Addende, _ _ N_I ../_A....__Cod1 C*11
!bl Applicml1 Edition of Section XI Utilized for R101i1'1 or Reo11eement1 19 i ~ ~ '& 3 S. ld1ntiflc1tion of Compon1nt1 Repaired or ReollCld ind R1olacem1nt Comoon1nt1 l ~SME i Code ,
N1tionel P.eo1irtd, Stamced! N1m1 of Name of M1nufecturer Boerd Other Year RIPllC9d, !Yes i Component M1nufecturer Serial No. No. ld1ntiflc1tion Built or RID I1eem1nt or No) ) Si~4-. G~. Co .-b&&i*o"'I ~/N U.l'\.1'1 I 6V'0.:~1:""i"" 70d-7i-f ~).1t_Lf ,.,-~t;~ 17S-""" \9i1 P:&~IAW Yes
~
I
7. Oescription of Wortr,_ _ (?$,__e~~--l.A:..o.m.~---~_;b=--~~...;Q._~....;;...;~;_;;;~\e.:;;_~V\~"'-~~;,;;;S;;...;.'- - - - - - - - -

8. TllU Conducted: Hydl'Oltltie 0 PneurMtlc 0 Nominal Opemlng ~ l2f Other Q .Pl'll&lrw Pll Tiit TemD. *I' NOTE: Supplernerai ..... In form of nm. 1kftc:hal. or dnwi"tl NY be u
IN'IM_. n t *8 le .,. In.

11 In.. 12) lnforma*
tlon In ltwne 1 thrau_. I on mle repon la induded on -=ti sheet. 1nd 13) ..n lttM le numbered end the number of ahem i1 r.corded n th* top of this form. 112/82) - Tl'ti1 Form IE00030) may be obtained from tht Order DIP!.. ASMI, 3411. 47th St.. New Vortl, N.V. 10017
FORM NIS*2 !Back>
~~9. Re'Tlartcs _.:::S~e;;..;e..;...._......A-'-"-\_l.;..;.:40;;;...h~ed=---1.N....:at-_!..__.::::~=.;A..:...rt..:.:..A~~~~~.;:~:..:::.o,;.....r-....:..r...L.,- - - - - -~~
~~;\ggllceb** Menufecturer'a Oet* Reoom to ti* 8ft.c11ecs CERTIFICATE OF COMPLIANC!~~
W1 certify that th* st1t1m1nt1 mad1 in th* rei:iort 111'9 cor..Kt and thi1te MAce.~;;:r;onforms to th1 rules of~"' ASME Codi, Stction XI. reoeir or reolecement Typ1Cod1SvmbOISt1mp ____ / (\J_,~~-~-------~----~---~---~-------~-- Certific1t1 of ~uthoriHtion No.-.....:.~~/_A_________
~~....... expil'lltion o.. ___N-.,./~~A;...;.________~~
Signed £ttit~"itn*, Titles; r- _A ""-A {~ $ \ Oate _____7..J../.,,t./;...._.;:f);......_, 19 CERTIFICATI OF INSERVICI IN*ICTION I. th* undersigned, holding 1 vllid commiaion iauld by th* N1tionll Bowd of Boiler 1nd Pl'ltall'I Vu.I Inspectors 1nd th* Srate or Province of m,*cJI, <:i:rAJ 1nd 1mployld by &9?T<<-T1 'o,J MC..ST'*'L- of Algt?w..;pon. Md=* ,,.,. i n _ . tt11 compon1nt1 described in this Owner's R~n durlnt the period :C-1(./-'l,1 co ;t-14-9.a, . and stm thlt to th1 b11t of my knowledge 8ftd belief, the Owner h* performed 1xeminnlon1 end tlkan corr.etlve m...,1'11 decribld in this Owner's RIPOl't In ac:corance wlltl die ,..,,,.,.,.ti of m* ASMI Codi. Section XI. By signing mis cenlflcam nti1her die lnlPICIGf nar his employ* rNlwl lftY ...,,.....,, ._,....or implied, concerning th* examinetion1 and carncti"9 ~,.. dllcrlbld In d'li1 Owner'* Report. FunMlrnoteo neitMr tit* ln..-=mr nor hi1 employ1r tl'lall bl lilbll In any mlftMt far eny l*IOftel Injury or P'°'*'Y dlfn-.e or 1IOllof1ftY kind erlli.. from or coMeetld with this
,,.,,*.,.... ~ FA<!."li>M' ,,., ....ruA'- ~s;..,,., ----1imii4~=~=~ 1n1111nor'1 lliNIU,. ...........--CommlllionaMc'.1<e.,'l, NB (. -- ) Nar'l 14. No. 22864 Yr. Built 1981 (Hwt*.
Vert.) (Tellll. JHlie1ellll, Hect£*,) CIUH* hri*I lfe.) (ttete

leate lfe.)
3a. Applicable AS~E Code: S<<cion JU, Edirion _ _.li:..9"7"-'7t..-_, Addeada dare---=N~o~n~e-------* Cue No. 1484 Clau 1 (Tubing) l*aa* .C-S iracL co be complered la. ainale **11 **uela, jacl:ett of jacketed ftuela, or ahella of heat eadiu1era. Upper SA-533 M~ai 4. 75" Corroaioa 1 Inside 2.00
~~4. Shells Material "1"'lpec.CT,If**>~~
I T.S. s'li renc* non Thickneu-ira. Allo*aacenia. Dia..l..91._ia. Leraam...ll ft. 9. 65 "'*
~~,. s.... Loa1 (IUallll (MJa. epecU&ellll)~~
Dbl. Butt H.T. 1 yes LT. yes Efficlncy 100 Ginh Dbl:. Bg:tt H.T. 1 DI LT. v11 No. olCovH* SA-516
6. Heada (a) Material ~l:.ZQ T.S. 2Q.QQQ (b) Material SAS 33 .GrB, CLl T.S. go,ooo L**U- er- ICnuclile &lllpt&eel c ....... H*a&**"*ncel Plat II**** Pren, CT*. i.001-. ftld*> Thlcli-** Redlu* Rediu ***&e ..... Aftcl* Rellllius Dl-*ter cc ..... - c ...... ,
(*) "'."OJ:! 3.25" 116.25" 116.25" Concave (b) Jot tom 7.00" 1s.oo* 75.00" Concave If remo*abl~ llDha Hed---a:Nl.'-l.,1;AL..._.,..._ _ _ _ _ _ _ _ _ _ _ _ _ Qdaer laateaini~----------- CM*t*n*a. IPec. "*** T.1., aa....._ ...,J (Dnnae - ettael! *lll*Hll.)
~~ltcaa 9 ud 10 10 be completed for tube aecli11111a.~~
~~t. T.._Slleeca:Staliooary. Ma1erial SA-508.¢%.3 Dia.~~
CIUallll *"'"*If**> 164ff Cl*JHI ** ..,...., ia.T11icluleu 25 $6ia.A11achlnt welded CW*IMllll. aett*lllll Floalia1o Ma1erial(i1a11 l'A. ..,.., D i a . - - - - - la. Thickn.., _ _ _ la. ABSC**r------ Inconel lflc*H
~~.IQ. T ... o.: Ma1erial SB-163 O.D.....250a. Tlticbeaa. .042 or 1a1einsb1H caun.* ........,~~
~~11. .a 11 .. U iacl. ro be c.-pletacl lot 1*er cha.lier* ol facknH ........~~
~~clauula of *nc emupn.~~
~~'R/A 12. S.aac Laq H.T.1..__ _ _ _ _ _ _ LT. - - - - - - - E f l d~~
~~c , * - - - - - - - "~~
(We... -.°"** IMlle) (YH *Ne) Gir6 11.T.1* - - - - - - - L T . - - - - - - - N o . efCouH*1------- B/A U * ....._(~)Material _ _ _ T.S.--~* (II) Ma1111lal _ _ _ T.s. _ _ _ (c) lla&edal---T.S.----
....... 'TMa*A c-Sa.Ill*
~~su**al c..aeaa~~
~~. . . . A119le nae 11a ........~~
~~(C....a W C-neJ nd*-.--- --- --- ---- ---- ------ ---- ------- (*) TGf........~~
~~<*t a.--1 (ct FloMJa1 YI/& 14.~~
If .-wable. ltolle *nd (*) 0l*w&a1,,l,.c.lf... n.-.. ,......._*__ psi ..,_ _ _ _ _ r T.a..-.*'rt< bDrap 11f P ..... wa.*TrntM 0 f - - - - - - ( c ) _ _ _ _ _ Odler 1a.... Qa1pJ ea ..... el welali* - - - - a.,_.. hal* H1*oamdc * } 9F. CoaW..d* 1a1~--....,~~~~--
......... CDe*ilrtM., .na**
Te* Preaaue 911..ellJ PAGE 6 OF 12 pal Jl Llet ...._-~-a 4W enetNi .,.1111_... wiliio - - - - - ~imQ am. _,,&ill-=.
FORM N*l (It.ell)
~~.......... _ ...... c...,1.1.4 ' - ... *HHI* ..... ..,,aiuWe.~~
__ seae ___ .._ N /A I'\. !'Oafl"ly Y9"r O.de1., .._..., L*c*1iom
~~**""-*-* we"i~~*~~
~~16. Nnulra:~~
"-***§u"'*'*
~~SteamOvtl*** **~ t et :f.4~*d'61'** FJE'q. s~6*~~u ~*-~ I n ~*eqra 1~~
~~"*1 1 1 Inst. Nozz. 3 .815" P~Ji!! ~aJ:Q~rl l"~~b1l~Q In top head Welded Level Indication No_z_._,!. _~~
~~934" Pi];!! SA106GrB .175" In cone shell Welded~~
~~17. IHpecli* Muholu, No 4 Si* 18 00" Lec*d* In ypper shell and Bottom Head Opni111mi HuAolu, No 4 SiH 6~~
~~00" Localioe In Intermediate Shell and I.ower Shell nrudecl, No. N/A Si* Locaci*---~-------------------~~
~~II. S*ppona: Skin yes L*1* - Le1* - Odin - Anact.ed"fel.ded to Primary Head (TH~~
Ne) (lf..-.r) (II~) (DeM.... ) (Wllere

N**)
19. lleaarh: Steam Generator to be used in the primarv system of a Pressurized water nuclear power plant. Overall length of generator is 61'-B.04". This data report consists of fourC4) sheets. For continuation of Items 4,16,17, and 19 see Supplemental ~heet, Page 2 of 4 and Page 3 of 4. *
(arlef **n*ll* ef MmH I* wbJell .9H*I WH a8llM4) CER11F1CATION OF DESIGN D ..... 1. , _ .11 _ .,. 111. . . Combustion Engineering, Inc. ,Chattanooga, TN *
~~...... ....,,........... RI* .. Combustion Enqineerinq, Inc. r Chattanooga, TN.~~
~~D**tca ....m........ e..un.**r W.O.Williams~~
._ .......... ,, ..........-.,.** ., F. P. Hill, Jr. _________ ...,. a...*** Wisc. ****Ne. E-21394 .......,.... ......-...... Tenn. ........ 5275 ~----------- ** cenify dl11 da* *ra1eau1a aacle i* dsi1 r~ ftacna aAd mac "11 **clear .....1 coaform:il1 ti* of me ASME Cocle, Scctioa m. S ion R. A 1 dH nalea of con11nac* * ~A Due JULY 6, . 19J1.....~ped Enqineerinq,Inc. 91 &:<-, Clil" ~ * ~ R. A. Hillis Cenifica1e of au&horiaacioa EapirH January 9' 1990 Cenlflcan of A.thoriaatioe No. N-197 9 CERTIF1CATE OF SHOP INSPEC110N nsasL MADS *Y Canbustion En9ineerin9, Inc.
~~Chattanooga, Tennessee 1,, ................ ***~ * *aWll . - a.......... ., ........._ ..... el ................ YHHI ..............,., the SteH~~
..., ** ,,....., Tennessee _._.,.,. * ., **Thi R.S.B.];. I. I. Co. ., Hartford. CT-1 * ...... ,_....,.. IM ,.... _ ee*NI **nt** a. IM* .....,_._,.. DMa , .....
~~HgyemMr 5.~~
*lat* dael ta Ila* Mal el *r ............ *Uel, Ille.._,_._ llaa:a*--M lllle ....... .,....1 ............. wltll tM AIMS at ...Bl., *lllll c.......u.m. *Hl'IM* ,., .......,......................... ,,_ ..._.................... ** *1&"6111 ......,.u....e ........ - . ......... - Ill* .....,.. . . - . - . _ _ , , .......... * ....,.._ * -...... 111e .,. . ._
ne ..1 JULY 6. 4 la *** .. _ , _ .. .,.. O.a a*.-**.,........ , Mllllar tM ~** w M* ._.*.,., ....u M u*a. 1111..,, * - *
~~- ~ I HB 7972 '1'H 1041 C.......... ____"""!!!~--~--'!""!I~-.........---""'!'"!...-------~~
~~CERTIF1CATE OF na.o ASSDIBLY INSPEC'DON~~
..............................._ ........................................................... M!IU* ... ..... . . . . . . . . . ~...-.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nfetn4 ****
~~el**......_....~~
!tc- ........... - . . . dial ......... Mllef . . . . . . . . . ._ lllH a..:.u.tM . . . . . , ....H 1111* ,.. .._ .. .. ... "' -*---* ............. c............... n. ......... - - * ........................... ..,............ ...,,,.. . . . . . . .leTHlel . .L ......... la Ult* II~........ D. . . . . . . . . .. . . . _ , .................. -M* ......., 811.a& M llaMe .. *J' - ,fteNI * ..,,.., ..... ..,~ * ....-.............. ., ... ~..._.,.. **_...................._ I1 D** ............._... It c-a...... . ....... ieeM1, ***** ~-* .,.. .... ..._..la U.LA. pnl) nae ... c. ., .........h .._ ... ~ * .us a * .,........... Yar11, "*"* *** 'PAGE SJ OF,§tl
>urrLr.nt;NTAL SHEt"J TU PUIUI N-1 llAllUFAUJUllEll'S DATA UfOllT Sheet 2 of 4 Manufactured by: Cotllbustton En tneertng, lnc.,-2,*PSGCNO, 911 W. Hain St., Chattanoo **TH. 37402 Manufactured for: Consumers Power Company, 212 W. Hie tgan Ave., Jackson, Hichig~n 49201 Type Vert. Vu.el lo. 70277-1 Rational Id. lo. 22864 Year Batlt 1981
'* *Shell Corroaton I I Material T.S. Ntn.Tbk. AllCMMDCe Jnalde Dia. Leagtb cone Shell I SA-533,GrA,CLl 80,000 lntenediate .. 5 .125" 4 .125" . 1/16" 155.5"
~~230.00" 155.50" 84.63" Lower~~
" " 4 .125" . 155.50" 115.44" 122.83" Stay Cap SA-516*,cr 70 70,000 1. 375" .. 22.38" 11.69" t.D. Rad.
Stay Forging SA-S08,CL3 80.000 5.50" Clad 23.38" 76.82" ) Mozzle11 Purpo11e llullber tnatde Dta. TJpe Material Mtn.
'llalcbea aelnforcemeat llaterlal Attadled Water Sa*pling 2 *81" Bar SB-166 .175" In Upper Sheil Welded Level Indication 6 *815" Pipe SA-106,Gr.I .175" In Up,
Lwr.Shell Welded Pri*ary Hd. Drain 2 .6tt.* Bar SB-166 .175" In lottOll Head Welded Inspection !Port 2 2.00 11 Forg. SA-105 .645" In Shell Welded R~circulation Noz. 1 5.75" Forg. SA-508,CL.3

717" lntearal Welded Safe End 1 5. 75" . Forg. SA-508,CL.l

717" tntearal Welded Auxiliary Feedwat~r 1 3.875" Forg. SA-508, Cl., 3 .937" lntearal Welded Cap 1 3.875" Forg. SA-508,CL.l .937" lntearal Welded Feedwater Noz. 1 15.750" Forg. SA-508,CL.3 1.220" lnte1ral Welded Safe End 1 15.750" Forg. SA-508,CL.1 1.220 11 Intearal Welded
~~&lowdown Noz.~~
~~Prh1ary Inlet 1 1 5.76" 42.U" Pipe Forg. SA-106,Gr.c SA-508,CL.3~~
.557" 4.09" Jn tubesheet Integral Welded Welded Saff" End 1 li2.44" Forg. SA-508,CL.l 4.09" lntearal WP.ldf!d Pri*ary Outlet 2 30.44" Forg. SA-508,CL.3 J.Ol" lnte1ral Weldf"d Safe End 2 30.44" Forg. SA-508,CL.l 3.0)" lnte1ral Welded PAGE 1 OF *
... ~ ......... u.n an~ o>nLr.& au l"UIVll n-& nnnurft'-1 U~ *OJ UAlA ~rull'll Sheet l of Ii *
l. ttanufactured by: Cotlbustlon Engtneertns, Inc. ,-2,*PSGCNO, 911 W. Hain St., Chattanooga, Tl. 37402

2. Hanufactu~ed for: Consuaers Power COllpany. 212 w. Hichigan Ave., Jar.kaon, Htcht1an 4q201 ...

l. Type Vert. VeaHl lo. 70277-1 lattoaal Id. lo. 22864 Year latlt 1981 1.5* IUN-2A

17. Hanholea: CovErs: SA-533.Cr.A.CL.1 26.00" dia. Nuta: SA-193,Cr.17 tlaterial Size " Material 1.625*1UN-2A Size 10 lhmber 1.5" 8UN-2a Studs: SA-540.Gr.124,CL.J 1.625"8UN-2A 80 tlaterial Size Nullber Handholes: Covers: SA-516, Cr. 70 ll.75" dta. 4 .Nuta: SA-193,Cr.17 l.OO* IUN-2A 40 Material Size --llumbe--r tlatertal Size lumber
~~Studs: SA-193, Gr.87 1.00" 8UN-2A 40 tlaterial Size Nullber~~
~~19. Re11arb:~~
Inside of prt~ary head clad with stainless steel and Inconel: SPA-5.11; ElllCrPe(Inco 111), IPA-S.14& llllCr-3, SFA-S.91 ER-J04L. ER-304L. Tubesheet clad with Inconel: SPA-S.14; ERNtCr-3, Prt.. ry Nozzle c18CI vttb atatnle** ateela SPA-5.9; ER-308,
Power Systems Group, Chattanooga Nuclear Operations
The Hartford Stea* Boiler Inspection and Insurance Collpany PAGE 8 OF 12
*
0 SUPPLEHENIAL SHEET TO FORM N-1 MANUFACTURER'S DATA REPORT Sheet 4 of t . ,

I ' .
1. Manufactured By: Combustion Engineering, Inc.-2, *PSGCNO, 911 West Main St., Chattanooga, TN. 37402

2. Manufactured For: Consllllers Power.Company, 212 W. Mfchfgan Ave ** ~ackson, Mfchtgan 49201.

3. Type Vertf cal .* Vessel No. 70277-1 National Bd. No. 22864 Year Butlt 1981 i .
~~LOWER §Hfi.LL RE PAIR OF LE\IEI. .INJJl~ATIOAI MJZ't:/.£~~
~~;;cy ACCOf?.!).A..t,,. WITl!._P&.R.A. NB. M!A-.2... PA*F~l2~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _____________________________________~~
CONSUMERS POWER COMPANY __ Date ___-.:?:4_-.=2~1_-.L.9..=2'----------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __:l:.....__ of _____l=----------------- Addrea
2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM'&~AL HWY.
COVERT, MICHIGAN 49043 T&B W.O. 24200062 Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _____.,N,...A.._____________~~
Name Authorization No. __________..N,...A~----------- ANN ARBOR, MICHIGAN 48106 Expiration Date ___________Nil.DA.___________
4. Identification of System _______...;::S"'A""F;..;;E""TY~-=IN=J..;;;E;.;;C'"'T""I""'O;;..;;N;.;........................................................................................................_

5. (a) Applicable Construction Code_,,.A.,,.I""S""C'------....;~ 8TH Edition, _ _.::.:N.::.:A..__ _ Addenda, ____,N,,,,,A:.:..__ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_81.1..1.3.....~S 83

6. Identification of Components Repaired or Replaced and Replacement Component*
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) HANGER l'.!~1-'R76.1 -1 fPl"'n WA WA NnWE 1QQ2 REPLACED NO
~~.........P._.E....R.,._,S...,C....,9....1.._-_.l:...5~2=--_.N::..EW::.::..-'HAN=~G=-*E = R = - - - - - - - - - -~~
7. Description of Work. _ _ ___.,RE...,..P.,.L,..A..,C,..ED...,.__.HAN.....,..,,G,...E..,R

8. T&1t1 Conducted: Hydrostatic D Pneumetic D Nominal Operating Preaure D Other IXJ Preaure. _ _ _ _ _ P*i Test Temp. °F VISUAL EXAM NOTE: Supplemental 1heet1 in form of llltl, 1ketch11, or drawings rillY be ulld, provided (11 1lze ii 8% In. x 11 In., (21 informa*
tion in Items 1 through 6 on thi1 report ii Included on eech 1heet, and 131 nch lheet ii numbered and the number of 1hlftl i1 recorded et the top of this fonn. (12/821 Thi1 Form IE000301 mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS*2 (Back) Applicable Manufacturer's Data Fleport1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ,rfPkce..,e.,~onforms to the rules of the ASME Code, Section XI. . repafr or raplecement Certificate of Authorization No. _ _ _ _-'N=A"---------Expiration Date _ _ _ _ _.;;N.;.;A;.;;;..._ _ _ _ _ _ __ S i g n e d £ . /}_ . . * #. 0. A~ oate _ _ A __?o,d_* ___2_7_____ 9"2.. Ownaror~ignn. Titl* ~ 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD. MA have inspected the components described in this Owner's Report during the period ?-lo -9.il. to 7 -/Q- 992 , and state that to the best of my knowledge and belief, the Owner has parformed examinations and takan corrective measures described in this Owner's Report in accordance with the raquirements of tha ASME Coda, Section XI. By signing this certificate naithar the Inspector nor his employer makas any Wllrrentv, expraaed or implied, concerning the examinations and corrective measul'll described in this Owner's Report:* Furtharmore, neithar the Inspector nor his employer or shall be liable in any manner for any personal injury or property damage liloii~of any kind arising from or connected with this inspection. . FACTORY MUTUAL SYSTEM
~~-------~~ ...~-=-,..,-"-=:z::a:~~r.=----Commiuions_._*1>7 _f4.....,~~""'~------.-----~~
~~ln11Pac:tor'1 Sign.cure National Board, Stau, Province, and Endorsamant1 Date,_ _ _ _ _7-....._-"'-'/0=-_19 9~ (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER~~
_ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _4_/:....2_4-'-/_9_2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=!'--- of _ _ _l = - - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _=-1---------------~~
~~27780 BLUE STAR MEMO"ilfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200063 Aep11fr Or1111nfz11tfon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___..N::.:.A..___ _ _ _ __~~
Nem* Authorization No. _ _ _ _ _...:N!.!A3'-..._ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _,!,lNBA.___ _ _ __
~~~ ldentificationofSyuem _ _ _ _s_~--~ __IN_~_C_T_I_O_N_______________________~~~
5. (al Applicable Construction Code - AISC ~7TH Edition, NA Addenda, _ _N_A____ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification P.O. Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes TUBE STEEL Gl8407-3 Replt:Jceef 4"X 4X 1/2" l.EAv 111 *- NA NA ~Si'l£n ,,.,,... 1981 AiiP1fti~ NO PLATE ~~~ Gl8406-7 {j.~pfqceJ J/4'x 4' x 8' ~-trae.\ NA NA ~;~P3.3Jg" 1981 ........ ~ ....... ~ NO PLATE IBe\h\e~~ 1~20898-1 lee,':1~ee l" x 4 x 8' 1
.:.\c:.-e \ NA NA *<&t>3 ... 1..ws-o 1981 ~Pii::Eft!ffi NO PLAIE f&e~\'\ \-e_hEW" 2~4-0732Q-3 f(ep/tic~cl 1/8" x 48 x 59 11 11
~-e.e.\ NA NA ~T 'r93\.Jl ii S'O 1981 REiPlltiRml NO - Rep k. ("f!°' o6ov~ co -.po.., e "'"'r">
~~7. Description of Work _ _ _ _ll_~_P_'_i_Flii ll_Hs!_\f_IEl_ft'~~
~~__ __ P_ER.._._s_C_9_l_-l5_2__HAN_GE_R_C_C4_-H_7_4_1_ _ _ _ _ _ _ _ _ _ _ __~~
8. Tests Conducted: HydrOSUtic 0 Pneumatic 0 Nominal Operating Pressure 0 Other ~ Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplementll sheet* in form of lists, sketches, or drawings lnlY be used, provided (1 l size i1 8% in. x 11 in., (2) infC>mlll-tion in items 1 through 6 on this report ii included on each sheet, *nd (3) uch sheet is numbered and the number of sheets i1 recorded at the top of this form *
~~(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturer's D11t11 A11port1 to be attached CERTIFICATE OF COMPLIANCE/} lc We certify that the statements made in the report are correct and this 1ree qce,,..,e,,,Lconforms to the rules of the repair.or replacement ASME Code, Section XI. Certificate of Authorization No. _ _ _ _""N"'"A"'---------Expiration Date _ _ _ _ _N---'A'---------- Signed-~.,:.'....;..;:;,::..:;.;;..~..........~"""-'-=-~/f/.--'-.-0....;..,_ _,_A.,-~ Owner or Owner's Design"u, Tltl* ~ D~4-.~---Date __M_~-7'---'1_____ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board at Eloiler and :~-11ssure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTErION ~~UAL of. NORWOOD. MA have .nspected the components deseribed in this Owner's Report during the period 7'
J-2J.. to "'1 *]--'i..:2. , and state that to the best of my knowledge end belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Cbde, Section XI.
By signing this certificate neithar the Inspector nor hi* employer makes any wamintv, expressed or implied, concerning the examinations and corrective measurw 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 1011 of any kind arising from or connected with this
'""'""'""* ~ FACTORY MUTUAL SYSTEM ----------~.....;...-...--....----...-..__--Comml11ions fb/. ](q.J Inspector'* Slgnatu,. National Boerd, SHUI, Province, 11nd Endorum11nt1 Date_ _ _ _ _ _J._,_-_'}-..__19 Q,J,,
~~(12/B2)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _--=4:....--=2:...:1:....-....:.9-=2=----------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_-c..:l:___ of _ _-:....1=--------- Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _!=----------------~~
27780 BLUE STAR M~'WfAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200064 Addr"' Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _---!:N~A"'-------~~
~~Name Authorization No. -----~N~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Data _ _ _ _ _ _NO!ilA.___ _ _ __ Addr"'~~
~~~ ldentificationofSystem _ _ _ _~S~A~F~E~~~~I~NuJ~E~C~T~I~O~N~-------------------~~~
5. (al Applicable Construction Code _ ___..A..I_S"""C____~ 8THEdition, _ _..:.N::.A:..*_ _ _ Addende, _ _.;;.;N~A=--_ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19:....8 ......
~~3_.w,S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped~~
_Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol HANGER CC4- - R760.l CPCO NA NA NONE 1992 REPLACED NO
7. Description of Work _ _ _-=RE=P-=L=A=C=ED=-.::.:HAN=-"'G=ER;;.;:....;P~E=R~S=-C-.:9:;..;l;;...-...:1::.:5..:::5,__-=N.:.::EW~-=HAN=:;.::G;.::E:.::;R=-----------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Preaure D Other l]g Preaure. _ _ _ _ _ p1i Test Temp. °F VISUAL EXAM
NOTE: Supplemental sheets in form of llltl, sketches, or drawings nv be used, provided 11) aiz* 11 8% In. x 11 in., 12) Informa-tion in items 1 through 6 on this report i* Included on each sheet, and 131 each sheet la numbered and the number of 1h1trt1 ia recorded at the top of thia form.
112/82) Thia Form IE00030l mey be obtained from the Order Dept., ASME, 345 E. 47th St.. New York, N. Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Report1 to be attached CERTIFICATE OF COMPLIANCE
t:
We certify that the statements made in the report are correct and this repkce,.,.,en conforms to the rules of the ASME Code, Section XI. . r11pa1r or replacement Certificate of Authorization No. _ _ _ _..:N.:..:A:::..,.________ Expiration Date _ _ _ __..N=A=---------- Signed :;t...,..._ a ~ .µ, 0. A~ Owner or Ow~f<... Title ~ Oate_...:..~_,bd}=-..;...*'--_'2._7..;;.....__ _ , 19 9 "2... CERTIFICATE OF INSERVICE IN~ECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspected the components described in this Owner's Report during the period 1 9.:J to 71- 9.:2, * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirement* of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warrantY, expreued or implied, concerning the examinations and corrective measur111 described in this Owner's Report. Furthermore, *neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or a lou of any kind arising from or connected with this
~~'"'°"'"°"* ~ FACTORY llUTU.AL SYSTEM ---------~-+-'--~..._.--=-.---..-.....~~
~~1n1Pac:tor'1 Slgnatul'9 ___ commiuions-11/"V'J~~'-*~*-~+...3111:~...l,===-------------- National Board, State, Province, end EndorMments Oater_ _ _ _ _...,£7_-_,*/"'-'0=--....19 9,?2 (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS _ _ _ _ _-POWER -:,,- COMPANY~~
~~---------- Date _ _ _....;4i;..-_,2.._l.._-_9.L.2..___ _ _ _ _ _ _ __~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Addr*a Sheet 1 of _ _-=l'----------~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _--=I=----------------~~
27780 BLUE STAR MEM&8ir.f'AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200065 Repelr Orgenizetlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ____.N,,_,A"--------~~
Nern* Authorization No. _ _ _ _ _..._N,,,.A..___ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Oate _ _ _ _ _ _N~A.....__ _ _ __
4. ldentific~~nofSyHem _ _ _~S~~~E=~~~I~N~J~E~C~T~I~O~N~----------------------

5. lal Applicable Construction Code _ ___.A~I::..:S~C~*_ __:38TH Edition,_---"N.:..:A=--_ _ _ Addenda, _ _--=N~A~_ _ Code Case (bl Applicable Edition of Section XI Utilized for Repaira or Replacements 19_.8......._3_..._S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol HANGER -
~~GC1-R761.1 CPCO NA NA NONE 1992 REPLACED NO~~
7. Description of Work _ _ _~RE==P-=L~A~C:.::E::::D;....:::HAN=.::::G.=E~R....P=..E=R~S:::..C~9""1=..-_.1::.:5""5"--.....::N.:.:EW::.::.....:;HAN=:..::G:.::E::;R::..__ _ _ _ _ _ __

8. Testa Conducted: Hydrost8tlc 0 Pneumatic 0 Nominal Operating Preaurw 0 Other !]I Preaure _ _ _ _ _ p1I Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of Um, sketch*, or drewlnga ri11Y be used, provided 111 size ii Bl!. In. x 11 In., 12) Informa-tion in itllfftl 1 through 6 on this report Is included on each sheet, and 131 each sheet la numbered and the number of sheets la recorded et the top of this form.
112/821 Thia Form (E000301 mey be obtained from the Order Dept., ASME, 346 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) NONE
~~9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -~~
~~Applicable Manuf*cturar's Data Fleport1 to be attached CERTIFICATE OF COMPLIANCE k~~
We certify that the statements made in the report are correct and this C'f( ce,.,.eef conforms to the rules of the ASME Code, Section XI. raper or replacement Certificate of Authorization No, _____N_A _________ Expiration Date _ _ _ _ _N_A_________
Signed tt-~ /l . Owner 0~11ign11, Tltli ~ A/ 0. A /j +- _ _"2_(,____ _ 19 Date---..A_,_tN__.;..J* j 9 "2... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and.the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD
MA have inspected the components described in this Owner's Report during the period +/- -10 -9.2 to 71-IO - 90l , 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 Coda, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expr11111d or implied, concerning the examinations and correctiw 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. ,Y,_. FACTORY MUTUAL SYSTEM
~~------------------~...P~'Sit..~i::....."'=.-,.~~-=;c...~~~:..=:~Comminions_~/l1__.~1-'_.___.~--......,,.d..--_,, ~----..,,.....,.....-------~~
~~1n1Pector'1 Slgnsture N*tlonel. Board, State, Province, and Endor11ment1 Date_ _ _ _ _ f....._.:./.....0=---19 'f~ (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ _ _ _COMPANY POWER _ _ _ _ _ _ __ Date _ _;:i;4_-_..2.....l_-__,9'-"2~---------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=1=--- of _ ___;l::...__ _ _ _ _ _ __ Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit _--'1:;...._ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR MEMO"ir.fAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200066 Addrea ReP*ir Org*nizatlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N...A,,___ _ _ _ __~~
N*m* Authorization No. -----~N!.£A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _NO!BA..___ _ _ __ Addrea
4. Identification of System _ _ _ _ ___.S""A""F._.E,..TY:....c.......:I...,N,...J""E.,,C....T""'I""O,,..N.,,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code AISC ~ 8TH Edition, _ ___;N::.;;A:.;:_*_ _ _ Addenda,_._;;N..;;A~---Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufectu rar Serial No. No. Identification Built or Replacement or Nol HANGER -
GC1-R731.1 CPCO NA NA NONE 1992 REPLACED NO
7. Description of Work. _ _....;;;R;;;;;E;.;;.P..:;;;L..,A:.::C..:;;;ED;;;;;_.-HAN=;..;;G""E""R;.....;;;P..;;;E;.;;.R;;.....;;S;..;;C;..:9...::l:...--=l:.::5;..:3:...-......::N.:.:EW~-=HAN=~G::.::E::.::R~---------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preuum 0 Other~ Prassura _ _ _ _ _ p1i Test Temp. _ _ _ _ _° F VISUAL EXAM NOTE: Supplemental sheet* in form of liltl, 1k11tcht11, or drawin91 i'nay be used, provided (1 l 1lze 11 8% In. x 11 In., 12) informa-tion in itema 1 through 6 on thi1 report i1 included on each 1heet, and 13) uch sheet is numbered and the number of 1heet1 i1 recorded at tha top of this form.
112/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017
FORM NIS-2 (Back) Applic11bl11 M11nuf11ctur11r's 011t11 Report1 to b1111tt11ch11d CERTIFICATE OF COMPLIANCE k We certify that the statements made in the report are *correct and this re,o CJ?Men T-"conforms to the rules of the ASME Code, Section XI. r11p11fr or r11pl11c11m11nt . . Certificate of Authorization No. _ _ _ _....N-'A-.__ _ _ _ _ _ _ _ Expiration Date _ _ _ _ _N;;.;.;;.;A;........_ _ _ _ _ _ __ Signed~[}~_;u~ ~Q A~* A;:v-J Date _ _ _,..___________ z? , 19 _9"2... Owner or'mdi111nH, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors ani:I the State or Province of MICHIGAN a.,d employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspected the components described in this Owner's Report during the period ?f- -/ 0 -9oil to f - IQ - 941 , and state that to the best of my knowledge and belief, the Owner h&1 performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Coda, Section XI. By signing this certificate neither the Inspector nor his employer makes eny warranty, expreued or implied, concerning the examinations* and corrective meuur* 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 11 lou of any kind arising from or connected with this inspection. ~'~If FACTORY MUTUAL SYSTEM
~~--------~+-""'"",..,....,._,,_,~~
~~ln1P11etor'1 Sign~~
~~..~=-o=--~=....._-Commiaions /)11', ~~~
~~Netionel Boerd, Stet*, Province, end Endorwm11nt1 Date_ _ _ _ _ 1..._-.i. . ....o__19 2~ (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _ _ _.:::!:4L/2::.:4!..l/~9:..:2:......._ _ _ _ _ _ __~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __,l:......._ of _ _--'l=---------- Addren~~
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' l = - - - - - - - - - - - - - - - -~~
~~27780 BLUE STAR M~"f.f'AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200067 Repair Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _........N...,,A"'-------~~
Name Authorization No. _ _ _ _ _..:.N:..o.A,.________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ ____.NuAa..______
4. Identification of System _ _--'S~~~~~~I~N~~~C~TI~O~N~-------------------------

5. (a) Applicable Construction Code AISC ~ 7TH Edition, NA Addenda, _ _...;N:..::A:.:....__ _ Coda Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 *5 83

6. Identification of Components Repaired or Replaced and Replacement Components
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Boe rd No. Other Identification P.O. Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes~~
~~. ~f'/qceJ RIGID STRUT (d,e' ~iVEl...L-- 2003-6281-1 GRiNNELL -~~
~~NA NA fiirfJ l>'Rc.i. ~10 :,,.-z.~rt~ 1981 iij!IP1'r:EREB NO~~
~~-.J~~
~~{l.e 'lqceJ s,,w66er ..., ; r..., rt *ti s7 117~~
~~7. Description 'of Work _ _ _ _ _R_IE_P_A_TR_a3_B_Il:_Mi_8_ER-_P_E_R_S_C9_1_-_15_3_HAN~~
~~__G_E_R_C_C4_-_S_7_3_0_._2_ _ _ _ _ _ _ _ _ __~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Opemlng Preaure 0 OtherE9 Preaure _ _ _ _ _ psi TestTemp. °F VISUAL EXAM NOTE: Supplemental sheet* in form of liltl, 1ketch11, or drewlnga ,,.y be used, provided l1I1ize 118% In. x 11 in., 12) lnfonN*
tlon In Items 1 through 6 on thi1 report ii included on each sheet, e~d (31 nch sheet i1 numbered and the number of 1hem is recorded at the top of this form. (12/821 This Form (E00030l m11Y be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 J
FORM NIS-2 (Back) Applicable Manufacturgr's Data Reports to be *ttached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Rep/Qce.,.,e,,.. fconforms to the rules of the ASME Code, Section XI. rep*ir or replacement Certificate of Authorization No. _ _ _ _...;;N"'A=---------Expiration Date _ _ _ ___;N:..;;A;:;;;.._ _ _ _ _ _ __ Signed__,li;___!-==*='=-""a_~h;~~ Owner or Own;r.o:.rd'nH, Title
*....;.IV.....,,'-'O'-L,_...A"-L:;'~==;zo"'-----Date--.o!l!Cfb.t;...;;.;;;.,=--__;,,/ ~ V
_ _ _ , 19 9 2... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD , MA have inspected the components described in this Owner's Report during the period 6 -'{- 1 Z. to t- f- '! L.. * , and state that to the best of my knowladge and belief, the Owner has performed examinations and taken correctlva measures described in this Owner's Report in accordance with the requiremenu of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warnnty, expressed or implied, concerning the examinations and corrective measul'el 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 Ion of any kind arising from or connected with this i_n. .;. £. :. ~ /"-io.:. .*n.-z. £?-U1li'd~*-----* 4l ______ eomminion*--~..:..A-1 CT_c_t~_R_Y_MUTU_l. .;. t'. .;.?_AL _ _s_Y_S_T_EM
~~~r'1 Slgnmtul'9 N*tlorwl Bo*rd, Stete, Province, *nd Endorgment1 Date '/ Yt-t,J ,(, 19,_ _ "7 t..__~~
~~(12/821~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER~~
_ _ _COMPANY Name _ _ _ _ _ _ __ Date _ _ _......;.4:.../2::..4:..:./...;;9..::c2'------------ 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __:l,___ of _ _--'l=---------- Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200068 Repair Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___:;N,,.A"--------~~
~~Nam* Authorization No. ------"'N""A"-------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _--'N~Aa...._ _ _ _ __ Addrea~~
~~~ ldentif~ationofSy~em _ _--'S~~~~~~I~N~J~E~C~T~I~ON~-----------------------~~~
5. (al Applicable Construction Code AISC ¥J 7TH Edition, _ _:.::NA::-....._ _ _ Addenda, _ _ _.:..:.NA:.:__ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3
~~S 83~~
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Repleced, (Yes Component Manufacturer Serial No. No. Identification Built or RepleceRt or Nol P.O. ~~.!J"'
PLATE G18406-7 Rtp/eice J 3/i+'X 4 1 x8 1 J,.£(\ \) 1 iT"' NA NA eo; 1.t:Q.;i.11-s-1 1981 R!fl11~~ NO STRUT Al'TACH BE1ic:se:N- ~19698-18 Rrpk.ceJ B-P #1000 PATO?~"Vll NA NA .;.~ 1 [Y:Jf"\ 1981 R!Pll::Mefl
NO 2.l:~C..e"'."l\l- f<-tp/qceJ' RIGID STRUT lff19698-4 B-P #2252 PAT'c:1'2.-~k' NA NA r+ W.-u...S"Z- 1981 R!fltlr!ftm7"" NO
~~((.,~1Jq ~6ove Co _,(JO""e,,, 15~~
~~7. Description of Work _ _ _'ftfoj~~iPr.iM.-MB~~
~~__I_~_'d_iSii_R_PE_R_S_C_9_1_-_15_3_ _HAN_G_E_R_C_C4_-H_7_3_0_ _ _ _ _ _ _ _ _ _ __~~
~~"19.. -W ~-~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operlltlng Pl'HIUrw 0 Other Q9 Prenure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, 1ketch111, or drewing1 m1y be used, provided 111 ilze 118~ In. x 11 In.. 121 informa-tion in items 1 through 6 on this report is included on nc:h sheet, and (31 each sheet is numbered and the number of 1heet1 is recorded et the top of this fonn *
* (12/821 Thia Form (E000301 may be obtained from the Order Dept,. ASME, 345 E. 47th St.. New York, N.Y. 10017
~~FORM NIS-2 (Back)~~
9. Remarks NONE Applicable Manufacturer's Date Reports to be 1tt11ched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Ree/q{eMentnforms to the rules of the ASME Code, Section XI. rep1i/ or repl11c11ment Certificate of Authorization No. -----"N.;.;;A""---------Expiration Date _ _ _ _ _N=A;;....__ _ _ _ _ _ __
Signed-~..,t-:-=~ ....~r....;;;..+'-"-*
--=;.,....-.s..#...;..i.,;O:;.;.:.__.....:....fl.c.:.~_.;;:;~,,.,_-----Date _ _~_-~~----Z-S Owner or Owner's D111fgnee, Tltle -r-
___ , 19 92.... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of _.,N..,O..R...,tJ.._O.....,O..D._*.__MAw....________,,,......------=----=------have inspected the components described in this Owner's Report during the period: _ _ _ _ _ ....._to 1--to-9.2l.
?t_._-_....low..._-_9.....,r6. , and state that to the best of my knowledge and belief, the Owner hes performed examinations end 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 warrantv, 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 loa of 1ny kind irising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM ln ~et~
~~~ Commiuion1--'/b__.c;.11:.t_.* _,.;'14'....:...;;4=-------------~~
~~N1tlanel Board, Stlte, Province, 11nd Endarnment1 Date._ _ _ _ __,7___.-~"'"'0;;;...__19 90{ (12/B2l~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--:1,___ of _ _..:..*-'!=----------~~
~~Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&'WfAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200105 R*pefr Ore*nlz*tlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,,_N...A~------~~
~~Nam* Authorizetion No. _ _ _ _ __.N...A~------ ANN ARBOR, MICHIGAN 48106 Expiration Oate _ _ _ _ _ _.!.;!N.l:lA'-------~~
~~~ ld~tifi~tion~Sy~em _ _~P~~S~S~~~I=ZE~R~S~P~~~y~------------------------~~
5. (a) Applicable Conmuction Code AISC .¥J 7TH Edition, NA Addenda, _ _N_A_._ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Seriel No.~~
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes P.O. Cµ.MP &:R-6,EN-B-P #6202 PPtTSZSON NA NA 1981 NO STRUT AT.rACH ~12(,,,e;N - B-P #1000 NA NA 1981 NO RIGID STRUT B-P #2250 NA .NA 1981 NO
8. Tests Conducted: Hydrost11tlc 0 Pnaumlltlc 0 Nomlnel Operetlng Pn111Ure 0 Other Q! Preaul"I psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or d111wlnlll l'lllY be used, provided 11 l size Is 8% In. x 11 In., 12) informa-tion In ltema 1 through 8 on this report i1 included on eech sheet, ind 13) nch sheet 11 numberwd end the number of shfttl Is recorded et the toP of this form.
112/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 346 E. 47th St., New York, N.V. 10017
FORM NIS-2 (Back) Applicable M*nuf11ctur11r's D*ta F111port1 to be *ttached CERTIFICATE OF COMPLIANCE/) if-: We certify that the statements made in the repon are correct and this l\rfc/q(fr'tt~rll conforms to the rules of the ASME Code, Section XI. repai or raplacement Certificate of Authorization No. _ _ _ _...;;N..;.;A;.;;...._ _ _ _ _ _ _ _ Expiration Oate _ _ _ _ _N_A_ _ _ _ _ _ _ __ Signed ~ ~;I. P.O. If~ Owner or Ownar's Oaslgn : Tltla , Date __._, ~ _ __.__ _..._ 1 ____ , 19 _ _ __ 9"2.. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iauec:I by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA have inspected the components described in this Owner's Repon during the period 7-kJ - 9..6 to z-/O -<l=z , and state that to the beat of my knowledge end belief, the Owner hes performed examinations and taken corrective measures described in this Owner's Repon in accordance with the raquiremant1 of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his 11mployer makes any warranty, expressed or implied, concerning the examinations and corrective measure1 dncribed in this Owner's Repart. Furthermore,. neither the Inspector nor his employer shall be liable In any manner for eny penonal Injury or property damage or a loa of any kind ari1ing from or connected with this in.,oc<ion. ~~ FACTORY !IOTUAL SYSTEM
~~------...,---~~~--._.~~-~--------Commlaion1 __~f"'7--~1-'._"j2<0 _____2.,~~
~~ln1Pctot'1 Slgnatura. Natlon*I Board, Stata, Province, and Endorwment1 Oate_ _ _ _ __.;l_-_..1. 0 . . _ _19 fc?l (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ _ _ _COMPANY POWER _ _ _ _ _ _ __ Date _ _ _4:..---=2:..:l:_-....:9:...:2=----------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __:l.___ of ____l = - - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&"fiAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24200107 Repelr Orgenlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N....A~------~~
~~Nam* Authorization No. _ _ _ _ _....N....A~------ ANN ARBOR, MICHIGAN 48106 Expiration Dete _ _ _ _ _~NuA2..._ _ _ _ __~~
4. Identification of System _ _ _"""S'""A""F""'E""TY=-=I""N""J""E""'C""'T""I=-0,..N:;.;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Appltcable Construction Code _ __.A..,I...,S.:C01......_ __;¥J--8.Il.{Edition, _ _"""N""'A~--Addende, _ _.... N...,A.___ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.81.1,3...__s 83
6. Identification of Components Repaired or Replaced and Replacement Components Name of Namaof Manufacturer National Board Other Year Repaired, Replaced, ASME Code Stamped (Yes Component Manufacturer Seri11I No. No. Identification Built or Replacement or Nol HANGER CC4-R749.2 CPCO NA NA NONE 1992 REPLACED NO
7. Description of Work _ _ _...:;R.;;::E:.::P-=L.,..A;;.;;;C_,ED=-.;;;;HAN=.;;;;G.::;;:E;;;.;;R"-P;;;..E;;;;;R;.;;....;S;;;..C;;;..9:;..;1;;;..-....;1;.:5:;...4~--=N;.;;EW;;.;,;,....;;HAN=:...:G~E=R=----------

8. Tests Conducted: Hydrostmtlc 0 Pneum8tic 0 Nominal Operating Preaure 0 Other Qg Preaure, _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplernentll sheets in form of 11111, sketches, or drawings fn.y be used, provided 111 size 1181!. In. x 11 In., !21 lnforrn8-tion in items 1 through 6 on this report 11 Included on each sheet, and 131 uch sheet Is numbered and the number of 1hHt1 is recorded at the tap of this form.
(12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applic11bl11 Manufecturer's D11t11 Reports to be 11tt11ched CERTIFICATE OF COMPLIANCE k We certify that the statements made in the report are correct and this ~a CP'°7f"' j- conforms to the rules of the ASME Code, Sectio~ XI, . rep ir or r11pl11cem11nt Certificate of Authorization No. _____N_A____....,..____ Expiration Oat~ ______N_A _________ Signed >L ~. Owner or Owner's D111ignH, Tide M*q A.0=
~~~ !1v:c)~~
~~Date_...Uj...._,,___ 24 - - - - -.* 19~~
....__=-""'+*
CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors antf the State MICHIGAN and employed by PROTECTION MUTUAL of
.....i;u.£.1MJl.Wlo1.JJ.:..a.....ug,,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _-=r-..,...-,,..-----have inspected the components described r 96, . 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 loa of any kind arising from or connected with this inspection. FACTORY MUTUAL SYSTEM
-----------~,.-=----- .... &/.:&,;t, "-==--------Commiaions_.&....-:..L..:......,ji....;:;.,;:;...;:~-------------
~~1nspecior'1 SlgnetulW~~
~~Netlonel Boerd, Stet*, Provine:*, end Endor111m11nt1 Date_ _ _ _ _ J.__.:.. 9~~
~~. . __19 90l (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _ _4.. .;/:. .;2: . .4:. :./. .:.9. .:.2_ _ _ _ _ _ _ _ __~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=!,___ of _ _ _l:::__ _ _ _ _ _ __ Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _=-1---------------~~
~~27780 BLUE STAR MEM&llff'AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200108 Repair Organlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Tyr:ie Code Symbol Stamp _ _......!;;N~A!:..__ _ _ _ __~~
~~Authorization No. _ _ _ _ _..l:,N~A!:..__ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N...uA....__ _ _ __~~
~~~ ldentiflcationof~uem _ _ _~S=A=~~~~I~N~J~E~C~T=-IO~N~-----------------------~~
~~5. (al Applicable Construction Code __A_r_sc_ _ _ _¥J 7TH Edition, _ _ _N_A_ _ _ Addenda, _ _ _N_A___ Code Cue (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83~~
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufec:turer Serial No.~~
~~National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol p., !l1' ASME Code Stamped (Yes P.O. .~~
~~~~,,,_ff PLATE 'Bclltt..eHSY\~~
~~Sit~ 2004-0732Q-3 ~ kite*"'e"'I~~
~~~ Pi\IRHB NO NA l/8"X48"X59" -~~
NA u.,...* t 33c:..J " S:-'l'h 1982 PLATE ~~r-1..!S. G18406-8 l<~l'ft:itt,.,t.. T l/t'x 4' x 8' :s-n:.-e~ NA NA Hi-* ~'3'5"7.Cl 1982 Rl!iPL't;i;Ri&- NO 1?.ef fqreJ Q6ot.1e c-o..., o.,e., 7 $
~~7. Description of Work ll!3NifRBB IWl!ff!R PER SC91-149 HANGER CC4-H726.1~~
~~~A1:~~
~~8, Tests Conducted: HydrOIUltlc 0 Other !:] Preaure Pneumatic 0 Nominal Operating Preaul'9 psi Test Temp. 0~~
°F VISUAL EXAM NOTE: Supplemental shfftl in form of lilts, sketch*, or drewlnlll l'l'llY be used, provided (1) size It 8% In. x 11 In., (2) infol'l'l'll-tion in Items 1 through 6 on this report ii Included on eech sheet, _,nd 131 ach sheet It numbel'9d and the number of ahem i1 recorded at the top of this fonn *
(12/82) Thia Fonn (E000301 mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. V. 10017
FORM NIS-2 (Back) Applicable Manufacturar's Data Report* to b* mttached CERTIFICATE OF COMPLIANCE . We certify that the statements made in the report are correct and this Repkce ,.,e,,Tconforms to the rules of the ASME Code, Section XI. rapair or raplacement Certificate of Authorization No. _ _ _ _.""N""A"'----------Expiration Date _ _ _ _ _N_A_ _ _ _ _ _ _ __ signed_.,,~~~-== .....a-~""--"'...._-M__,_,o__._ own.rorown~JI. Tltla
~~......~---""~......._--oate _ _l"-1_~ . .....,4 ~~~
2_s_ _ , 1s 9 2-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors ani;I the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD
MA h11Va in1Pected the components described in this Owner's Report during the period 1-(Q- 9.:< to $-lo -f.:?l. , and state that to the best of my knowledge and belief, the Owner hes 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 11ny WlllT!lntv, axpreued 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 11ny mannar for any personal injury or property damage or a loa of any kind arising from or connected with this
~~'"""""'""* ~ FACTORY MUTUAL SYSTEM ------..,...---~.....,.~~-----------Commiaions 1nspector'1 Slgn.iura~~
~~_ _../)// __ ,......_:_*j!re.......,.._.~...._------------ National Board, Stata, Provine*, 11nd Endor1111T1ant1 Date._ _ _ _ __.J__.-/. . .0_ _19 ~ (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pro\lisions of the ASME Code Section XI POWER~~
_ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _....:4~/.=.24::../~9::..:2'------------ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_-=..l_ _ of _ ___,l::___ _ _ _ _ _ __ Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' 1 = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEM&'WfAL HWY. COVERT, MICHIGAN 49043 T&B W. O. 242001.09 Addrea Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _ _........N:..=A~------~~
~~Nam* Authorization No. _ _ _ _ _.:;N:..o.A=-------- ANN ARBOR, MICHIGAN 48106 Expiration Dete _ _ _ _ ___,N~A~------ Addrea~~
4. Identification of Svnem _ _ _ _S_~_~ __I_N_J_E_CT_I_O_N________________________~

5. (a) Applicable Connruction Code
AISC ~ 7TH Edition, NA Addenda, _ _ _N;..;;A;;;.__ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3

S 83
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol~~
~~~~-~~~
PLATE l\.5. s~ G20898-6 3/l.6**x 4' x 8 1 NA NA ).\.r* 01102. NO TUBE STEEL 3~ x 3.. x l./4' J...GAv1 rr NA NA NO PLATE le. ,!). s TeEZ,_ s/8x 4' x 8 1 NA NA NO t..6}+em PLATE l./8"'X 4' x4 1
~~.5~ NA NA NO~~
7. HANGER DC1-Hl96.2

8. Tests Conducted: Nominal Operating Pntaul'I 0
_ _ _ _ _ psi T111tT11mp. 0 f VISUAL EXAM NOTE: Supplemental sheets in form of lim, 1k11tch111, or drawings may be ullld, provided 11 l size is 8% in. x 11 in., 121 informa-tion in items 1 through 6 on this report is included on each sheet, end 13) each Ihm is numbentd and the number of aheeu is recorded It the top of this fonn *
~~112/82) This F.orm IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017~~
~~FORM NIS-2 (Back) Applicable Manufacturer's D11t11 Reports to be 11nached~~
. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Bep/qce,.. "-""' Tconforms to the rules of the ASME Code, Section XI. repe1r or replacement Certificate of Authorization No. -----'N~A;.._,________ Expiration Date ------"N"'A"'---------
~~Signed ~ Owner or Owner's~tle o~ . ,_.-. J..I. 0, A~ Date___,,fke~:..:..:L....-...;;;'"/,__ _ _ , 19~~
*:ERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid comm1;; .in issued by the National Board*.;: :3oiler and Pressure Vessel Inspectors and the State MICHIGAN and employed by PROT'.::CTION MUTUAL . of ..1lO:Biltrum_,_.MA.______~-------........----.....-----have inspected the components described 'f-Jp -96, . and state that to the best of my knowledge and belief, the Owner has performed exmnination111nd 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 hii employer m11kes 111y W1rrantv, expressed or implied, concerning the examinations and corrective meuures 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. ~ FACOORY MUTUAL SYSTEM
~~----------~-+-=---"~--"--=;;.i;..;:i.:;.....Commi11ion1 1n1Pector"1 Slgnnure fyt,'. lGDt.~~
~~Netlonat Boerd, Stet*. Provine*. and Endonamant1 Dater_ _ _ _ _?-;._,_-.:.../0-"-_19 Qc;i (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _ _4_/_2_4_/_9_2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=l'--- of _ ___,l::___ _ _ _ _ _ __ Addre11
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24200112 Repair. Organization P.O. No., Job No., ate.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _......:.N,,,A=--------~~
Name Authorization No. _ _ _ _ _...!c,N!!:A~------ ANN ARBOR, MICHIGAN 48106 Expiration Data _ _ _ _ _ _N"""'A.....______ Addr1111
4. Identification of System _ _ _S_AFE __TY_I_N_J_E_C_T_I_ON _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code __ A_I_sc_ _ _ _~ 7 TH Edition, _ _ _N_A_ _ _ Addenda, _ _ _ NA_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Namaof Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol 1"l'~9 ..'i-z, ASME Code Stamped (Yes P.O. c,-i PLATE f...1.t\IG6N-~ G18406-8 ~ef /q reef
~~1/t'x 4' x 8' .sra-a- NA NA ~'R 3-:::.-.-, s 1981 nriP1'd~~~
. NO TUBE STEEL G18407-1 R~p/qcJ 4"X L;'X 1/4" J..£Av1n- NA NA 'u.r* q In QL., '1 1981 lliBPilziMB NO PLATE ~K.lirN..5 G18406-7 14(1/qrecf 3N'x 4' x 8' .5~'"'2.- NA NA \.l-1* '2.331 e, 1981 MP.tiiRriB- NO Ref7/c;.ceJ "'ove. Co..,.por.e.,, Is
~~1. Description of work. _ _ _ _M__ P._H_n_IH_.,.nr-iv_1s...,~,..,....-P_E_R_s_c_9_1_-_1_4_9_HAN~~
~~__ GER __c_C4_-_H_7_os_ _ _ _ _ _ _ _ _ _ _ _ __ _,l( -.1111'~~
~~°I* e',,"L,T'~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nomln1I Operating Praaurw D Oth1r ['i Prellllrl psi Test Temp. °F VISUAL EXAM NOTE: Supplemental lhfftl in form of liltl, 1ketches, or drawings m1y be used, provldld (1) 1lz1 ii 8Mi In. x 11 in., 121 lnfomw-tion in iterna 1 through 6 on thil report ii included on lllCh 1heet, !nd 131 ach lhRt ii numbered ind the numblr of 1hRt1 i1 recorded at the top of thil form *
(12/821 Thia Form (EOOOJOI m1V be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks NONE Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE /.~~
~~We certify that the statements made in the report are *correct and this (x'~ q re,..,e"I ~nforms to the rules of the ASME Code, Section XI.~~
~~r11p11ir or r11pl11c11m11nt Certificate of Authorization No. _ _ _ _.:;N.:.:A~--------Expiration Date _ _ _ ___:N:.:.A::.::.._ _ _ _ _ _ __~~
Signed-~....11....,;..;;.z..;;;:;=:-~-~"""*--..=,..,_#.--'-, Own11r or Owner's D111i11nH, Tltl* O_._,___.rJ,....;;..;....~......;......~---Data_..:..M--"-b...:?""'7"---Z._,_9 _ _ , 19 92.. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission iaued by the National Board of Boiler and Prauure Vessel Inspectors and the State or Province of MICHIGAN and employlid by PROTECTION MUTUAL . of NORWOOD. MA have in~ed the components described in this Owner's Report during the period z-JQ - 9,;t to :C-IO - 9il , and state that
.to the best of my knowledge and belief, the Owner ha performed 11xemination1 and taken corrective measures described'ln this Owner's Report in accordance with the requirernent1 of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer mak111 any warranty, expreued or implied, concerning the examinations and corrective meuur111 described in thi1 Owner's Repart. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loa of any kind ari1ing from or connected with this
;""'""""* ~ /J ff FACTORY MUTUAL SYSTEM 0 -------------~<.....;: .............~~~--.=..-="------~Commia~n1--t"VJ;...._.;..L./
~~1n1Pec:tor'1 Slgnatul'9~~
~~~*-~..1-~e?.,,~------------------------~~
~~National Boerd, Stat*, Province, 11nd Endor1111T111nt1 oata._ _ _ _ _r...._-"'"""/o=--_19 9"' (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME .Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ ___ Date _ _ _ _4..:./..::2....;.4.:_/9:..:2=----------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_-=.!_ _ of _ ___,!l=---------- Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&~AL HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 24200113 Repair Orgenlzetlon P.O. No., Job No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _ _....J.JN!EA....__ _ _ __~~
Nem* Authorization No. _ _ _ _ _-'N~A2...._ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Dete _ _ _ _ _ ___..i:;Nu.AL------
4. Identification of System _ _---:S:.:AFE=::.TY.::.......:Io:;N::;J:.EC""T:.:I:.::O;.:.;N"-------------------------

5. (al Applicable Construction Code AISC :¥°J 7TH Edition, ....._!.:.NA:.:......_ _ _ Addenda, ___"""""NA:.:......_ _Code Casa (bl Appl!cable Edition of Section XI Utilized for Repairs or Replacements 19 83 *S 83

6. Identification of Components Repaired or Replaced and Replacement Components
~~Name of Component Namaof Manufacturer Manufacturer Serial No.~~
~~National Bo1rd No. Other Identification Vear Built Repaired, Repl11eed, or Repl11eement or Nol~~
~~-~lt.,,..,J)'~"),~~
ASME Code Stamped (VIII P.O. I PLATE u,..-k:en ~ Gl8406-6 Rep/Qcecl l"-X 4 1 x 8' ~::::.4-ee.\ NA NA 1+r"~R'1J7'J~ 1981 MPi.lt~eB NO PLATE L\.f\.keviS Gl8406-8 R~p/qceJ 1/2" X 4' X 8' s+ee' NA NA ~,..* 2.3 s'J11 1981 iij;Pi.lt~RHB NO TUBE STEEL Gl8407-l 7<tp7q ceJ' 4..X 4**x 1/4" LeAv1Tr NA NA ~...*"4'1og1_-1 1981 M:P2HeB NO PLATE 15e+h\eh~ Gl8406-3 f(Pp/qcefl l-l/4"X 4 1 X 8' s-te.e...' NA NA l\\oi-1Su\:&.1" ot..'B'/ 1981 lij;Pi.t.t~etr NO Rtep,JqceJ q/,ovf! co-.po11e..,tr
7. Description of Work _ _ _ _TI_Y3_:P_2'1..,I'R,..te"""""::fH=tdf8B=ft""--P-ER_S_C"'"9""'1"""-1""4""'9_HAN....;..;...::GE..;.;...R_C;;.,C4;;..;...-..::H..;..7;;.,04.;.,__ _ _ _ _ _ _ _ _ ___
~~~~-q~~~
8. Tests Conducted: Hydrostatic 0 Pneumltlc 0 Nomln1I Operating P11111UrW 0 Other (] Preuu,. psi Tut Temp. °F VISUAL EXAM NOTE: Supplementll sh11et1 in form of llltl, 1ketch111, or drawings ll'lllV be ullld, provided (1) 1lze 118% In. x 11 In., (2) inforll'lll*
tlon in items 1 through 6 on thi1 report ii induded on eech sheet, ,nd (3) ach sheet II numblr.d end the number of sh..u is recorded et the top of thil form * (12/82) This Form (E00030) mev be obtained from the Order Dept., ASME, 345 E. 47th St., N- York, N.V. 10017
FORM NIS-2 (Back) Applicable Manufacturu's Data Reports to be Htached CERTIFICATE OF COMPLIANCE I r We certify that the statements made in the repon are correct and this B<;fltece,.,,e,, conforms to the rules of the ASME Code, Section x I. rep11ir or replacement Cenificate of Authorization No. _____N_A _________ Expiration Date _ _ _ _ _N_A_________ Signed~~ Own11r or own;;;o;l.gnH, Titl* N,0. /1~ Date ~7' -z I
19 C? .'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 MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD

MA have inspected the components described in this Owner's Report during the period 1-'1- 902., to z ~~ , and state that to the best of my knowledge and belief, the Owner ha 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 Rapart. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this
~~'"'"""'""* ~ FACTORY MUTUAL SYSTEM ------~.,...._- ........,,,,,.~-----.....-----Commi11lon1 /hi*. JZ4 6.~~
~~Inspector's Slgneture N*tlou Boerd, Stet*, Provine*, *nd EndorMrT111nt1 Date~~
~~--------------- 1--9 19 90l (12/821~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER~~
_ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _ _4~/..:;2....;.4.:.../9.:...2'------------ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l'--_ of _ _- - ' l = - - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _l = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MOO!!fi'AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200114 Repair Organlutlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __..N,.,.A~------~~
N*m* Authorization No. _ _ _ _ __.N,.,.A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N~A.....______ Addrea
4. Identification of System _ _ ___._P...,RE""S""S...,URI=..,Z.._ER.,,__,S,..UR=GE...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Coda AISC ~ 7IH Edltion, _ _N_A_ _ _ _ Addenda, _ _ _ NA
~~_ _ _ _Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83~~
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No, Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 3/4'IHD ROD &-::aec.sw- G19698-ll B:-P #5006
+ NA NA I&~ sooc-WASHER PLATE G19698-12 B-P #1200 (2) NA NA fh.c-\. ~,a.co WELD CLEVIS B-P #1048 NA NA HEX NUT 3/4" (3) NA NA CHANNEL C4 x 5.4 NA NA c_..,po.,t>.,
~~7. Dascriptio.n of Work: _ _ _ ___:-Ml~P~ir~I~'RHB~~I~W~l!&!ft~~P~E~R~S~C~9~1:;-1!:!5~1L!!HAN~GER~~CC~2t-:!JHS~35L_ _ _ _ _ _ _ _ __~~
~~""'tl>i{ 6-2-9"L~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Praaure D Other ~ Preaure psi Test Tamp, °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, skatchas, or drawings may be used, provided C1I1lze ii 8% in. x 11 in., 121 informa-tion in items 1 through 6 on this report is included on each sheet, ind (31 each sheet is numbered and the number of shMtS ia recorded at the top of this form. -
(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applic11ble Menufecturu'1 Oeta Reports to be eneched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this /Ztpkre.., -i!l?fconforms to the rules of the ASME Code, Section XI. repeir or replecement Certificate of Authorization No. _ _ _ _"""N-"A"---------Expiration Date'*-------'N'-A'-'--------- Signed___,=-~~' -----....+Q__-t~-___,,-____P._,D_.__A.~'----- Owner or O w m e . Title ~ _ _ _ Date-~~--~--'2-A_**...fJ_ tf/ _ _ _ , 19 CERTIFICATE OF INSERVICE INsPECTION I, the undersig;*
holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors 11n'd the State or Province ot _ ~ICHIGAN and employed bv PROTECTION MUTUAL of
* ......,.MA....__ _ _ _ _...,,..._ _ _ _ _ _ _ _=-----,..-----.have inspected the components described
_..N.,.O,..R,..W....,.O""O.,.D......_ in this Owner's Report during the period '?--10 -902. to 1-L Q -9...1 , and state that to the best of my knowledge ind belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Coda, Section XI. By signing this certificate neither the Inspector nor his employer makes any wal'l'llntv, exprenecl or implied, concerning the examinations ind corrective meaui:es described in this Owner's Report. Furthermore; neither the Inspector nor his employer shall be liable in any m1nnar for any personal injury or property damage or 1 loa of any kind arising from or connected with this 10.,octioo. ~ FACTORY MUTUAL SYSTEM _ _ _ _ _ _ _ _'::JS::.~~~=~==-~,...,,,....,.~.-..:...:..--Commiaions~.f'1L.-..:.&.(~'*~~i.....:::~~~------------- 1n1Pector'1 Slgn.iure . Natlon81 Board, State, Province, and Endorsements Date_ _ _ _ _ _ 1_-...._/.,,.Qo..--_19 902 (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required.by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ _---::~---------- POWER COMPANY Date _ _ _ _ _ _4_/_2_4-'-/_9_2_ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--"l'--- of _ _- - - ' l " - - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit _ - - - ' l " - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEM&1YAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200115 Repair Or11anlzatlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM TYP.e Code Symbol Stamp _ _.......N,_,.A=--------~~
~~Nam* Authorization No. ------"N,_,.A=-------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N"""'A....______~~
~~~ ldentificationofSyrtem _ _ _ _ __~~~
~~s~ __ I_NJ_E_C_~_O_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
5. (a) Applicable Construction Code AISC ~ 7TH Edition, NA Addenda, _ _...;;N.;.;;.A;.__ _ Code Case (bl Appl.icable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, or Replacement or Nol~~
~~-roCL -~~"~~
~~ASME Code Stamped (Yes~~
;:;-1'7 PLAIE t... v. ~"1.S Gl8406-8 Rep/ctce l/t'x 4' x 8 1 s.\-~-e..-1 -
NA NA UT~ R,c:., s. 1981 ll!!Piltl~ NO ANGLE "'or.J..I.,-..; e~tec"Y\. Rep/qce. s+ee.\ ~ c..nn.. G~409-2 3..X 3"'X 3/~' ,. ..._U... f'ti.A." - ..J. NA NA \+T' ~37'10 1981 ft!Pl'l:!!MI' NO TUBE STEEL U:::"'Prv 'T\ Gl8407-l f<ep/q ce 4.. X 4"X 1/4"' NA NA ~T~~\Oc...-fQ 7 1981 M'.P11tiMB' NO "I17s1all rf!. p l4ce ..,e.., I f"'~Ts ,..,
~~7. Description of Work _ _ _ ,j_lll_F.,.A_I_flB __HAN_*_GER~~
~~__P_E_R_S_C_91_-_1_4_9_HAN __GE_R_C_C4_-_H_7_0_3_ _ _ _ _ _ _ _...,....-----~~
~~~7-'ii.-~~
B. Tests Conducted: Hydrostatic 0 Pneummtlc D Nominal Operating Preaure 0 Other I!] Preaura p1I Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of llltl, 1ketchn, or drawlnga may be used, provided (1) size is B>!i In. x 11 In., (2) inforrm* tlon In Items 1 through 6 on this nipon ii Included on each sheet, !Ind (31 nch sheet 11 numbered and the number of 1hnu is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Capt., ASME, 345 E. 47th St., N-York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufactur11r's Data Reports to be attached CERTIFICATE OF COMPLIANCE I t>f: c; c e..., e ... We certify that the statements made in the report are correct and this ~<<' ,. conforms to the rules of the ASME Code, Section XI. repair 6r replacement
~~.~tR ,...q~ * ')*I., .~~
~~Certificate of Authorization No. _ _ _ _..:;N.;.;;A=---------Expiration Date _ _ _ ___;N:..:;A:.;;.._ _ _ _ _ _ __ Signed-~~*........,.c.:=:::LOwn~, Owner or~~
......../):....>.Z:_~ ~=---r......:...N.....l.'..::;O~.-~/9~~-=~4=11<..=....__. Date_....;~::._:;.;;A:"'?;.~V---I;....>_ _ , 19 fitl* -,- " . CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board of Boiler and Pressure Vessal Inspectors anc;I the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA hwe inspected the components described in this Owner's Report during the period Z l. nA f 'I t. to z.z. /"'Jfl y 7 1.- , and state that to the best of my knowledge and belief; the Owner hes performed examinations and taken corrective measures described in this Owner's Report in accordance with the requinimenu of the ASME Coda, Section XI.
By signing this certificate neither the Inspector nor his employer makes any wamintv, 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 menner for any pel'IOnel injury or property damage or 111011of1ny kind 1ri1ing from or connectacl with this FACTORY MUTUAL SYSTEM inspecti~n. /J~ _.;..t::....**.z:/('_,;__~
*r...=~----------Commi11ion1_...;:g;......;...9_J_0
~~_lec:tOf'i SlgnllturG _ _/"1 __, '_ 11_1 _6_~-------~~
~~. National Bo1rd, Stet*, Provine*. and Endorsamanu Date.__::Z;....L_/1'1__ /?-......:...'/_ _ _ _ _19 1 L-(12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER ___ COMPANY _ _ _ _ _ _ __ Date _ _ _ _ 4.;../_24....:/_9_2_ _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_......;:l_ _ of _ _ _l_________ Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M~"f.i'AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200116 Repelr Orgeniz11tlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _~N=A~------~~
Nem* Authorization No. _ _ _ _ _.....N.:..::A..________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N ........ A._______ Addr**
4. Identification of System _ _ _-=SA""FE:.=TY=......;:;I:..;.NJE=C;.;;;T;.;;;I~O.;;.;N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. la) Applicable Construction Code AISC :¥J 7TH Edition, NA Addenda, _ _N_A_ _ _ _ Code Case lb) App Ii.cable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 *S 83

6. Identification of Components Repaired or Repleced and Replacement Components
~~Name of Component Name of Manufacturer Menufecturer Serial No.~~
Nationel Board No. Other Identification P.O. Year Built Repaired, Repleced, ASME Code Stamped (Yes or Replacement or Nol PLATE ~+h )e\\.9-'n G20898-5 i/4"X 4 1 x 8' s.+ee,\ *- NA NA \I jj;_
....... '!i:1c: 1.li<J10 1981 REPAIRED NO PLATE f)., s. G20898-6 3/16"x 4' x 8' ~+ee.\ NA NA 11R
hon oz.... 1981 REPAIRED NO PLATE 'Ee \.n \e. he.o.n G20898-7 1/ax 4' x 4' ~ee.I NA NA h1.~3l..J(,~S-o 1981 REPAIRED NO
7. Description of Work _ _ _ _ _ _ RE_P_A_I_RED__HAN __GE_R_PER __s_c_9_1_-1_s_2_ _ HAN_G_ER __G_c_1_-H_7_4_s_ _ _ _ _ _ _ _ _ __

8. Teats Conducted: Hydrostatic 0 Pneumnic 0 Nomin*I Operating Pressul"I 0 Other [!) Preuul"I p1I Test Temp, °F VISUAL EXAM NOTE: Supplemental lheet1 in form of liltl, 1ketchm, or drawings mey be uled, provided (1 l 1ize ii 8% In. x 11 In., (2) informa-tion in iterm 1 through 6 on this report ii included on uch 1heet, *nd (3) nch sheet ii numbel"ld and th* number of 1h1Mt1 i1 recorded et the top of this form.
112/82) Thia Form (E000301 msy be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable M11nuf11cturmr'1 D11t11 Reports to b1111tt11ch11d CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this f!eiPa *c conforms to the rules of the ASME Code, Section XI. repeir orreplacement TypeCodeSymbolStamP~------N-...;...A"'--------------------------------~ Certificate of Authorization No. _____...;;N"'A;;;..__________ Expiration Date _ _ _ _ _N=A'----------
~~~ ~~~
~~Owner or Owner's D111i11n'ee, Title~~
~~,N., 0, AbV-.~~
~~Signed_...,,......*1.~..__......,,--'~--=""""""'--..'-------n-.......1~~
~~--1-,~~
_ __,~-----Date _ __ M_....~----'-~----* 19 9 '2.... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD. MA heve inspected the components described in this Owner's Report during the period r P~o :T-9-.9~ I and state that to the best of my knowledge and belief, the Owner hm 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 eny warr11ntv, 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 1ny personal injury or property dam1g11 or a loa of 1ny kind arising from or connected with this
,.._,;on.~ FACTORY MDTUAL SYSTEM ---------~J....;.;::.;:._.-.,,.llZ";;;.:;-'---=--~Commlaion1~/!7L- 1~:__.~-=~."3--._________________
~~Inspector'* Slannure N11tlon1I Bo1rd, SHte, Province, ind Endor111menis Date*_ _ _ _ __,J.___-9...___19 94 (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS .....,,..........~~
~~1. Owner ________________ POWER COMPANY~~
__________________ __ Date ______4_/_2_4_/_9_2_____________________ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet __-"'l____ of.................:l=----------------- Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit ____l...____________________________~~
27780 BLUE STAR M~9f.fAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200117 Rep*lr Org*nlutlon P.O. No;, Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp ____--=-N=A=-------------~~
N*m* Authorization No. __________....N..._A..___________ ANN ARBOR, MICHIGAN 48106 Expiration Date ___________N..,,,...A._________ Addr*n
~~~ ldent~~~~nofSy~em _______ __~~~
~~SA_~ ___I_N~ __C~T_I_O_N______________________________________________~~~
5. (a) Applicable Construction Code AISC ¥J 7TH Edition, NA Addenda, ____N_A_ _ _ Code Cue (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification P.O. Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes PLATE Ll..\1<.erJ~ Gl8406-8 Rep/qte l/2"X 4' x 8' ~+-e."""-l NA NA ~T~~kiS' 1981 ftt!!Pilt:fRBB NO TUBE STEEL ~8~7-1 fl.rp locf 4*'x 1tx 1/4' J...CAvllT NA NA T <\\OU.'? 1981 Rl!!PMM!B NO ANGLE j2o ,.,to.JO l<.E Gl~09-4 f<ep/qct 2"X 2"X 3/8"
*.PLATE Z-CC....TI2-\ <l..
~~J..LA.~~ NA NA "'T Jlo1~C) 1981 M!Pil:fftHB~~
~epfqce NO i.;ro6-7 3/4"X 4 1 X 8 1 .~I --.I NA NA '233) ~ 1981 ftt!!Pilr'fft!'.EI NO Repfqc~J q6ove co """°"e"7'
7. Description of Work ________::!fl!!ll!i~P~A!jI'fl!!JY!!8~H~l'tf;!!f§j8B![!jR!t]P~E;!!R~SC~9~ll:,:-:1l;!t42,9__JHAN!Mj[§GER~JC~C4~-~H[Z7.Q0~2----------------------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Opel'ltlng Preau,. 0 Other [!] Prem.il'9
psi Tnt Temp. °F VISUAL EXAM PT EXAM NOTE: Supplemental sheets in form of lists, 1ketch11, or d111win91 may be used, provided 11 I 1lze ii Bli In. x 11 in., (2) Informs*
tion in Items 1 through 6 on this report ii Included on 19c:h sheet, 1nd (3) nch sheet 11 numbered and the number of 1heet1 is recorded It the top of.this form * (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's D11t11 Reports to ba *ttached CERTIFICATE OF COMPLIANCE +-:. We certify that the statements made in the report are correct and this fleekce,..,en conforms to the rules of the ASME Code, Section XI. r*pa(r or r*pl11c11ment Certificate of Authorization No _____....;N=A;;.....________ Expiration Date ------"N.;.;;A~-------- Signed JT""~ ~. JV, 0. ,4~ Owner or Owner's De11fgnH, Title Date _ _ M_Y _____-z_I_ _ , 19 9 "'2... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and PreS1Ure Vessel Inspectors and the State MICHIGAN and employed by PROTECTION MUTUAL . of
..1lilLUltD.!lD~..MA..._____-=---------=---::=--:::it".::-----have inspected the components described in this Owner's Report during the period to ":;t-?-9'"*- , and state that to the best of my knowledge and belief, the Owner has performed examin1tions and taken corrective measures described in this Owner's Report in accordance with the requirement* of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any walTlntv, expressed or implied, concerning the examinations and corrective measun11 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 loa of 1ny kind ari1ing from or connected with this inspection. h,_ '2. / ) J FACTORY MUTUAL SYSTEM
----------~+-'--......,""--....::;~-------Commiaion1 ln1PectOr'1 Signature /Yz1 ~ ;&.;L Natlonel Board, Stat*. Provine*, and Endoraement1 Date,_ _ _ _ _ J..__-.._f=_ _19 qci (12/82)
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~~~
Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_-=.l_ _ of l Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit _ __,l;___ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR ME:JJ&"ffAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200118 Rapalr Organization P.O. No., Job No ** ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___..N.:.::A...._______~~
Nam* Authorization No. -----~N~Ai!o------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N"-'AjA._______
4. Identification of System _ _ _ _. ;;.S. .;;A;..FE;;.TY=--"I"'""N.;;..JE;;.C;;..;I;;..;;I;;..;;O.;;..N_*_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code AISC ~ 7IH Edition, _ _N_A_ _ _ _ Addenda, _ _ _N;.;.A;;;.__ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Raplacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. P.O. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol PLATE BP.\-h1-e~~ G.w.898-2 l/2"X 4' x 8 1 -=~~e..\ NA NA ~*~l'l~,..~~LJo 1981 REPAIRED NO PLATE ~\eh~m G'Je898-5 1/4'x 4' x 8 1 ~tee\ NA NA U.,.! cfl!13 Tt.qtJ7o 1981 REPAIRED NO 1=-----------
7. Description of Work _ _ _ _-"REP=""'A""I""'RED=--"HAN="'G""ER;.;....;P;.;;E;;.;.R;;...,;;;;S.;;;.C.;;.;91:..-..;;1::5.;;;.3_...;HAN=.;..;:GE=R:...=.GC~l=--..;:H;.;.7.:::3..:.4.:.;*
B. Tests Conducted: Hydrostatic 0 Pnt1um!ltlc 0 Nominal Operating Preau,.. 0 Other I]] Preaul'9 p1I Test Temp. .o F VISUAL EXAM NOTE: Supplemental sheets in form of lilts, sketches, or drawln91 rmy be used, provided 11) size ii h in. x 11 *in., (2) informa* tlon In Items 1 through 6 on this report ii Included on ac:h sheet, end (3) nch sheet ii numbll'9d and the number of shHtl ii recorded at the tap of thil form
~~112/82) This Form (E00030) may be obtained from the Ordar Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS*2 (Back)~~
9. Remarks .........................~N~O~N=E....................................................................................................................................................................................-
~~Applicable Manuf*cturer's Data Raport1 to be *tt*cned CERTIFICATE OF COMPLIANCE ~~~
We certify that the statements made in the report are correct and this ~e!, Ir conforms to the rules of the ASME Code, Section XI. rsp*ir r r*placement TypeCodeSymbolStamp ____________N __A...................................................................................................................................................
Certificate of Authorization No .......................;;;N.;.;;A;o;;......................................-Expiration Date ...................._..;N;;.;..;;.;A;;.........................................- Signed 7{~ /<o...~ Owner or Owner'1 ~~le
~~#.0, I~ . 19 9 2.~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Nation1I Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA have inspected the components described in this Owner's Report during the period 1-9-9o2 to "f-9-9.;3. , and state that to the best of my knowledge end belief, the Owner ha performed examinetions 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 m1nner for any personal Injury or property damage or a 1011of1ny kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
----------+"--..--- I n1P 1 Slgnmtul'9 ...........- ..........-Comminlons /111 r. ?'le~
~~N*tlonal Board, SHte, Province, and Endorsement* Date_ _ _ _ _ 7........-..9. __19 9a< (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _4_/_24_/_9_2_ _ _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=l'--- of _ ___..:l::..__ _ _ _ _ _ __ Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit _ - - ' l " - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEM&'WYAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200120 R*P*lr Org*nizatlon P.O. No .. Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _ _-=-N,,,A-=--------~~
~~Name Authorization No. _ _ _ _ _..i:.Nl!:A~------ ANN ARBOR, MICHIGAN 48106 Expiration D11t11 _ _ _ _ _ _N~A._______ Addr*n~~
~~4. Identification of System _ _.....;;.SAFE~~
~~__TY...;;__I:..:NJ:..:E;;..C:..:T:..:I:..:O_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
~~5. (a) Applicable Construction Code __A_I_S_C_ _ _ _3. 7TH Edition, _ _N_A_ _ _ _ Addende, ___N_A____ Code Case (b) Appl,icable Edition of Section XI Utilized for Repairs or Replacements 19 83~~
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification P.O. Veer Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes PLATE f?..e:\-h \.e.hem G20898-5 x 1/4" 4 1 x 8' .s\.e-e..\ NA NA U.....~fJ3T/..C}c/7D 1981 REPAIRED NO PLATE u.S. G20898-6 3/16.. X 4' X 8 1 C,.\-~_\ NA NA ~TA:no1\o~ 1981 REPAIRED NO TUBE STEEL u:._18407-~J 4.. X 2"X 1/4" Lb'""Av 1\ NA NA *~4112... 1981 REPAIRED NO
7. Description of Work _ _ _ _ _-'RE'-=P'-"A;;;I:..:RED;;;;;.....:HAN=;.;;G;.;;;E:..:R...;P:..:E:..:R.;....;;S..;;;C:..:91:..:-...:15=3'---HAN=:..:GE=R;....;;;GC.;;.l;;;.-..;R:.;.;7..;;;3;_;;;3_,.----,...,..------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preuurw 0 Other I!] Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, aketchea, or drawings !Ny be used, provldld 111 size ii 8li In. x 11 In., 121 informa-tion in Items 1 through 6 on this report ii Included on uch sheet, ,nd (3) nch sheet ii numbll"ld and the number of 1hwt1 ia recorded at the top of thil form *
(12/821 Thia Form CE00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
9. Remarks ...................................~N~O~N~E:-......................................................................................................................................................................-
~~Applicable Manufacturer's Data Report1 to be attached~~
~~. CERTIFICATE OF COMPLIANCE~~~
We certify that the statements made in the report are correct and thisf'~' t'" conforms to the rules of the ASME Code, Section XI. repair or replacement TypeCodeSymbolStamp ____________N __A............................................................................................................................................~
Certificate of Authorization No. ________N_A ........................,.................-Expiration Date .........................N_A ........................................- Sig~ed ~ ~ #. 0, A~ Owner or own?SDQigflH, Tltl* Date _ _ .;VT._Y.___14~---* 19 '1 Z. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN aod employed by PROTECTION MUTUAL of NORWOOD
MA have in1P9Cted the components described in this Owner's Report during the period r-9-9~ to 'l-f-f!2., , and state that to the best of my knowledge and belief, the Owner hes 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 loa of any kind arising from or connected with this insp~tion. FACTORY MUTUAL SYSTEM
~~-----.,.----~~~-;o.o::~::=~~--Commiaion1_ /l1__....._t"_* ....fle......-..-..il_ _ _ _ _ _ _ _ __~~
~~I n1PKtOr'1 Signature Natlon.i Board, State, Province, and EndorMmant1 oate_ _ _ _ _ _ _ _ r___-9...___19 9~ (12/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
_ _ _ _ _ _POWER ____ COMPANY _ _ _ _ _ _ __ Date _ _ _ _ 4.:.../2_4_:/_9_2_ _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--:1:..__ of _ _ _.::,l_ _ _ _ _ _ _ __ Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200121 Rep*lr Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM TvP!! Code Symbol Stamp _ ____,N~A2',_______~~
N1me Authorization No. _ _ _ _ _-'N~A....._______ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ __.N,,,.A~------ Addren
4. Identification ofSystem _ _ _~S~~~~~~I~N~~~~~I~O_N_________________________~

5. (a) Applicable Construction Code---_A_I_s_c____,¥J 7TH Edition, _ _ _N_A_ _ _ Addenda, _ _N_A____ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. P.O. Other Idantification Year Built Repaired, ReplllCtld, ASME Code Stamped (Yes or Replacement or Nol~~
~~~~-i.~~
~~b PLATE &"THLEHl!m G20898-S /i!eplrffel"tenT l/t/X 4' x8 1~~
~~~~ NA NA *-*8J3T6qf?o 1981 MPlftiRBB- NO ;t1JJeJ sl,;..,.. to~~
~~7. Description of Work MPi\IRlm Htdf6!Jft HANGER GC1-R754~~
~~~~r~~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nomin1l Operating Preaurw 0 Other [!] Preaur.. _ _ _ _ _ psl Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketch*. or drawings ITmY be used, provided (1) size is 8% in. x 11 in., 121 inform1-tion in items 1 through 6 on thi1 report ii included on eech sheet, and (31 uch sheet ii numbered and tha number of sheets ii recorded at the top of this form .
(12/B21 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable M*nuf*cturmr's D*ta Report1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are 1:orrect and this ~ kce T O e.., conforms to the rules of the ASME Code, Section XI. repeir or replacement Certificate of Authorization No. _ _ _ _"'N"'A=---......,.------Expiration Date _ _ _ _ _N_A _ _ _ _ _ _ _ __ Signed ~ a-~- #. 0. Owner or Owne~fitle Date~ I ,19 _92-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiaion iaued by the National Board of Boiler and Pressure Vessel Inspectors and.the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA have inspected the components described in this Owner's Report during the period r-/O -9.J. to 7-10 -9~ , and state that to the best. of my knowledge 1nd belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the niquirement1 of the ASME Code, Section XI.
By signing this certificate neither the lnspecror nor his employtr makes any W1rrantv, expressed or implied, concerning the examinations and corrective masun11 disc:ribed in this Owner's Report. Furthermore, neither the Inspector nor his employer shell be liable in 1ny m1nner for 1ny pel'IOnll injury or property dlml!lllll or 11 loa of 1ny kind irising from or connected with this
;""""'"'"* ~ FACTORY MUTUAL SYSTEM --------~'-"' ....."="""'......-----.........-----Commissions m,: Ttk.2 ln1Pec:tor'1 Signature Nnlonal Boerd, Stne, r"rovtnce, end Endo,...,,entl Date_ _ _ _ . __19 90l
~~___.7_-..l-=o (12/821~~
~~1. Owner ________________~~
FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS CONSUMERS ___, As Required by the Provisions of the ASME Code Section XI POWER COMPANY Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet ___.:;;!___ of _ ___,l,______________ Addren
~~2. Plant PALISADES *NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO"fi'AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200122 F111p11lr Or11*nlz11tlon P.O. No., Job No .* etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--"N~A~---------~~
~~Authorization No. _ _ _ _ __.N~A~-------- ANN ARBOR, MICHIGAN 48106 Expiration Dete ________.... N...,A....______~~
4. Identification of System _____..,SA~FE>=TY~.:.I:.::NJ::.:E:::.:CT=I;.:::O.:.:.N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code AISC :¥J 7TH Edition, _ _ _ N_A_ _ _ Addenda, _ _ _N_A_ _ _ Code Cesa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
PLATE tsQth\-eh~ 20i4-0732Q-3 l/8"X. 48 11 X 59" 6~~\ NA NA l-h: ~flli.JL.~ cl981 REPAIRED NO PLATE 4'1.k.EN.S G11£o6':9 l/t.t'X 4' X 8 1 .c;ke \ NA NA 1-lT" R~'ll 1981 REPAIRED NO
7. Description of Work _ _ _ _ _REP~uA~I~RED=.-HAN=.:.i:GER=~PER~..l;S~C:.::9.:l.--1:;5~4~~HAN=GE=R~GC=l~-R:!o7~5::.::5:..:*.:l:...----------

8. Tests Conducted: Hydrostatic 0 *Pneumitlc 0 Nominal Operating Prem.ire 0 Other IKJ Preaum _ _ _ _ _ p1i Test Temp. °F VISUAL EXAM NOTE: Supplemental 1hnt1 In fonn of lilts, 1ketch11, or drawings may be used, provided 11 I size 118% In. x 11 In., 121 infonne*
tion in items 1 through 6 on this report II Included on eech 1heet, end (3) nch sheet 11 numbered end the number of 1hfttl ia recorded et the top of this form *
* (12/82) Thi1 Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable M111nufllctur11r's D111t111 Reports to be 111ttach11d CERTIFICATE OF COMPLIANCE~ ' We certify that the statements made in the report are correct and this -f!f!'4 IC conforms to*the rules of the ASME Code, Section x I. r111p111ir or r111pl111c1111111nt Certificate of Authorization No. _ _ _ _. ;:N.;.; A;.; ._________ Expiration Oate _ _ _ __.;N;;..;.A=--------- Signed ~ ~. P.O. ,4~ Own111r or Ow~li'ee, Tltl* Oate_~/"1.......;.:;7~:-__;_/4....:....*---* 19 9Z... CE~TIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Preuure Vessel Inspectors anp the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD, MA have inspected the components described in this Owner's Report during the period -1 f- ~ to z 96 , 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 requirement1 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 measul'lll described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in 1ny manner for any personal injury or property damage or a loa of 1ny kind irising from or connected with this
'""'"°"* ~f i /1ff FACTORY MUTUAL SYSTEM --------~_,__..;:~=-----"""--"-"--....:...---Commissions I n1Pec:tOr'* Slgn8tUl'9 * /Yil. ~
~~Nation.. Board, State, Provine*, and Endonemenu Oate,_ _ _ ____,T.___-.. . . 9__19 9?2 . (12/B2l~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
______ POWER ___ COMPANY Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ _.;;;l:..__ of _ _ _ _2_ _ _ _ _ _ __ Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit_-....:1~--------------~~
27780 BLUE STAR ~~AL HWY. COVERT, MICHIGAN 49043 T&B W. O. 24200123 Addren Repair Or1111nlz11tlon P.O. No ** Job No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,,,N.._A~------~~
~~N11me Authorization No. _ _ _ _ _.::N~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ ___.N.,.A..._______ Addrea~~
4. Identification of System _ _..;.P.;;..RE;;;;.S;;;..;S;..;UR;.;;.;;;;I;,;;;Z"'"ER;.;....;S;;.;;P""RA=Y-------------------------

5. (a) Applicable Construction Code
AISC ¥J 7TH Edition, NA Addenda, _ _..:.N::.:A:.....__ _ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19 83

S 83
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Seri*I No.~~
National Board No. Other Identification P.O. Yur Built Repaired, Replaced, ASME or Replacement or Nol Code Stamped (Yes ANGLE 2002-5212CQ-l s*'x 3**x 1/4 NA NA .- _s-;:z NO PLATE l/2X 4' X 8' NA NA NO CHANNEL C4 x 5.4 NA NA NO PLATE l/4"X 4 1 X 8' NA NA NO PLATE 3/8°'X 4' X 8 1 NA NO co .....f'O#'e"
~~8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preaure D Other IXl Preaure, _ _ _ _ _ psl Test Tamp. °F~~
'""°VISUAL EXAM NOTE: Supplemental shens in form of lists, sketchas, or drawings mey be used, provided (11 size ii 8" in. x 11 in., (2) informa-tion in items 1 through 6 on this report ii included on each sheet, and (3) each sheet Is numbered .,,d the number of sheets is recorded et the top of this form. -
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
9. Remarks NONE Applicable Manufacturer's Dmta Reports to be ettached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are*correct and this.::tt:~~cz:::.__conforms to the rules of the ASME Code, Section XI. r replecement TypeCodeSymbolStamp _______N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Certificate of Authorization No. _ _ _ _-"N"'-"A=---------Expiration Date _ _ _ _ _N_A ......_ _ _ _ _ _ __ Signed _ ~£, _,,O~w"""n_e_r""o~r""o"""w ~
..n~e""rE~,...o-e"""1""ig_n.,..'a-*.-~--i-~-,~~*-....... ___~lt/-----* 19 - = - + " ' ' - - - - - - - 0 ate _ _,,vJ._o/'
CERTIFICATE OF INSERVICE INSPECTION I. the undersigned, holding a valid commission iaued by the Nation*! Board of Boiler and Pressure Vessel Inspectors and.the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of
~~, _MA~~
_..N..,O._R..,:W~O..,O..,D..... ......---------------.....,-=-.,,.....-----have inspected the components described in this Owner's Report during the period _ _ _ _ _ __.'L..._-_,1'---9;._:.,;z_..,=-_to "1-* =f -9iJ., , and state that to the best of my knowledge and belief, the Owner has performed examin*tions 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 neither the Inspector nor his employ* rnekes *ny werranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, n!lither the Inspector nor his employer shall be liable in any manner for *nY personal injury or property damage or a loa of any kind arising from or connected with this inspection.
~~.u I, ----------i~,..__,,_..,..:..:;""""~'-'i'"..______ Commiaion1---.;..;.-~.o..:::;.....~~~
~~1n1Pec:tor'1 Signature FACTORY MUTUAL SYSTEM~~
~~/l"'J,*.~2 .....- - - - - - - - - - - - - - - -~~
Netlon., Bo*rct, Stete, Province, end Endorsementl Date_ _ _ _ _ _-:J..._;_ *.... f..____19 ft:\. (12/82)
PAGE 2 OF 2 T&B W.O. #24200123 HANGER CC9-Hl0.l NlllM of Compon9ftt N1mt11of Menuf~rw Maftufll!IU! l9f' Sertli No. N1t1on* lod No. Oihw Idlntifleftioft P.O. Y;s IYllt Aeoell"ld, Aegrl!C!ld. ASMI COde S1amQ9d (Yes or AIClllC9IM"1 or Nol
/
PLATE ".t.t"_-\-h le ~'-el\"\ G20898-S (~p/qceJ l/4"X 4' x 8' c;\ee_I NA NA 1"1-;jr<;ll"?.t""4o.j,0 1981 ...~l"i'!:'E~& NO
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _4._--=2:...::1,_-_.9:.=2,___ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=!,___ of _ _----'1=---------- Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO"IrfAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24200127 R*P*lr Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--A;N..._A"'--------~~
~~Name Authorization No. _ _ _ _ _....N..._A"'-------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _-"NuAa...______~~
4. Identification of System _ _ _ _-=S;;.;;AF=E;..;;;TY=--=I;;.;;N;.;.;J""'E""C.::;.T=I..;;O..;;.N,_______________________

5. (al Applicable Construction Code _ _.A,...I~S:..C;::;....._ _~ 8TH Edition, _ _. . ; N:.;:A. ; .___
~~Addenda, _ _..;;.N.::.A::..__ _ Coda Case lb) Applicable Edition of Section XI Utilized for Repairs or Replacements 19,_81.1...1.3_w.S 83~~
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol HANGER -
~~cr.1;-R?n2.1 CPCO NA NA NONE 1992 REPLACED NO~~
7. Description of Work _ _ _ _ _ _RE_P_L_A_C_E_D_HAN __ G_ER_P_E_R_S_C....;9_1_-_1....;5_0_ _N_EW __HAN __G_E_R_ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Preauni 0 Other G9 Preauni _ _ _ _ _ pal Test Temp. °F VISUAL EXAM may NOTE: Supplemental sheets In form of liltl, 1ketchm, or drewlngs be ul8d, provided 11Isizeii8% In. x 11 In., (2) Informa-tion in items 1 through 6 on this report i* included on each 1heet, and 131 eKh sheet 11 numbered and the number of 1heet1 i1 recorded et the top of thl1 form.
(12/82) Thia Form CE00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) NONE
~~9. Remarks~--------------------------------------------~~~
Applicable Manufacturer's Data Repon1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this..;":......:e~:..:!..:;;...:::::::-.~c ASME Code, Section XI. c.n;r~a<ioo No, NA Expiration Date _ _ _ ___;N::.:..:..:A=---------- Signed t~ ,~ ~4-Owne or Ownar'1 0111ignff, Title Date Aprs'J 24 , 19 qz_ 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD. MA have inspected the components described in this Owner's Report during the period '1-IO -9;< to ¥-/o -9,;t , 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 make11 any warranty, exprimad 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 Ion of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
---------~~-.-..-..- ............--.._......___ comminion1 ln1Pec:tOr'1 Signature * /),.,,*, ~
~~Natlon.e Boerd, Stet*, Province, and Endoreement1 Date,_ _ _ _ _::f.L--..._/..,.Q.___19 9ca (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner ______________________________________ _ Date....,...._ _4_-_2_1_-_9_2__________~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet ----=l____ of ______,l=----------------- Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit ____,l=-----------------------------~~
27780 BLUE STAR Mm-l&8ir.fAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200128 Addr ... Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp ___~N,,,.A"'------------~~
N11ma Authorization No. ---------~N....A.._____________ ANN ARBOR, MICHIGAN 48106 Expiration Date ____________,N~A!iJo.....___________ Addrea
~~~ ldentificationofSy~em _____~S~A..;.F_E~~~~I..;.N~J~E~C~T~I~O,;;..N;;...._ ___________________________________________~~
5. (al Applicable Construction Code AISC ;J 8TH Edition, ___. ; N.;.; A,; . *___ Addenda, ___. ;.N. ;.A; . . ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Seri1I No. No. ldentifiCltion Built or Replacement or Nol HANGER CC6-R203.3 CPCO NA NA NONE 1992 REPLACED NO

7. Description of Work _ _ _ _...:;RE=P-=L:::A:::::C..:ED:....::HAN=G.:.E=R~P~E=R::....:S~C:.:9:...:1:...-...=l:..:5:.::0:...,_.....:.N:.:EW:.:.:.....=HAN=:.:G:.:E:=R:.....________

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preaure 0 Other Q!l Praaure ______ p1i Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets In form of llltl, sketch*, or d111wln911T11y be used, provided (1 l 1iz111 B% In. x 11 in., 121 Informa-tion in Items 1 through 6 on thi1 report i1 included on each sheet, and (3) nch sheet 11 numbered and the number of 1heet1 i1 recorded at the top of thil fonn.
(12/821 This Fann (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) NONE
~~9. Remarks-------------------------------------------~~~
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE lc t We certify that the statements made in the report are correct and this ~W QC'M~l1 conforms to the rules of the ASME Code, Section XI. r11p11i or replacement Certificate of Authorization No. NA Expiration Date _ _ _ _ _N_A_________ Signed ~Oeslgnfl~; Owner or Owner's (&iA.J'r"::: .. µ.QA~ J+- Date cy~ ?.3 92
~~, 19 _ __,___~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Nationai Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA have:nspected the components described in th is Owner's Report during the period I 9-6 to :f - ~ - 9 .:l. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requiremenu of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warr11nty, expressed or implied, concerning the examinations and corrective measures dascribed in this Owner's Repcrt. 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. () ~ FACTORY MUTUAL SYSTEM
~ ~ Commi11ions-/'vl:__....;...,'_._pL. .: ~: :. . : :J.:;:i. . ._ _ _ _ _ _ _ _ _ __ ~ ,,... lnapKtor'1 Slgn1tu1W . .N*tlon.i Board, State, Province, end Endorsements Date_ _ _ _ __..l_-_Cf..___19 9o3.
~~(12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER ___ COMPANY Date _ _ _4;,_-....:2:..:1:....-....:9....:2=----------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l_ _ of _ _~l=----------- Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' 1 = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR ME:z.f&'WfAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200129 Repair Organiutlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--=.N:..:A=--------~~
N11me Authorization No. _ _ _ _ _...:N!.!:A~------ ANN ARBOR, MICHIGAN 48106 Expiration Oate _ _ _ _ _ _N~A._______ AddrMll
**ntificetion of System _ _ _ _ _~SA~F~E~~~~I~N~J~E~C~T~I~O~N~-------------------- ~1 Applicable Construction Code AISC ~ 8TH Edition, _ _N_A____ Addenda, _ _ _ N_A___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 S 83
6. Identification of Components Repaired or Replaced and Replacement Component*
~~I ASME Code~~
- National Repaired, Stamped '~ ;)! Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol HANGER -
DC1-R201.2 CPCO NA NA NONE 1992 REPLACED NO
7. Description of Work _ _---:RE=P=-L:::A:.::C.;:;.E:::D;;;.. .;HAN=;.;.G::.E:::R;.;;.. .P=.E:::R::;;.. .::.S.=.C.;:;.9.=.l---=-1::.5::.0_.....:.:N=EW..:..:......=HAN=:.;:G~E:.:.R:...__________

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Prenuro 0 Other Qg Preaunt P*i Test Temp. °F VISUAL EXAM NOTE: Supplemental sheet* in form of liltl, 1k11tch111, or drawings in.y be uMd, provided (1) size Is 8% in. x 11 In., (2) informm-tlon in Items 1 through 6 on this report ii Included on each sheet, end (3) uch sheet 11 numbered and the number of sheets is recorded at the top of this form.
(12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 346 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) APPiicabie Manufacturer'* Data Reports to be 11tt11cned CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ASME Code, Section XI.
~~"Rr, k t-_~~
~~CeMe"' conforms to the rules of the repa r or replacement Certificate of Authorization No. _ _ _ _..:N~A:;....________ Expiration Oate _ _ _ _ _N=A=---------- Signed ~ D~ Owner or Owner's~~
~~/J~ .*. >~~
~~Af:Q /J,~~~
~
~~Date ~ 2.3~~
~~---'-IF'-=~--='-""'----- ,19 9"'2..~~
CERTIFICATE OF INSERVICE INSPECTION I, the under. 3ned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors al')d*the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspected the components described in this Owner's Report during the period '?-9-f:Z. to 7-9-90l , 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 Coda, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective memur* d111cribecl 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 lou of 1ny kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~----------* +-=--"'"<!:~~-'~~
1n1Pec:tor'll8flftUl'F ___...__eomminion1 _ _,/>1._._.1""......_.lt;,._...~¢-.=-------------
*National Board, State, Province, end Endorsemenit Oate._ _ _ _ _ _.1-_:-9___* _19 9~
~~(12/821~~
~~1. Owner-------------------~~~
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 27780 BLUE STAR MEMORIAL HWY. As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY Name Date _ _ _ _ _4;.:/...:2:..;4_!./..:;.9~2_ _ _ _ _ _ _ _ __ COVERT, MICHIGAN' 49043 Sheet_.......;;l'--- of _ _ _=..l_ _ _ _ _ _ _ __ Address
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _l = - - - - - - , - - - - - - - - - - - -~~
27780 BLUE STAR ~'RYAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200130 Addrass Repair Organization P.O. No., Job No .* etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___.N.:.:A~------~~
Nam a Authorization No. _ _ _ _ _..,,N:.:..:A,,.,_______ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _~N~A"-------- Addraa
4. Identification of System _ _ _ _ _A:::UX=I:::L::.::I:::AR=Y:....:.FE.::EDW=A..,TE=R"-------------------------

5. (a) Applicable Construction Code
~~AISC ~ 7TH Edition, NA Addenda, _ _....:.:N:.::A_ _ _ Code Case~~
~~!b' t. :-~*:cable Edition of Section XI Utilized for Repairs or Replacemenu 19 83~~
~~S 83~~
.ation of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped I Name cif Name of Manufacturer Board Other Year Replaced, or Replacement or Nol .(Yes
~~anufacturer Serial No. No. Identification Built P.O.~~
~~~(t~q'Z-I b-t 13>et-h \e \..e.-r. 2004-0732Q-3 Rep/qctof~~
~~_., 59" NA NA u... It- ~:1,, ....ll .i41jz] 1983 RliP11r!RB:l NO~~
~~./J __ J - Bolfr..~~
~~S..\-c.-.e. \ J..I; /1i" ~ .,,, ~ ,,- , . .,., I:. ., ~., I I Tl~~
~~. ,_,. ,..,I ___ft* . ,-...,.~~
~~l"I tr" C--q~~~
~~
~~r,, ., L~~
~
~~u ,,, DI. I aJJe;/ S' 4i,..,~~
~~7. Description of ~ork _ _ _'A;.;;ll!;..oP..;;;'lr.;;;%""'1t!:=B::=llftl~f;;;ml;;;ft~P=E~R~S~C9;..l;;;-..:;l;..4;.;;8_...,;HAN=;.;;GE=R...;D:.:B:.:C:.:l:..-.::H.:.6_ _ _ _ _ _ _ _ _ _ _ _ __~~
~~TPR 6-18"4"l .~~
8. Tests Conducted: Hydrostltlc: 0 Pneumatic 0 Nominal Operating Pressure 0 Other [!} Preaure _ _ _ _ _ psi Test Temp, *° F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided 11 I size is 8% in. x 11 in .. (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form *
~~112/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~~--~~
~~FORM NIS-2 (Back) Applicable Manufacturer's Ona Reports to be *tt*ched~~
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f(rf /a Cf/!'!f!'jj;;nforms to the rules of the ASME Code, Section XI. rep*i or replllc*m!lnt '
~~Certificate of Authorization No. _ _ _ _....;N~A=----------Expiration Date _ _ _ _......;N:..:..::.;A;...__ _ _ __ Signed_. _..~..........:;-'--"-..=.../)-'""'-f;_~ Owner or Ow~nee. Title~~
~--~--µ__._,O'-",_.....fl.-'-'~;...;;*=,. ~----Date--;~~""""---_.;;_/8.:;...._ /
___ 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid comm.ission issued by the National Board of Boiler and Pressuri; . essel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL of NORWOOD
MA have inspected the components described in this Owner's Report during the ~eriod l. '(Jr.I 1 C.. to 1. YJU"' ? t. , and state that to the best of my knowledge and belief, the Owner has performed examinations and t1ken 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 Wlrranty, expressed or implied. concerning the examinations and corrective measures described in this Owner's Report. Furthermore." neither the Inspector nor his employet shall be I~' able in a y manner for any personal injury or property damage or a loss of any kind arising from or connected with this insp~. '/*//'~/, FA~ORY MUTUAL SYSTEM
~~/ ( .~ * /r~In or'* Signatu,.~~
~~Commissions .S 'f? /'7 t {. /{ Nation81 Board, State, Province, end EndorHment1 2 'f _ Date-..;;_;.._ .fif _ _ _ _ _ _ _ _ 19,_ _ _'\Jit'... __~~
~~' l.-~~
~~(12/821~~
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _4..:../:....:2=-4""/.:.9.:2_ _ _ _ _ _ _ _ _ __~~
~~N11me 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_......;;;1:.....__ of _ _- - ' 1 = - - - - - - - - - - Addren~~
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' 1 = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR ME?J&~AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200131 R11p11lr Or1111niz11tlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _ __....N,_.,A..__ _ _ _ __~~
Name Authorization No. _ _ _ _ _...!::N!.!AL-_ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _~N~Ae...._ _ _ _ __
~~~ ldentificat~nofSy~em _ _ _S_~--~-I_N_~_C_I_I_ON _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~~~
5. (al Applicable Conmuction Code AISC lJ 7IH Edition, _ _;;.;;NA;,:....._ _ _ Addenda,_-=.N;.:.:A:.....__ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped IYes or Replacement or Nol~~
~~~'E' >-le ..,~~~
TUBE STEEL Gl8407-4 ~p/t:1ceJ 4"'X 4"X 3/8" "-1lV1 Tl NA NA 1tr'= ito~o3'1 1981 llBP*-E'RiiB NO PLATE 1-U k::.t:N..S. J;.8406-9 ~'f'/qceel l/4"x 4' x 8' STEEL_ NA NA *13g..~ 1981 ~ptf,iERBB NO Rep JQceJ q/,ove ('O ....p0'1 f/r>'I ts
~~7. Description of Work Ri!Pt\IM!8 IWIB!!1""'PER SC91-149 HANGER GC1-H712 s:. ' .,,,~~
~-~"t' B. Tests Conducted: Hydrostatic 0 PneurMtlc D Nominal Operating Preaure 0 Other [!I Preaure psi Test Temp. °F VISUAL EXAM NOTE: Supplememal lhlltrh in form of liltl, sketch111, or dl"lwlngs nwy ba Ulad, pnMclld (1) liz* ii~ in. x 11 in., (2) Informa-tion In Items 1 through 6 on this report i1 Included on uch sheet, ~nd (3) eech sheet ii numbered and the number of 1h11et1 is recorded at the toP of thil form *
(12/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applic11bl11 M11nuf11cturer's D11t11 R11port1 to be *ttllched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Repkre,., e,.,f-'conforms to the rules of the ASME Code, Section XI. rep*1r or repl*c*ment Certificate of Authorization No. _ _ _ _""N""A"""---------Expiration Date _ _ _ _ _N;....;.;A..__ _ _ _ _ _ __ Signed --;i;;:_ t f ~ µ, 0, Date _ _ M_~.......,..___ _ 2_8___ 19 92-Owner or OwMr'SOffilfnH, Tltle CERTIFJCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued bv the National Board of Boiler end Pressure Vessel Inspectors and the State or Province ot MICHIGAN end employed bV PROTECTION MUTUAL . of NORWOOD
MA heve inspected the components described in this Owner's Report during the period z-/Q -9ql to -:f-/o -9~ . , and state that to the best of my knowledge end belief, the Owner has performed examin11tion1 and taken corrective measures described in this Owner's Report in accordance with the requlrementl of the ASME Code, Section XI.
By signing this certificate neither tha Impactor nor his employer makes eny warranty, expressed or implied, concerning the examinations and corrective measurm described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in eny manner for any personal Injury or property damage or a Ion of eny kind 11ri1ing from or connected with this
'""'octlon. M!1/J~ FACTORY MUTUAL SYSTEM ---------------~...1.-.;::io;;._.;-..m;;.;;::;;;;;:;.=--.=""'""-----Ccimmlnion1 __~/'\-1'"-......,i_.__.~ ..........,;;;Ol I n1Pec:tor'1 Signature N*tlonel Bo*rd, St.ui, Province, *nd EndorMmentl oate_ _ _ _ _~r.__~:...;10 ____,9 9ril (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS __,.,.-------------------~~
~~1. Owner ________________ POWER COMPANY Date _ _ _4_-_2_1_-_9_2_________~~
Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_......;;:;l_ _ of..........-...:1::....___________ Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit .....-..:1"-----------------------~~
27780 BLUE STAR MmJ&"R'.:fAr. HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200132 Addren Repair Organization P.O. No., Jab Na .* mtc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _____,,N.:.:A..._________~~
Name Authorization No. --------..!:.N!..!iAJ:......________ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N., ,eA.. . .______
4. Identification of System....,-_ _ _..!:A~UX:!il..=...*_.:.F~E!.:E!.:D:..::W!.£A~T~E~R~-----------------------

5. (al Applicable Construction Code AISC ~ 8TH Edition, NA Addenda, .....--!.N.::,A:,..__ _ _Code CeSll (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 5 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Othar Vear Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol HANGER -
EBC3-Rl.1 CPCO NA NA NONE 1992 REPLACED NO
7. Description of Work _ _ _ _. ::R=E::.P.::LA=C.::ED::::.. . HAN=:.:.G:E::R::.. .:P:..:E::.:R::.. . .:S:..:C::.::9:..::1:.. -. :1:.;;4:.::8::.. _. . .:;N:.::EW:.!!-.::HAN=.:::::G!::E.::R:..-_______

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Opemting Prusure 0 Other [!I P1"111Ure _ _ _ _ _ p1i Test Tamp. _ _ _ _ _° F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, sketchm, or drawings mey be uaad, provided 11) size ii B% In. x 11 In.. 121 lnfonN*
tion in items 1 through 6 on this report ii included on each aheat, ind (3) uch aheat ia numberwd and the number of 1hHU ia recorded at the top of thil form. (12/82) Thia Form (E000301 mey be obtained from the Order Oapt., ASME, 346 E. 47th St., New York, N.V. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to ba 11tt11ched CERTIFICATE OF COMPLIANCE~ ~ + We certify that the statements made in the report are correct and this ~:;ce ,.,.,,,, .l:onforms to the rules of the ASME Code, Section XI. r11p11i or replacement Certificate of Authorization No. NA Expiration Date ------""N...;;A.;;...._ _ _ _ _ _ __ Signed "')/~ ~ ,AJ~, 0,i?d /1~ate ~ Owner or Owner's oa;ignH,Tlti/
~~"l.1, 19 9 "2..~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of
......N..O,. R., W. . ,.O. ,.O...D~._..MA ....._________________~_____ have inspected the components described in this Owner's Report during the period 1-'f-9.Jto 1-9-9'.;z , and state that to the best of my knowledge and belief, the Owner ha performed examinations and taken corrective measures described in this Owner's Report in accordance with the 1'8Quirement1 of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes *ny warranty, expreued or implied, concerning the examinations and corrective measures deicrlbed in this Owner's Report. Furthermore, *neither the Inspector nor his employer shall be liable in eny manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this i_n_sp_ec_t-io-n._ _ _ _ _ _ , b1.,. . . _~. . . ;.;, ,*. ,o: ;.-"'- -'-=. :.- 1T_O_,;'-~=..::u-"--AL--S-Y_S_T_EM Commiaions--"/\.1-F-'A"""C-=* 1 Inspector'* Signature N11tlon.. Board, Stet*, Province, 11nd Endor111ment1 oate,_ _ _ _ _ r__.~9.___19
~~. . 9c<~~
~~(12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS POWER _ _ _ _ _ _ __~~
~~COMPANY Date _ _.::i;4_-..=2..=l_-..L9..<=2'"---------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ __,!=----------------~~
27780 BLUE STAR M~irfAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200133 Repelr Org11nizatlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM TypeCodeSymbolStamp _ _--=-N~A=--------~~
~~Name Authorization No. _ _ _ _ _..:N?.+/-A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _No=A'-------- Addreu~~
~~~ ldentificationotSvrtem _ _~A;..;~~*'--F_E_E_D;..;W~A~T~E~R~-----------------------~~~
5. (a) Applicable Conrtruction Code_----"A;;;.;;I;;.;;S;..;C:;......._ ___;lj: 8THEdition, _ _ _N..;;..A.;;..*_ _ _ Addenda, _ _ _ N_A'--_ _ Code Cese (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-'B 3_..._S
~~........ 83~~
6. Identification ot" Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
~~HANGER EBB2-H232.1 CPCO NA NA NONE 1992 REPLACED NO~~
7. Description of Work _ _ _ _.:.:RE==-PL=A=CED=.....:HAN=:.:..;G:.:E:::R~P:....:E::R::......:S:.=C:..::9-=1:....--=1~4-=8~_.::,:N=EW~=HAN=.::.GE=R=---------

8. Testa Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Praaura D Other !!! Praaure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheet* in form of listl, sketches, or drawings may be ulld, provided (1) 1ize is 8% In. x 11 in,. (2) informa-tion in ltam1 1 throulti 6 on this report i1 included on ach sheet, end (3) uch sheet la numbered and the number of 1heet1 ii recorded llt the top of this form.
(12/82) Thia Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufactur.r's Data Repon1 to be *ttached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this~~::z.;.;;:;;;,ioi:::::=""'-IC'onforms to the rules of the ASME Code, Section XI. Certificate of Authorization No. _____N_A_________ Expiration Date _ _ _ _ _N_A _________ Signed ,/ . td:k-.J
~wner'1 0111ignH, Title Date Apri f 24 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 MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspected the components described in this Owner's Report during the period J -'/- 9-&to 'f-9-9.?l. , and state that to the best of my knowledge end belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requiremenu 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 end corrective measures dncribed in this Owner's Report. Furthermore; neither the Inspector nor his employer shall be liable in iny manner for any personal Injury or property damage or a 1011of1ny kind arising from or connected with this inspection. ~!7 FACTORY 111JT1lAL SYSTEM
----------.,..~~--'=-.....,"""'""-"""'""'-"-""'~"""""--Commiaions Inspector'* Slgrwture Mi'. "'jtG,~ . Netlon81 Bo.rd, St1te, Province, and Endorsament1 oate_ _ _ _ _ _ r___-_9__ 19 9.;i (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ __ POWER _ _ ,COMPANY Neme 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_........-l_ _ of _ _- - - ' l = - - - - - - - - - - Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200134 Rmpalr Organiutlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Typ~ Code Symbol Stamp _ _~N=A"'--------~~
~~Na ma Authorization No. _ _ _ _ _.....N...A~------ ANN ARBOR, MICHIGAN 48106 Expiration Data _ _ _ _ ___.N ....A=-------~~
~~~ ldentificationofSyrtem _ _ s~__~ __I_N~_C_T_I_O_N_________________________~~~
5. (a) Applicable Construction Coda AISC ;;J 7TH Edition, _ _N_A____ Addenda, _ _ _ NA_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol PLATE 1/2" X l"X2" NA NA 1982 PLATE l/2"X 4' X 8' NA NA 1982 ANGLE 3"'X 3.. X 1 2" NA *NA 1982 C'~fJo"'e"" s
~~7. Description of Work 1JI" HANGER CC4-H772~~
~~~..:zro-1"'~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Opernting Preaurw 0 Other[] Preaure psi Test Temp. °F VISUAL EXAM PT EXAM NOTE: Supplemental 1heet1 in form of lists, sketch*, or drawing11119y be used, provided (1) 1iz* ii 81!. In. x 11 In., (2) informa-tion in items 1 through 6 on thi1 report 11 included on each sheet, *nd (3) e8Ch sheet ii numben.td and the number of 1heet1 ii recorded at the top of thi1 form.
(12/821 Thl1 Form (E00030) mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reportl to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re/Jk('f..,ea"t;;,nforms to the rules of the ASME Code, Section XI. rapai~ or replacament Certificate of Authorization No. _ _ _ _..:.N:.:A=---------Expiration Date _ _ _ ___;N:..:.:.:A=---------- Signed_...,.~............,..=;:;;;;;.a,__.~-
...- ..__.,,...._,v___;,,_o_._---'A~~-=-~---Date_...;..1"'1_~;......,,,,,....----'-z...::....;S;;.__ _ , 19 Ownar or Owner's De1ignaa.'Tltl* ~ ..,..-
9'L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL *. of NORWOOD
MA hl!V9 Inspected the components described in this Owner's Report aunng the period :f-JS-9,,2 to Z-tS=9iL , and state that to the best of my knowledge and belief, the Owner ha performed examinations end taken correctiva measures described in this Owner's Report in accordance with the requirement1 of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expreued or implied, concerning the examinations and corrective meuurm described in this Owner's Repart. Furthermore, neither the Inspector nor his employer shall be liable in any manner for eny personal injury or property damage ore loa of any kind ari1ing from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~-------J.~~~...,.,l~llr!!:o:l<-~~~----Commi11ion1_...foz...:..11;.,i;'I...,;~~-;::::;..;:..~~
~~ifllP9CiO gnnure Natlonel Board, Stne, Provine*, and EndorMmenH oate._ _ _ ____.r_--'-1-=s.....__19 ~ 112/82)~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER~~
_ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _...:4"!.!./...:2:.::4"..!.../~9.::.2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l:___ of _ _ ___;:2;___ _ _ _ _ __ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit_--:1~--------------~~
27780 BLUE STAR MOO'W'fAL HWY. COVERT, MICHIGAN 49043 T&B W. O. 24200135 Addrea Rep*lr Or11*nlutlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __...N,...A...._______~~
~~N*m* Authorization No. -----~N!.!iA~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _~N.,,Au....______ Addrea~~
~~~ ldentificationofSy"em _ _ _ _s_~_E_~_I_N_J_E_C_I_I_ON ________________________~~~
~~5. (a) Applicable Construction Code~~
AISC ¥J 7IH Edition, NA Addenda, _ _. . ;N;.; ;A.;. . ____ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83

S 83
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)~~
-tO~,{)q BEAM G19698-8 ATTACHMENT (4) NA NA Po.,+~ \Q<-j 1982 NO WELDLESS G19698-9 EYE (2) NA NA ~.51~ 1982 NO WELDED EYE ROD 5/8.. (2) NA NA 1982 NO HEX NUT 5/8.. (2) NA NA 1982 NO TUBE STEEL 3.. X 2""X 1/4.. NA 1982 NO
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preaure 0 Other[] Preuure. _ _ _ _ _ pai Test Temp. _ _ _ _ _°F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings llllY be used, provided (1l1ize i1 8% in. x 11 in., 121 informa-tion in Items 1 through 6 on this report is included on each sheet, and (3) nch sheet is numbered and the number of 1heet1 is recorded at the top of this form. -
(12/82) This Form IE00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be ettached
~~CERTIFICATE OF COMPLIANCE .~~
We certify that the statements made in the repon are*correct and this flee/qce,.,e11 "T;onforms to the rules of the ASME Code, Section XI. repelr or replacement Certificate of Authorization No. _ _ _ _-'N'-A'""----------Expiration Date _ _ _ _ _. ;;;N.;.;;A;.;;.. ._ _ _ _ _ _ __ Signed--=-~~* -=---*_._fl-=-t::.~~--;-*__µ_,O_._. _A_'_J_,___ Owner or Ow~. Title ~
~~"'-_ _ Oate____..r2...-D,,........._-"--_/-=-6_ _ ~~~
19 92... CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued oy the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL . of
.......N...O...,R ...W....,.O""O,,.D~ * ......,MA....__ _ _ _ _...,,,._ _ _ _ _ _ _ _,,,__ _ _ _ _ _ _ _ hsve inspected the components described in this Owner's Repon during the period _ _ _ _ ___.1.._-.1 --'l.....2......._to ......o... 1-lo -9.:2 , and state that to the best of my knowledge and belief, the Owner has performed examin1tion1 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 lnspectOr nor his employer makes any warranty, expr~sed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore,-"neither the Inspector nor his employer shall be Iiable in eny manner for eny person.i injury or property damage or 11 loa of *ny kind *rising from or connected with this inspection. FACTORY MUTUAL SYSTEM
~~---------~---------* I n1PectOr'1 Sl_gnnure /\1~~
_ _ _ eommi11ions_... _.1.._'.........fiD_ . . . . . -...dl.. N11tlon.i Bo*rd, Stllte, Province, *net Endor..nenu Date*_ _ _ _ _.._7_-"'"'/o::;...__19 9o? (12/B2l
PAGE 2 OF 2 T&B W.O. #24200135 HANGER #CC4-H770 Nll'M of Componeitt N~of Mani.If~-
~~~fmwm Setl81 No.~~
~~Nst!OMI loetd No. 01tl;r ldentifladOft P.O. y_, lullt Aeoelrwd, A113f!ICM,~~
~~.4.SMI!~~
~~or Aeplll*Mftt or Nol~~
~~~~b~'~~
0 Ii'\ COde Stlm09d (Y1!11 PLATE -~tnle.~~ kep /aced' G25106-3 1/4 x 4' x 8' s+ee..\ NA NA l+i-$1131tt"1'1?0 1982 Rr!P!lrfM!f:l NO PLATE ~thle.~~°' G20898-3 f(ep(GceJ 7/16 x 4' x 8' .S+,o,c \ NA NA /+~ KOi X "3lS-&'c 1982 R:BPM~B NO TUBE STEEL Gl8407-10 f<ep(qc~ 2 x 2 x 1/4 j._t::~\} I \'I NA NA 1{~~16GS~ 1982 R,l!;Pil13:R:BB NO BEAM Gl8409-6 "" Rep(Qce W4 X 13 O~Ar NA NA lir'* ~"3 re'1 I 1982 R!!Pi'r3:~ NO PLATE J-1,,Kf:N.5 Gl8406-8 {{efJ/ccetf 1/2 x 4' x 8' '."'_~TC:.-a.... NA NA 1-h1F12~i;-.1'iS' 1982 !ij;;;P2'rfM!!l NO
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
~~_ _ _ _ __ POWER _ _ , . .COMPANY~~
~~,.----------- Date ------'-4'-'/2=-4:..t./....::9~2'------------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l'--- of _ _- - ' l = - - - - - - - - - -~~
~~Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - ' l = - - - - - - - - - - - - - - - -~~
~~27780 BLUE STAR MEM&'r.fAL HWY. COVERT, MICHIGAN 49043 T&B W. O. 24200136 Repair Or1111niz11tion P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N"""A~------~~
~~Name Authoriz11tian No. _ _ _ _ _..:.N,.,A~------ ANN ARBOR, MICHIGAN 48106 Expimion Date _ _ _ _ _ _NuA2-.______~~
~~~ ldentH~~~n~Syrtem _ _ _ _S_A_~_~_I_N_J_E_C_I_IO_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~~~
5. (a) Applicable Construction Code AISC ~ 7TH Edition, NA Addenda, _ _.....;;.N;;;A~_ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped IYes or Replacement or Nol P.O. ~It ~-z.. .~~
~'~ro~-v PLATE ~;.Yi \-e. \\~ G20898;,r'4 ~flqc~d 3/f!'X 4' x 81 6-+eE. \ NA NA 11T-= '"3,,,' 6'"18.Ji-. ,1981
t~
~ii& .......... 7<epJqceJ NO PLATE l- IA t:::SN '5 Gl8406-9 l/4"X 4' x 8' _-Sji'--r"> NA NA 1-h-'d:. ~.GJc;(' 1981 ~!SB NO iJJeJ q~o ... ~ -c;ferJq
~~7. Description* of Work:_ _~'R~l.:~Jl~A~I~~~;;_!l~tM~i~8!!R!t.]P~E~RLJ!S£C!91!:;-jl~4~9~HAN~~G~E~RLfCf;C4!t;-jHf!7~2~6~----------.,..,.............~~
~~'7'01t _,_&-CJ'2.~~
8. Teats Conducted: Hydrostlltlc D Pneumatic D Nominal Operating Pre1111r. D Other[] Pressure _ _ _ _ _ pal Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, sketches, or drawings may be ullld, pnwiclld 11 t liz* ii 8% in. x 11 In., (2) Informa-tion in Items 1 through 6 on this report ii included on each sheet, end (3) nch sheet 11 numbered and the number of sheets i1
~~recorded et the top of this form.~~
112/82) Thia Form IE00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017
FORM NIS-2 (Back) Applicable Manufacturer's 011t11 Aeport1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this k1eq ft:ictl'l"!e£conforms to the rules of the ASME Code, Section XI. r11p11ii or r11pl11c11ment Certificate of Authorization No. _____N_A_________ Expiration Oate ______N_A _________ Signed_TI~,,,.JP'MM~~..........,/2~ Own11r or Own11~.i. Tltl*
-~,:* .. ~~)J,;.,.-,o_._.--'-A..<.,,;,...'~-=~'---*___ oate-~-r--'-~--S"-----* 19_9_~ ,..=. ~ ~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure VeSl!el Inspectors and the State or Province of MICHIGAN a 11d employed by PROTECTION MUTUAL . of
......,N.,.O.,.R....'tJ.._..O""O..D...._._...MA ......- - - - - - = - - - - - - - - = , . . . - - - . , . . . . - - - - - h a v e inspected the components described in this Owner's Report during the period _ _ _ _ _;l...__-"-/0;::;...--9,... _to '2. ..... X -/ 0 - 9.:3 , end state that to the best of my knowledge and belief, the Owner ha performed examinetions and taken corrective measures described in this Owner's Report in accordance with the requiremenu of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warrantV, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore,.neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 0 fl /} /J FACTORY MUTUAL SYSTEM
---------~ ..........-;:;-.........,~-=-=----'---Commiaion1__./\1....._ .......1_*........ -:/fk.__ Pl...,..____________~
Inspector'1 Slgn8tur11 N11tlonal Boan:t, Stat*, Provine*, and Endorwm11nt1 Oete_ _ _ _ _ _,7__-L.O/0____19 9.il (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _ _ _4.. :. :. . :/2::..4:..!/.. :9-=2_ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_---"!'-- of _ _- - ' ! = - - - - - - - - - - Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _! = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEMO'R'.YAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200137 Aepelr Or1111nizatlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _~N?.£A~------~~
~~N*m* Authorization No. _ _ _ _ _.=iN~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _Nil£!A..______ Addrea~~
4. Identification of System _ _ ___;A::.UX=I:::L::I::.:A::.:RY:;......:FE:.=E::D~W::.ATE=R~----------------------

5. (al Applicable Construction Code _ _A_I_s_c_ _ _~ ?TH Edition, _ _N_A_ _ _ _ Addenda, _ _ _N_A_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Seriel No.~~
~~National Board No. P.O. Other Identification Year Built Repaired, Replaced, or Replacement or Nol~~
~~-r-oP.. %-"\~~
11.. ASME Code Stamped (Yes b- .. PLATE Ll.A.ICENS G18406-7 Re(J lq ceJ 3/4.. X 4 1 x 81 .5 TC::::e:L NA NA \.l.-r-1t "R !.3 i '8' 1983 R!3!11'i;l;iij!jij NO
~~~JJ~J Q.bove ,,,..., Q-f~,,,.,fit. I~~
~~7. Description of Work _ _ _ _ _ _--......:f-M~f11t~I~~~t!~:8~H!61VffJSB~'R:t:]P~EiBR_:S~C~9!]1:._:-:}l!f.4Z7_JHANJM[gGER~JHB!!filC~3l.27::-!!HSL_ _ _ _ ___,,___~~
~~-roi. 6 - S-'t'L~~
8. Tests Conducted: Hydrostatic 0 Pneumltlc 0 Nomln1I OP1r1ting Preuure 0 Other (!] Preuure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, sketches, or drawings may bemed,providlld (1) size ii 8% in. x 11 in., (21 informa-tion in items 1 through 8 on this repon ii included on ach sheet, end (3) 9ICh sheet ii numbered and the number of 1heet1 i1 recorded It the top of this form. *
(12/821 This Form (EOOOJOl may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be ettached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this fleefqre"!e?"/;;,nforms to the rules of the ASME Code, Section XI. repair r replacament Certificate of Authorization No. _ _ _ _...;N.;.;;A;;;..._ _ _ _ _ _ _ _ Expiration Date _ _ _ _ _N_A _ _ _ _ _ _ _ __ Signed__,,-d;..,~~""'* Owner or Own~nie, Title,
~~.. ~~- O::;...,c_.* . . . .:. .fle. ;1~~~
~~1 ...../J_~;z=:::a .........=../'-'.---'-", ~-'=~~--Date_/La.._...~~
. r= _ _ _g=---* 19 92-CERTIFICATE OF INSERVICE INSPECTION I. the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA hllVll inspected the components described in this Owner's Report during the period 1- l-U to :{=-]=9+ , and state that to .the best of my knowledge and belief, the Owner has performed examination* and taken corrective measures described in this Owner's Report in accordance with the requintment1 of the ASME Code, Section XI.
By signing this certificate neither the Impactor nor hi1 employer mak* any wamintv, expresled or implied, c:Oncerning the BJ. examinations and corrective measures described in thi1 Owner'* Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loa of any kind ari1ing from or connected with this inspection. I~ FACTORY 111JTUAL SYSTEM
~~--------~--1 . . . ~......-.~ ..._.__ . . . . . _____ eommialon1 fb,*. "z:7G...;t_~~
~~In11P or"1 Signature National Board, Stai., Province, end EndorMmantl Date_ _ _ _ ?..__-..f. ___19 tfJ.. (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _ _..:4..:.../.:::.24-'-'/'--'9;..:2'-----------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ __:l:;....__ of _ _ _l = - - - - - - - - - - Addreu~~
~~2. Plant PALISADES *NUCLEAR PLANT Unit - - - ' 1 = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR ~AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200139 Aep11lr Org11nlz11tion P.O. No., Job No., *tc.
~~3. Work Performed by TOWNSEND & BOTTUM TypeCodeSymbolStamp _ _........e.N~A~------~~
~~N11m11 Authorization No. -----..!::N!.£A!--_ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N!,lEA.___ _ _ __~~
4. Identification of System _ _ _ _ _A:.:.UX=l:::L:.:I....AR=Y-'FE:.=ED=W...,A::IE=:R:.:.-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code AISC ~ 7TH Edition, NA Addenda,, _ _~NA1':....___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~5 83~~
~~6. Identification of Components Repaired or Replaced and Replecement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME or Replacement or Nol~~
~~..,-9~~,, ~~~
Code Stamped (Yes PLATE u.. .s. G20898-8 f<tf/qCE',...~"1.t l/lb'X 4' x4 1
~~~+eeJ - NA NA H:r X24874 1983 Milllt:EMB ' NO rl I I --1*1- * -~~
~~I _J.~~
,.,.~II; "9JJeJ .>~;"" pl~'t~
~~7. Description of Work _ _....,,...~J&~~*~*;i;~~!lii!!!!9::1~L1~'1t!iS!!ii!!!R:P~ER~.§S£C92;1!;:-:_!1~4J...7__!HAN!M!GE~R~HB!!!C£3~7t-~Ki~H!tj0L_ _ _ _ _ _ _ _ __~~
~~"rPR 6-11-"ll- . TOA.. ,_,,_,'?..~~
B. Tests Conducted: Hydrosmic 0 Pneumatic 0 -Nominll Operatin1rPreaure 0 - Other I!] Praaura psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketch*, or drawings mav be used, provided (1 l size is B% in. x 11 in., (2) informa-tion in items 1 through 6 on this repon is included on mch sheet, *nd 131 each sheet is numbered and the number of sheets is recorded at the top of this form .
~~(12/821 This Form CE00030) m11y be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE /. We certify that the statements made in the report are*correct and this fc>~p qC~~"" "t-conforms to the rules of the ASME Code, Section XI. r9l>arror raplacement Certificate of Authorization No. _ _ _ _..:N.:.:A:;:__ _ _ _ _ _ _ _ Expiration Date _ _ _ ___;N::.=.:A:....__ _ _ _ _ __ Signed_~ ....l-"""==;....r...~__.,,-'--z::;;...""",__A-'_..:,,..;:;0-",-"'--.4,.:..~-~"""-----Date ~ Owner or Owner's OesignH, Title ~ ~ II
~~19 9"2..~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the Nation*I Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD
MA have inspected the components described in this Owner's Report during the period '"1-tO

9'6 to 1-ID-9¢ , and state that to the best of my knowledge and belief, the Owner has performed 11x11min1tions and taken corrective measures described in this Owner's Report in ac:c:ordance with the w.quiremanu of the ASME code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any wam1ntv, expraued or implied, concerning the examinations and corrective measures dascribed in this Owner's Report. Furthermore, *neither the Inspector nor his employer shall be liable in .ny manner for any personal injury or property dmmage or 11 loss of 1ny kind arising from or connected with this
~~'"'°"'"""* ~ ~ FACTORY MUTUAL SYSTEM~~
_ _ _ _ _ _ _ _:::zs_,_~-=~""-l._,_,,_=:;;~=-----Commiamn1_~fl:1~1~*-.__'1<P._..~~:;.;;:._ _ _ _ _ _ _ _ _ ___ ln1PectOr'* Slgneiure* N*tion.t Board, Stet*, Province, and EndorMment* Date._ _ _ __,J..........,-/_.0 _ _19 9~ (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ ____, POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _.::;4,_/2:::..:4o:;J/'-'9:..!:2:...__ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_-=1'--- of 1 Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ME?J&~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200140 Repair Or11*nlutlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___,.N~A~------~~
~~N*m* Authorization No. _ _ _ _ _...._N~A~------ ANN ARBOR, MICHIGAN 48106 Expinnion 011te _ _ _ _ _ _N~A._______ Addraa~~
4. Identification of System _ _ _ A..;..UX""'I_L_IAR_""Y_FE~E""'D""'W;;;..;A""T""ER"-------------------------

5. (al Applicable Construction Code AISC ~ 7TH Edition, NA Addende, __N_A_ _ _ _Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~5 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol~~
°"ol'te;-'i-i P.O. £- 1 PLATE LM.ta:sl..J s Gl8406-8 ~{Qced
~~l/2x 4' x 8' NA NA H't#Jt> 3-,., $l' 1983 ~ l!l:!M8 NO~~
~~.STEE. ,qJJ~J "fbo"'e ,,....~reric,/~~
~~7. Description of Work _ _ __:.R£~P~1'~t!~Rii~B~l~'IM~l~6B!R!!JP~E~RJS~C~9Ul,:-];14!t:7l.._..J!HAN~GE~R:_E~B!!;1~4t.:-:!!H~2~29L_ _ _ _ _ _ _ _ _ __~~
~~jCj'I{ 6-~-'il...~~
8. Tests Conducted: Hydrostetlc D Pneumatic D Nominal Operating.,,_,,. 0 Other IKJ Preaure _ _ _ _ _ p1i Tait Tamp. _ _ _ _ _°F VISUAL EXAM NOTE: Supplemental 1heet1 in form of lists, 1ketch111, or drawln91 mey be uud, provided 11 l 1lze is 8% in. x 11 in., 121 informa-tion in item1 1 through 6 on this report ii Included on uc:h 1heet, ~nd (3) ac:h sheet is numbered Md the number of sheets is recorded at the tap of this form *
(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer'* Data Fleport9 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~'ff'bre,.,f>ltonforms to the rules of the ASME Code, Section XI. repei or replec11ment Certificate of Authorization No. _____N_A_________ Expiration Date ______N_A_________ Signed_~""'"-"'~"-= ....~~.--=:ojJ--µ,-'"--0-*_/9. Owner or Own~nH, Title ___ ~._____ Date/~
}+/-_*
~
~~8 19 9 z.~~
\
CERTl='CATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issi..,J by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of _..,N..,O..,R,..W O..,O..,D'L'_..MA....__ _ _ _ _..,...__________......,=--=-----have inspected the components described in this Owner's Report during the period _ _ _ _ _ __,;f.__-... r_:£ __ ~----to ?- 7::9~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requlnimenu of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this inspection. t/f; IJ FACTORY MUTUAL SYSTEM
----------~~-----~ ln1Pecior'1 Slgnnu,. ..._ _...._ _ _ eommisslons _ _./\i_,-.~*. . .__,"7fo'"""""-~-=----------..,-----
~~National Board, State_. Province, end EndorMmant1 Date_ _ _ _ _ ]_--+}-___t9 'f4 (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ __ POWER _ _ , ,COMPANY .,----------- Date _ _ _ _ 4;..../2_4....:/_9_2_ _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_......:::l'--- of _ _ _l:::....__ _ _ _ _ _ __ Addre11
~~2. Plant PALISADES NUCLEAR PLANT Unit _--'l:::....__ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR MEMD~AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200144 Addreu Flepair Or1111niz11tion P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __...N,_.,A:::....__ _ _ _ __~~
Name Authorization No. _ _ _ _ __,, N,_.,A:::.. .__ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _:!NBA,___ _ _ __ Addreu
4. ldentificationofSyuem _ _ _ _P_~--'S~S~~~I~Z~E~R~S~P~~~Y~-----------------------

5. (al Applicable Construction Code __A_I_s_c_ _ _......;~7TH Edition, _ _N_A____ Addenda, _ _ _N_A___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufecturur Sarial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)~~
~<<..~i "~'b ANGLE Norlh&J1!&ferl\ Gl8409-2 1lep/.,,, tecl s+-.1 a. ... cl.
3"X 3"X 3/8" ..v1 re_ NA NA H,>> :131110 1981 RB!ls.'t~iij!jQ NO PLATE L~KcN.S Gl840i-7 R~p/qceJ 3/4.. X 4 1 X 8 1 _"$ lt""El- NA NA ~Ur "e331S' 1981 ~Pi'i:IRiQ NO TUBE STEEL /....eAtJ1n-01 G'i8401-s R~plcc-eJ 6'"X 6.. X 1/2° 0 NA NA J fc,; 1t j"t"O$<P 1981. RiiPi.Y~. NO PLATE J.,UK~""N-5 Gl8406-6 f<~lqc~J 1 11 x 4 1 x 8 1 -'Srcn:L NA NA lin~ R.&'?9.~ 1981 ti!!'K:fM!B NO
~~,t/JJ<<l q6ove -~ "f-e,,.iq(~~
~~7. Description of Work. _ _ _'R_IB_P...,.ti:,,...I_Rfl_B__,I,...W..,,,1_6_ER_P_E_R_S_C9_1_-_l_S_6__HAN~~
~~__GE_R_CC_9_-_H_l_0_._2_ _ _ _ _ _ _ _ _ _ _ __ TOR- ,,8,~~~~
8. Te1t1 Conducted: Hydrostatic D Pneumatic D Nominal Operating Preaure 0 Other [ ] Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F VISUAL EXAM NOTE: Supplemental sheet* in form of lists, 1ketch*. or drawlnga m1v be uud, provided 11 l 1ize i1 8% in. x 11 In., 121 inform1*
~~tion in Items 1 through 6 on this report i1 included on each 1heet, ~nd (3) uch lhHt i1 numbllred and the number of 1heeu is recorded et the top of this fonn~~
~~112/821 This Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS-2 (Back) Applicable Manufacturer's Data Report* to be attached CERTIFICATE OF COMPLIANCE~~
We certify that the statements made in the report are correct and this @rp/cc~,.,ei"'t;;;torms.to the rules of the ASME Code, Section XI. repeir or replacement TypeCodeSymbolStamp _ _ _ _ _ _ _N_A........._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~~Certificate of Authorization No. _ _ _ _..;;.N.-A~--------Expiration Date _ _ _ _--'N=A,___ _ _ _ _ _ __ Signed--:~~:;..i;.u;;::uL=--tfc'---~~~
~~..........=.-p_-'-'-=o'-"-._....t?._._~==...._--oate~/L.D~~--S:.-_ _ , 19 Owner or Owner'1 Oe1ignH, Title ~ ~~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board of Boiler and Pl'f!nure Vessel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL . of NORWOOD, MA have in~ted the components described in this Owner's Report during the period 1-1:fot, to r- T-9;;J.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expreued or implied, concerning the examinations and corrective meuun11 dasc:ribed 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 loa of any ki'nd arising from or connected with this
~~;..,..;,...,. -~ FACTORY MUTUAL SYSTEM ---------~...,~---c..o-=----'----Commluion1 ln1Pector'1 Slgnnul'9 M1 *, "P£.:t.~~
~~Natlon.i Board, State, Province, and EndorMmentl (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS --:.,.--------------------~~
~~1. Owner ________________ POWER COMPANY Date ...................:4,...lu2o.::i4u./..<9...._2_____________________~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet __-::;l___ of ______,1,________________~ Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit .....-.....:1=------------------------------~~
27780 BLUE STAR M~"irfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200145 Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM TypeCodeSymbolStamp ____.~N~A~-----------~~
Nam* Authorization No. __________, .,N""A.____________ ANN ARBOR, MICHIGAN 48106 Expiration Date ___________N,!,!.EJA,__________ Addreu
4. Identification of System _ __..S,..A_..FE.....,.TY.._I.,..N.,.JE.....,C,...T.:.I..,ON...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code _ _A_I_s_c_ __...;¥J 7 TH Edition, _ _ NA_ _ _ _ Addenda, _ _ _N_A_ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped or Replacement or Nol~~
~~-1°Q-t;t,~'V.~~
(Yes TUBE STEEL LEA'll*Tr G18407-12 ~c;ceJ "' 4.. X 2"X 1/4** NA NA H~J1CJ 1u~ 1981 RB!l!.la;E~ NO "1JeleJ t:11X>ve Mq~riqf
~~7. Description of Work _ _ _.......,,._jil~lrl!P~...!!;E~REf'~jl~tld~f~eB!R!t]PER~LJ?SfC~91!::-j1~5~4:...._JHAN~~GE~R:._QGC£1!::-:!R~7~5~5-----------~~
~~T"Of{ .-8-'h.. -~~
8. Tests Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Preau19 0 Other[] Pressure psi Test Temp. * °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, sketcha, or drawings may be used, provided 11) 1ize It 8~ in. x 11 in., (2) informa*
tion in Items 1 through 6 on this report ii Included on ach sheet, end (3) each sheet Is numbered and the number of lheeta is recorded at the top of this form. * (12/82) This Form (E00030) may be obtained from the Order Dept.. ASME, 345 E. 47th St., New York, N. Y. 10017
FORM NIS-2 (Back) Applicable Manuf11cturlilr's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are-correct and this @.ekre_.,-e..,rconforms to the rules of the ASME Code, Section XI. r*p*i~ or r*plecement Certificate of Authorization No. _____N_A_________ Expiration Oate _ _ _ _ _N_A_________ Signed__,"Tte..,..,,,........~=-......~....=.i;~-----AI._.o__.'-__A _____Ll!= _____~,,..-. . ,__*_*__ Oate ___~ _ _ _ _ _ __.e..____, 19 Ownu or Own*r's 0111ig~ft, Tltl* ~ / 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 MICHIGAN a 11d employed bv PROTECTION MUTUAL . of NORWOOD
MA have inspected the components described in this Owner's Report during the period :T- ?-U to "1 * ]:=9.2. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirementt of the ASME Code., Section XI.
By signing this certificate neither the Inspector nor his erriployer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Repart. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any pel'110nal injury or Pl'OP&rtV damage or a loss of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~---------1--"'-~""""'"'-"'"""::x.....:..=:.----Commission1 ln1P o;, Slgneturw~~
~~_ _.f'0_.._...,1..,*."'""l<P.....,,....2.iiiCOo_ _ _ _ _ _ _ _ _ _ _ __ N*tlon., Bo*rd. St*t*, Provine*, 11nd Endor111m*nt1 oata*_ _ _ _ r._-_..l___,s i~ (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _c_o_N_S....;.UME~~
__RS __P_OWE_R_C_O_MP_ANY _ _ _ __ Dete _ _ _ _4...;,/_2_4,;_/9....;2:......_ _ _ _ _ _ _ __ N*m* 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_......:..l_ _ ot _ ____,_2_ _ _ _ _ __
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR d'fiAI. HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O, 24200146 Repair Or;anlzmtlon P.O. No., Job No., etc..~~
~~3. Work Performed bv TOWNSEND & BOTTUM Type Code Svmbol Stemp _ _~N.!!A,______~~
Nam* Authorization No. _ _ _ ___,lN~A2:-_____ ANN ARBOR, MICHIGAN 48106 Expimion o.. _____ -1ilN11aA...__ _ _ __ Addl'ftl
4. Identification of svstem_~~P-RE_s_s_URI=ZER;.;;;..;..;_S;;...P_RA=Y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___::...__ __

5. (al Applicable Construction Code _ _..;;,A;;;;I;.;;S;..;C;;...___;IJ 7IH Edition, _ _N_A ____ Addenda, _ _. ;;.N_A_ _ _ Code Case lb) Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19....8..,_.,3_.w.S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME
. Code National Repaired, Stamped Name of Name of ManuflCtUntr Board Other Yemr Repleced, (Yes Component ManuflCtUntr Seri1I No. No. Identification Built or Replecement or Nol ~(t.~,A'l P.O. .. b""
nJBE STEEL LEA\11 Tr - Gl8407-4 'f(eplqcecl 4"X 4"X 3/8" NA NA il.l.Tfl'Qo~3q 1981 l&l&;l;R& NO nJBE STEEL Gl.8407-2 (t~fq reel 2"X 2"X 1/1+" L..erW*lr NA NA "'Tltq\ 1..ll~~ 1981 ~ NO PLATE J..Lll.KeN.5 Gl.8406-9 1<.epfq cec/ *. l/4X 4' x 8' .<!~l NA NA )I,.~ P..~'i8 1981 ~ NO PLATE Ltl\ke,l'(\5 Gl8406-7 ReplcrceJ 3/4"X 4' x8 1
.'S-\-e...\ NA NA IHT\t'l233l~ 1981 Ml~.u;R& - NO PLATE u.....~~s Gl8406-8 Rep late,/
~~l/2'/X 4 1 x8 1 5-\--e\ NA NA *"-1"° '236:'1S 1981 RBPMR&lr NO~~
~~.4JJeJ ql>ove "'lt:t'fer:ict/~~
~~7. Description of Work_,_...,=.;RB~P~.\!]iR!!!llm!!:;~Hil~'t.~N~iliil~~~P~E~RL§SlfC2_91!;-:]15~6_JHAN~!!JGE~RJC~C~9~-,!!R~22L_ _ _ _ _ _ _ _ _ _ __~~
~~'T'DR 6~11-'11.~~
8. Test1 Conducted: HydrosUdc: 0 Pneumatic 0 Nomlnll Opemlng Preaure 0 Other (]J P111S1Ure psi Test Temp. *F VISUAL EXAM NOTE: Supplementll shllU in fonn of lilts, 11cetch111, or drewinill mmv be uud, provided (1) 1ize ii 11% in. x 11 in~ (2) informe-tion in ltenu 1 through 6 on this report II Included on eec:h sheet, end (31 ach shwt i1 numbered end the number of shHtl i1 recorded at the top of thll form.
(12/82) Thl1 Fann (E000301 may be obteined from the Order Dept., ASME, 345 E. 47th St., N-Yortc, N.Y. 10017
FORM NIS-2 (Back) Applic*ble Menufecturer's Oete Report* to be ettac:hed
~~. CERTIFICATE OF COMPLIANCE We certify that the .~menu made in the repon are correct and this Rrp/qq:,.., ... tconforrr1s to the rules of tht repelr or replKCnent .~~
~~ASME Code, Section XI.~~
~~Certificate of Authorization No. _ _ _ _N=A;__ _ _ _ _ _ _ Expiration Date _ _ _ _. . .;;..;N.;;.;A;.._,_ _ _ _ _ __~~
~~~ ~, #.O. A *1_.......~~
~~Signed c_rk *Date _--.~ _ _,___..:..../:1-.(- - -~~
19 9 L Owner or Owner's Oftignee, Title v CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a vllid commission issuld bv-the National Board of Boiler mid Pressure Veael Inspectors arid the State or Province of MICHIGAN and amployed bv PROTECTION MUTUAL of NORWOOD

MA -= hlll'I inmpected the componenu detcribld in this Owner's Report during th* periOd "f-/q- 9¢ to -f-/o-9?? and 1t1t1 that to the best of my knowledge encl belief, the Owner ha performed exemlnetions and takln correctiw measures descrlbld In this
~~~.wner's Report in eccordmc:a with the requlrement1 of the ASME Code, Section XI.~~
By signing this c:ertificata naldwr the lnspect0r nor his employer mak* any warnmy, *.-cf or implied, concerning the examinations and conec:tiw measures described In this Owner's Report. Furthennore, neither the lnllJICU)r nor his emplayei' shall be liable In ainy manner for any penonll Injury or property dllTl8111 or* loa of eny kind arising from or connectld with this
;,_.,.._ ~~ FACTORY ltllTUAL SYSTEM -------~~- ......._.~ ._ ....__ __...._eommlalon1 f'1/. Zte?l I rupectar'I Slgnnurw NatloMI Boanl, Stnl, Prov*-. end EndOnM!aftll Date 1-lo 1a 9~
~~(12/821~~
~~!'AGE 2 OF 2 T&B W.O. 24200146 HANGER #CC9-R22 Neme of Component N.meof MMufeciurw ~fa=Jn!!t' Sert* No.~~
~~NatlOfl* loerd No. Ottiw lde"1.lflcsdon P.O. Yw l1.1llt Reolirwd, ReorlCld. ASM! Code Stamoed (Yt1 or AIPlll*MM or Nol A!l ,l~C\."V~~
' b' PLATE F.>r::+f., \<0<_\\.~ G25106-2 Ref/qc~J l/2**x 4' x 8' s+ee.\ NA NA i4TiJ.(io~ f' _~'!'-ID 1981 ~Piltf~B NO
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of tfle ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. O w n e r - - - - - - - - - - , . . , . . - - - - - - - - - - - -~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ _.:::;l_ _ of _ ___,l::___ _ _ _ _ _ __ Address~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ __,l==----------------~~
~~27780 BLUE STAR MEM~'WfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200148 R*P*lr Or11*niz11tlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _ ___,!N~A:...__ _ _ _ __~~
~~N*m* Authorization No. _ _ _ _ _....N,,...A~------ ANN ARBOR, MICHIGAN 48106 Expiration 011te _ _ _ _ _ _..,,N"'A...__ _ _ __ Address~~
4. Identification of System _ _ _ _::..;PRE:.=S:.::S:..::UR=I=ZER::..:.....:S:..:.P..:..:RA:.:Y=-------------------------

5. (a) Applicable Construction Code AISC ~ 7TH Edition, NA Addanda, _ _N_A_ _ _ _Cod*e Cesa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer M11nuf11Ctu rer Serial No.~~
~~National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No)~~
~~-ol'ts::i..,...~~
I ASME Code Stamped (Yes P.O. (..~- ANGLE J2o~ec.E Gl8409-4 f4!p /q c e.cl.. cLC.nZI~ 2"X 2'"X 3/s"' "'TC:.~ NA NA th-..... "T"L."130 1981 M!f':tll:!~ NO IJJ~J q )ove co..., f'ot'te ...,,
~~7. Description of Work. _ ___,,,___..:!Ri!i!!~F1~H~R~lml!::~ll!fl!~f8B!!!Rt,!P!ER!_:S~C~9~1~-:!1~5~6-.!HAN~~GER~JC~C~9~-~R1~9------------~~
~~-r!)R , _8 -~ l-~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nomin1l Operating Preau,. 0 Other [!] Preaure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sh.., in fonn of Ilsa. 1katcha, or drawings may be used, pnwidld 11 l size ii 8% In. x 11 in ** 121 lnfonnl-tion in items 1 through 6 an this report is included on eec:h sheet, end 13) emcf'I sheet is numbered and the number of sheets is recorded at the top of this form.
112/82) This Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
9. Remarks NONE Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f<ef/qce.,.,,ea°'t;;nforms to the rules of the ASME Code, Section x I. repair or replacement Certificate of Authorization No. _ _ _ _...:N=A=----------Expiration Date _ _ _ _ _.;;.N.;.;;A"'---------
~~Signed ~ Owner or Owner's~~
&~ ~al, Title IV'.0, /94 Date~ 6 / ,19 9~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnsp11ctors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOC -:.
MA have inspected the components described in this Owrc * *'s Report during the perioc- j1 - 'f-902, to f- f-9.,S, , and state that to the best : ; my knowledge end belief, * .iwner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the rea.., .:nentl of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warrantV, expressed or implied, concerning the examinations and corrective measures d*cribed in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propef!V damage or a 1011 of any kind arising from or connected with this inspection. 0 I' FACTORY MUTUAL SYSTEM
~~-----------~---=-*..,1..,3.-~--.;;.;:;;..._...__commiaions.~~
~~1n..,.c:tor'i Slgnnura _ .......'-...._J<e _,fh'-- 6.~------------ Netlonel Board, Stmta, Province, end EndorMmant1 Dater_ _ _ _ _ J...._*_.}___19 90J.. (12/821~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI POWER Name COMPANY 27780 BLUE STAR MEMORIAL HWY.~~
~~COVERT, MICHIGAN 49043 Sheet _ __:l:_..._ of _ ___;l::...__ _ _ _ _ _ __ Addren~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _!=----------------~~
27780 BLUE STAR MEMO~AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200149 Repair Organization P.O. No., Job No ** etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _-=N,,.A,___ _ _ __~~
~~N11m11 Authorization No. _ _ _ _ _..:N~A~------ ANN ARBOR, MICHIGAN 48106 Expiretion Date _ _ _ _ ___,N.,..A~------ Addrea~~
4. Identification of System ___s;;..;;AFE=.;.:;;TY.;;..*-'I;.;;N.;.:;;JE=C""TI;;;.O;;..;;N---------------------------

5. (al Applicable Construction Code
AISC ~ 7TH Edition, NA Addenda, _ _--..:N.;.:;;A:..___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83

S 83
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Repl11eement or Nol "i'"'O~
P.O. 6-8..,'l RIGID STRUT 2003-6281-2 Rep /cfcec/ GRINNELL ~121NN~ J NA NA fu ~~\O <. *-tl-3, 1981 ft!f1'1:fft!m NO
~~/qcecl <;,,.,. &f;,er- wj f-f, rrcr*~ s'ir"'1~~
~~7. Description of Work_-=="".--:!R~IB'~t:I~R~!e~:!;!H~tdflft!l~lttfP~EBRJS~C~9!11:.:-]:1~52L_.J!HAN~GER~LlGClf!l.::-S[7~4~3!..:.]l:..__ _ _ _ _ _ _ __~~
~~TP({ ,-8-~7-~~
~~8. Tests Conducted: Hydrosmic. Q PnaurMtlc 0 Nominal OperaJlng Pressure D _~~
Other [!) Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental shlltltl In form of lists, sketch*, or drawings may be used, provided 11 l size is 8% in. x 11 in., (2) infonna* tion in items 1 throultl 6 on this report ii included on each aheet, end (3) nch sheet is numbered and the number of sheets is recorded at the top of 1hil farm*
~~(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS-2 (Back) Applicable Manufacturer's Data Report* to be *ttachltd~~
. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f?ep/c.fl>eiM-/;nforms to the rules of the ASME Code, Section XI. r1p1ir or replacement Certificate of Authorization No. _ _ _ _...;N=A=----------Expiration Oate _ _;__ _ _N=A=----------
~~Signed_~"'-&.Z-"""'-...;;....Ao.....Lfl~_"""'" ~-=,""--'-µ,---'-, _t4....,_'--= A*. ~~~
~~-:..-.. +-_ __ Oate___,"'~'---"---a _ _ _ _ , 19_9_2-_~~
Owner or Ow~e. Title ~ o.;;;;..,_. I' CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 11 valid commiuion issued by the National Board of Boiler.and Pressure Vessel Inspectors and the State or Province of MICHIGAN a'1d employed by PROTECTION MUTUAL . of _...N..a. .Rllo.WDJoO!lo.OuD.u...-'"MA.....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,,....._ _ _ _ _ h1Ve inspected the components described in this Owner's Report during the period _ _ _ _ _ 1__-..l....CQ_-_9_;J...__to ?(--le::> -9.;t , 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 certificatll 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 lou of any kind arising from or connected with this inspection. _0 ~'J FACTORY MUTUAL SYSTEM
~~----------~+_~-..--....d;.:~~=~::...-Commiuion1,_..1.ll1:....:::.1.Lc':..*_,~L.-~'*li!:ili. -.*--------------~~
~~1nap.c:tor'1 Signatu,. Natlonll Board, State, Province, and EndorMm1nt1 Dater_ _ _ _ __._l_.-/L-'o=--_19 ~ (12/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER_ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _4~/~2:...;4~/.::..9.::.2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=1,___ of _ _- - - ' 1 = - - - - - - - - - - Addren
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _l = - - - - - - - - - - - - - - - -~~
27780 BLUE STAR M~~AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200150 Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N.:.::A=--------~~
Na ma Authorization No. _ _ _ _ _..!:,N~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Dete _ _ _ _ ___.N""A>.!t-._ _ _ _ __ Addrea
4. Identification of System _ _ _...:A~UX=I:.;:L:.;:IAR=Y=--=FEE=:::;DW~A'"'TER=-=------------------------

5. (a) Applicable Construction Code AISC ~ 7TH Edition, _ _;;,;;NA;;;.__ _ _ Addenda, _ _ _N_A_ _ _ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Repleced, ASME Code Stamped (Yes or Replecement or No)~~
~~-.i>~_cp ~~~
6- I TUBE STEEL /._E'A\} IT\ Gl8407-13 f<ep/qced
2"X 2"X 1/4 NA NA lk-... q \(.,q.s-:; 1985 Rl!Pft!Ri3B" NO
~~/c;cec:J q&1ive Co""'tp0f'Jf!"1"j-~~
7. Description of Work*----==irll;;.;;IB;;;;P~.'~zi:-'R&'i;:....:l:::ll.;;;ld;;.;;IS:::BR=..P;;..ER;;;;.;....;;S;,;;C;.;.9.;;;l_;-l;;..48;.;;...._;;;;HAN=GER=;;.,.;;;EB=l4.;.,-...;H2=2:::2;.;;.* .;;;1_ _ _ _ _ _ _ _ __
~~9"P{{ 4'-8*'S'l.~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Prem.I,. D Other ~ Preaure pal Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of liltl, sketches, or drawings nwy be used, provided (1) size ii 8% in. x 11 in., (2) Informa-tion in items 1 throultl 6 on this report ii Included on nch sheet, ~nd (3) nch sheet ii numbll"ld and the number of sheets is recorded at the top of this form.
(12/821 Thia Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable M11nuf11cturu's 011t11 Report* to b1111tt11ched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Rep/qcee-e"fconforms to the rules of the ASME Code, Section XI. repeir or r11pl11c11ment Certificate of Authorization No. _ _ _ _. .;;N..;.;A;.;;.. ._ _ _ _ _ _ _ _ Expiration Date _ _ _ _ _N=A;.__ _ _ _ _ _ __ Signed ~ ~ /V,O, /'9~ Owner or own.rTsDUiii:;'H, Title ,~ s Date----~-_,_---==-----,, 19
'7L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board of Boiler end i>ressure Vessel Inspectors an~ the State or Province of MICHIGAN end employed bV PROTECTION MUTUAL . of NOBlJQQ'I'\, MA have Inspected the components described in this Owner's Report during the period =fl.-tc./-f,?2, to ;f-1<4 -9.ot ; end 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, expreuect 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 loa of 1ny kind arising from or connected with this
;""'"'~"* ,/;~~ FACTORY MUTUAL SYSTEM --------~J-,;;.=-_,._~-=~;..='----Commiaions I ntpsctor'1 Signature /171". 7'40l National Board, Stat*, Province, and EndorMmantl Date._ _ _ _ / 19 fil
~~_.a7-_-_../--__ (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ __ POWER _ , . . , COMPANY Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_......;;;;l_ _ of _ __,:l:.__ _ _ _ _ _ __ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _.:l:.__ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR MID1&°R'.!AL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200151 Repelr Or11*niz11tlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Typ~ Code Symbol Stamp _ _~N!£Ai...__ _ _ _ __~~
Name Authorization No. _ _ _ _ _~N~Ai...__ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration D11te _ _ _ _ _ _N~A.....__ _ _ __ Addr*n
4. Identification of System _ _ _.::S:..:AFE::.=TY=-.::I;.;.N;:.;JE;:.;C:..:T:..:I:..:O..;.;N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code_......:;A:.:I.::S.::.C_ _ __;:¥J 7TH Edition, __N.;;;.A;....__ _ _ Addenda, _ _..;.;;NA;;;.__ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 63
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME or Repljlment or Nol~~
~~-r'O ~-~"1.-~~
Code Stamped (Yes E>- PLATE L\, ~. G20898-4 l'?.eflQced 3/8"X 4' x 8' s+roe \ NA NA ikPl)~OOIO 1981 Millliliililli NO At:}(/~-;/ 5'1; ~ ..,,.._ q6o"'f!> co ..,po.,e,,.,(.
~~7. Description of Work _ _-=~il~lii!!il~t,~Iil~Qm~~iisl~Y~l!Si~R~P:!ER~~S~C9~1!::-~15~2~_!HANGER~~~GC~l~-:!B7~4~6------------~~
~~T"O~ 6'8-9"2..~~
8. Tests Conducted: Hydrostatic 0 Pneumlltic 0 Nominal Opemlng Preaure 0 Other l!J Preaure psi Test Tamp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided C1) liz* la 11% In. x 11 in., (21 inform11-tion in items 1 through 6 on this repon ii included on uc:h sheet, and (3) nch sheet ii numbered and the number of sheets is recorded 11t the tap .of this form.
(12/821 This Form CE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE /. We certify that the statements made in the report are correct and this A1rc; gce...,en~nforms to the rules of the ASME Code, Section XI. repeir r replacement Certificate of Authorization No. _____N_A _________ Expiration Date _ _ _ _ _N_A_________ Signed ~ ~ /V.0.
~oWMiDfli~H, Tltle &eJpi= Date~ B / ,19 _9'L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission iauad by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and emp1ovad by. PROTECTION MUTUAL . of NORWOOD. ~!A have inspected the components described in this Owner's Report during the period 7* "'f-9.;t, to '1- *J.-9'2 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctiva 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 warnntv, expressed or implied, concerning the examinations and corrective meuur11 described in this Owner's Repart. Furthermore, neither the Inspector nor his employer shall be liabie in any m1nner for eny personal injury or property damage or a Ian at 1ny kind arising tram or connected with this
'"-"'* ~ FACTORY MUTUAL SYSTEM ------..,...----=--:~~-.......,"'="'..-::::.,.;::z.a.~-COmmlaians ln1Pec:tor'1 Signature fn 1'. $6 Netlon*I Boerd, State, Province, end EndorMm*nt1 Date*_ _ _ _ _] __ -_ ] _19 9n2 (12/82)
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner~--------,-----------~ Date _ _ _ _-..::l4:.L/.o.2::t.4L/92.o2"-----------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=1:...,__ of 1 Addrea~~
~~2. Plant PALISADES NUCLEAR PLANT Unit_--'1::...__ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR MEMO'WI'AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200152 Addr*a Repair Organizetlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __.....N,...A.!>....__ _ _ _ __~~
~~Name Authorization No. _ _ _ _ __.N"'A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _,!o:!Ni&JAL-_ _ _ __~~
~~~ ldentificationofSy~em _ _ _~s=~~E=~~I~N~J~E~C=TI~O~N~------------------------~~
5. (a) Applicable Construction Code AISC ~ 7TH Edition, _ _N;;.;.;A;.;.____ Addenda, _ _,; .,N; .; A_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Board No. Other Identification Year Built Repainid, Replaced, or Replacement or No)~~
~~-M)f1...~~
~~ASME Code Stamped (Yes P.O. ~-'Ji..'~~
~-
PLATE ~e+h\e "en-.. NA NA G20898-5 lteplr:.ceJ NO l/4X 4' x 8' 5-Ye-e..\ WT.st:'-V/-3T~'i<J"l0 1981 M!Pi.TiiM!l!!l PLATE u..~ .Sn::::EL. G20898-10 1-1/J+'x l' x 4' NA NA HT ~..-04 ..,q4 1981 MP11::EMB NO PLATE L-14 wce..J..$ Gl8406-8 1/2"X 4 1 X 8 1 Slei:.-z_ NA NA J-h-1t r:?&s7 a- 1981 M!Nz:EMB NO PLATE ?:ie+h Id*,~ ~04-0732Q-3 l/8""X 48" X 59" 'Srl-ce..\ NA NA r "3"3 'WtJ1ffl 1981 ft!!!':!I:!~ NO
~~,jqceJ q1 ov~ Co or,e,.,.1'~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preaure 0 Other I]] Preaure _ _ _ _ _ psi Test Temp. * °F VISUAL EXAM NOTE: Supplemental shuts in form of lists, 1k11tch111, or drawings lnlY be UWICI, prowidld C1 l lize ii R in. x 11 in., (2) Informa-tion in Items 1 through 6 on this report ii included on uch sheet, ind (3t llllCh sheet ii numbered and the number of 1hfttl i1 recorded llt the tap of this form.
(12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be mttached CERT: i'ICATE OF COMPLIANCE ...;_____ We certify that the statements made in the report are correct and this crfqce..,.,en T;;nforms to the rules of the ASME Code, Section XI. rapa r or replacement Certificate of Authorization No, _ _ _ _.-N.;.;;A-....________ Expiration Date ------'N:..;.A=--------- Signed~b. /V.O. r:J~ Owner or Owner's DesfgnH, Title Date--,~~i::;.___;~_8=:;..._ _ __ 19 9L.. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a . 31id commission iauec by the National e': Jrd of Boiler end Pressure Vessel Inspectors and the State or Province of MICHIGAN end emploved by P :~ -JTECTION MUTUAL of NORWOOD. MA have inspected the components described in this Owner's Report during the period j-114 to z- :f-j~ , end state that to the best of my knowledge and belief, the Owner has performed exemin11tion1 end taken corrective measures described in this Owner's Report in accordance with th* requirement* of the ASME Code, Section XI. By signing this certificate neither the Inspector nor hi1 employer makM any warranty, expnmed or implied, concerning the examination* and corrective meuures described in thl1 Owner'* Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any penonal injury or property damage or a 1011of1ny kind arising from or connected with this inspection. ~- FACTORY MUTUAL SYSTEM
~~~ ---------~~....:;~_...:=~;..:..:=-------Comminion1 -u~~
__~/Vz__.~1.-*._jjp-'-l~¢...~----~--------- 1n1Pec:tor'1 SlgnlltUIW Natlon.i Board, Stata, Province, and Endorsamant1 Date,_ _ _ _ _ _ _ _ _ _ _ _ _19,_ _ __ (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. O w n e r - - - - - - - - - - - - - - - - - - - - Date _ ____:i4:L/~24:?.L/9~2,___ _ _ _ _ _ _ _ __~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l'--- of _ ____::l:_..._ _ _ _ _ _ __ Addren~~
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _l " - - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEMD'WfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200153 AddrllSI Reiialr Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __,,,N""A.._______~~
~~Na ma Authorization No. _ _ _ _ _/:!N~A,___ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ ___i.N.!.!A~------ Addrea~~
4. ldentificationofSystem _ _'--S~~~~~~I~N~J~E~C~T~I~O~N-------------------------

5. (a) Applicable Construction Code
~~AISC 4J . 7TH Edition, NA Addenda, _ ____;.;N:::A'--__ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 *S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Arz6 ,/1"1,, I PLATE u<;,. G20898-6
-~T~*
3/16"X 4' x 8' &t-ee.\ NA NA i.h*~Do11 o.'.l. 1981 NO PLATE Bet-h\ekem 2004-0132Q-3 Repfoc.eJ l/8"'X lf8" X 59 11 ,~t-ee.\ NA NA \l.T~ f33-.,./ '1'fS:0 1981 M!PittR:eB NO ArJD 511,. Ml'f"ER.ll'9L To
~~7. Description of Work: _ _ _~~Jl~~~P~!-~I~~~~ii~*~1z1J~SBR-~:__ _ _ _ _ __;HAN~~GER~~GC1~!;:-~H7~63~---------~~
~~'°"'f{ 'i7..~~
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Prenure 0 Other[!) Pressure, _ _ _ _ _ psl TntTemp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings m1y be ul9d, prulrided 41) size is 8% in. x 11 in., 121 informa-tion in items 1 through 6 on this report ii included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded et the top of this form *
~~(12/82) This Form (E00030) may be obtained from the Order Dapt., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturu's Oat* Reports to be attached CERTIFICATE OF COMPLIANCE k We certify that the statements made in the report are correct and this /?ep0 cc..,enfconforms to the rules of the ASME Code, Section XI. repair or replacement , Type Code Symbol ~ NA Certificate of Auth;Jrjz3tion No. _ _ _ _..:N;.:A::,...________ Expiration Date _ _ _ _ _N_A-._________
~~-+-- .?~~
~~Signed~ f:..- ~ Owner or Ow~nee, 1~~
~~#,0 Title Date ~ 16~~
~~19 9 2...~~
CERTIFICATE OF INSERVICE INSPECTION I, the un- * *~ned, holding av< 'mmission iaued by the National Board of Boiler and Pressure Vessel Inspectors anq the State or Provin..:. .>t MICHIG.Al:: _and emploved by PROTECTION MUTUAL . of NORWOOD. MA have inspected the components described in this Owner's Report during ,;e period '1*1-9'.J. to ";t *? *'f;)._ , and state that to the best of my knowledge and belief, the Owner hes 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 sr~ll be liable in any manner for any personal :. --1 or property damage or 111011 of any kind arising from or connected with this
~~;,_.;oo. ~ FACTORY MUTUAL sYSTEM -----~_......~,......,--~....;;.--------Commialon1 tnspec:tor'1 Sign.cu,.~~
~~fr'!/. '1'?0\ National Board, State, Province, and EndorMmenu Date1_ _ _ 1..f----f..____19 9.?l (12/B21~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner-------------------~ Date _ _ _ _ _4::!.L..0/2:::4!..l./~9..o.2_ _ _ _ _ _ _ __~~
Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=.1_ _ of _ _- - - ' 1 : : ; . - - - - - - - - - Addr*u
~~2. Plant PALISADES NUCLEAR PLANT Unit_--.:1::...__ _ _ _ _ _ _ _ _ _ _ _ __~~
277 80 BLUE STAR ~"lrf'AL HWY. COVERT, MICHIGAN 49043 T&B W. O. 24200154 Rep11lr Or11*nlzetion P.O. No ** Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _____:N~A~------~~
N11me Authorization No. _ _ _ _ _..._N""'A~------ ANN ARBOR, MICHIGAN 48106 Expinition Date _ _ _ _ __,N.,,,,Au_______ AddrMI
4. Identification of System _ _ _ _-=S""AFE=TY::..:.....=l::..:N""JE"'"C""Tl~O;..;.N'-------------------------

5. (al Applicable Construction Code_._A_l_S..;C_ _ _...;~
7TH Edition, _ _ _N_A_ _ _ Addenda, _ _N_A_ _ _ _ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacaments 19 83

S 83
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manuf1C1urer Manufacturer Serial No.~~
~~National Board No. Other Identification P.O. Vear Built Repaired, Replaced, ASME Code Stamped IYes or Replacement or No)~~
~~~(I.. ,11-i. ' b...a .~~
PLATE u. "5. G20898*6 ~ced. 3/16.. X 4' x 8' ~.,.W,o \ NA NA. M.~ TV-. I I 0-., 1981 Rii .triM!B NO "9JJ*' S'lti.., .... .are,..,-..., T;
~~7. Description of Work. _ _ _ _~'A_lil~:P.,..H,...'A_~...,.....,.11i...\i_,l,..81!!,,_R_ _ _ _ _ _ _HAN __GER__ GC1_-_H7_6_2_.l_ _ _ _ _ _ _ _ _ __~~
~~T""Pi{ ' _, , -'j 2.~~
8. Tests Conducted: Hydrostltlc 0 Pneumatic D Nominal Operating Preaure 0 Other [!I Preaure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketcha, or dn!wings-y beu.t, pl"Ollidlld (1) size ii 8% in. x 11 in** (2) informa-tion in items 1 throu~ 6 on this report is included on each sheet, and 13) -=t'I sheet ii numbered and the saamber of sheets is recorded et the top of this form *
(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Date Reports to be mttached
- CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this /?4?/qc-e,.,e..,fconforms to the rules of the ASME Code, Section XI. rep*ir or replacement Certificate of Authorization No. _ _ _ _...;N:..;.;:.;A"---------Expiration Date _ _ _ _ _. ;;.N. .;;A.;;.. ._ _ _ _ _ _ _ __
~~Signed _ _ ~L,;...-"'..:..:.=:1--'/l~E:.%' Owner or~~
~~~:. . :"':t_ --.:../11.-',i...::O~.'--....::~~'=::::::;i:~~
~~Own~";;eL, Title~~
~ /J:r.<:.... -'- _ ___ oate--~~-=--.....:>..---'/:......!<.6_ _ _ , 19 9L ~
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 MICHIGAN and employed by PROTECTION MUTUAL . of __..NuO....R.,. WKU<O,.,O...D"'-.__..MA-.------=---------=-=-....,..----.....hllllt! inspected the components described in this Owner's Report during the periodi-------']_-_l,__-J.9_.~::;;;::.-to Y * ?-9,,{, , and state that to the best of my knowledge and belief, the Owner hu performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirement* of the ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examination* and corrective meuurm described in this Owner's Report. Furthermore; neither the Inspector nor his employer inspection. l//_:ilJ 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 g FACTORY MUTUAL SYSTEM
~~--------~L.::=""-"r.-."'~""-"""'::;.c;::i.:::....----Commission1 ln1Pector'1 Signature ft?,*. fl,.:z_~~
~~N*tlon.i Board, Steta, Province, and Endorument1 Date, _ _ _ _ _..J_-_1:.....___19 9;{ 112/821~~
~~1. Owner _ _ _CONSUMERS FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
_ _ _ _ _ _POWER As Required by the Provisions of the ASME Code Section XI Name COMPANY _ _ _ _ _ __ Date _ _ _ _.:r4L/-"'24""/'-'9'-"2=----------- 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=!'---- of _ _ _..=l_ _ _ _ _ _ _ __ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit _ _,:.!_ _ _ _ _ _ _ _ _ _ _ _ _ __~~
27780 BLUE STAR MEMO"R'.YAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200155 Repair Organizin:lon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N""'A"-------~~
N11ma Authorization No. _ _ _ _ __,N"'"""A'-------- ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _...,!,N~A~------ Addrea
4. Identification of System _ _ _...:S:.:AFE'IY::..::=-I=:N::.:J:.:E:.:CTI=:.=O.:.:N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code
AISC ~ 7TH Edition, NA Addende, _ _...:N;.::A.:...__ _ _ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or Nol P.O.
~~~6 -i-'il.~~
PLATE l-'-S. Si""Eld- G20898-11. f(eplctced 9/16x 4' x 8 1 NA NA Ht-T21089 1981 ~ NO PLATE LIA.1~S ,f.18406-9 Ke,a/c*u- eJ 11t+*x 4' x 8' 5,-~ NA NA T"ll:""QstJC.C Ii( 1981 NHls't~~ NO K~ 1/Qc.eol qi,ovt' C'o-,po..,e,,,n
~~7. Description of Work _ _ _ _ _R.,.,YiP,....-.'...,zI,...re....,.......,I,..lit!_l&B_R_P_E_R_S_C_9_1_-_15_2__HAN~~
~~__GER _ _GC_l_-_H_74_6_._1_ _ _ _ _ _ _ _ _ _ __~~
~~,-,;>(t G-~-'i"'l..~~
8. Tests cOnducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other[!] Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I aize is 8% In. x 11 in., 121 informa-tion in items 1 through 6 on this report is included on each sheet, and 131 each sheet is numbered and the number of sheets is recorded at the top of this form *
~~(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017~~
FORM NIS-2 (Back) Applicable Manufacturer's Data Report1 to be attached CERTIFICATE OF COMPLIANCE / We certify that the statements made in the report are correct and this {(pptQc.et>tfll'lkonforms to the rules of the ASME Code, Section XI. rapair or raplacament Certificate of Authorization No. _ _ _ _.-N""'A""---------Expiration Date _ _ _ _......;N..;A;.;;...._ _ _ _ _ _ __ Signed ~ /)_ * ~ ,A/, 0, Date~ B is '1 l-Ownar or Ownm;"fltla ~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 11 valid commission iaued by the Nat.: 1111 Board of Boiler and Presiure Vessel Inspectors and the State or Province of MICHIGAN and employ~ by__ PROTECTION MUTUAL . of l:i0RWOQD. MA have inspected the components described in this Owner's Report during the period '1- l -1.k to f'- l:f',;i_ , and state that to the best of my knowledge and belief, the Owner has performed exemination1 and taken corrective measures described in this Owner's Report'in accordance with the requlremantl of the ASME Code, Section XI. By signing this certificatll neither the Inspector nor hi1 employer makes any warranty, expressed or implied, concerning the examinations and corrective mna1res described in thi1 *Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any pel'IOnal injury or property damage or 11 loa of any kind arising from or connected with this
~~;o~**doo. J/P.~rJ~ FACTORY MOTUAL SYSTEM 1~~
~~___. . .;. __~-J..-..;;;..._,....,..,_~~
~~......~""-.;...;;;,.______ eommiaion1 1>7,*, f4)....~~
~~I n1Pact0r'1 Slgnatur11 National Board, Stata, Provine*, and EndorMmant1 D11te*_ _ _ __....,._r_-..f____19 9,,< 112/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
~~_ _ _ _ _POWER COMPANY~~
~~--:-:----------~ Oate _ _ _ _4...;./_2_4.:../9_2_ _ _ _ _ _ _ _ __~~
Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=..1_ _ of _ _- - = 1 ' - - - - - - - - - Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit - - - = 1 ' - - - - - - - - - - - - - - -~~
27780 BLUE STAR MEM&8f.EAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200159 Aapalr Organization P.O. No., Job No., ate.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _--"'N,,.,A.___ _ _ __~~
~~Name Authorization No. _ _ _ _---'N"-"A=------- ANN ARBOR, MICHIGAN 48106 Expiration Dete _ _ _ _ ___,.N""A~-----~~
4. Identification of System _ _ _ _. . ; S;.; .;A; ;. FE;; .;TY=--=I""NJ;;.;E; .;C; .; T; .;:I""O;;.;.N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code __A_I_sc_ _ _....;;lJ 7TH Edition, _ _N_A____ Addenda, _ _N_A____ Code Case (b) AppUcable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
National Board No. Other Identification Year Built Repairad, Replaced, ASME Code Stamped (Yes or Replacement or Nol l-t>R P.O. 6-~-'12. SNUBBER R.t.c.,r,~ Gl9698-19 ~#ritceJ B-P #2420-Rl NA NA 1981 ~1\i~ NO
~~.SC.\."'i'l~ (.\~ SN ,7qgr..~~
PIPE CLAMP 3.--r-~e.An - Gl9698-20 ~lctceJ B-P #6202-15 Po..+er- 50'7'\ NA NA Q.r-... d: 1~0:;,.;-l~ ;-1981 ~:!MB' NO REAR BRACKET B-P #1000 Bef
~~~EJY' - ~ ~~~
~~NA NA Gl.9698-21~~

~"'4-. 1000 1981 ~~ NO TUBE STEEL Letv1rr Gl8407-5 ~lqceJ 6°'X 6..X 1/2°' NA NA fl,.,;J .i3q1oOS

91'11ting Preaure D Other~ Preaure _ _ _ _ _ pll Test Temp. °F VISUAL EXAM NOTE: Supplemental 1heet1 in form of lists, 1ketch111, or drawings may be used, provided (1) lize ii 8% in. x 11 In., (2) informa-tion in Items 1 through 6 on this report ii Included on eech sheet, 1nd (3) ac:h lheet 11 numbered and the number of 1hHU is
recorded et the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Applicable Manufacturer's Data Report1 to be Htached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~/q<<..,en t conforms to the rules of the ASME Code, Section XI. repair or replacement Certificate of Authorization No. _____N_A_________ Expiration Date ______N_A_________ Signed ~ ~ #.0. A~ Owner or Owner's DeiignH, Tltle Date_-::iJIC--_ i' ~ _::.,__41 _.__ _ _ _ _ , 19 _ _ __92.- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD, MA have inspected the components described in this Owner's Report during the period _ _ _ _ _?f.._-_./,_,S...__-.,.9_.pi....__ _ to z-/S-9..2 , and state that to tne best of my knowledge and belief, the Owner h111 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 1ny manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this inspection. FACTORY MUTUAL SYSTEM --------~~~.,..1...~/2i:i.._~~11;----Commi11ion1 1nspector'1 Slgnmture ......f'r1_.;;.._/,,_._7',.__..,0l:;;..a,,.____.....,._ _-...,,--.,.---- National Board, State, Province, and EndorMment1 Date._ _ _ _ _ _7-....__-__ I s_-'"-_19 9.?S 112/82)

~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~

_ _ _ _ _-POWER - - : - :COMPANY ----------- Date _ _ _ _ _ _4..:../_2_4.:../9_2_ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet _ __:l:....__ of _ _---=l=---------- Addrea

~~2. Plant PALISADES NUCLEAR PLANT Unit _ _l = - - - - - - - - - - - - - - - -~~

27780 BLUE STAR M~~AL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200160 Re1>air Or;11niz11tion P.O. No., Job No., .ic.

~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __.o;No:Ao!>-_ _ _ _ __~~

Name Authorization No. _ _ _ _ _..._No:Ao!>-_ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _Nil.DA....___ _ _ __ Addrea

4. Identification of Syuem _ _ _ _ _~S~~~~~=I.:..NJ~E~C~T~I~O~N----------------------

5. lal Applicable Construction Code AISC ~ 7TH Edition, _ _.:. NA;.;;.. .___ Addenda, _ _..;;..N~A_ _ _ Code Casa (b) Appl!cable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced end Replacement Components~~
~~Name of Component Name of Manufacturer M11nuf11cturar Serial No.~~

National Board No. Other Identification P.O. Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) "1'Vlt- rocf. R=~~~ PLATE LIA~~ G18406-7 3/4"X 4' X 8' 5,-EEl- NA NA LlT"#' 12~"3;~ 1981 NO HEl'IV'/ J.IEX' C11R.P1Nl'fL 12004- El'.5'7s; I Rep/qceJ NVI S'"/9" I1t1DuwP.1FS IJA /\In 11r*7CfS6 IC)'t I #o ((ep/qceJ ct,~ove co-pot'lenfj

~~7. Description of work _ _ _....,,,.,_n...,IB,..P_.*-...1.,..~..,...,,,,..1_11_1i11_s_i_R_P_E_R_s_c_9_1-_1_s_s__HAN~~

~~__GER __ c_C4_-_s_1_s_s_._1_ _ _ _ _ _ _ _ __ .,..,,fl- -i:-1&-9'2.: -~~

8. Tests Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Pressure D Other ~ Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplementll sheets in form of lilts, sketches, or drawings may be used, provided (1) size is 8% in. x 11 In., (2) informa-tion in items 1 through 6 on this report ii included on lllCh sheet, !nd (3) uc:h sheet 11 numbantd and the number of 1hnt1 i1 recorded at the top of this form
~~112/82) This Form (E00030l mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. Y. 10017~~

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached . CERTIFICATE OF COMPLIANCE j We certify that the statements made in the report are correct and this ~IQ ce..,e,., ~nforms to the rules of the ASME Code, Section XI. r*P*i or raplacement Certificate of Authorization No, _ _ _ _...:N=A=----------Expiration Date _ _ _ _ _..=N;.:A::...._ _ _ _ _ _ __ Signed If~~ /V,Q A~ Owner or ownesDHIGii'**. Tltl* Date# /9 ,19--~-9~ CEFI -* l=ICATE OF INSERVICE llllSPECTION I, the undersigned. holding a valid commission issuad by the National Board of Boiler and Pressure Vessel Inspectors anc;I the State or Province of MICHIGAN and employed by PROTECL'ION MUTUAL of NORWOOD

MA have in:ected the components deSc:ribed in th is Owner's Report during the period r ~/ S

921 to 7- -IS -t._~ , 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;~ accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any wan11nty, expressed or implied, concerning the examinations and corrective measures dascribed 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 loa of any kind arising from or connected with this inspection.

~~FACTORY MUTUAL SYSTEM~~

- - - - - - - -.......F-==-......-=.::=:=;;.&....-Commialon1 ln1Pecto ~ M/ * '14.;l Netlonel Boerd, Stet*, Provine*, end EndorMm*nt1 Date 1-15' 19 9..il (12/821 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

~~1. Owner CONSUMERS POWER COMPANY Date 4/24/92 Name 27780 BLUE STAR MEMORIAL HWY.~~

~~COVERT 1 MICHIGAN 4204~ Sheet 1 of 1 Addren~~

~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&'WfAL HWY.~~

COVERT 2 MICHIGAN 49043 T&B w.o. 24200161 Addr- Rep*lr Orgenizatlon P.O. No., Job No., etc.

3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp NA N*m* Authorization No. NA ANN ARBOR, MICHIGAN 48106 Expiration Date NA AddrMI

5. (al Applicable Construction Code _ _ A_Is_c____~ 7TH Edition, _ _N_A_ _ _ _ Addende, _ _ _ NA

~~_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 *S 83~~

~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol ~Q,"q'V P.O. TUBE STEEL G18407-10 2.ep fqced

~~t'X 2"X 1/4"' l-~\JI Tf NA NA ~T~'ilC,"5~ 1981 'REPMRBB f<ep/qceJ~~

. NO PLATE 4c..1<.eN~ Gl8406-8 1/2.. X 4' x 8' S1"£EL. NA NA I'l\'T .. Q3 '5"7 8 1981 ~f~ NO PLATE l'-u.tc.cN~ Gl8406-9 r.t.~ploc.~J l/4x 4' x 8 1 ~- .~ NA NA I W-1"" ,..-,;., ~ 1981 ~:i'::ERBB NO PLATE 'Be-\-h \-Q..\,,-Q..vy\ G20898-1

f'.ft(Jlo reJ l" x 4 1 x 8' -'S\--ee.. \ NA NA IJ~3,.,1~~0 1981 aii!UR.i~ NO r<~ lt..ceJ q6ov~ Co -.,oo t"ff) ..U
~~7. Description of Work HANGER DC1-Bl.95. 2~~

~~'~...~I?~~

8. Tests Conducted: Hydrostatic 0 Pneumatic IT Nominal Operating Preau,.. 0 Other [] Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplementel sheets in form of liltl, 1ketches, or drawin91-y be used, pnwided (1) size ii 8% In. x 11 in., 121 informa-tion in items t through 6 on this report ia Included on each 1heet,J1nd (3) ach sheet ia numberwd and the number of sheeu i1 recorded at the top of this form.

(12/B21 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be *ttached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this /?ep/cue,.,,.,.;f;onforms to the rules of the ASME Code, Section XI. r*p*ir or r*plac*m*nt Certificate of Authorization No. _ _ _ _.;;;N.;;A-..________ Expiration Oate _ _ _ _ _N_A _________ Signed~ ~~ ~O Own*r or Owner1Dfff11nH, Tltl* A# Date---:;~-_,,..___B / _ _ _ _ , 19 91.- 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 MICHIGAN and employea bv PROTECTION MUTUAL . of NORWOOD

MA have inspected the components described in this Owner's Report during tha period -:f-lo-9.zl to 7f-tC -U , and state thet to the best of my knowledge and belief, the Owner ha performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of tha ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and correctivv measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any perwonel Injury or property damage or a 1011 of 1ny kind arising from or connected with this '"~~loo. '~ CommluloM ;~~;:;roAL SYSTEM N*tlonal Boan:I, SHta, Province, *nd Endorum*nta oate_ _ _ __.....7_-_/_0__19 ~ (12/82)

~~- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~

______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _...:4:!J/"-'2~4~/296 2 _ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_--=l'--_of _ _ _~l_________ Addren

~~2. Plant PALISADES NUCLEAR PLANT Unit---'!=----------------~~

27780 BLUE STAR MEMb'WfAL HWY. COVERT, MICHIGAN 49043 T&B W.O. 24200162 Addren Repair Orgenlz11tlon P.O. No., Job No., etc.

~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N,.,A""-------~~

Authorizetion No. _ _ _ _ _-=.Nl!OA:!:.. . ._ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Oate _ _ _ _ _ _N~A......__ _ _ __

4. Identification of System _ _ _ _ _S;;.;;A.;.;.FE...;;;.;;;IY;.;;....I;;;;N""JE;.;;;;...;C~T~IO.;.;.N;.;....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code_.;;A:::I=S=C_ _ _....;,¥J 7TH Edition, _ _N..;.;A"--_ _ _ Addenda, _ _ _N...;;.A'--_ _ Code Cese (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Nol STRUCT ATTACH B-P #1000 NA NA NO RIGID STRUT B-P #2252 NA NA NO PIPE CLAMP B-P #6202 NA NA NO B. Tests Conducted: Hydrost1tlc D Pneumatic 0 Nomin1I OP1rating Pressure D Other [!] Pressure _ _ _ _ _ psi Test Tamp. °F VISUAL EXAM NOTE: Supplemental sheets in farm of lilts, sketch*, or dn1wing1 m1y be ueed, provided 111 size ii 8% In. x 11 in., (2) informa-tion In Items 1 through 6 on this report ii included on 1eeh 1hMt, 1nd (3) nc:h sheet is numbered and the number of 1hfttl is recorded at the top of this form * (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., NIW York, N.Y. 10017 FORM NIS-2 (Back) Applicable Manufacturer's Data Report* to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this @ep/Qcei"IE'"' f;onforms to the rules of the ASME Code, Section XI. repair or raplacamant Certificate.of Authorization No. _ _ _ _..;N""A;;;...._ _ _ _ _ _ _ _ Expiration Oate _ _ _ _ _N_A_________ Signed_~"'--'-"""""""'. =--....fl~,..,,._~ Ownar or Ow~nae, Tltla ~;;;...,,...-',V,'---'-.O_.__A_._~---""-__.....__ ~ _ _ _ oate_..,~'-'--"""----9----. 19 9l.. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued by the National Board of Boiler and Pressure Vessel Inspectors anc;I the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspacted the components described in this Owner's Report during the period :f=-lo-9;J. to :1-lo-9#. , end state that to the best of my knowledge and belief, the Owner hes performed examinations and taken corrlctive 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 waminty, expreued or implied, concerning the examinations and corrective meuures 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 loa of 1ny kind arising from or connected with this ;n.,octk>n. ~_R/7 /1 FACTORY MUTUAL SYSTEM --------~ ............~~~---------------------Commiaion1__.~.__..:..:..l..::*.__.~i...:~p(,:::;:1,_ _ _ _ _ _ _ _ _ _ _ __ I n1P.c:tor'1 Signature* National Board, State, Prov Inca, and EndorMmentt Oete._ _ _ _ __..]=___.-/~0 __19 qqil (12/821

~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner------------------~~~

Date _ _ _ _ _4...;./_2-'4/:...9:_2_ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 ShHt __1=---~----'--2_ _ _ _ _ __

~~2. Plant PALISADES NUCLEAR PLANT Unit I 27780 BLUE STAR MEMbW'fAL HWY.~~

COVERT, MICHIGAN 49043 T&B W. 0. 24200163 Raoatr Organization P.O. No., Jab No., ea:.

~~3. Work Performed bv TOWNSEND & BOTTUM Type Codi Symbol Stamp _ _ _N., .A. .______~~

Name Authorintian No. _ _ _ __,N ....A..._______ ANN ARBOR, MICHIGAN 48106 Expiration Dm _ _ _ _ __...:!N~A.___ _ _ __ Addl'ftl

4. Identification of Svstem _ _ _P_m:_s_S_UR ...I,_ZE--..R'-""SP..R A - = - Y - - - - - - - - - - - - - - - - - - - - - - -

5. (al Applicable Construction Code _ _ _ A_I_S_C__~ 7TH Edition, _ _ N_A___ Addenda, _ _ _N..;;.A;;.. ___ Codt C-(bl Applicable Edition of Section XI Utilized for Repain or Replacements 19....18.r..31-M.S 83
6. identification of Componenu Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Board Other Yur Repaired, RepllCed, ASME Code Stamped (Yes Component Manufacturer Sarlal No. No. ldtntiflcatlon Built or Nol P.O.

PLATE 1.Al<..b""N s G18406-9 l/4"X 4 1 X 8' S~-e<-. NA NA Bn'1g- 1981 NO PLATE LI.A K.t:-N~ G18406-7 3/4"X 4' X 8' .s~ NA NA HT~ '3~\'13' 1981 NO PLATE Gl8406-8 *. l/2°'x 4' x 8' NA NA \.\,~ '7 lS 1981 NO U-BOLT 411 B-P #6500 NA NA 1981 NO HEX NUT 3/8" NA 1981 NO a ovt CoK.pot'le"' s

7. D11terlption of Work. _ _ _ __I:_W_l.;.SBR-~..;;.P.;.ER...;...;S;;..C;.;9.;;l;...-,;;.15;;..6;;..._....;;;;HAN;.;;;.;.;GE=R:...C.;;.C;;.;9;...-.;;H,;;.21;;;*;.;;l;..__ _ _ _ _ _ _ _ _ __

~~Rii_P_.'_,I_RlilB~~

8. Tests Conducted: Hydrost8tic: 0 Pneumatic 0 Nomlntl Qpemtng Prenura 0 Other (J Pn11a1re psi Tiit T~. *F VISUAL EXAM .

NOTE: Supplamental shlltl In form of lilts, skltcha, or drewln111 may be ulld, prowldtd 11) lizt ii 8% In. x 11 in .. 121 lnfomw* tion in items 1 through 6 on this report II included on lllllCtl shlllt, and 131 ach shllt is numbered and the number of sheets ia recorcltd at th* top of this form*. (12/821 This Form IE000301 may bt obtained from tht Order Otpt., ASME, 345 E. 47th St., N- York, N.Y. 10017

~~9. Remarks ____________N_O_NE FORM NIS-2 (Back)~~

APplic*ble M*nufmcturer'1 Oeu Reporu to be etUched CERTIFICATE OF COMPLIANcE ti re_..,~.., f We certify that the stetemenu made in the report are correct and this t;*._ ii : r confonns to the rules of the ASME Code, Section XI.

~~r~ fr replmcement~~

. . ~~~R TypeCodeSymbolStamp ____________N=A'------------------~------------------------------------ Certificate of Authorization No. ______....._. N=A'----------------- Expiration Om _________N=A:....--------------1 Signed ~.#*.-:8:~ Owner or Owner's Oe1iGl\M: Tltle A~ A ( ~S""'i oate _ _ _ _s;;;..,,~/i...:..1_;;>_ _, 19 1 :d CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 1 valid commiuion iuued bv the National Bon of Boller and Preuure V111el Inspectors *and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL of NORWOOD; MA - have lnll*19d th1 componenu described in this Owner's Report during th1 period 7-to - 94 to z-t 0 - 9Zl , 111d 1t1t1 that to the best of my knowttdgl and bllllf, thl Owner h* performed namlnatlon1 end tlkan comctlw rneuum described In this Owner's Report in accordance with tha requlr11111nt1 of th* ASME Codi, Section XI. By signing this c:ertif'ICdl Mlther th1 IMPeCtOr nor his employer 11111k* any Mmnty, 1xprm9d or implied, concerning th~ examinations Md correc:tlw meuuna dlsc:ribed in this Owner's Report. FurthermorW, neither the lnlPICtOr nor his employer shill bl liable In inspection. any J;i1 manner for llfV Pll"IOnll Injury or property damage or* 1011 of my kind Irising from or connected with this 7~ FACTORY llOTDAL sYSTEll ---------~,.-.-._ lntpeemr' Sltnecure ~--o=-o.=.-Commiulons ....... m,*. ?i:2.?t, Natlonll llOerd, StMI. ProvlMe, and Endon.nanu oan*------'-l_-t....__o_~a 9e6 (12/821 PAGE 2 OF 2 I&B W.O. 24200163 HANGER CC9-H21.l

~~- I-Nl!!lme of ComPonent N1meof MMUflCtU,_~~

Meftufel:turw Sert* No. Nltfori* loetd No. Odlst ld9mlflcftloft P.O. Vw l1illt or AIPelrwd, Al!OI.-, ASMI! Aepl11:91Nftt or Nol E>,3-.~'? StatnlMd (Yh HEX NUT C..0,,,--J I I'"\~;.,_,\ G023873-l- I \f'pfc. c eel' 1/2" T;°'cl 1~ sh- 1i;:>_"' NA NA 14-T~D~i :H-'i 1981 ~p;1,;i:~ NO PLATE L\. =_;. G20898-4 /4p~aJ 3/8"X 4' x 8' ~,-t-e~L NA NA 1-1-,,i.. b;..10010 1981 ~P;l1H~~ NO

~~- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~

______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _...:..4:...:/2=-4~/-=9-=2__;_ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=!,___ of _ _---'l:::.......________ Addrea

~~2. Plant PALISADES NUCLEAR PLANT Unit----'!:::......._ _ _ _ _ _ _ _ _ _ _ _ __~~

27780 BLUE STAR MEM&4WfAL HWY. COVERT, MICHIGAN 49043 T&B W. 0. 24200164 Repair Organization P.O. No., Job No., etc.

~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___._N,,,.A~------~~

Name Authorization No. _ _ _ _ _....N,. .A:::.. . . _ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _--'N~A2...._ _ _ _ __ Addrea

~~4. Identification of System _ _ _ _RE_GE_N_HE;;;;.;..A.;;;.T_E;;;;X;.;..C'"__~~

~~-HANG_ER_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~

5. (al Applicable Construction Code AISC ~ 7TH Edition, NA Addenda, _ __;N;.;;;A;.;.__ _ _ Code Case (b) App'.icable Edition of Section XI Utilized for Repairs or Replacements 19 83
~~S 83~~
~~6. Identification of Components Repaired or Replaced and Replacement Components~~
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol oil- ~"'V P.O. ~ b"" ANGLE No~wt.-..+crn ~tte.I o.. .... ~ NA Gl8409-l ~pliictttrteri - 3MX J"X 1/2" W\.*-e. NA )h-~~;;i1S1q 1981 -IQ!Pl.1~ NO R..~{'1fqc~J 060 ...t .....aTt-riqf

~~7. Description of Work _ ___,,...-_.,;-RB~P~*~J]~l&~~l~~~!IEiml~~~!P!ER~S~C~9~1::-1~5~6!...._JHAN~~GE~RJC~C~5~-~H4~.:;4~---------~~

~~'TOR 6-11-*h..~~

8. Tests Conducted: Hydrostatic 0 Pneumnlc 0 Nominal Operating Preaure 0 Other [!] Pressure pal Teat Temp. °F VISUAL EXAM NOTE: Supplemental 1heet1 in form of llltl, sketches, or drawings rmv be used, provided (11 1lze ii 8% in. x 11 in., 12) lnform11*

tlon In Items 1 through 6 on this report *is included on each 1haet, ~nd (3) nch sheet 11 numbered and the number of lhftD i1 recorded at the top of this form. (12/82) Thia Form CE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Applicable Manufacturer'* Data F1eport1 to be attached CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this -eepfqt'e,.,ent conforms to the rules of the ASME Code, Section XI. rapa1r or raplacament Certificate of Authorization No. _ _ _ _. .; N. ;.;A;.; ;. . ________ Expiration Date _ _ _ ___;N;;..;.A=--------- Signed___,,~~=~.&..:/~=~=-..--=-=/V...._, Ownar or Owner's Da1ignH, Titla o""-'-.-"'A..J...:....~...=.;.;i'-=o----Date_...,.ih=e:;.,,.;;...,,......::-_ I __,,/_,_/_ _ , 19 9 l. CERTIFICATE OF INSERVICE INSPECTION I, the undersignad, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ot MICHIGAN and employed by PROTECTION MUTUAL . . of NORWOOD. MA have inipected the components described in this Owner's Report during the period "1*-/Q- 9.;2 to r*f0-9,.2 . , and state that to the best of my knowledge and belief, the Owner hm 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 mauu1'81 described in this Owner's Report. Furthermore, .neither the Inspector nor his employer shall be liable in any m1nner for any personal injury or property damage or a 1011 of any kind arising from or connected with this '"""""'*"*~ FACTORY MUTUAL SYSTEM -------~~'---"=--'.....,""""'=~"""'----Commiuion1~ Inspector'1 Sign.cure ....M"--....' -'.*;...~.....,.""~~------------ National Board, Statll, Province, and EndorMment1 oate._ _ _ _ _ r.4----t....o:m;.,__,s 9.q( (12/82) FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY Date ________4_/_2_4_/9'-2--.....,----------

~~1. Owner ....................__,................ . . , . , . . - - - - - - - - - - -~~

~~N1m1 . 277 80 BLUE STAR MF.MORIAL HWY *. COVERT. MICHIGAN 49043 l __ of_________2_____________ Sheet_........~~

~~2. Plant PALISADES NUCLEAR PLANT Unit 1 277 80 BLUE STAR d'f!AL HWY.~~

~~COVERT, MICHIGAN 49043 T&B w. 0 I 24200166 AIP*lr Or;1nlzmon P.O. No., Jab No., etc.~~

~~3. Work Performed bV TOWNSEND & BOTTUM Type Codi Symbol StlmP .....--N=A-....___________~~

Name Authorization No. _ _ _ _.......N.,.A.___ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Dm _ _ _ _ _ _N,...A...________ Addrl9

4. Identification of System _ _ _P_RE_S_S_URI_Z_ER __S_PRA_Y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. lal Applicable Construction Codl _ _.;;..;A;.;..I_S_C_--'3 7IH Edltion, _ _N_A ____ Addenda,. _ _ _N_A___Cod.a Case lb) Applicable Edition of Section XI Utilized for R11p1in or Repl1eam1nu 19_.B.....,3_... S 83
6. Identification of Componenu Rep1irec:I or Replaced 111d Rapl1e11ment Components Name of Ntmtof Manufecturwr N1tlon1I BOlf'd Other Yur Replirtd, RepllCld, ASME Coda Stamped (Yes Component Mlnuf&tUrtr Strl1I No. No. ldentlflCltlon Built or R1Plcemen~ or Nol P.O. ~1\'"q PLA!E ~ -e.~"-"'

l" x 4' x 8' ~-\-ee.\ NA NA 1981 NO TUBE STEEL ~vi TI""" 2"X 2"X 1/4" NA NA 1981 NO TUBE STEEL 4"X 4'X 3/8" ~eA\)\Tl' NA NA 1981 NO PLATE l"X 4' X 8' NA NA 1981 NO NA 1981 NO ove ,.,o ~r1Q.

7. Description of Work -Rm>Ai:Rl!B llldf8BR PER SC91-156 HANGER CC9-R21 TD/(, &-11-r:n.

8. Tam Conducted: Hydraatldc 0 Pneumltlc 0 NomlMI OP1mlng Prnairw 0 Other !]I ..,._,,. psi Teat Temp. *F VISUAL EXAM NOTE: Supplementll ahwtl In farm of llltl, 1kltch*, or drlwln111 may bll ulld, provided 111 1lz1 II n In. x 11 In., 121 informe-tlon in Items 1 through 8 on this report ii Included on lllCh 1h11t, end C31 acti* ahllt la numblnd lftd tht number of ahlltl ii recorded It the top of this farm.

~~(12/82) Thia Fann CE000301 llllY b11 obt1intd from the Order Dept., ASME, 345 E. 47th St., N- York, N. Y. 10017 FORM NIS-2 (Back)~~

~~9. Remarks ____________N_O_NE ________________________________________..,....________________________~~

Applic*bl* M*nufac:tur.r'1 D*ta R9POrtl to b* *nKhed .* CERTIFICATE OF COMPLIANCE b We certify that the stetemenu mede in the report are correct and this ASME Code, Section XI. W f'fl?!e11bonforms to the rules of th1 npalr or npl-*nt

~~Certificate of Authorization No. _____.;;.;N~A=----------Expir1tion Data _________ N_A___________~~

Signed__.~'-'-""'"'-'=-::l ~~,..._,-_N._.,.._O_.._A_.._:0_-+-""------Date--.11~- Own*r or Own*r's OHig~H. Titl* ~ V ........--"I..../ _ _ _ _ , 19__-z._ 9 CERTIFICATE OF INSERVICE INSPECTION I, the undenlgntd. holding a valid commiaion lauac:I bv tha National Board of Boiler and Preaure Veuel lnspec:ton isnd the State or Province of MICHIGAN and employac:I bv PROTECTION MUTUAL of NORWOOD. MA - haft in.,ac:ted the componenu describld in this Owner's Report during the period z-/'-{ - ?..z to X -I'/ -f,z , and state that to the belt of my knowlac:lga and blllef, tha Ownar h* performed exmnlll8tion1 and tlkln c:ornctiw maaurn dacrlbld in this Owner's Report in accordanc11 with the requirements of the ASME Codi, Section XI. By signing this cenific819 neither th* lnspect0r nor his employ* mak* eny warnmv. . exi:ir-ct or Implied, c:anmming the ~ examinations end correctiw meaurm d.cribed in this Owner's Report. Furthermore, neither the inspectar nor hi1 employer shall bl liable In liny manner for any penonll Injury or property d8Mll or a loa of any kind .-Ising from or connected with this inspection. FACTORY MUTUAL SYSTEM ----~~~~~~~::::::i.:...---Commlalons &z1'. ~4 lrqpecior'* SlllMtU1"9 N.UOnal Board, Stae, Province, end Endonmn*nu Data,_ _ _ ___.j?_-_/_~_19 9s( (12/82) PAGE 2 JF 2 T&B W.O *. 24200166 HANGER .f:CC9-R21 . ASMI COde NSilOMI Aeolirwd. Stamoed NllMOf Nemeof Menufmtul'W lod Oitier Yw Aeor--. (Yff Compon9M Menuf1et11rw s.rt8 N@o No. I del'ltlfk:IRkift &ulli M llleptllalMM or Nol P.O. T11~.~, .'fl. PLATE i...Lt "/<5Ai s Gl8406-9 l<ep~c~J l/4"'X4' X 8 1 -~*"TE"E'- NA NA l.JT l._B ~ I i ....viv-cc.91't Hei('r ~ ~o\...,- ~ "'-'l C i0, r--.c) ,*v<-A I N/4 N~ L.f~lb ~ \"ff+ ~6?t::.1Aced No I I I

~~8. T11t1 Conducted: M<tdrcm.le 0 PneutnMlo 0 Nomlntl Ocserftlng , , . . . . IX]~~

Om* O ,,...,,. P* Tm Temp. *fl NOT!: Supplementti ...... In famt of llltl. 1Ulcfl-. or drbftntll lftlY be ulld. pnwtdld 111 .m 11 n In.* 11 In.. 121 inform.* tlon in lbml 1 ttlrough I on mll r900ft 11 lndudM on wft lft*, Ind 13) ..n 11'1* II aw.mbend Ind tM ftUmDlr of an... i1 recorded a ttl* toP of dtll fomt. 1121121 - Thie Form IE000301 lft9'I be obtllMCI from'"' Order DIDL, ASMI, 3oC1I.47dt St., New 'fortr, N.Y. 10017 FORM NIS*2 (Back> CERTIFICATE OF COMPLIANCI Wt c1rtify th1t th* stlttmtntl mlde in th* report,,. corrtet 1nd this r-et/Ace~~onform1 to the rul11 of ~!'It ASME Codi, Section XI. reo*' or rsot1e1mlftt Tvo* Code Symbol St1mp NIA ---""""',------~--~--~~----------~~~-~~~ C1rtific1t1 of AuthoriZltiOn No. _ _ _ N_/'--'""A ________ Expirnlon o.. __f\J...,,.6.._.:A,___ _ _ _ _ _ _ __ *~,.. -2!!~~--..,.~ r- A""" /.'.j s-r ------'..,,""/( ___l _O__, CIRTIFICATI 01' INSIRVICI IN9llCTION I, the und1rtignld, holding 1 vllid cammi11ion iauld by t1'11 N1tion11 Bon of Boiler lftd ,,...,. v.... ln1Pectors 111d the Srat* or Province of /'fl!t'CJ6falttl Md emplayld by f)12p7g;r.*w MW1.:1r1f:L of IJalZ.wpqi). mA *

h..,. in___. the c:omponena d11eribld in this Owner's ~epon durlftl die period 1- t S -9,;!,, co 7- I S-90L

1t1d at. . thlt to the belt of my knowtedf9 md ...... the Owner h* perfOft"Md n81ftlnMloM md uan co11ecthe memur9S dell:ribed in tl!ia Owner'1 Report In .:co"'- with die ,.._IMftlml of die ASMI Codi, ._.... XI.

By signint this 1:9rtltlaw ,.... die ln**ceor nar hit llftPIDll* mea. .., wv. ** ii or implied, COM11min11 th* IXMliftltiOM Ind COHICtl* - JM a .... ift dlil Cwlw'* ........ "*""'-......... Mia. die ln....-r nor hit llftDloYlr 111111 be lilbl* In any mll'I,_ far"" ......... Injury or P'°°'*'Y dlm8ll ore loa °'"" lclnd lrill"I from or coftMCt9d witft tllis ;,...,..,_ ~ ~y mu1'<.4<.. SYS,,._, ~ eomml&llOnl M *. ?Ge;i.._ ------i1;n:..M1:.;;; ....~1llltft=.-U*iiffi,.i""----- NatteNI ..... S-. ,...,...., _. IMOfWftltltl 01ie,_ _ _ _ __.r.__-/i.m;S....__2* 9¢, (12/121 'ORM Nll-2 OWNIR'I l..PORT ,OR Rl,AIRI OR Rl"-ACIMINTI Aa RIQUired 11¥ tM Prowilioftl of die ASMI Codi . _ . . XI

1. °"",,.,. Consumers Power Company Neme om Jl..(*ne 2- Cf; 199"2-27780 Blue Star ~em. Hwy. Covert, MI Sheet l l of Achtr-

2. Plant Palisades Nuclear Plant Unit l Name 27780 Blue Star Mem. Hwy. Covert, Kl *-z. 4 2.o o 3 6 3 Ad-- , . _ . O........._ ~.O. l!N., -'* !IN., fta.

~~tow.send & Bottum FOC, Inc. TVDICOdl.,-.. .....__ N_IA_ _ _ _ __~~

~~3. WDftl ,........_..,~~

'* ldlnttfic.toftoflY...,. Ann Arbor, MI. IJ'1ki /isr,V &eJ-~fe,.- Audtoila II* -.. _ _ _.....N1..1t.,.*..__ _ _ __ ,...,... a..,___ sys'fe-, -.ilNL.1./aA------

~~s. !1t **lcllll~COdl /3"31. / 112.lldltlOll, N/P?- ~*1111111m111nia1..__AJ..::/?~~:-!..-CodlC..~~

lbt Aolltlullle ldltlOll of s.ao.. XI Utillnll for"""" or"*-* 11 83 S 83 ... ldlntl...... of eon.-* ......................._. . . Clm09i*** ASMI Coda ....... StIm Dad NMION6 N11Nof COITIOOl19111 N..,.f/I ......... Na. 01Mr ldllHi....... Y* luUt . . . . .mllNllt (VH or Nol i..veliif ~""/71.r ~ ~ Wele:t P,0, l.OO'f-776'1 Mahr-iC1/ G. /.Ira. 89 o4 6 1990 R.@pl<ccJ /V'o

~~1. o..,.,.... ., ....__LA..1._i....IJ__B_~_;.,.f).._-_~9'p...__o_,..,..___c_v_-_o_.7..."J._7'-_...1:.,......,/e_f-_,,_e_.e-.r___~~

~c- 91- 18 I. Tem~ l+r** 1'1(J "-m**CJ Nom111*0***PW9C O..(J Pt1112*

~~T*'TMa *I" \~~

V7; PT . NOTI: .,.,. . . . .._ .. ,....,,*

~~a ,., * ......_..., ... . , . . . _.nt*11* ... *ttlft..1211........_~~

t._ ... ._, ........ , .... ._. ......, ..... ...., ... ca_._ .. s * . . . . . . . _ . , . _ . *--~--- 112/la.** ....------------***o --.....~~o~~,-~,---Jf4*1~--:t: -..,!1&ue~*~*-~....,~Y!l!...~... ~~~*~..~*~.. ~*~*~ ~ ~*~*~*~ ... ..~~~Ml~ll9~N~..... .*,1@ llflllU ---------~~*=F=*==lltl~l~t=l===*~Y~l----------- ** ,.,~ ~ JGlSl.S 'IYOJJlR 1l10l:::>V3 './0 ._._."!

!IP 6'if* ..a****..,.......,.....- . . ,.. . . . ....._ M111a "'° AlftlUI ...... ._ _,....., ... 111 etCllll ell 111111

AolCIWI .,.... - -..... ......., ............. ~ l,'9llMO .......... 11 5 .. J' ........................

IP lu1u-.* * * * £ *'*a**- .. 111£1111 **. . , . IN-. n *v1 .,a....., **ma*

*nc--.'-=>11111Yllll,. ..... ,............. I Ul~Wl.--0 IN&""""' Al

!IP"' PICll.-.P-*SI"'*-' . . . . ,. . . . . . . . . . . . . . . . --0 ............ * *:uoo11 Alu fO . . . *IP 01 WIP . .u pul ~2-hl-'.£ a "l"6-hl-'l ...... 1111....,.. UOlllW 1,-uMO lflP U!

l*l!-.P 1aueuoe1u* Mia.- *tt W9'I 'VW 0 POOM!tON t'Rn~nw UO'f~::>a~olC! "llPl'iO...... JC 11115 1'11 P* " . - " I _,A~ ............... ......H Ml& "II..,_,....,........UVb'tU=>lW fODIJAfMtf.IO llA I l&llPIO'I ......paapun 1'11 'I llOLd9_,I l:MMlllNI 110 l.lWlllLUll:) ___b_-z._ _"Yf)_...,...__-a / =;:rb' --~-.:~-~-!!!!:J.~-=~~*&tri==-~~=5!-.. 'ow :-,..~ ~, ~-I- PIYlls Y/N -a....,,..i--------Y-/-N--._. ... ..,..._.,.,.-.,~

~~Y-/-N--auas ....,,ASIPO:>NAJ.~~

~~~----~----------------------..;,......;;;,_,~~
"*..,..~~*a 8.MY~~ ei~u*=*
~~__.....;,__ ~.;_..:.....:.. ____________~-w-o-r/.._---,_...:.w~ *s c.e&I HIN NVO:I~~
~~'ORM NIW OWNIR'S "IPORT '0" "IPAIRI 0" "l'UCIMINTS Codi...._~~
~~Aa Fl-.Uired by the "-ilioM of d't9 ASMI XI~~
1. OwMf' Consum.rs Power Company Cate Jl,.(.~*e. -i_g I t792-N""9 27780 Blue Star Mem. Hwy. Covert, MI Sheet l l
~
~~Adelr-Palisades Nuclear Plant Unit l~~
~~2. "'""~~
~~Name 27780 Blue Star Mem. Hwy. Covert, KI L-420 o3~~~
~~....... o._.11** 11.0. Ne., J. . Ne., No~~
~~3. Witt&,...,.._..., Tova.sud & Bottum ...... Foe. Inc~~
~~Tl/119Codl~ . __ _ N_IA_ _ _ _ __~~
~~A~INrtallMNe.._.._-.~N~/~A.__ __________ Ann Arbor, MI. !...._.*0.. NIA M ...~~
~~4. ldlmtflaltoftoflYftMI tf ,.,,,k; / iqry ;~~
~~he)'-Sf-er S'; V> fe...,~~
~~s. 111 A---~Codl 1311, I 11.2l1dlt1o1t, % Acldl11t N~ CodlC..~~
~~(bl "-'kllllle ldltiOft of s..tiOll XI Utll!M for,._,. or ..._:** 11.!L§. 83~~
*I. ldlM&flalilft of c:.m.ei** ,....,.._.,..... .,."*IHI &*I eai.-a
~~ASMI N......~~
~~.......... Cade StMtDld~~
~~,.,..,...,. v- ..............~~
~~N1m1tof N.,.fll Otw (V"~~
<:ompoi..e SerlllN& No. ldlllti,..... lullt or Nol t.veld /V1c.-f~r i ,:cf '-velcl Co.
~~s ra,... NA %~~
~~/{O, loo4-77,4 Hr.*ffio4t 1990 RepfqceJ Alo~~
1. o....... ~ W.a.IJ B'-<;JJ- Up oa CV-0'7}6 ,*,lef- s pe.r SC .J91-148 I. Tem Col dw:-* Hl/41 ctlllll a rwz 1111 CJ NMtlnll 0Deiiiilti4 Pl . +/-* [J P7; VI OtftlrQ * JO - T*~ *~ '
~~NOR: Sb*r 1 ,. . . _ . . , . . . , , . , , . _ . . . . . . . . . , . . . . . . 1111*ttlillllll*i..an-..m1~~~
~~'*'"--' ............... ,... ............ ...., .... m ............ * ...... .._.,._. *--~---~~
112/la** T'Mt PClflft I . _ . lft9r 11111 ltll.... ffOfft tN Ot'dJr 0... A1119. Ml I. '781 a.,._ YOftl. N.Y. 10017
FOAM Nll.Z ,.._.
~~9. Aem1rt11~~...-------------------~--"'.""'."'--~----......__,.-.-._,,,.,,,.,=====---------------------~~
Aqt~ MMufenu,.,.I C11* ,....,. *IN ......... CllllTIPICATI o* ~wca I Wt Clftlf¥ m* IM n11ancna ASMI Codi, Slctioft XI. m* tn N ""80l't *con.it Ind dlll /(t'()fqc~,...,e..,"-f-;o,.tomtt to ttte ""of tl'I* TypeCode~...... *~---N_l_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ cantflcMotAu._.lllllOllNe.--N-/_A_ _ _ _ _ _ _ ........ a.. ____ N_/_A_ _ _ _ __ SlfMd --+-: -~ tJ.. ~.
~~~===--~ ...~~
~~Al,O. Thie A~ a..~~
~~)' ~~~
~~I, tit* undlni~ orllli"O\!fnceot~~
"°'-"'I Micn19an CIRTIPICATI OP 1NlllWIC8 1*1CT1*
~~VII~_......._,..,..._ die Nl1!0ftll . . . .~~
..... .,..... ._ Protection Mutual ol....., N,,.... VI-' In_.,. ll'ld me S11t1 ~t Ngeyppd. MA. e.. 11 ¥ . . 1M eotllDOl*HI d11Ct1Decl in mil Oww91 "IPM duftftl dll ..,... 1- t 9-?.?l
l -1 H-'ipl and nlW tfld to me ma of my 111..'1 *11*llltllf,*0.... II*~***- talRll 1111rs *---***ltwfl1111 **dlcrlbld in mi*
~~Oww'*"IPll'I"' 11**.........,_.* ., ........ eo.. ......... 1y *ilfilftt ~**IM * ......_ . . 1s~~
~~11 ..., .......... 1111111111 * - * ** w a*_...__.,.,.~~
fillllfftlnetioftl . . . . . . . . ft J 'W fl I 1-1* !ft dtll Ow:w°I ,._.. ........... ........, . . l f t - new ftil _.11¥11' ctt* d'llllllelllilllelftMY.....,..W .......... ~.,D*111"1f ...... ***el_, ............. .._ ***** ...-,," 1 incaalM. 0 £J /) /) FACTORY MU'I'tTAL SYSTEM
~~~ -------;,";;,..iM1ii1:1P'j:;ti'illl:;";=*=-*----- Co!Mtl**'*. NML* .......... 14~~~
~~01*w-._._._.____~i1 -.1.4...___.t* * ._Z~92-.~~~
1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Consumers Power Company Name Date___i,b~6.....:=~:::....:b:=:......!.../c_q.:..:.;}_ __
~~27780 Blue Star Mem. Hwy. Covert, MI Sheet _ _l _ _ of _ _1__________ Addrea Palisades Nuclear Plant. Unit _ _l_______________~~
2. Plant Name 27780 Blue Star Mem. Hwy. Covert, MI Addr- Fl*c:ielr Or;anlzetlon P.O. No., Job No., *tc.

3. Work Performed by Consumers Power Company Type Code Symbol Stemp_~N~/..,.A_ _ _ _ _ __
Nam* Authorization No. _ _ _ _ 1.:..,1...,.A_ _ _ _ _ __ N=-=* 27780 Blue Star Mem. Hwy. Covert, MI Eicpiretion 01te _ _ _ _ _N..;/_A _______ Addr-
4. ldentific1tion of System (Y'\ A ;V\ $\eA~

5. (al Applicable Construction Codi B.3 i * \ ...._ _ _ _ Addenda,....s.M-.1'1,...~..___ _ _ coda Case 19 55 Edition,_..,u...,IA (bl Applicable Edition of Section XI Utilized for Repairs or Repl1eement1 19 8~ S ~3
6. Identification of Components Rep1ired or Replac:ed ind Replacement Components ASME Code Nation1I Rep1ired, Stamped Name of Name of M1nuf1eturer Bo1rd Other Y11r Repl1eld, (Yes Component Menufacturer Seri1I No. No. ldentiflc1tion Built. or Repl1eement or Nol Lt" \Jill~e f"~J7'f- p.o.
~~~ i""'" s~1 r"'!1ASoru: ii Af'\ oot-Gic N/A """4-3'S"J't*t.l fflO ~e.t:o.IAceJ N~~~
~~I I I i~~
7. Description of Work ~e. rt Ac.e..d \/ ll l "1e... TI-\.,.v\ Se.""t ill\. GV- 0 s~~ A *

8. Tests Conducted: Hydrottnlc 0 Pneumntc 0 Nominal Operating Preaure ~
Other 0 Preau,. _ _ _ _ _ pli Test Temp. °F NOTE: Supplemental sh. . . in form of llm. 1k1tch*, or drawin911T11y be usec:I, providld 111 size II B1i In. x 11 In., 121 inforlTll* tion in itema 1 through a on this l'9pQrt ii included on Mdl 1h1et, ind 131 tech shift II numbered and the number of 1h11t1 i1 recorded et the tap of this form *
~~(12/821 - This Form IE00030l m1Y be obt1ined from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 1001 7~~
FORM NIS*2 (Back) Appllcebl* Menufecturer'1 Oete Flepom to be eti.ched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f""e. l ACC""'-"'- ~onforms to the rules of the t ASME Code, Section XI. repelr or replec:ement Type Code Symbol Stamp _ _ .._N....,.;J
. . .A Certiflc1te of Authorization No._... r-J~~/;.....,A_t.__________ Expiretion D1t1 _ _...N *..../;._.A ~4b ,19~d-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion issued by the National Board of Boiler and Preuure Vessel Inspectors 1111d the State or Province of M1'CI./, '4Ae/ ind employed by PIG;,Tf<r.'AH MwTw9L of /\/q£W<?O'j). MA. h.ve inlPICted the components de1Cribld in this Owner's R~ort during the period T-/Sf.;J, to z-ts-9.,;z and state that to the beat of my knowledge end belief, th* Owner h* performed examinations and taken correctiwi measures datcribld in this Owner's Report In accordance with the 1"1qui1'9ment1 of th* ASME Code, Section XI.
By signing this certificate neither th* lnspec:tOr nor his employer mek* any warranty, expreald or implied, concerning the examinations and correctiw m111ur11 d9crlbld in this Owner's Report. Furthermore, neither th* lnspectOr nor his employer shall be liable in any manner for any penonlll injury or property damage or a loa of any kind arising from or connected with this
~~~~-=.....:* ~~=--_,.._____ commlnion1~:-~...:.&.,--*.-~~)"'11::/\.-i.:;6-~_r<.AM. _'t'_s_~~~
1 0 5 _n_sp_ec_t-io_n_._ _ ___ ______ ln1PKtor'1 Slgnnul'9 Netlonel 1101rd, Stltl, P'rovlnce, 1nd Endoreementt oate,_ _ _ _ _?_...-1....,s....___19 9dl (12/821 I
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _ _ CONSUMERS POWER~~
_ _ _ _ _ _...,.. ___ COMPANY Date _____4.:....-..:2:..:1:...-....:9:....:2=---------- N*me 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ _l=--_ of _ _--=1'----------
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~9i!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200562 R*P*lr Or11*nlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Codt Symbol Stamp _ ___..N::.A~-------~~
N*m* Authorizfttion No. _ _ _ _ _ _.!:!NQA,_______ ANN ARBOR, MICHIGAN 48106 Expiration 01t11 __________..Nu;A._________
4. ldentificetion of System _ _ _ MA_I_N_S_IEAM

5. (al Applicable Construction Codi AISC ¥J 7 TH Edition, _ _N_A ____ Addend1, _ _ _N..;;A.;;.. .__ _ Cod1 Cal (bl Applicable Edition of Section XI Utilized for Rep1ir1 or Replec:em1nu 19 83 S 83
6. ldentificetion of Components Repointd or Replaced 1nd Repl11COment Compon1nt1 Name of Nemeof Mlnufec:tul'9r N1tion1I Boerc:I Other Ye1r Rep1ired, Repleced, ASME Code St1mped (Yes Component M11nufec:tul'9r Slri*I No. No. ldentific:etion Built or Repl1eem1nt or Nol BEAM klueoe.
~~W12 X 50 NA NO~~
~~.6 PLATE 'Bei+\\ehe~~~
~~3/4 x 4 1 x8 1 NA NO~~
~~~'"TI'tt..S Men\~~
PLATE Sn$?_ NO 8£T'H t..£H~~ PLATE 1/4 x 4 1 x 81 .sreEZ, NA NO Replqc <'o.....,,,o.,.,.. tJ - --
7. OISCl'iptlon of Work lliiPi':iR" PER SC92-003 HANGER EB1-Rl.1 "l"O~ ,,~,,~

8. T11t1 Conducted: Hydrost8tlc 0 Pneum8tlc 0 Nomlnll Oper8tlng p.....,,. 0 Other QI Pl'lllUrl p1i Tiit Temp. °F VISUAL EXAM NOTE: Suppltmtntll lhMtl in form of llltl, 1kttch*, or dnlwln91 mey be ultd, pravldld (1) 1121 ii 8Mi In. x 11 In.. (2) lnforml*
tlon in item1 1 thraugh 8 on thil report ii Included on llch lhllt, ind 13) ach lhllt ii number.t ind the number of lheta i1 recorded It the top of thil form. (12/821 Thi1 Form CE000301 mey be obt1lntd from tht Ordtr Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks~-----------N_O_NE______...................................................................................................................~-------------------~~
Applicable Manufacturer'* Oat* Flepom to be attached CERTIFICATE OF COMPLIANCE . We certify that the statements made in the report are correct and this f<ee/-;c~....,,,,. ~onforms to the rules of the
*
~~repelr or replacement ASME Code, Section XI.~~
TypeCodeSymbolStamp ..............................~N~A=-......;............................................................................................................................~ Certificate of Authorization No. _ _ _ _..:N~A=----------Expiration Date ------'N'"'A=-------------- Signed~~ Owner or own;;outgA*. Title
~~~Or Date-,J/l.~~=--...;;2=---* 19 9 (_~~
7 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiaion iaulcl bv the National Board of Boiler and Preuure Veuel Inspectors and the State or Province ot MICHIGAN and employlcl bv PROTECTION MUTUAL
~~ot NORWOOD MA -= :td inspected the .components described I~~
in this Owner's Report during th* period 1-10-9¢ to 9.?.. and state that to the best of my knowledge and belief, the Owner h* performed examination1 and taken corrective me111Ures described in this . Owner's Report in accordance with th* requirements of th* ASME Code, Section XI. By signing thi1 c:enific:at9 neither th* lnspectOr nor hil employer mak* any warramy, ex~ or implied, concerning the examination* and comtc:tiw rnuwrw delcrlbed in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any penonll injury or property damage or a Ion of any kind ari1ing. from or connected with this inspection. 0 7) /J /) FACTORY MUTUAL SYSTEM
~~-----------*--~~~--..,,,,**""--Commlnlon1....,j/l?"-.&.£.'~~--'~~~=3,~~~
~~lmpec:tor'~ Netlonal Board, State, Province, and Enc:torwnanu Date +/--10 1s 9a C12/B21~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ _POWER -:":"_ _ _ COMPANY_ _ _ _ _ __ Date _ _ _...:,4_-:.2~1-~92=--------- N*m* 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ _l____ of _ __ _ : l " - - - - - - - - Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~'f!AL HWY.~~
COVERT, MICHIGAN 49043 T&B W.O. 24200563 Repair Orpnlzetlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stl!Tlp _ _~N.!;!A..______~~
Authorization No. _ _ _ _ _N~A2-______ ANN ARBOR, MICHIGAN 48106 Expiration D1t1 _ _ _ _ __.,Nu.A.._______
4. Identification of Svstem _ _ _ _ MA_I_N_S_TEAM _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code AISC ~ 7TH Edition, _ _N_A ____ Addend1, _ _.; .N; ;.A; . ___ Code C-(bl Applicable Edition of Section XI Utilized for Rep1ir1 or Replricem1nts 19 83 S 83

6. Identification of Components Repaired or Replaced and Replec:ement Components ASME Code N1tion1I Rep1ired, Stamped Name of Nemeof Mlnufectul'9r Boerd Oth1r Ye1r Repleced, (Yes Component M1nufactul'9r Slri1I No. No. ldentlficetion Built or Aeplecemen~ or Nol ANGLE 3 x x 1/4 3
BOLT 7/8 X 2-1/2 LG (6) NUTS 7/8"'4 (6) FLAIWASHER 7/8"'J (6) PLATE Be+h\~"em 1/2 x 4 1 x8 1 ~~ ~ ~ ~ Ref' qc:e ~ ove co-.f'OVie,.. s j.Jt;.~/EB 1- 1q,/
7. Description of Work _ _ _, ....r~~...;ll.;;.lf!;;;.P;;.;;A'I;;,;R~P.;;.ER;.;....;;S;.;;C.;.9.;;.2-...;0;.;;0.;;.3...;WH=I.;.P...;RE=.;;S;;;TRA=I;;;.NT;;;_C;;,;R.;,;;O;.;;S.;;.S...;.B;.;.RA;;;;;.;;CI;;;;N.;,;;G;;,..._~#;z,wC~/?.:..!...,j/.:..:Cf!>::..;.:~/;;,..._-.:../(.:.;/.;.:.J./
~~r.;;~~
8. T11t1 Conducted: Hydromtlc 0 Pneumatic 0 Nominal Opemlng Preaurw 0 Othar QI Preaurw pli Tnt Temp. °F VISUAL EXAM -
NOTE: Suppl11m1ntll llhMta In form of 11111, 1Utch*, or drlwing1 rmy be ul9d, provldad (1) 1lze II h In. x 11 In., (2) informe* tlon in itlml 1 through 8 on thil report II included on eec:h lhwt, and (3) Adi llhwt II numblnd and the number of eh.a ii recorded st the top of thll form. (12/82) Thie Fonn (E000301 mey be obtained from me Order Dept., ASME, 346 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back) Applicnble Manufacturer's Data Report* to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "&ep/9ceaenTconforms to the rules of the ASME Code, Section XI. repair or replacement Certificate of Authorization No. _ _ _ _..:N.:.:A::...,_____.____ Expiration Oate _ _ _ ___;N=A=---------- Signed_~~i..==.a---=-b~*-*-=+*---.N._,_,...;..O..._ Owner or Owner's De1i11n9', Title
..........~~....;;....,..-...----Date_--:4"'~--"_;;;i,,.--.....:/"---* 19 ~ V CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission i111Uld by the Nnion1I Bo1rd of Boiler and Pressure Veael Inspectors and the State or Province of MICHIGAN and employld by PROTECTION MUTUAL of NORWOOD
MA = have inspected the components described in this Owner's Report during the periodi-------1---/-.4/.._-..~ ...~~to ;f-t'{-96. , and staw that to the best of my knowledge ind belief, the Owner ha performed e.x1min1tion1 1nd taken corractive meuure1 dncribed in this Owner's Report in accordance with th* requlniments of th* ~SME Codi, Section XI.
By signing thi11 certific:fie neither th* Inspector nor his employer mikes any W1rranty, axpl'ftlld or implied, concerning the examinations ind correctivlt IMllUl'll described in this Owner'! Report. Furthermore, neither the Inspector nor hi1 employer shall be liable In 111y menner far lllY P11"1Dnel injury or property d1m1111 or 1 loa of 1nv kind arising from or connec:tld with this
;n- ~ FACTORY MUTUAL SYSTEM ------....,..---~~~~.._....,.;;:i.~~~---Cammla~ns-:;1"'1.....;..~'*~*....&.t't<?..:.::~,;i_;;:.
~~lnlPectOr'*Slgn.cuN ___~-------------- Natlort.i DOlrd, Su., Province, and Endorwrnenu D11te._ _ _ _ _f....__._ /'-~~--19 9..;i (12/82)~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner ______________________~~
CONSUMERS POWER COMPANY __ Date _ _ _ _4:...-...:2:..:l:...-....:9:...:2:..._________ N*me 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet _ _,::.!__ of _ _---=l=---------
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~'i'fAL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24200566 R*P*lr Or11*niz.ilon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ __....,N~A,_______~~
N*me Authorizetion No. _ _ _ _ _ _N~A.._______ ANN ARBOR, MICHIGAN 48106 Expiration D1te _ _ _ _ _ ___.NuAA------
4. Identification of Svstem _ _ _ _ _ _ _MA_I_N_S.;..TE..;..;;.;AM~----------------------

5. (al App.licable Construction Code ___~A;;.;;I;..;;S;..;C;__-..:~ 7TH Edition, _ _N_A ____ Addend1, _ _ _N_A___ Cod1 C...
~~lb) Applicable Edition of Section XI Utilized for Rep1irs or Raplacem1nu 19_.8......,3_,wS 83~~
6. Identification of Components Repaintd or RepllCad 1nd ReplKement Components Name of N1m1 of M1nuf1CtUrer N1tlon1I BOlrd Other Y111r Rap1irad, Raplle9d, ASME Code St1mpad (Yet Component ManuflctU rer Slrl1I No. No. ldentlflCltlon Built or Rapl1e9ment or Nol BEAM W12 x so NA NA PLATE 1/2 x 4 x 8' 1 NA NA a ove co,,.,po111e"' s Per
~~7. Description of work _ _ _ _--==~:-~---::.'~il=-R-=-:F9:-R_s_c.;..92~--0_0_3__HAN~~
~~__ GE_R...._E_B.;;;;1_-Rl...;;..4;.;.*.;;;1_ _ _ _ _ _ _ _ _ _ _ __~~
~~"'rV{{ *--< --~'L~~
8. TMU Conducted: Hydl'Oltftlc 0 Pneulll8tic 0 Nominll Opemlng Pl'lllUre 0 Other QI Preaure pal Tiit Temp. °F VISUAL EXAM NOTE: Supplementll lhnta in form of liltl, 1kltch*, or drawln111 mmy bl ueld, provided C1) 1iz1 ii 8% In. x 11 In.. 121 infonn.*
tion in items 1 through 8 on thil report ii included on l9Ch lhnt, end 131 nch sheet ii numbered end the number of lt!Mtl ii recorded It the top of thil form. (12/82) Thl1 Form (E00030) 1n8V bl obt1inld from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
9. Remarks NONE Applicable Manufacturer'* Data Reports to ba attached CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon ere correct 11nd this l<rpJ9C'fC'!e...,'f- conforms to the rules of the ASME Code, Section XI. repair or replacement
~~TypeCodeSymbolStamp ..............................~N...;;A,;;_.................................................................................................................................._~~
Cenificate of Authorization No ...................... .;;N""A;.;;.. __________ Expiration Date ....................__;N~A;;.;;.......................................... Signed~~ #,0, Owner or Ownar'I DailgnH, Title hJ¥ Date~ P' CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiaion iauld bv the National Board of Boiler and " :.ire Ve*I Inspectors and the State or Province of MICHIGAN a11d employld bv PROTECTION K':... ~AL of NORWQOD. MA -= hlVt *nSDKted th1 campon1nt1 described in this Owner's Report during th* period '1 92 ta 7 9?. , and stetll that to the best of mv knowledge and ballet, th* Owner h* performed. exeminnions and taken comtetive measures describld in this Owner's Report in accordance with th* requiremenu of the ASME Code, Section XI. By signing this c:ertificat8 neither the lnspectOr nor hi1 employer mak* any wamntv, exprenad or implied, concerning the examination* and correc:tiw menu,.. delcribed in thi1 Owner'* Report. Furthermore, neither the ln1P11Ctor nor hi1 employer shall be liable In any manner for any pel'IOnel injury or property dam-ea or 1 loa of 1ny kind ari1ing from or connected with this
;.,p*cdo*. ~~ FACTORY llDTUAL SYSTEM ----------~.....,.;;:oiii---'"'~"'-""""~=---Commialon1 ln1Pac:tor'1 SlgnltUr9 fi?I'. ](p.cg, Netlon.i Board, Sine, Province, anc:t Endorwmanu Date1_ _ _ _ __.1........:-/~Q~_19 9¢ (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _C~o_n_s~u_m_.e_r_s_P_o_,w,..,..-e_r_C_o_m_.p._a_n_y..._~~
~~N*me 27780 Blue Star Mem. Hwy. Covert, MI Sheet _ _l __ of _ _i __________ Addrea~~
~~. ant _ _ _ _ _ _ _ _ _ _...,...,____________ Unit _ _l_______________~~
2 Pl Palisades Nuclear Plant Name 27780 Blue Star Mem. Hwy. Covert, MI w. o. ti ;? ~ d..O Of,c;).Lf. Addr- Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by Consumers Power Company Type Code Symbol Stamp _ _ N.;.,/,_A_ _ _ _ _ __~~
Nam* Authorization No. _ _ _ _':":N~/~A;....__ _ _ _ __ 27780 Blue Star Mem. Hwy. Covert, MI Eicpiration D1t1 _ _ _ _ _N...;/_A _ _ _ _ _ __ Addr-
4. ldentif~ationofSynem __~~~~:~~~A~~~~~-~~~~l_A_~ __I_~~~~~~~~~~~~-----------~

5. !al Applicable Conmuction Code $e..c.."T:-1I[ 19~Edition, \G\~ Addend1,_..N~/t.""'A...._ _ _ _ Code Case
~~!bl Applicable Edition of Section XI UtiliZld for Repairs or Replacements 19 i3 S i~~~
~~6. Identification of Components Repail'ld or Replacld ind Repl1e1tment Compon1nt1 ASME Code I~~
N1tion1I R1P1ir1d, Stamped Name of Name of M1nuf1eturer Bo1rd Other Year Replcld, (Yes Component Manufacturer Serl1I No. No. ld1ntifle1tion Built or Replcement or Nol Cc-.bi.5T:*"" C. P"Go Se..t-\A \ r R~-;t E.~:""u,._~..... IG\l N/A ti .:let ,b-I "I l'f'1o ~e~l"~ '(es
~~7. Description of Work_.i..;~;o,.;;~~~r--\._.A-.O.-....J.._____,,Le~~
~~......-."""-_~..__r---.o~l--:t""1_o_cJ...__c:Jt..--...:_\_'-'_e..~~
~~_ _.$1C..:es..A:..;...;.l_-:~:..._=.;;::S~\~...:.~~
~~~*;_...__~~
a.. Tests Conducted: Hydrottetic D Pneummtic D Nomln1I OPlretlng ,.....,,. fgl Oth1r 0 Prnwr1 pli Test Temp, "F NOTE: Supplementll lhfftl in form of llltl, 1ketch*, or dr1wln911Ny be used, provldmd 111 1lz* II h In. x 11 in** 121 lnfom111-tion in items 1 through 8 on thil report II included on .ch 1h1et, ind 131 neh lheet II numbered Md the number of 1hnt1 i1 recorded et the tap of thil form. -
~~112/821 *- Thi1 Form (E000301 m1Y be obt1ined from the Ord1r DIPt., ASME, 345 E. 47th St., NIW York, N.Y. 10017~~
~~FORM NIS*2 (Back)~~
~~9. Remarks--=S::;..;e..e...=_.._A_,__\_\_A_c-h.......;....;.;::;ed=----------------------~~
Appllcet:lle Menufecturer'1 OH* Fleportl to tie etteched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this t"'~~I ACe.~I conforms to the rules of the ASME Code, Section XI. repeir or replecement TypeCodeSymbolStamp ___ "1_~,/J . ..,c... ____________~--~------------------------------------ Certificate of Authorization No ........;.N...-'-~..:~;...;.....................--------Expir*tion O*t*---=N~~:......;..L........................................- Signed ~~-!odo.1ign..~.fi;** AV\..A 'b s: r Oate ______ 7~/ __7...;...._ _, 19 t1.;\- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding* v*lid commission issued bv the Nation*I Bo*rd of Boiler end Pressure Vessel lnsPectors and the State or Province of M1't!/l,Gt'U/ *nd employed by Pt?Qn;.c.Ti "c::>e/ /'YI '-<-T<..(dL
of t../a£WpaP.> MA :r hmve inlP9Ctlld the componants described in this Owner's Repon during the period r-ts =9,.jl to z-tS-9',;z , and state that to the best of my knowledge *nd ~lief;th1 Owner h* performed exmminations *nd taken corrective measures described in this Owner's Repon in accord1nce with th* requirements of th* ASME Codi, Section XI.
By signing this canificatl neither th* lnspect0r nor his employer m*k* any wamintY, exPl'lllld or implied, concerning the examinations and corrective menu,. d11erlbld in thi1 Own1r'1 Ripon. Furthermore, nlith* th* ln1P9C!Or nor his employer shall be liable in any manner for any penonll Injury or prop1ny damage or a Ion of any kind 1rising from or connected with this inspection. ~ F;,a-a,ey frt""-T"'fL S't'.S~ _ _ _ _ _ _ _,_.,..~,.....'""'"'"--o=.;;=-----Commi11ions .......::M~~'..;*_~.&..::=~~-...,,..----
~
0 Netlonel Boerct, Stne, 'rovlnce, *nd Endarumenu Oate*------'?_-.;.l.:::S:;.....__19 9~ (12/82)
CEB5 ' POllM N*Z N 011 N" C!llTll'ICAT! HOLD!llS' DATA ll!l'OllT POR IDENTICAL NUCLIAll "AllTI AND APPURTENANCES* Ao llequkM by the l'rowblontl ol the ASME Code, Section Ill, Dlvlolon 1 Not To EaCMd One D1y'1 "'oductlon Pg. _l_ 01 _l_ 1* ......, _ _ _ .,~qmQyatign~inoc:rin4;~ABB Cgmhy~tign ~nginceri~g s~~lcar Power 1n.ri.nqton rati.0011, ~'!'lea , Newi.ngton, N 01
~~2. ....,,...,..._ABB Ccghuntipn tnqineering. Inc . 1000 prg3oes:t Hill Roi:d. Windsor, CT~~
~~_ _ _ .. _ 06095-0500 J. Leca--.e1-..--..con11pper1 Pwer cg Pnlisode1 Plant. Michigan~~
** '"" Rey
~~1. ASMI c:-. -~~
~~CND-E-4667, 05 Seo ___ _,Bemnrkn ,~~
~~-- Nooe ,.. ___....,.L.,9~a~6-________1.9_0~0.__ ----,,~=---- ---~c.--"N'!'f;..""""!'-.__~~
~~I. * -* - -c... s.-. mo.. 2 _. ----,... 1990~~
~~,..N~/~A-- ._ _ _ _...N,./_.A..__ o..., _ __,N.,,lc..A,,__ _~~
7. - " ' 511-J B2-PJ47 ;rensilr 75.000 SA-182-p:304 TeD!!ile 75.000 SA-213-T347 Tensile 75,000 see Back 1 . ...... U'llafteU MrL*--*-- Mil.--......,._°"-*--*-- oa.. ID 111a1n.1 _ _*_ _ Lsnu*" °"°'.. ctt * '"*' - - - -

1. Wt'9ft ~-Cl -hcaM ............. ....,. .............. *left ....... lh!I ....,,:
~~Assembly No. IUlllillC "8lllC Mllllll*llllJl5 -- lten*~~* in~~
~~....,,....c .. 0.der I~~
~~Kfyq,~/N 111 2966- 72 Assv 1 IMI 121 ?a""-?~ **~ 7 Ill 2°""-74 >.a.U 1 '""'"~~
.198.l 1271 1211 141 1211 Ill l:IOI Ill llll 171 Ill ll11 Ill!
Ill 1341 llDI ll51 II II 1>81 1121 ll11 llll l:Jal 11*1 llll 1111 IOOI 1111 1111 1*21 1111 ..JI
~~...'"I, 1111 IJOI 101 1211 1221 12:11 12*1 101 1*11 1211 150!~~
10. o...,. _ __.2....,5..oo...____ ... T____6,..o..,o'----** _ .. _ _._-"3"--L'.:l.:~.:S:.....___ .. ,.....ao*r Hin *
-------.121 .....................---................ __ . ___ ......... - - . . . ....................................... 111......._ ...... , .... , ................ ..
n.. .............. .._... . . . o..a.O.......... llY.~ .... 1 . . . * ...... llUOPOCllJJDO
C5B6 .1.Sq FORM N-2 lbadll Mh.S....No. o...,.~cR!llf\1cM\lf_..., o.- ._. . .....,..., .,. -- peapnnsjhi.litv gf Other1 Responsi.bi=:;::.!!, Others l'.I. l'.I.
*t.e**----"-1* ,... - - - -
llM* - - - - "'9. ne. - - - - We c.,..,,. .,._. - .,_,......,..,~ .. If'-.,.._,--~_... D'IM dW91 _ _ 1 _ _ _ _ _ __....,.....,.__ l ) o p .. f t _ _ _ _ _ _ __ c .................... C8ftl~ .. die ...... c.... s.c.... ..
~~----MN_-.2~0~4~)------*--*- z::;,~2~~~~
~~W T C . . - - e 1 - - .... 0 .,0 {;~~
~~/,.riZ,/'it Combustion Enqineering, Inc.*~ ~ -ABB CE Nuclear 'fo!ler ..,.._ - - - - - - _~~
~~_ Yf:J~~
~~... c...-...._ '*---*-.**---.. . . --.. ----.v-----*-*. I N.H. ., Hertford CT ClllD'ICAn a.~~
~~H.S.B.I. ' I. Co . l>COf' *8"CTIDOI~~
....._..-,.aM....__......_. .. u.. .... ...,1en ...,-'"" .. ~ ........t. INc..hc... Ml*dm.._~ . . . . ...,,...~.. ?1 l"'H'I,,) 9' "'~*--._~C....S<<tmn .~ ....'""*""-
~~lecPl.-. .. IMl"--...,.~'-at.......................... .~~
~~h ........ "'- C..,..IUle, ............ -...ctW._ ............ ~.., ........................... CWC8f'l'W'I ................ -.C,.._~~
.......... ......,_ ,_.,.,_.,,_., ._,.. ... .,..... ,.. .................... ...., ............ ....... -.rt.""'""'~ * .... .. .,., , .... ...-.. . . . . . . C9flAllCtM . . . . . ~
~~MATERIAL~~
*SA-l82-F347 Lower Flange SA-l82-F304 Ace*** Tube Flange NOK. THICJ:MESS (IN) .406" .12s*
~~HIN. DESIGN THICJCNESS (IN)~~
.391* .12*
DIA. I.D. (FT ' IN) 2.06* 2.or LENGTH OVERALL (FT ' IN) 4.2s* 1/4. SA-213-T347 Acceas Tube . us* .12* 1.260
39.soo*
SA-182-P347 Seal Houain9 ,3135* ,301° e.ooo* 9,59*
1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Cori.su:::ers Power Como any Name Date_7-l--f-7/_-. . .!./-f-/-~". . .: . .:1.;J._:=. . .:. __ _ __
~~27730 Blue Star :rem. Hwy. Covert, :11 Sheet _ _ l _ _ of _ _l __________~~
~~Addreu~~
~~2. Plant Palisades ~uclear Plant Unit-----------------~~~
N*m* 27780 Blue Star ::-1em. Hwy. Covert, HI w.o. ii ..,:i=td.aOb~5 Addrea Fl*P*lr Org*nlzmtton P.O. No., Job No .* etc.
3. Work Performed by Consumers Power Company Type Code Symbol Stamp N /A Nem* Authorization No. --:-J--'.:..,/-A;...__ _ _ _ _ __
~~27780 Blue Star :!em. Hwy. Covert, :n Expiration Date :l" A Addr-~~
~~~ ldentificat~nofSynem_~~~~~~~~~~~~~~~~~~~=~~~(~A~~~~~~~~~~~~~~t-~~~~~~~~~~~~~-~~
5. (al Applicable Construction Code $e.c.\\'o"\"'!II. 19 ~ Edition, 15'8"6 Addenda, eifoi</e Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replocements 19 ~!> S "6~

6. Identification of Components Repaired or Replaced and Replacement Component*
i ASME ! Code : National Repaired, Stamped! Name of Name of M1nuf1Cturer Bo1rd Other Year Replaced, (Yes ! Component Manufacturer Seri1I No. No. ldentific1tion Built or Replacement or Nol i
~~~W\"bL4.STi 01'\ C. f"CD .2.l'i '14 I~~
~~(.,f~~-\0 E.~.*.,..,...;~~
~~.... d.ol$ ~~~
~~N(A --~:'-~ t'\q). ~~~IAc.eJ Yes I I I i I I~~
~~7. Description of Work JS:e ~\A Ced ~~~ \~~
B. Tests Conducted: Hydrostmtlc 0 Pn1ummtlc 0 Nominal Operating Pressure 'g) Other 0 Preuure _ _ _ _ _ pli Test Temp. °F . NOTE: Supplementll shnu in form of llm, 1k1tcha, or dr1wing1 INY be uled, pnwldld 111 1lz1 ii 81' In. x 11 in., 121 informe-tion in lttm1 1 through 8 on thl1 report II included on llCh 1hnt. and 13) ach shift ii numberwd end the number of 1hHt1 i1 recorded It the tap of thl1 form *
~~(12/821 - Thi1 Form (E000301 mey be obt1intd from the Order Dept., ASME, 345 E. 47th St., Ntw York, N.Y. 10017~~
~~FORM NIS*2 (Back)~~
~~9. Remarks ~ A\TAched, Applicable Manufacturer'* Data RePOrtl to be attached CERTIFICATE OF COMPLIANCE~~
. We certify that the statements made in the report are c.orrect and this r-~~liitc.e.IN\a.~onforms to the rules of !he ASME Code, Section XI. repair or raplKamant Certificate of Authorization No.-..i.N..;:a.r,,:/;:.......A~.___ _ _ _ _ _ _ _ Expiration D*t* - -...b-!-..;,..6-'-A.;...._________
An A IJ1S\' 0 Date _ _ _ _ 7"'-l-/_7~--. I 19~:..--j CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a v1lid commiuion issued bV the N1tional Bo1rd of Boiler and Preuure Vessel Inspectors and the State or Province of Mt'!!>l.Gtt-J and employed by P/?eTt::e.(. 9 ,J Mu.TC::<.AL of
;...Jol2.u.;ool); l\"]ft. h9119 inspected th1 compon*l'!tl described in this Owner's Report during th* period z-l<e-902 to £-He- 9.J. , *and state that to the best of my knowledge 1nd belief, the Owner has performed 1xemin1tion1 ind taken corrective meaure1 d1scribld in this Owner's Report in accordence with th1 l'IQuiremenu of th* ASME Codi, Section XI.
By signing thi1 certifiCltl neither th* lmpectOr nor hi11mplayer m1k* 1ny Wiim~, 1xprnlld or implied, concerning the examinations and correctiw me_,,. dllcribed in this Owner'* Repart. Furth1rmo,., neither th* Inspector nor his employer shall be liable in any m1nner for 1ftY pel'IOn81 Injury or prop1ny d1m191or1 loa of lftY kind *i1ing from or conn1ctld with this inspection. ~ r-l'tGrca.'f' 1>'14".T~C... S'r'S~
------------~_.;::-.......,.,..""""........__________ comminion1.....11/l7:...;..~'~**"'-'~..M:::..3.:::i....____..,,..________,,.....~------- ~ Netlanel lla1rct, Stete, P'ravlnc:e, and Ene1arum1nt1 Dater_ _ _ _ __.7'---"-t_.(9....__19 9o1 (12/821
~~FORM N*2 N OR NPT Ci!!RTIFICATi!! HOLOEnS" CAT.\ RE?ORT FCr! IOENTIC:AL NUCLEAR PARTS ANO APPURTENANCi!!S~~
~~Aa Required by the Provisions of 1h1 ASME Cod11. Sec:ion Ill. Division 1 Not To El:ceed One Cay's Praduc:ion Pg. -1._ of _l_~~
"'-'"'tlOU:S ....... oa .:..ng.:.ll.:c.tLlg * ... c., r..:;t:J ....,ww'-'-,,j .. _w., -"6-.. i:ei..-.n 6 .... uclear ".T't! 038(
I. M1nul1cnned and canified Dy rdt:r::!'.f, ,1t!'.. .-hgCOfi vpe~_.._,,...w;ic:.;~.acaoa~VdCL. * ..~- *
~~~u.. J ..,1c:*.-..i..u6"-'-'Il1 ..,1n~~
~~2. M1nul1ctured Combustion Engineering, Inc., Nl'B, 1000 Prospect Hill Rd., Windsor, CT~~
/or...:.:.=:..:.:....::.::.,::.::,.....::;:.:..::..==::..:...~__;:.;._ _.....,:_ _.....;.=-=~--_..;.-------=:.__:_:..:..:,..::.......:, - - -.... * - - 06095-C
i. Lonrion al insuuuion Comsumers Poqer Co. , Palisades Plant* Mi6i2an CND-E-466 7 _ _ _....

4. Tyoe~-~~o~*~*-0.....,7______.s~ewa.__B~a*~-.-a.~~k~s...._______________.N~o~n~e=---------~10~--9~2--------
~~,.,.~ ,..j ..... L ...c......, &U*... ,.,.,..,.,.. 1C""1 tit** .._..~~
~~5. ASME Codi, Secuon m: ___1_9_8_6___________. . ;l.. .;9_8_8_________l ______ ---,,..-.;.,,N..;;.o,;.;n~e____~~
II__. tM........ ICl&UI 1(*11 C.ne . . I G. F1bric111d in accord1nc1 witll Const. Spec. IOi-1. 2onlyl __..;~J..I~I.::.!_ _ _ _ 11 ...i1ion _ _'1--.l.-l_ _ _ Oiu ___~.../_!...__ __
7. Remarks: SA-182-F34 7 Tensile 75,000 SA-182-:304 Tensile 75,000 SA-213-!347 Tensile 75,000 See Bac:k I. Hom. lhicktless fin.I
Min. design lllickness !in.I * ::lia. JD Ill l in.J

L1n9lll ovena Ill

in.I *
~~9. When 111oficablt, Ccntlic111 Holders' data 1111ons art 1tt1dltd lot c1ell i11m al nu report:~~
I
'*" or Aopumrn1nc1 JUmraiK Pitt or Appuit1nanc1 National Serial HumC111 Assembly No. ~
MMKiYUC . Serial Humlltt Board N11111cer in Numerical CrC:er Mfg. S/N 1112966-80 Assv 21 2016 12111
*... 1212966-81 Assv 221 2017 1271 I 1:112966-83 Assv 241 2018 +- 1231 I 1291 I 1'1 _-----------4--'--------~
_ _ _ _ _ _ _..:...._ _ _ _ _ _ _ _--! I l!ll 1:101 I 1111 _ _ _ _ _ _ _ _......._ _ _ _ _ _ _ _....; 171 __________......_ _ _ _ _ _ _ _ _....; 13tl l:J:ZI 111--------~------~---1 1:1:11 191--------..;...----------! 1:1'1 I 1101 I 1351 1111 I 1:111 1121 1:171 1131 1141 1111 I 1311 1391 l40I 11151 I I 1'11 1171 I 142J 1111 I 1431 I 119J I 1'41 I I I 12CI 1*51 1211 I 1481 I 1221 I 1'71 12:n 1411 I 1241 1411 I 1251 15CI I I
.10. oe* 111nain*-...:2.,....s'-.lo~o'---pli Tano._.-6...oo..___ --*--.. gJ--*-----*-*-*--..-- "'*9-lallll- *s * ..... ..,........... ._ .. ,.................................. .,....,,,.,..,.,. ,.m.._.... ..... 2,,. 2 . . . . . .,,,.... .. --- .3, fZ.:> ,,.. -tlOOIMOI- .. .....;. . _ . . a.- o..... ASMI. 22 ~ c-..... z:ica. ,......._ "'01001 z::ico u1emo.au.,
111111*1
Mlt Srnal Ha
- aATIFtC.t.Tl CF QUICH \
~~a*... 11Mciric11ioM canir..., 1rr ResEonsibility of Others~~
~~-- ,.L sia** R19. na.~~
.. *r.*
**:* Ce119n ,._,. ur11r11<<11 11y Resnousibilit! of Others ,.Ls1ue R19.na.
~~CEATIFIC.t. n 0, SHO, COMPUAHCE~~
~-
We c1n1fy 11\a1 ll*e 11a11mm11 made in 111i1 **-1 111 c111rcc1 aftCI Ulal 11\is 111\Hel conlo1m 10 111e ivlu ol can11ruc1ion el 11\e ASME Cade. S1C1ion UL Parts II HPT C1mlic111 ol Au111oriu11on no. N-2041 bpirH February 20, 1993 I a... ~.szii6 Name Combustion Endneerin~
~~.,.,,c........... ~.~~
~~Si11n1d~~
~~~£'..0~~~
~~CE!ITIFICA TE OF SHOP INSl'EC:TlOH I. Ille undersifJn*o. llolClin9 a valid commission issued by Ille National !aard al !oiler and Pressure Vessel lns111c:ars and lh1 11ue or 11 ro,,.nc 1 of~~
~~-: and 1m11toyed 11y H. S* B. I . & I. Co .~~
ol Hartford. CT llne inso1c:1d 11\111 i1ems described in !Ilia d11are111111 an ::!/z..,-/ 77 , lftd SUll 11:11 10 Ille 11111 ol my "'°"'*ot;1 aria lle~el, 11\e C11ufica11 Haleler 11111 l111ric11ed these oarts ar 11111ur11nanca1 in 1ccoro1nc1 wi1111111 ASME Coc:1. Sic11on
~~.:*. Ill. hell 11111 611ed 1111 Ileen 1ulftori11d lar 11arn11in9 an II\* da11 sno- allow~~
~~Bv *'9"""J 11111 c1r11liu11, "'""" 11\1 in1111C:ar nar lli1 emolayw mak11 any ..,,,.,,..,, u1111s11d or imp&ed, ccnc11r.irtg Ille 1cuiomen1 c:escr11110~~
"' 11b1 d111 110011. Furtl11rmor1. n11111er 1111 inlD1ctor nor llis 1mliJoyer staall 111 Gallf1 in any mar.net for any pcncftll inJU'Y or prop111y 01ma91 01 i ***. toss af any kind arisirlf lrarn or conri.c11d """' W. inlo1Clion.
~~0111~5/. S"'19n1d [dd:~~i __, Canuniniona ..6r,£"~ &!1f.C..SI ' UM** .. --.. ........_.. .,.,. .. ..., .......~~
.. MIN. DESIGH DIA. I.D. LENGIR OVERALL .* THICKBESS (IN). ~Fr & IN) (Fr & IN)
~~MATERIAL NOH. THICXNESS(IN) SA-182-F347~~
~~Lower Flange SA-182-F304 Access Tube Flange~~
.406" .125 .391" .12 2.06" 2.06" 4.25" 1/4"
~~SA-213-?347 .125 .12 1.260" 39~500"~~
'! Access Tube SA-182-F347 .3135 .301 8.000" 8.59" Seal Housing
1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Cori.sw.:::ers Power Company Name 27780 Blue Star :fem. Hwy. Covert, MI Sheet _ _ _ _ ot _ _ _ _ _ _ _ _ _ _ __
~~Addrea~~
~~2. Plant Palisades Nuclear Plant Unit _ _l_______________~~
Nem* 27730 clue Star :-lem. Hwy. Covert, MI Aepelr Or;anlz1t1on P.O. No., Job No., etc. J. work Performed by Consumers Power Company Type Code Symbol Stemp_""'.N~/"'."..\_ _ _ _ _ __ Name Authorization No. _ _ _ _':":N~/~A_______ 27780 Blue Star Xem. Hwy. Covert, MI Expiration 01t1 _ _ _ _ _N...:/...:A.;;__ _ _ _ __ Addr. .
4. ldentif~ation of Syst*m-~~-~-~-~--~-~~~~*~~~~-~--(~~~~-~...:---...:~~~~~~~~~-~-------------

5. !al Applicable Construction Code Sezr:o"\ JI[19~Edition, \'1) ~ Addend1, _ _.tJ.=cw,=aE'--_Cod1 Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 'j ~ S ~3
6. Identification of Components Rep1irtd or Repl1etd and Replacement Components ASME !

Name of Component Name of Manufacturer C,.-':,.,.S"t\'o Ii'\
M1nufecturtr S1ri1I No. National 801rd No. Other ld1ntiflc1tlon c Pc.o 'Si?,.., A \ Y11r Built Repalrtd, RepllCld, Code or Replacement or Nol *1 I Stamped I (Yes I c~~-'Sb ,~i ~ l'i"'°-. c:lo IC\ N/A. #_)q{,b-fJ \'1'?~ ~~\Ace*J L(es
~~8. T11t1 Conducted: Hydrott1tle 0 Pneumatic 0 Nomlnll Operatlnt Prt11Ure I!)~~
Other 0 PFftl\lre pll Tiit Temp. *F NOTE: Supplemental lhMll in form of llltl, 1kftch*, or chwlng1 "'9V be ulld, prowldad C1) llz* II Im In. x 11 In.. 12) lnforme. tion in it9ml 1 throu_, II on thll repcwt II included on llch sheet, ind 13) nch lh* II numblnd Ind the number of lhlltl i1 recorded It th* top of thll fonn *
~~(12/821 - Thi1 Form (E00030) mey be obtained from the Order Otpt., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~9. Remarll:s FORM NIS-2 (Back)~~
___,,Se_::;:.-'::;.___;_A_.__\_l_Ac-'=4..h.;..:.e..:::J:::._:'~--------------------- Aocllcabl* Menuf11c:turer'1 Oat* Recort1 ta t:I* anachec:I CERTIFICATE OF COMPLIANCE We certify that the st1tem1nt1 made in the report ant correct and this te~lt!.Ce M-~onforms to the rules of t/"I! ASME Code, Section XI. rap1i or replac:ament TypeCodeSymbclStamP~-*('.J_.;~,t1':;.....~/4....;__ _ _ _ _ _~-------------~------- Certific1t1 of Authorization No. _ _..N_,.,.,./_... A.._________ expiration Oate _ _ _N....;..0_~--------- Signed -=:J#.;1£~ 0wnar or Ow~11n11, Tltl1
~~$" r- AV\ A ~:::I ~\01te _ _ _7.._,._/___;:~~-. 19------~~
CERTIFICATE 0111 INSERVICE INSPECTION I, the undersignld, holdin111 valid commiaion issued by the N1tion1I Board of Boiler and Preaurw v1. .1 Inspectors and the State or Province of M(U/,"G&/ and emploved by (>12ortSc.pgcf Ms.+Tc.AflL of Nof?.wgpO. f\18:* h.w inlPICted the componenu described in this Owner's Res:i:rt during the period z-l(p -9..:2. to z-1';, -96 *and 1t1te that to the beat of my knowledgil and belief, the Owner h* performed examln1tlon1 and taken cornctiw mH1ul'ff dncriblld in this Owner's Report in eccordlnCI with the ,.qulmnentl of th* ASME Code, Section XI. By signing this c:ertifk:IG neither the lftllllctOf nor hi* employ* INk* any wnniv. *>CPnllld or implied, concerning the ex1mination1 and correctiw ,._,,. dmcrlbed in thil Owner'* Report. Furthemlon, neith* th* In~ nor hi1 employer shell be liable in any manner for any penonll Injury or property dam... ore lo* of any kind *illng from or connected with this inspection. FAc:r.::>te.'t' M'-"T'-"4<- S 'r1S~ ______ 4._.;._0&.-...~'"~,..~-----...---Comminlo"8 /1:11 '. ~ l n - r ' I SlgnMUre Nnlonel aon, St. . . l'rovlnce, MCI lln<<10,.-n*nt1 01te._ _ _ _ _ _ -r_-t. .Ge.....__11 9a 112/82)
FORM N*2 N OR NPT CERTIFICATE HOLDERS" CATA REPORT FOR IDENTICAL NUCLEAR PARTS ANC APPURTENANCES*
~~.As Requited by th* Provisions of the ASME Code. Section Ill. Division 1 Not To EJ!ceed One Day's Production Pg. _l_ of .....l.._~~
CJmbd:§c: ... on Engl.1cetihg, inc ** ABB Cbmbu ............. E:xg.-.tce!. ..... g .luclear I. Manulac1uredandceniliotd11V POwef, iQEIJittgtdb Opemillii.. ~*lJ.a==:ovcr Jld. * .@ewlngcou, NH 03801 Combustion Engineering, Inc., NPB, 1000 Prospect Hill Rd., Wi~dsor, CT
~~2. Manufactured lor ..;;.::.;:,;;:..:;,~.;;:..;~~;;..:::.:.:.;,_ _--=:.;_-~..;._~-0:-.-~=:---.....;~------=----~~
~~---**--- 06095-05(~~
~~J. Location ol inmlluion ComsumeIS 'Power Co.~~
~~Palisades Plant. Michigan CND-E-4667 _ _ _..~~
~~4. Tyoe RP1' Q7 See Remarks None _.....ll:...:9:..:9:...:2:-._ _ __~~
~~,. . . . . ,..., .................. ~ ......... ICJUlt .,. .......~~
~~5. ASME Cod*. Seeuon nr:_.;;l.;;.9_8_6________1_9_8_8_______ l ______ ---.,.....;;.,;N.;;;c.;;;r:;,;;;e;.....__~~
,....... ~ .,.... re... , ... ,..* &. F1broca1ed in 1ccord1nce will1 Conat. So*c. IDi.,. 2 on1y1 _ ...N.,.l...4:..---- _, Rewion _ __.NL.l/~A=----- O*** _ _..N...,/.-.1..___ __
~~7. Remarks: _ _..S:;:.:A::.-.-l::..:8::.:2:..--=F"-=3:..:4;..:.7____T.::.;e;;.;n~s:.:i:.:1:.:e;....._ _ _7;..;5:..,:..;0;..;0;.;;0;....._ _ _ _ ___,_ _ _ _ __~~
~~SA-182-F304 Tensile 75,000 SA-213-T347 Tensile 75,000~~
~~8. Nom. thickness rin.I~~
Min. design lllicllnes1 lln.I

Dia. ID llt l in.I --*--L1n91ll o"erall Ill 41 in.1--*---
~~See Back~~
~~9. Wiien aooticable, C1nilica1e Holden' data reoan111* 1111dled for each laem al llU repon:~~
Pan or Aooun1n1nc1 1UGHi1ll National Serial Numller llllKdll. Soard Numoer 111 Assembly No. 2966-77 Assv 17
~*
~~Mff~~
~~S/N 20 9 ... 12 m----------i--------------...J in Numerical Order~~
~~--J 1212966-78 Assv 18 2020 12 71---------~.....; _______~~
1:11 2966-7Q Assv l 9 ?n21 1281----------~~---------J 1*1 2966-82 Assv 23 ?n?? 1291---~----......:---------~ 151 2966-84 Assv 26 202~ 181 I 30!-----------i------------------1 131 13
~-----------:--------------1 171 181 l:ll 191 I 13*'----------~....;______.;;.__ _---I 1101 1111 135 l------------+-------...:..---1 1121 13 13 m--------------:----------------1 11:11 13n--------------f---------------~
1141 13 m--------------f----------------1 1151 m--------------f----------------1 11&1 I
~~'°'--------------f----------------1 1'1 14 *--------------;-----------------!~~
~~1171 1181 1191~~
~~,.~--------------f----------------1 ~--------------+----------------!~~
~~I.. 1201 1*5 1211~~
~~""--------------+---------------~~~
I 1221 n--------------~-----------------1 1* 1231 G--------------+---------------~ 14 12*1 1411 1251 ISOI
-*-*--.121.______.. _ . ____ .. _. _....1.m**--*-- .10. D*lllftDIHI... 2a~gg slliTmno. ttuO ., ...... tat..,__. .; .;: . ; ,; ; .___ .. ,...... ., *s ** ............,...... .... ,_.,...._......._ ................ .......,,,,.,. ..... ..... z-i ......,,.,......
l&:Hl*I Tlli9 ,_dOllDICll_ .. _ . _ . . 0.- 0-.ASMI. Z2 LawO.., ... Z~......... ""07007 UOO
FORM N*2 (baclc) Mir. Scn1I H o . - - - - - - CERTIFIC.l.TI 0, OESICN
\
~~I" Oesifln 1Hciroalions cenilietl Illy Res~onsibility of Others P.E. s1a1a Rc9. no. O*Sl9" **-1" ceniroecr 11y~~
~~Res:eonsibilitI of Others camFICATE OF SHOP' COMl'UAHCE P'.E. HAie Rc9. no.~~
Wa carufy 1t1a; L"la sllat-nt!il m1M111 ifl Uliti l i - 1 11r* conect lftCi li\at Ulia IUMHI Clll'llOrm 10 lh* NIH of ~llNC1ioft of Ute ASME C:oda. Seclion UI. Parts II NPT C:cmfic111 of AulhoriHllOft no. N-2041 E~pirH February 20, 1993 I o.,,~~,l 9~
~~Name Combustion En!Zineering~~
~~&ldlC: ................~~
Si9n1d G. ~£2.:11.= CERTIFIC.A TE OF SHOP' INSPECTION I. the undcni9ncd. llolding a valid commission issued Illy lhe National Board of Bailer and Pr111wa V111el lnsp1c:1111 1nd lhe 11111 or provrnc1 of 1nd am 111oyec1 by H. S. B. I. & I. Co. of Hart fprd
CT l\ave iMciecad Ut*sa i1ana d11crib1d in Ulil da11 repor1 on 4/Z!l ffZ

Ind Slall lhal 10 lhe 11111 of my lulowltc19e Ind bcrlief. die C:enmc11e Holder llH fallricaled INH pans Of 1ppuri1nancn en 1ccord1nce wilh Iha ASME Code. S11ct1on
~~.**. rn. heh pan W11ed I'll* been 1ulllari1cd IOI 11am11in9 on Ille dall shown eOove.~~
... lly SNJ"""J Ulla car11rica1*. Mill1or t11a0 iMp*c1or nor Ilia 1moJoyat mallH any w11ran1y. e:1pr11Hd or implied. conc1111in9 1111 cQuipmen1 desc11b1C1 111 11111 dlla raport. ~flcmlarc. neilhat Ille inlDcctOr nor hil cmployet WI II* liable in any manner lor any 11erson11 inrury or property d1m191 or . t~ loss of any kind arising lrom or c~*d willl Ulil insoection.
~~O*** ~Sit"" 4(#~~~
/ -- C:-Ulions HIB. DESIGN ##;?u? ..N'ecsz 111411 .. ..... ..........._.............. _ ,
~~DU.. I.D. LENGTH OVERALL .~~
~
MATEB.liL NOH. TBICDESS(IB~ TBICDESS (IB). (Fr & IB) SA-182-F347 .406". .391" 2.06" 4.25"
~~Lower Flange~~
.12 2.06" 1/4" . SA-182-F304 Access tube Flange .125 *.* SA-213-TJ47 .125 .12 1.260" 39.500" .. Access Tube SA-182-F347 .3135 0301 8.000" 8.59" Seal Housing
I

1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Consu:::ers Power Company Name Date _ _ /_,_,,..._/--.!i~,/--Lj:::::.;J_=------
27730 Blue Star :l:em. Hwy. Covert, MI Sheet _ _l _ _ of _ _l __________ Addr**
~~2. Plant Palisades Nuclear Plant Unit _ _l_______________~~
~~N*m* 27780 Blue Star ~1em. Hwy. Covert, MI Addr- R*ci*lr Or;*nizetlon P.O. No., Job No .. etc.~~
~~3. Work Performed by Consumers Power Company Type Codt Symbol Stamp _ _ N_,/,..A_______~~
~~N*m* Autnorizetion No*----~~------- N.'/A 27780 Blue Star Xem. Hwy. Covert, MI Expil'ltion O*tt _ _ _ _ _N_.:..../._:\_ _ _ _ _ __ Addr-~~
4. l~ntif~et~n~~st*m--~~-~-;~~~~A~~~~~-~~~~~l_A~~--'-~~~~~$~\~e~~~~----------

5. (a) Applicable Construction Code Sec...,-i'o~ 1JI 19 ~b Edition, IGJ<(g' Addend8,.....;.N..;.W.Ju..&._ _ _ _ Cod1 Case (bl Applicable Edition of Section XI Utilized for Repairs or Replecemtnts 19 $~ S ~3

6. ldtntific*tion of Components Rep1intd or Replectd and Replec:emtnt Compon1nt1 I
ASME ! Code I Natlon1I AIP*intd, Stamped! Nam* of Name of M1nuf1Cturwr Boerd Other Y11r Repl8C9d, or Replecemtnt (Yes or Nol
I Component Manufacturer S1ri1I No. No. ld1ntiflcetion Built CP~u.~'c."' C~CD S'~!""\A I cJ<-~-~q E.""-.tlt~l'-'.C. 1'1~0 N/A ~.,)~b, _--, 3 \'1Gto ~~l"cd Yes I
~~8. Tests Conducttd: HydrOltltle 0 Pneumltlc 0 Nomlnel Operetlng p,....,,. ~~~
Other 0 p,._,,. pli Test Temp. *F NOTE: Supplemental shlltl In form of llltl, 1k*ch*, or dr1win91 rrmy be ulld, prawldld 11 I 1lz1 la n In. x 11 In., 121 informe* tion in ittm1 1 through I on this report II Included on l9ch 1h11t, ind 131 nch shMt II numbered end the number of 1h11U ia recordtd It the top of thlt fonn *
~~112/821 - Thia Form (E000301 mey bl obttintd from the Order Dtpt., ASME, 345 E. 47th St., New York, N.Y. 10017~~
~~FORM NIS-2 (Back)~~
~~9. Remarks ........i_""i""_.....AG-=\.i.:..._;.;e;:;;;;d~*----------------------~~
__,$=..;;;ee.....__A Aogllcel:lle Menufec:turer'1 Oete Flegoru to tie ettached CERTIFICATE OF COMPLIANCE We ce"ify that the starem1nt1 made in the repo" ant correct and this tc:?~l~~";f"c:onforms to the rules of the ASME Code, Section XI. repeir or replec:ement Type Code Symbol Sramp _ _ N_.,/r_~----------------------------- Ce"ific:1t1 of Authorization No._-.::.....-.....;..._ _ _ _ _ _ _ _ _ Expiration Datt __. ..:N~*0""""~~~-""'""'------ Signed S\ Date _ _ _ _ 7~;'-/_'fS".:::...._ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commiuion iauld by the National Board of Boiler and Preuurt Vt*I Inspectors and the State or Province of M ,* W. ffzA,./ and 1mplayld by pt2,<rer.cTi g cl 4:14 TcA AL of Np/?+..JgcW *Daft, h9119 inlS*uc:I tht compan1nt1 described in ,this Owner's Repa" :urlng th* period 1'-IS-9,l,ta r-15-U . and state tl'llt to the beat of my knawlldgt and bllitf, the Owner h* performed 1xM"1in1tion1 Ind taken carNCtiw m1-..rt1 described in this Owner's Repo" in accordance with the 19qulrtm1nt1 of the ASME Codi, Section XI. By signing thit c:ertiflcat9 neitti.r the lnapectOr nor hit employ* melcet eny wernmy, *JCPr8119d or implied, concerning the examinmtion1 and carNCtive me..,,. dtlcribtd in this Owner'* Repon. Fu"htfmore, neith* the ln..-ctor nor hit 1mptoyer shall bl lilblt in any menner for eny penonll Injury or property daml!ll or* lo* of eny kind *ltlng from or connected with this inspection. Fl'tC.70£'111'1""-Tc.UK..._ S'f's~
~~-------~~~ ~~~
~~1...-r'1 SltnetuN~~
~~......~=......----Commiaion1 rn,*, :z~~~~
NttloNI la.rd, St... 'rovlnce, end lndor.-ntnta 1-is ,, 96 (12/821
I
PORM N*2 N 011 Nl'T CEllTl"CAT! HOLDERS" DATA ll!l'OllT POii IDENTICAL NUCUAll PARTS AND APP\JATENANCES 0 A 1 lleq..ncl tty 1he "°"'9!on1 of 1lwl ASME Cocl1, Section Ill. Dlvl1lon 1 Not To l.lcHd One D1y'1 Poroclucllon P;. _l_ of _L
~~1. . . . _ , _ - ...,_.., ~~ynt;ign$ewinoeci "'!R!&fa::ABB Cgmby~tion ~oginc:eriHq gy51ear P°"'er~~
- nqton rations, ~1'1111. , Nevi.ngton, N 01 2.......,.."""" ... UR Cgmbtu1t,ign !!ngi neerinq, toe; 1000 prgspest Hi 11 BQ§d I Windsor, CT
~~_ _ _ .. _ 06095-0500~~
~~~. Lee,..,.., ... ~.,. Cgn11nners Ppwer Co pa11,aden plant. Michigan~~
~~hM Bey I. ASMI OID-!-4667, QS c-. s.c.- *: -----,l_~~
~~1. ,..,...,.. * - - -~~
~~See scurk1 ,~~
~~..9~B...6..__ _ _ _ _ _ _1..2...... -- e e.______.._____ -----c.-_...N'!'E.."""..~'-.- -~~
~~c:-.. s-. co... 1-1 ---,,oJ..,._/.,A.__~ _ _ _..,N...,/_.11,.__ 11 010 _ __.N.l.....,A.___~~
1. "-"Ma: 51.l B2-E347 Tnp11ile 75.000 S11,-l82-P301 Ttn1ila 75.000 SA-213-T347 Ten*il* 75,000 See Baclt 1. - * - * - 1.... 1 _ _*_ _ -*....,.. - llr\.1 _ _* _ _ 11oo.111111*11o.1_..!....._ .._,~..., .. ,.,, ... 1 _ _ _ __
~~I. ~ ~. C1 .1-u&e ....._.. M*....,.. _..~fer *W. .. .,.._. --~ Ill l~I~~
,.,,. """"'9ftef'IC*
~~Assembly No. 2966-72 ... ~ l 111 ""'""-'71 .. .... ., 2Ql'.~.-74 Aa*V 1 c~~
~
~~llA&IMIC llbM181MIOCIMf. Kt?,*a7qS/N 1"'"" l .. M IHI 1211~~
~~,.,,.A..,.....,..~~
IHI 1*1 IHI Ill l:IOI Ill IJll 171 ll11 Ill IJJI l)oll llOI 1~11 1111 IHI 1111 1n1 11~1 IHI IJll 1111 IOOI 1111 1*11 1111 1421 lltl IOI llOI 1111 ....
~~... I 1121 IUI IUI 101 1111~~
~~10. . . . _ __... 2 ,.s..~~
00...__ _ _ ... , _ _ _ _,6.,o.,o.___ °' .........,_,
~ ** 3,12 -~-~-~,.,,_,,,,._ ...-ao*r Min
~~ll'llll~~
* . . . _ . _ . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. - . .... JI ............... .. ~-----**--- ... - ..- - ....- - ... - - . A - . J J U - - loolllll * * - llJO-tJJOO
~~CG:E?fi ~1. r; l.1 :::~ I~~
~~FORM N*2 ll>Klll Mlr.S...,Ne.~~
~~ClJIT1PlCA n ~ OISIGll 0.-."MIK'l'**'-'1C.,'1ftM..., o._._. _..,..,., Respon,ibility gf Responsibility Other* ot Others~~
~~' * ' * " ' " - .... n e . - - - -~~
~~CPT-..:An ~ - COl"'l.l*UICI w 1 reirt..., ,...., -.. ,,,,.,,........ ...,..,..,... ,.._,.,. ~ ..,_. ~...,,. 1.,.... 1 Pa eta~~
~~,..,.1.,... re """ f\llM et C....trw1_. el °"" ,..,.. c....~~
~~WTc.-..... - - . - . . . . 00, 0 'lrn,/'it N-2Q*l Combustion Enqineerinq, Inc.~~
~~,._ABB CE Nuclur Power 1-.~~
~~s..- '6; L:27d§7~~~
~
CUT-..:A T1 Of - .. IPICnoN 1* '"" ~*.....,.. ,..,_,~.._. . . . . "' Oii ...,.__ . . _ . . , . . . .,_.JlrrfttwlY ..... ...._lerl_...,_ .... , * ......c, ef H.H. _ _ ., H.S.B.I. ' I. Co *
., Hnrrtcrd rr ......... >ec*N ..... ~..-~"'"- ..,...,1 .,. ?1 TUN C\' ......, .. ~ 1111,.. ..... *'...,, k~....., Nliilf, 0. c:..-..c ... ...,., .... *~**H"""' ,_,,., ~*"'*"' .. "'ICC*Hfte* . . . ""' ASUI c: .... *°" "'hc"...,"'""""....,.~'*11....,.. .. 0- ... ,.,.._......,..,
~~ly ....... nw. ceruhc1t1. ""'"'- N ~-,. ._ .......... .,..."...,, . . ....,,.,. ,._.....,. * ......,.., nrc.,,.. rflle..,.,...... .._,..,~~
~~.. ""'~ ,....,,, ""'""""""*"""""' .................. .......,., U\ill ......... ...,. .......... _, .... MNll ....... lll'llPl"ft ~ ..~~
~~0110J11-'~"I S..-~~
~~~----~~~
C}>J I ! .......>... c-- NC\."°' MATERIAL NOH. THIOOiESS CINI KIN. DESIGN DIA. I.D. LENGTH OVEAALL THICXNESS ilfil (FT ' IN) (FT ' IN)
*sA-l82-F347 Lo-tier Flan9e
406" .391

2.06* 4.25" SA-182-F304 Ace*** Tube rla.nqe .12s* .12* 2.06* 1/4" SA-213-T347 Ace*** Tube .125" .12* l.ao* 39.soo*
SA-18:Z*Pl47 Seal Hou1inq ,3135* ,301* a.ooo* a.sg*
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS ~.,......--------------------~~
~~1. Owner ________________ POWER COMPANY Date _ _ _....;.4_--=2-=l_--=-9-=2"---------~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet 1 of 1 Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMO~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201266 Rep*lr Or111nlutlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stemp _____....N:.::A::......___________~~
N*m* Authorization No. __________....N:.::A...____________ ANN ARBOR, MICHIGAN 48106 Expiration Dete ___________Nt.l.lilA.___________
4. Identification of System ______......;;P..;;RE=S=-S=-UR==I=Z=E::;.R;;.....;;S:..::P:..::RA=Y=------------------------------------------

5. (a) Applicable Construction Coda_.=.:A:..::I:..::S;..;C;,.....____....;:;J 8THEdition, ____ N_A_*_ _ _ Addenda, ____ N_A______ Code Cesa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19-'8.....,..3_...,S 83

6. Identification of Components Repaired or Replaced end Replec:ement Components ASME Code National Repaired, Stamped Name of Name of Menufec:turer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, ldentlfic:etion Built or Replacement or No)
HANGER - CC9-Rl9.l CPCO NA NA. NONE 1992 REPLACED NO
7. Description of Work _ _ _ _ _~R=E:::.PL=A~C::::.ED=-"HAN=::.:G~E=R::.......:P:...:E:::R::....::S::.:C:.::9:..::1:...-..:1:.::5:.::6:..._.....:.:N:.:EW::;_.:.:HAN::.::.:.=G=E:::R~------

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nomin*I Operating Pressure 0 Other [!I Pressure P*i Test Tamp. °F VISUAL EXAM NOTE: Supplemental sheets In form of llltl, 1ketch11, or drewlngs nv be used, provided (1 I size la 8% In. x 11 in., (21 informa*
tion In Items 1 through 6 on this report 11 Included on each sheet, end (3) uch sheet la numbered end the number of 1heea i1 recorded et the top of this form. (12/82) This Form (E00030) mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) NONE
~~9. Remarks~-------------------------------------------~~
Applicable Manufacturer's Data Report* to be attached* CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this~~L.l:lt9tid!!l!6!'ii.r..~cconforms to the rules of the ASME Code, Section XI.
~~.~~*7' A, f JtJ--1-k_N=A"---_--f--*~---"'*;::* ~-r-,.-,--z-+..;;;N.;.;;A.;;.____.-19_q_z__~~
~or Owner'* Oe1ignH, Title" i1!Jf1-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 MICHIGAN and emplo~ed by PROTECTION MUTUAL . of
~~_..N..O,. R., W. . .,O. ,O..D~~
.......__..MA ......_________________,_..__.....,,.____ have inspected the components described in this Owner's Report during the period z -/o- 9,;i to 7- 9:J. , and state that to the best of my knowledge and belief, the Owner ha performed examination* and taken corrective measures described in this Owner's Report in accordance with the requiremanu of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any Wllrnntv, expressed or implied, concerning the examinations and corrective meuur* 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 1011 of any kind arising from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~-------~'-"',....._.~,,.:=;:=-L.;:"'-"',__-~Commlnion1.~~/V1;...;...~l..;;;._~._=~~.:2. ....._ _ _ _ _ _ _ _ _ _ __~~
~~In~~~
Netlonal Board, State, Province, end EndorMmentt Date,_ _ _ _ _ _ ?..._-....i""'o'--_19 9Pl (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS POWER _ _ _ _ _ _ __~~
COMPANY Date _ _ _4..:..-....;2=-1=---'9~2=------------ Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=1'-_of _ ___:l'--------- Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 2 77 80 BLUE STAR MEMOT!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201347 Repair Organization P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _-:;N,...A,,___ _ _ _ __~~
~~Nam* Authorization No. _ _ _ _ _.:iN1£:A~------ ANN ARBOR, MICHIGAN 48106 Expir1tion D1te _ _ _ _ _---11NJ.!A~------~~
4. Identification of System _ _ _L==-P=S=I--=P-=UMP=~D=-I=S-=C=HAR=:.:G:..:E=-----------------------

5. (al Applicable Construction Code_.:..:A:.:I'-=S""C::...__ _....;3 7THEdition, _ _..;;.N;.;;;A;;..._'_ _ Addenda, _ __.;N;.;.;A;.;;;__ _ _ Code Cesa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8......,3_... s 83

6. Identification of Components Repaired or Replaced and Replacement Components
~~Name of Component Name of Manufacturer Manufacturer Serial No.~~
~~National Boe rd No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol~~
~~~~~I' WASHER ~IAJ~ P.O~~
~~l" (1) .J:,N 0"-S rtl1 £5 NA NA G23873-20 1981 NO~~
~~7. Description of Work _ _ _ _ ___,HAN==* ......_G=E=R=-*-=G-=C'"'l_-...s""'l~4""0:..:.~l,__-- - - - - - - - - - - - - - - - - - -~~
B. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Preuure 0 Other 00 Preuure _ _ _ _ _ pai Test Temp, °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, 1ketch111, or drawings may be used, provided (1 l size is 8% In. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet;and 131 each sheet is numbered and the number of sheets is recorded at the top of this form. 112/82) Thia Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Fr
~~9. Remarks __________.;......__N_O_NE__________________________________________~----~--------~----~------~~~
Applicabl* Manufacturar'1 Cata Raport1 to ba attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and t~= conforms to the rules of the ASME Code, Section XI. . * ~~lacaman~
~~. .s'/z., I q"- . .~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 1 v1lid commission issued bv the Nation1I Boltd of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN ind employed bv PROTECTION MUTUAL ot NQRWQOP 1 MA -= hwe inspected the components described in this Owner's Report during the period S' -1. Z.
1 L to S- z. z -11. . and state that to the best of my knowledge 1nd belief, the Owner h* performed exeminations 1nd taken corrective me1sures described in this Owner's Report in accord1nc1 with the requirements of the ASME Code, Section XI.
By signing this certificam neither. th* Inspector nor his employer m1kel any warrantv. expressed or implied, concerning th~ examinations and correctiVI 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 dam1111 or a loss of any kind irising from or connected with this
~~~~..~~
~~inspect/,ion.~~
. cl' FACTORY MUTUAL SYSTEM ~......, ___........L...;.;;""'if&---....,......,,.,-------------------Commisslon1 ____--'D'----------------------------------~ ~IT...:...* 1Pec:tOr'1 Slgn.iure J 0 /""/ I C fll 6 ..+J National Board, Stat*, Provine*, and Endorwmant1 J_ _
~~Dater__:;:il-;..."" /'?_/.I- _'/_ _ _ _ _ _19 43~~
~~' t..~~
~~112/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS_ _ _ _ _POWER _ _ _COMPANY Date _ _ _...:,4_-=-2=-1--'9::..:f:....- - - - - - - -~~
~~Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_.....,_!_ _ of _ _--=l_ _ _ _ _ _ __~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MFJ!.6'f!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201348 Repair Or;enlzetlon P.O. No., Job No., *tc.~~
~~3. Work Performed bv TOWNSEND & BOTTUM Type Code Symbol Smmp _ __,N...,A~-----~~
N*m* Authoriution No. _ _ _ ___,N...,A~----- ANN ARBOR, MICHIGAN 4~106 Explmlon Date _ _ _ _ _ _...... NA....__ _ _ __
4. Identification of System _ _ _..;....._,.C.:.ONT=:.:A:::I~NME=:.:.N:..:T,__,S=..:P:....:RA=Y=---------------------

5. (a) Applicable Construction Code _ _ _A;;.;;;I..;;S..;;C_ ___;;~ 7TH Edition, _ _..;;N.;.;;,A;;.__ _ Addenda,, _ _..;,N..;,A;;__ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19.....8..,3....__...S 83
6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Board Other Yllll' Repaired, Replaced, ASME Code Stamped (Yes Component Mlnufacturar Slrlll No. No. ldlntificatlon Built or Raplacemant or Nol P.O.
BOLT ~Cl..ra..D1hJ~ - G23873-14 ~p/He 1 11 x4 11 (1) IN D4A5Te 16""';: NA NA 1981 o@flil:!M!B NO HEX NUT C. E. (.bwe:-R. 72117-1 f<e,o/qc e. 1 II (2) .5 y S"f"'ETYI ~ 'IJA . NA 1981 M!Pir!ftml NO Re.'f' lt1ce,I Q1=>0Vt co-,po.,," ts 0-?
~~7. Dascrlptlon of Work, _ _ _ _ _ _. _HAN __G_E_R._,G_C_3..;..'.""'_:H_1_1_7_A_ _ _ _ _....,.._____________~~
B. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Opemlng Pr11a1ra 0 Other QI Prnsur1 psi Test Temp. *F VISUAL EXAM NOTE: Supplemental shl9tl in form of liltl, 1ketches, or drawlng11119Y be ulld, provided l1I1iza II 11% In. x 11 in., (2) informa-tion in lt11m1 1 throuF 6 on this report la included on nch 1haet, and (3) udl shMt is numblf'ld and the number of 1hnu i1 recorded It tha top of thil form. * (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Aemarks ______________N_O_NE ________________________________________________________________________~~
~~Applicable Manufacturar'1 Data Report* to be anached~~
~~"" ~~~
CERTIFICATE OF COMPLIANCE ReP/r;.ce.,..,e,, 1-- we certify that the statements made in the report ere correct end~ conforms 10 the rules of the ASME Code, Section XI. .. . ~replacement Type Code Symbol Stamp _____________ __A---------------------------------------------------------~ N 9Z. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 1 valid commission iaued bv the Nation11 Board of Boiler and Pressure Vessel Inspectors "'1d the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL ot
....R..,W. . ,O..o..,n......._.MA"""'-------------------------------hwe . . . ,N..O inspected the components described in this Owner's Report during the period J
z.6- 'IL. to f - z 7* 1 L , and state that to the best of my knowledge and belief, the Owner h* 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 th* lnspecior nor his-employer makes any wa"11ntv. expressed or implied, concerning th~ examinations and correcti111 measures described in this Owner's Report. Furthermore, *neither the Inspector nor his employer shell be liable in eny ml!ll1ner for 111y personal injury or property damage or a loss of any kind arising from or connected with this inspectzion. # FAJ!ORY MUTUAL SYSTEM
;{:__:_.If"'~ Commissions ~ $'(') "? IC.t~l&A.t iftiP;Cior'1 Signature NOn91aoercl, Stete, Province, end Enelorwrnents Date (12/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
_ _ _ _ _ POWER ____ _ _ _ _ _ __ COMPANY Date _ _ _..,:4_-=-2~1_-~9.:t'_ _ _ _ _ _ _ __ N*m* 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_.....;:.1_ _ of _ ___:l._________
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 2 77 80 BLUE STAR MOO'fiAI. HWY.~~
~~COVERT, MICHIGAN 49043 T&B w. 0 I 24201350 Rep*lr Ora*nlznlon P.O. No., Job No .* etc.~~
~~3. Work Performed by TOWNS END & BOTTUM Type Codi Symbol St1mp _ _~N~A~-----~~
N*m* Authoriznion No. _ _ _ _ _.e,:N~A.___ _ _ __ ANN ARBOR, MICHIGAN 48106 Expir.tion Dete _ _ _ _ __...Nu:A.....__ _ _ __
4. Identification of System _ _ _ _L;;.P~S"""I-"-P-"UMP=-"'S--"'D-"I;;.;;S;....C""'HAR='""'G"""E"""""-------------------

5. lal Applicable Construction Code _ _ _A.;.;;I;;..;;S;....C;....____;:iJ 7TH Edition, _ _N_A"--_ _ Addend*,--...;;N...;;A,;;,...__ _ Cod1 C...
~~lbl Applicable Edition of Section XI Utilized for Rep*ira or Repl1CerMnts 19.-'8 3_..,S~~
~~...... 83~~
6. Identification of Components Repei,.d or Repleced and Replecement Components Name of Nemt of Manuf8CtUrer Netion.i Bo.rd Other Ynr Reptirtd, ReplKed, ASME Code Stamped (YM Component M1nufKturer Strl1I No. No. ldentiflc:.tlon Built or Reptecema~t or Nol P.O.
H. HEAD BOLT ~.:2.all'.)"'n.- - G23873-12 RepJa,cJ 7/8 X 3" LG (1) ':J:.1'.J()i.u;. T/2.1~ NA NA 1981 ~11u;im> NO t:!.fti'Ul INih...
~~~~=~~
H.H. NUT G23873-4 7/8 (1) . ::D-3 DL4Si'21~"'5 NA NA* :*1981 NO
7. Dncrlptlon of Work llANGER. GC1-:lll41

8. Tests Conducted: Hydl'Oltltlc 0 Pneumetic 0 Nomln.i Opemlng Pmair1 0 Other !JI Pl'HIUl"I pll Tiit Temp. *F VISUAL EXAM NOTE: Supplement.i lhlftl In form of lilts, 1Utc:h*, or drlwlng11111y bl ulld, prwldld 11) 1lz1 ii f i In. x 11 In.. 121 lnforllll*
tion in Items 1 through 8 on this r9PQrt ii Included on llCh shwt, ind 131 -=t'I shwt ii numbll"ld end th* number cf ahlltll is recorded It the tap of this form. 112/821 Thia Form IE000301 mey bl obt1illld from the Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks _____________~~
N_O_N_E__________________________........________.,....._________________________ Aoplicable Manufacturer'* Data Report* ta be ettac:hed CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ant corntet and t~ conforms to the rules of the
, ASME Code *.Section XI. . ~l-me"ft.!::> @s/z,/qz...
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 1 valid commiaion iauld bv th* National Board of Boiler and ,,....,.. Ve*I lnspecton end the State or Province of MICHIGAN and emplovld bv PROTECTION MUTUAL of NORWOOD. MA = h1111 ln~ld the compon1nts described in this Owner's Report during the period *r- Z. l. -1 J. to f- z1 - ' L , and atltl that to the beat of my knowledge Ind blllef, th* Owner h* performed examinations 1nd tlkln corTICtivl mauurn dacrlbld In this Owner's Report in 1CCOrdll'ICI with th* requlramenu of th* ASME"c:!odl, Section XI. By signing this c:enmc:.t. neither thl lnapect0r nor his emplover m1kls any warnnty, *~ or implied, concerning th.* examinations end c:ornctiw mnau,. dlsc:ribld In this Owner's Report. Furthennani,* neither the Inspector nor his employer shall be lllbl1 In liny menner for lftY penonll Injury or property dernlge or 1 loa of ll'IY kind *Ising tram or connected with this inspectiLon.~ FACTORY MUTUAL SYSTEM
~ , .. fi1 ~o /'1iC1.116~ --~/....:...f-"",~__.~:..;..;;~:;._~~--...,..----~-----Commlalona*~--..;;..------~-------------------------
~~1 r'1 Sltnnurw Natton.i Board, Sui., Province, and Endo~ena Omr_:i_i__/'7_r1-_f_ _ _ _1a 1 '- (12/82)~~
~~FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY~~
~~1. Owner~------------------ Date _ _ _..,.:4_--=2~1_-.:..9=2_________~~
~~Nam* 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet 1 of 1~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M~'i!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24201351 R9P*lr Organli.tlon P.O. No., Job No., .ic.~~
~~3. Work Performed bV TOWNSEND & BOTTUM Type Coda Symbol St1mp _ _......:,:N~A~-----~~
~~Authoriz11tion No. _ _ _ __...N.,,.A~------ ANN ARBOR, MICHIGAN 48106 Expirmtion Datt _ _ _ _ ___..Nu:A._______~~
~~4. Identification of System _ _ _ _L_P_S_I __P..;.UMP=-...;.S_D_I..;.S....;C'__~~
~~-HARG_E____________________~~
5. (al Applicable Construction Code _ _ _A_I_S_C__;,J__zm. Edition, _ _N_A___ Addenda, _ _ _N..;;A.;;.. .__ Coda Case lbl Applicable Edition of Section XI Utilized for Repairs or Repl1et1m1nu 19,"""""8_.J_~s 83
6. Identification of Components Repaired or Replaced and Repl1Ct1mant Components Name of Namaof Mlnufac:turar N1tional Board Other Year Repaired, Replaced, ASME Code Stamped (Yes Component Manufacturer Sari1I No, No. ld1ntific.tion Built or Repl11:9m1n~ or Nol P.O.
QAR.011\l~ H.H. NUTS - G23873-4 ~ltc£cd 7/8 (10) l N Oc..\.S TlZI E'S NA NA 1981 MPMRB!I NO snms 7/8 x s LG (5) A- ~G, cNC.. 1tJESe1,..J4 Cb NA NA 5020-9824-1 1981 ~~~~ NO 7,. Dncrlptlon of Work PENETRATION GCl - PE
8. Tests Conducted: Hydrostltlc 0 Pneum1tlc 0 Nomlnll Opemlng Preaur1 0 Other (] P1"111Ur1 psi Test Temp. "F VISUAL EXAM NOTE: Suppl1mentll shlltl In farm of llltl, 1k1tch*, or drawlng1 mlY bl ulld, provided 11) llZI II B1fi In. x 11 In., (2) lnforml*
tlon in lten11 1 through 8 on thll l"IPOl't ii Included on l9Ch sheet, 1nd 131 uch shllt II numblrld ind tha numblr of lhwts ii recorded It th1 toP of thll farm. (12/821 Thi1 Form (E000301 may bl obt1ined from th1 Order Dept., ASME, 345 E. 47th St., N-York, N.V. 10017
FORM NIS-2 (Back) Applicabl* M11nufactur11r'1 Data Reports to b* anachad CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and~ conforms to the rules of the ASME Code, Section XI. ~mc*m*3:>
~~@s/z.,/'12- ----...;.;.;=---------Expiration Oate _ _ _ ___;N;;.;.;;.;A'----------"~~
~~SigneqL~~~::...=~ttL.~!4'~1.:::=l.~~~~:!t::~~~~~O:S:::~-Date ~~~
19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued tJv the National Board of Boiler and Pressure Veml lnspectors*and the State or Province of MICHIGAN ,.,d employed tJv PROTECTION MUTUAL of NORWOOP, MA -= have in::ected the components described in this Owner's Report during tha period ¥j1s,/9.;J to z-t:S-~ , and st.ate that to the best of my knowledge and bllilf, the Owner ha performed examinetion1 and taken corrective measun111 described in this Owner's Report in accordance with the l'IQuiremenu of the ASME Code, Section XI.
By signing thi1 certificaa neither th* lntp1etor nor hi1 employer INkl!ll any W111T11nty, expl'lllld or implied, concerning the examination* and corrective musu!WI dncribed in thi1 Owner'* Report. Furthermore, neither the Inspector nor his employer shall be liable in eny manner for eny pel'IOn*I injury or property damage or* loa of any kind 1ri1ing from or connected with this inspection. ~ FACTORY MUTUAL SYSTEM
~~----------'"""" 1~ ........,.....,.-.--....;.._,.~-...,.---Commi11ion1....1./!z...;..:~'~~'-"~;....w~~~~
~~NMlonel Board, Stne, Province, and Endorwnania Date,_ _ _ _ _.... 1_-../_...S...___19 9il (12/821~~
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 27730 Blue Star :1em. Hwy.~~
As Required by the Provisions of the ASME Cod* Section XI C..:ir::su:::ers ?ower Co;npany N*m* Covert, MI Dat1_J-A-.f--/ I q---=-J/:......_q....u;;:~c_ I Shfft _ _l_ _ of _ _ _ _ _ _ _ _ _ _ __ Addr**
~~2. Plant Palisades Nuclear Plant Unit _ _l_______________~~
Nim* 27780 Blue Star :rem. Hwy. Covert, MI w.o. ii ~'f.).o 1Lt77 Addr- Aeoalr Or;anfznlon P.O. No., Jotl No .. etc.
~~3. Work Performed by Consumers Power Company Tvp1 Code Svmbol Stemp_~N~/~A _ _ _ _ _ __~~
Nam* Authorizstion No. -----:N~/;.,.;A;;;..._ _ _ _ __ 27780 Blue Star :-fem. Hwy. Covert, ~I Expir1tion Oate _ _ _ _~N'.:..f.;;;A;___ _ _ _ __ Addr-
4. Identification of sv1t1m S~n.\ FlAe:l

5. !al Applicable Construction Code B,31. I 1 9 $ Edition, Addena., _ _ _ _ _ _ coae c.a 11 (bl Aopliclblt Edition of Section XI Utilized for Repail'1 or Replacem1nt1 19 <6'3 S' ~~

6. ldtntiflcation of Components Repaired or R1pilCld and Repiecemtnt Components I
ASME I Code Nation* Repaired, Stamo1d Nam* of Compon*nt Name of Manufac:tu1Wr Manufactu,.r Board Other ldtntiflc.tlon Year Reolaced, (Yes or Replec1m1nt or Nol I Serial No. No. Built
~~~51-5 ~)(AS -tr.D~~
~~GAt6\w:t BelTs rt CP. N/A N/.A 5't"+-5 ~3 ~ l'fiS F:'e~lk~d J\Jo~~
~~1. 01SCrlpt1onotWcwt1 fS'e~I AC<<} ~ ~""°'~ GAS\r§ bo\-ts.~~
B. Tnu Conducted: Hydrostmtie 0 PneulMtlc 0 Nomlnll OP9f'ftfng p.._.. ~ Other 0 *P,._re pli Tiit Temp. *, NOTE: 5"Pt'lementll ...... In farm of Hltl, 1kftcMI, or chwintl NY be ulld. proric911 11 t .... II ft In. a 11 In.. 12t lnfonN* tlon in ltema 1 through I on thll NPClft II inchlded on . - . then, ind (3) .-. It!* II numblr9d end the numblr of th.... i1 recorded
th* tap of thll form.

112/821 - Thi1 Form IE00030J ~be otnelned from th1 Order DtPt** ASMI, 3411. 47th St., New Yortc. N.Y. 10017
FORM NIS*2 (Back) CERTIFICATE OF COMPLIANC! we certify that the st1ttment1 made in the report,,. correct and thi1 ~~IAG~~::T conform1 to the rules of !M ASME Code, 3ection XI. repair or reolecemant TypeCod1SymbolSt1mp _____ ~...,..~~---~----~----~----------~----------~--~------~------- Certific1t1 of Authorization No. _ _"-' .....0~.;..A ___________ expirMion o.. ___N;:._~0_,:;A..:..,________ Signed ..=:µ.t-4-A:b Sc-- A_ V\Af)is;j 01te _ _ _ _ r~/_q~ Owner or Owncz.:blitnM, Title V / CERTIFICATE O' INSERVICI INSl'!CTION I, the undersigned, holding 1 valid commi11ion iauld bv th* NMionat Bon of Boiler end Pl'lllUrt VIUll lnspector1 and th* State or Province of McVt/ l?A,..( and emplovld bv OR<lzse.r; 'aH /)::1<...c..Tut1l... of NoRwogl:>, rntt. ~ h111e inl!P9Ct9d tti* companent1 d*tcribed in thi1 Owner's Report during d'I* pettod *z-t'f-9.il. co :;t-tc{-92 * 'end state that to tht be1t of rny knowlldge Md belief, the Owner h* perfonMd 1xmnlnatlon1 Md tlkeft corr9Cthle mt..,,.. delcribed in this Own1r'1 Repo" in ICCOrdlftC9 with me rwqulrementa of the ASMI COca, Section XI. By 1igning thi1 C9f11fic:a111 nei1Nr U.. lllllllC&Of nor hil llflDloy* maUI eny ....,.....,, *~or implied, conc:ierning the examination* and correc:tiv. ~,. dllcftbed in thia Owner'* l'.'epon. 'unhennof'9. neither th* lnlP9CIDf' nor hi1 emplov*r shall bt Ii.Ole in eny menner far eny pellOftll Injury or property dmn... or a lo* of,,.., kind *111"1 fnHll or connected with this
~~;,,...-_ ~ file.To£'( /1'1<-<.T".,..<.. ~t'sn...i --------~"""""" _ _ _ _ _ _...__ _ CommlaloM f'?/, 1'-~~~
~~ln....,.*lllMIUIW NetloMt INrd, It.., 'rowlnae, Md 1nc1o~ent1 Date r-11 11 9.il 1121821~~
9.
~~FORM NIS*2 !Back)~~
~~~~~ar~J~.....:.f'J--~C>--Y'\__e......._.____________________~--~--~--------------------------------------~~
CERTIFICATE OF COMPLIANCI Wt c1rtify thlt th* st1t1m1nt1 mlde in th* report ire corrtc:t Ind mi1 ne_~I !CC~~ lconform1 to the rults of !Mt ASME Code, S<<:tion XI. repai or replec:amlt'lt Tvi:i1Cod1SvmbolStatnP--~ ......~~
~~.....~-----------------------------------------------------~~
~~C1rtific1t1 of Authori11tion No. _ _"1 ....../.....,A~~
~~.....___________ expirnlon o.. ___N_...0_A _______________~~
Signed .;Jcfi ~-~ * -/;J Sc- _AV'A (y,S\ Ca* 7 /L3 , 19 .::r ~ orrnD11ifnl9, Title ':::J Owner I CIRTl,.CATI OP INllRVICI INm'ICTION I, the undlrtignad, holding a valid commiaion iauld by the N1tional Ion of Boiler and,,.....,. v .... lntPeetOl'l .,,d th* Sr1t1 or Province of/!:? ic,//, ~dff *net emplayld by PR0Tt5C.T1 *or.1 M!.{['1t'L of t.Jo&4*2oi) 1 MA It-. in.--a ttle COITIPOMfltl detcribed in this Owner's Flepon durlnl die period ;l-/t(-9..J 10 1-ltJ-90?. . and ltlt8 thlt ro the blll of my knowtedle and bltilf, Ute Owner II* Plf'fonned nemlMdont and Ql&lft C011<<:awe mewl'9I dMl:fibld in this Owner'* Report In ICCOrance with die ,....,llWMfttl of me ASMI Codi, ...... XI. By signing 1hl1 C9nltaa .,...._ tM ,.,.,nor nor 1111 ...,.,.. ...-111¥ ..,.,..,. *Alli rt or lnltllild. conc11rnin9 rl'I* 1x1mi,,.tiont Ind couecth* ,,_,.. rt1urtbed In dlil OwMr't ........ Pw*...W.. .,..._die tn11111W ._. tlia llftDloYer snail bl liable In ll!Y m*w far 111¥ .....,... lntury or prooeny dn8ll or* IOll of fllflf kind lrltl,. front or COf'*llClld widt rhi1 in1Dection. ~ PA~'/'/\?"C.1"c."4L. S"r'S.T~ eomm...,. M/. 'j402.
-------"ti:;;:ii':1'i1Jt1:=;;....,iij;;;;,.,----- NatleMI ..... 1"'9. .......... _. l,,...,....antt c**_________.7_-1_y ___,, 90 (12/121
~~1. Owner FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS~~
~~As Required by the Provisions of the ASME Codi Section XI~~
~~(.)~.:;*~:::eC'S ?Jwer~~
~~.~.,.,.~~
~~Co~:Janv 277'30 31.ue Star '.*lem. Hwy. Covert:, :n SnHt _ _ _ _ ot _ _ _ _ _ _ _ _ _ _ __~~
~~~ddr . .~~
~~2. Plant Palisades ~uclear ? lan t:~~
Nern* Unit----------------- 27i30 Blue Star '.-lem. Hwy. Covert:, :n Addr- Fleoelr Or91n11n1on P.O. No .. ~oa ~o .. nc.
~~3. Work Perlormld by Consumers Power Company Tvge Codi Svrnbol Sttn!D--~-/.,..A _ _ _ _ _ __~~
~~N1m1 Autl'lorization No.-----:~.:.;'/;,;A:::.------- 27780 Blue Scar :fem. Hwy. Covert, :n Exciiration Cite ~ A J Addr-~~
4. l~~~~~Svmm_~~--*~A-~-~~-~s __,~e~A~~~~-~S~~~~~~~~~~~~-----------

5. (11 Aggliclbl* Construction Code BS (*{ 19 SS E~ition, N/A __ c.Jd1 Addlnd8, _ _ _N_.vj.._.A c.11 (bl AciDlicaal* Edition of Section XI Utilized tor Reoeirs or Reo11eem1nts 19 5; 3 S ~ ~

6. Identification of Comgonent1 Rt01il"ld or RtDllCld 1nd Reolecem1nt ComDon1nt1 I ~SME .
Nam1ot N1m1 of M1nufectur1r N1tlonel Boerd Ottler Veer Reo1il"ld, Reolcld, co'.. IStarn (Ye ComDonent M1nuf1CtUr1r StrilJ No. No. ldentiflcnlon Built or Reotecem1nt or ~o) I I i
~~~e 4T =A='~~
CAr-d :"'A I N A N/A 1'1%'1 ~ IACer;) No f.i1!4"T"# 47,~ Ael'd f'Jo N \qc:u I Aced No
7. Ctterlptlon of WOrlr~~~e~---~_,.._6_,-*s-...h----G=-V.;:.._-_o~so __t .;. *- - - - - - - - - - -

8. TllU Conducted: HvdroftM 0 l'ftlUIMllo 0 Nomlnll ODltMlr11 ,....,,. B Odler 0 p,._,,. Pli Teu Tlfftll, *fl NOT!: Suppl.....al ....... In fanft of llltl, 1k.ccltll. or chwtntl 1119Y tie ulllll. ..,_..._ Ct) lln II a In.* 11 In.. (2) infonN*
tlon in ltllN 1 t1Hau9' I on dill ' - ' II included on ..n 111191, 1nd 13) _.. 11'1* II ,.,,..... end N ,.,..., of 1111111 i1 100. Nc:Oldld n tit* top of dtll fOllft. 112/121 - 11111l'orm1&0003011NY tie obtliftld from.me Order Dept., ASMI, 3411. 47ttl St., New Vortl, N.V.
~~FORM NIS-2 (Back)~~
Appllcabla Manuf11cturar'1 Data Repom to ba attach<<! CERTIFICATE OF COMPLIANCE ..,_. We certify that the statemenu made in the re~ort are correct and thi1 &ekceeze..,_binfonns to the rules of the ASME Code, Section XI. rmpair or r91>l-.nant Certificate of Authorization No. _ _ _ _""N""A""----------Expiration Date _ _ _ _ _N_A _ _ _ _ _ _ _ __ k: ~ 0, -* J°'to.,,,,95 Date~ Signed I '7
~~, 19 _ _ _ 2-_~~
Ownar or Own;;;;oosignh, Titla ~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 11 valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ot MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD. MA hl!Ye inspected the components described in this Owner's Report during the period 6 - 'I - 'f L to 6 - y- 'j L and .state that to the best of my knowledge end belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in a:cordance with the requirements of tha ASME Codi, Section XI. By .signing this certlficetll neither the Inspector nor his employer makes any -mntv. expreued or implied, concerning the examinations and corrective meuuras described in this Owner's Report. Furthennore, neithw 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 inspectio/. ~ . FACTORY MUTUAL SYSTEM J(. - /l .
~~----'"---,/)_...,.t.i~,..._-"'."""'~---------Commiuions _ _/'11~~
___ C..#_ _ _S-'f? _~L.___________ I ector'1 Slgnnura Natlonal Board, Stata, Provine*. and Endoreament1 Date._ _ .i.f_f"U_AJ_..C._____19 11/ '- 112/82)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS~~
______ POWER ___ COMPANY _ _ _ _ _ __ Date _ _ _....;4""-_.2...,1,_-.,.::9=.2_ _ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_-=1'--_of _ _--=1:.__ _ _ _ _ _ __
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MFJ.lb'W!J.L HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. 0. 24200757 R*P*lr Organization P.O. No., Job No .. ate.~~
~~3. Work Performed bv TOWNSEND & BOTrUM Type Code Symbol Stamp _ _~N~A~-----~~
Nam* Authorizatlon No. _ _ _ _ _.!:lN!.!iA!..-_ _ _ __ ANN ARBOR, MICHIGAN 48106 Explmlon Dm _ _ __,.._ __.N~A-.._ _ _ _ __
4. Identification of System _ _ _....;.P;..RE..;.S;;.;S;;.;UR=l;.;;;Z;;;;E;;.;R_S;;;.;AFE=-""TY"'"""';;.;;AND;.;.;;;....;;RE.=;;L""I_E-.F_V,;.;AL;;:::;.;VEo=-.;;.P.;;;l;;.PI""N""G"-------------

5. lal Applicable Construction Codfi ASA B31. l 19.22._Edition, _ _;.;NA:.:...._ _ _ Addend1, _ _NA _ _ _ _Code Cal lb) Applicable Edition of Section XI Utilized for Rep1lraor Replll*Mnts 19 83 S 83

6. Identification of Components Repaired or RaplllClld 111d RepllC8l'Mflt Compon1nt1 ASME Code Nationll Repaired, Stamped Name of Name of Manufacturer Ba1rd Other Year Repleced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
HEX NUTS ~C&<-d.1n a...1 5029-8674-1 1-1/4"(6 (16) :r:"a"""~-r ic.c.. NA NA \-t,-4 l'I ~ ;l.Ci 1990 REPLACED NO 7
~~Description of Work. _ _ _ _REMO _ _VE_/RE_I_N_S_TAL_L_V_AL_VE __ P_R_V_-1_0_4_2_B....;9~.,J:....~ri..::~'F-f:..:.~~c:..:e::..J~.......:/,;.;::.e..;=:<'=-..:"~...;..:-/s:..::..*~-~~
8. T11t1 Conducted: Hydromtlc D Pneumltlc 0 Nomlllll Opemlng p,...,,. 0 Other [!) Pl'ISIUre pli Tiit TllllP. *F VISUAL EXAM NOTE: Supplernentll lheets In form of lists, 1k1tchel. or chwingl mey bl ulld, provided (1) 1lz1 II U In. x 11 In.. 12) lnforme*
tlon In ltem1 1 throu.-, e on thll report II Included on lldl sheet, 1nd (3) eecll lhllt II numbered and the number of lhlltl II recorded at the top of thll form. 112/821 Thi* Form IE000301 m1Y be obtlinad from 1he0rder Dtpt., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back) l'r _9. Remarks~~~~~~-N_O_NE~-~~~~~~-~~~~-~-~~~~~-~~~~-~~~~~~~~- Applic*ble M*nuf.cturer'a D*tll Report* to be *ttached CERTIFICATE OF COMPLIANCE We certify that the statemenu made in the report are correct and t~ conforms 10 the rules of the ASME Code, Section XI. *. ~~meii!) .
~~~ s/z.1/qz..~~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iaued bv the National Board of Boiler and Pressure Vessel Inspectors a,nd the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL of NORWOOD 0 MA -= heve inspected the components described in this Owner's Report during the periOd f- t.Z. * "i L to J- t l ' 1 L , and state that to the best of my knowledge and belief, the Owner h* performed examinations and taken corrective measures described in this Owner's Report in accordance with th* requirements of the ASME cOcte, Section XI.
By signing this cenificau neither thl Inspector nor hii employer m1kes 1ny wmrrantY, expressed or implied, concerning th~ examinations and correctiw measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in *ny manner for any person.i injury or propeftY damage or a 1011 of any kind arising from or connected with this i-n-~.:. jec-'./,"-io-~-*~_.._"'-~..,,*-----------Commiaions F_:_CT_'l_:_:_:y_~_TU_,_c._~_ltJ_s:_s_T_EM______ ifllPKior'1 Slgnaa11'8 N1tloft9l Board, State, Province, and EnCSor.-nenu Date,_z _2.._ _ /"?ft __ 'I _ _ _ _ _19 7~ l.. (12/821
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner CONSUMERS POWER COMPANY Oate _ _ _ _4_-_2_1_-_:.9_:.2;._'- - - - - - - -~~
~~N11m11 27780 BLUE STAR MEMORIAL HWY. COVERT 1 MICHIGAN 4204J Sheet_-=1'--- of _ _---"l:;.__ _ _ _ _ _ __ Addreu~~
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR ~"ffAL HWY.~~
COVERT 2 MICHIGAN 49043 T&B W.O. 24200912 Addr- R*P*lr Orgenizetlon P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ ___..N.,.A!:.-_ _ _ _ __~~
.N*m*
~~Authorization No. NA ANN ARBOR, MICHIGAN 48106 Expiration Date NA Add~~~
4. Identification of System SPENT FUEL COOLING

5. (a) Applicable Construction Code AISC ~ 7THEdition, _ __..;.N...;;;A;;;.__ _ _ Addenda, _ _N;;.;.A;.; *_ _ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Board Other Yaar Repaired, Replaced, ASME Code Stamped (Yes
. Component Manufacturer Serial No. No. Identification Built or Replacement .or Nol HEX NUTS ~IAJA-t- - P.O. ~1£cu;t 5/8"0 (2) 'l....iOc.<..S i/?lb'°S NA NA G23873-2 1981 RBP1'd:RB~ NO
7. Description of Work _ _ _~AD=D::;.....::NU=.::T._.S~T:..;:O...._.U~-...B""'O~L=-T""'-_HAN==G=E.:;;:R:....:::H:.::C;..:4_-..:;R:.::8-=6~.-=1~----------

8. Tests Conducted: Hydrostatic D Pneumatic 0 Nominal Operating Pressure 0 Other []! Pressure _ _ _ _ _ psi Test Temp. °F VISUAL EXAM NOTE: Supplement.i sheeta in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., C~I inforrna*
tion in items 1 through 6 on this report is included on uch sheet, and 131 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks NONE Applicable Manufacturer's Date Reports to be attached~~
~~. CERTIFICATE OF COMPLIANCEJe /~~
~~We certify that the statements made in the report are correct and this ~p lqce.,.,e"' -f';ontorms to the rules of the ASME Code, Section XI.~~
rape fr or replacement *

Certificate of Authorization No _____...;;N~A;.;;...________ Expiration Date _ _ _ _ _.::.N;.;:A"---------
Signed-~:....1. 1 =t.!:C=--.J..;~~~=--::....#._,_,_O_,_,____,fJ,'-L.<:..1~'-=~:__--Date_.Jt.~;......._..=.._ Owner or Owne;soe;igr1'e, Title ~ CERTIFICATE OF INSERVICE INSPECTION 7 ___;;Z..;.......__ _ , 19 92.. I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ot MICHIGAN and employed bv PROTECTION MUTUAL of MA....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ have inspected the components described _.N..,O.,...,R"'W..,O..._O.....,D...,*.._.... in this Owner's Report during the period _ ___.t..__-_,3=<--_,?'-=2..'------tO £
J- 'i 1... , and state that to the best of my knowledge and belief, the Owner has performed examinations end taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Ccide, Section XI.
By signing this certificate neither the Inspector nor hii employer makes any warranty, expressed or implied, concerning th~ examinations and correctiw measures described in this Owner's Report. Furthermore,"neither the Inspector nor his employer shall be liable in a manner for any personal injury or property damage or 1 loss of any kind arising from or connected with this
~~FACTORY MUTUAL SYSTEM 1'11C/flf,/trJ 5 f7~~
~~~--'-'--f?-------"'-='7'.....,,.,..----------Commission1~--------------------~~
Nationat Board, State, Province, and Endorsements Oate,-.i3~~.)4::....u~pj......:::!.::___ _ _ _19,--"1=:3-- 112/821
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY _ _ _ _ _ _ __ Date _ _ _ _4;..:./..=2..;.7.:../9:...:2::...__ _ _ _ _ _ _ __ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet_-.::1:...__ of _ _ _:..l_ _ _ _ _ _ __ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 277 80 BLUE STAR MEM09fiAL HWY.~~
COVERT, MICHIGAN 49043 T&B W. 0. 24200943 Repair Organization P.O. No., Job No., etc.
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol *Stamp _ _--l:N~A~-----~~
Nam* Authorizetion No. -----~N~A~------ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _A>N~A"------- Addreu
4. Identification of System _ _ _ _ _ _ _s_P_E_N'I __FUEL _ _c_oo_L_IN_G_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _;___ __

5. (al Applicable Construction Code _ _ _A_I_S_C__~7TH Edition, _ _N_A ____ Addenda, _ _ _N_A___. Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19*_8..,_.,3_a.1,S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Rep1ired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol P.O.
HEX NUTS ~c...*dm01..\ G23873-l 1/2" (2) TV\d~r1ec:.. NA NA l;IJl'-t\l-4 ~lq 1981 REPLACED NO
~~7. Description of Work. _ _ _ _ _...;AD=-D""""""NUT=S;;.....;l'O-...;;,U_-BO~L;;.;;T;..__HAN=...;GER=;....;.;;H.;;,Cl+..;.-...;H;.;;;2;;.,4;..:.7.;;,.,;;;;l_ _ _ _ _ _ _ _ _ _ _ _ __~~
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal 01>9ming Preaure D Other QI Preuure _ _ _ _ _ pli Test Temp. _ _ _ _ _°F VISUAL EXAM NOTE: Supplemental sheets in form of lists, sketches, or drawings IT'mV be used, provided C1) 1iz1 Is 8~ in. x 11 in., 121 infol'INl-tion in items 1 through 6 on this report it included on each sheet, ind (3) elCh sheet is numbered and the number of 1htet1 is recorded et the toP of this form.
~~(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ _ _ _COMPANY POWER _ _ _ _ _ _ __ Date _ _ ____..;4::...-_,2:::..:.1-_9::...2=--------- Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_-.::1:...-_ of _ _ _:..l_ _ _ _ _ _ __ Addreu
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEMOT!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201039 Repelr Or11enlzetion P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _~N:::A,___ _ _ __~~
Ne me Authorization No. _ _ _ _ _...:N!.!:A;!:......_ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N&l./;IA..___ _ _ __
4. Identification of System _ _ _ _ __,;:s_P_E~N;;.;;T;;.....;:FU;....;;.;E;;;;L=--C=0..;;;0..-L""I""N.;..;G;;..___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code AISC ~ 7TH Edition, _ _ _N;,;,A;;.;;*'--_ _ Addend11, _ _...;;N...;;A;;:;,__ _ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19 83 S 83
6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Board Other Year Repaired, Replaced, ASME Code Stamped (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol COTTER PIN ~TC;.~ t.elviEJ- P.O. 5028- ~eplac.ed
~~~/lhYl-1/? (1 ~t:.pk."f NA NA 8838~ 1981 ~:Pl'.4-i;l;&i~ I NO~~
~~7. Description of Work. _ _ __,HAN='"'G::.:E:R::.:.....;H=C.._4~~
~~....-_H=9=2-*:3_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
B. Tests Conducted: -HydrOltmtlc 0 Pneummtlc 0 Nominal Operating PntaUra 0 Other ~ Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of llltl, 1k11tchm, or drawings may be uMd, provided 11 l 1ize Is 8% In. x 11 in., 121 informa-tion in Items 1 through 6 on this report is included on ach sheet, and 131 uc:h sheet 11 numbered and the number of 1heets is recorded at the top of thi1 form. (12/821 This Form IE00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks~_ _ _ _ _ _N_O_NE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~----------------~~
Applicable Manufacturar'1 01u Repo"1 to b* attached CERTIFICATE OF COMPLIANCE We ce"ify that the statements made in the repo" al9 correct and th~t'.!'fii'i'i conforms to the rules of the ASME Code, Section XI. * ~ 2caman°t:)
~~~ s-/z1/'il..~~
~~Certif:z;:icate o Authorization No. NA * .~~
~~Expiration Date NA Signe_~~ Tft1~~~ ~Ow er or Owner's De1ignee,~~
~~~ ~-***-* Date~A/---==-=-* ~~~
_Z.'f..____,19 qz CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 1 valid commission issued by the National Board of Boiler and P19ssure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of _N~O.. R,..w.,.o
.....o...,n..,.__MA....,...________________________ hwe inspected the components described in this Owner's Repon during the periOd Z l.. * /l?,4'f 1~ to 2.Z.. r1Ay 'L
and sme that to the best of my knowledge and belief, the Owner h* performed examinations and taken corrective measures described in this Owner's Repon in accordance with the niqui19ment1 of the ASME Code, Section XI.
By signing this ceniYicai. neithar th* Inspector nor his employer makes any wainntv, expressed or implied, concerning th~ examinations and correctiw meuures described in this Owner's Report. Furthermore; neither the Inspector nor his employer shall be liable in any manner for any personal injury or propert'{ damage or a loss of 1ny kind arising from or connected with this
'";(":/ __ £~/. --~~;.... *--'L~~:=;""--------------Commiuions 1Pec:tor'1 Slgnnura F~~::RY ~::/:=EM ~0~------------------
~~National Board, Stata, Province, and EndorMmant1 Date,"'"'"""Z_L._.l'?_~--'--'1_ _ _ _ _19 fl, 112/821~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ _ _ _COMPANY POWER _ _ _ _ _ _ __ Date _ _ _ _4_-_2_1_-....:;9_2_'_'- - - - - - - - Name 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--=l__ of _ _~l=---------~ Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR MEM&"f!AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201042 Repair Organization P.O. No., Job No., .ic.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp _ _........N..,.A..___ _ _ _ __~~
Name Authorization No. _ _ _ _ _.:;N.,.A.___ _ _ _ __ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ _ _N.utJA..___ _ _ __ Addrftl
4. Identification of System _ ___.S...E~_R..,V..._.I..,C=..E1........1W1.0A~T..,,E1o1.R~------------------------

5. (al Appljcable Construction Code AISC ~ 7TH Edition, _ __;;N;.;.;A;;.;;...._ _ _ Addenda, _ _..;;;N.;..;;A=----Code Ca111 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired. Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)
HEX NUT C.e. Fbw"Er-: P.O. f?er'~cec/ _ _o_ - l" (!) g-./.S~S NA NA 72117-1 1981 NO
~~l,~~~
~~f<tp1qceJ t:tl,ov~ C'o..., po.,e~~
~~"'-r 0...,~~
7. Description of Work HANGER HB23-H273

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Opemlng Preauro 0 Other []J Pressure psi Test Temp. °F VISUAL EXAM NOTE: Supplemental sheets in form of lists, *ketches, or drawings may be uled, provided (1) size ii B~ In. x 11 in., (2) informa*
tion in iterm 1 thl'OUgh 6 on this report is included on each sheet, end 13) each sheet i1 numbered and the number of sheeu is recorded et 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.V. 10017
FORM NIS-2 (Back)
~~9. Remarks ~~~~~~~N_O_NE ___~--~~~~--~~~~~~--~--~-~~-~~-~~~~~~~-~~
Applicabll! Manufacturar'1 Data Aaport1 to be attached We certify that the statements made in the repo" ere correct and ~ conforms to the rules of the ASME Code, Section XI. .. r . o raplacament
,_.,.,l. ?"PR CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 11 valid commission issued bv the Nation1I Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL . of NORWOOD
~~MA -=~~
~~in this Owner's Report during the period~~
~~!-Z. - ~ ?l- ,_J_,[.~~
~~hwe in1Pected the components described t o - - - - - - - - - - - - - -~~
and state that to the best of my knowledge ind belief, the Owner h* performed examinations ind taken corrective measures described in this Owner's Report in acc:ord11ne1 with the ntQuiremenu of the ASME Code, Section XI.
By signing this certifie1t1 neither th* lmpecior nor his employer makes 1nv warrmntV. expreslld or implied, concerning th: examinations end correctiw measurm dmcribed in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in *nv manner for any personal injury or property dam1g11or1 loss of 1ny kind 1rising from or connected with this
~nsp2~/ ~~ F~~::~,iro;;AL f s:~Tfli ~----"~---4~'--'-~~~------------------Commia~ns~---------------------------------- , I ~or'1 Slgnmturw National Board, State, Provlnca, and Endonemanta 112/821
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
~~1. Owner _ _ _CONSUMERS~~
______ POWER _ _ _COMPANY_ _ _ _ _ _ __ Date _ _ __,;4_--=2..::.l_-..::..9.='1._'- - - - - - - - N*me 27780 BLUE STAR MEMORIAL HWY. COVERT, MICHIGAN 49043 Sheet_--"l'--_of _ _- - - ' l " - - - - - - - - - -
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M~~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W. O. 24201067 Repelr Organlzetlan P.O. No., Job No., etc.~~
~~3. Work Perlormed bV TOWNSEND & BOTTUM Type Code Symbol Stmnp _ _........N,,,.A"'-------~~
N*m* Authorizstion No. _ _ _ _ _. .:N,, .A. ._______ ANN ARBOR, MICHIGAN 48106 Expimion D1t1 _ _ _ _ _ _Jo.JNAJA.________
4. Identification of System _ _ _......._RE=C:::.:I:::.R~C:.:.._L:::.I::.:NE=-~FR=OM~P~UMP~.....P:....:B::.:C::...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.!.*_

5. (al Applicable Construction Code _ _....;A=I~S...;;C_ __;:;J BTH Edition, _ _N_A____ Addend1, _ _ _N...;;A~__ Cod1 Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacem1nu 19....:81.1..1.3_~$ 83
6. Identification of Components Repaired or Replaced and Replecement Components Name of Name of Mlnuf1Ctu'9r N1tion81 BOlrd Other Ve1r Repaired, Replaced, ASME Code Stamped (Yes Component Ma nu factu ,.r Slri1I No. No. ld1ntlflC1tion Built or Repl1e1ment or Nol P.O.
HEX NUTS TE")(A-5 - 5021 1472-2 n *'- d 3/8"<6 (2) "Ben-I NA NA 1983 NO U-BOLT 'E.ErU.£N- G28221-l ~Jq~ 2" (1) PA-~<"~I NA NA ~ ,.-~'* <cs10-a" 1983 NO
7. Oncrlptlon of Work _ _ _ _HAN __ G_ER_HB_D_l_7_7_-HS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __..;.._ _ _ _ _ _ __

8. T11t1 Conducted: Hydrottltlc 0 Pn1Umltlc 0 Nominll Opemlng p,....,,.. 0 Other []I Preaure _ _ _ _ _ pli TestTemp. _ _ _ _ _°F VISUAL EXAM NOTE: Supplementel llhletl in form of Ilsa, 1k1tch*, or dl'lwinga mmy bl ulld, provided 111 1iz1 II 8% In. x 11 in., (2) informe-tion In it11m1 1 through 8 on this report ii included on llch lheet, ind (31 nch llheet i1 numbered 1nd the number of lheea i1 recorded It the top of thil fonn.
(12/82) This Form (E000301 m1Y be obt*ined from the Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
_/
~~/ )~~
~~FORM NIS-2 (Back)~~
~
~~9. Remarks _ _ _ _ _ _ _N_O_NE ___________________________________ ~~~
~~Applicable Manufacturer'* Data Raport1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and th~---~~:=,---£' ASME Code, Section XI.~~
~~- - - - - - - - - - - - - - E x p i r a t i o n Date _ _ _ _ _N_A~--------~~
Signedo<~~~~~~~f.c:tll!!!~::::;.~~~~.W~~t.&~~"'11!!....--Date ~ . 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding 11 valid commission iautd bv the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed bv PROTECTION MUTUAL ot
~~....o~~
~~_N......,O.,.lt..,.w .....o..,n._*.__MA.~~
........______________,,.....~---------h8V11 inspected the components described in this Owner's Report during the period __ S_-_z_z_-_'l_z..______ to*---.f_-_z.._z._-_?_L_ _ _ _ _, and state that to the best of my knowledge and belief, the Owner ha performed examinations and taken corrective measures described in this Owner's Repon in accordance with th* 19quiremenu of th* ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warr8nty, expressed or implied, concerning th~ examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for eny pel'10nll injury or property damage or 1 loss of any kind arising from or connected with this inspecti/n. ~~~ FACTORY MUTUAL SYSTEM If: -
~~---"'----....,.;...;;.;;.,;;.~-----~-----Commisslon1~-------'------------~~~
In r'1 Slgnnu,. l?'I so 1'1tcµJ6foJ Natlon.i Board, State, Province, and Endor.-nant1 Dete_ _ _ _ A- zz. ,,., __ t/ __,_ _ _ _19 */ L. 112/82)
~* FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
~~1. Owner _ _ _CONSUMERS~~
______ _ _ _COMPANY POWER _ _ _ _ _ _ ___ Date _____4;_-....:2:..:l;_-...:9....:2:....__ _ _ _ _ _ __ Nam* 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Shut_-=.l__ of ___- - - " l ' - - - - - - - - - Addrea
~~2. Plant PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M~~AL HWY.~~
COVERT, MICHIGAN 49043 T&B w. 0 I 24201069 R1Dalr Organization P.O. No., Job No., mtc.
~~-3. Work Performed bv TOWNSEND & BOTTUM Type Codi Symbol Stamp ___........,N~A~-----~~
Nam* Aumoriution No. _ _ _ _ _ _N..,A. . _______ ANN ARBOR, MICHIGAN 48106 Expimion Dm ________..N!..t;A1t-.._____
~~4. Identification of System _ _ _ _.... RE=C=I:.:.R"'C"'*"....;L:.:I,...NE--FR......,..O""'M._._P""UMP=--P.:B....~~
~~C_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
~~5. (al Applicable Construction Code _ _ _ A;_I_S_C__~ BTH Edition, _ _ N_A___ Addenda, _ _ _N_A,;;.___ Code c...~~
~~(bl Applicable Edition of Section XI Utilized for Repain or Replacemenu 19*_1.1.R..i.3-M.S 83~~
6. Identification of Components Repeired or Replaced and Replec:ernent Components ASME Code National Repaired, Stamped Name of Name of PMnufecturer Board Other Year Replaced, (Yes Component Manufecturer Serial No. No. Identification Built or Replacement or No)
~~P.O.~~
~~
HEX NUTS ~A-~ i.3c:n.:\ - 5021-1472-2 3/8"" (2) NA NA 1983 NO I
~~7. Oascrlptlon of Work, _ _ _ _HAN __GE_R_HB_D_11_1_-_m._1_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __~~
-I B. Tesu Conducted: Hydl'Olbtlc 0 Pneumatic 0 Nominal Opemlng p,.....,.. 0 Other QI Prnsure psi Tnt Temp. °F VISUAL EXAM NOTE: Supplemental lh... in form of lllll, 1ketch*, or dniwln111 nwy be uled, pnwlded 11I1iz1 II B1i In. x 11 In., 121 infornw.
tlon in item1 1 through e on this report ii included on tech ahen, and 131 eect'I ahMt ii numbered and the number of shlftl i1 recorded at th* top of thil form. (12/821 Thl1 Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., N- York, N.Y. 10017
FORM NIS-2 (Back)
~~9. Remarks~~~~~~--N_O_NE~~
_____________________________________________________~----------~~~~- Applicabla Manufacturer'* Data Rapar;1 ta be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and t~ conforms to the rules of the ASME Code, Section XI. * * ,~Jcam*~ kiiP .Qz1/l/L-Type Code Symbol Stamp~_____________ NA____________~------------------~~--~~----~~----~~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding 1 v11id commission issued~ the N1tion1I Bolfd of Boiler and Pressure Vessel Inspectors -aiid the State
*or Province of MICHIGAN ind employed~ PROTECTION MUTUAL of NORWOOD
MA - h.ve inspectac:I the components described in this Owner's Report during the period r- Z l - "IL. to S- .z.t -' 1.. * , and state that to the best of my knowledge 1nd belilf, the Owner h* performed ex1min1tions 1nd taken corrective me1sures described in this Owner's Report in accord1ne1 with th* requirements of the ASME Code, Section XI.
By signing this certificate neither th* Inspector nor his employer imkes 1ny WlrnntY. exprOISlld or implied, concerning th~ examinations and correctiw measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in *ny m1nn1r for eny pen;onal injury or propertY damage or a loss of any kind mrising from or connected with this in~~~k**
~~~----~------~_,,,.._~~
______________ Commiuion1 ___ F:~:RY :~::t:ST' 0___________________________~ n1Piac:tor'1 Slgnaiur1 N1tlonal Board, State, Province, and Endar..nent1 z ~ /"?~"/ D1te_______ ......_ _ _ _ _ _,.,9____ fl-_ 112/821
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner C0nsu:::ers ?ower Co:npanv N*m*
27780 Blue Star :fem. Hwy. Covert, MI Shnt _ _i_ _ of _ _ 1__________ Addre*
~~2. Pl1nt Palisades Nuclear Plant Unit _ _l_______________~~
~~Ne me 27780 Blue* Star Mem. Hwy. Covert, MI Addr- Aeoelr Or;1nl1nlon P.O. No., Job No., etc.~~
~~3. Work Pttrformtd by Consumers Power Company Type Code Symbol St1mp __N_/;..,.A _ _ _ _ _ __~~
Ne me Auttloriz1tion No. _ _ _ _N_;,,./A;.;;__ _ _ _ __ 27780 Blue Star Xem. Hwy. Covert, MI Eicpil'ltion 01t11 N /A Addr-
4. ldentific1tion of Sv1t1m (he_,yV\ i C.A I A~ Voll-\~ Con.lr--o( ~SleVV"\

5. (11 Applic1ble Construction Code 33/. I is55 Edition, Addlnde, Codi c...
~~(bl Applicatile Edition of Section XI Utilized for Rep1irs or Replecernent1 191')$ S <6"3 ------~~
~~6. ldentiflc1tion of Component1 Replirld or RepllC9d ind Replec:em1nt Components I~~
ASME \ Codi I N1tionel Reo1irld, Stamced, N1me of N1me of M1nufecturer Boen:t Other Y11r RIPllC9d, !Yes I Component Manuf1CtUrtr Seriel No. No. I dentificetion Built or Repl1Cement or No) j Bo~7' Si~ r~A~ i"'A I rv/..ct NA HeAl-tF
~~~d=t5?1Lt \c::t9o ~~IActJ No I~~
7. Oescrfption of Wortr Re.t \ACed

a. Testa Conducted: Hydroamle D PMUmltlc 0 Nominel Opemlng ,,....,. .e:g Other 0* p,.._,,. pli Tiit TtmD. 'fl NOTE: Suptllemenui It!.- In form of llltl, 1kftch-. ordnwintl mey beulld.prowldld (1, me 11116 ln.x 11In..12, lnfarma*
tlon In lterne 1 through I on mil ""*" le indudecl on -=ti ahllt, encl (3) I.ch ltlM le numblr9d encl the number of lhMll i1 recorded It the toP of thll form. I 12/82t - Thi1 Form IE00030, mey be obtlinld from tlt1 Order Dept., ASMI, 3otl I. 47th St., New York, N.Y. 10017
FORM NIS*2 (Backl AoollcaDI* llllenufaciurar'1 Oaui Reooru io De attacl'leel CERTIFICATE OF COMPLIANCI
Wt certify tl'lat tl'I* st1t1m1nu mid* in the report ire corrwct and this Ct..M Ac.,_-;\ conform1 to _tl'lt rules of !nt ASME Codi, Section XI. reo1 1 or reolec:ement Typ1Cod1SymbOISt1mp_.f>J....,,~~""""'.&.....---------~--------~-------~--
C1i'tific1t1 of Authorizetion No._.....;N~,..b-....A'-.1...-------Expimion Dm-...i..N~'4l-""..__________ Signed _;;J,.jf_:+-*~~ Owner O~ftitnee, Title Sr- A_ ~ALla~ V O*m----..i7~/~g:...- ) CERTIFICATI OP INSIRVICI IN*ICTION I, tl'I* undersigned, h~ldin~ 1 vllid commiaion iauld t:iv th* !-1:nll Bo~ of Boiler 1nd ,......,,. V1m1 ln1P1Ctort 111d the State or Provine* of fl11"C#,(iA~ 1nd employed t:iv ~tlfCT< (N.J M?.LTI-<Ak of No£WpC2D. MA*
hmve inlil*tld th* componenu d11eribld in this Owner's R~n during die period 1-IS-U to 71-1 S*'lpl._ * *1nd stm tl'l1t to the beat of my knowledge Ind belief, di* Owner h* performed 1x811'1inetlont Ind tlUn COIT'ICtlve m1mu191 delcribld in thi1 Owner's Repon In ICCOrdmce wittl ttle requl.....,.,. of die ASMI Code, Section XI.
By signing thi* c:enlflcaw neither the ln1P1c&or nor hit employs INIUI lftY WWTMI'/, ,...,.... or implied, con*ning tl'I* 1x1min1tions 1nd carT'ICtiwe , , _ . . d11:1111 'Dld in thia Owner'* Aepan. Purthetmoteo neither tl'I* In_., nor his employer lhlll bl lilble in lftY men,_ for eny PlflDftel lnfury or property d8ll'llll or 1 loa of eny kind"'",. from or conMCtld with 1ni1
;*.,,....._ ~/J~ ,Piit!.t""b/Z.'I ML4T""- S't'~ ~ ------"""1"'n*""";;:,=, ... -.._.!"',"!!!S~tei'""n=-*'""11"",...,;;;i,_______
eomm1a1on1 M1'.1'>,;t NnloMI ...,., St... , ....,..., Md lncso,..,,ent1 1--1 s 11 fw& (12/82)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
* .AJ Required by the ProviJion1 of the A.SME Code Section XI
~~1. Owner C..:-t"'_.:;,..::::.: rs ?.Jwer Co::i:ianv~~
~*m*
~~27730 3be Sc::ar '.-!em. Hwy. Covert, :u s1i .., ____ of _ _1__________~~
~adn*
~~2. Pl1nt Palisades ~iuc lear Plant N*m* Unit----------------~~
27i80 Blue Sc::ar :!em. Hwy. Covert, :11 Addr- Fl8C*lr Orgenl11t1on P.O. No .. JOCI ~o .. nc.
~~3. Worlc Performed bv Consumers Power Company Tvr:i* Cod* SvrnbOI St.,,,D-~:l'~/"l'.':'":\_ _ _ _ _ __~~
~~Nem* Autnoriz1tion No.-----:~~':..,.;/*~:\------- 27780 Blue Star ~em. Hwy. Covert, ~lI Exr:iiration Oau ~ A~~
~~~ ldentif~at~nofSvn*m-~~~~~-A~~~~~-~~~~~~A-~~--~~~~~~~e-~--------------~~~
~~5. (11 Ar:ir:ilicaale Conttl'\lction Code R3 I* I 19 SS Sdition. NIA Adden~. _ __...N ........vf_;.:l~~
~~___ C.xit C*11~~
~~!bl Ar:iDliclOI* Edition of Section XI Utilized for Rt0tit1 or Rtr:il1etment1 19 ~-? ~ ZS.3~~
~~6. ldtntiflc1tion of Comoontfttl Rt0eirwd or RtDlectd and RtDllC9ment Comoon1nt1 I~~
~~~3ME Coae I '~~
Natlonel Rt01irwd, Stamc1d: Name of Name of M1nufteiut9r *Ba.rd Other v... FltDltced, (Yes Cornoontftt M1nufactut9r or Rtr:il1amtnt or :llol Serial No. No. I dtntiflcnlon Built I i A\wood y Se.,..: A\ C \J -OS to Mo-,.. .. : II Go. N/A N/A (- \3Gj~
~~lt:1bi ~e\>~'~ No i~~
~~I 7, OtteriDtlon of Woftr._R . . .c.:...,:-f"i.......,11.._~_t,___,*s_h ___c=-\J-- ___o_s.......f o__A;...~--~-~~l,.c._t!._Se;;..._A..;.l__;\..V~e;;..\_d_.~~
8. T11t1 Conducted: Hydrolta 0 PMUIMtlcl 0 Nomlnel Ooeml.. ,,..._. 2J Otf'ler 0 ,,...,.. pll Tiit Temo. *I' NOT!: SuDPlemenul lh... In farm of llltl. tklldlel. or drlwiftll 1NY be ulld. prowl- CO Ille It a In.* 11 In.. 121 lnforml*
tlon in lhml 1 thra..igh I on dtll rlOClft It includld on -=ti lttM, and 131 ..,. lh* la numblnd lftd tM numblr of .n.... it recorded at the tap of dtll fonn. (12/12J - Thie Form 1&000301 m., be otnlined from the Order DtDt., ASMI, 3411. 47d'I 11., New Vorll, N.Y. 10017
FORM NIS*2 (Back)
~~CERTIFICATE OF COMl'LIANCI Wi certify '"" tnt st1ttm1nt1 m.a. in the rtport art corrtet and this t'"e.~ A\~~
~~1 conform11 Yo '"' rules of !" ASME Codi, Section XI. reoair o reo1ac.,,.ent~~
~~.--""""'----------Expimton D*---N....-.""/}q""""".._________~~
Signld~~~~~~...,+-~~-=s;=--'""°-4-10.--.__.,._;st~-D.u-----7....,..,/ __t ,; ). . ____, CIRTll'ICATI 01' INSIRVICI INIPICTIOM I, '"' und1r1i9111d, l'toldtn1 a valid commiaion iautd by me National loant of Boiler Md p,...,,. V._. lncectOl'l ll'ld th* Sratt or Province of fVl,*c1fi"wAJ *ndemplovtdb¥Pl?oTg.c;r,*qt1 MWm'- of hlp@w Q<?j\
MA l'tewe in"**' die comtlONfltl detcribad in this Owner'* R_;n durlnt u. S*tod f -lcJ-9.:l.. ta "T-lc/-94 *lftd atm '""
ro ma beat of my lcnowtldle Md betlef. die awn. h* performed a1mlnadont.,... ubft COll"KlMI me.a,.. dltcribtd in rhi1 Own1r'1 Report In ac:cordlnce wittt IN f'IQUIWn" of me ASMI Cod9. Section >Cl. By 1i9nint thit etnlflcam neitfw N l"llll~W nor hit llTllllGY* INllll MW_,.,._,, *Xll'Wd or imtllild. COM9ffting tl'tt txM'linationt and corr1et1w , , _ , . J Ibid In dtia Owlw'I "epan. l'w~ Mittler die ln.-W nar hit ...,..1over shall bl Ii~* In Mii m..w far lllW ...,..... lnlury or property . . . _ *
~~IOw Gf Mtt lllnd arl9iftl front or cor.i*Eed with tl'tit inmaction, ~ fflc;Tbl!..Y ll"'1uic..tAL S~.s T~~~
~~------i1:;;n.~~
~~m~~:°1l1~~
~~. =.: ,. :-----,;, ; ;-. .__~~
~~Commlllioftl Mt', :;tG.4 Netie........ Item.,.,_.....,_. lflCI0'9ftlftt1 c....______ ]_-...t.{__,, 9d 1... (12/121~~
~~FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI~~
.)
~~1. Owner _ _ _ CONSUMERS~~
_ _ _ _ _ _POWER - ___ COMPANY _ _ _ _ _ __ Date ____...:.4_--=2~1_-...::9..=2:__________ Name 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet .....-=..1__ of..........-=1,_________ Addrea
2. Plant PALISADES NUCLEAR PLANT Unit 1 2 77 80 BLUE STAR ME!i&'fi'AL HWY' COVERT, MICHIGAN 49043 T&B W.O. 24201241 Addrea Repelr Orgenizetlon P.O. No., Job No., etc.

3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp ___-""N""A._______
~~Authorization No. _ _ _ _ _N~A,_______ ANN ARBOR, MICHIGAN 48106 Expiration Date _ _ _ _ __.:Nl.fiA~-----~~
~~~ ldentific~~nofSy~em _______L=P~S~I~P~~~~D~I~SC~~~~GE~~SA~F~E=~~~IN~J~E~C~T=I~O-N _____________________~~
5. (al Applicable Construction Code: AISC ~ 7THEdition, ___N;.;;A'""----Addenda, ___.; .;N.; ; ;A_ _ _ Code Cua lb) Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code
- National Repairad, Stamped Name of Namaof Manuf1eturar e'oard Othar Yaar Replecad, (Yes Component Manufec:turar Seri1I No. No, ldantificltion Built or Replacement or No)
HEX NUT tf$2.0 I/$ fh... *- \ P.O. aePutcGD 17 /R"m (1) 110 DIA.~f<le-S NA NA G23873-4 1981 R:l!iPl*ri;&J!i& NO
~~7. Description of Work ____...;;P;..;;EN=E...,T-RA~T-I"""O"""N"--G;;..C"""l;;..-....;P;;..D;;..______________________________________~~
B. T11t1 Conducted: Hydrostatic 0 Pneumatic 0 Nomin*I Operating Praaure 0 Other [!I Praaure ______ psi Test Temp, _________° F VISUAL EXAM NOTE: Supplemental sheets in form of lilts, sketch*, or drewlng1 mey be used, provldad (1) size 11 8% In. x 11 In., (2) lnforme-tion In Items 1 through 6 on this report II Included on each sheet, ind (3) ach sheet 11 numbered and the number of 1h11t1 i1 recorded et the top of this form, (12/82) This Form (E00030) mey be obtained from the Order Dept.. ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS-2 (Back) Applicable Manufacturer's Data Report1 to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and tp.ie"-:::::;:~:;..-===---.i:aonforms to the rules of the ASME Code, Section XI. replacement
, 19 qz CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of MICHIGAN and employed by PROTECTION MUTUAL of NORWOOD 1 MA have inspected the components described in this Owner's Report during the period S- 21*1.2 to $- z.l-1 Z.. , and state that to the best of my knowledge end belief, the Owner hes performed e~aminetions end 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 meuures 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 Ion of any kind arising from or connected with this
'"'°~~ ~ F;~:O:Y ;:: :STFJI 6 ~~* ~~~ ~- . In1PZiSiGn11tur*
~~Comminions~~~~~~~~~~~~~~~~~~~~- Netlon.i Board, State, Province, and Endorsement* oate,_ _ 2_l_ _n_A_._r_ _ _1s qt..- (12/821~~
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI CONSUMERS POWER COMPANY Date ________,4:r.;:-::...2...l.i..;-=.9z-.2______________
~~1. Owner~----------------------------------~~~
Name* 27780 BLUE STAR MEMORIAL HWY. COVERT. MICHIGAN 49043 Sheet __......:.l_ _ of 1 Addrea
~~2. Plan't PALISADES NUCLEAR PLANT Unit 1 27780 BLUE STAR M~~AL HWY.~~
~~COVERT, MICHIGAN 49043 T&B W.O. 24201265 Repair Organlzetlon P.O. No., Job No., etc.~~
~~3. Work Performed by TOWNSEND & BOTTUM Type Code Symbol Stamp ____..,N..,..A~---------~~
Name Authorization No. ________N~A..._________ ANN ARBOR, MICHIGAN 48106 Expiration Date ___________.N""As__________ Addrea
~~~ ldentificationofSyuem ____~P~~~S.;;;S;..;;;~~I;.;;;Z;.;;;E;.;;;R~S~P~~~y~--------------------------------------~~
5. (al Applicable Conmuction Code AISC ~ 8THEdition, NA* Addanda, ____~N~A:...____ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83

6. Identification of Components Repaired or Replaced and Replacement Component*
ASME Code National Repaired, Stamped Name of Name of Manufecturer Board Other Year Replaced, (Yes Component Manufacturer Seri1I No. *No. *1dentlficetion Built or Replacement or Nol HANGER - CC9-R22.1 CPCO NA NA NONE 1992 REPLACED NO
~~7. Description of work. _ _ _ _ _..... RE__..P=LA=C=ED~~
__HAN=-..G_.E=R--..P....E=R---.-S....C;;.::9..1;...-.-1""'5'""6'---_..;;.N;.;;;EW;.;.;.....;;;HAN=;.;;;G.;;;E;.;;..R'--------- B. Teat1 Conducted: Hydrostltlc D Pneum1tic D Nominal Opemlng Prauure D Other [!I Prauure. ______ p1i Telt Temp. _ _ _ _ _* F VISUAL EXAM NOTE: Supplernentll 1hfftl In form of llltl, 1ketch*, or drawings ny be ulld, provided 11) 1iz1 ii 8% in. x 11 In., (2) lnfonne* tlon in ltern1 1 through 6 on thil report ii included on lllCh 1heet, ind (3) uch lheet ii numbered and the number of 1hfttl 11 recorded et the top of thil form. (12/82) Thi1 Form (E00030) may be obtained from tht Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
FORM NIS*2 (Back) Applicable Manufacturer's Data Reports to be attached ASME Code, Section XI. CERTIFICATE OF COMPLIANCE
. We certify that the statements made in the report are correct and this repair r replacement ' onforms to the rules of the Certif~i:':thorization No, _ _ _ _..:;N.;.;;A;:.___________ expiration Date Signe _
~~0 f Jk"JL /~ ~ ner or Owner'* Oe1ignee, Title (/ -~~~
~~NA oate_A__,.!1~/l_"/___:z:;;;._::;.._ _ , 19 q 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 MICHIGAN and employed by PROTECTION MUTUAL . of NORWOOD , MA have inspected the components described in this Owner's Report during the period "1'-CZ-9,;. to r-9-9.;z.. . and state that to the best of my knowledge and belief, the Owner hes performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Co~. Section XI.
By signing this certificate neither the Inspector nor his employer mikes any warramv, expressed or im.plied, concerning the examinations and corrective meuul'lll described in this Owner's Repart, Furthermore, n_either the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011of1ny kind arising from or connected with this ln-tlon. ~~ .FACTORY MUTUAL SYSTEM
~~----------------~_,_~...._...__.~::;;::;;.&ao~---Commi11ion1 __Jl.1 __.;..:...f*~,--1~;...oe~ol..::;.;;:o._______________________~~
~~ln11Pec:tor'1 Slgnnura Netlonll Boera, Stet1, Province, end Endorsementl Dater_ _ _ _ _ _ _.._f_-.....,9__19 f;/, 112/821~~
*}}

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