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=Text=
=Text=
{{#Wiki_filter:George Vanderheyden                                                 1650 Calvert Cliffs Parkway Vice President                                                      Lusby, Maryland 20657 Calvert Cliffs Nuclear Power Plant                                  410.495.4455 Constellation Generation Group, LLC                                  410.495.3500 Fax I         Constellation Energy August 4, 2004 U. S. Nuclear Regulatory Commission Washington, DC 20555 ATTENTION:                   Document Control Desk
{{#Wiki_filter:George Vanderheyden Vice President Calvert Cliffs Nuclear Power Plant Constellation Generation Group, LLC 1650 Calvert Cliffs Parkway Lusby, Maryland 20657 410.495.4455 410.495.3500 Fax I
Constellation Energy August 4, 2004 U. S. Nuclear Regulatory Commission Washington, DC 20555 ATTENTION:


==SUBJECT:==
==SUBJECT:==
Calvert Cliffs Nuclear Power Plant Unit No. 1; Docket No. 50-317 Inservice Inspection Report Please find enclosed the Inservice Inspection Report for the Calvert Cliffs Nuclear Power Plant Unit 1.
Document Control Desk Calvert Cliffs Nuclear Power Plant Unit No. 1; Docket No. 50-317 Inservice Inspection Report Please find enclosed the Inservice Inspection Report for the Calvert Cliffs Nuclear Power Plant Unit 1.
This inspection fulfilled the intentions and requirements stated in our program plan and our commitment to comply with American Society of Mechanical Engineers Code Section XI Inservice Inspection Requirements.
This inspection fulfilled the intentions and requirements stated in our program plan and our commitment to comply with American Society of Mechanical Engineers Code Section XI Inservice Inspection Requirements.
Should you have questions regarding this matter, we will be pleased to discuss them with you.
Should you have questions regarding this matter, we will be pleased to discuss them with you.
Very trul   our GV/CAN/bjd
Very trul our GV/CAN/bjd


==Enclosures:==
==Enclosures:==
(1)     Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-1 (2)     Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-2 cc:     Mr. Craig Lowry (Without Enclosures)
(1)
J. Petro, Esquire                                     H. J. Miller, NRC kc7 J. E. Silberg, Esquire                               Resident Inspector, NRC Director, Project Directorate I-1, NRC R. V. Guzman, NRC R. I. McLean, DNR 04
Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-1 (2)
Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-2 cc:
Mr. Craig Lowry (Without Enclosures)
J. Petro, Esquire J. E. Silberg, Esquire Director, Project Directorate I-1, NRC R. V. Guzman, NRC H. J. Miller, NRC Resident Inspector, NRC R. I. McLean, DNR 04kc7


ENCLOSURE (1)
ENCLOSURE (1)
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August 4, 2004
August 4, 2004


Page I of 2 NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS (As required by the Provisions of the ASME Code Rules) 1.Owner       Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 (Name and Address of Owner)
NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS (As required by the Provisions of the ASME Code Rules)
: 2. Plant       Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (Name and Address of Plant)
Page I of 2
: 3. Plant Unit                                           1
: 1. Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 (Name and Address of Owner)
: 4. Owner Certificate of Authorization (if required)     N/A
: 2. Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (Name and Address of Plant)
: 5. Commercial Service Date                               05/0 811975
: 3. Plant Unit 1
: 6. National Board Number for Unit                       209111
: 4. Owner Certificate of Authorization (if required)
: 7. Components Inspected Component or                     Manufacturer or                 Manufacturer or Installer         State or   National Board No.
N/A
Appurtenance                     Installer                       Serial No.                       Province No.
: 5. Commercial Service Date 05/0
Reactor Pressure Vessel       Combustion Engineering                 CE-67107                       14000NV         20911 Pressurizer                   Combustion Engineering                 CE-67602                       14000NV         20915 Steam Generator #11           Combustion Engineering                 CE-67504                       14000NV         20922 Steam Generator #12           Combustion Engineering                 CE-67505                       14000NV         20923 Reactor Coolant Piping       Combustion Engineering                 N/A                           N/A             N/A Safety Injection             Bechtel                               N/A                           N/A             N/A Pioinv/Suvoorts Pressurizer Spray             Bechtel                               N/A                         I N/A               N/A Pivinw/Suooorts                                                                                   I Pressurizer Safety &Relief   Bechtel                               N/A                           N/A             N/A Pioine/Suovorts                                                                                 l Shutdown Cooling             Bechtel                               N/A                             N/A             N/A Pinine/Suioorts                                                                                 l Main Steam                   Bechtel                               N/A                             N/A             NIA Pioine/Sunnorts                                                                                 l Feedwater Piping/Supports     Bechtel                               N/A                             N/A             N/A Charging Piping/Supports     Bechtel                               N/A                             N/A             N/A Letdown Piping Supports       Bechtel                               N/A                             N/A             N/A Containment Spray             Bechtel                               N/A                             N/A             NIA PioinelSumoorts                                                                                 i
: 6. National Board Number for Unit 2091
: 8. Examination Dates       6/19/2002                                                       to 7/20/2004
: 7. Components Inspected 811975 11 Component or Manufacturer or Manufacturer or Installer State or National Board No.
: 9. Inspection Period Identification:   2002                                               to 2006
Appurtenance Installer Serial No.
: 10. Inspection Interval Identification: 1999                                               to 2009
Province No.
: 11. Applicable Edition of Section XI 1998                                                   Addenda None
Reactor Pressure Vessel Combustion Engineering CE-67107 14000NV 20911 Pressurizer Combustion Engineering CE-67602 14000NV 20915 Steam Generator #11 Combustion Engineering CE-67504 14000NV 20922 Steam Generator #12 Combustion Engineering CE-67505 14000NV 20923 Reactor Coolant Piping Combustion Engineering N/A N/A N/A Safety Injection Bechtel N/A N/A N/A Pioinv/Suvoorts Pressurizer Spray Bechtel N/A I N/A N/A Pivinw/Suooorts I
Pressurizer Safety & Relief Bechtel N/A N/A N/A Pioine/Suovorts l
Shutdown Cooling Bechtel N/A N/A N/A Pinine/Suioorts l
Main Steam Bechtel N/A N/A NIA Pioine/Sunnorts l
Feedwater Piping/Supports Bechtel N/A N/A N/A Charging Piping/Supports Bechtel N/A N/A N/A Letdown Piping Supports Bechtel N/A N/A N/A Containment Spray Bechtel N/A N/A NIA PioinelSumoorts i
: 8. Examination Dates 6/19/2002 to 7/20/2004
: 9. Inspection Period Identification:
2002 to 2006
: 10. Inspection Interval Identification: 1999 to 2009
: 11. Applicable Edition of Section XI 1998 Addenda None
: 12. Date/Revision of Inspection Plan: CCNPP Units I & 2 Third Interval ISI Plan, Revision 0
: 12. Date/Revision of Inspection Plan: CCNPP Units I & 2 Third Interval ISI Plan, Revision 0


NIS-1                                                             rage   OL x
NIS-1 rage OL x
: 13. Abstract ofExaminations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan.
: 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan.
The examinations reported herein constitute the sixteenth report of Inservice Inspections performed at Calvert Cliffs Unit 1, and the first report within the second inspection period of the third Inspection interval during commercial operation. The examinations for this inspection period, as required by the Third Interval Plan for Calvert Cliffs Units I& 2, were performed In accordance with the 1998 Edition of ASME Code Section Xl with No Addenda. In addition to the Section Xl required examinations we performed baremetal visual examinations of all of the Unit 1 dissimilar metal butt welds containing Ahloy 82/182 material which operate at hot leg and pressurizer temperatures in accordance with the EPRI MRP recommendations.
The examinations reported herein constitute the sixteenth report of Inservice Inspections performed at Calvert Cliffs Unit 1, and the first report within the second inspection period of the third Inspection interval during commercial operation. The examinations for this inspection period, as required by the Third Interval Plan for Calvert Cliffs Units I& 2, were performed In accordance with the 1998 Edition of ASME Code Section Xl with No Addenda. In addition to the Section Xl required examinations we performed baremetal visual examinations of all of the Unit 1 dissimilar metal butt welds containing Ahloy 82/182 material which operate at hot leg and pressurizer temperatures in accordance with the EPRI MRP recommendations.
We also performed baremetal visual and volumetric examinations of the reactor vessel closure head in accordance with the revised NRC Order EA-03-009. See Attachment I for a list of Class 1 and 2 components examined. Nondestructive examination data and procedures are available at the plant site for review.
We also performed baremetal visual and volumetric examinations of the reactor vessel closure head in accordance with the revised NRC Order EA-03-009. See Attachment I for a list of Class 1 and 2 components examined. Nondestructive examination data and procedures are available at the plant site for review.
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Supplemental examinations of feedwater support 16-FW-1218-R3 found the surface Indication to be acceptable.
Supplemental examinations of feedwater support 16-FW-1218-R3 found the surface Indication to be acceptable.
We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI.
We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI.
Certificate of Authorization No. ( if applicable)             N/A                           Expiration Date       3/
Certificate of Authorization No. ( if applicable)
0A Date         07/21/2004                 Signed       Constellation Energy                                     By                   m5 f           r     1 Owner                                                                     9T* IY%tff'AVA/
N/A Expiration Date 3/ 0A Date 07/21/2004 Signed Constellation Energy By m5 f
CERTIFICATE OF INSERVICE INSPECTION L,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectores and the State or provinces of Maryland                               and employed by       ABS Consulting                                                                                 of Houston, TX                                                             have inspected the components described in this Owner's Report during the peroid 6/2012002                           to 7/20/2004                         , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owners Report in accordance with the inspection plan and as required by the ASME Code, Section Xl.
r 1
Owner 9T* IY% tff'AVA/
CERTIFICATE OF INSERVICE INSPECTION L, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectores and the State or provinces of Maryland and employed by ABS Consulting of Houston, TX have inspected the components described in this Owner's Report during the peroid 6/2012002 to 7/20/2004  
, and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owners Report in accordance with the inspection plan and as required by the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes and any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes and any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Doff-4             A.- sH4P/ 4 Fot                         extra1z 0q&5 i) ~ d3        pat efg                                 Commissions           A   74a;         N,     Is /US       M ii/o National Board, State, Province, and Endorsements Date     Q I       TiULY       a,06'                                                           N 6     17775 } /               13S
Doff-4 A.- s H4P / 4 Fot extra1z 0q&5 i) d
          --        -- I --
~ 3 pat efg Commissions A 74a; N, Is /US M ii/o National Board, State, Province, and Endorsements Date Q I TiULY a,06' N 6 17775 } /
13S
-- I --


Pae of 1 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203                                                                 Owner Certifcate of Authorization (If Req.): NIA Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                       Commercial Service Date: 05/08/1975 Plant Unit: 1                                                                                                                  National Board Number for Unit 20911 Summary No. Comp ID                                                               t1.4- it-     0 .... .A.-   M4fhitAhUR"       sUe   C-#.-         MMn M.-l             C.-. f.*-
Pae of 1 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certifcate of Authorization (If Req.): NIA Commercial Service Date: 05/08/1975 National Board Number for Unit 20911 Summary No.
                                                  ..v     -.                                                                               -Y ......   -    .... 1.
cIA 1
cIA    1 003625          ICI BOLTING 1-64                 ICI BOLTING 1-64                 B-G-2 B7.10   NDE-5712-C     VT CCO44V-182 Accept    064        A-I                          57r2004 Commenr:        No caUIns rnoed.
003625 Commenr:
003es0          2-401D                           LOWER SHELL ATODEG.             B-B   92.12   NDE-5419-CC   UT CC04-IU-018 Accept    064                                    4/22004 Conments:      NO RECORDABLE INDICATIONS NOTED 004000          3-401                             LOWER SHELL TO LOWER HEAD       B-B   B2.11   NDE-5419-CC   UT CC04-lU-017 Accept    064                                    4J22/2004 NDE-5419-CC   UT CCO44U-031 Accept    064                                    4/27/2004 Commefts:      ID GEOMETRY INDICATIONS WERE NOTED 004050          4-404                             NOZZLE TO HEAD WELDS             B-0   93.110   NDE-5419-CC   UT CCo4-IU-014 Accept    064                                    4/0/004 Comments:      WILL CONSIDER SUBMIT'ING RELIEF REQUEST FOR THIS WELD BASED ON LIMITED UT COVERAGE 004250          4-404 IRS                         NOZZLE INSIDE RADIUS SECTION     B-D   B3.120   NDE-5417-CC   UT CC04-IU-032 Accept    064                                    4/21/2004 NO RECORDABLE INDICATIONS NOTED 004550          MANWAY STUDSINUTS 1-20           MANWAY STUDS 1-20                 B9--1 B7.20   NDE-5712-CC   VT CCo44V-005 Accept    064          U-1 A-4                    411042004 Conmf:          No evIdence o boric acddfound 005750          OUTLET SIDE MANWAY STUDSINUTS OUTLET SIDE MANWAY STUDSINUTS -             -        NDE-5712-CC   VT CCO44V-01 I Accept    064        U-1 A-4                    4/11r2004 Comment:        No cwable hndcaft noted 005850          INLET SIDE MANWAY STUDSrNUTS     INLET SIDE MANWAY STUDSrNuTS     -    -        NDE-5712-CC   VT CC044V-012 Accept      064        U-1 A-5                    4/11/2004 Comments:        No rmccrdble kIdlcallo noled 007050          OUTLET SIDE MANWAY STUDSrNUTS OUTLET SIDE MANWAY STUDSNUTS -             -        NDE-s712.CC   VT CCO44V-013 Accept      064        U-I A-S                    4/11I2004 Comments:        No Recordable Indications noted.
003es0 Conments:
007150          INLET SIDE MANWAY STUDSrNUTS     INLET SIDE MANWAY STUDSrNuTS     -    -        NDE-8712-CC   VT CC044V-014 Accept      064        U-1 A-4                    4/11/2004 Comments:        No recordable indications noted.
004000 Commefts:
104550          30-RC-IiB-7                       ELBOWTOSAFE END                 R-A   R1.20   NDE-5710-CC   VT CC04-IV-010 Accept    064        120344004.4008            4/13/2004 Conts:          No leakage noted.
004050 Comments:
107600          30-RC-12A -10                     SAFE END TO PIPE                 R-A   R1.20   NDE-5710-CC   VT CCo4-lV-016 Accept    064          12034-004 4008            4/15/2004 Comments:        No leakage noted 110450          12-PSL-1                         NOZZLETOSAFEEND                 R-A   RI11   NDE-5710-CC   VT CCo4-IV-0I8 Accept    064        80798,120244009            4/11r2004 Comments:        No leakage noted 110850          12-PSL-6                         ELBOWTOPIPE                       R-A   RI11   NDE-5412-CC   UT CC044U-002 Accept      064        60798,12024-0009          4/27/2004 Comments:        NO RECORDABLE INDICATiONS NOTED 110900          12-PSL-9                         PIPETOELBOW                       R-A   R1.11   NDE-5412-CC   UT CC04-IU-02S Accept    064        60796, 120244009          4/27/2004 Comnrnts:        INDICATIONS WERE INTERMITTENT 360 DEGREES AROUND WELD 111100          12-PSL-13(star)                 NOZZLE TO SAFE END               R-A   Ri11   NDE-6710-CC   VT CCO4-IV.009 Accept     064         6079s,1202440009           4/132004 Conmnenft:      No bleake noted
004250 004550 Conmf:
005750 Comment:
005850 Comments:
007050 Comments:
007150 Comments:
104550 Conts:
107600 Comments:
110450 Comments:
110850 Comments:
110900 Comnrnts:
111100 Conmnenft:
Comp ID t1.4-it-0.....A.-
M4fhitAhUR" sUe C-#.-
MMn M.-l C.-.
f.*-
..v  
-.  
-Y......
1.
ICI BOLTING 1-64 ICI BOLTING 1-64 B-G-2 B7.10 NDE-5712-C No caUIns rnoed.
2-401D LOWER SHELL ATODEG.
B-B 92.12 NDE-5419-CC NO RECORDABLE INDICATIONS NOTED 3-401 LOWER SHELL TO LOWER HEAD B-B B2.11 NDE-5419-CC NDE-5419-CC ID GEOMETRY INDICATIONS WERE NOTED 4-404 NOZZLE TO HEAD WELDS B-0 93.110 NDE-5419-CC WILL CONSIDER SUBMIT'ING RELIEF REQUEST FOR THIS WELD BASED ON LIMITED UT COVERAGE 4-404 IRS NOZZLE INSIDE RADIUS SECTION B-D B3.120 NDE-5417-CC NO RECORDABLE INDICATIONS NOTED MANWAY STUDSINUTS 1-20 MANWAY STUDS 1-20 B9--1 B7.20 NDE-5712-CC No evIdence o boric acdd found OUTLET SIDE MANWAY STUDSINUTS OUTLET SIDE MANWAY STUDSINUTS -
NDE-5712-CC No cwable hndcaft noted INLET SIDE MANWAY STUDSrNUTS INLET SIDE MANWAY STUDSrNuTS NDE-5712-CC No rmccrdble kIdlcallo noled OUTLET SIDE MANWAY STUDSrNUTS OUTLET SIDE MANWAY STUDSNUTS -
NDE-s712.CC No Recordable Indications noted.
INLET SIDE MANWAY STUDSrNUTS INLET SIDE MANWAY STUDSrNuTS NDE-8712-CC No recordable indications noted.
30-RC-IiB-7 ELBOWTOSAFE END R-A R1.20 NDE-5710-CC No leakage noted.
30-RC-12A -10 SAFE END TO PIPE R-A R1.20 NDE-5710-CC No leakage noted 12-PSL-1 NOZZLETOSAFEEND R-A RI11 NDE-5710-CC No leakage noted 12-PSL-6 ELBOWTOPIPE R-A RI11 NDE-5412-CC NO RECORDABLE INDICATiONS NOTED 12-PSL-9 PIPETOELBOW R-A R1.11 NDE-5412-CC INDICATIONS WERE INTERMITTENT 360 DEGREES AROUND WELD 12-PSL-1 3(star)
NOZZLE TO SAFE END R-A Ri11 NDE-6710-CC No bleake noted VT CCO44V-182 Accept UT CC04-IU-018 Accept UT CC04-lU-017 Accept UT CCO44U-031 Accept UT CCo4-IU-014 Accept UT CC04-IU-032 Accept VT CCo44V-005 Accept VT CCO44V-01 I Accept VT CC044V-012 Accept VT CCO44V-013 Accept VT CC044V-014 Accept VT CC04-IV-010 Accept VT CCo4-lV-016 Accept VT CCo4-IV-0I8 Accept UT CC044U-002 Accept UT CC04-IU-02S Accept VT CCO4-IV.009 Accept 064 064 064 064 A-I 57r2004 4/22004 4J22/2004 4/27/2004 064 064 4/0/004 4/21/2004 064 064 064 U-1 A-4 U-1 A-4 U-1 A-5 064 064 064 064 064 064 064 064 U-I A-S U-1 A-4 120344004.4008 12034-004 4008 80798,120244009 60798,12024-0009 60796, 120244009 6079s,1202440009 411042004 4/11r2004 4/11/2004 4/11I2004 4/11/2004 4/13/2004 4/15/2004 4/11r2004 4/27/2004 4/27/2004 4/132004


Page of 2 - 10 Attachment I InservIce Inspection Report Owner. Constellation Energy, P.O. Box 1475. Baltimore, MD 21203                                                                                   Owner Certificate of Authorization (HfReq.): N/A Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                             Commercial Service Date: 0510811975 Plant UnIt: 1                                                                                                                                      National Board Number for Unit 20911 Summary No. 0 Comp ID                                    Comp Desc.                              Categor! Item    Procedure                      ~
Page of 2 - 10 Attachment I InservIce Inspection Report Owner. Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Owner Certificate of Authorization (Hf Req.): N/A Commercial Service Date: 0510811975 National Board Number for Unit 20911 Plant UnIt: 1 Summary No.
tUtothnot/Rhoot/F7ot    Ite
113150 Comments:
                                                                                                                                        .mfml Ip v , v o u is Cuctom
114350 Comments:
                                                                                                                                                              . y @ c ,,  Ila^
115000 Comments:
* J%
118300 Comments:
M...-
118500 Comm~ents:
lu,            . .- c , n%-&-
123100 Commernts:
C-n      . a 113150        12-SC-1004 - 1(star)                     NOZZLE TO SAFE END                     R-A     R1.20   NDE-5710-CC   VT CCO44V-08        Accept  052          91101,9114U                  4/10/204 Comments:      No leakage noted 114350        12-SI-1009 -16                           SAFE END TO NOZZLE                     R-A     R1.20   NDE-5710-CC   VT CC044-v021 Accept        052          91100                        414/2004 Comments:      no leakage noted 115000        12-SI-1011 -13                           NOZZLE TO SAFE END                     R-A     R1.20   NDE-5710-CC   VT CCO44V-017 Accept        052          91100SH0003                  4/15/2004 Comments:      No leakage noted 118300        4-PS-1003-2                               TEETOELBOW                             R-A     R1.11   NDE-5412-CC   UT CC04-IU-029      Accept  084          91099SH0002                  412712004 Comments:      ID ROOT GEOMETRY WILL CONSIDER THIS WELD FOR REUEF REQUEST BASED ON LIMITED COVERAGE 118500        4-PS-1003 -t                             NOZZLE TO SAFE END                     R-A     R1.11   NDE-5710-CC   VT CC044V-004      Accept  064          91099SH-t002                4/10/2004 Comm~ents:    No widicatlons noted 123100        4-SR-1005 -1                             NOZZLE TO SAFE END                     R-A     R1.11   NDE-5710-CC   VT CC04V-022 Accept          064          91098SH0002                  411/2004 Commernts:    No leakage noted 123450        4-SR-100W-   1                           NOZZLE TO SAFE END                     R-A     R1.11   NDE-5710-CC   VT CC04V-023 Accept          064          91098SHOOOI0                418/r2004 Comments:      No leakage noted 124210        2.5-SR-1004 - 2A                         PIPE TO PIPE                           R-A     B9.21   NDE-5210-CC   PT CC04-IP-01 I Accept      0t4          91098SHOOOI                  4/23/2004 Comments:      This was a presevce examisnatIon the orlgral report was filed wit the MO package.
123450 Comments:
126300        2-CV.1003- 13                             PIPE TO PIPE                           R-A     R1.20   NDE-5412-CC   UT CC04-IU-030      Accept  041          FSK-MP-490                  v=004 Coniments:    NO RECORDABLE INDICATIONS NOTED 129750        2-CV-1005 - 17                           ELBOW TO PIPE                           R-A     R1.20   NDE-5412-CC     UITCCO44-.1-012    Accept  041          FSK-MP-492                  4V17/2004 Canments:      WILL CONSIDER FOR RELIEF REQUEST SUBMITAL DUE TO LIMITED COVERAGE 12l800        2-CV-1005 - 18                           ELBOW TO PIPE                           R-A     R1.20   NDE4412.CC     UT CCO44IU.013 Accept        041          FSK(-MP-492                4117/2004 Commrents:      NO RECORDABLE INDICATIONS NOTED 129950        2-CV-1005 - 21                             PIPE TO PIPE                           R-A     R1.20   NDE-5412-CC   UT CC04-IU-033 Accept        041          FSK-MP-492                  4/17/2004 Comments:      Root geometry seen intermittently 380 degrees at loe amplitudes.
124210 Comments:
130000        2-CV-1005 - 22                             PIPE TO PIPE                           R-A     R1.20   NDE-5412-CC   LT CC04"U-035 Accept        041          FSK-MP-492                  4117/2004 Commants:      ROOT GEOMETRY INDICATIONS NOTED 130450        2-CV-1005 -29                             NOZZLE TO SAFE END                     R-A       R1.11   NDE-6710-CC   VT CC044IV.020 Accept        041          FSK-MP-492                  4114/2004 Comnts:        No leakage noted 131250        2-DR-1003 -1A                             SAFE END TO PIPE                       R-A     R1.20   NDE-5412-CC   UT CC044U-036 Accept        064          FSK-MP-575, -5i5H          411/204 Comments:      NO RECORDABLE INDICATIONS NOTED 131500        2-DR-1004-1                               NOZZLE TO SAFE END DRAIN LINES         R-A     R1.20   NDE-5710-CC   VT CCO4-r008 AcCept          084          FSK-MP"1053. .053H          4112/2004 Comnts:        No leakage noted 132150        2-DR-1 008
126300 Coniments:
* 1                           NOZZLE TO SAFE END DRAIN LINES         R-A     R1.20   NDE-4710-CC   VT CCo4-4V-019 Accept       064           FSK-MP-1006, -lOO0GH-       4114V2004 Comments:      No leakage noted
129750 Canments:
12l800 Commrents:
129950 Comments:
130000 Commants:
130450 Comnts:
131250 Comments:
131500 Comnts:
132150 Comments:
0Comp ID Comp Desc.
Categor! Item Procedure 12-SC-1004 - 1(star)
NOZZLE TO SAFE END R-A R1.20 NDE-5710-CC No leakage noted 12-SI-1009 -16 SAFE END TO NOZZLE R-A R1.20 NDE-5710-CC no leakage noted 12-SI-1011 -13 NOZZLE TO SAFE END R-A R1.20 NDE-5710-CC No leakage noted 4-PS-1003-2 TEETOELBOW R-A R1.11 NDE-5412-CC ID ROOT GEOMETRY WILL CONSIDER THIS WELD FOR REUEF REQUEST BASED ON LIMITED COVERAGE 4-PS-1003 -t NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No widicatlons noted 4-SR-1005 -1 NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No leakage noted 4-SR-100W-1 NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No leakage noted 2.5-SR-1004 - 2A PIPE TO PIPE R-A B9.21 NDE-5210-CC This was a presevce examisnatIon the orlgral report was filed wit the MO package.
2-CV.1003-13 PIPE TO PIPE R-A R1.20 NDE-5412-CC NO RECORDABLE INDICATIONS NOTED 2-CV-1005 - 17 ELBOW TO PIPE R-A R1.20 NDE-5412-CC WILL CONSIDER FOR RELIEF REQUEST SUBMITAL DUE TO LIMITED COVERAGE 2-CV-1005 - 18 ELBOW TO PIPE R-A R1.20 NDE4412.CC NO RECORDABLE INDICATIONS NOTED 2-CV-1005 - 21 PIPE TO PIPE R-A R1.20 NDE-5412-CC Root geometry seen intermittently 380 degrees at loe amplitudes.
2-CV-1005 - 22 PIPE TO PIPE R-A R1.20 NDE-5412-CC ROOT GEOMETRY INDICATIONS NOTED 2-CV-1005 -29 NOZZLE TO SAFE END R-A R1.11 NDE-6710-CC No leakage noted 2-DR-1003 -1A SAFE END TO PIPE R-A R1.20 NDE-5412-CC NO RECORDABLE INDICATIONS NOTED 2-DR-1004-1 NOZZLE TO SAFE END DRAIN LINES R-A R1.20 NDE-5710-CC No leakage noted 2-DR-1 008
* 1 NOZZLE TO SAFE END DRAIN LINES R-A R1.20 NDE-4710-CC No leakage noted tUtothnot/Rhoot/F7ot Ite Cuctom Ila^ M...-
C-n n%-&-
m m p
. f l I v ~
, v o u i s
. y @ c,,
* J %
l u,
..- c,.
a VT CCO44V-08 Accept VT CC044-v021 Accept VT CCO44V-017 Accept UT CC04-IU-029 Accept VT CC044V-004 Accept VT CC04V-022 Accept VT CC04V-023 Accept PT CC04-IP-01 I Accept UT CC04-IU-030 Accept 052 91101,9114U 052 052 084 064 064 064 0t4 041 041 041 041 041 041 064 084 064 91100 91 100SH0003 91099SH0002 91099SH-t002 91098SH0002 91098SHOOOI0 91098SHOOOI FSK-MP-490 FSK-MP-492 FSK(-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-575, -5i5H FSK-MP"1053..053H FSK-MP-1006, -lOO0GH-4/10/204 414/2004 4/15/2004 412712004 4/10/2004 411/2004 418/r2004 4/23/2004 v=004 4V17/2004 4117/2004 4/17/2004 4117/2004 4114/2004 411/204 4112/2004 4114V2004 UIT CCO44-.1-012 UT CCO44IU.013 UT CC04-IU-033 LT CC04"U-035 VT CC044IV.020 Accept Accept Accept Accept Accept UT CC044U-036 Accept VT CCO4-r008 AcCept VT CCo4-4V-019 Accept


Page of 3 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                             Owner Certificate of Authorization (HfReq.): N/A Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Commercial Service Date: 05/08/1975 Plant Unit: 1                                                                                                                              National Board Number for Unit: 20911 C   ---,,o V *UI f.       -  ~In                           r-~nn rfl-                     Categ or Iem      Procedure    -
Page of 3 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (Hf Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit: 20911 C  
Method/Sheet/Results      System      ISO Num              Exam Date 132450               2-DR-1007 -                             NOZZLE TO SAFE END DRAIN LINES R-A      R1.20    NDE-5710-CC    VT CCO44V-07 Accept      064          FSK-MP-507              4/12/2004 Comments:           No leakage noted 133200              11A-1                                   INTEGRAL ATTACHMENT RCP-I IA   B-K      810.30  NDE-210-CC    PT CC04-IP-020 Accept    064          A-33                      4/22/2004 Comments:            NO RECORDABLE INDICATIONS NOTED 133250              11A-2                                   INTEGRAL ATTACHMENT RCP-1 1A   B-K     B10.30   NDE-5210-CC   PT CCU4-IP.021  Accept    064          A-33                      4/22/2004 Conaents:            NO RECORDABLE INDICATIONS NOTED 133500              11A-C-I THROUGH 1e                      RCP-1 1A SEAL BOLTING          B--2    87.60   NDE-5712-CC   VT CC04-IV-OfO Accept    064                                    4Rn2004 Comments:           No recodble indications noted 134050               118-C-1 THROUGH 16                     RCP-118 SEAL BOLTING          B--2    87.60    NDE-5712-CC    VT CCO4-IV-081  Accept    064                                    4/27/004 Comments:            No recordable indications noted 134600              12A-C-1 THROUGH 16                     RCP-12A SEAL BOLTING          B--2    B7.60    NDE-5712-CC    VT CC044V-04    Accept    064                                    4/27/2004 Commns:              No recordable indications noted 135150              128C01 THROUGH 16                       RCP-12B SEAL BOLTING          B--2    B7.60    NDE-5712-CC    VT CC04-IV-3    Accept    064 Comments:            No ecordble IIdtions noted I-CV-100F1I                             PRESSURIZER SPRAY VALVE LOWER B-M-i    812.30  NDE-5210.CC    PT CC04-IP-002 Accept    064          91099SHOO02              4/27/2004 135235 Comments:            No recordable ndiations noted.
---,,o V
1-CV-100F-2                             PRESSURIZER SPRAY VALVE UPPER B-M-I    812.30  NDE-210-CC      PT CC04-IP-003 Accept    064          91099SHOO02              4/27/2004 135240 Comments:            No recordable Indications noted.
I
136150              1-MOV-614 ON 12-S-1009                 VALVE BODY BOLTING            B--2      87.70  NDE-s712-CC    VT CCU4-IV-038  Accept    052          91100                    4/15/2004 Commvenls:          No material loss. No signs d Boric Abd 1-MOV-424 ON 12-S1010                   VALVE BODY BOLTING              W-0-2  87.70  NDE-5712-CC    VT CCo4-V-039  Accept    052          91100SH10002            4/15/2004 136200 Comments:            No recordable indications noted 136250                1-MOV-634ON 12-SI-1011                 VALVE BODY BOLTING            B--2    87.70  NDE-5712-CC    VT CCO4-IV-040  Accept    052          91100SHOD03              4/15/2004 Comments:            No recdable Indications noted 136300                1-MOV-644 ON 12-S11012                 VALVE BODY BOLTING            B-0-2   B7.70  NDE-571 2-CC    VT CC04-lV-031  Accept    052          91 100SHOO04              4/20/04 Commnts:            No recordable indications noted 136450                1-MOV-403 ON 2.5-SR-1003               VALVE BODY BOLTING             B-0-2   87.70   NDE-5712-CC    VT CCO44V-030 Accept      064          91098SH0002              4/27/2004 Commns:              No recordable indications noted.
*U
136500                1-MOV-405 ON 2.5-SR-1004              VALVE BODY BOLTING            B-0-2   B7.70   NDE-5712-CC   VT CCU4V-065    Accept    064          91093SHooo1              4/2712004 Comments:            No recordable Indication noted 136550                I-CV-517 ON 2-CV-1003                  VALVE BODY BOLTING            B--2    87.70    NDE-5712-CC   VT CC04-IV-034 Accept     041          FSK-MP-490 Co      aments:      No recordable indictions noted 136600                1-CVC-3ss ON 2-CV-1003                VALVE BOOY BOLTING            B-0-2    87.70    NDE-5712-CC    VT CCU44V-033   Accept   041         FSK-MP-490               4/20/2004 Comments:            No bolting on this valve.
: f.  
136650              1-CVC-165 ON 2-CV-1003                VALVE BODY BOLTING            B--2     B7.70   NDE-4712-CC    VT CCO-V-032    Accept    041         FSK-MP-490               4/2ot20014 Comments:            There was no bdlti assocated wift gim
~In r-~nn rfl-132450 2-DR-1007 -
Comments:
No leakage noted NOZZLE TO SAFE END DRAIN LINES 133200 Comments:
133250 Conaents:
11A-1 INTEGRAL ATTACHMENT RCP-I IA NO RECORDABLE INDICATIONS NOTED 11A-2 INTEGRAL ATTACHMENT RCP-1 1A NO RECORDABLE INDICATIONS NOTED Categ R-A B-K B-K B--2 or Iem Procedure R1.20 NDE-5710-CC 810.30 NDE-210-CC B10.30 NDE-5210-CC 87.60 NDE-5712-CC 87.60 NDE-5712-CC B7.60 NDE-5712-CC B7.60 NDE-5712-CC 133500 11A-C-I THROUGH 1e Comments:
No recodble indications noted RCP-1 1A SEAL BOLTING 134050 Comments:
134600 Commns:
135150 Comments:
135235 Comments:
135240 Comments:
136150 Commvenls:
136200 Comments:
136250 Comments:
136300 Commnts:
136450 Commns:
136500 Comments:
136550 Co aments:
136600 Comments:
136650 Comments:
118-C-1 THROUGH 16 No recordable indications noted 12A-C-1 THROUGH 16 No recordable indications noted 128C01 THROUGH 16 No ecordble IIdtions noted I-CV-100F1I No recordable ndiations noted.
1-CV-100F-2 No recordable Indications noted.
1-MOV-614 ON 12-S-1009 No material loss. No signs d Boric Abd 1-MOV-424 ON 12-S1010 No recordable indications noted 1-MOV-634ON 12-SI-1011 No recdable Indications noted 1-MOV-644 ON 12-S11012 No recordable indications noted 1-MOV-403 ON 2.5-SR-1003 No recordable indications noted.
1-MOV-405 ON 2.5-SR-1004 No recordable Indication noted I-CV-517 ON 2-CV-1003 No recordable indictions noted 1-CVC-3ss ON 2-CV-1003 No bolting on this valve.
1-CVC-165 ON 2-CV-1003 There was no bdlti assocated wift gim RCP-118 SEAL BOLTING B--2 RCP-12A SEAL BOLTING B--2 RCP-12B SEAL BOLTING B--2 PRESSURIZER SPRAY VALVE LOWER B-M-i PRESSURIZER SPRAY VALVE UPPER B-M-I VALVE BODY BOLTING B--2 812.30 812.30 87.70 VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOOY BOLTING VALVE BODY BOLTING W-0-2 87.70 B--2 87.70 B-0-2 B7.70 B-0-2 87.70 B-0-2 B7.70 NDE-5210.CC NDE-210-CC NDE-s712-CC NDE-5712-CC NDE-5712-CC NDE-571 2-CC NDE-5712-CC NDE-5712-CC NDE-5712-CC NDE-5712-CC NDE-4712-CC Method/Sheet/Results VT CCO44V-07 Accept PT CC04-IP-020 Accept PT CCU4-IP.021 Accept VT CC04-IV-OfO Accept VT CCO4-IV-081 Accept VT CC044V-04 Accept VT CC04-IV-3 Accept PT CC04-IP-002 Accept PT CC04-IP-003 Accept VT CCU4-IV-038 Accept VT CCo4-V-039 Accept VT CCO4-IV-040 Accept VT CC04-lV-031 Accept VT CCO44V-030 Accept VT CCU4V-065 Accept VT CC04-IV-034 Accept VT CCU44V-033 Accept VT CCO-V-032 Accept 064 064 064 064 064 052 052 052 052 064 064 041 041 System 064 064 064 064 91099SHOO02 91099SHOO02 91100 91100SH10002 91100SHOD03 91 100SHOO04 91098SH0002 91093SHooo1 FSK-MP-490 FSK-MP-490 ISO Num FSK-MP-507 A-33 A-33 Exam Date 4/12/2004 4/22/2004 4/22/2004 4Rn2004 4/27/004 4/27/2004 4/27/2004 4/27/2004 4/15/2004 4/15/2004 4/15/2004 4/20/04 4/27/2004 4/2712004 4/20/2004 4/2ot20014 B--2 B-0-2 B--2 87.70 87.70 B7.70 041 FSK-MP-490


Page of 4 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                       Owner Certificate of Authorizatlon (If Req.): N/A Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657                                               Commercial Seovtce Date: 05/08/1975 Plant Unit: 1                                                                                                                        National Board Number for Unit: 20911
Page of 4 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorizatlon (If Req.): N/A Commercial Seovtce Date: 05/08/1975 National Board Number for Unit: 20911
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                                                                                                                    -. 11lOIRI1B7X:
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13M850 Comments:
                                                                                                                                            .4.
137100 Comments:
                                                                                                                                              .1II Otlatam
137200 Comments:
                                                                                                                                                  -7li .....
137250 Coaments:
IMC
137300 Comments:
                                                                                                                                                              .l V Mt,,n,          I=am fat.
13785O Comments:
13M850          1-CVC-392 ON 2-CV-1005                 VALVE BODY BOLTING        B-G-2    87.70    NDE-5712-CC  VT CC04-4V-088 Accept          041        FSK-MP-492                4/15/2004 Comments:      No valve bolting on tis valve.
137700 Conts:
137100        1-CV-515 ON 2-1004                     VALVE BODY BOLTING        B4--2    B7.70    NDE-5712-CC    VT CC04-IV458      Accept    041        FSK-MP-455. -458          4/27/2004 Comments:      No recordable dications noted 137200        1-CV-516 ON 2LD-1I002                   VALVE BOGY BOLTING        B-G-2    B7.70    NDE-5712-CC    VT CCO44V-059 Accept          041        FSK-MP-455, -456          412712004 Comments:      No recodble Indcatiors noted 137250        1-CV-518 ON 2-CV-1004                   VALVE BODY BOLTING        B-C-2    B7.70    NDE-5712-CC    VT CC04-IV-041 Accept          041        FSK-MP-401                4/15r2004 Coaments:      No recordable indications noted 137300        1-CV-519 ON 2-CV-1005                   VALVE BODY BOLTING        B-G-2    B7.70    NDE-5712-CC    VT CC04-IV-042 Accept          041        FSK-MP-492                4/1512004 Comments:      No recordable InlIcatons noted 13785O          1-1-217 ON 12-SI-1009                 VALVE BODY BOLTING        B4--2    87.70    NDE-5712-CC    VT CCO44V-078 Accept          052        91100                    4/2012004 Comments:      No reco ble ndications noted 137700          1-SI-227 ON 12-SI-1010                 VALVE BODY BOLTING        B-G-2    B7.70    NDE-5712-CC    VT CC04-V-079        Accept    052        91100SHO002                412012004 Conts:        No rewbdb indictin noted 137750          141-247 ON 12-S1-1012                 VALVE BODY BOLTING        B-G-2    B7.70    NOE-5712-CC    VT CCO44V-080 Accept          052        91`1008HC0004              4/27/2004 Comments:      No recordable indications noted.
137750 Comments:
137800          141-237 ON 12-S1-1011                 VALVE BODY BOLTING        B-0-2    07.70    NDE-5712-CC    VT CC04V-081        Accept    052        911005H0003              4/27/2004 Commentt:      No redable Indlicatons noted 137t)0          1-MOV-651 ON 14-SC-1004               VALVE BODY BOLTING        BG-2    87.70    NDE-5712-CC    VT 2004BV028      Accept      052        91101.91148                3/1/2004 Coments:        No Indications noted.
137800 Commentt:
137900          1-MOVW- ON 12-SC-1004                 VALVE BODY BOLTING         8-G-2   87.70   NDE-4712-CC     VT CCO44-V82        A-t        052        91101.91146              4/27/2004 Conts:          No recordable indications noted 137950          11-5-118 ON 8-81-1001                  VALVE BODY BOLTING        BG-2     B7.70   NDE-5712-CC     VT CC04-IV-043      Accept    052        91100                    4/1512004 Comments:      No recordable Indications noted 138000          141-128 ON "81-1002                    VALVE BODY BOLTING        B-4-2   87.70   NDE-5712-CC     VT CC044V-089 Accept          052        91 1005t10002            4/15/2004 Comments:      Sliht cornelon. no materdal Ioss noted 138050          1-41-138 ON t-S1-1003                  VALVE BOGY BOLTING        B4--2   B7.70   NOE-5712-CC     VT CC04-IV-070 Accept          052        911008110003              4/1152004 comments:      No recordable Indications noted 138100          1-51-148 ON 8-51-1004                  VALVE BODY BOLTING        B-0-2   B7.70   NDE-5712-CC     VT CC044V-038 Accept          052        911005H0004              4/202004 Comments:      No recordable Indications noted 138630          2.5-SR-1007 - 2FB                      INLET FLANGE BOLTING      B4--2   87.50  NDE-5712-CC     VT CC044V-87 Accept            084        910985H0002              4/27/2004 Comments:      No recoable IdctIons noted 138840          2.5-SR-1008 - 2FB                      INLET FLANGE BOLTING      B--2     B7.50   NDE-5712-CC     VT CC044V-088       Accept     084         91098SHOI01               4/2712004 Cots:          No indications noted
137t)0 Coments:
137900 Conts:
137950 Comments:
138000 Comments:
138050 comments:
138100 Comments:
138630 Comments:
138840 Cots:
1-CVC-392 ON 2-CV-1005 No valve bolting on tis valve.
1 -CV-515 ON 2-1004 No recordable dications noted 1-CV-516 ON 2LD-1I002 No recodble Indcatiors noted 1-CV-518 ON 2-CV-1004 No recordable indications noted 1-CV-519 ON 2-CV-1005 No recordable InlIcatons noted 1-1-217 ON 12-SI-1009 No reco ble ndications noted 1-SI-227 ON 12-SI-1010 No rewbdb indictin noted 141-247 ON 12-S1-1012 No recordable indications noted.
141-237 ON 12-S1-1011 No redable Indlicatons noted 1-MOV-651 ON 14-SC-1004 No Indications noted.
1-MOVW-ON 12-SC-1004 No recordable indications noted 11-5-118 ON 8-81-1001 No recordable Indications noted 141-128 ON "81-1002 Sliht cornelon. no materdal Ioss noted 1-41-138 ON t-S1-1003 No recordable Indications noted 1-51-148 ON 8-51-1004 No recordable Indications noted 2.5-SR-1007 - 2FB No recoable IdctIons noted 2.5-SR-1008 - 2FB No indications noted VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOGY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOGY BOLTING VALVE BODY BOLTING INLET FLANGE BOLTING INLET FLANGE BOLTING Categorw item Procedure B-G-2 87.70 NDE-5712-CC B4--2 B7.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B-C-2 B7.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B4--2 87.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B-G-2 B7.70 NOE-5712-CC B-0-2 07.70 NDE-5712-CC BG-2 87.70 NDE-5712-CC 8-G-2 87.70 NDE-4712-CC BG-2 B7.70 NDE-5712-CC B-4-2 87.70 NDE-5712-CC B4--2 B7.70 NOE-5712-CC B-0-2 B7.70 NDE-5712-CC B4--2 87.50 NDE-5712-CC B--2 B7.50 NDE-5712-CC Ijathk,.AIh910a
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11lOIRI1B7X:
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.l VT CC04-4V-088 Accept VT CC04-IV458 Accept VT CCO44V-059 Accept VT CC04-IV-041 Accept VT CC04-IV-042 Accept VT CCO44V-078 Accept VT CC04-V-079 Accept VT CCO44V-080 Accept VT CC04V-081 Accept VT 2004BV028 Accept VT CCO44-V82 A-t VT CC04-IV-043 Accept VT CC044V-089 Accept VT CC04-IV-070 Accept VT CC044V-038 Accept VT CC044V-87 Accept VT CC044V-088 Accept Otlatam IMC Mt,,n, I=am fat.
041 FSK-MP-492 041 041 041 041 052 052 052 052 052 052 052 052 052 052 084 084 FSK-MP-455. -458 FSK-MP-455, -456 FSK-MP-401 FSK-MP-492 91100 91100SHO002 91`1008HC0004 911005H0003 91101.91148 91101.91146 91100 91 1005t10002 911008110003 911005H0004 910985H0002 91098SHOI01 4/15/2004 4/27/2004 412712004 4/15r2004 4/1512004 4/2012004 412012004 4/27/2004 4/27/2004 3/1/2004 4/27/2004 4/1512004 4/15/2004 4/1152004 4/202004 4/27/2004 4/2712004


Page of 5-10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                           Owner Certificate of Authorization (f Req.): N/A Plant: Calvert Cliffs Nuclear Power Plant. 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Commerclal Service Date: 05108/1975 Plant Unit: I                                                                                                                            National Board Number for Unit: 20911 Summary No. Comp ID                                     Comp Desc.                         Catlegon kRem Procedure        PVIUL    IuonUIvWQUS      C.Ctm
Page of 5-10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant. 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: I Owner Certificate of Authorization (f Req.): N/A Commerclal Service Date: 05108/1975 National Board Number for Unit: 20911 Summary No.
                                                                                                                                                    ;Jfl~m AC0 Mi,. ..
138650 Commns:
l-I            rc-S.0.,
138750 Co Tfens:
n.f ualJ
138850 Commnts:
                                                                                                            =
1389!0 Conf 139050 Conms:
138650          PRESSURE RETAINING COMPONENT REACTOR PRESSURE VESSEL                       B-P     B15. 10  NDE-5710-CC  VT CC04-IV-164 Acce-t    06A          8072SHO1OO                  Y712004 Commns:        No Indications noted 138750          PRESSURE RETAINING COMPONENT PRESSURIZER                                   B-P     615.20    NDE-5710-CC  VT CC044V-165 Accept      064          607295HO001                  57/2004 Co Tfens:      No IndlcatIons noted.
139150 Cons:
138850          PRESSURE RETAINING COMPONENT STEAM GENERATORS                             B-P     B15.30    NDE-5710-CC  VT CCO44IV-166 Accept    064          80729SHo1OO                  Y7/2004 Commnts:        No Indications noted.
139250 Convnrt 600250 Comrents:
1389!0          PRESSURE RETAINING COMPONENT HEAT EXCHANGERS                               B-P     B15.40    NDE-4710-CC  VT CC044V-167 Accept      064          607295H0001                57/2004 Conf            No IrndIatIons noted.
eos550 Cornffs:
60729sHooo1/ 60730 139050          PRESSURE RETAINING COMPONENT PIPING                                       B-P     B15.50    NDE-5710-CC  VT CC044V-168 Accept      064 052 041  60731                        57/2004 Conms:          No Indications node.
605350 Comment:
139150          PRESSURE RETAINING COMPONENT PUMPS                                         B-P     B15.60    NDE-5710-CC  VT CC04-1V-169 Accept    064          607295H0001                5/7/2004 Cons:          No indIcations noted.
605400 Comments:
139250          PRESSURE RETAINING COMPONENT VALVES                                       B-P     B15.70    NDE-5710-CC  VT CC04-IV-170 Accept    052 041      60730 & 60731                5/7/2004 Convnrt        Minor packg leakage noted on several valves corecled on fte spot under IR4 -95.
605600 Comnna:
600250          12-PSL - H-1                           COMPONENT SUPPORT                 F-A     FIOC      NDE-5711-CC  VT CCO4-4V-050 Accept    064          12024-9 REV 11            4/23/2004 Comrents:      No .lcorabe     Indications eos550          3-PS-1001 - H-12                       COMPONENT SUPPORT                 F-A     FI.IA    NDE-5711-CC  VT CCO4-V-04  2 Accept    064          910995H0001. SH0002        40/2004 Cornffs:      NO RECORDABLE INDICATIONS NOTED 605350        2-L-l1004 - R-4 (144-35)                 COMPONENT SUPPORT-SNUBBER         F-A     F1.10C    NDE-5711-CC  VT CCo4-4V-180 Accept    041          FSK-MP-455, -456          4/19/2004 Comment:        No recordable Inicatons noted 605400        2-LD-1004 (1-64-31)                     COMPONENT SUPPORT-SNUBBER         F-A     FIOC      NDE-5711-CC  VT CC04-IV-181 Accept    041          FSK-MP-455, -456          4/19/2004 Comments:      No recordable indicatom noted.
605650 Comma:
605600        2-CV-1003 - H-28, R-32                   CONPONENT SUPPORT                 F-A     F1.10B    NDE-4711-CC  VT CC04-IV-057 Accept    041          FSK-MP-490                427/2004 Comnna:        NO RECORDABLE INDICATIONS NOTED 605650        2-CV-1003 - H-27, R-33                   CONPONENT SUPPORT                 F-A     F1.108    NDE-5711-CC  VT CC04-4V-05    Accept  041          FSK-MP-490                471274004 Comma:        NO RECORDABLE INDICATIONS 2-CV-1005 - R-13, R-14                   COMPONENT SUPPORT                 F-A     F1.108    NDE-5711-CC  VT CC04-NV-027 Accept    041          FSK-MP-492                  51/2004 Conrsef:      No relevant conditions noted.
Conrsef:
806850        2-CV-1005 - R-17                       COMPONENT SUPPORT                   F-A     F1.10B    NDE-5711-CC  VT C004V-l18S Accept    041          FSK-MP-492                  511/2004 NDE-571 1-CC VT CC04-NV426 Info      041          FSK-MP-492                4/22a2004 Convients:    Examination folIlowrg bed removal revealed no recorable Indications.
806850 Convients:
606700        2-CV-1005 - R-15, R-18, H-12           COMPONENT SUPPORT-SNUBBER           F-A     Fi1OC     NDE-5711-CC VT CC04-V-184 Accept     041           FSK-MP-492                 5/1/2004 NDE-571 1-CC VT CCO44V-025 Info      041          FSK-MP-492                 416/2004 Comma:        ExamInation foalng beadremoval revealed no recordable Idications.
606700 Comma:
Comp ID Comp Desc.
Catl PRESSURE RETAINING COMPONENT REACTOR PRESSURE VESSEL B-P No Indications noted PRESSURE RETAINING COMPONENT PRESSURIZER B-P No IndlcatIons noted.
PRESSURE RETAINING COMPONENT STEAM GENERATORS B-P No Indications noted.
PRESSURE RETAINING COMPONENT HEAT EXCHANGERS B-P No IrndIatIons noted.
PRESSURE RETAINING COMPONENT PIPING B-P No Indications node.
PRESSURE RETAINING COMPONENT PUMPS B-P No indIcations noted.
PRESSURE RETAINING COMPONENT VALVES B-P Minor packg leakage noted on several valves corecled on fte spot under IR4  
-95.
12-PSL - H-1 COMPONENT SUPPORT F-A No.lcorabe Indications 3-PS-1001 - H-12 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-L-l1004 - R-4 (144-35)
COMPONENT SUPPORT-SNUBBER F-A No recordable Inicatons noted 2-LD-1004 (1-64-31)
COMPONENT SUPPORT-SNUBBER F-A No recordable indicatom noted.
2-CV-1003 - H-28, R-32 CONPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-CV-1003 - H-27, R-33 CONPONENT SUPPORT F-A NO RECORDABLE INDICATIONS 2-CV-1005 - R-13, R-14 COMPONENT SUPPORT F-A No relevant conditions noted.
2-CV-1005 - R-17 COMPONENT SUPPORT F-A Examination folIlowrg bed removal revealed no recorable Indications.
2-CV-1005 - R-15, R-18, H-12 COMPONENT SUPPORT-SNUBBER F-A ExamInation foalng bead removal revealed no recordable Idications.
egon kRem B15. 10 615.20 B15.30 B15.40
=
Procedure NDE-5710-CC NDE-5710-CC NDE-5710-CC NDE-4710-CC C.Ctm AC0 Mi,...
rc-n.f PVIUL IuonUIvWQUS
;Jfl~m l-I S.0.,
ualJ B15.50 NDE-5710-CC B15.60 NDE-5710-CC B15.70 NDE-5710-CC FIOC NDE-5711-CC FI.IA NDE-5711-CC F1.10C NDE-5711-CC FIOC NDE-5711-CC F1.10B NDE-4711-CC F1.108 NDE-5711-CC F1.108 NDE-5711-CC F1.10B NDE-5711-CC NDE-571 1-CC Fi1OC NDE-5711-CC NDE-571 1 -CC VT CC04-IV-164 Acce-t VT CC044V-165 Accept VT CCO44IV-166 Accept VT CC044V-167 Accept VT CC044V-168 Accept VT CC04-1V-169 Accept VT CC04-IV-170 Accept VT CCO4-4V-050 Accept VT CCO4-V-04 2 Accept VT CCo4-4V-180 Accept VT CC04-IV-181 Accept VT CC04-IV-057 Accept VT CC04-4V-05 Accept VT CC04-NV-027 Accept VT C004V-l18S Accept VT CC04-NV426 Info VT CC04-V-184 Accept VT CCO44V-025 Info 06A 064 064 064 064 052 041 064 052 041 064 064 041 041 041 041 041 041 041 041 041 8072SHO1OO 607295HO001 80729SHo1OO 607295H0001 60729sHooo1/ 60730 60731 607295H0001 60730 & 60731 12024-9 REV 11 910995H0001. SH0002 FSK-MP-455, -456 FSK-MP-455, -456 FSK-MP-490 FSK-MP-490 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 Y712004 57/2004 Y7/2004 57/2004 57/2004 5/7/2004 5/7/2004 4/23/2004 40/2004 4/19/2004 4/19/2004 427/2004 471274004 51/2004 511/2004 4/22a2004 5/1/2004 416/2004


Page of 6 -10 Attachment I Inservice Inspection Report Owner Consteeilation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                                               Owner Certificate of Authorizatlon (If Req.): N/A Plant: Calvert iCliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657                                                                     Commer cia!l Sevice Date: 05/08/1975 Plant Unit: 1                                                                                                                                                National Board Number for Unit 20911 ummary No.            CopID                               Corrp Desc.                           Categor Item           Procedure         Method/Sheet/Results         System        ISO Num              Exam Date 2-CV-1005-H-14                           COMPONENT SUPPORT                       F-A       F1.10B     NDE-6711-CC       VT CCO4-4V-186 Accept         041          FSKXMP-492                4/2/00 Ca                                                                                                                      NDE-571 1-CC     VT CCO4tV026 Info             041          FSK-MP-492 5/1/2004 Comments:        R-xaminaton     lai     lad removal revealed no recbe Indications.
Page of 6 -10 Owner Conste Plant: Calvert i Plant Unit: 1 ummary No.
607900            11A-ISC                                 COMPONENT SUPPORT                     F-A         F1.40C     NDE-5711-CC       VT CC04-tV-044 Info           064-B This examination was not completed measreent need to be taken to verify the loedaig on the sprin cans. Exam will be remseduled to verify cods.
Ca Comments:
607950            11A-2SC                                 COMPONENTSUPPORT                       F-A         F1.40C     NDE-5711 -CC     VT CC04-V-045 Info             064-B                                  4r23Q004 Comments:        This examination was not completed messmrements need to be taken to verity the eading on the spring cans. Exam wit be rescheduled to verity beds.
607900 607950 Comments:
eosooo            IIA-3SC                                 COMPONENT SUPPORT                     F-A         F1.40C     NDE-5711 -CC     VT CC04-IV-048 Info                                                   4/23/2004 Comments:        This examination was not completed measurements need to be taken to verify the oading on the spring cans. Exam witlbe rescheduled to verify loads.
eosooo Comments:
IIA-4SC                                 COMPONENT SUPPORT                     F-A         F1.40C     NDE-5711 CC       VT CCO4-V-047 Info             064-                                  4/23J2004 Comments:        This examination was not completed measurement need to be taken to verify the loading on the sprng cans. Exam wit be rescheduled to verify beds.
Comments:
808075            14496                                   COMPONENT SUPPORT                     F-A         F1.40C     NDE-5711-CC       VT CCC4-V-049 Accept           084-B Comments:                                                                                                                                                                                                        4/23/2004 Cf:            NO RECORDABLE INDICATIONS NOTED soso8s 1-44-097                                 COMPONENT SUPPORT                     F-A         F1.40C     NDE-5711-CC       VT CC04NV-048 Accept           0848                                   4/3/2004 Comments:        NO RECORDABLE INDICATIONS NOTED Class 2 252275           SCHE-11-SI                               INTEGRAL ATTACHMENT                   C-C         C3.10       NDE-5110-CC       MT CC04-lM-001       Accept   052                                     418/2004 Comments:        72% coverage due to obstructions. Consider for relef request submittal. No rewdable indications 300400          2441-1201-4                               ELBOW TO PIPE                         R-A         R1.20     NDE-5412-CC       UT 20046U002 Accept           052           91097SH0012                 24/2004 NDE-5210-CC       PT 2004BP01 I Accept         052           91097SH0012                 2/4/2004 Comments:        No recordabe Indict       noted 300850          24-SI-1201 - R-7                         INTEGRAL ATTACHMENT                   C-C         C3.20     NDE-5210-CC       PT 2004BP017 Accept           052           91097SH0012                 2/2t2oo4 NDE-5210-CC       PT CC04-IP-22 Accept         052           91097SH0012               6e30n2004 Comments:        INITIAL EXAM IDENTIFIED WELD SPATTER AND AN ARC STRIKE WHICH INTERFERED WITH COMPLETION OF THE EXAM FOLLOWUP EXAM HAD NO RECORDABLE INDICATIONS.
808075 Comments:
301800          24-SI-1202-H-22                           INTEGRAL ATTACHMENT                   C-C         C3.20     NDE-5210-CC       PT CC04-IP-001       Accept   052           91097SH0013               3/18N2004 Comments:        No recordable Indications noted 307200            14-SI-1201 - 2                           ELBOW TO PIPE                         R-A         RI.20     NDE-5412-CC       UT CC04-IU-001 Accept         052           91097SH0011, SH0013      3/25no4 Comments:        NO RECORDABLE INDICATIONS NOTED 309650          12-SI-1213 -4                            PIPE TO ELBOW                          R-A         RI.20     NDE-5412-CC       UT CC044U-003 Accept         052           91097SH0001               3/15/2004 Comments:        NO RECORDABLE INDICATIONS NOTED 91097SH0026, 91166, 311300           12-SI-1214 - 22                           PIPE TO ELBOW                         R-A         RI.20     NDE-5412-CC       UT 20048U018 Accept           052           91109                    3/101204 Comments:        Previousy recorded IndICation bs not recodabe under current Code.
Cf:
soso8s Comments:
eilation Energy, P.O. Box 1475, Baltimore, MD 21203 Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Attachment I Inservice Inspection Report Owner C Commer National ertificate of Authorizatlon (If Req.): N/A cia!l Sevice Date: 05/08/1975 Board Number for Unit 20911 System ISO Num Ex 041 FSKXMP-492 041 FSK-MP-492 CopID Corrp Desc.
Categor Item Procedure Method/Sheet/Results 2-CV-1005-H-14 COMPONENT SUPPORT F-A F1.10B NDE-6711-CC VT CCO4-4V-186 Accept NDE-571 1-CC VT CCO4tV026 Info R-xaminaton lai lad removal revealed no recbe Indications.
11A-ISC COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CC04-tV-044 Info This examination was not completed measreent need to be taken to verify the loedaig on the sprin cans. Exam will be remseduled to verify cods.
11A-2SC COMPONENTSUPPORT F-A F1.40C NDE-5711 -CC VT CC04-V-045 Info This examination was not completed messmrements need to be taken to verity the eading on the spring cans. Exam wit be rescheduled to verity beds.
IIA-3SC COMPONENT SUPPORT F-A F1.40C NDE-5711 -CC VT CC04-IV-048 Info This examination was not completed measurements need to be taken to verify the oading on the spring cans. Exam witl be rescheduled to verify loads.
IIA-4SC COMPONENT SUPPORT F-A F1.40C NDE-5711 CC VT CCO4-V-047 Info This examination was not completed measurement need to be taken to verify the loading on the sprng cans. Exam wit be rescheduled to verify beds.
14496 COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CCC4-V-049 Accept NO RECORDABLE INDICATIONS NOTED 1-44-097 COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CC04NV-048 Accept NO RECORDABLE INDICATIONS NOTED am Date 5/1/2004 4/2/00 064-B 064-B 4r23Q004 4/23/2004 064-084-B 0848 4/23J2004 4/23/2004 4/3/2004 Class 2 252275 Comments:
300400 Comments:
300850 Comments:
301800 Comments:
307200 Comments:
309650 Comments:
SCHE-11-SI INTEGRAL ATTACHMENT C-C C3.10 NDE-5110-CC MT CC04-lM-001 Accept 052 72% coverage due to obstructions. Consider for relef request submittal. No rewdable indications 2441-1201-4 ELBOW TO PIPE R-A R1.20 NDE-5412-CC UT 20046U002 Accept 052 91097SH0012 NDE-5210-CC PT 2004BP01 I Accept 052 91097SH0012 No recordabe Indict noted 24-SI-1201 - R-7 INTEGRAL ATTACHMENT C-C C3.20 NDE-5210-CC PT 2004BP017 Accept 052 91097SH0012 NDE-5210-CC PT CC04-IP-22 Accept 052 91097SH0012 INITIAL EXAM IDENTIFIED WELD SPATTER AND AN ARC STRIKE WHICH INTERFERED WITH COMPLETION OF THE EXAM FOLLOWUP EXAM HAD NO RECORDABLE INDICATIONS.
24-SI-1202-H-22 INTEGRAL ATTACHMENT C-C C3.20 NDE-5210-CC PT CC04-IP-001 Accept 052 91097SH0013 418/2004 24/2004 2/4/2004 2/2t2oo4 6e30n2004 3/18N2004 3/25no4 3/15/2004 No recordable Indications noted 14-SI-1201 - 2 ELBOW TO PIPE NO RECORDABLE INDICATIONS NOTED 12-SI-1213 -4 PIPE TO ELBOW NO RECORDABLE INDICATIONS NOTED R-A RI.20 NDE-5412-CC UT CC04-IU-001 Accept 052 R-A RI.20 NDE-5412-CC UT CC044U-003 Accept 052 91097SH0011, SH0013 91097SH0001 91097SH0026, 91166, 91109 311300 12-SI-1214 - 22 PIPE TO ELBOW Comments:
Previousy recorded IndICation bs not recodabe under current Code.
R-A RI.20 NDE-5412-CC UT 20048U018 Accept 052 3/101204


Page of 7 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Balimore, MD 21203                                                                                 Owner Certificate of AuthorizatIon (1fReq.): N/A Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657                                                       Comrnercial Service Date: 05108/1975 Plant Unit: I                                                                                                                                National Board Number for UnIt 20911 Summary No. Camp ID                                     Camp Desc.                           Cater Item     Procedure      154kAIftkaaa.,
Page of 7 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Balimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: I Owner Certificate of AuthorizatIon (1f Req.): N/A Comrnercial Service Date: 05108/1975 National Board Number for UnIt 20911 Summary No.
                                                                                                                              -Y*IH%-flJfl  USWUU
312250 Comments:
                                                                                                                                                  .J4. P.vetFm O.U IMCM  MI...m
333550 Conmnets:
                                                                                                                                                                      *-JJ -*1I Cn-t.Anl P%.,
333900 Comments:
JOIUd 312250          12-SI-1216-1                             TEE TO PIPE                           R-A   R1.20   NDE-5210-CC    PT 2004BP015    Accept    052          91097SH000 , 91110          2ten20o4 NDE-5412-CC    UT 2004BL1003 Accept        052          91097SH0006, 911 10          2/6rA4 Comments:      Consider for relW request due to lited wverage on UT. No recordeble ndications noted.
3388 Comnents:
333550          6-SI-1217-3                             ELBOWTOPIPE                           R-A   RI.20   NDE-5412-CC    UT 20048U014 Accept        052          91110                        3/4/2004 Conmnets:      NO RECORDABLE INDICATIONS NOTED.
339350 Comments:
333900          8-S1-1217-9                             PIPETOELBOW                           R-A   R1.20   NDE-5412-CC    UT 2004BU019 Accept        052          91110                      3t10t2004 Comments:      No IndIcatIons Noted 3388            4-5-1209-1                               BRANCH CONNECTION TO ELBOW           R-A   R1.20   NDE-5210-CC    PT 2004BP012 Accept        052          91169                        2tsnoo4 NDE-5412-CC    UT 2004BU1005 Accept        052          91169                        2t/U2004 Comnents:      Relief Request reguired due to only 50% coverage.
403350 Comments:
339350          4-SI-1209 -10                           ELBOW TO PIPE                         R-A   Ri.20   NDE-5412-CC    UT 20048U001 Accept        052          91189                        2t/U2004 NDE-5210-CC    PT 2004BP013 Accept        052          91189                        21562004 Comments:      UT exim coverage kilted to 91.5% due to loss of contact on hItradose od etbow.
403400 Comments:
91172, 910975H0002, 403350          8-CS-1205 -3                             PIPE TO ELBOW                         R-A   R1.20   NDE-5412-CC    UT 2004BU024 Accept        081          91145                      3/16/204 Comments:      NO RECORDABLE INDICATIONS NOTED 91172, 91097SH0002.
403550 Comments:
403400          8-CS-125 -4                             ELBOW TO ELBOW                       R-A   R1.20   NDE-412-CC    UT 2004BU025 Accept        081          91145                      3/16U2004 Comments:      NO RECORDABLE INDICATIONS NOTED 91172. 91097SH0002.
403650 Comments:
403550          8CS-1205-8                               PIPE TO ELBOW                         R-A   R1.20   NDE-5412-CC    UT 2004811028 Accept        081          91145                      3/1U/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 91172, 91097SHtO02.
408550 Comments:
403650          8-CS-1205 -8                             PIPE TO ELBOW                         R-A   R1.20   NDE-5412-CC    UT 2004BU020 Accept        051          91145                      3/11/2004 Comments:      No Indications Noted 408550          8-CS-1206 - 20                           PIPE TO ELBOW                         R-A   R1.20   NDE-5412-CC    UITCC04-IU1-034 Accept    051          910975H0007, 91173            513t2004 NDE-5210-CC    PT CC04-IP-019 Accept      051          91097SH0007, 91173          5/Y2004 NDE-54 12-CC  UT 2004BU012 Accept        061          91097SH0007,91173            3/4/2004 Comments:      ID GEOMETRIC INDICATIONS NOTED 408950          8-CS-1206 - 27                           ELBOW TO PIPE                         R-A   R1.20   NDE-5412-CC    UT 20048U004 Accept        051          91097SH0007, 91173          217/2004 NDE-5210-CC    PT 2004BP014 Accept        081          91097SH0007, 91173            2tet2004 Comments:      No recordable hIdications noted.
408950 Comments:
91097SH0011, 91166.
412950 Comments:
412950          14-SC-1203 -28                         PIPE TO TEE                           R-A   R1.20     NDE-5412-CC  UT 2004BU021    Accept    052          91148                      3/12/2004 Comments:      No Indcations Noted 413000          14-SC-1204 -1                           TEE TO PIPE                           R-A   R1.20     NDE-5412-CC  UT 20048U022    Accept    052          91097SH0001                3/122004 Comments:      No Indications Noted 413100          14-SC-1204 -2                           PIPE TO ELBOW                         R-A   R1.20     NDE-5412-CC   UT 2004811015 Accept       052           91097SH0001                 3NV2004 Comments:        IDRoot Geometry noted. No recordable idictions noted.
413000 Comments:
413100 Comments:
Camp ID Camp Desc.
Cater Item 12-SI-1216-1 TEE TO PIPE R-A R1.20 Consider for relW request due to lited wverage on UT. No recordeble ndications noted.
6-SI-1217-3 ELBOWTOPIPE R-A RI.20 NO RECORDABLE INDICATIONS NOTED.
8-S1-1217-9 PIPETOELBOW R-A R1.20 No IndIcatIons Noted 4-5-1209-1 BRANCH CONNECTION TO ELBOW R-A R1.20 Relief Request reguired due to only 50% coverage.
4-SI-1209 -10 ELBOW TO PIPE R-A Ri.20 UT exim coverage kilted to 91.5% due to loss of contact on hItradose od etbow.
8-CS-1205 -3 PIPE TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8-CS-125 -4 ELBOW TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8CS-1205-8 PIPE TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8-CS-1205 -8 PIPE TO ELBOW R-A R1.20 No Indications Noted 8-CS-1 206 - 20 PIPE TO ELBOW R-A R1.20 ID GEOMETRIC INDICATIONS NOTED 8-CS-1206 - 27 ELBOW TO PIPE R-A R1.20 No recordable hIdications noted.
14-SC-1203 -28 PIPE TO TEE R-A R1.20 No Indcations Noted 14-SC-1204 -1 TEE TO PIPE R-A R1.20 No Indications Noted 14-SC-1204 -2 PIPE TO ELBOW R-A R1.20 ID Root Geometry noted. No recordable idictions noted.
Procedure NDE-5210-CC NDE-5412-CC NDE-5412-CC NDE-5412-CC NDE-5210-CC NDE-5412-CC NDE-5412-CC NDE-5210-CC 154kAIftkaaa.,
.J4.
P.vetFm IMCM MI...m Cn-P%.,
-Y*IH%-flJfl USWUU O.U
*-JJ
-*1I t.Anl JOIUd PT 2004BP015 Accept 052 91097SH000, 91110 UT UT UT PT UT UT PT 2004BL1003 Accept 20048U014 Accept 2004BU019 Accept 2004BP012 Accept 2004BU1005 Accept 20048U001 Accept 2004BP013 Accept 052 052 052 91097SH0006, 911 10 91110 91110 NDE-5412-CC UT 2004BU024 Accept NDE-412-CC UT 2004BU025 Accept NDE-5412-CC UT 2004811028 Accept NDE-5412-CC UT 2004BU020 Accept 052 91169 052 91169 052 91189 052 91189 91172, 910975H0002, 081 91145 91172, 91097SH0002.
081 91145 91172. 91097SH0002.
081 91145 91172, 91097SHtO02.
051 91145 051 910975H0007, 91173 051 91097SH0007, 91173 061 91097SH0007,91173 051 91097SH0007, 91173 081 91097SH0007, 91173 91097SH0011, 91166.
052 91148 052 91097SH0001 052 91097SH0001 2ten20o4 2/6rA4 3/4/2004 3t10t2004 2tsnoo4 2t/U2004 2t/U2004 21562004 3/16/204 3/16U2004 3/1U/2004 3/11/2004 513t2004 5/Y2004 3/4/2004 217/2004 2tet2004 3/12/2004 3/122004 3NV2004 NDE-5412-CC NDE-5210-CC NDE-54 12-CC UIT CC04-IU1-034 Accept PT CC04-IP-019 Accept UT 2004BU012 Accept NDE-5412-CC UT 20048U004 Accept NDE-5210-CC PT 2004BP014 Accept NDE-5412-CC NDE-5412-CC NDE-5412-CC UT UT UT 2004BU021 Accept 20048U022 Accept 2004811015 Accept


Page of 8 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                                                 Owner Certificate of Authorization (If Req.): N/A Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657                                                                       Commercial Service Date: 05/08/1975 Plant Unit: 1                                                                                                                                                  National Board Number for Unit 20911 Summary No. ComD ID                                     Como Desc.                           Categor! Item        Procedure            Method/Sheet/Results            System            ISO Num              Exam Date 413150         14-30-1204 - 3                             ELBOW TO ELBOW                       R-A        R1.20      NDE-4412-CC          UT 2004BLt1J1Accept            052              91097SHW0t                3/8/2004 Conments:      ID Root Geometry noted. No reordable idlctnws noted.
Page of 8 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (If Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit 20911 Summary No.
417200          10-SC-1214-1                               TEE TO PIPE                           R-A      R1.20      NDE-5412-CC          UT 2004BU017 Accept            052              91097SH0001, SHOO05      3/412004 Contents:      Wi consider for relief request due to UT coverage.
ComD ID Como Desc.
417950          10-SC-1214 -13                             ELBOW TO PIPE                         R-A      R1.20      NDE-5412-CC          UT CC04-IU-004 Accept          052              91097SH0001. SHODOS    312412004 Come:          NO RECORDABLE INDICATIONS NOTED 419150            -SC-1206S 1A                             PIPE TO ELBOW                         R-A      R1.20      NDE-5412-CC          UT 2004BU013 Accept            052              91097SH001 1              3/4/2(04 Commt :        NO RECORDABLE INDICATIONS NOTED.
413150 Conments:
421400          1/64RV-3993                               BRANCH CONNECTION                     C-F-2    HELB        NDE-s IO-CC          MT CCO4-4M-008 Accept            083              60345SHO001              4/17/2004 NDE-541 1-CC        UT CC04-1U-021 Accept            083              80345SHDD01              4123P2004 Comments:      To be considered for relief   quest due to coverage.
417200 Contents:
422350          18-IRV-4001                               8-IN. BRANCH CONNECTION               AUGMT    HELB        NDE-5110-CC          MT CC04-IM-OOS Accept            083              80345SHW001              4/1712004 NDE-541 1-CC        UT CC04-1L-022 Accept            083              80345S3t1tO1            4/23/2C04 Commnts        Wll consider for relIef request due to UT coverage.
417950 Come:
422400          1-WRV-4002                                 8-IN. BRANCH CONNECTION               AUGMT    HELB        NOE-110-CC          MT CC04-IM-007 Accept            083              f0345SHD001              4/17/2004 NDE-5411-CC          UT CC04-lu-020 Accept            083              80345SHo001              4/23/2004 Contnents:      WI consider for ree request due to UT coverage.
419150 Commt :
422450          1/8-RV-4003                               8-IN. BRANCH CONNECTION               AUGMT    HELB        NDE-5110-CC          MT CC04-IM-004 Acceot            083              80345SHD100              4/17/2004 NDE-541 1-CC        UT CCO44U-019 Accept            083              80345SHDC01              4/23/2004 Comment:        WM consider for relief request due to UT coverage.
421400 Comments:
422500          1/-RV4004                                 t-N. BRANCH CONNECTION                 AUGMT    HELB        NDE-51 10-CC        MT CC04-IM-003 A-cet            083                        I0345SHC001  4117/2C04 NDE-6411 -CC        UT CCo44U-024 Accept            083              80345SHW01              4123R004 WN consider for rele request due to UT coverage.
422350 Commnts 422400 Contnents:
422550          1/8-RV-4005                               8-IN. BRANCH CONNECTION               AUGMT    HELS        NDE-51 10-CC        MT CC04-IM-02 Accept            083              f0345SHC001 NDE-541 1CC          UT CCO44tU-023 Accept            083              60345SHW01              4/2312004 Commiens:      Wil consider for relief request due to UT coverage.
422450 Comment:
433500          18-FW-1218 - R-3                           INTEGRAL ATTACHMENT                   C-C       C3.20       NDE-5110.CC           MT CC04-IM-010 Accept           045             91093                   41282004 NDE-5413-CC           UT CCO44U-018 Accept           045              91093                    4/2212004 NDE-5403-CC           UT CC04-IU-037 Info             045             91093                   4/282004 NDE-5110-CC           MT CC04-IM-4S Reject           045             91093                   4/21/2004 Comment:        The rejectable surface ndcation was found to be acceptable using supplemental vdlunet   techraiques and the depth was verified to be less than 1/32 by physical removal of the hflicaton.
422500 422550 Commiens:
433550          18-FW-1218 -8                             PIPE TO PIPE                           R-A       R1.20       NDE-8411-CC           UT CC044U-010 Accept           045             91093                   4/1312004 orrnfents:    ID ROOT GEOMETRY INDICATIONS NOTED 038 041 045052 436050          PRESSURE RETAINING COMPONENT SYSTEM LEAKAGE TEST                                  C-H       C7.10       NOE-5710-CC           VT CC044V-171 Accept           083               VARIOUS                   567J2004 Conments:       No hnications noted.
433500 Comment:
433550 orrnfents:
14-30-1204 - 3 ELBOW TO ELBOW ID Root Geometry noted. No reordable idlctnws noted.
10-SC-1214-1 TEE TO PIPE Wi consider for relief request due to UT coverage.
10-SC-1214 -13 ELBOW TO PIPE NO RECORDABLE INDICATIONS NOTED
-SC-1206S 1A PIPE TO ELBOW NO RECORDABLE INDICATIONS NOTED.
1/64RV-3993 BRANCH CONNECTION To be considered for relief quest due to coverage.
18-IRV-4001 8-IN. BRANCH CONNECTION Wll consider for relIef request due to UT coverage.
1-WRV-4002 8-IN. BRANCH CONNECTION WI consider for ree request due to UT coverage.
1/8-RV-4003 8-IN. BRANCH CONNECTION WM consider for relief request due to UT coverage.
1/-RV4004 t-N. BRANCH CONNECTION WN consider for rele request due to UT coverage.
1/8-RV-4005 8-IN. BRANCH CONNECTION Wil consider for relief request due to UT coverage.
18-FW-1218 - R-3 INTEGRAL ATTACHMENT Categor! Item Procedure R-A R1.20 NDE-4412-CC R-A R1.20 NDE-5412-CC R-A R1.20 NDE-5412-CC R-A R1.20 NDE-5412-CC C-F-2 HELB NDE-s IO-CC NDE-541 1-CC AUGMT HELB NDE-5110-CC NDE-541 1-CC AUGMT HELB NOE-110-CC NDE-5411-CC AUGMT HELB NDE-5110-CC NDE-541 1-CC AUGMT HELB NDE-51 10-CC NDE-6411 -CC AUGMT HELS NDE-51 10-CC NDE-541 1 CC C-C C3.20 NDE-5110.CC Method/Sheet/Results UT 2004BLt1J1 Accept UT 2004BU017 Accept UT CC04-IU-004 Accept UT 2004BU013 Accept MT CCO4-4M-008 Accept UT CC04-1U-021 Accept MT CC04-IM-OOS Accept UT CC04-1L-022 Accept MT CC04-IM-007 Accept UT CC04-lu-020 Accept MT CC04-IM-004 Acceot UT CCO44U-019 Accept MT CC04-IM-003 A-cet UT CCo44U-024 Accept MT CC04-IM-02 Accept UT CCO44tU-023 Accept MT CC04-IM-010 Accept 052 91097SHW0t 3/8/2004 System ISO Num Exam Date 052 052 052 083 083 083 083 083 083 083 083 083 083 083 083 045 91097SH0001, SHOO05 91097SH0001. SHODOS 91097SH001 1 60345SHO001 80345SHDD01 80345SHW001 80345S3t1tO1 f0345SHD001 80345SHo001 80345SHD100 80345SHDC01 I0345SHC001 80345SHW01 f0345SHC001 60345SHW01 91093 3/412004 312412004 3/4/2(04 4/17/2004 4123P2004 4/1712004 4/23/2C04 4/17/2004 4/23/2004 4/17/2004 4/23/2004 4117/2C04 4123R004 4/2312004 41282004 4/2212004 4/282004 4/21/2004 4/1312004 NDE-5413-CC UT CCO44U-018 Accept NDE-5403-CC UT CC04-IU-037 Info 045 91093 045 91093 NDE-5110-CC MT CC04-IM-4S Reject 045 91093 The rejectable surface ndcation was found to be acceptable using supplemental vdlunet techraiques and the depth was verified to be less than 1/32 by physical removal of the hflicaton.
18-FW-1218 -8 PIPE TO PIPE R-A R1.20 NDE-8411-CC UT CC044U-010 Accept 045 91093 ID ROOT GEOMETRY INDICATIONS NOTED 038 041 045052 C-H C7.10 NOE-5710-CC VT CC044V-171 Accept 083 VARIOUS 567J2004 436050 PRESSURE RETAINING COMPONENT SYSTEM LEAKAGE TEST Conments:
No hnications noted.


Page of 9 -10 Attachment 1 Inseivice Inspecton Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203                                                                                           Owner Cerifcate of Authorization (1fReq.): N/A Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby. MD 20657                                                                   Commercial Service Date: 05/08/1975 Plant Unit: 1                                                                                                                                            National Board Number for Unit: 20911 e, bln^m VWU...IIItaly-mmo Ulu. t~~il   L,*IUO.
Page of 9 -10 Inseivice Inspecton Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby. MD 20657 Plant Unit: 1 Owner Cerifcate of Authorization (1f Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit: 20911 e,  
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                                                                                                                                                              .1t.
.1t.
JYII           Reon
Reon Un, C.m nnf*
* Un, I'',               C.m nnf* LS!aO PRESSURE RETAINING 436150          PRESSURE RETAINING COMPONENT PIPING                                            C-H     C7.30     NDE-5710-CC         VT CC04-iV-172 Accept         COMPONENTS VARIOUS                             5Y7/2004 Comments:      No Indications vioted.
VWU...IIItaly Ulu.
PRESSURE RETAINING 436250          PRESSURE RETAINING COMPONENT PUMPS                                            C-H       C7.50   NDE-5710-CC         VT CC044V-179 Accept           COMPONENTS VARIOUS                              Y712004 Comments:       No indications noted PRESSURE RETAINING 436350          PRESSURE RETAINING COMPONENT VALVES                                           C-H       C7.70    NDE-8710-CC        VT CCO4-IV-174 Accept          COMPONENTS VARIOUS                              5t7/2004 Comments:      No Indications noted.
t~~il L,*IUO.  
700900          SCHE-1 1-S1                             COMPONENT SUPPORT                       F-A       F1 .40B  NDE-571 1-CC        VT CC04-iV-183 Accept          052            B-3/ 12015-0012              7/2at2004 Comments:      No recordable indications noted.
~Ilat WU-.n s If uu ivo m.*-.ous JYII I'',
701000          SCHE4-12-51                             COMPONENT SUPPORT                       F-A       F1.40B  NDE-5711 -CC        VT 2004BV004 Accept            052                                            2/9N2004 Comments:      No recordable Indications noted.
LS!aO C-H C7.30 NDE-5710-CC 436150 PRESSURE RETAINING COMPONENT PIPING Comments:
701250          24-SI-1001 - R-7                       COMPONENT SUPPORT                       F-A       F1 .20B  NDE-5711-CC        VT 2004BV003 Accept            052            91097SH0012                    2/2/2004 Comments:      The as found condits were accepted in accordance with ES200400128 Supp No. 000.
No Indications vioted.
701450          24-SI-1202 - H-22                       COMPONENT SUPPORT                       F-A       F1.20A  NDE-571 1-CC        VT 2004BV034 Accept            052            91097SH0013                    3/1S/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 91097H0026. 911it, 704450          12-SI-1004 - H-2                       COMPONENT SUPPORT                       F-A       F1.20B  NDE-5711-CC          VT CC04-iV-073 Accept        052            91109                          3/10/2004 Cormenns:      No recorble hdlone noted 704750          10-SI-1002 - R-12                       COMPONENT SUPPORT                       F-A       F1.20B  NDE-5711-CC          VT CC04-iV-001 Accept        052            91097SHo0026                  329/2004 Comments:      No Recordable indications 708250          6-5I-1010-H-3                           COMPONENT SUPPORT                     F-A       F1.20A  NDE4711-CC          VT 2004BV025 Reject          052            91143, 91100SH0001              3/1/2004 Comments:      Issue Report 3R4-09-424 was witten to evaitate the as found conditions. ES200400221 Supp No. 0 accepted fe as found condition and directed the drawins to be dianged.
436250 PRESSURE RETAINING COMPONENT PUMPS Comments:
701550          6-SI-1012 - R-2                         COMPONENT SUPPORT                     F-A       F1.20A  NDE-5711-CC          VT 2004BV024 Accept          052            91144, 9i 100SH0002            3112004 Comments:      No recordable Indications noted 711700          4-SI-1208-H-11,R-9                       COMPONENT SUPPORT                     F-A       F1.206  NDE-5711-CC          VT 20049V028 Accept          052            91097SH0016, SH0017            3V412004 Comments:      No recordable ndiations noted.
No indications noted VT CC04-iV-172 Accept PRESSURE RETAINING COMPONENTS VARIOUS PRESSURE RETAINING COMPONENTS VARIOUS 5Y7/2004 Y712004 C-H C7.50 NDE-5710-CC VT CC044V-179 Accept 436350 Comments:
711750          4-51-1208* H-10, R-8                     COMPONENT SUPPORT                     F-A       F1.20B   NDE-5711-CC         VT CC04-iV-071 Accept         052             91097SH0016, SH0017            3/25/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 717850          2-SI-1226 -S-1                          COMPONENT SUPPORT                      F-A      F1.20B   NDE-4711-CC         VT 2004BV016 Accept           052             FSK-MP-432                     2t24/2004 Comments:       No recordable hidications noted.
700900 Comments:
717900         2-SI-1228- S-2                           COMPONENTSUPPORT                       F-A       F1.20B   NDE-571I-CC         VT 2004BV017 Reject           052             FSK-MP-432                   2124/2004 Comiments:     Issue Report IR4409-422 was written to evaluate the as found conditions. ES200400154 Supp No. 0 evaluated the as found conditors and found hemto be acceptable and directed the dawing to be updated to relet the as beit conditions.
701000 Comments:
717950         2-S1-1226 - S-3                         COMPONENTSUPPORT                       F-A       F1.20B   NOE-711-CC         VT 2004BV018 Accept           052             FSK-MP-432                   2124/2004 Comments:       Issue Report # IR4-009421 was written to evaluate the as found condtions. ES200400154 SUp, No 0 evauated the as tound conditions endfound thm to be acceptable and directed the dawing to be updated to refec the as butt conditions.
701250 Comments:
718300         S-CS-1203 - R4                           COMPONENT SUPPORT-SNUBBER             F-A       F1.20C   NDE-5711-CC         VT 2004BV002 Accept           061             91097SH0005                     2N9/2004 Comments:       Concrete damage is noiservce Induced. No rewdable indications noted.
701450 Comments:
704450 Cormenns:
704750 Comments:
708250 Comments:
701550 Comments:
711700 Comments:
711750 Comments:
717850 PRESSURE RETAINING COMPONENT VALVES C-H No Indications noted.
SCHE-1 1-S1 COMPONENT SUPPORT F-A No recordable indications noted.
SCHE4-12-51 COMPONENT SUPPORT F-A No recordable Indications noted.
24-SI-1001 - R-7 COMPONENT SUPPORT F-A The as found condits were accepted in accordance with ES200400128 Supp No. 000.
24-SI-1202 - H-22 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 12-SI-1004 - H-2 COMPONENT SUPPORT F-A No recorble hdlone noted 10-SI-1002 - R-12 COMPONENT SUPPORT F-A No Recordable indications 6-5I-1010-H-3 COMPONENT SUPPORT F-A Issue Report 3R4-09-424 was witten to evaitate the as found conditions. ES200400221 6-SI-1012 - R-2 COMPONENT SUPPORT F-A No recordable Indications noted 4-SI-1208-H-11,R-9 COMPONENT SUPPORT F-A No recordable ndiations noted.
4-51-1208* H-10, R-8 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-SI-1226 -S-1 COMPONENT SUPPORT F-A C7.70 F1.40B F1.40B F1.20B F1.20A NDE-8710-CC NDE-571 1-CC NDE-5711 -CC NDE-5711-CC NDE-571 1-CC VT VT VT VT VT CCO4-IV-174 Accept CC04-iV-183 Accept 2004BV004 Accept 2004BV003 Accept 2004BV034 Accept PRESSURE RETAINING COMPONENTS VARIOUS 052 B-3/ 12015-0012 052 052 052 F1.20B NDE-5711-CC VT CC04-iV-073 Accept 052 F1.20B NDE-5711-CC VT CC04-iV-001 Accept 052 F1.20A NDE4711-CC VT 2004BV025 Reject 052 Supp No. 0 accepted fe as found condition and directed the drawins to be dianged.
F1.20A NDE-5711-CC VT 2004BV024 Accept 052 F1.206 NDE-5711-CC VT 20049V028 Accept 052 F1.20B NDE-5711-CC VT CC04-iV-071 Accept 052 F1.20B NDE-4711-CC VT 2004BV016 Accept 052 91097SH0012 91097SH0013 91097H0026. 911it, 91109 91097SHo0026 91143, 91100SH0001 91144, 9i 100SH0002 91097SH0016, SH0017 91097SH0016, SH0017 FSK-MP-432 5t7/2004 7/2at2004 2/9N2004 2/2/2004 3/1S/2004 3/10/2004 329/2004 3/1/2004 3112004 3V412004 3/25/2004 2t24/2004 Comments:
No recordable hidications noted.
717900 2-SI-1228 - S-2 COMPONENTSUPPORT F-A F1.20B NDE-571I-CC VT 2004BV017 Reject 052 FSK-MP-432 2124/2004 Comiments:
Issue Report IR4409-422 was written to evaluate the as found conditions. ES200400154 Supp No. 0 evaluated the as found conditors and found hem to be acceptable and directed the dawing to be updated to relet the as beit conditions.
717950 2-S1-1226 - S-3 COMPONENTSUPPORT F-A F1.20B NOE-711-CC VT 2004BV018 Accept 052 FSK-MP-432 2124/2004 Comments:
Issue Report # IR4-009421 was written to evaluate the as found condtions. ES200400154 SUp, No 0 evauated the as tound conditions end found thm to be acceptable and directed the dawing to be updated to refec the as butt conditions.
718300 S-CS-1203 - R4 COMPONENT SUPPORT-SNUBBER F-A F1.20C NDE-5711-CC VT 2004BV002 Accept 061 91097SH0005 2N9/2004 Comments:
Concrete damage is noi servce Induced. No rewdable indications noted.


Page of 10 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203                                                                 Owner Certificate of Authorization (H1Req.): NIA Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                         Comrnmerclal Service Date: 05108/1975 Plant Unit: 1                                                                                                                  National Board Number for Unlt 20911 Summary No. ComD ID                                   Como Desc.                 Catego Item    Procedur      Method/Sheet/Results      System      ISO Num                Exam Date 718800         8-CS1205 -H4-5, R4                   COMPONENT SUPPORT           F-A    F1.20A  NDE-4711 -CC  VT 2004BV033 Accept        061          91172, 91097SHOO02. 91    3/16/2004 Comments:      Cleafances found weto acceptable h accordance with ES-02.
Page of 10 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (H1 Req.): NIA Comrnmerclal Service Date: 05108/1975 National Board Number for Unlt 20911 Summary No. ComD ID Como Desc.
721550          14-SC-1203 - A-270                     COMPONENT SUPPORT           F-A    F1.20B  NDE-5711-CC    VT 2004BV001  Accept      052          91097SHDO11, 91166. 91      2N/2004 Comments:      No recordable Idications noted.
718800 Comments:
721950          14-1204 - H4-5,   R-4                 COMPONENT SUPPORT           F-A    F1.20A  NDE-5711 -CC  VT 2004BV031  Accept      052          91097SH0001                3/6/2004 Comments:      SOME MINOR COATINGS DAMAGE ON RESTRAINT NOTED 722300          14-SC-1204 - R-1                       COMPONENT SUPPORT           F-A    F1.20m  NDE-5711-CC    VT rC04-4V402  Accept    052          910975H0001                3/29/2004 Comrents:      No rable Idlostous 722750          12-SC-1200 - H4                       COMPONENT SUPPORT           F-A    F1.20B  NDE-5711-CC    VT CC04V-072    Accept    052          91097SHOO02, SH1OWS        3/25/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 723500          10-SC-1214 - H4-8. R-7                 COMPONENT SUPPORT         F-A    F1.20B  NDE-571 1-CC  VT CC4-IV-003 Acct        052          91097SH6001, SHOD0s      3/18/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 725750          34-MS-1204                        COMPONENT SUPPORT-vARIABLE  F-A   F1.20C  NDE-5711-CC   VT CCO44V-075 Accept      083          603455sH000              4119/2004 Comments:      NO RECORDABLE INDICATIONS NOTED 725800          34-MS-1204 - R-e                        COMPONENT SUPPORT          F-A   F1.20B   NDE-4711-CC   VT CC04-rIv-76  Accept    063          60345SH0001              4R0/2034 Comments:      NO RECORDABLE INDICATIONS NOTED 725950          34-MS-1205 1                       COMPONENT SUPPORT-VARIABLE F-A   F1.20C   NDE-5711-CC   VT CCo4-IV-077 Accept      083          80345SH0001              4/19/2004 commets:        NO RECORDABLE INDICATIONS NOTED 726e00          6-MS-1208 - R-2                        COMPONENT SUPPORT          F-A   F1.20B   NDE-57i1-CC   VT CCU 4-IV-415 Accept     063           eO345SHOO01. SH0002       419/2004 Comments:       No nc     ble Indlcations.
721550 Comments:
727200           16-FW-1218 - R4                       COMPONENT SUFPORT-SNUBBER         F1.20C   NDE-5711-CC   VT CCO4IV-037 Accept       045           91M                       4/21rdOO4 Comments:      No recordable indications.
721950 Comments:
722300 Comrents:
722750 Comments:
723500 Comments:
725750 Comments:
725800 Comments:
725950 commets:
8-CS1205 -H4-5, R4 COMPONENT SUPPORT Cleafances found weto acceptable h accordance with ES-02.
14-SC-1203 - A-270 COMPONENT SUPPORT No recordable Idications noted.
14-1204 - H4-5, R-4 COMPONENT SUPPORT SOME MINOR COATINGS DAMAGE ON RESTRAINT NOTED 14-SC-1204 - R-1 COMPONENT SUPPORT No rable Idlostous 12-SC-1200 - H4 COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 10-SC-1214 - H4-8.
R-7 COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 34-MS-1204 COMPONENT SUPPORT-vARIABLE NO RECORDABLE INDICATIONS NOTED 34-MS-1204 - R-e COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 34-MS-1205 1 COMPONENT SUPPORT-VARIABLE NO RECORDABLE INDICATIONS NOTED Catego Item Procedur F-A F1.20A NDE-4711 -CC F-A F1.20B NDE-5711-CC F-A F1.20A NDE-5711 -CC F-A F1.20m NDE-5711-CC F-A F1.20B NDE-5711-CC F-A F1.20B NDE-571 1-CC F-A F1.20C NDE-5711-CC F-A F1.20B NDE-4711-CC F-A F1.20C NDE-5711-CC F-A F1.20B NDE-57i1-CC Method/Sheet/Results System ISO Num Exam Date VT 2004BV033 Accept VT 2004BV001 Accept VT 2004BV031 Accept VT rC04-4V402 Accept VT CC04V-072 Accept VT CC4-IV-003 Acct VT CCO44V-075 Accept VT CC04-rIv-76 Accept VT CCo4-IV-077 Accept VT CCU 4-IV-415 Accept 061 91172, 91097SHOO02. 91 052 052 052 052 052 083 063 083 063 91097SHDO11, 91166. 91 91097SH0001 910975H0001 91097SHOO02, SH1OWS 91097SH6001, SHOD0s 603455sH000 60345SH0001 80345SH0001 eO345SHOO01. SH0002 3/16/2004 2N/2004 3/6/2004 3/29/2004 3/25/2004 3/18/2004 4119/2004 4R0/2034 4/19/2004 419/2004 726e00 6-MS-1208 - R-2 Comments:
No nc ble Indlcations.
COMPONENT SUPPORT 727200 16-FW-1218 - R4 Comments:
No recordable indications.
COMPONENT SUFPORT-SNUBBER F1.20C NDE-5711-CC VT CCO4IV-037 Accept 045 91M 4/21rdOO4


ENCLOSURE (2)
ENCLOSURE (2)
Line 195: Line 407:


2004-1 Class I and 2 NIS-2's Completed
2004-1 Class I and 2 NIS-2's Completed
  %N&"4Imb           fu'ti:Vi,         'I 1199700129 97-1-027         1MOV658          Two 1200200636 2003-1 -047a 1CKVCVC-1 87           One 2003-1-047b 1#CC5-1005           One 1200200640   2003-1 -M48a   1CKVCVC-184       Two 2003-1 -048b   1#CC7-1009       Two 1200200641   2003-1-049a     1CKVCVC-435       One 2003-1-049b     1#CC5-1006       One 1200202505   2002-1-049b     1HVCVC-172       Two 2002-1 -049c   1#CC7-1 002       TWO 1200202602   2002-1-033     1PUMPRC11B(s)     One 1200202689   2002-1 -050a   1CKVCVC-1 71     Two 2002-1 -050b 1#CC7-1002           Two 1200202762   2002-1-051 1CV1OF                One 1200203109   2003-1-046a 1CKVSI-426           Two 2003-1 -046b 1#DC2-1003           Two 1200203364   2003-1-056     1RV200           One 2003-1-056a 1#CC10-1007           One 1200203390   2004-1-027     1PZVRXI1          One 1200203521   2004-1-010     1CV4070           Two 1200203958   2003-1-032-     IPIJMPRC12A(s)-   One 1200203966   2003-1-008     1RV201            One 2003-1 -008a   1#CC10-1008       One 1200204093   2003-1-057     1ERV404          One 2003-1 -057a   1#CCI0-1004       One 1200204377   2003-1-058     1ERV402          One 2003-1 -058a 1#CCI0-1003         One 1200204580   2002-1-052     1RV200           One 2002-1-062     1#CCI0-1007       One 1200204888   2002-1-060     1#CC-2,1" & under One 2003-1-022b     1#CC7-1001       Two 1200205233   2003-1-022c     1HVCVC-166       Two 2003-1 -022a   1CKVCVC-165       Two 2003-1-052c     1HVCVC-178       Two 1200205235   2003-1 -052a   1CKVCVC-177       Two 2003-1 -052b   1#CC7-1003       Two 1200205240   2003-1-077     1#CCI0-1003-H3   One 1200205247   2003-1-078     1#CC10-1004-H3   One 2003-1-023b     1#CCIO-1001       One 1200205332   2003-1-023a     1MOV403          One 2003-1-024a     1MOV405          One 1200205334   2003-1 -024c   1#CC10-1002-R12   One 2003-1-024b     1#CC10-1002       One MEIU Reference No. 200447-22-3496
%N&"4Imb fu'ti  
'I
:Vi, 1199700129 97-1-027 1 MOV658 Two 1200200636 2003-1 -047a 1 CKVCVC-1 87 One 2003-1-047b 1 #CC5-1005 One 1200200640 2003-1 -M48a 1 CKVCVC-184 Two 2003-1 -048b 1 #CC7-1009 Two 1200200641 2003-1-049a 1 CKVCVC-435 One 2003-1-049b 1#CC5-1006 One 1200202505 2002-1-049b 1 HVCVC-172 Two 2002-1 -049c 1#CC7-1 002 TWO 1200202602 2002-1-033 1PUMPRC11B(s)
One 1200202689 2002-1 -050a 1 CKVCVC-1 71 Two 2002-1 -050b 1#CC7-1002 Two 1200202762 2002-1-051 1 CV1OF One 1200203109 2003-1-046a 1CKVSI-426 Two 2003-1 -046b 1 #DC2-1003 Two 1200203364 2003-1-056 1RV200 One 2003-1-056a 1#CC10-1007 One 1200203390 2004-1-027 1 PZVRXI1 One 1200203521 2004-1-010 1CV4070 Two 1200203958 2003-1-032-IPIJMPRC12A(s)-
One 1200203966 2003-1-008 1 RV201 One 2003-1 -008a 1#CC10-1008 One 1200204093 2003-1-057 1 ERV404 One 2003-1 -057a 1#CCI0-1004 One 1200204377 2003-1-058 1 ERV402 One 2003-1 -058a 1 #CCI0-1003 One 1200204580 2002-1-052 1RV200 One 2002-1-062 1 #CCI0-1007 One 1200204888 2002-1-060 1#CC-2,1" & under One 2003-1-022b 1#CC7-1001 Two 1200205233 2003-1-022c 1 HVCVC-166 Two 2003-1 -022a 1 CKVCVC-165 Two 2003-1-052c 1 HVCVC-178 Two 1200205235 2003-1 -052a 1CKVCVC-177 Two 2003-1 -052b 1 #CC7-1003 Two 1200205240 2003-1-077 1#CCI0-1003-H3 One 1200205247 2003-1-078 1#CC10-1004-H3 One 2003-1-023b 1#CCIO-1001 One 1200205332 2003-1-023a 1 MOV403 One 2003-1-024a 1 MOV405 One 1200205334 2003-1 -024c 1#CC10-1002-R12 One 2003-1-024b 1#CC10-1002 One MEIU Reference No. 200447-22-3496


2004-1 Class 1 and 2 NIS-2's Completed 1200301717   2003-1-018   1PUMPRC11 B(s)     One 1200303202   2003-1-080   1ACC233X-SUP       Two 1200303410   2003-1-072   1CV648              One 1200303794   2003-1-075   1ACC233Z-SUP       Two 1200304508   2003-1-081   1HVSI-4163         Two 1200400341   2004-1-009a 1#HC7-1004         Two 2004-1-009b 1#HC7-1004-H2/R3   Two 1200401939   2004-1-017   1#GC9-1003-R6       Two SNUB POOL   SNUB-0-004   *Snubber Pool       1, 2, & 3 MEWU Reference No. 2004-47-22-3496
2004-1 Class 1 and 2 NIS-2's Completed 1200301717 2003-1-018 1 PUMPRC11 B(s)
One 1200303202 2003-1-080 1ACC233X-SUP Two 1200303410 2003-1-072 1 CV648 One 1200303794 2003-1-075 1ACC233Z-SUP Two 1200304508 2003-1-081 1 HVSI-4163 Two 1200400341 2004-1-009a 1#HC7-1004 Two 2004-1-009b 1#HC7-1004-H2/R3 Two 1200401939 2004-1-017 1#GC9-1003-R6 Two SNUB POOL SNUB-0-004 *Snubber Pool 1, 2, & 3 MEWU Reference No. 2004-47-22-3496


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:            Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     514/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                   Unit:     One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 97-1-027, MWO No. 1199700129 (address)                                                               (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.
514/2004 Sheet I of 2
(name)                                                Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, Md. 20657                                               Section X) Class:          Two (address)
: 2. Plant:
: 4. Identification of Systern     SystemNumber         052     SystemName:           Safety Injection 5.(a)Applicable ConstructionCode and Class:           ASME Draft Code for Pumps                   & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
Calvert Cliffs Nuclear Power Plant Unit:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,     Code Name of        Name of            Manufacturers        National                      Other                  Year Replaced, oi Stamped Conponet     Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 97-1-027, MWO No. 1199700129 (address)
Valve     Velan Enginnering             1-MOV-658         NIA       Low Pressure Safety Injection         197S      Repalred/Repi    No Co.                                                system supply to Shut Down                             aced Cooling Heat Exchangers Isolation valve
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X) Class:
1650 Calvert Cliffs Parkway, Lusby, Md. 20657 Two (address)
: 4. Identification of Systern SystemNumber 052 SystemName:
Safety Injection 5.(a)Applicable ConstructionCode and Class:
ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Conponet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Enginnering Co.
1-MOV-658 NIA Low Pressure Safety Injection system supply to Shut Down Cooling Heat Exchangers Isolation valve 197S Repalred/Repi aced No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the pluging of the leak off line and seal welding the plug on 1MOV-658, Low Pressure Safety Injection system supply to Shut Down Cooling Heat Exchangers isolation valve.
This plan was for the pluging of the leak off line and seal welding the plug on 1 MOV-658, Low Pressure Safety Injection system supply to Shut Down Cooling Heat Exchangers isolation valve.
: 8. Tests Conducted:     Hydrostatic:E   PneumaticE       Nominal Operating Pressure:     Inservice: 0   Leakage: C]     Functional:   El Pressure:    NIA        psi.        Test Temperature:         NIA       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:E PneumaticE Pressure:
NIA psi.
Nominal Operating Pressure:
Inservice: 0 Leakage: C]
Functional: El Test Temperature:
NIA Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section Xi Pre-Service NDE was performed in support of this activity.
No Section Xi Pre-Service NDE was performed in support of this activity.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this       Renair/Replacement       conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renair/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:               N/A
Type Code Symbol Stamp:
                                                        /       GCharles                       H. Ballard Signed:                                                                 Engineering Technician         Date:   5/4/2004 d-wnf-d)e~e   ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the periodto                                 /-2     - O .andstate to the bestofmy knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A
/
GCharles H. Ballard Signed:
Engineering Technician Date:
5/4/2004 d-wnf-d)e~e ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the periodto  
/-2 O  
.andstate to the bestofmy knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures descrbed in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures descrbed in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
___dCommnissions:                                                           IV8 '?eTA/ 4'r               M o . //7                     ___7
___dCommnissions:
                          -Inspector's Signature                                         National Board, State, and Endorsements Date:e.-,/                   200 4
IV8 '?eTA/ 4'r M
o  
//7
___7
-Inspector's Signature National Board, State, and Endorsements Date:e.-,/
200 4


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY
                          . As Required Required by the Provisions of the ASME Code Section Xl
. As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet 1 of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                               Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                     R&R No. 2003-1-047a, MWO No. 1200200636 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by        Calvert Cliffs Nuclear Power Plant Dept.                    Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                             Section XI Class:            One (address)
6/1512004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:   System Number       041     System Name:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:       ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                           1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,       Code Name of          Name of          Manufacturers      National                    Other                  Year Replaced, oi Stamped Comuponet     Manufacturer         Serial Number     Board No.               Identification               Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Valve     Velan Engineering           SN: 335         N/A       #11 Regen. Heat Exch. to #IIA         1975      Repaired/Repl    Yes Co.                                            RCS Cold Leg Loop Check Valve                         aced CheckValve       Enertech Inc. 408934 SN: 11269       NIA       Valve, Nozzle Check, 2 In., 1500     2002     Replacement       Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark#
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-047a, MWO No. 1200200636 (address)
: 3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Comuponet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Engineering Co.
SN: 335 N/A  
#11 Regen. Heat Exch. to #IIA RCS Cold Leg Loop Check Valve 1975 Repaired/Repl aced Yes CheckValve Enertech Inc.
408934 SN: 11269 NIA Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark#
212M3N)
212M3N)
Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work needed to replace 1-CKVCVC-1 87, #11 Regen. Heat Exch. to #11A RCS Cold Leg Loop Check Valve.
This plan was for the work needed to replace 1-CKVCVC-1 87, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop Check Valve.
: 8. Tests Conducted:     Hydrostatic:[] Pneumatic1l     Nominal Operating Pressure:   Inservice: O   Leakage: 3     Functional: E Pressure:  2355      psi.        Test Temperature:         74       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (l) size is 8-1/2 in. x I I 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.
: 8. Tests Conducted:
Hydrostatic:[]
Pneumatic1l Pressure:
2355 psi.
Nominal Operating Pressure:
Inservice: O Leakage: 3 Functional: E Test Temperature:
74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (l) size is 8-1/2 in. x I I 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                     RevalrlReplacgement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReplacgement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: NIA Expiration Date:               N/A 7 A7</             /         Charles H. Ballard Signed:                   rcs                                             Engineering Technician         Date:     6/15/2004 Owner or eesanee,           Title '
Type Code Symbol Stamp:
Certificate of Inservice Inspection 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period           9a9-a -3           to     i - O -&deg;           , and state to the best of my knowledge and belief, the 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.
N/A Certificate of Authorization No.: NIA Expiration Date:
N/A 7
A7</  
/
Charles H. Ballard Signed:
rcs Engineering Technician Date:
6/15/2004 Owner or
: eesanee, Title '
Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9a9-a  
-3 to i -
O -&deg;  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
bDo0h-2-D A         . $/)#7O//Z         F AUZ, 'OI;         t&r&sect;ZS Pot 7EZ-                 -IW     Commissions:       AJiJi9     3,1   ,trOn7/.1         4-J7/
bDo0h-2-D A  
5                       ;;                          1 16 1217791o A40115
. $/)#7O//Z F
                          ,.Insectoes Signature                                           National Board, State, and Endorsements Date:       /&'
AUZ, 'OI; t&r&sect;ZS Pot 7EZ-  
                    /              200 h,
-IW Commissions:
AJiJi9 3,1,trOn7/.
1 4-J 7/
5 1 16 1217791o A40115
,.Insectoes Signature National Board, State, and Endorsements Date:  
/ /&'
200 h,


FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the ProvisIons of the ASME Code, Section II, D islon 1 Pg. I of_ 2
FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the ProvisIons of the ASME Code, Section II, D islon 1 Pg. I of_ 2
: 1. Manufactured and certified by Eiertech, A Diy. of Curtiss-Wright Flow Control Corp., 2950 BIrch St., Brea, CA 92821 Iname and address of N Certiflcate Holder)
: 1. Manufactured and certified by Eiertech, A Diy. of Curtiss-Wright Flow Control Corp., 2950 BIrch St., Brea, CA 92821 Iname and address of N Certiflcate Holder)
: 2. Manufactured for             *CalvertCliffs Nuclear Power Plant, PO Box 17323. Baltimore, MD 21297-1323 Iname and address ef Purchaser)
: 2. Manufactured for  
: 3. Location of Instaliation Calvert Cliffs nuclear Power PIant- 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
*Calvert Cliffs Nuclear Power Plant, PO Box 17323. Baltimore, MD 21297-1323 Iname and address ef Purchaser)
: 4. ModelNo., Series No., or Type                 KRV KR              Drawing raig          MD20990            Rev.         A           CRN A____None_____      None
: 3. Location of Instaliation Calvert Cliffs nuclear Power PIant-1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 6. ASME Code. Section ilt. Division 1:                 1995                         W9.                       1                     NQne (edition)               laddenda date)               (claess           (Code Cese no.)
KR raig MD20990 A____None_____
: 6. Pump or vaive Nozzle Check Valve             Nominal Inlet size               2             Outlet size           2 On.7                               ItnNl
: 4. Model No., Series No., or Type KRV Drawing Rev.
: 7. Material: Body SA-479 Type 316               86oinel           N/A               DsA     .-479 Tye 16         Bolting           N/A (a)                         .. W                              IC)                          (d)                          (e1 Cert.                         Nat'l                          Body                        Bonnet                        Disk Holder's                         Board                          Serial                        Serial                      Serial Serial No.                         No.                           No.                           No.                         No.
A CRN None
11256                          None                      KNG-001
: 6. ASME Code. Section ilt. Division 1:
* None                      KNH-001 11257                          None                      KNG-002                          None                      KNH-002 11258                          None                      KNG-003                          None                      KNH-003 11259-                         None                      KNG-004                          None                      KNH-004 11260                          None                      KNG-005                          None                      KNH-005 11261                          None                      KNG-006                          None                      KNH-006 11262                          None                      KNG-007                          None                      KNH-007 11263                          None
1995 W9.
* KNG-OO0                          None                       KNH-008 11264                          None                      KNG-009                          None                      KNH-009 11265                          None                      KNG-01 0                          None                      KNH-010 11266                          None                      KNG-011                          None                      KNH-O11 11267                          None                      KNG-012                          None                      KNH-012 11268                          None                      KNG-013                          None                      KNH-013 11269                          None                      KNG-014                          None                      KNH-014 11270                          None                      KNG-015                          None                      KNH-015 11271                          None                      *KNG-016                          None                      KNH-016 11t272                        None                      KNG-017                          None                      KNH-017 11273                          None                      KNG-018                          None                      KNH-01 B I .      .
1 NQne (edition) laddenda date)
*Supplemental kormation in form of Usts. sketches. br drawings may be used provided (11 adze IsBI x 11, (2)hIformation hI kems I through 4 on this Date Report is Included on each sheet. 131each Sheet is numbered and the number of sheets Is recorded at the top of this foT.
(claess (Code Cese no.)
(12188)           This form (Eoo0371 may be obtalned from the Order Dept.. ASME. 22 Law Drive. Box 2300, Fairfield. NJ 07007.2300.           REPRINT M3
: 6. Pump or vaive Nozzle Check Valve Nominal Inlet size 2
Outlet size 2
On.7 ItnNl
: 7. Material:
Body SA-479 Type 316 86oinel N/A DsA  
.-479 Tye 16 Bolting N/A (a)
Cert.
Holder's Serial No.
11256 11257 11258 11259-11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11t272 11273 I.
.. W Nat'l Board No.
None None None None None None None None None None None None None None None None None None IC)
Body Serial No.
KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-OO0 KNG-009 KNG-01 0 KNG-011 KNG-012 KNG-013 KNG-014 KNG-015
* KNG-016 KNG-017 KNG-018 (d)
Bonnet Serial No.
None None None None None None None None None None None None None None None None None None (e1 Disk Serial No.
KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-O11 KNH-012 KNH-013 KNH-014 KNH-015 KNH-016 KNH-017 KNH-01 B
*Supplemental kormation in form of Usts. sketches. br drawings may be used provided (11 adze Is BI x 11, (2) hIformation hI kems I through 4 on this Date Report is Included on each sheet. 131 each Sheet is numbered and the number of sheets Is recorded at the top of this foT.
(12188)
This form (Eoo0371 may be obtalned from the Order Dept.. ASME. 22 Law Drive. Box 2300, Fairfield. NJ 07007.2300.
REPRINT M3


                                                .M NPV-1 (Back-Pg. 2 of                   2 )
.M NPV-1 (Back-Pg. 2 of 2 )
c     H11256                           thru Certificate HOlder'S Serial No.           11273       _
c H11256 thru Certificate HOlder'S Serial No.
: 8. Design conditions             2800             psi             250         _      or valve pressuro class               1500             (11 (pressurel                     Itemperaturel
11273
: 9. Cold working pressure             3600             psiastIO1,F
: 8. Design conditions 2800 psi 250 or valve pressuro class 1500 (11 (pressurel Itemperaturel
: 10. Hydrostatic test         5400         psi. Disk differential test pressure                            N/A                           _psi II. Remarks:   Qly 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by         JohnR.Sponsel,                     P.E. State         MD           Re9. no       17308 Design Report certified by               IraJ,Silverman                       P.E. Stase                     Reg. no.       23241 CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
: 9. Cold working pressure 3600 psiastIO1,F
N Certificate of Authorization No.                         N-2826                               ExpM -               10/11/05 Date -                           Ech.Aoiv Enelecsme of Cit-WrigAhePbw CoolCofp             Signed e                 (N Certificate Holder                                   (authorized represantaftve)
: 10. Hydrostatic test 5400 psi. Disk differential N/A test pressure
CERTIFICATE OF INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boler and Pressure Vessel Inspectors and the State or Province of                   Califomia                       snd employsd by                     HSB CT of                     Connecticut                             have inspected the pump, or valve, described In this Data Report on l   . t9Z         . and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code. Section III, Division 1.
_psi II. Remarks: Qly 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by JohnR.Sponsel, P.E. State MD Re9. no 17308 Design Report certified by IraJ,Silverman P.E. Stase Reg. no.
23241 CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
N Certificate of Authorization No.
N-2826 ExpM -
10/11/05 Date -
Enelecsme Ech.Aoiv of Cit-WrigAhePbw CoolCofp e
(N Certificate Holder Signed (authorized represantaftve)
CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boler and Pressure Vessel Inspectors and the State or Province of Califomia snd employsd by HSB CT of Connecticut have inspected the pump, or valve, described In this Data Report on l  
. t9Z  
. and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code. Section III, Division 1.
By signing this certificate; neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the component described in this Data 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.
By signing this certificate; neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the component described in this Data Report; Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
Date   /. &#xa3;390Signed               eiz     P ESo missions                         e (Auhorized Inspectori                         (Nat'l 3d. (nict. endotsements) and stae or prov. and no.1 (11For manually operated valves only.
Date /. &#xa3;390Signed eiz P ESo missions e
(Auhorized Inspectori (Nat'l 3d. (nict. endotsements) and stae or prov. and no.1 (11 For manually operated valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     611412004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1 of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-047b, MWO No. 1200200636 (address)                                                                 (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. WorkPerformedby:          Calvert Cliffs Nuclear Power Plant Dept.                          Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:            One (address)
611412004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:     System Number       041       System Name:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:         ASME B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,       Code Name of          Name of            Manufacturers        National                        Other                  Year Replaced, ox Stamped Componet     Manufacturer           Serial Number       Board No.                 Identification               Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Piping System       Bechtel               2"CC-5-1005         N/A       #11A Charging Line Stop Valve           1975       Repaired/Repi   No aced Pipe       DuBose National   400298 Ht.#: 8324H         N/A       Pipe, 2 In., Sch. 160, ASME SA-         2000      Replacement      No Energy Services                                          376, Tp. 316 Inc.
Unit:
Nut          Mackson Inc. 408227 Ht.#: S44018        NIA       Nut, Heavy Hex, 7/8 In.X 9 TPI,         2002      Replacement      No ASME SA-194 Gr. 2H AlIthread Rod      Mackson Inc. 410155 Ht.#: S20751        -N/A       Rod, Aluth read, 7/8 In. X 9 TPI,       2003      Replacement      No ASME SA-193 Gr. B7 Flange      Energy & Process    411064 Heat Code:          N/A       Flange, 2 In., 1500 lb., Large         2003      Replacement      No Corporation            XX13                          Tongue, Weld Neck, ASME SA-182, Tp. F 316
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-047b, MWO No. 1200200636 (address)
: 3. WorkPerformedby:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 2"CC-5-1005 N/A  
#11A Charging Line Stop Valve 1975 Repaired/Repi aced No Pipe Nut AlIthread Rod DuBose National Energy Services Inc.
Mackson Inc.
Mackson Inc.
400298 Ht.#: 8324H 408227 Ht.#: S44018 410155 Ht.#: S20751 411064 Heat Code:
XX13 N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 NIA Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Gr. 2H
-N/A Rod, Aluth read, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Weld Neck, ASME SA-182, Tp. F 316 2000 Replacement 2002 Replacement 2003 Replacement 2003 Replacement No No No No Flange Energy & Process Corporation
: 7. Description of Work:
: 7. Description of Work:
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-187, #11 Regen. Heat Exch. to #11A RCS Cold Leg Loop Check Valve.
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-187, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop Check Valve.
: 8. Tests Conducted:     Hydrostatic:. PneumaticC         Nominal Operating Pressure:       Inservice: E   Leakage: W     Functional:   E Pressure:    2355      psi.            Test Temperature:           74       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1I in., (2) information in Items 1through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:.
PneumaticC Pressure:
2355 psi.
Nominal Operating Pressure:
Inservice: E Leakage: W Functional: E Test Temperature:
74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1I 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.


Sheet2of 2 FORM NIS-2 (Back)
Sheet2of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements. A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report. A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements.
A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.
A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                   Repair/Reopacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Reopacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:             N/A Charles H.Ballard Signed:       G                                                     Engineering Technician         Date:   6/14/2004 Ownerror 6wrefiDesi-g e, Title Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9-A2 -03                     to S - XO &deg;           , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
G Engineering Technician Date:
6/14/2004 Own err or 6wrefiDesi-g e, Title Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9-A2 -03 to S - XO &deg;  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
OOci-JDz-I     4 - S 4in'/[l4 r-cv                 -
OOci-JDz-I 4  
cT,;- ,,d         5 PetYL -             -r-6           Commissions:   NA/ 'j&3 J.             M//7/< 8,'/
- S 4in'/[l4 r-cv cT,;-,,d 5 PetYL -
                          , nsnecto,'s Signature                                       National Board, State, and Endorsements Date:           /6           200       -
-r-6 Commissions:
NA/ 'j&3 J.
M//7/< 8,'/
, nsnecto,'s Signature National Board, State, and Endorsements Date:  
/6 200  


- .      I
I J
                          .            -            J FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
: 1. Owner.           Calvert Cliffs Nuclear Power Plant, Inc.                               Date:    6/1412004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
: 1. Owner.
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-048a, MWO No. 1200200640 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. WorkPerfornedby:          Calvert Cliffs    Nuclear Power Plant Dept.                  Authorization No.: N/A (name)
: 2. Plant:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:          Two (address)
Calvert Cliffs Nuclear Power Plant Date:
: 4. Identification of System:     System Number       041     System Name:       , Chemical Volume Control 5.(a) Applicable Construction Code and Class:         ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 1:
6/1412004 Sheet I of 2 Unit:
(b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-048a, MWO No. 1200200640 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,     Code Name of          Name of            Manufacturers      National                      Other                  Year Replaced, ot Stamped Componet     Manufacturer         Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 3. WorkPerfornedby:
Valve     Velan Engineering             SN: 1404         NIA       #1I Regen. Heat Exchanger Inlet       1975      Repaired/Repi  Yes Co.                                              Check Valve (Containment                               need Isolation)
Calvert Cliffs Nuclear Power Plant Dept.
Check Valve       Enertech Inc. 408934 SN: 11266       N/A       Valve, Nozzle Check, 2 In., 1500       2002     Replacement     Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark#
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 041 System Name:, Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 1:
(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, ot Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Engineering Co.
SN: 1404 NIA  
#1I Regen. Heat Exchanger Inlet Check Valve (Containment Isolation) 1975 Repaired/Repi need Yes Yes Check Valve Enertech Inc.
408934 SN: 11266 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark#
212M3N)
212M3N)
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work and parts needed to replace 1-CKVCVC-184, #11 Regen. Heat Exchanger Inlet Check Valve.
This plan was for the work and parts needed to replace 1-CKVCVC-184, #11 Regen. Heat Exchanger Inlet Check Valve.
: 8. Tests Conducted:   Hydrostatic:j]   PneumaticC       Nominal Operating Pressure:     Inservice: r   Leakage: 6     Functional:   a kPressure:    2355      psi.          Test T icnperatwe.         Z74       Dcg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:j]
PneumaticC kPressure:
2355 psi.
Nominal Operating Pressure:
Inservice: r Leakage: 6 Functional: a Test T icnperatwe.
Z74 Dcg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


                                                                                                                                          -I 1 j I_0 Sheet 2 of 2 FORM NIS-2 (Back)
-I 1
j I_0 Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI System Leakace Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section XI System Leakace Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached
Applicable Manufacturer's Data Reports to be Attached
                                                      -Certificate of Compliance We certify that the statements made in this. tOwnt tre correct and that this                 Repalr/Replacement conforms to the rules of the ASM IWde, Section X1.
-Certificate of Compliance We certify that the statements made in this. tOwnt tre correct and that this Repalr/Replacement conforms to the rules of the ASM IWde, Section X1.
Type Code Symbol Stamnp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H.Ballard Signed:                                                           Engineering Technician         Date:     6/14/2004 Ownmer ori5AersTsizhee, it 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 - a S -5O3 to 6 - rO 9Y                         , and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamnp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/14/2004 Ownmer ori5AersTsizhee, it 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 -a S -5O3 to 6 - rO 9Y  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DOAb)4,O A . Se-/ 1 ,6J4 F:ce ,A,..
DOAb)4,O A. Se-/ 1,6J4 F:ce,A,..
                  ,U1)L2_ai< PL-&                         Commissions:   /dC 9 831         ,         //7/     4-"11 A Insnctors Signature                                         National Board, State, and Endorsements Date:     t     1           200--
,U1)L2_ai< PL-&
Commissions: /dC 9 831,  
//7/
4-"11 A Insnctors Signature National Board, State, and Endorsements Date:
t 1
200--


FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
As Required by the Provisions of the ASME Code, Section III, DIv1slon I Pg. 1of.2...
As Required by the Provisions of the ASME Code, Section III, DIv1slon I Pg. 1of.2...
: 1. Manufactured and certified by Enertech, A Diy. of Curliss-Wright Flow Control Corp., 2950 Birch St.. Brea, CA 92821 (name d addresa     of N Certificate Holderl
: 1. Manufactured and certified by Enertech, A Diy. of Curliss-Wright Flow Control Corp., 2950 Birch St.. Brea, CA 92821 (name d addresa of N Certificate Holderl
: 2. Manufacted for             *Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address ef Purchaser)
: 2. Manufacted for  
: 3. Locationof installetion       Calvert Cliffs nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
*Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address ef Purchaser)
: 4. Model No., Series No., or Type               KRV               Drawing         MD20990           Rev.           A           CRl       None
: 3. Locationof installetion Calvert Cliffs nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 6. ASME Codo. Section RI, Division 1:                   1995                         1q96                     I                     NQne leditionl               leddends date)               (isasl         -  (Code Case .o.I
: 4. Model No., Series No., or Type KRV Drawing MD20990 Rev.
: 6. Pump or valve Nozzle Check Valve             Nominal Inlet size                               Outlet size             2 (in.)                                 oin.g
A CRl None
: 7. Material: Body                               Bonnet   ______________               DiskSA.-479 Type 318           Botn           N/A la)                         .. lb)                          , c)                              (d)                        (al Cert.                       Nat'l                            Body                        Bonnet                        Disk Holder's                       Board                            Serial                        Serial                      Serial Serial No.                       No.                             No.                           No.                         No.
: 6. ASME Codo. Section RI, Division 1:
11256                        None                          KNG-001                         None                      KNH-001 11257                        None                          KNG-002                          None                      KNH-002 11258                        None                          KNG-003                          None                      KNH-003 11259                        None                          KNG-004                          None                      KNH-004 11260                        None                          KNG-005                          None                        KNH-005 11261                        None                          KNG-006
1995 1q96 I
* None                         KNH-006 11262                        None                          KNG-007                          None                        KNH-007 11263                        None                          KNG-008                          None                        KNH-008 11264                        None                          KNG-009                          None                        KNH-009 11265                        None                          KNG-010                          None                        KNH-010 11266                        None                          KNG-011                          None                      KNH-01 1 11267                        None                          KNG-012                          None                      KNH-01 2 11268                        None                          KNG-013                          None                      KNH-013 11269                        None                          KNG-014                          None                      KNH-014 11270                        None                          KNG-O1 5                          None                      KNHII-015 11271                        None                        *KNG-016                          None                      KNH-016 11272                        None                          KNG-017                          None                      KNH-017 11273                        None                          KNG-018                          None                      KNH4018
NQne leditionl leddends date)
*Supptementai Information in form of Ustsasketches, br drawings may be used provided (II size Is 8 1 x 11, 12! Information In Items 1 through 4 on this Data Report is Included on each shoet, 13) each sheet Is numbered and the number of sheets Isrecorded at the top of this form.
(isasl (Code Case.o.I
112/88)         ThIs form IE000371 may be obtained from the Order Dept.. ASME. 22 Law Drive. Box 2300. Fairfield, NJ 07007 2300.             REPRINT W93
: 6. Pump or valve Nozzle Check Valve Nominal Inlet size Outlet size 2
 
(in.)
                                                                                                                                                    *I -t-AMNPV-1 IBack-Pg.2o:f 2 )                                               ''''        1 11256 thru Certificate Holder's Serial No.           11273
oin.g
: 8. Design conditions             2800               psi             250       _      or valve presaur dess                 1500 (pressure)                     ltemperature)
: 7. Material:
: 9. Cold working pressure               3600             psi at 1 o0F
Body Bonnet ______________
: 10. Hydrostatic test         540           psi. Disk differential test pressure                             N/A                           psi I1. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by           John R. Sponsel, I                 P.i State         MD           Fleg. no.       17308 Design Report certified by-                 Ira J, Silverman                   PE State           Ceg               no.       23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section Ill, Division 1.
DiskSA.-479 Type 318 Botn N/A la)
N Certificate of Authoritation No.                           N-2826                                                 10/11/05 Data                     Nmame me//6/A'3 Frb     ADhio !CwFtCo                             Signed               ?       d         Z INCertificate Holder)                                 (authorized representativei CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission Issued by the National Board of Bolrer and Pressure Vessel Inspectors and the State or Province of                     Caitomia                       and employ d by                     HSB CT of                       Connedicut                               have inspected the pump, or valve. described in this Data Report on l   5.     O            and state that to the best of my knowledge and bellel, the Certificate Holder has corn structed this pump. or valve, In acaordance with the ASME Code, Section III, Division 1.
Cert.
Holder's Serial No.
11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273
..lb)
Nat'l Board No.
None None None None None None None None None None None None None None None None None None
, c)
Body Serial No.
KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-O1 5
*KNG-016 KNG-017 KNG-018 (d)
Bonnet Serial No.
None None None None None
* None None None None None None None None None None None None None (al Disk Serial No.
KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-01 1 KNH-01 2 KNH-013 KNH-014 KNHII-015 KNH-016 KNH-017 KNH4018
*Supptementai Information in form of Ustsa sketches, br drawings may be used provided (II size Is 8 1 x 11, 12! Information In Items 1 through 4 on this Data Report is Included on each shoet, 13) each sheet Is numbered and the number of sheets Is recorded at the top of this form.
112/88)
ThIs form IE000371 may be obtained from the Order Dept.. ASME. 22 Law Drive. Box 2300. Fairfield, NJ 07007 2300.
REPRINT W93
* I -t-1
..AMNPV-1 IBack-Pg.2o:f 2 )
11256 thru Certificate Holder's Serial No.
11273
: 8. Design conditions 2800 psi 250 or valve presaur dess 1500 (pressure) ltemperature)
: 9. Cold working pressure 3600 psi at 1 o0F
: 10. Hydrostatic test 540 psi. Disk differential test pressure N/A psi I1. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by John R. Sponsel, I P.i State MD Fleg. no.
17308 Design Report certified by-Ira J, Silverman PE State Ceg no.
23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section Ill, Division 1.
N Certificate of Authoritation No.
N-2826 10/11/05 Data me//6/A'3 Nmame Frb ADh io !CwFtCo Signed  
?
d Z
IN Certificate Holder)
(authorized representativei CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission Issued by the National Board of Bolrer and Pressure Vessel Inspectors and the State or Province of Caitomia and employ d by HSB CT of Connedicut have inspected the pump, or valve. described in this Data Report on l
O
: 5.
and state that to the best of my knowledge and bellel, the Certificate Holder has corn structed this pump. or valve, In acaordance with the ASME Code, Section III, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described In this Data 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.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described In this Data 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.
Data               Signed     AE..                                 issions ComComm                      '>'a     ' ,0C4,%               2   '
Data Signed AE..
(Authorized Inspector)                         (Net'l. Wd. ncd.endorsements) and stats or prev. and no.)
ComComm issions  
(1)For manually oparatrd valves only.
'>'a  
',0C4,%
2 '
(Authorized Inspector)
(Net'l. Wd. ncd.
endorsements) and stats or prev. and no.)
(1) For manually oparatrd valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:      611412004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-048b, MWO No. 1200200640 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:      Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:            Two (address)
611412004 Sheet I of 2
: 4. Identification of System     System Number       041       SystemName:           ChemIcal Volume Control 5.(a)ApplicableConstructionCodeandClass:               ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,      Code Name of         Name of           Manufacturers         National                     Other                   Year Replaced, oi Stamped Componet      Manufacturer        Serial Number        Board No.                Identification              Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Piping System     Bechtel               2" CC-7-1009         N/A       Charging Pumps discharge piping         1975     Repaired/Repi    No to Containment Penatration #28.                         aced Pipe     DuBose National   400298 Ht.#: 8324H         N/A       Pipe, 2 In, Sch. 160, ASME SA-         2000    Replacement      No Energy Services                                        376, Tp. 316 Inc.
Unit:
Nut        Mackson Inc. 408227 Ht.#: S44018        NIA       Nut, Heavy Hex, 7/8 In.X 9 TPI,       2002      Replacement      No ASME SA-1 94 Gr. 2H Ailthread Rod    Mackson Inc. 410155 Ht.#: S20751        N/A       Rod, Allthread, 7/8 In. X 9 TPI,       2003      Replacement      No ASME SA-193 Gr. B7 Flange      DuBose National    409374 Ht. Code:        N/A       Flange, 2 In., 1500 lb., Large         2003      Replacement      No Energy Services            BHZ                          Tongue, Socketweld, ASME SA-Inc.                                              182, Gr. F316
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-048b, MWO No. 1200200640 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System System Number 041 SystemName:
ChemIcal Volume Control 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Piping System Bechtel 2" CC-7-1009 N/A Charging Pumps discharge piping 1975 to Containment Penatration #28.
Repaired/Repi aced No Pipe Nut Ailthread Rod DuBose National Energy Services Inc.
Mackson Inc.
Mackson Inc.
400298 Ht.#: 8324H 408227 Ht.#: S44018 410155 Ht.#: S20751 409374 Ht. Code:
BHZ N/A Pipe, 2 In, Sch. 160, ASME SA-376, Tp. 316 NIA Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-1 94 Gr. 2H N/A Rod, Allthread, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 2000 Replacement 2002 Replacement 2003 Replacement 2003 Replacement No No No No Flange DuBose National Energy Services Inc.
: 7. Description of Work:
: 7. Description of Work:
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-1 84, #11 Regen. Heat Exchanger Inlet Check Valve.
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-1 84, #11 Regen. Heat Exchanger Inlet Check Valve.
: 8. Tests Conducted:     Hydrostatic:[] Pneumaticf]       Nominal Operating Pressure:     Inservice: El   Leakage: i     Functional: al Pressure:    2355      psi.            Test Temperature:         74         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items 1through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[]
Pneumaticf]
Pressure:
2355 psi.
Nominal Operating Pressure:
Inservice: El Leakage: i Functional: al Test Temperature:
74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI Svstem Leakaae Test of the affected component was oerformed durina the system conditions listed in section 8. of this report.               Code Case N-416-2 was invoked to satisfy Section XI required pressure tests. Addtional Section III Examinations were performed (as applicable) to sahsfv Code Case N-416-2 and Rea.Guide 1.147.
A Section XI Svstem Leakaae Test of the affected component was oerformed durina the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached We certify that the statements made m s repon are correcxaa this                       Repair/Reolacement conforms to the rules of the ASME Code, Section Xl.
Code Case N-416-2 was invoked to satisfy Section XI required pressure tests. Addtional Section III Examinations were performed (as applicable) to sahsfv Code Case N-416-2 and Rea.Guide 1.147.
Type Code Symbol Stamp:           NIA Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:                                                            Engineering Technician       Date:   6/14/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod               9-S-03               to 8-t&deg;v           , and state to the best of my knowledge and belief, the 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.
Applicable Manufacturer's Data Reports to be Attached We certify that the statements made m s repon are correcxaa this conforms to the rules of the ASME Code, Section Xl.
Repair/Reolacement Type Code Symbol Stamp:
NIA Certificate of Authorization No.: N/A Expiration Date: N/A Signed:
Charles H. Ballard Engineering Technician Date:
6/14/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 9-S-03 to 8-t  
&deg;v  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
Da'J41D /1, SPI-PI/Df                 AL       q1Z reiAJ/   AFEZ Is"                                     Commissions: A &#xa3; 9
Da'J41D /1, SPI-PI/Df AL q1Z re iAJ/
* 3 I       . ,4-/) 1/7/       A.ta   /
AFEZ Is" Commissions: A &#xa3; 9
Da t Ae      00  '                                    A'6Natioaiioard State, and Endorsements Date:     G -&               200 C~-
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Date:
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A'6Natioaiioard State, and Endorsements


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                           Date:      611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address) z ., Plant+.
: 1. Owner:
        ...                Calvert Cllffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-049a, MWO No. 1200200641 (address)                                                              (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
apt. Type Code Symbol Stamp: N/A
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:          Calvert Cliffs Nuclear Power Plant D4 ap.Authorization No.: N/A (name)
Plant+.
Exp Date: N/A 1650 Calvert Cllffs Parkway, Lusby, MD 20657                                               Section XI Class:            One (address)
Calvert Cllffs Nuclear Power Plant Date:
: 4. Identification of Systemn     System Number       041     System Name:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:         ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I                                                                         I (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
611612004 Sheet I of 2 Unit:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Name of          Manufacturers        National                    Other                  Year Replaced, oi Stamped Cormponet     Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
One z.,...
Valve     Velan Engineering           SN: 4248         NIA       #11 Regen. Heat Exch. to U11A         1975      Repalred/Rept    Yes Co.                                              RCS Cold Leg Loop CV By Pass                           aced Check Valve Check Valve     Enertech Inc. 408934 SN: 11270       N/A       Valve, Nozzle Check, 2 In., 1500     2002     Replacement       Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark #
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
212M3N)                   -
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant D4 (name)
R&R No. 2003-1-049a, MWO No. 1200200641 (P.O. no., job no., etc.)
apt.
Type Code Symbol Stamp: N/A ap. Authorization No.: N/A Exp Date: N/A Section XI Class:
One 1650 Calvert Cllffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of Systemn System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I I
(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Cormponet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Engineering Co.
SN: 4248 NIA  
#11 Regen. Heat Exch. to U11A RCS Cold Leg Loop CV By Pass Check Valve 1975 Repalred/Rept aced Yes Check Valve Enertech Inc.
408934 SN: 11270 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark #
212M3N)
Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work needed to replace 1-CKVCVC-435, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop CV By Pass Check Valve.
This plan was for the work needed to replace 1-CKVCVC-435, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop CV By Pass Check Valve.
: 8. Tests Conducted:       Hydrostatic:5   PncumaticO       Nominal Operating Pressure:   Inservice: E   Leakage:R     Functional:fl Pressure:    2355      psi.          Test Temperature:         74       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:5 PncumaticO Pressure:
2355 psi.
Nominal Operating Pressure:
Inservice: E Leakage:R Functional:fl Test Temperature:
74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet2of 2 It7.                                             FORM NIS-2 (Back)
Sheet2of 2 It7.
FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                       Revalr[Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr[Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A         Expiration Date: N/A
Type Code Symbol Stamp:
                                                    ~elr           7Charles H. Ballard Signed:                                                                   Eni       ng Technician       Date:     6/16/2004 Owner or Owner's Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod /-1/103                             to (~//     0y             and state to the best of my knowledge and belief, the 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.
N/A Certificate of Authorization No.: N/A Expiration Date: N/A
~elr 7Charles H. Ballard Signed:
Eni ng Technician Date:
6/16/2004 Owner or Owner's Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod  
/-1/103 to
(~//
0y and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
b644     1 A -S43HfmH                         /f,,.
b644 1 A -S43HfmH  
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                    .. Insnector's Sian~ature                                           National Board, State, and Endorsements Date:   i -/ 7     -------2-0-0D--
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Yad //)1, 4O'WE r
JS r /Nt7i7o Br SA a
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ESS Insnector's Sian~ature National Board, State, and Endorsements Date:
i - / 7  
-------2-0-0D--


FORM NPV-1 CERTIFICATk HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the Provisions of the ASME Code, Section 111,                             Division I                   2 Pg. 1 oi.2..
FORM NPV-1 CERTIFICATk HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the Provisions of the ASME Code, Section 111, Division I 2
: 1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Inamerand eddrest of N Certficate Holder)
Pg. 1 oi.2..
: 2. Manufactured for             Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 Inarme and address of Prchaser)
: 1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Inamer and eddrest of N Certficate Holder)
: 2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 Inarme and address of Prchaser)
: 3. Locatlon of installation Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Iname and address)
: 3. Locatlon of installation Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Iname and address)
: 4. Model No., Series No., or Type               KRV             Drawing       MD20990           Rev.           A         CRN       None
: 4. Model No., Series No., or Type KRV Drawing MD20990 Rev.
: 6. ASME Cod, Sectlon* Ilt, Division 1:                 1995 I9                                 .                                      NoneWm ledition)             (addenda date)               (class)             (Code Case no.)
A CRN None
: 6. Pump or vave Nozzle Check Valve             Nominal Inlet slzo             2             Outlet size             2 on.)                                   (In.           N
: 6. ASME Cod, Sectlon* Ilt, Division 1:
: 7. Material: Body SA-479 Type 316 Bdninet                         N/A             Disk SX-479 TYPe 316             BolN/A (a)                         .. b)                            (c)                          (dl                          (a)
1995 I9 NoneWm ledition)
* Cart.                            Nat'I                         Body                        Bonnet                          DlsIk Holderes                        Board                       Serial                        Serial                        Serial Serial No.                       No.                           No.                          No.                          No.
(addenda date)
11256                          None                      KNG-001
(class)
* Non                          KNH-001 11257                          None                      KNG-002                         None                      KNH-002 11258                          None                      KNG-003                         None                      KNH-003 11259                          None                      KNG-004                         None                      KNH-004 11260                        .None                      KNG-005                         None                      KNH-005 11261                          None                      KNG406                     . None                        KNH 006 11262                          None                      KNG-007                         None                      KNH-007 11263                          None                      KNG-008                         None                      KNH-008 11264                          None                      KNG-009                         None                      KNH-009 11265                          None                      KNG-O1 0                       None                      KNH-010
(Code Case no.)
* 11266                          None                      KNG-01 1                       None                      KNH-011 11267                          None                      KNG-012                         None                      KNH-012 11268                          None                    *KNG-013                           None                      KNH-013 11269                          None                      KNG-014                         None                      KNH-014 11270                          None                      KNG-015                         None                      KNH-015 11271                          None                      *KNG-016                         None                       KNH-01 6
: 6. Pump or vave Nozzle Check Valve Nominal Inlet slzo 2
* 11272                          None                      KNG-017                        None                      KNH-017 11273                          None                      KNG-018                        None                      KNH-018
Outlet size 2
* Supplamentdl Information in form of lists, sketches. br drawings may be used provided (1) size Is 81$ x 11, (2) information In iems 1 through 4 on this Data Report Is Included on each sheet. (3)each sheet is numbered end the number of sheets Is recorded at the top of this forn.
on.)
(12)88)         This form iE000371 may be obtained from the Order Dept.. ASME, 22 Law Drive, 3ox 2300, Fairfield, NJ 07007-2300.           htPINTOW4
(In.
: r. - -
N
IM NPV-1 (Back -Pg. 2 of                   2 .)
: 7. Material:
o 'S             11256th7
Body SA-479 Type 316 Bdninet N/A Disk SX-479 TYPe 316 BolN/A (a)
                                                                  ... ICertificate                 Hoideres Serial No.           11273 S. Design conditions               2800       _                    250       _      F or valve pressure dass                   1600         11)
* Cart.
(pressure)                   Itemperature)
Holderes Serial No.
: 9. Cold working pressure               3600           psi at 1I 60F
11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273
: 10. Hydrostatic test           5400         psi. Disk differential test pressure                             N/A                         IPsI I1. Remarks:   Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN DesignSpecificationcertifiedby             John R. Sponsel, 11               P.E. Ste           MD           Rg. no.         17308 Design Report certified... by             Ir   J. Silverman                         Saeng CA                  o 23241 CERTIFICATE OF COMPUANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
.. b)
N Certificate of Authoiation No                             N-2826                                                   110/11/05 Dato                       Name     E     Deiv.
Nat'I Board No.
Ane C)'k
None None None None
* FowC     Cop         Signed.
.None None None None None None None None None None None None None None (c)
(NCenimicate Holderl                                   (authorized representaftv)
Body Serial No.
CERTIFICATE OF INSPECTION 1I the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the Stat. or Province of                     California                    and emp ed byBCT of                         Connecticut                           have Inspected the pump, or valve, described in this Data Report on
KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG406 KNG-007 KNG-008 KNG-009 KNG-O1 0 KNG-01 1 KNG-012
*KNG-013 KNG-014 KNG-015
* KNG-016 KNG-017 KNG-018 (dl Bonnet Serial No.
* Non None None None None
. None None None None None None None None None None None None None (a)
DlsIk Serial No.
KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH 006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-011 KNH-012 KNH-013 KNH-014 KNH-015 KNH-01 6 KNH-017 KNH-018
* Supplamentdl Information in form of lists, sketches. br drawings may be used provided (1) size Is 81$ x 11, (2) information In iems 1 through 4 on this Data Report Is Included on each sheet. (3) each sheet is numbered end the number of sheets Is recorded at the top of this forn.
(12)88)
This form iE000371 may be obtained from the Order Dept.. ASME, 22 Law Drive, 3ox 2300, Fairfield, NJ 07007-2300.
htPINTOW4
: r.
IM NPV-1 (Back -Pg. 2 of 2.)
o 'S 11256th7 ICertificate Hoideres Serial No.
11273 S. Design conditions 2800 250 F or valve pressure dass 1600 11)
(pressure)
Itemperature)
: 9. Cold working pressure 3600 psi at 1I 60F
: 10. Hydrostatic test 5400 psi. Disk differential test pressure N/A IPsI I1. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN DesignSpecificationcertifiedby John R. Sponsel, 11 P.E. Ste MD Rg. no.
17308 Design Report certified by Ir J. Silverman CA 23241 Saeng o
CERTIFICATE OF COMPUANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
N Certificate of Authoiation No N-2826 110/11/05 Dato Name E
Ane C)'k Deiv.
FowC Cop Signed.
(N Cenimicate Holderl (authorized representaftv)
CERTIFICATE OF INSPECTION 1I the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the Stat. or Province of Californi a and emp ed byBCT of Connecticut have Inspected the pump, or valve, described in this Data Report on
* 1
* 1
* OT5 , and state that to the best of my knowledge and belief, the Certificate Hold'er has con-structed this pump, or valve, In accordance with the ASME Cods, Section III, DivIsIon 1.
* OT5  
, and state that to the best of my knowledge and belief, the Certificate Hold'er has con-structed this pump, or valve, In accordance with the ASME Cods, Section III, DivIsIon 1.
By signing this certiflcate; neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data 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.
By signing this certiflcate; neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
Date -bL0L350SIgned           A(Authorized 7Inspector        ommissions             eA4                   pJ864wA (Nael. 8d. lincL endorsements) and stat or prov. and nol
Date -bL0L350SIgned A 7
ommissions eA4 pJ864wA (Authorized Inspector (Nael. 8d. lincL endorsements) and stat or prov. and nol
: 1) For manually operated valves only.
: 1) For manually operated valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provislons of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provislons of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                         Date:       611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet I of g (addess)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                               unit.       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                   R&F   RNo. 2003-1-049b, MWO No. 1200200641 (address)                                                         (P.O. no.,job no., e*c.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp:           NA
(name)
: 3. WorkPerformedby:            Calvert Cliffs Nuclear Power Plant Dept.                  Authorization No.: N/A (name)
Date:
Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                             SectionXI Class:           One (addess)
611612004 Sheet I of g 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addess)
: 4. Identification of System:       SystemNumber         041   SystemName:       Chemical Volume Control 5.(a) Applicable Construction Code and Class:           A.SME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for RepairslReplacement                                           1998 Edition Identificatidon of Components Repaired or Replaced ind Replacement Components:                                     .. .            ASME.
: 2. Plant:
Rcpaired,     Code Name of          Name of            Manufacturers      National                  Other                  Year Replaced, o: Stamped Componet      Manufacturer            Serial Number    BoardNo.              Identification              Built Replacemer (Yes or No)
Calvert Cliffs Nuclear Power Plant (name) unit.
Piping System       Bechtel               2"CC-5-1006     N/A     #11 Regen. Heat Exch. to II1A         1975      Repalred/Rept    No RCS Cold Leg Loop CV By Pass                           aced piping Pipe      DuBose National      400298 E1.0s 324E    N/A     Pipe, 2 In., Sch. 160, ASME.SA-       2000      Replacement
One R No. 2003-1-049b, MWO No. 1200200641 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&F (address)
* No Energy Services                                  376, Tp. 316 Inc.
: 3. WorkPerformedby:
Nut          Mackson Inc.      408227 Ht: 54401S      N/A     Nut, Heavy Rex, 7/8 In. X 9 TPI,       2002    Replacement      No ASMESA-194 Gr.2H Allthread Rod      Macksou Inc.      410155 EtA. S20751    N/A     Rod, Ailthread, 7/8 In. X 9 TPI,       2003    Replacement      No ASME SA-193 Gr. B7
Calvert Cliffs Nuclear Power Plant Dept.
            'Flange      Energy & Process    411064 Beat Code:      N/A   Flang, 2 In, 1500 lb., Large           2003      Replacement      no
(name)
                      -    Corporation              XX13                  Tongue, Weld Neck, ASME SA-182, Tp. F 316 Reducing Tee    Energy & Process    411064 Ht: 70802      NIA     Tee, Reducing, 2 In. X 314 In.,       2003      Replacement      No Corporation                                    Sc.I60, butt weld, ASME SA-403, Gr. WP316 Plate        Energy Steel &        402572 Ht.:        N/A     Plate, Steel 1/4 In. X 48 In. X 96     2001      Replacement      No Supply Co.            832N34270                In., ASME SA-36 Pipe      Tloga Pipe Supply  402564 Et.#: L42618    NIA   Pipe, 3/4 In. Sch. 160, ASME SA-       2001      Replacement      No Co. Inc.                                    376, Tp. 316
(P.O. no.,job no., e*c.)
Type Code Symbol Stamp: NA Authorization No.: N/A Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657 SectionXI Class:
One (addess)
: 4. Identification of System:
SystemNumber 041 SystemName:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
A.SME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for RepairslReplacement 1998 Edition Identificatidon of Components Repaired or Replaced ind Replacement Components:
ASME.
: Rcpaired, Code Year Replaced, o: Stamped Built Replacemer (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National BoardNo.
Other Identification Piping System Bechtel 2"CC-5-1006 Pipe DuBose National Energy Services Inc.
Nut Mackson Inc.
Allthread Rod Macksou Inc.
'Flange Energy & Process Corporation Reducing Tee Energy & Process Corporation Plate Energy Steel &
Supply Co.
Pipe Tloga Pipe Supply Co. Inc.
400298 E1.0s 324E 408227 Ht: 54401S 410155 EtA. S20751 411064 Beat Code:
XX13 411064 Ht: 70802 402572 Ht.:
832N34270 402564 Et.#: L42618 N/A  
#11 Regen. Heat Exch. to II1A RCS Cold Leg Loop CV By Pass piping N/A Pipe, 2 In., Sch. 160, ASME.SA-376, Tp. 316 N/A Nut, Heavy Rex, 7/8 In. X 9 TPI, ASMESA-194 Gr.2H N/A Rod, Ailthread, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flang, 2 In, 1500 lb., Large Tongue, Weld Neck, ASME SA-182, Tp. F 316 NIA Tee, Reducing, 2 In. X 314 In.,
Sc.I60, butt weld, ASME SA-403, Gr. WP316 N/A Plate, Steel 1/4 In. X 48 In. X 96 In., ASME SA-36 NIA Pipe, 3/4 In. Sch. 160, ASME SA-376, Tp. 316 1975 Repalred/Rept aced No 2000 Replacement 2002 2003 Replacement Replacement 2003 Replacement 2003 Replacement 2001 Replacement 2001 Replacement
* No No No no No No No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-435, #I11 Regen. Heat Exch. to #11A RCS Cold Leg Loop CV By Pass Check Valve.
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-435, #I11 Regen. Heat Exch. to #11A RCS Cold Leg Loop CV By Pass Check Valve.
NOTE: Supplemental sheets in form of lists, sketches, or drawings maybe used, provided (1) size is 8-1/2 in x l lin., (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.
NOTE: Supplemental sheets in form of lists, sketches, or drawings maybe used, provided (1) size is 8-1/2 in x l lin., (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.


Sheetgpf .-
Sheetgpf.-
fib                                                   FORM NIS-2 (Back)
fib FORM NIS-2 (Back)
: 8. Tests Conducted:       HYdostatic:O     PneumaticO       Nominal Operating Pressure:     is ervice: 0   Leakage: E     Functional: a Pressure:    2355      psi.              Test Temperature:       74       Deg. F
: 8. Tests Conducted:
HYdostatic:O PneumaticO Pressure:
2355 psi.
Nominal Operating Pressure:
is ervice: 0 Leakage: E Functional: a Test Temperature:
74 Deg. F
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was oerformed to satisfv Section Xi Pre-Service NDE Requirements. A Section XI System Leakaqe Test of the affected component was Performed durina the system conditions listed In section 8. of this report. A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system belna returned to service. A Section Xi Surface Examination of the affected component was oerformed to satisv Section Xl Pre-Service Requirements.                 Code Case N-416-2 was Invoked to satisfy Section XI required oressure tests. Addtlonal Section IlIl Examinations were performed fas applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was oerformed to satisfv Section Xi Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                       Renalr/Repfacernent conforms to the rules of the ASM Code, Section XI.
A Section XI System Leakaqe Test of the affected component was Performed durina the system conditions listed In section 8. of this report.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:             N/A Charles H. Ballard Signed:   &deg;                                                             Engineering Technician           Date:   6/16/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period // -/3 -03                 to     6-// " 5             , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system belna returned to service.
A Section Xi Surface Examination of the affected component was oerformed to satisv Section Xl Pre-Service Requirements.
Code Case N-416-2 was Invoked to satisfy Section XI required oressure tests. Addtlonal Section IlIl Examinations were performed fas applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASM Code, Section XI.
Renalr/Repfacernent Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:  
&deg; Charles H. Ballard Engineering Technician Date:
6/16/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period // -/3 -03 to 6 -// " 5  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
b00J4t4O4. Sp4k1e Ait ,I,2.
b00J4t4O4. Sp4k1e Ait,I,2.
Ar AdVUJ?_Zt I s                                       Commissions:       AOld 963 / / Alm)I //7/J 4A //
Ar AdVUJ?_Zt I s 69 6'-~
69        -
1/-0Z/
6'-~  1/-0Z/                                    Nai 2a B r ,7 aX an Endorse ment ao Inspectoes sigatr                                                National Board, State, and Endorsements Date:      6;- / ^7          200 VIsr
Inspectoes sigatr Date:
6;- / ^7 200 VIsr Commissions:
AOld 963 / / Alm)I  
//7/J 4A //
N a i a B ao r
2
,7 aX an E n d orse m ent National Board, State, and Endorsements


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     0113012003 (namne) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (add)ss)
: 1. Owner:
: 2. Plan                 Calvert Cliffs Nuclear Power Plant                                   Unit-       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2002-1-049b, MWO No. 1200202505 (add=s)                                                               (P.O. no, job no, ect.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. WorkPerformedby:         Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamp:         Y (namc)                                               Authorization No.: N/A Exp Date: M 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Sectio XI Class:           Two (address)
Date:
: 4. IdentificationofSystem:       SystemNumber         041     SystemName:           Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:           ASME Draft Code for Pumps & Valves, 1968 EditIon, March 1970 Add; Class Two (b) Applicable SectXI Ed. for Repairs/Replacement                                               1998 Edition
0113012003 (namne) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (add)ss)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,     Code Name of         Name of             Manufacturers       National                     Otiher                 Year Replaced,oi Stamped Componet       Manufacturer           Serial Number     Board No.                 Identification             Built Replacemm (Yes or No)
: 2. Plan Calvert Cliffs Nuclear Power Plant Unit-One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-049b, MWO No. 1200202505 (add=s)
Valve     Velan Engineering                               NIA       #12 Charging Pump Discharge           1975     Repalred/Repl   Yes Co.                                                 Isolation Valve                                       sced Gate Valve   Velan Engineering       90585-GX SN:           NIA       Valve, Gate, 2 In.1690 lb.; ASME     1994   Replacement     Yes Co.                 951075-1                     SA-1S2 Tp. F316
(P.O. no, job no, ect.)
: 3. WorkPerformedby:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: Y (namc)
Authorization No.: N/A Exp Date: M 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Sectio XI Class:
Two (address)
: 4. IdentificationofSystem:
SystemNumber 041 SystemName:
Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:
ASME Draft Code for Pumps & Valves, 1968 EditIon, March 1970 Add; Class Two (b) Applicable SectXI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Otiher Year Replaced,oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemm (Yes or No)
Valve Velan Engineering NIA  
#12 Charging Pump Discharge 1975 Repalred/Repl Yes Co.
Isolation Valve sced Gate Valve Velan Engineering 90585-GX SN:
NIA Valve, Gate, 2 In. 1690 lb.; ASME 1994 Replacement Yes Co.
951075-1 SA-1S2 Tp. F316
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve.
This plan was for the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve.
: 8. Tests Conducted:     HYdrostatic:Q     PCumalicf         Nominal Operating Pressure:   bIservice: [1 Leakage:R       FunctionaL 5 Pressure:     2300       psi.           Test Temperature:       118       Deg. F NOTE: Supplemental sheets in fonn of lists, sketches, or drawings maybe used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form
: 8. Tests Conducted:
HYdrostatic:Q PCumalicf Nominal Operating Pressure:
bIservice: [1 Leakage:R FunctionaL 5 Pressure:
2300 psi.
Test Temperature:
118 Deg. F NOTE: Supplemental sheets in fonn of lists, sketches, or drawings maybe used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form


                                                                                                                                          - k7U Sheet2of 2 FORM NIS-2 (Back)
k7U Sheet2of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
Code Case N-416-1 was invoked to satisfy Section Xi required Pressure tests. Addtlonal Section il Examinations were performed (as aDDlicable) to satisfv Code Case N-41-1 and Req.Gulde 1.147.
Code Case N-416-1 was invoked to satisfy Section Xi required Pressure tests. Addtlonal Section il Examinations were performed (as aDDlicable) to satisfv Code Case N-41-1 and Req.Gulde 1.147.
Applicable Manufacturer's Data Reports to be Atached Certificate of Compliance We certi dat the statements made in this report are corTect and that this       Repair/Replacement       confotmso the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Atached Certificate of Compliance We certi dat the statements made in this report are corTect and that this Repair/Replacement confotmso the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate ofAuthorization No.: N/A Expiration Date: N/A 00         <Charles                         H.Ballard Signed:                                                             Engineerng Tchnician         Date:     01/30/2003 Owner or Ownees Designce. rite     I Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel inspectors and the Statepf Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described in this Owner's Report during                   L.
Type Code Symbol Stamp:
                                                          , the period l 3      4 3/<     to ;ZL2 / A9               and state to the best of my knowledge and belief, the Owner has performed exaninations and taken correctve measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
N/A Certificate ofAuthorization No.: N/A Expiration Date: N/A 00  
<Charles H. Ballard Signed:
Engineerng Tchnician Date:
01/30/2003 Owner or Ownees Designce. rite I
Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel inspectors and the Statepf Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described in this Owner's Report during the period l L.
4 3/< to ;ZL2  
/
A9 3
and state to the best of my knowledge and belief, the Owner has performed exaninations and taken correctve measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any wanrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthennore, neither the Inspector nor his employer shall be liable in any mamer for any personal injury or property damage of a loss of any kind arising fkom or connected with this inspection
By signing this certificate neither the Inspector nor his employer makes any wanrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthennore, neither the Inspector nor his employer shall be liable in any mamer for any personal injury or property damage of a loss of any kind arising fkom or connected with this inspection
                            /f                               Commissions: PA z
/f Commissions: PA z
* iso6I d! S, 4A.                        5**37 lnspectoeis Sigature                                       National Board, State. ia Endorsements Date: 2.. t             20013
* iso6 4A. I S,
d!
5**37 lnspectoeis Sigature National Board, State. ia Endorsements Date: 2..
t 20013


  .V ri I                                                     -I
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DATA PACKAGE NO.                         _95075                   P.7 FORM WPV.-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUmPS OR VALVES
DATA PACKAGE NO.
* An Required by the Provisions of the ASHE Code, Section 1U3, Division I Pa.
_95075 P.7 FORM WPV.-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUmPS OR VALVES
I of             2
* An Required by the Provisions of the ASHE Code, Section 1U3, Division I Pa. I of 2
: 1. manufactured and certt iled                     by       VEIM ruNC. 2125 IWARD AVE. MTh.                           QXNADA m sad addess of N Cafiicakt Holder)
: 1. manufactured and cert
: 2. manufactured fos_                    BALTIMORE GAS   _- _& _ELECTRIC_ _ c , P.O._ BOX     - _ 1472_ _ BALTYMORM.
: 2. manufactured fos_
                                                                                                                      , _ . .
t iled by VEIM ruNC. 2125 IWARD AVE.
* Mfl        ^ &2ii20v a
MTh.
: 3. Location of installIon                       eVERT CIIFFS NUCLEAR PLANT NORTH OF LUSBY.
QXNADA m sad addess of N Cafiicakt Holder)
CA                                                                              MD. 206S7 anmc nd adds)
BALTIMORE GAS & ELECTRIC P.O. BOX 1472 BALTYMORM. Mfl 2ii20
: 4. Modal No., Series No., or Types -GATE                                 Drawin         P-76800-a22 Rev                       FL     ciw CR..         _A
_ _ _ _ c,
: 5. ASS       Code,     Section U!, Dirision Is a                         1989                 NOE-             .                                    /A (edito             (addcnda date)             (class)           (Codcase Cm o.)
* ^ & v a
: 6. Pump or valve               NAM             Nominal inlet size                     2       Outlet sire                     2v M.)                                 W
: 3. Location of installIon CA eVERT CIIFFS NUCLEAR PLANT NORTH OF LUSBY.
: 7. materials Body              SA-182.F316        Boet        SA-l82.F316 Disk SA-351.CFEM Bolting SA-54.,6o3 SA-194 .6 (a)                              (b)                            (C)                              (d)                                  (e)
MD.
Cert.                          Nat' 1                        Body                              Bonnet                              Disk Holder' a                            Board                      Serial                              Serial                          Serial Serial No.                              NO .                          No.                                  No.                                No.
206S7 anmc nd adds)
u51075-1 w                            N/A                  - I/Cl E-ER                    _    H/C:      ADU                  - X/C ; 03R_
: 4.
Modal No., Series No., or Types -GATE Drawin P-76800-a22 Rev FL CR..
ciw
_A
: 5. ASS Code, Section U!, Dirision Is a 1989 NOE-  
/A (edito (addcnda date)
(class)
(Codcase Cm o.)
: 6. Pump or valve NAM Nominal inlet size 2
Outlet sire 2v M.)
W
W
                &sect;9   75- .,
: 7. materials Body SA-182.F316 Boet SA-l82.F316 Disk SA-351.CFEM Bolting SA-54.,6o3 SA-194.6 (a)
4'                                     91.
Cert.
                                                                            ----      a- Wsg                 ass       e~is                     S tflfls.
Holder' a Serial No.
w=  ==-
u51075-1 w
suppw=a     lal rmation In frbm of =ss, wces, or drwaings may be Used provided (1) sIe I s 12 x I 1, (2)Inhformtln In Item: I trough4 on this Da         Rep=o isIncjuded o each ,ee;(3) each shd Is sumbered and the number of ahee4 is recorded at t Itop of tld5 fbrm.
&sect; 9 75-.,
(12133)         ThMfrm (E0037) may be obtained from te Order Dept, ASM, 22 L&W DBZVE< BOX 2300 Fairfield, M 07007-2300.
w=
 
==-
(b)
Nat' 1 Board NO.
N/A (C)
Body Serial No.
- I/Cl E-ER W
a-Wsg (d)
Bonnet Serial No.
H/C: ADU 4'
ass e~is (e)
Disk Serial No.
- X/C ; 03R_
91.
S tflfls.
suppw=a lal rmation In frbm of =ss, wces, or drwaings may be Used provided (1) sIe I s 12 x I 1, (2)
Inhformtln In Item: I trough4 on this Da Rep=o is Incjuded o each,ee; (3) each shd Is sumbered and the number of ahee4 is recorded at t Itop of tld5 fbrm.
(12133)
ThM frm (E0037) may be obtained from te Order Dept, ASM, 22 L&W DBZVE< BOX 2300 Fairfield, M 07007-2300.
1.
1.


0       '                                                                            ;t FORQ MV-1 (Back - Pg. 2 of                   2                                                 .7 Certificate Rolder's SBezrial No.               951075
0  
: 8. Design conditions .100
;t FORQ MV-1 (Back - Pg. 2 of 2  
_405S              ps psi              _    o valve pressure class or                                    1690     (1)
.7 Certificate Rolder's SBezrial No.
(PraUM)               oacmnro))
951075
: 9. Cold working pressure             405       ,    psi at 100?*
: 8. Design conditions _405S psi
: 10. Bydrostatis teat _     6350           psi. Disk differential teat pressure                 46S0             pSi
.100 o
: 11. Remarks s     MATBRIALS ?MBBT ASMR SMCI N Il           MDITIO: 1989   ADDENDA2       NXON CZRTZPICkU OP D3SS62 Design Specification certified by             J.M. FARRBTJ       P.Z. State       OUR     Reg. no. 30032 Design report certified by               S. ____TSKY           P.R. State _QgL_         Reg. no. 22125 CRRTI1ZCAT3 OP COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASMB Code, Section IIU, Division 1.
ps or valve pressure class 1690 (1)
N Certificate of Authorization No. .             N-2797-1                     REpires         MAY 2.95 Date         2             N Zlame           VULAN INC.             Signed   c       v4..       =
(PraUM) oacmnro))
(- -- OCmaCfa Holdv(*                                 zcp=roseudh)
: 9. Cold working pressure 405 psi at 100?*
CZRTIPICATS   OW 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                       OUEBBC                     and employed by       PROVIWCE                 of       OUEBRC!           have inspected the pump, or valve, described in this Data Report on               -- o- Z.F               , and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section III, Division 1.
: 10. Bydrostatis teat _
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied,         concerning the component described in                 this Data Report.
6350 psi. Disk differential teat pressure 46S0 pSi
: 11. Remarks s MATBRIALS ?MBBT ASMR SMCI N Il MDITIO: 1989 ADDENDA2 NXON CZRTZPICkU OP D3SS62 Design Specification certified by J.M. FARRBTJ P.Z. State OUR Reg. no.
30032 Design report certified by S. ____TSKY P.R. State _QgL_ Reg. no. 22125 CRRTI1ZCAT3 OP COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASMB Code, Section IIU, Division 1.
N Certificate of Authorization No..
N-2797-1 REpires MAY 2.95 Date N
2 Zlame VULAN INC.
Signed c v4..  
=
(- -- OCmaCfa Holdv(*
zcp=roseudh)
CZRTIPICATS OW 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 OUEBBC and employed by PROVIWCE of OUEBRC!
have inspected the pump, or valve, described in this Data Report on  
-- o-Z.F  
, and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section III, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data 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 thia inspection.
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 thia inspection.
Date         2-  Si-&deg;z-.
Date Si-&deg;z-.
ssgn                                   9     s___Cosml ons
2-ssgn s___Cosml 9
                                                              'ozc0t         (Ki. Rd. ancL wdorment) ad s'ats ogpQCm.ad o)
ons
'ozc0t (Ki.
Rd. ancL wdorment) ad s'ats og pQCm.
ad o)
(1) For manually operated valves only.
(1) For manually operated valves only.
RAYMOND LA'C.;CN                     D RPtIE OU aArMENTsLu C'J&#xa3;3,C
RAYMOND LA'C.;CN D
RPtIE OU aArMENTsLu C'J&#xa3;3,C


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi Caivert Cliffs Nuclear Power Plant, Inc.
: 1. Owner              Caivert Cliffs Nuclear Power Plant, Inc.                                 Date:       0113012003
: 1. Owner
(_M) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1oftL
(_M) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addrss)
                ...                      (addrss)
.Caivert Cliffs Nuclear Power Plant Date:
: 2. Plant              .Caivert Cliffs Nuclear Power Plant                                         unit..     One (name) 1660 Calvert Cliffs Parkway; Lusby, MD 20657                                          R&R No. 2002-1-049c, MWO No. 1200202505 (address)                                                                   (P.O. nojob no, etc.)
0113012003 Sheet 1 of tL unit..
Type Code Symbol Starop: NIA
One R&R No. 2002-1-049c, MWO No. 1200202505
: 3. WorkPerformedby:          Cavert Cliffs Nuclear Power Plant Dept.                            Authorization No.: ;Q, (name)
: 2. Plant (name) 1660 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Exp Date: NIA 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                    Section Xl Class:             Two (address)
: 3. WorkPerformedby:
: 4. Identification of System:     SystemNumber           041     SystemName:             Chemical Volume Control 5.(a) Applicable Construction Code and Class:             ASME   B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement                                     -
Cavert Cliffs Nuclear Power Plant Dept.
1998 Edition
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                         -.      -
(P.O. nojob no, etc.)
                                                                                                                                                * . ASME
Type Code Symbol Starop: NIA Authorization No.: ;Q, Exp Date: NIA Section Xl Class:
                                                                                                                                - -Repaired,         Code Name of          Name of              Manufacturers        National                      Other                    Year Replaced, ot Stamped Componet       Manufacturer             Serial Number       Board No.                 Identification                 Built Replacemer        (Yes or No)
Two
Piping System       Bechtel                       NIA           N/A       f12 ChargIng Pump Discharge               1975      -RepalredtRepl      No Piping                                                   aced Pipe        Consolidated        20439 HeatN 447/        NIA       PIpe, 2 In.Sch. 160, ASME SA-             1998      Replacement        No Power Supply                  XBJ                        376Tp.316 Reducer Insert      Ladish Co.          FP8588 Heat Code:        N/A       Reducer, Insert. 2 In. X 3/4 In,           1973      Replacement        No D6MC Hl                      ASME SA-182, Gr. F316, Socketweld, 6000 lb.
: 4. Identification of System:
Tee        DcBose National        54906-GX Heat          N/A       Tee, 2 In., 6000 lb., ASME SA-           1992      Replacement        No Energy Services            Code: RV                      112, Tp. F316, Socket Weld Inc.
SystemNumber 041 SystemName:
Pipe Strap    Anvil Internatonal            34757            N/A       Strap, Pipe Guide, 2 In, Part# 2         1999      Replacement        No Inc. (Grinnell Pipe                                        of PG-44 en Drwg.# FSK-MP-Supports)                                              0S71SH 005 &6 Elbow          Consolidated        408879 Heat Code:        N/A       Elbow, Pipe, 2 In., 45 Deg, 6000         2002      Replacement        No Power Supply                  MA                        lb, Socketweld, ASME SA-12, Gr. F316
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:  
*. ASME
- -Repaired, Code Year Replaced, ot Stamped Built Replacemer (Yes or No)
Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel NIA Pipe Reducer Insert Consolidated Power Supply Ladish Co.
Tee DcBose National Energy Services Inc.
Pipe Strap Anvil Internatonal Inc. (Grinnell Pipe Supports)
Elbow Consolidated Power Supply 20439 HeatN 447/
XBJ FP8588 Heat Code:
D6MC Hl 54906-GX Heat Code: RV 34757 408879 Heat Code:
MA N/A f12 ChargIng Pump Discharge Piping NIA PIpe, 2 In. Sch. 160, ASME SA-376Tp.316 N/A Reducer, Insert. 2 In. X 3/4 In, ASME SA-182, Gr. F316, Socketweld, 6000 lb.
N/A Tee, 2 In., 6000 lb., ASME SA-112, Tp. F316, Socket Weld N/A Strap, Pipe Guide, 2 In, Part# 2 of PG-44 en Drwg.# FSK-MP-0S71SH 005 &6 N/A Elbow, Pipe, 2 In., 45 Deg, 6000 lb, Socketweld, ASME SA-12, Gr. F316 1975
-RepalredtRepl aced 1998 Replacement 1973 Replacement 1992 Replacement 1999 Replacement 2002 Replacement No No No No No No
: 7. Description of Workc This plan was for the use of the parts listed herein to support the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve. This plan also covers any work on supports/hangers needed to support this work.
: 7. Description of Workc This plan was for the use of the parts listed herein to support the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve. This plan also covers any work on supports/hangers needed to support this work.
: 8. Tests Conducted. Hydrostatic:o     Pneumatico         Nominal Operating Pressure:     Inservice:   Ol   Leakage. O     Functional C3 Pressure:      2300        psi.          Test Temperature:         118           Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-l/2 in. x I I 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.
: 8. Tests Conducted.
Hydrostatic:o Pneumatico Nominal Operating Pressure:
Inservice: Ol Leakage. O Functional C3 Test Temperature:
118 Deg. F Pressure:
2300 psi.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-l/2 in. x I I 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.


Sheet:kof a FORM NIS-2 (Back)
Sheet:kof a FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
Code Case N-416-1 was Invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were oerformed (as apalicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.
Code Case N-416-1 was Invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were oerformed (as apalicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance           _  _    __      _
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance W certi that the statements made in this report are correct and that tis ReoallRenlacemnt conoms to the rules of the ASME Code, Section XI.
W certi that the statements made in this report are correct and that tis     ReoallRenlacemnt         conoms to the rules of the ASME Code, Section XI.
Type Code Symibol Stamp:
Type Code Symibol Stamp: N/A Certificate ofAuthorization No.: NIA Expiration Date: N/A Charles H.Ballard Signed:                                                           Engieering Technician         Date     01/30/2003 Owner or Owne sDesl ne;Titfe
N/A Certificate ofAuthorization No.: NIA Expiration Date: N/A Charles H. Ballard Signed:
      .      ..                                  Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectoms and the State of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components descnbedin ffiis Owner's Report ding the period /64               /I.2.     -to _2j//o3                   , and state to the best of my knowledge and belief, the Owner has performed examinations and taken correctve rrteasureu described in this Owner's Report in accordance with the requirernents of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any wamnt, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal inxury or property damage of a loss of any kind arising forn or connected with this inspection.
Engieering Technician Date 01/30/2003 Owner or Owne sDesl ne;Titfe Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectoms and the State of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components descnbedin ffiis Owner's Report ding the period /64 /I.2. -to _2j//o3  
        /7h     sx           )(3                             Comnmissions: A20? ZoS- 19 4 I tJ'4 fliA                     37Z Lnspetoes Signature                                       National Board, State, and Endorsements Date:                         200
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken correctve rrteasureu described in this Owner's Report in accordance with the requirernents of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any wamnt, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal inxury or property damage of a loss of any kind arising forn or connected with this inspection.
/7h sx  
)(3 Comnmissions: A20? ZoS-19 4 I tJ'4 fliA 37Z Lnspetoes Signature National Board, State, and Endorsements Date:
200


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
  .O                   Calvert Cliffs Nuclear Power Plant, Inc.                               Date     0810412003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
. O Calvert Cliffs Nuclear Power Plant, Inc.
: 2. Plant               Calvert Cliffs Nuclear Power Plant                                   Unit       One (nae) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2002-1-033, MWO No. 1200202602 (address)                                                             (P.O. no.job no., etc.)
Date 0810412003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 3. WorkPerformedby.         Calvert Cliffs Nuclear Power Plant Dept                         Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: NIA Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Section XI Class:         One (address)
: 2. Plant Calvert Cliffs Nuclear Power Plant Unit One (nae) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-033, MWO No. 1200202602 (address)
: 4. Identification of System:     SystemNumber         064       SystemName:           ReactorCoolantSystem 5.(a) Applicable Constuction Code and Class:           ASME B&PV Code Sect. III, 1983 Edition, Summer 1983 Add; 5is
(P.O. no.job no., etc.)
                                                            `s-                                                                                   -i (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
: 3. WorkPerformedby.
.6. Identification of Components Repaired or Replaced and Replacement Components:
Calvert Cliffs Nuclear Power Plant Dept Type Code Symbol Stamp: N/A (name)
Repaired,     Code Name of         Name of           Manufacturers         National                     Other                 Year Replaced, o0 Stamped Componet       Manufacture           Serial Number       Board No.               Identification             Built Rcplacemen (Yes or No)
Authorization No.: NIA Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
RCP Seal     Sulzer Bingham               SN: 1C870       NB 1290     #11B Reactor Coolant Pump           1988     RepalredtRepl   Yes Inc.                                                 Mechanical Seal.                                   aced Seal       BCE CCNPP Shops       1199901394 SN:         NIA         Seal, Cartridge Assembly (RCP)       1999   Replacement     Yes 1864                         875 i Complete Sulzer Bingham per FCR &#xa3;740074
One (address)
: 4. Identification of System:
SystemNumber 064 SystemName:
ReactorCoolantSystem 5.(a) Applicable Constuction Code and Class:
ASME B&PV Code Sect. III, 1983 Edition, Summer 1983 Add; 5is `s-  
-i (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
.6. Identification of Components Repaired or Replaced and Replacement Components:
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, o0 Stamped Componet Manufacture Serial Number Board No.
Identification Built Rcplacemen (Yes or No)
RCP Seal Sulzer Bingham SN: 1C870 NB 1290  
#11B Reactor Coolant Pump 1988 RepalredtRepl Yes Inc.
Mechanical Seal.
aced Seal BCE CCNPP Shops 1199901394 SN:
NIA Seal, Cartridge Assembly (RCP) 1999 Replacement Yes 1864 875 i Complete Sulzer Bingham per FCR &#xa3;740074
: 7. Description of Work This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump
: 7. Description of Work This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump
: 8. Tests Conducted.     Hydrostatic:[   Paeumaticf         Nominal Operating Pressure:   Inseice: C]   Leakage: 2     Functional:;
: 8. Tests Conducted.
Pressure:   2250         psi.         Test Temperature:         A28       Deg. F NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is S-112 in x 1I1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is mbhered and the nunber of sheets is recorded at the top of this form.
Hydrostatic:[
Paeumaticf Nominal Operating Pressure:
Inseice: C]
Leakage: 2 Functional:;
Pressure:
2250 psi.
Test Temperature:
A28 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is S-112 in x 1I1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is mbhered and the nunber of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report Applicable Manufacturers Data Reports to be Attached Certificate of Compliance             ______
A Section Xi System Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report Applicable Manufacturers Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct aCd that this Revafr/Renlacement conforms to the rules of the ASME Code, Section XI.
We certify that the statements made in this report are correct aCd that this   Revafr/Renlacement         conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
Type Code Symbol Stamp: N/A CertificateofAuthorizationNo.: N/A ExpirationDate:               N/A Charles H.Ballard Signed:                                                             Engineering Technician         Date:     08/04/2003 Ower           fwe nscsg, Tidle 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 of Maryland and employed by AB&sect; Consulting of Houston, Tx. ave inspected the components descrnbed in this Owner's Report during the period _ -7 3                 to t     / xI     okw     . andstatetothebestofmy knowledge and belief, the 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.
N/A CertificateofAuthorizationNo.:
N/A ExpirationDate:
N/A Charles H. Ballard Signed:
Engineering Technician Date:
08/04/2003 Ower fwe
: nscsg, Tidle 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 of Maryland and employed by AB&sect; Consulting of Houston, Tx. ave inspected the components descrnbed in this Owner's Report during the period _ -7 3
to t  
/ xI okw  
. andstatetothebestofmy knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Fbrthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any Idnd arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Fbrthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any Idnd arising from or connected with this inspection.
7       (z4                 q                 Commissions:A/atf/       o2/ 8 1/3       AAB2WDi
7 (z4 q
                          , inspectoes Sigature                                       National Board, State, and Endorsements Date:         if / St       200 3
Commissions:A/atf/ o2/ 8 1/3 AB2WDi A
, inspectoes Sigature National Board, State, and Endorsements Date:
if / St 200 3


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     1210312003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit      One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2002-1-050a, MWO No. 1200202689 (address)                                                              (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Ipt.     Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Di                          Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:            Two (address)
1210312003 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657
: 4. Identification of System:     System Number         041     SystemName:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:           ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Nane of            Manufacturers        National                      Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number       Board No.               Identification             Built Replacemen (Yes or No)
(address)
Valve     Velan Engineering         1-CKVCVC-171         N/A       #12 Charging Pump Discharge           1975      Repaired/Rep!    Yes Co.                                                Check Valve                                           aced Check Valve    Velan Engineering      90585-GX SN:            N/A       Valve, Check, 2 In, 2680             1994      Replacement      Yes Co.                  951037-1                      Ib.,Socketweld, SA-182, Tp F316, BGE Dwg 12968-0138
Calvert Cliffs Nuclear Power Plant (name)
Unit One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Di (name)
R&R No. 2002-1-050a, MWO No. 1200202689 (P.O. no., job no., etc.)
Ipt.
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 041 SystemName:
Chemical Volume Control
: 5. (a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Componet Nane of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Engineering Co.
Check Valve Velan Engineering Co.
1-CKVCVC-171 90585-GX SN:
951037-1 N/A  
#12 Charging Pump Discharge Check Valve N/A Valve, Check, 2 In, 2680 Ib.,Socketweld, SA-182, Tp F316, BGE Dwg 12968-0138 1975 Repaired/Rep!
aced 1994 Replacement Yes Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve.
This plan was for the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve.
: 8. Tests Conducted:     Hydrostatic:[   PneumaticO         Nominal Operating Pressure:   Inservice: E   Leakage: i     Functional: E Pressure:    2320        psi.          Test Temperature:         112       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[
PneumaticO Pressure:
2320 psi.
Nominal Operating Pressure:
Inservice: E Leakage: i Functional: E Test Temperature:
112 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report. Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this   RepafrlReplacement       conforms to the rules of the ASME Code, Section XI.
Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:                     c             -                  Engineering Technician             Date:     1V03/2003 Owner or Owners ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period                             to                   , and state to the best of my knowledge and belief, the 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.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepafrlReplacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
c Engineering Technician Date:
1V03/2003 Owner or Owners ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
Commissions: It,9P3/0`31             A         I.9 /117/
Commissions: It,9P3/0`31 A
Insoector's Signature                                     National Board, State, and Endorsements Date: 4',       q200                 -3
I.9 /117/
Insoector's Signature National Board, State, and Endorsements Date: 4',
q200  
-3


DATA PACrAGH NO.-                           951037             P.6 rt                                       5'DATA             REPO                           LAR P                   OVAES
DATA PACrAGH NO.-
                                      .                              ---    C                                                          -9 Pg. I   of,       2
951037 P.6 rt 5'DATA REPO LAR P OVAES C
: 1. Kanufactured and certified by                                 YVEhAN INC. 2125 WARD AV_.                     MTL. CANADA (name and address of F Ceruificate Holder)
-9 Pg. I of, 2
: 2. Manufactured for                         BALTIMORE GAS & ELECTRIC                     'P.O. BOX 1472               BALTIMORE, MD.           21203 (name and address of purchiser)
: 1. Kanufactured and certified by YVEhAN INC. 2125 WARD AV_.
: 3. Location of installion                         CALVERT CLIFFS NUCLEAR PLANT                         NORTH OF LUSBY. MD. 20657 (rame and address)
MTL. CANADA (name and address of F Ceruificate Holder)
: 4. Model No.,               Series No., or TQpes PS.CECK Drawing                               P1-76800-K28             Rev           D       CRN       N/A
: 2. Manufactured for BALTIMORE GAS & ELECTRIC  
: 5. ASME Code, Section                     III, Division It                   198S                   NONE                         1                     NTA (editlon)           (addenda date)               (CUass)           (Code Case no.)
'P.O. BOX 1472 BALTIMORE, MD.
: 6. Pump or valve                     VALVE           Koinal inlet size                     20         Outlet size                   20
21203 (name and address of purchiser)
: 7. Materials Body                     SA-182.F316       Bonnet         SA-182,F316           Disk       COLMONOY 4               Bolting         N/&
: 3. Location of installion CALVERT CLIFFS NUCLEAR PLANT NORTH OF LUSBY. MD. 20657 (rame and address)
(a)                            tb)                            (C)                                  td)                                *(e)
: 4. Model No., Series No., or TQpes PS.CECK Drawing P1-76800-K28 Rev D
Cert.                           Nat' 1                        Body                                Bonnet                              Disk Holder ' s                           Board                        Serial                                Serial                            Serial Serial No.                                No.                            No .                                  NO . .                          No.
CRN N/A
951037-1                             N/A                      H /C :    CH                      H/Ce 1AR.A                        H/C: 2072 951037-2                                                               U                                I, a
: 5. ASME Code, Section III, Division It 198S NONE 1
a  .
NTA (editlon)
U
(addenda date)
_ 951037-3 nfl--a--a----_                                                         I9           ff                                                           .3?
(CUass)
(Code Case no.)
: 6. Pump or valve VALVE Koinal inlet size 20 Outlet size 20
: 7. Materials Body SA-182.F316 Bonnet SA-182,F316 Disk COLMONOY 4 Bolting N/&
(a)
Cert.
Holder ' s Serial No.
951037-1 951037-2
_ 951037-3 nfl--a--a----_
tb)
Nat' 1 Board No.
N/A (C)
Body Serial No.
H /C : CH U
U I9 ff td)
Bonnet Serial NO..
N...
N...
H/Ce 1AR.A I,
* (e)
Disk Serial No.
H/C: 2072 a
a
.3?
Supplemental Information in fbrn of Usts, iketches; or drawings may be used provided (1) ize is S 1/2 x I1, C2) Infornation In Itemns I through 4 on this Data Repoet Is Included on tact sheet, (3) each shee Is numbered and the number of sheets Is recorded at the top of Ihis form.
Supplemental Information in fbrn of Usts, iketches; or drawings may be used provided (1) ize is S 1/2 x I1, C2) Infornation In Itemns I through 4 on this Data Repoet Is Included on tact sheet, (3) each shee Is numbered and the number of sheets Is recorded at the top of Ihis form.
(12/88)             MIs form (500037) may bc obtaine from the Order Dept., ASME, 22 LAW DRI         <E<BOX 2300 Fairfield, NJ 07007-2300.
(12/88)
MIs form (500037) may bc obtaine from the Order Dept., ASME, 22 LAW DRI  
<E<
BOX 2300 Fairfield, NJ 07007-2300.


PORQ   PV-1 (Back - Pg. 2 of                       2                                                 P.7 S. Dexign conditions     6430         psi             100         OF or valve pressure class                 2680   (1)
PORQ PV-1 (Back - Pg. 2 of 2
(preaxr)                     ACmperd)
P.7 S. Dexign conditions 6430 psi 100 OF or valve pressure class 2680 (1)
: 9. Cold working pressure           6430                   psi at 1007Y
(preaxr)
: 10. Hydrostatic test       10050       psi. Disk differential tes~t pressure                               7375       psi
ACmperd)
: 11. Remarkas     MATERIALS MEET ASMa SECTION II                 EDITIONS 1989     AMDDENDA:         NONE CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
: 9. Cold working pressure 6430 psi at 1007Y
N Certificate of Authorization No.                   N-2797-1         __xPirs                           -MAY 2_98 Date     MAY 2 61995     Name       VELAN INC                         Signed   __
: 10. Hydrostatic test 10050 psi. Disk differential tes~t pressure 7375 psi
(N Certificate. Holder)                         A (autbov     se3aZrve)
: 11. Remarkas MATERIALS MEET ASMa SECTION II EDITIONS 1989 AMDDENDA:
                                                                                        '1 CERTIFICATE OF INSPECTIOR I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of                                 OUBBMC                 and employed by       PROVINCE               of             OUEBEC               have inspected the pump, or valve, described in this Data Report on 4-Y,- 4&                                         , and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section III, Division 1.
NONE CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data Report.
N Certificate of Authorization No.
N-2797-1
__xPirs  
-MAY 2_98 Date MAY 2 61995 Name VELAN INC Signed __
(N Certificate. Holder)
A (autbov se3aZrve)
'1
CERTIFICATE OF INSPECTIOR I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of OUBBMC and employed by PROVINCE of OUEBEC have inspected the pump, or valve, described in this Data Report on 4-Y,- 4&  
, and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section III, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or
: implied, concerning the component described in this Data 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.
Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Date 925-           signOS'2'                                 - Commissions _
Date 925-signOS'2'  
rhoried           Inspo0)                           (Natel   d.Od.endorsmmnt) and stats or prov. and no.)
- Commissions _
(1) For manually operated valves only.                                           RAYMOND LAUZON                     Q PMGI3 DU ATIMENTMTDOUA.o
rhoried Inspo0)
(Natel
: d. Od.
endorsmmnt) and stats or prov. and no.)
(1) For manually operated valves only.
RAYMOND LAUZON Q
PMGI3 DU ATIMENTMTDOUA.o


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     11/06/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657.                                               Sheet i of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2002-1-050b, MWO No. 1200202689 (address)                                                                 (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. WorkPerformedby:          Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Section XI Class:            Two (address)
11/06/2003 Sheet i of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657.
: 4. Identification of System:     System Number         041     System Name:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:         ASME B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 EditIon
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,     Code Name of          Name of            Manufacturers        National                      Other                  Year Replaced, oi Stamped Comnponet     Manufacturer         Serial Number       Board No.                 Identification               Built Replacemen (Yes or No)
(address)
Piping System     Bechtel               2" CC-7-1002         N/A       #12 Charging Pump Discharge             1975      Repaired/Repl  No Piping                                                   aced Pipe        Consolidated        20439 Heat# 447        N/A         Pipe, 2 In., Sch. 160, ASME SA-         1998      Replacement      No Power Supply                                          376, Tp. 316 Tee      DuBose National      54906-GX Heat          N/A         Tee, 2 In., 6000 lb, ASME SA-           1992      Replacement      No Energy Services          Code: BV                      182, Tp. F316, Socket Weld Inc.
Calvert Cliffs Nuclear Power Plant (name)
Insert Reducer     Ladish Co.       F-8588 Heat Code:       N/A         Reducer, Insert, 2 In. X 3/4 In.,       1973      Replacement      No D6MC H1                        6000 lb., Socketweld, ASME SA-182, Gr. F316
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-050b, MWO No. 1200202689 (address)
: 3. WorkPerformedby:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Comnponet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 2" CC-7-1002 Pipe Tee Consolidated Power Supply DuBose National Energy Services Inc.
20439 Heat# 447 54906-GX Heat Code: BV N/A  
#12 Charging Pump Discharge Piping N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 N/A Tee, 2 In., 6000 lb, ASME SA-182, Tp. F316, Socket Weld 1975 Repaired/Repl aced 1998 Replacement 1992 Replacement No No No Insert Reducer Ladish Co.
F-8588 Heat Code:
D6MC H1 N/A Reducer, Insert, 2 In. X 3/4 In.,
6000 lb., Socketweld, ASME SA-182, Gr. F316 1973 Replacement No
: 7. Description of Work.
: 7. Description of Work.
This plan was for the use of the parts listed herein to support the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve. This plan also covered work on supports/hangers needed to support this work.
This plan was for the use of the parts listed herein to support the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve. This plan also covered work on supports/hangers needed to support this work.
: 8. Tests Conducted:     HydrostaticO   PneumaticCj       Nominal Operating Pressure:     Inservice: 0   Leakage: i     Functional: C]
: 8. Tests Conducted:
Pressure:    2320        psi.          Test Temperature:         112       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I 1 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.
HydrostaticO PneumaticCj Pressure:
2320 psi.
Nominal Operating Pressure:
Inservice: 0 Leakage: i Functional: C]
Test Temperature:
112 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I 1 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report. Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addflonal Section III Examinations were Performed (as applicable) to satisfy Code Case N-416-1 and-Req.Guide 1.147.
A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this   Repair/Replacement       conforms to the rules of the ASME Code, Section X.
Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addflonal Section III Examinations were Performed (as applicable) to satisfy Code Case N-416-1 and-Req.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: NIA Charles H.Ballard Signed:                                                             Engineering Technician           Date:   11/06/2003 Owner or Oirne~sVesinei, Title`
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code, Section X.
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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period_                           to -                    and state to the best of my knowledge and belief; the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
NIA Charles H. Ballard Signed:
Engineering Technician Date:
11/06/2003 Owner or Oirne~s Vesinei, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period_
to and state to the best of my knowledge and belief; the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
_y            p4    -    -
Commissions:  
Commissions:         ?Ad q3 /,4O Z         . ,        .
?Ad q3  
Alq1L/L?
/,4O Z Alq1L/L?
          // AlInspector's Signature                                                 National Board, State, and Endorsements Kate: Im          3        200 -3
_y p4
//
AlInspector's Signature Kate:
Im 3
200 -3 National Board, State, and Endorsements


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
: 1. Owncr             Calvert Cliffs Nuclear Power Plant, Inc.                       _    Date:      101312003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet of 2 (address)
: 1. Owncr Calvert Cliffs Nuclear Power Plant, Inc.
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2002-1-051, MWO No. 1200202762 (address)                                                              (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:
ept. Type Code Symbol Stamp: N/A
101312003 Sheet of 2 (address)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant DE                        Authorization No.: N/A (name)
: 2. Plant:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                              Section Xl Class:             One                       I (address)
Calvert Cliffs Nuclear Power Plant (name)
: 4. Identification of System:     System Number       064       System Name:         Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:               ASMEB31.1.0 1967Edition,CCasesN-2,N110                                             -.
Unit:
(b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replaceint Components:                                                               ASME Repaired,        Code Name of         Name of             Manufacturers         National                   Other                   Year Replaced, oi Stamped
: 3. Work Performed by:
  . Comnponet      Manufacturer          Serial Number        Board No.              Identification              Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant DE (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 R&R No. 2002-1-051, MWO No. 1200202762 (P.O. no., job no., etc.)
Valve     ITT Hammel Dahl             69-4126-002         NIA     11 lBPressurizerSprayCuitrol         197S       Repalred/Repi     No Valve                         '                            ed Bonnet          Flowserve        400322 SN; D909A-        NtA       Bont!i, Bellows, 3 In. 1500 lb.       2000. Replacement         No Corporation                1-1                        ITT Hammel-Dahl Angle Valve, Drwg. #12121-0006, Item 02 -
ept.
Pipe Cap      Dulose National      10486-GX Heat          NMA       Cap, Pipe, 12 InI, 300Q lb. SW,       1996     Replacement         No Energy Services          Code: HTK                      ASME SA-482, Tp. 316 Inc.
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section Xl Class:
Plug        Neles Jamesbory      56479-GX SN:            N/A       Plugtor3 In.1500 lb.ITT               1991     Replacement       No R1613-1                      IHanid-Dabl Angle Valve, Drwg.
I One (address)
N1212140006, Item 16
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:
ASMEB31.1.0 1967Edition,CCasesN-2,N110 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replaceint Components:
Name of Comnponet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Valve ITT Hammel Dahl Bonnet Flowserve Corporation 69-4126-002 400322 SN; D909A-1-1 10486-GX Heat Code: HTK 56479-GX SN:
R1613-1 Pipe Cap Dulose National Energy Services Inc.
NIA 11 lBPressurizerSprayCuitrol 197S Repalred/Repi Valve ed NtA Bont!i, Bellows, 3 In. 1500 lb.
2000.
Replacement ITT Hammel-Dahl Angle Valve, Drwg. #12121-0006, Item 02 NMA Cap, Pipe, 12 InI, 300Q lb. SW, 1996 Replacement ASME SA-482, Tp. 316 N/A Plugtor3 In. 1500 lb.ITT 1991 Replacement IHanid-Dabl Angle Valve, Drwg.
N1212140006, Item 16 No No No No Plug Neles Jamesbory
: 7. Description of Work:
: 7. Description of Work:
This plan was for the rebuilding and replacement of the Bonnet and Plug on 1-CV-100F, which is #11B Pressurizer Spray Control Valve.
This plan was for the rebuilding and replacement of the Bonnet and Plug on 1-CV-100F, which is #11B Pressurizer Spray Control Valve.
: 8. Tests Conducted:     Hydrostatic:Q   Pncunaticl         Nominal Opaating Pressure:   Inservicc: 0   Lkahgc: 0     Functional: 0 Pressure:    2250        psi.          Test Temperature:       532       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x II 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.
: 8. Tests Conducted:
Hydrostatic:Q Pncunaticl Pressure:
2250 psi.
Nominal Opaating Pressure:
Inservicc: 0 Lkahgc: 0 Functional: 0 Test Temperature:
532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x II 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:.
: 9. Remarks:.
A Section Xi Svstem Leakace Test of the affected component was Derformed durino the system conditions listed in section 8. of this report. A Section Xl Surface Examination of the affected component was Derformed to satisy Section Xi Pre-Service Requirements.
A Section Xi Svstem Leakace Test of the affected component was Derformed durino the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance           ______
A Section Xl Surface Examination of the affected component was Derformed to satisy Section Xi Pre-Service Requirements.
We certify that the statements made in this report are correct and that this   Revalr/Renlacement         conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Renlacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed: __                                                       Engineering Technician         Date:       10/3/2003 Owner or Ownces Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period                         to   //-/s- dL,. 6,: and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed: __
Engineering Technician Date:
10/3/2003 Owner or Ownces Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 6,:
to  
//-/s-dL,.
and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthernore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthernore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
1
1 Commissions:
* Commissions: A/A, 7 11 3           421       //6W             44/AT nspectoe's Signature                                     National Board, State, and Endorsemenpq, Date           'AC S0      [AK   200 -
A/A, 7 11 3 421 //6W 44/A T nspectoe's Signature National Board, State, and Endorsemenpq, Date  
O ___   _
'AC AK 200 -
S0
[ O ___ _


. is.     ;
is.
FORM NIS-2 OWNER'S FEPORT FOR REPAIR / FKEPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
FORM NIS-2 OWNER'S FEPORT FOR REPAIR / FKEPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-046a, MWO No. 1200203109 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:         Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:           Two (address)
Date:
: 4. Identification of System:     System Number       052       System Name:         Safep       nection 5.(a) Applicable Construction Code and Class:           ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,       Code Name of         Name of           Manufacturers       National                     Other                 Year Replaced, oi Stamped Componet     Manufacturer         Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 2. Plant:
Valve     Velan Enginnering           1-CKVSI426         N/A       #13 High Pressure Safety               1975     Repalred/Repl   No Co.                                               Injection Pump Mini Flow Check                         aced Valve CheckValve     Enertech Inc.     411160 SN: 11319       N/A       Valve, Nozzle Check, 2 In, 1500       2004     Replacement       Yes lb, Enertech KRV, Body SA-479, Tp. 316, Disc SA-564, Tp.
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-046a, MWO No. 1200203109 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 052 System Name:
Safep nection 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Valve Velan Enginnering 1-CKVSI426 N/A  
#13 High Pressure Safety 1975 Repalred/Repl No Co.
Injection Pump Mini Flow Check aced Valve CheckValve Enertech Inc.
411160 SN: 11319 N/A Valve, Nozzle Check, 2 In, 1500 2004 Replacement Yes lb, Enertech KRV, Body SA-479, Tp. 316, Disc SA-564, Tp.
6301H1075
6301H1075
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work needed to replace 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.
This plan was for the work needed to replace 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.
: 8. Tests Conducted:     Hydrostatic:Fj   Pneumatic:       Nominal Operating Pressure:     Inservice: f   Leakage: j     Functional: E Pressure:     1310       psi.           Test Temperature:         82       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:Fj Pneumatic:
Nominal Operating Pressure:
Inservice: f Leakage: j Functional: E Pressure:
1310 psi.
Test Temperature:
82 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.


as ---- % *v Sheet 2 of 2 FORM NIS-2 (Back)
as
* v Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                   Revalr/Reolacement conforms to the rules of the ASME Code, Section Xl.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Reolacement conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:             N/A K                               A     Charles H.Ballard Signed:                                                                   gineering Technician         Date:     6/15/2004 Owner or Owne' Designee, Ttle   I Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period _aA3 Ok                   to     '- 9S-9             Aand state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A K
A Charles H. Ballard Signed:
gineering Technician Date:
6/15/2004 Owner or Owne' Designee, Ttle I
Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period _aA3 Ok to  
'- 9S -9 A and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
bco4J1D A, SW U1M fo& fe-ionjfJ sejoeads Pt.           ZYKE-fAi                 Commissions:       N6 98 3/       ,O1     //7X, 4A         /
bco4J1D A, SW U1M fo& fe-ionjfJ sejoeads Pt.
u             9B N ai77             /Sa, nd
ZYKE-fAi Commissions:
                        ,  Insoector's Signature                                         National Board, State, and Endorsemnents Date:       6' - f/&         200 -
N6 98 3/,O1  
//7X, 4A /
u N ai77 9B
/S, a nd Insoector's Signature National Board, State, and Endorsemnents Date:
6' - /&
f 200 -
N1
N1


FORM NPV;1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
FORM NPV;1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
  *      . ..              As Required by the Provislons of-the ASME Code, Section III, DIvi8ion I
As Required by the Provislons of-the ASME Code, Section III, DIvi8ion I
                                          .. *. ..            ..                                                                .Pg.1of             2
.Pg.1of 2
: 1. Manufactured and ceified'by         Enertech, A Div. of Curtiss-Wdght Flow Control Corp., 2950 Birch St., Brea, CA 82821 (name and address of N Certificate Holder)
: 1. Manufactured and ceified'by Enertech, A Div. of Curtiss-Wdght Flow Control Corp., 2950 Birch St., Brea, CA 82821 (name and address of N Certificate Holder)
: 2. Manufactured for               Calvert Cliffs Nuclear Power Planit, PO Box 17323. Baltimore, MD 21297-1323 haine and address of Purchaseri
: 2. Manufactured for Calvert Cliffs Nuclear Power Planit, PO Box 17323. Baltimore, MD 21297-1323 haine and address of Purchaseri
: 3. Location of Instalan           Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, .MD.206S7.
: 3. Location of Instalan Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby,.MD.206S7.
(name an4 iddress:
(name an4 iddress:
: 4. Model No., Series No., or Typ                 KRV               Drowing     MD21083             Rev.         A                       None S. ASME Code, Section III; Division t:                 1995                       1996                       2                       .None (edition)             (addenda date)               Iless)               ICode Case no.)
: 4. Model No., Series No., or Typ KRV Drowing MD21083 Rev.
: 6. Pump or valve NNorhini                                 Inlet size     .      2               Outlet size
A None S. ASME Code, Section III; Division t:
1995 1996 2  
.None (edition)
(addenda date)
Iless)
ICode Case no.)
: 6. Pump or valve NNorhini Inlet size 2
Outlet size
((in.)
((in.)
7 MateIal       Bdy     SA-479Type316           Sonnet             N/A             Disk US-564Tiye30H1075         Bolting .
7 MateIal Bdy SA-479Type316 Sonnet N/A Disk US-564Tiye30H1075 Bolting.
(b               ..              .                      ..                        .        (c (al                           Wb                           (cW                             d                             (el Cert.                         Nat' I                         Body                         Bonnet                           Disk.
(b (c
Holder's                       Board                           Serial                       Serial                         Serial Serial No.                       No.                             No.                           No.                             No.
(al Wb (cW d
11311                         None             .          KTV-3327                       None                       KITW-3335 11312                         None                         KTV-3328                       None                       KTW-3336 11313                         None                         KTV-3329                         None... 'TW3337       .
(el Cert.
11314                         None             .          KTV-3330         .None                       -            KTW-3338 11315                         Nne-.                       KTV-3331                       None               .      KTW-3339 11316                         None*                       KTV-3332             .        None           .          ITW-3340
Nat' I Body Bonnet Disk.
* 11317                         None             .*          KTV-3333           .            None '           .;          T..K:FW-3341 11318     .    -            None                         KTV-3334                         None                       KTW-3342
Holder's Board Serial Serial Serial Serial No.
_                                _                              .7 Supplemental Information In form of lsts, sketches, or drawings may be used provided (1) size Is B X x I1I, (21 Informatioe in Items I through 4 on this Data Report Is included on each sheet, 13) each sheet Is numbered and the number ef sheets Is recorded at the top of this for3n.
No.
(12/88)         This form lEOWO371 may be obtained from the Order Oept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007.2300.                 REPFUNT U93
No.
No.
No.
11311 None KTV-3327 None KITW-3335 11312 None KTV-3328 None KTW-3336 11313 None KTV-3329 None...  
'TW3337 11314 None KTV-3330  
.None KTW-3338 11315 Nne-.
KTV-3331 None KTW-3339 11316 None*
KTV-3332 None ITW-3340 11317 None KTV-3333 None '
T..K:FW-3341 11318 None KTV-3334 None KTW-3342
.7 Supplemental Information In form of lsts, sketches, or drawings may be used provided (1) size Is B X x I1I, (21 Informatioe in Items I through 4 on this Data Report Is included on each sheet, 13) each sheet Is numbered and the number ef sheets Is recorded at the top of this for3n.
(12/88)
This form lEOWO371 may be obtained from the Order Oept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007.2300.
REPFUNT U93


FORM NPV-t (Bock                   -   Pg. 2 of 2..
FORM NPV-t (Bock -
11311 thru Ce'rtificate Holder's Serial No.         11318
Pg. 2 of 2..
    .8Design conditiona             1600                 psi             30                 F or valve pressure class               1500 (pressure) .                       Itemperaturel
11311 thru Ce'rtificate Holder's Serial No.
: 9. Cold working pressure               3600                 psl at tOOF
11318
: 10. Hydrostatic test     -    5400         psi.. Disk differantial test pressure                                     N/A     _
.8 Design conditiona 1600 psi 30 F or valve pressure class 1500 (pressure).
                                                                                                                                                        -. i px-I 1: Rlemarks:   Qty. 8, Enertech Project Number 810048 CERTIFICATION OF DESIGN Design Specification certifted'by             John R. Sponsel, I                       P.E. State           MD           Reg. no.     17308 Design Report certified by                 Ira J, Silverman                           P.E. State           CA           Reg. no.     23241 I
Itemperaturel
CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASMi Code, Section lIl. Division 1.
: 9. Cold working pressure 3600 psl at tOOF
N Certificats of Authorization No                                 N2826E
: 10. Hydrostatic test 5400 psi.. Disk differantial test pressure N/A i
                                                                                                                                                              .1 bate
px-1: Rlemarks: Qty. 8, Enertech Project Number 810048 I
: 1.        1    .
CERTIFICATION OF DESIGN Design Specification certifted'by John R. Sponsel, I P.E. State MD Reg. no.
Edt     A Div. of Curtfss-Wwfght Flow Corrro Cbrp.
17308 Design Report certified by Ira J, Silverman P.E. State CA Reg. no.
INCertificate fHolder)
23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASMi Code, Section lIl. Division 1.
Big (authorizud represntatv I
N Certificats of Authorization No N2826E bate Edt A Div. of Curtfss-Wwfght Flow Corrro Cbrp.
Big
: 1.
1 IN Certificate fHolder)
(authorizud represntatv I
.1 I
CERTIFICATE OF INSPECT1iON
CERTIFICATE OF INSPECT1iON
  .1,the undersigned. holding a valid commission Ipssued by the National Board of Boller and Pressure Vessel Inspectors and the StatS or Province of                     Calaforia                               end employed by                       HSB CT of                       Connecticut           .                      have Inspected the pump, or valve, described In thisflita Report on
.1, the undersigned. holding a valid commission Ipssued by the National Board of Boller and Pressure Vessel Inspectors and the StatS or Province of Calaforia end employed by HSB CT of Connecticut have Inspected the pump, or valve, described In thisflita Report on 1 -
  .            1 - Zq         4~* - !and       stats that to the best of my knowildge and belief, the Certificite Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section ill, Division 1.
Zq 4~* -
!and stats that to the best of my knowildge and belief, the Certificite Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section ill, Division 1.
By signing this certificate; neither the Inspector nor his employer mekei any warranty, expressed or Implied, concerning the component described in this Data 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 klhd aIsIng from or connected with this Inspection.
By signing this certificate; neither the Inspector nor his employer mekei any warranty, expressed or Implied, concerning the component described in this Data 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 klhd aIsIng from or connected with this Inspection.
Date   /         42I3igned                    mLissona                                             14q4-lAuthorized Inspector)                                 [Nat'l. 8d. (Incl. endorsements) and state or prov. and no.)
Date  
/
42I 3igned mLissona 14q4-lAuthorized Inspector)
[Nat'l. 8d. (Incl. endorsements) and state or prov. and no.)
(11 For manua'ly operated valvesvonly.
(11 For manua'ly operated valvesvonly.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-046b, MWO No. 1200203109 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                           Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:           Two (address)
Date:
: 4. Identification of System:     System Number         052     SystemName:           Safety Injection 5.(a) Applicable Construction Code and Class:           ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,      Code Name of         Name of               Manufacturers       National                      Other                  Year Replaced, oi Stamped Componet      Manufacturer            Serial Number     Boaard No.                Identification                Built Replacemen (Yes or No)
: 2. Plant:
Piping System      Bechtel                2"DC-2-1003         N/A       #13 High Pressure Safety               1975      Repaired/Repi    No Injection Pump Mini Flow Recirc.                         aced to Refueling Water Tank Pipe      Albert Pipe Supply    F-5630 Ht.#: 496481      N/A         Pipe, 2 In., Sch. 80, ASME SA-         1970    Replacement      No Co. Inc.                                            376, Tp. 304 Nut        Mackson Inc.      408227 Ht.#: S44018      N/A         Nut, Heavy Hex, 7/8 In. X 9 TPI,       2002      Replacement      No ASME SA-194 Cr. 2H Allthread Rod    Mackson Inc.      410155 Ht.#: S20751      N/A         Rod, Aulthread, 7/8 in. X 9 TPI,       2003      Replacement      No ASME SA-193 Gr. B7 Flange      DuBose National      411588 Ht.#:31438      N/A         Flange, 2 In., 1500 lb., Raised       2003      Replacement      No Energy Services          Code: BQL                      Face, Socketweld, ASME SA-182, Inc.                                                Gr. F316 Nut          Mackson Inc.      400066 Heat Code:        N/A       Nut, Heavy Hex, 7/8 In. X 9 TPI,       2000      Replacement      No JKX                        ASME SA-194 Gr. 2H
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-046b, MWO No. 1200203109 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 052 SystemName:
Safety Injection 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME Name of Componet Piping System Pipe Nut Allthread Rod Flange Nut Name of Manufacturer Bechtel Albert Pipe Supply Co. Inc.
Mackson Inc.
Mackson Inc.
DuBose National Energy Services Inc.
Mackson Inc.
Manufacturers Serial Number 2"DC-2-1003 F-5630 Ht.#: 496481 408227 Ht.#: S44018 410155 Ht.#: S20751 411588 Ht.#:31438 Code: BQL 400066 Heat Code:
JKX Na Boa tional Other ard No.
Identification N/A  
#13 High Pressure Safety Injection Pump Mini Flow Recirc.
to Refueling Water Tank N/A Pipe, 2 In., Sch. 80, ASME SA-376, Tp. 304 N/A Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Cr. 2H N/A Rod, Aulthread, 7/8 in. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Raised Face, Socketweld, ASME SA-182, Gr. F316 N/A Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Gr. 2H Year Built 1975 1970 2002 2003 2003 2000
: Repaired, Code Replaced, oi Stamped Replacemen (Yes or No)
Repaired/Repi No aced Replacement Replacement Replacement Replacement Replacement No No No No No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.
This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.
: 8. Tests Conducted:     Hydrostatic:n     PneumaticO       Nominal Operating Pressure:     Inservice: E   Leakage: R   Functional: n Pressure:     1310       psi.           Test Temperature:           82         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:n PneumaticO Nominal Operating Pressure:
Inservice: E Leakage: R Functional: n Pressure:
1310 psi.
Test Temperature:
82 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi Svstem Leakage Test of the affected comoonent was performed durina the svsteml conditions listed in section 8. of this report.             Code Case N-416-2 was invoked to satisfv Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N416-2 and Rea.Guide 1.147.
A Section Xi Svstem Leakage Test of the affected comoonent was performed durina the svsteml conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RepalrlReplacement conforms to the rules of the ASME Code, Section XI.
Code Case N-416-2 was invoked to satisfv Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N416-2 and Rea.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:                   V                                        Engineering Technician        Date:     6/15/2004 Owner`r (iwnes Designee, Title i' Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period .2.23 04                     to C- M-     O.,     and state to the best of my knowledge and belief, the 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.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
RepalrlReplacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A V
Charles H. Ballard Engineering Technician Signed:
Date:
6/15/2004 Owner`r (iwnes Designee, Title i' Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period  
.2.23 04 to C-M-O.,
and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
bLordL       A. 5 N-71A rY                 AlIz.
bLordL A. 5 N-71A rY AlIz.
5-04J AMvJ6IS         PM         a -o   -A(             Commissions: AXJ3       &'3/, /10 /7/ 71 4             /1
5-04J AMvJ6IS PM  
                                                                              ,vi JA. -77'e D    Inspector's Signture                                        National Board, State, and Endorsements   -
-o a
Date: 6v- 14                200
-A(
D Inspector's Signture Date:
6v-14 200 Commissions: AXJ3  
&'3/, /10 /7/ 71 4  
/1
,vi J A. -77' e National Board, State, and Endorsements  


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:
: 1. Owner:
Calvert Cliffs Nuclear Power Plant, Inc.                                Date:     6/15/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                       Sheet I of 0 (address)
Date:
: 2. Plant:                  Calvert Cliffs Nuclear Power Plant                               _      Unit:     One (name) 1650 Calvert Cliffs Parkway; -Lusby, MD 20657                                            R&R No. 2003-1-056, MWO No. 1200203364 (address)                                                                 (P.O. no.,job no., etc.)
6/15/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 0 (address)
Type Code Symbol Starmp: N/A
Calvert Cliffs Nuclear Power Plant
: 3. Work Performed by:            Calvert Cliffs Nuclear Power Plant Dept.
: 2. Plant:
Authorization No.:     N/A (name)
(name)
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                        Section XI Class:           One (address)
Unit:
: 4. Identification of System           System Number         064     SystemName:             Reactor Coolant System 5.(a) Applicable Construction Code and Class:               ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                     1998 Edition
One R&R No. 2003-1-056, MWO No. 1200203364 1650 Calvert Cliffs Parkway; -Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                                 ASME Repaired,       Code Name of            Name of            Manufacturers          National                      Other                  Year Replaced, oi Stamped Componet         Manufacturer             Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 3. Work Performed by:
Valve       Dresser Industrial          SN: BM-07953         N/A       Unit One Pressurizer Safety           1977      Repalred/Repl    Yes Valve Co.                                              Relier Valve                                           aced Nozzle          Consumer Power      06045-GX AAA26           N/A       Nozzle, Maxiflow Relier Valve, 2       1987    Replacement      Yes Co. (Midland Plant                                          1/2 In., Model 31739A, Dresser Project)                                              P/N 4231701N, ASME SA-182 Gr.
Calvert Cliffs Nuclear Power Plant Dept.
F347 Relief Valve    Dresser Industries      411829 SN: BN-         N/A         Valve, Consolidated Closed           2004      Replacement      Yes Inc.                  04373                         Bonnet Maxlflow Safety; 2-1I2 In.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Mode! 31739A, only for RV 200 4dDK       &          location.
(P.O. no.,job no., etc.)
Disc        Dresser Industries    409135 SN:*915F       6   N/A         Disc, Maxillow Relief Valve, 2 1/2 2003        Replacement      Yes Inc.                                                In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688 ReliefValve      Consumer Power      06045.GX AAA19           N/A       Cannibalized pressurizer relief       1987    Replacement      Yes Co. (Midland Plant                                          valve, SIN BN 04376 Project)
Type Code Symbol Starmp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One
: 4. Identification of System System Number 064 SystemName:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Dresser Industrial Valve Co.
Nozzle Consumer Power Co. (Midland Plant Project)
Relief Valve Dresser Industries Inc.
Disc Dresser Industries Inc.
ReliefValve Consumer Power Co. (Midland Plant Project)
SN: BM-07953 N/A Unit One Pressurizer Safety Relier Valve 06045-GX AAA26 N/A Nozzle, Maxiflow Relier Valve, 2 1/2 In., Model 31739A, Dresser P/N 4231701N, ASME SA-182 Gr.
F347 411829 SN: BN-N/A Valve, Consolidated Closed 04373 Bonnet Maxlflow Safety; 2-1I2 In.
Mode! 31739A, only for RV 200 4dDK location.
409135 SN:*915F 6 N/A Disc, Maxillow Relief Valve, 2 1/2 In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688 06045.GX AAA19 N/A Cannibalized pressurizer relief valve, SIN BN 04376 1977 Repalred/Repl aced 1987 Replacement 2004 Replacement Yes Yes Yes Yes Yes 2003 Replacement 1987 Replacement
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.
This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.
: 8. Tests Conducted:         Hydrostatic:n   PneumaticG         Nominal Operating Pressure:     Inservice: l   Leakage: i   Functional: 0 Pressure:    2260        psi.          Test Temperature:         660       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:n PneumaticG Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: l Leakage: i Functional: 0 Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


i -
i  
r 0-56~-Sheetaof                                                                               ~..
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c'36FORM                                                      NIS-2 (Back)
~..
c' 3 6FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements. A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section XI VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                     Repalr/Reolacenent conforms to the rules of the ASME Code, Section XI.
A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A i dI/                   *7v       Charles H. Ballard Signed:                                                                 Engineering Technician         Date:   6/15/2004 er or Ownes Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period 3 30-0'                       to 4_-__-__and
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacenent conforms to the rules of the ASME Code, Section XI.
_                    state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described- in this Owner's Report in accordance with the requirements of the ASME Code, Section )[.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A i dI/
* 7v Charles H. Ballard Signed:
Engineering Technician Date:
6/15/2004 er or Ownes Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period 3 30-0' to 4_-__-_ _
_and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described-in this Owner's Report in accordance with the requirements of the ASME Code, Section )[.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
D044LD A Se-/IA (tvL AU?.
D044LD A. Se-/IA (tvL AU?.
DoffsSH jeiL2       S PrL T7-1741                       Commissions:     Ak3   '7g31       1 1/17/1 AJ     ; yL'-?7     M
DoffsSH jeiL2 S PrL T7-1741 Commissions: Ak3 '7g31 1 1/17/1 AJ  
                                                                                                    /AU'           _5 Insnectores Signature                                           National Board, State, and Endorsements Date:       --/ 7       -    200.
; yL'-?7  
/AU' M
_5 Insnectores Signature National Board, State, and Endorsements Date:  
-- / 7 200.


FORM NVR-1 REPORT i                   tEPAIR [Z                         MODIFICATION i                                 OR REPLACEMENT                     ]
FORM NVR-1 REPORT i tEPAIR [Z MODIFICATION i OR REPLACEMENT  
]
OF NUCLEAR PRESSURE RELIEF DEVISES
OF NUCLEAR PRESSURE RELIEF DEVISES
: 1. Work performed by       Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ Us Hwy 167 N                                     4118291408989 01287030101284080
: 1. Work performed by Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ Us Hwy 167 N 4118291408989 01287030101284080
( name of organization)                                                         (P.O. no., job no., eta)
( name of organization)
(P.O. no., job no., eta)
P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (address)
P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (address)
: 2. Work performed for       Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657
: 2. Work performed for Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657
( name and address )
( name and address )
: 3. Owner     Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657 (name)
: 3. Owner Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657 (name)
(address)
(address)
: 4. Name, address and Identification of nuclear power plant                   Baltimore Gas & Electric Co. Calvert Cliffs Nuclear Station 1650 Calvert Cliffs Parkway Lusby, Maryland 20657
: 4. Name, address and Identification of nuclear power plant Baltimore Gas & Electric Co. Calvert Cliffs Nuclear Station 1650 Calvert Cliffs Parkway Lusby, Maryland 20657
: 5. a: Repaired pressure relief device:             Safety Valve b: Name of manufacturer           Same as item 1 above c: Identifying nos.       31739A                 BN-04373                           N/A                   STEAM                     2-1/2"                   1977 (type)               (mrs serial no.)           (Nat'l. Bd. No.)             (service)                   (size)               (yearbultt) d: Construction Code         ASME Section III                       1968               Winter 1968                 W 1968 Art. 9                           A (name/section/division)             (edition)               (addenda)                 (Code case(s))                   (Code Class)
: 5. a: Repaired pressure relief device:
: 6. ASME Code Section Xl applicable for in service inspection:                             1998                             NO                               NONE (edition)                         (addenda)                       (Code Case(s))
Safety Valve b: Name of manufacturer Same as item 1 above c: Identifying nos.
: 7. ASME Code Section Xl used for repairs, modifications, or replacements:                                 1998                         NO                         NONE (edition)                 (addenda)                 (Code Case(s))
31739A BN-04373 N/A STEAM 2-1/2" 1977 (type)
: 8. Construction Code used for repairs, modifications, or replacements:                             1968                   W 1968 Art. 9                       NONE (edition)                   (addenda)                   - (Code Case(s))
(mrs serial no.)
: 9. Design responsibility     Same as item 1 above
(Nat'l. Bd. No.)
: 10. Opening pressure:       2485 PSIG           Blowdown (if applicable)                       N/A               %. Set pressure and blowdown adjustment made at:     Wyle Laboratories, Huntsville, Alabama                                                                           Using                     Steam
(service)
                                                              -lcataon                                                                                 (test medium) i 1. Description of work: (include name and identifying number of replacement parts) Valve Was Disassembled, Inspected, Repaired Assembled, & Tested. Parts Replaced: Base P/N 1861505NC2015,S/N AAA-19; Nozzle PIN 18448060S278,SIN AAA26; Bellows PIN 1840801N, SIN 2872/2-2; Disc PIN 1840404N, S/N ADK-59; Guide/Support Plate Gaskets PIN 3831018N, Cotter Pins P/N 2220219, & Adi. Ring Pin Gaskets PIN 3610508.
(size)
: 12. Remarks:       Base was modified on owner's purchase order 411554, Dresser order no. 31-52548-0.
(yearbultt) d: Construction Code ASME Section III 1968 Winter 1968 W 1968 Art. 9 A
CERTIFICATE OF INSPECTION I,   P.-W.l a )          A /       -                  certify that to the best of my knowledge and belief the statements made in this report are Correct and the repair, modification or replacement of the pressure relief devices described above conforms to Section Xl of the ASME Code and the National Board Inspection Code 'VR' and 'NR' rules.
(name/section/division)
National Board Certificate of Authorization No.             VR-70,95,97-118 & 12G-124                 to use the 'VR stamp expires                           6-29-2004 National Board Certificate of Authorization No.                       NR-45                 to use the M Ra stamp expires                             630-2005 Date           ;/t4   O (         Same as Item 1 above.               Signed (name of certificate holder )                   (authorized representive)le)
(edition)
CERTIFICATE OF INSPECTION I,     ,j                 k?,-f/OS,*4b,           , holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by the jurisdiction of Louisiana                                                                         and employed by Hartford Steam Boiler Inspection and Insurance Co. of                       Hartford, CT have Inspected the repair, modification or replacement described In this report on                                       and state that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the ASME Code and the National Board Inspection Code "VR' and
(addenda)
(Code case(s))
(Code Class)
: 6. ASME Code Section Xl applicable for in service inspection:
1998 NO NONE (edition)
(addenda)
(Code Case(s))
: 7. ASME Code Section Xl used for repairs, modifications, or replacements:
1998 NO NONE (edition)
(addenda)
(Code Case(s))
: 8. Construction Code used for repairs, modifications, or replacements:
1968 W 1968 Art. 9 NONE (edition)
(addenda)  
- (Code Case(s))
: 9. Design responsibility Same as item 1 above
: 10. Opening pressure:
2485 PSIG Blowdown (if applicable)
N/A  
%. Set pressure and blowdown adjustment made at:
Wyle Laboratories, Huntsville, Alabama Using Steam
-lcataon (test medium) i 1. Description of work: (include name and identifying number of replacement parts)
Valve Was Disassembled, Inspected, Repaired Assembled, & Tested. Parts Replaced: Base P/N 1861505NC2015,S/N AAA-19; Nozzle PIN 18448060S278,SIN AAA26; Bellows PIN 1840801N, SIN 2872/2-2; Disc PIN 1840404N, S/N ADK-59; Guide/Support Plate Gaskets PIN 3831018N, Cotter Pins P/N 2220219, & Adi. Ring Pin Gaskets PIN 3610508.
: 12. Remarks:
Base was modified on owner's purchase order 411554, Dresser order no. 31-52548-0.
CERTIFICATE OF INSPECTION I, P.- a )
W.l A /
certify that to the best of my knowledge and belief the statements made in this report are Correct and the repair, modification or replacement of the pressure relief devices described above conforms to Section Xl of the ASME Code and the National Board Inspection Code 'VR' and 'NR' rules.
National Board Certificate of Authorization No.
VR-70,95,97-118 & 12G-124 to use the 'VR stamp expires 6-29-2004 National Board Certificate of Authorization No.
NR-45 to use the M Ra stamp expires 630-2005 Date  
;/t4 O (
Same as Item 1 above.
Signed (name of certificate holder )
(authorized representive)le)
CERTIFICATE OF INSPECTION I,  
,j k?,  
-f/OS,*4b,  
, holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by the jurisdiction of Louisiana and employed by Hartford Steam Boiler Inspection and Insurance Co.
of Hartford, CT have Inspected the repair, modification or replacement described In this report on and state that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the ASME Code and the National Board Inspection Code "VR' and
'NR' rules.
'NR' rules.
By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or Implied, concerning the repair modification or replacement described in this report. Furthermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury, property damage or ss ao                 8       nd arising from or connected with this inspection.
By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or Implied, concerning the repair modification or replacement described in this report. Furthermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury, property damage or ss ao 8
Date                               Signed                                                                   Commissions         .424= A                     lkb'LrcJ (National Board (i. endorsements),
nd arising from or connected with this inspection.
Date Signed Commissions.424= A lkb' LrcJ (National Board (i.
endorsements),
iurisdiction, and no.1
iurisdiction, and no.1


FORM N-2 CERTIFICATE HOLDERS' DATA REPORT PuR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT PuR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code, Section Ill Not to Exceed One Day's Production Pg.Iof             2 Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ US Hwy 167 N
As Required by the Provisions of the ASME Code, Section Ill Not to Exceed One Day's Production Pg.Iof 2
: 1. Manufactured and certified by               P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (name and address of NPT Certificate Holder) _
Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ US Hwy 167 N
: 2. Manufactured for         Calvert Cliffs Nudear Power Plant P.O. Box 17323 820 G & E Building Baltimore Md 21297-1323 (name and addes of pwdhaser)
: 1. Manufactured and certified by P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (name and address of NPT Certificate Holder) _
: 3. Location of installation       Calvert Cliffs Nuclear Plant, 1650 Calvert Cliffs Parkway Lusby Md 20657 (nam   andm address)
: 2. Manufactured for Calvert Cliffs Nudear Power Plant P.O. Box 17323 820 G & E Building Baltimore Md 21297-1323 (name and addes of pwdhaser)
: 4. Type     OS417                               SB637 (Inconel X-750)                               170 KSI                           NIA                 2003 (drawing no.)                         (matl spec, no.)                           tensile strength)                 (CRN)               ( yearbult)
: 3. Location of installation Calvert Cliffs Nuclear Plant, 1650 Calvert Cliffs Parkway Lusby Md 20657 (nam andm address)
: 5. ASME Code Section III, Division 1:                         1968                 - Winter 1968                           1                           N/A
: 4. Type OS417 SB637 (Inconel X-750) 170 KSI NIA 2003 (drawing no.)
( edition)               (addenda date)                     (cdass)                 (Code Case no.)
(matl spec, no.)
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only)                             NJA                 Revision           N/A         Date           NIA (no)
tensile strength)
: 7. Remarks:         Serial Numbers Are Used In Ueu Of NPT Stamping.
(CRN)
: 8. Nom. thickness (in.)           N/A Mi ndesign thickness (In.)               NiA Dia. ID (ft. & In.)             N/A     Length overall ( ft & in.)       N/A
( yearbult)
: 9. When applicable. Certificate Holders' Data Reports are attached for each item of this report Part or Appurtenance                       National Serial Number                       Board No.
: 5. ASME Code Section III, Division 1:
In Numerical Order (1)     ADK59 (2)
1968  
(3)                                     4 (4)                                     t (5)                                     4 (6)
- Winter 1968 1
N/A
( edition)
(addenda date)
(cdass)
(Code Case no.)
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only)
NJA Revision N/A Date NIA (no)
: 7. Remarks:
Serial Numbers Are Used In Ueu Of NPT Stamping.
: 8. Nom. thickness (in.)
N/A Mi ndesign thickness (In.)
NiA Dia. ID (ft. & In.)
N/A Length overall ( ft & in.)
N/A
: 9. When applicable. Certificate Holders' Data Reports are attached for each item of this report Part or Appurtenance Serial Number National Board No.
In Numerical Order (1)
(2)
(3)
(4)
(5)
(6)
(7)
(7)
(8)
(8)
Line 849: Line 1,903:
(10)
(10)
(11)
(11)
(12)                                     I (13)                                     I (14)                                     I (15)                                     l (16)
(12)
(13)
(14)
(15)
(16)
(17)
(17)
(18)                                     l.
(18)
(19)
(19)
(20)
(20)
(21)                                     I.
(21)
(22)                                     1-(23)
(22)
(23)
(24)
(24)
(25)
(25)
: 10. Design pressure               N/A           psi     Temp.         N/A         *F.         Hydro. Test pressure             4500 PSIG         at temp. OF
ADK59 4
* Supplemental information inthe form of lists. Sketches, or drawings may be used provided (1)sIze is 8-1/2 x 11, (2)information Initems 2 and 3 on this Data Report Is ninduded on each sheet. (3)each sheet isnumbered and the number of sheets is recorded at the top of this form.
t 4
I I
I l
l.
I.
1-
: 10. Design pressure N/A psi Temp.
N/A  
*F.
Hydro. Test pressure 4500 PSIG at temp. OF
* Supplemental information in the form of lists. Sketches, or drawings may be used provided (1) sIze is 8-1/2 x 11, (2) information In items 2 and 3 on this Data Report Is ninduded on each sheet. (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


4 1 FORM N-2           (Back   -   Pg. 2 of         2   )
4 1
Certificate Holder's Serial Nos.               ADK59                 and CERTIFICATION OF DESIGN Design specificaffons certified by                                 NZA                               P.E. State             N/A           Reg. No.         N/A (wten applicable)
FORM N-2 (Back -
Design report* certilled by                                   NWA                                     P.E. State             N/A         Reg. No.           NIA (when applicable)
Pg. 2 of 2  
CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this ( these)                   DISC conforms to the rules of construction of the ASME Code, Section Iii, Division 1.
)
NPT Certificate of Authorization No.                             N-2434                         Expires       _012004 Date         3/i 103           Name                     SEE LINE I
Certificate Holder's Serial Nos.
ADK59 and CERTIFICATION OF DESIGN Design specificaffons certified by NZA P.E. State N/A Reg. No.
N/A (wten applicable)
Design report* certilled by NWA P.E. State N/A Reg. No.
NIA (when applicable)
CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this ( these)
DISC conforms to the rules of construction of the ASME Code, Section Iii, Division 1.
NPT Certificate of Authorization No.
N-2434 Expires
_012004 Date 3/i 103 Name SEE LINE I Signed i*V W)
I
{ NPT Certificate Holder)
{ NPT Certificate Holder)
Signed          i*V W)            I (authorized represewtattva)
(authorized represewtattva)
CERTIFICATE OF INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of LOUISIANA                       and employed by H.S. B. I.& i. Co.
CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of LOUISIANA and employed by H. S. B. I. & i. Co.
of HARTFORD, CT.                     have Inspected these items described in this Data Report on               1/M o0k..I                   , and state that to the best of my knowedge and belief, the Certificate Holder has fabricated these parts or appurtenances Inaccordance with the ASME Code, Section III, Division 1.Each part listed has been authorized tor stamping on the date shown above.
of HARTFORD, CT.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or imptied, concerning the equipment desraibed in this Data Report. Furthermore, neither the Inspector nor his employer shall be gable Inany manner for any personal injury or property damage or loss of any kind arising from or connected witht p pecon.
have Inspected these items described in this Data Report on 1/M o0k..I  
Date             3     //   Signed     Al f                                       Commissions     _
, and state that to the best of my knowedge and belief, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section III, Division 1. Each part listed has been authorized tor stamping on the date shown above.
                                          -I f AMMaWM Mwf hp Imaectnr s        I,                          I%NM.04 E 4 n e d,.-4               n,        . zs an CRX o.-. .Go.svaw
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or imptied, concerning the equipment desraibed in this Data Report. Furthermore, neither the Inspector nor his employer shall be gable In any manner for any personal injury or property damage or loss of any kind arising from or connected witht p pecon.
                                                                                                              }.-
Date 3  
                                                                                                              -        Se1w                                       dn   l e
//
Signed Al f
Commissions f AMMa WM Mwf hp s
Imaectnr I I NM.04 4 E
n d,.-4 e
n an
-I zs
% o.-..Go.svaw  
-}.-
Se1w CRX dn e


I A el -. 71r                 4c-k         I     DSO A'. 3ei FORM NV-I N CERTIFICATS HOLDERS' DATA REPORT FOR SAFETY AN4 SAFETY RELIEF VALVES*
I 
A el -. 71r 4c-k I
DSO A'. 3ei FORM NV-I N CERTIFICATS HOLDERS' DATA REPORT FOR SAFETY AN4 SAFETY RELIEF VALVES*
(AS REQUIRED IT THE PROVISIONS OF THE ASKE CODE, SECTION III, DIV. 1)
(AS REQUIRED IT THE PROVISIONS OF THE ASKE CODE, SECTION III, DIV. 1)
: 1. RANUFACTURED if DRESSER INDUSTRIAL VALVE A IXSTR. DIV.             Ml6Ayl7ft NOWMN ALEWDRIi.       1.603IfiANA (ANAEAND ADDRESS OF ItDRTI FICATE HOLDER)
: 1. RANUFACTURED if DRESSER INDUSTRIAL VALVE A IXSTR. DIV.
: 2. MANUFACTURED FOR Babcock & Wilcox Pwr-Gen.Div.qP.0.Box 1260,                               Lynchburg, Va. 24505 CRNAE AND ADDAESS OF PURCHIASER 01 OWNER)
Ml6Ayl7ft NOWMN ALEWDRIi.
: 3. LOCATIOR OF INSTALLATION       Cons~ers Power Co., Midland Unit 1, Midland, Mich.
1.603IfiANA (ANAE AND ADDRESS OF ItDRTI FICATE HOLDER)
(NAME AND ADDRESS) 4         -                          4CP-243Z                             258                           1978 (CRAN)                       (BRAVING NO.)                     (AT'L   IRO.HO.)           (TEAR D9ILT3
: 2. MANUFACTURED FOR Babcock & Wilcox Pwr-Gen.Div.qP.0.Box 1260, Lynchburg, Va. 24505 CRNAE AND ADDAESS OF PURCHIASER 01 OWNER)
: 5. VALVE     2     31739A-1-X2-0S278                           ITENT41111NE      So. BN04376 (MODEL   DO..SERIES NO.)                                         (N CERTIFICATIHQLDER5'1SEIIAL.NC-.)
: 3. LOCATIOR OF INSTALLATION Cons~ers Power Co., Midland Unit 1, Midland, Mich.
TYPE   Safety                                         CLASS       J (SAFETYSAFETY       RELIEF;PILOT:POWER ACTUATED)
(NAME AND ADDRESS) 4 4CP-243Z 258 1978 (CRAN)
ORIFICE SIZE.. 1.& ,                        SOMINAL INLET SIZE       21/2               CUTLET SIZE       6" IICH                                                 INCH                              INCII
(BRAVING NO.)
: 0. SET PRESSURE (PStC)     2500                                 RATED TEMPERATURE            670                    IDF STAMPED CAPACITY     297.845                 L!S/HR.
(AT'L IRO.HO.)
* 3      % OVERPRESSURE SLOWDOWN (PSIG)            125 SAT.STEAM HYDROSTATIC TEST (Psi)     INLET     3750 -SIG                       OUTLET         1050 PSIG (APPLICASLE TO VALVES FOR CLOSED SYSTEMR' HLY]
(TEAR D9ILT3
T. PRESSURE RETAINING PIECES SERIAL IN. OR                            MATERIAL SPECIFICATION.
: 5. VALVE 2
IDENTIFICATION                              INCL. TYPE OR GRADE SODY                       B/A/AAAIS                                     SA-182 Gr. F316 SONNET 1Zffsx==              B/AR/AAA40                                     SA105 SUPPORT RaOS NOZZLE                        TRIlIAAA26                                   SA-187 !Gr- r-347 eISC                        RjrjAAT~nq                                     SA-6137 !Gr. figg SFRI19 WASHERS                15023                                         SA-105 ADIUSTINO SCREW              M6356aSB-164                                               Class A SPINDLE                      t'17RR7                                       *SA--479 er- 147 SPARIN      - --            AH1210                                         AISI H21 DOLTING OTHER PIECES ohtlct Elamse               79207                                         SA-182 Gr. F316 B^-^ -of, a             M.14                                         SA_194 Gr. 21                               - I
31739A-1-X2-0S278 (MODEL DO..SERIES NO.)
    *SUPPLEMENT SHEETS IN FORM OF LISTS.SKETCHES OR ORAWINOS MAY BE USED PROVIDED (I) SIZE IS 3-1/2"X II1 (2) INFORMATION IN ITEMS 1-2 0H THIS DATA REPORT IS INCLUDED ON EACH SHEET. AND (3) EACH SHEET IS NUNDERED AND NUMBER OF SHEETS IS RECORDED AT TOP OF THIS FORM.
ITENT41111NE So. BN04376 (N CERTIFICATIHQLDER5'1SEIIAL.NC-.)
_.        ,    i                               ,  _,__
TYPE Safety ORIFICE SIZE..
1S        ;i j     ;sIii                     '
CLASS J
(SAFETYSAFETY RELIEF;PILOT:POWER ACTUATED)
SOMINAL INLET SIZE 21/2 CUTLET SIZE 6"
: 1.
IICH
: 0. SET PRESSURE (PStC) 2500 STAMPED CAPACITY 297.845 L!S/HR.
SAT.STEAM HYDROSTATIC TEST (Psi)
INLET 3750 -SIG T. PRESSURE RETAINING PIECES SERIAL IN. OR IDENTIFICATION INCH INCII 670 RATED TEMPERATURE IDF
* 3
% OVERPRESSURE SLOWDOWN (PSIG) 125 OUTLET 1050 PSIG (APPLICASLE TO VALVES FOR CLOSED SYSTEMR' HLY]
MATERIAL SPECIFICATION.
INCL. TYPE OR GRADE SODY SONNET 1Zffsx==
SUPPORT RaOS NOZZLE eISC SFRI19 WASHERS ADIUSTINO SCREW SPINDLE SPARIN DOLTING OTHER PIECES B/A/AAAIS SA-182 Gr. F316 B/AR/AAA40 SA105 TRIlIAAA26 SA-187 !Gr-r-347 RjrjAAT~nq SA-6137 !Gr. figg 15023 SA-105 M6356aSB-164 Class A t'17RR7  
*SA--479 er -
147 AH1210 AISI H21 ohtlct Elamse 79207 SA-182 Gr. F316 B^-^  
-o f, a M.14 SA_194 Gr. 21 I
*SUPPLEMENT SHEETS IN FORM OF LISTS.SKETCHES OR ORAWINOS MAY BE USED PROVIDED (I) SIZE IS 3-1/2"X II1 (2) INFORMATION IN ITEMS 1-2 0H THIS DATA REPORT IS INCLUDED ON EACH SHEET. AND (3) EACH SHEET IS NUNDERED AND NUMBER OF SHEETS IS RECORDED AT TOP OF THIS FORM.
i 1S
;i j  
;sIii  


FORM xWlI (SACX)
FORM xWlI (SACX)
CERTIFICATE OF COMPLIANCE wl CERTIFY THAT THE STATEMENTS YADI IN THIS REPORT ARl       CORRECT AND THAT THIS TALYI CONFORMS TO THE RULES OF CONSTRUCTION OF THE ASNE CODE FOR NUCLEAR PO1E1 PLANT COMPONENTS, SECTION III, DIV.I,             1971 EDITION. ADDENDA     Sumer 1972                 , CODE CASE         N/A DATE   1-26-78'       SISNED               IV/p               Ball=
CERTIFICATE OF COMPLIANCE wl CERTIFY THAT THE STATEMENTS YADI IN THIS REPORT ARl CORRECT AND THAT THIS TALYI CONFORMS TO THE RULES OF CONSTRUCTION OF THE ASNE CODE FOR NUCLEAR PO1E1 PLANT COMPONENTS, SECTION III, DIV.I, 1971 EDITION. ADDENDA Sumer 1972 CODE CASE N/A DATE 1-26-78' SISNED Ball=
DATE(N                         CERTlFICATE 0OIDER)           P1ri   pal Qual   y Assurance Engiear OUR ASE CERTIFICATE OF AUTIIORIZATICO MD. 71-1747                       _                    UDSE THE   M SYMBOL EXP!RES     Ma 20, 1980                                                                             (NV)
IV/p DATE(N CERTlFICATE 0OIDER)
P1ri pal Qual y Assurance Engiear OUR ASE CERTIFICATE OF AUTIIORIZATICO MD.
71-1747 UDSE THE M SYMBOL EXP!RES Ma 20, 1980 (NV)
(DATE)
(DATE)
CERTIFICATION Of 0131?t DESIGN INFORNATION 0N FILE AT 1resbr-Plarm, AlexAndrfia, TA..
CERTIFICATION Of 0131?t DESIGN INFORNATION 0N FILE AT 1resbr-Plarm, AlexAndrfia, TA..
STRESS ANALYSIS REPORT (CLASS I ONLY) ON FILE AT Dress2r Wlpant               Al ewaredr4^   T.a_
STRESS ANALYSIS REPORT (CLASS I ONLY) ON FILE AT Dress2r Wlpant Al ewaredr4^
DESISJI SPECIFICATIONS CERTIFIED AVI       Johtn IIU_ M     1.par PE STATE         V4 r ln.                                         Rao. No. 4418 STRESS REPORT CERTIFIED ay'     Y.S. Lai FE STATE     T.nLouisina                                           RE2.N3.     14105 1
T.a_
SISNATURE NOT REQUIRED-LIST NAME ONLY CERTIFICATE OF SHOP INSPECTION ITHE UNOERSIGNED. HOLDINS A VALID COMNISSION ISSUED BY THE NATIONAL BOA2D DF DOILIR AND PRESSURE VESSEL INSPECTORS ANO THE ;TATE OR PROVINCE OF LOUISIANA AND EMPLOYED BY TlE HARTFCA&sect; STal ILA     BST      1..II.
DESISJI SPECIFICATIONS CERTIFIED AVI Johtn II U_ M 1.par PE STATE V4 r ln.
COUP1W OF IANTFOPA, CCXN., HAVE INSPECTED THE PUIP.OR VALVE.DESCRIVD IN TNIS DATh REPORT ON 19.A AND STATE THAT TO TIHE DEST OF BY INOVLEDG1       AND SELIEF.TNS X CERTIFICATE HOLDER 1IAS CONSTRUCTED TVIS PUMP, OR.VALVE, IN ACCORDANCE WITHItHE-ASME CODE FOR NUCLEAR FI1ER PLANT COMPONENTS.
Rao. No.
BY SININ3 THIS CERTIFICATE. NEITHER THE INSPECTOR NOR HIS EMPLOYER KAXES ANY VARIIAIRYEXPAISSED OR IMPLIED, CONCERNINI THE &#xa3;QUIPMENT DESCRIBED IN THIS DATA REPORT.FUTHERVORE.NEITHER. THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MAMNEA FOR ANY PERSONAL INJURY OR PROPERTY DAMASE OR A LOSS OF ANiT KIND ARISINI FO oOR Dnp; E. WIT SIS IB FICTION.
4418 STRESS REPORT CERTIFIED ay' Y. S. Lai FE STATE T.nLouisina RE2.N3.
DAtE _102 I         In'     I4'fly SDAMEP.     A&P T             tw       e                   COEMISSIONSNational Board No. 7876 I SPECTOR)                           .NATOL.DR.STATE                           PROY.AN   ND.)
14105 1SISNATURE NOT REQUIRED-LIST NAME ONLY CERTIFICATE OF SHOP INSPECTION ITHE UNOERSIGNED. HOLDINS A VALID COMNISSION ISSUED BY THE NATIONAL BOA2D DF DOILIR AND PRESSURE VESSEL INSPECTORS ANO THE ;TATE OR PROVINCE OF LOUISIANA AND EMPLOYED BY TlE HARTFCA&sect; STal BST ILA 1..II.
V         .            -                                                      _
COUP1W OF IANTFOPA, CCXN., HAVE INSPECTED THE PUIP.OR VALVE.DESCRIVD IN TNIS DATh REPORT ON 19.A AND STATE THAT TO TIHE DEST OF BY INOVLEDG1 AND SELIEF.TNS X CERTIFICATE HOLDER 1IAS CONSTRUCTED TVIS PUMP, OR.VALVE, IN ACCORDANCE WITH ItHE-ASME CODE FOR NUCLEAR FI1ER PLANT COMPONENTS.
BY SININ3 THIS CERTIFICATE. NEITHER THE INSPECTOR NOR HIS EMPLOYER KAXES ANY VARIIAIRYEXPAISSED OR IMPLIED, CONCERNINI THE &#xa3;QUIPMENT DESCRIBED IN THIS DATA REPORT.FUTHERVORE.NEITHER. THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MAMNEA FOR ANY PERSONAL INJURY OR PROPERTY DAMASE OR A LOSS OF ANiT KIND ARISINI FO OR o
Dnp; E. WIT SIS IB FICTION.
DAtE _102 I In' I4  
'fly SDAMEP.
A&P T tw e
COEMISSION SNational Board No. 7876 I SPECTOR)  
.NATOL.DR.STATE PROY.AN ND.)
V  


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet 1of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                               Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                   R&R No. 2003-1-056a, MWO No. 1200203364 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                   Type Code Syrbol Stamp: N/A (name)                                             Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                             Section XI Class:           One (address)
Date:
: 4. Identification of System:     System Number     064     System Name:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:       ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                           1998 Edition
6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,     Code Name of         Name of           Manufacturers       National                     Other                   Year Replaced, oi Stamped Componet     Manufacturer         Serial Number     Board No.               Identification               Built Replacemen (Yes or No)
: 2. Plant:
Piping System       Bechtel           21/2"CC-10-1007       N/A   -  #11 Pressurizer Piping to Safety       1975     Repalred/Repi   No Relief Valve 1-RV-200                                 aced Nut         Mackson Inc. 409779 Heat Code:       N/A       Nut, Heavy Hex, 11/8 In.X 8 TPI,       2003     Replacement       No AGM                         ASME SA-194 Gr. 7 Rod         Nova Machine     38612 Heat Code:       N/A       Rod, Allthread, I 1/8 In.X 8 TPI,     1999     Replacement       No Products Corp.           MWX                         ASME SA-193 Gr. B7
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-056a, MWO No. 1200203364 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Syrbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Piping System Bechtel 21/2"CC-10-1007 N/A  
#11 Pressurizer Piping to Safety 1975 Repalred/Repi No Relief Valve 1-RV-200 aced Nut Mackson Inc.
409779 Heat Code:
N/A Nut, Heavy Hex, 11/8 In. X 8 TPI, 2003 Replacement No AGM ASME SA-194 Gr. 7 Rod Nova Machine 38612 Heat Code:
N/A Rod, Allthread, I 1/8 In. X 8 TPI, 1999 Replacement No Products Corp.
MWX ASME SA-193 Gr. B7
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.
This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.
: 8. Tests Conducted:     Hydrostatic:E   Pneumatic]       Nominal Operating Pressure:   Inservice: E   Leakage: 1     Functional: I]
: 8. Tests Conducted:
Pressure:   N/A     psi.           Test Temperature:       N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
Hydrostatic:E Pneumatic]
Nominal Operating Pressure:
Inservice: E Leakage: 1 Functional: I]
Pressure:
N/A psi.
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


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Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI VT-1 Visual Examination of the reDlacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements.
A Section XI VT-1 Visual Examination of the reDlacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                   Renalr/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:           N/A Certificate of Authorization No.: N/A         Expiration Date:   N/A Charles H. Ballard Signed:       /n/a,                         g                       Engineering Technician         Date:     6/15/2004 Owner-o'wner's De rinee, Titr 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 39 V Y to 6,11                     @e           . and state to the best of my knowledge   and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:  
/n/a, g
Engineering Technician Date:
6/15/2004 Owner-o'wner's De rinee, Titr 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 39 V Y to 6  
,11  
@e  
. and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     6118/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2004-1-027, MWO No. 1200203390 (address)                                                                 (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Synbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                          Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:            One (address)
6118/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:     System Number         064     SystemName:           ReactorCoolantSystem 5.(a) Applicable Construction Code and Class:           ASME B&PV Code Sect. 1I1,1965 Edition, Win.1967 Add; Class A CCases: 1335-2, 1336, 1359-1 (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,       Code Name of          Name of            Manufacturers          National                      Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Pressure Vessel   Combustion             Vessel SN: 67107;     20911      Unit PI Reactor Vessel and Head        1971      Repaired/Repl    Yes Engineering            Head SN: 67207                                                                           aced ICI Flange    ABB Combustion      95991-GX SN: 94-           N/A       Flange, S In., 2500 lb, Large           1994    Replacement      No Engineering                0855                        Tongue, Blind with 6 holes for ICI's, ASTM A-182, Gr.F321 Plug      BGE CCNPP Shops        0200101511 SN:          N/A       Plug, Incore Detection Seal, Dwg.       2001    Replacement      No 011, 012 & 013                    12148-03,ASTM-A276, Ty316 SS
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-027, MWO No. 1200203390 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Synbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 064 SystemName:
ReactorCoolantSystem 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. 1I1, 1965 Edition, Win.1967 Add; Class A CCases: 1335-2, 1336, 1359-1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Pressure Vessel Combustion Engineering ICI Flange ABB Combustion Engineering Plug BGE CCNPP Shops Vessel SN: 67107; Head SN: 67207 95991-GX SN: 94-0855 0200101511 SN:
011, 012 & 013 20911 Unit PI Reactor Vessel and Head N/A Flange, S In., 2500 lb, Large Tongue, Blind with 6 holes for ICI's, ASTM A-182, Gr.F321 N/A Plug, Incore Detection Seal, Dwg.
12148-03,ASTM-A276, Ty316 SS 1971 Repaired/Repl aced 1994 Replacement 2001 Replacement Yes No No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the installation of dummy stainless steel ICI plugs and a new In Core Instrumentation Flange on Unit #1 Reactor Vessel at the #4 ICI penetration.
This plan was for the installation of dummy stainless steel ICI plugs and a new In Core Instrumentation Flange on Unit #1 Reactor Vessel at the #4 ICI penetration.
: 8. Tests Conducted:     Hydrostatic:E     Pneumaticfl       Nominal Operating Pressure:   Inservice:   l   Leakage: b     Functional:   a]
: 8. Tests Conducted:
Pressure:    2260        psi.          Test Temperature:         660         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1I 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.
Hydrostatic:E Pneumaticfl Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice:
l Leakage: b Functional: a]
Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Simertinn Yl Prp-.qprvirA Ngl         Rqnutiremnts           A   Rpreninn -YIX Svrtm I ank-n           Tt Ta         f Ikf
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Simertinn Yl Prp-.qprvirA Ngl Rqnutiremnts A Rpreninn YIX Svrtm I ank-n Tt Ta f Ikf
                                                                                                                  -tv ...-,\
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                                                                                                                                        *Io
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                                                                                                                                              &r^mn,%nfn#
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wlvI&t a l Iu~\.-         Ac             o     *_*--lllu.               ow>g1 was performed durinq the system conditions listed in section 8. of this report.
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Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                         Repair/Replacement conforms to the rules of the ASME Code, Section XI.
,\\
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A         Expiration Date:     N/A Charles H. Ballard Signed:                            W                                    Engineering Technician                 Date:     6/18/2004 Owner ofOwner's Designee, Ttkle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period /-a 'if 7
ow>g1  
                                                              -0         to 5- /0 -09             , and state to the best of my knowledge and belief, the 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.
*Io a
wlvI&t was performed durinq the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Repair/Replacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
W Charles H. Ballard Engineering Technician Date:
6/18/2004 Owner ofOwner's Designee, Ttkle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period  
/- a 7
'if  
-0 to 5- /0 -09  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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'~I---     ii FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
'~I---
: 1. Owner:               Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1 of 2 (address)
ii FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 2. Plant:                 Calvert Cliffs Nuclear Power Plant                                   Unit:     One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2004-1-010, MWO No. 1200203521 (address)                                                             (P.O. no., job no., etc.)
: 1. Owner:
Type Code Symbol Stamp: N/A
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:          Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.:     N/A (name)
(name)
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:          Two (address)
Date:
: 4. Identification of System:         System Number       083       System Name:         - Main Steam & SG Blowdown 5.(a) Applicable Construction Code and Class:             ASME B&PV Code             Sect. III,1977     Edition, Win.1979 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
6/1512004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             - ASME Repaired,       Code Name of        Name of              Manufacturers        National                      Other                Year Replaced, oi Stamped Componet     Manufacturer           Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 2. Plant:
Valve       Fisher Controls             8252433436         N/A       #11ISteam Generator Auxiliary       1980      RepalredtRepl    Yes Feed Water Pump Steam Supply                         aced Control Valve Plug, Primary    Fisher Controls      76678-GX SN:          N/A       Plug, Primary, 6 In. Control         1992      Replacement        Yes Intl., Inc.            LB3717-1                      Valve, ASME SA-479, Gr. 316L /
Calvert Cliffs Nuclear Power Plant (name)
Stellite, BGEDRWG #1229040018, Item 67
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-010, MWO No. 1200203521 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
System Number 083 System Name:  
- Main Steam & SG Blowdown 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. III,1977 Edition, Win.1979 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
- ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Fisher Controls 8252433436 Plug, Primary Fisher Controls Intl., Inc.
76678-GX SN:
LB3717-1 N/A  
#11I Steam Generator Auxiliary Feed Water Pump Steam Supply Control Valve N/A Plug, Primary, 6 In. Control Valve, ASME SA-479, Gr. 316L /
Stellite, BGEDRWG #1229040018, Item 67 1980 RepalredtRepl aced Yes 1992 Replacement Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work and part needed to rebuild 1-CV-4070, #11 Steam Generator Auxiliary Feed Water Pump Steam Supply Control Valve.
This plan was for the work and part needed to rebuild 1-CV-4070, #11 Steam Generator Auxiliary Feed Water Pump Steam Supply Control Valve.
: 8. Tests Conducted:         Hydrostatic:[]   Pneumatico       Nominal Operating Pressure:     Inservice: E Leakage: f     Functional:   [
: 8. Tests Conducted:
Pressure:      NiA      psi.          Test Temperature:         N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Hydrostatic:[]
Pneumatico Pressure:
NiA psi.
Nominal Operating Pressure:
Inservice: E Leakage: f Functional: [
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section Xi Pre-Service NDE was performed in suODort of this activity.
No Section Xi Pre-Service NDE was performed in suODort of this activity.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this               Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Dso         e   iX   e4       Charles H. Ballard Signed:                                           5,               Engineering Technician       Date:     6/15/2004 Owner orT er's rs-igne'e itle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod d-/a                 - 0M to       S -t- e'l         , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Dso e
iX e4 Charles H. Ballard Signed:
5, Engineering Technician Date:
6/15/2004 Owner orT er's rs-igne'e itle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod d-/a  
- 0M to S -t-e'l  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected w'th this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected w'th this inspection.
: 45.                   ,:OR-
: 45.  
      /R af   iH
,:OR-
              =         JO A;?-L'AS PEZ 7.L.-fLFYAX Commissions: AJ 3r983 ,                   /10//7/,           -'J//
/R af  
Inspectores Signature                                     National Board, State, and Endorsements Date:     6-14'*             200O4
=
iH JO A;?-L'AS PEZ 7.L.-fLFYAX Commissions: AJ 3r 983, /10//7/, -'J//
Inspectores Signature National Board, State, and Endorsements Date: 6-14'*
200O4


003B-P21C18573 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAteM 0001 NUCLEAR PARTS AND APPURTENANCES As Required by the Provisions of the ASME Code, Section III Not To Exceed One Day's Production                                                       Pg.             of
003B-P21C18573 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAteM 0001 NUCLEAR PARTS AND APPURTENANCES As Required by the Provisions of the ASME Code, Section III Not To Exceed One Day's Production Pg.
: 1. Manufactured end certified by           FISHER CONTROLS INT'L INC, KAPSHALLTOWN,                                               IOWA 50158 InaW and 8sd&s ot NPT Certifcate 14old0f
of
: 2. Manulacturedfor           Baltimore Gas & Electric Co.. Box 1535, Baltimore. Md. 21203 sname and address of ovicnlaserI
: 1. Manufactured end certified by FISHER CONTROLS INT'L INC, KAPSHALLTOWN, IOWA 50158 InaW and 8sd&s ot NPT Certifcate 14old0f
: 3. Locationofinstallation         Calvert Cliffs Nuclear Station. Lbsby. Md. 20657
: 2. Manulacturedfor Baltimore Gas & Electric Co.. Box 1535, Baltimore. Md. 21203 sname and address of ovicnlaserI
                                                                                                        .nAn   am lcddressi
: 3. Locationofinstallation Calvert Cliffs Nuclear Station. Lbsby. Md. 20657
: 4. Type       34A2071 Rev G                 SA-479-S31603                     70.0 KSI                                     N/A                             1993
.nAn am lcddressi
                            -draweng 1.1                 'Matil spec. noJ             tnflStr*Ngthl                             -CNI                             ear bwlt
: 4. Type 34A2071 Rev G SA-479-S31603 70.0 KSI N/A 1993
: 5. ASME Coda, Section III:           1977                           Winter 1979                                             2                               N/A a.0t.Ons addends       alts                           iclasse                       Code Case moI
-draweng 1.1  
: 6. Fabricated in accordance with Const. Spec. IDiv. 2 onlyl               N/A                             Revision     N/A                   Date           N/A
'Mat il spec. noJ tnflStr*Ngthl  
                                                                                          'no.,
-CNI ear bwlt
: 5. ASME Coda, Section III:
1977 Winter 1979 2
N/A a.0t.Ons addends alts iclasse Code Case moI
: 6. Fabricated in accordance with Const. Spec. IDiv. 2 onlyl N/A Revision N/A Date N/A
'no.,
: 7. Remarks:
: 7. Remarks:
PARTS ARE FOR VALVE SIN 8252433-436
PARTS ARE FOR VALVE SIN 8252433-436
: 8. Nom. thickness in. l           NIA       Min, design thickness (in.ANA                      Die. ID fit & in.)     - NLA.-       Length overall (ft & in.I     N/A
: 8. Nom. thickness in. l NIA Min, design thickness (in.
A NA Die. ID fit & in.)
NLA.-
Length overall (ft  
& in.I N/A
: 9. When applicable. Certificate Holders' Data Reports are attached for each item of this report:
: 9. When applicable. Certificate Holders' Data Reports are attached for each item of this report:
Part or Appurtenance                           -N efc                                   Part or Appurtenance                           National Serial Number             1               4O o.No               II                       Serial Number                         Board Number
Part or Appurtenance  
                                                              .m.NlOideS                     !     &sect;                                                   in Numerical Order Heat Number                       I i1     LB3717-1                               31333-1                           '26)
-N efc Part or Appurtenance National Serial Number 1
: 12)                                                                                 1(27) 13!                                 !128)                                                       ----                          I
4O o.No II Serial Number Board Number
: 14)                                                                               :429)
.m.NlOideS  
                                    ,,              !:                                                  m1.
! &sect; in Numerical Order Heat Number I
                                                                                                      .aVP
i1 LB3717-1 31333-1  
                                                                                                                                                                                -I 161,                                           I-131)
'26)
(73                                                                                  (32)
: 12) 1(27) 13!  
                '8)                                                                                  (33t
!128)
: 19)                                                                                  1341 (10)                                                                                  1351 t111                                                                                  :(361 1                                                                                   137) 1131                                     _138) t14)   -    _-_                      -      _._.                                    139)   -
I
015                                   :_                                              (403 I                                                  -.___
: 14)
116.                                                                      _            141) 71                                                                                 142       _
:429) m1.  
11i_..).                                                                               143)                                                                     _
-I
* 191                                                                     -            144           .
: 161, (73
120)                                                                                   345)
'8) 19)
(21)                                                                                   1461 122)                                                                                   147)
(10) t111 I-
            .123)                                                                                 *148)
.aVP 131)
            *124)                                                                                 :149)
(32)
            '125)                                                 .                                (i0-                 -_
(33t 1341 1351
: 10. Design pressure             1000                 psi. Temp. 580                             F. Hydro, test pressure       N-A                     at temp. F
:(361 1
* ponatiep~e j.1
137) 1131
      *Supplemental informatioin the form o lists. sketches. or drawings may be used provided 311site is 8X K t 121               2Informtion in stems 2 and 3 on ths Data Reort is included on each sheet. i31 each sheet is numbered and the numboer of sheets Is recorded at the top of this form.
_138) t14) 139) -
112/86)                                         This form (E000403 may be obtained from the Order Oct.. ASME. 22 Low Dive. Box 2300. Fasirfield, NJ 07007.2300.
015 I
(403 116.
141) 71 142 11i_..).
143)
* 191 144 120) 345)
(21) 1461 122) 147)
.123)  
*148)
*124)
:149)
'125)
(i0-
: 10. Design pressure 1000 psi.
Temp.
580 F.
Hydro, test pressure N-A at temp. F j.1
* ponatiep~e
*Supplemental informatioin the form o lists. sketches. or drawings may be used provided 311 site is 8X K t 121 2Informtion in stems 2 and 3 on ths Data Reort is included on each sheet. i31 each sheet is numbered and the numboer of sheets Is recorded at the top of this form.
112/86)
This form (E000403 may be obtained from the Order Oct.. ASME. 22 Low Dive. Box 2300. Fasirfield, NJ 07007.2300.


                                                                                                                                                      -      'I- -I FORM N-2 (back)
'I- -I FORM N-2 (back)
Mfr. Serial No.
Mfr. Serial No.
CERTIFICATION OF DESIGN Design specifications certified by                     Robert F.           Ash                     PE State     Md.             Rel   n. 9198 Design report     certified by                                       N/A                             PE. State   N/A             Fel.no.     N/A l                                           ~whefl Ip4.aob~e)
CERTIFICATION OF DESIGN Design specifications certified by Robert F. Ash PE State Md.
CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that this Ithese)                   Primary Plug conforms to the rules of construction of the ASME Code, Section Ill.
Rel n.
NPT Certificate of Authorization No.                                 1930                 Expires     11-18-95 Date             7-:           Name FISHER CONTROLS               INT'L INC NPT Cert.ieste Holdeu Signed          < a ra_Ilutihonzed eptesontatZ CERTIFICATE OF SHOP INSPECTION
9198 Design report certified by N/A PE. State N/A Fel.no.
            *tigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ofI dA                 and employed by                       HARTFORD S.B.I & I CO.
N/A l  
of     HARTFORD.         CONN have inspected these items described in this Dats Repor on_             7         "    S     - . and state that to the i best of my nowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code. Section l Ill. Each part I sted has been authorized for stamping on the date shown above.
~whefl Ip4.aob~e)
CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that this Ithese)
Primary Plug conforms to the rules of construction of the ASME Code, Section Ill.
NPT Certificate of Authorization No.
1930 Expires 11-18-95 Date 7-:
Name FISHER CONTROLS INT'L INC Signed a ra_
NPT Cert.ieste Holdeu Ilutihonzed eptesontatZ CERTIFICATE OF SHOP INSPECTION
*tigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ofI dA and employed by HARTFORD S.B.I & I CO.
of HARTFORD.
CONN have inspected these items described in this Dats Repor on_
7 S  
.and state that to the i best of my nowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code. Section l Ill. Each part I sted has been authorized for stamping on the date shown above.
By signing this certificate. neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described In this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising fram or connected with this inspection.
By signing this certificate. neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described In this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising fram or connected with this inspection.
Date   7-2? 3             Signed   7   i.         (           4 tAuthenzed Inetorl Commissions         &deg;;a4*
Date 7-2? 3 Signed 7 i.
KN&OCM. 1Inal. endoreamonisl staesat Sav. ane nol!
(
4 Commissions  
&deg; ;a4*
tAuthenzed Inetorl KN&OC M. 1Inal. endoreamonisl staes at Sav. ane nol!


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6/1712004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet 1of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                   Unit       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-032, MWO No. 1200203958 (address)                                                               (P.O. no.. job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:         Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Section XI Class:           One (address)
Date:
: 4. Identification of Systemn     System Number         064     System Name:           Reactor Coolant System 5.(a)Applicable Construction Code and Class:             ASME B&PV Code Sect. 1I1,1983 Edition, Sum. 1983 Add; Class I (b) Applicable Sect XM Ed. for Repairs/Replacement                                               1998 Edition
6/1712004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,     Code Name of         Name of             Manufacturers         National                     Other                 Year Replaced, oi Stamped Componet     Manufacturer           Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 2. Plant:
RCP Seal     Sulzer Blngham               SN: 1C869       NB 1294     #12A Reactor Coolant Pump             1988     Repaired/Repi   Yes Inc.                                               Mechanical Seal                                       aced Seal       BGE CCNPP Shops       1200202602 SN:       NB 1290       Seal, Cartridge Assembly (RCP)         2003     Replacement     Yes IC870                       875B-3V Complete Sulzer Blngham per FCR 87-0074
Calvert Cliffs Nuclear Power Plant Unit One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-032, MWO No. 1200203958 (address)
(P.O. no.. job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of Systemn System Number 064 System Name:
Reactor Coolant System 5.(a)Applicable Construction Code and Class:
ASME B&PV Code Sect. 1I1, 1983 Edition, Sum. 1983 Add; Class I (b) Applicable Sect XM Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
RCP Seal Sulzer Blngham SN: 1C869 NB 1294  
#12A Reactor Coolant Pump 1988 Repaired/Repi Yes Inc.
Mechanical Seal aced Seal BGE CCNPP Shops 1200202602 SN:
NB 1290 Seal, Cartridge Assembly (RCP) 2003 Replacement Yes IC870 875B-3V Complete Sulzer Blngham per FCR 87-0074
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the mechanical seal on #12A Reactor Coolant Pump.
This plan was for the replacement of the mechanical seal on #12A Reactor Coolant Pump.
: 8. Tests Conducted:     Hydrostatic:E   Pneumatics         Nominal Operating Pressure: -   Inservice: E   Leakage: 0     Functional:E Pressure:   2260         psi.         Test Temperature:         532       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:E Pneumatics Nominal Operating Pressure: -
Inservice: E Leakage: 0 Functional:E Pressure:
2260 psi.
Test Temperature:
532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 3X                                          FORM NIS-2 (Back)
Sheet 2 of 2 3 X FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was oerformed during the system conditions listed in section 8. of this report.
A Section Xl System Leakage Test of the affected component was oerformed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:           N/A Charles H.Ballard Signed:                            ,    ,                          Engineering Technician         _Date:     6/17/2004 Owner ororwerss  ignee, T ite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 6' -A' 3                     to 6-/1 69y           ,andstatetothebestofmy knowledge and belief, the 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.
Repalr/Replacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
Charles H. Ballard Engineering Technician
_Date:
6/17/2004 Owner or orwerss ignee, T ite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 6' -A' 3 to 6-/1 69y  
,andstatetothebestofmy knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
OHAJ     4J*Zl         Pg             z-f           Comnissions:     A16\ 9A-3) , 1t9 11/7/, FhJ N7at io7 Bo
OHAJ 4J*Zl Pg z-f Comnissions:
                                                                                                'a   State and EndI D    Inspector's Signature                                      National Board, State, and Endorsemnents Date: _   _    _I         200 Y
A16\\ 9A-3), 1t9 11/7/, FhJ N a t io7 7
Bo a St ate and E ndI National Board, State, and Endorsemnents D
Inspector's Signature Date: _
_I 200 Y


T     -d FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
T  
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:      611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
-d FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2003-1-008, MWO No. 1200203966 (address)                                                               (P.O. no., job no., etc.)
: 1. Owner:
Type Code Symbol Stamp: N/A
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:          Calvert Cliffs Nuclear Power Plant Dept.                          Authorization No.: N/A (name)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                     Section XI Class:          One (address)
611512004 Sheet I of 2
: 4. Identification of System:       System Number         064     System Name:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:             ASME B&PV Code Sect. 111, 1968 EditIon, Win. 1968 Add; Class A, Cases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                   1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,      Code Name of         Name of             Manufacturers         National                     Other                 Year Replaced, ox Stamped Componet      Manufacturer          Serial Number        Board No.                Identification            Built Replacemen (Yes or No)
(address)
Valve       Dresser Industrial           SN: BM-07952         N/A       Unit One Pressurizer Safety         1977      Repaired/Rep]  Yes Valve Co.                                              Relief Valve                                           aced Nozzle      Dresser Industries      86592-GX SN:            N/A       Nozzle, Maxiflow Relief Valve, 2     1987      Replacement      Yes Inc.                AAB60                        1/2 In., Model 31739A, Dresser P/N 4231701N, ASME SA-182 Gr.
Calvert Cliffs Nuclear Power Plant (name)
F347 Relief Valve  Dresser Industries      404679 SN: BM-          N/A       Valve, Consolidated Closed           2002      Replacement      Yes Inc.                  07948                        Bonnet Maxiflow Safety; 2-1/2 In.
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-008, MWO No. 1200203966 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
One
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. 111, 1968 EditIon, Win. 1968 Add; Class A, Cases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification ASME
: Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)
Valve Dresser Industrial Valve Co.
Nozzle Dresser Industries Inc.
Relief Valve Dresser Industries Inc.
Disc Dresser IndustrIes Inc.
SN: BM-07952 86592-GX SN:
AAB60 404679 SN: BM-07948 95597-GX SN:
ACM73 N/A Unit One Pressurizer Safety Relief Valve N/A Nozzle, Maxiflow Relief Valve, 2 1/2 In., Model 31739A, Dresser P/N 4231701N, ASME SA-182 Gr.
F347 N/A Valve, Consolidated Closed Bonnet Maxiflow Safety; 2-1/2 In.
Model 31739A, only for RV 201 location.
Model 31739A, only for RV 201 location.
Disc      Dresser IndustrIes      95597-GX SN:          N/A       DIsc, Maxinlow ReliefValve,2 1/2     1995     Replacement    Yes Inc.                ACM73                        In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688
1977 Repaired/Rep]
aced 1987 Replacement 2002 Replacement Yes Yes Yes Yes N/A DIsc, Maxinlow ReliefValve,2 1/2 1995 In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688 Replacement
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-201.
This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-201.
: 8. Tests Conducted:       Hydrostatic:[     PneumaticO         Nominal Operating Pressure:     Inservice: O Leakage:R     Functional:   E Pressure:    2260        psi.          Test Temperature:         660         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:[
PneumaticO Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: O Leakage:R Functional: E Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Q.Crfinn YX Prga:hfrui' tJvtIflu     I P I I          -I%-
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Q.Crfinn YX Prga:hfrui' NIF fl Pgn.,;rnmmnta A Section Xi System Leakage Test of the affected CO Donent tJvtIflu I
fl Pgn.,;rnmmnta NIF  ..  -v4-     I   -av II,-J. A Section Xi System Leakage Test of the affected CO Donent was performed during the system conditions listed in section 8. of this report.
I P I  
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                       Repair/Replacement conforms to the rules of the ASME Code, Section XI.
-I%-  
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:                   N/A Charles H.Ballard Signed:                Z"     "/             n'1. /
-v4-I  
Owner or Owner's Designee, TieT Engineering Technician       Date:     6/15/2004 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period //-f 2)- 0 3                       to   6 -/0 - 0 4       , and state to the best of my knowledge and belief, the 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.
-av II,-J.
was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Repair/Replacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Z" " /
n'1. /
Signed:
Charles H. Ballard Engineering Technician Date:
6/15/2004 Owner or Owner's Designee, Tie T 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period  
//-f 2)- 0 3 to 6 -/0 -0 4  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
iDOA)41-0,       A .       j.nM fitZ               ,Yi2i.
iDOA)41-0, A.
ZYOH-       A10f-2-IS pL'YZ-ff                                   Commissions: AJ157953 1AfO/17/, 4Ad//
j.nM fitZ,Yi2i.
NJ ationa Boad a0 / a nd S Inspector's Signature                                          National Board, State, and Endorsements Date:          7-/6            200 1
ZYOH-A10f-2-IS pL'YZ-ff Commissions: AJ157953 1AfO/17/, 4Ad//
Inspector's Signature Date:
7 -/6 200 1 NJ ationa Boad a0 / a nd S
National Board, State, and Endorsements


Alexandria. Louisiana USA FORM N-2 OR NPr CERTIFICATE HOLDERS' DATA REPORT FOR IDOENMCAL NUCLEAR PARTS AND APPURIENANCES-As Required by the Provisions of the ASME Code, Section III, Div. 1 Not to Exceed One Day's Production                                                                 Page l of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
Alexandria. Louisiana USA FORM N-2 OR NPr CERTIFICATE HOLDERS' DATA REPORT FOR IDOENMCAL NUCLEAR PARTS AND APPURIENANCES-As Required by the Provisions of the ASME Code, Section III, Div. 1 Not to Exceed One Day's Production Page l of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
: 1. Manufactured and certified by Intersection Hwy. 167 & 3225 North, Alexandria, LA 71309-1430 (Name and Address of Certificate Holder)                     .
: 1. Manufactured and certified by Intersection Hwy. 167 & 3225 North, Alexandria, LA 71309-1430 (Name and Address of Certificate Holder)
: 2. Manufactured for Baltimore Gas &               Electric       P. 0. Box   1635         Baltimore, MD   21203-1535 (Name and A"dres of Purchaser)
: 2. Manufactured for Baltimore Gas & Electric P. 0. Box 1635 Baltimore, MD 21203-1535 (Name and A"dres of Purchaser)
: 3. Location of Installation Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 (Name and Address)
: 3. Location of Installation Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 4.
: 4. Type         OS417                   SB637 Inconel X750                   NIA                         NIA                                   1995 (Drawing NoJ                 (Mat'l. Spec. NoJ             frensile Strength)               (CRNM                             (Year Built)
5.
: 5. ASME Code, Section III:               1968                   Winter 1968               A Article 9                           NIA (Edition)             (Addenda)                       (Class)                  ICode Case No.)
6.
: 6. Fabricated in accordance with Const. Spec. (Div. 2 only) N/A                                         Revislor I N/A                   Date N/A
7.
: 7. Remarks:            N/A                                                     No.)
(Name and Address)
: 8. Nom. thickness (in.)           NIA Min. design thickness lin.)_NLfADia. ID (ft.&in.)NIA_.Length overall (ft.&in.)l N/A
Type OS417 SB637 Inconel X750 NIA NIA (Drawing NoJ (Mat'l. Spec. NoJ frensile Strength)
: 9. When anolicable. Certificate Holders' data renorts are attached for each item of this report.                                                 t Part or Appurtenance               National Board No.                        Par or Appurtenance                  National Board No.
(CRNM ASME Code, Section III:
Serial Number                 In Numerical Order                            Sorial Number                    In Numerical Order tll Af-7M 71 I)   ACM 79                                                                 19A7 19pi t12 A MtP72                      _
1968 Winter 1968 A Article 9 (Edition)
141 ALM 74                                                                   I'M th90                                      _ ___    _    _  _  _  _  _    _      _    _
(Addenda)
{ 12fl         ._        __            _    _  __      ___            _    __    _    _
(Class)
IA)1AM 7R_
Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revislor Remarks:
till
N/A No.)
                                                                                  #191,0 IR) fill 119)                                                                          127) f4Q1                                                                                  .
1995 (Year Built)
12411
NIA ICode Case No.)
                                                                                  'IA)
I N/A Date N/A 8.
(IMs                                                                        fI2~
9.
11 7 II            .
Nom. thickness (in.)
__}                                              _                (*4 4 49 1 1_                          _  __  _    __  _    _ _ _ __  _  __    _  __      _
NIA Min. design thickness lin.)_NLfADia. ID (ft.&in.)NIA_.Length overall (ft.&in.)l N/A When anolicable. Certificate Holders' data renorts are attached for each item of this report.
14S;)     __                          _    _    _ _    _    _  _ _    _    _      _
t Part or Appurtenance National Board No.
Mdi}                                                                      I4415 _                          _  _    _    _    _    _  _  _    _  _  __    _    _
Serial Number In Numerical Order tll Af-7M 71 I)
I47                              l'~
ACM 79 t12 A MtP 72 141 ALM 74 IA)1 AM 7R_
1O.Deslgn Pressure N/A               psi Temp. N/A                 'F Hydro test pressure 4500                     at temp. 'F
IR) fill 119)
*Supplemental information in form of lists, sketches or drawings may be used provided, 41) size Is8X xI1, (2)information in items 2 & 3 on this data report is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.
(IMs 11 7
__}
II Mdi}
Par or Appurtenance National Board No.
Sorial Number In Numerical Order 19A7 19pi th90 I'M
{ 12fl  
#191,0 till f4Q1 12411 fI2~
127)  
'IA)
( 4 9 1_
*4 4 1 14 S ;)
I4415 _
I 47 l'~
1 O.Deslgn Pressure N/A psi Temp. N/A  
'F Hydro test pressure 4500 at temp. 'F
*Supplemental information in form of lists, sketches or drawings may be used provided, 41) size Is 8X xI 1, (2) information in items 2 & 3 on this data report is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.


_ r---_
r---_
CERTIFICATE OF DESIGN Design specifications certified by               N/A         P.E.               NIA               Reg. no.         NIA (when applicable)
CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.
Design report' certified by                   NIA             P.E.               N/A             Reg. no.           N/ilA CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section Ill.
NIA Reg. no.
NPT Certificate of Authorization No.                 N-2434               . Expires             Mau 20. 1995 Date   4/2   Lqs       Name     See Line 1 (NPT Certificat. Holder)
NIA (when applicable)
Signed (authorized repros CERTIFICATE OF SHOP COMPLIANCE 1.the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler lnpect n_ Insurance Co.,
Design report' certified by NIA P.E.
of Hartford, CT, have Inspected these items described in this data report on         ________S                           . and state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section Ill. Each part listed has been authorized for stamping on the date shown above.
N/A Reg. no.
N/ilA CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section Ill.
NPT Certificate of Authorization No.
N-2434  
. Expires Mau 20. 1995 Date 4/2 Lqs Name See Line 1 Signed (NPT Certificat. Holder)
(authorized repros CERTIFICATE OF SHOP COMPLIANCE
: 1. the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler lnpect n_ Insurance Co.,
of Hartford, CT, have Inspected these items described in this data report on ________S  
. and state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section Ill. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.
Date             _      Signed         ,M           I Commissions   _          _          _      _      _        _
Date Signed  
(Athoidzed Inspectorl                 INalt. 8d. Onol. endorsements) state or prov. andno.)
,M I
Commissions (At hoidzed Inspectorl INalt. 8d. Onol. endorsements) state or prov. andno.)


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:           Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                   R&R No. 2003-1-008a, MWO No. 1200203966 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                     Type Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                             Section XI Class:           One (address)
Date:
: 4. Identification of System:   System Number       064       SystemName:           Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:             ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect Xl Ed. for Repairs/Replacement                                           1998 Edition                         '
611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,       Code Name of         Name of           Manufacturers       National                     Other                   Year Replaced, oi Stamped Componet     Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
: 2. Plant:
Piping System     Bechtel           2 1/2"CC-10-1008       N/A       #11 Pressurizer Piping to Safety       1975     Repalred/Repl   No Relief Valve 1-RV-201                                 aced Nut         Mackson Inc. 409779 Heat Code:       NIA       Nut, Heavy Hex, 11/8 In. X 8 TPI,     2003     Replacement       No AGM                         ASME SA-194 Cr. 7 Rod         Nova Machine     38612 Heat Code:       N/A       Rod, Allthread, 1 1/8 In. X 8 TPI,     1999     Replacement       No Products Corp.           MWX                         ASME SA-193 Gr. B7
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-008a, MWO No. 1200203966 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 SystemName:
Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Piping System Bechtel 2 1/2"CC-10-1008 N/A  
#11 Pressurizer Piping to Safety 1975 Repalred/Repl No Relief Valve 1-RV-201 aced Nut Mackson Inc.
409779 Heat Code:
NIA Nut, Heavy Hex, 11/8 In. X 8 TPI, 2003 Replacement No AGM ASME SA-194 Cr. 7 Rod Nova Machine 38612 Heat Code:
N/A Rod, Allthread, 1 1/8 In. X 8 TPI, 1999 Replacement No Products Corp.
MWX ASME SA-193 Gr. B7
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-I Pressurizer Safety Valve, 1-RV-201.
This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-I Pressurizer Safety Valve, 1-RV-201.
: 8. Tests Conducted:     Hydrostatic:E   PneumaticO       Nominal Operating Pressure:   Inservice: E   Leakage: fl   Functional: fl Pressure:   NIA       psi.           Test Temperature:       N/A         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:E PneumaticO Nominal Operating Pressure:
Inservice: E Leakage: fl Functional: fl Pressure:
NIA psi.
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI VT-I Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
A Section XI VT-I Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Renalr/Relacerment conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Relacerment conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A A~<(2 5 ~1I.&/LjCharles                         H.Ballard Signed:                                           ,                Engineering Technician         Date:     6/15/2004 Owner or Owner's Designee, Tite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period / .2- O'                   to 56-/&deg;09             , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A A~<(2 5 ~1I.&/LjCharles H.
Ballard Signed:
Engineering Technician Date:
6/15/2004 Owner or Owner's Designee, Tite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period /.2 -
O' to 56 -/&deg;09  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI
: 1. Owner:               Calvert Cliffs Nuclear Power Plant, Inc.                               Date:       6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1of 2 (address)
: 1. Owner:
: 2. Plant:                Calvert Cliffs Nuclear Power Plant                 .
Calvert Cliffs Nuclear Power Plant, Inc.
Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2003-1-057, MWO No. 1200204093 (address)                                                               (P.O. no., job no., etc.)
(name)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by:          Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.: N/A (name)
6/1512004 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:            One (address)
Calvert Cliffs Nuclear Power Plant (name)
: 4. Identification of System.       System Number         064     SystemName:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:             ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                                 ASME Repaired,     Code Name of          Name of              Manufacturers        National                      Other                  Year Replaced, ox Stamped Componet         Manufacturer           Serial Number       Board No.                 Identification               Built Replacemen (Yes or No)
Unit:
Valve       Dresser Industries             BM-07951           N/A       Unit H1 Pressurizer Electromatic       1996       Repaired/Repi   No Power Operated Safety Valve                             aced Electromatic    Dresser Industries     402603 SN: BS-         NIA       Valve, Pressurizer ERV, 2 1/2 In.     2001     Replacement       No Relief Valve          Inc.                  07325                        2500 lb., Consolidated Electromatic, P/N: 31533VX-30                                                                                   XFF1-NC2005
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-057, MWO No. 1200204093 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
1650 Calvert Cliffs Parkway, Lusby, MD 20657 One (address)
: 4. Identification of System.
System Number 064 SystemName:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Dresser Industries BM-07951 N/A Unit H1 Pressurizer Electromatic Power Operated Safety Valve 1996 Repaired/Repi aced No Electromatic Relief Valve Dresser Industries 402603 SN: BS-Inc.
07325 NIA Valve, Pressurizer ERV, 2 1/2 In.
2001 Replacement 2500 lb., Consolidated Electromatic, P/N: 31533VX-30 XFF1-NC2005 No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.
This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.
: 8. Tests Conducted:       Hydrostatic:]     Pneumatic{]       Nominal Operating Pressure:     Inservice: 17   Leakage: i     Functional: E]
: 8. Tests Conducted:
Pressure:      2260        psi.          Test Temperature:         660         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
Hydrostatic:]
Pneumatic{]
Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: 17 Leakage: i Functional: E]
Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.
A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.
                  -                    Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Repair/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:         N/A Certificate of Authorization No.: N/A       Expiration Date: N/A Charles H.Ballard Signed:                                     /                       Engineering Technician       Date:     6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 8- a 1-3                   to 6 -//-a           . and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection DOt4a- A .31,f               li4       v     ql.o AceJ AiO2rZ-Ifi         PbLYZ 7,S-7-C-A4q--             Commissions:     4AC   9 0'3 /   , AfD//7/         4.A///
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:  
                                                                              ,J   ,Nl775 l       Ai oaSt         S Imnecor'sSi~ntureNational                           Board, State, and Endorsements Date:       A- 16    --
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Engineering Technician Date:
6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 8-a 1-3 to 6 -//-a  
. and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection DOt4a-A.31,f li4 v ql.o AceJ AiO2rZ-Ifi PbLYZ 7,S-7-C-A4q--
Commissions:
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:            Calvert Cliffs Nuclear Power Plant, Inc.                             Date:       6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet 1 of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                        R&R No. 2003-1-057a, MWO No. 1200204093 (address)                                                               (P.O. no.,job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                      Authorization No.: N/A (name)
6/1512004 Sheet 1 of 2
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                Section XI Class:           One (address)
: 2. Plant:
: 4. Identification of System:     SystemNumber         064     SystemName:       -   Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:               ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
Calvert Cliffs Nuclear Power Plant (name)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,     Code Name of          Name of            Manufacturers        National                    Other                  Year Replaced, oi Stamped Componet     Manufacturer           Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
Unit:
Piping System       Bechtel             2 1I2"CC-10-1004     N/A       #11 Pressurizer Piping to 1-ERV-       1975     Repaired/Repi   No 404                                                  aced Nut       Nova Machine       38612 Heat Code:         N/A       Nut, Heavy Hex, 1 1/ In. X 8 TPI,     1999     Replacement      No Products Corp.              MVJ                        ASME SA-194 Gr. 7 Rod        Nova Machine        38612 Heat Code:        N/A       Rod, Allthread, 1 1/8 In. X 8 TPI,     1999     Replacement      No Products Corp.            MWX                          ASME SA-193 Gr. B7
One R&R No. 2003-1-057a, MWO No. 1200204093 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
(P.O. no.,job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One
: 4. Identification of System:
SystemNumber 064 SystemName: - Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 2 1I2"CC-10-1004 N/A  
#11 Pressurizer Piping to 1-ERV-404 1975 Repaired/Repi aced No Nut Nova Machine Products Corp.
Rod Nova Machine Products Corp.
38612 Heat Code:
MVJ 38612 Heat Code:
MWX N/A Nut, Heavy Hex, 1 1/ In. X 8 TPI, 1999 ASME SA-194 Gr. 7 N/A Rod, Allthread, 1 1/8 In. X 8 TPI, 1999 ASME SA-193 Gr. B7 Replacement Replacement No No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.
This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.
: 8. Tests Conducted:     Hydrostatic:E]   PneumaticO       Nominal Operating Pressure:   Inservice: E   Leakage: [     Functional:   E Pressure:      N/A      psi.          Test Temperature:       N/A         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:E]
PneumaticO Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: E Leakage: [
Functional: E Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2of 2 FORM NIS-2 (Back)
Sheet 2of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI VT-1 Visual Examination of the replacement threaded fasteners was Performed to satisfy Section Xl Pre-Service NDE Requirements.
A Section XI VT-1 Visual Examination of the replacement threaded fasteners was Performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Renalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H.Ballard Signed:                                                             Engineering Technician         Date:     6/15/2004 Owner or Owneres Designee, Title -
Type Code Symbol Stamp:
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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9- aS -                 __ to 6 //-OY             , and state to the best of my knowledge and belief, the 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.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/15/2004 Owner or Owneres Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9-aS -
__ to 6 //-OY  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
4M-4Z/S                                     Commissions:   Ai13 913/     ,   A1f)   1274, .P`/
4M-4Z/S Commissions:
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:    6118/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                   Unit:      One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2003-1-058, MWO No. 1200204377 (address)                                                              (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
                                                                                      ,pt. Type Code Symbol Stamp: N/A
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant De (name)
6118/2004 Sheet I of 2 (address)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                Section XI Class:           One (addirss)
Calvert Cliffs Nuclear Power Plant
: 4. Identification of System:     System Number         064       System Name:         Reactor Coolant System 5.(a) Applicable Construction Code and Class:           ASME B&PV Code Sect. 1I1,1968 Edition, Win.1968 Add; Class A,
: 2. Plant:
                                                        -CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 EditIon
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,     Code Name of          Name of            Manufacturers        National                    Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number     - Board No.               Identification             Built Replacemen (Yes or No)
: 3. Work Performed by:
Valve     Dresser Industries           BM.07950         N/A       Unit #1 Pressurizer Electromatic     1975     Repalred/Repl   No Power Operated Safety Valve                          aced Electromatic   Wyle Laboratories     412522 SN: BY-         N/A       Valve, Pressurizer ERV, 21/2 In.     2004     Replacement       No Relief Valve                                77325                        2500 lb., Consolidated Electromatic, PIN: 31533VX-30                                                                                 XFFI-NC200S
Calvert Cliffs Nuclear Power Plant De (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (addirss)
Unit:
One R&R No. 2003-1-058, MWO No. 1200204377 (P.O. no., job no., etc.)
,pt.
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. 1I1,1968 Edition, Win.1968 Add; Class A,
-CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers National Serial Number  
- Board No.
Other Identification Valve Dresser Industries BM.07950 N/A Unit #1 Pressurizer Electromatic Power Operated Safety Valve 1975 Repalred/Repl aced No Electromatic Wyle Laboratories 412522 SN: BY-Relief Valve 77325 N/A Valve, Pressurizer ERV, 21/2 In.
2004 Replacement 2500 lb., Consolidated Electromatic, PIN: 31533VX-30 XFFI-NC200S No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-402.
This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-402.
: 8. Tests Conducted:     Hydrostatic:n     PneumaticO       Nominal Operating Pressure:   Inservice: n   Leakage: i     Functional:   E Pressure:    2260        psi.          Test Temperature:         660       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:n PneumaticO Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: n Leakage: i Functional: E Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements. A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Renair/Replacement conforms to the rules of the ASME Code, Section XI.
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date: N/A Charles H.Ballard Signed:                               G                           Engineering Technician         Date:     6/18/2004 Owner or owneis Designee, Trile 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period ? - a / - 0 3               to 6 /-C*O9           .and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XM.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renair/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
G Engineering Technician Date:
6/18/2004 Owner or owneis Designee, Trile 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period  
? -a / - 0 3 to 6 /-C* O9  
.and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DWJ4--           '1 .SH1 Sad" r             F0tZ H12 MA10VJ^- 6Co7S                                         Commissions: /   13 9/i                             (of!) //63 6e Siatur                                   Nional Bard, Ste a               m1 aInspector's Signature                                       National Board, State, and Endorsements Date:     ( - -L-       -- 2O-        -
DWJ4--  
'1.SH1 Sad" r F0tZ H12 MA10VJ^- 6Co7S Commissions: /
9/i 13 (of!) //63 6e Siatur Nional Bard, Ste a m1 aInspector's Signature National Board, State, and Endorsements Date:
( - -L-  
-- 2O-  


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl.
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl.
: 1. Owner:            Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     611812004                      ':
Calvert Cliffs Nuclear Power Plant, Inc.
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:              Calvert Cliffs Nuclear Power Plant                               Unit:        One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                    R&R No. 2003-1-058a, MWO No. 1200204377 (address)                                                              (P.O. no.. job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:
Type Code Symbol Stamp: N/A
611812004 Sheet I of 2 (address)
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.
Calvert Cliffs Nuclear Power Plant
: 2. Plant:
(name)
(name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                              Section XI Class:           One (address)
Unit:
: 4. Identification of System:   SystemNumber       064       SystemName:           Reactor Coolant System 5.(a) Applicable ConstructionCode and Class:         ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                           1998 Edition
One R&R No. 2003-1-058a, MWO No. 1200204377 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,     Code Name of          Name of          Manufacturers        National                    Other                  Year Replaced, oi Stamped Conponet     Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
: 3. Work Performed by:
Piping System       Bechtel           2 1/2"CC-10-1003     N/A       #11 Pressurizer Piping to 1-ERV-       1975     Repaired/Repl    No 402                                                   aced Nut         Nova Machine     38612 Heat Code:         N/A       Nut, Heavy Hex, 1 1/8 In. X 8 TPI,     1999     Replacement      No Products Corp.            MVJ                        ASME SA-194 Gr. 7 Rod        Nova Machine    38612 Heat Code:        N/A       Rod, AlIthread, 1 1/S In. X 8 TPI,     1999     Replacement      No Products Corp.          MWX                          ASME SA-193 Gr. B7
Calvert Cliffs Nuclear Power Plant Dept.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
(P.O. no.. job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One
: 4. Identification of System:
SystemNumber 064 SystemName:
Reactor Coolant System 5.(a) Applicable ConstructionCode and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Conponet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 2 1/2"CC-10-1003 N/A  
#11 Pressurizer Piping to 1-ERV-1975 402 Nut Rod Nova Machine Products Corp.
Nova Machine Products Corp.
38612 Heat Code:
MVJ 38612 Heat Code:
MWX N/A Nut, Heavy Hex, 1 1/8 In. X 8 TPI, 1999 ASME SA-194 Gr. 7 N/A Rod, AlIthread, 1 1/S In. X 8 TPI, 1999 ASME SA-193 Gr. B7 Repaired/Repl aced Replacement Replacement No No No
: 7. Description of Work.
: 7. Description of Work.
This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-402.
This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1 -ERV-402.
: 8. Tests Conducted:     Hydrostatic:E   Pneumaticj       Nominal Operating Pressure:   Inservice: E   Leakage: El   Functional: [
: 8. Tests Conducted:
Pressure:    N/A      psi.          Test Temperature:         N/A         Deg. F NOTE Siujppemeiinl sheetsm     nform of lists, sketches, or drawings may be used, provided[(l1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Hydrostatic:E Pneumaticj Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: E Leakage: El Functional: [
Test Temperature:
N/A Deg. F NOTE Siujppemeiinl sheetsm nform of lists, sketches, or drawings may be used, provided[(l1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H.Ballard Signed:                                                           Engineering Technician         Date:     6/18/2004 Owner or nwrer' es~lignee,ritle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period         Y/ -2 kO091       to 6 -/ ov /             and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/18/2004 Owner or nwrer' es~lignee,ritle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period Y/ -2 kO091 to 6 -/ ov /
and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DoMJ/f-L-     A - S q. 4'//V 7            F     , C IV -ZIVIAJC6 -S Pht - 82L                             Commissions:   A113 7           ,  /. I/S     A )/465
DoMJ/f-L-A q.
                        -  Insnector's Signature                                     National Board, State, and Endorsements Date:         -    =L-       200O4r
7
- S 4'//V F  
, C IV -ZIVIAJ C6
-S Pht -
82L Commissions: A113 7  
/.
I/S A ) /4 65 Insnector's Signature National Board, State, and Endorsements Date:  
=L --
200O4r


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:   11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2002-1-052, MWO No. 1200204580 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by         Calvert Cliffs Nuclear Power Plant Dept.                         Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:           One (address)
Date:
: 4. Identification of Systemn     System Number           064     SystemName:           Reactor Coolant System 5.(a)Applicable ConstructionCode and Class:               ASME B&PV Code Sect. Ill, 1968 Edition, Winter 1968 Add; Class A, CCases N-2, N-10.
11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
(b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 EditIon
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,       Code Name of         Name of             Manufacturers         National                     Other                 Year Replaced, oz Stamped Componet       Manufacturer           Serial Number       Board No.               Identification             Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant Unit:
Valve       Dresser Industrial         SN: BN-04373         N/A       Unit One Pressurizer Safety           1977     Repalred/Repi     Yes Valve Co.                                               Relief Valve                                           aced Nozzle     Dresser Industries   15988-GX SN: ACS         N/A         Nozzle, Maxflfow Relief Valve, 2     1996     Replacement       Yes Inc.                   96                         1/2 In, Model 31739A, Dresser F/N 423170 IN, ASME SA-182 Gr.
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-052, MWO No. 1200204580 (address)
F347 Relief Valve   Dresser Industries     404679 SN: BM-         N/A       Valve, Consolidated Closed             2002     Replacement Yes Inc.                 07953                       Bonnet Maxiflow Safety; 2-112 In.
(P.O. no., job no., etc.)
: 3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of Systemn System Number 064 SystemName:
Reactor Coolant System 5.(a)Applicable ConstructionCode and Class:
ASME B&PV Code Sect. Ill, 1968 Edition, Winter 1968 Add; Class A, CCases N-2, N-10.
(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oz Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Valve Dresser Industrial SN: BN-04373 N/A Unit One Pressurizer Safety 1977 Repalred/Repi Yes Valve Co.
Relief Valve aced Nozzle Dresser Industries 15988-GX SN: ACS N/A Nozzle, Maxflfow Relief Valve, 2 1996 Replacement Yes Inc.
96 1/2 In, Model 31739A, Dresser F/N 423170 IN, ASME SA-182 Gr.
F347 Relief Valve Dresser Industries 404679 SN: BM-N/A Valve, Consolidated Closed 2002 Replacement Yes Inc.
07953 Bonnet Maxiflow Safety; 2-112 In.
Model 31739A, only for RV 200 location.
Model 31739A, only for RV 200 location.
Disc       Dresser Industries 95597-GX SN: ACM             N/A       DIsc, Maxinfow Relief Valve, 2 1/2   1995       Replacement     Yes Inc.                     76                         In, Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688
Disc Dresser Industries 95597-GX SN: ACM N/A DIsc, Maxinfow Relief Valve, 2 1/2 1995 Replacement Yes Inc.
76 In, Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of Unit-I Pressurizer Safety Valve, 1-RV-200.
This plan was for the replacement of Unit-I Pressurizer Safety Valve, 1-RV-200.
: 8. Tests Conducted: Hydrostatic:n         Pneumatico         Nominal Operating Pressure:     Inservicc E   Leakage:E. Functional:[]
: 8. Tests Conducted:
Pressure:     2250         psi.         Test Temperature:         594       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
Hydrostatic:n Pneumatico Nominal Operating Pressure:
Inservicc E Leakage:E.
Functional:[]
Pressure:
2250 psi.
Test Temperature:
594 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements. A Section Xl System Leakaae Test of the affected component was Performed duino the system conditions listed in section 8. of this report.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this   Renalr/Replacement       conforms to the rules of the ASME Code, Section XI.
A Section Xl System Leakaae Test of the affected component was Performed duino the system conditions listed in section 8. of this report.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: NIA         Expiration Date: N/A iD                       //     Charles H. Ballard Signed:             A,           e     nEngineering                           Technician       Date:     11/17/2003 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period                               to                 , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: NIA Expiration Date: N/A iD  
//
Charles H. Ballard Signed:
A, e
nEngineering Technician Date:
11/17/2003 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
7                         Commissions: coa'x           4bg-:7 -'4)I           f7DI Z /     Inspector's Signature                                     National Board, State, and Endorsements Date:         /        .g 20 -o
7 Commissions: coa'x 4bg-:7 -'4) I f7D I Z /
Inspector's Signature National Board, State, and Endorsements Date:  
.g  
/
20 -o


inutra ValvesI Alexandria, Louisiana USA FORM N-2 OR NPT CERliFICATE HOLDERS' DATA' REPORT FOR IDEBIiCAL NUCLEAR PARTS AND APPUIRTENANCESX As Required by the Provisions of the ASME Code, Section III, DIv. 1 Not to Exceed One Day's Production                                                                   Page 1 of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
inutra ValvesI Alexandria, Louisiana USA FORM N-2 OR NPT CERliFICATE HOLDERS' DATA' REPORT FOR IDEBIiCAL NUCLEAR PARTS AND APPUIRTENANCESX As Required by the Provisions of the ASME Code, Section III, DIv. 1 Not to Exceed One Day's Production Page 1 of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
: 1. Manufactured and certified by Intersection Hwv. 167 & 3225 Nbrth. Alexandria. LA 71309-1430 IName and Address of Certificate Holder)
: 1. Manufactured and certified by Intersection Hwv. 167 & 3225 Nbrth. Alexandria. LA 71309-1430 IName and Address of Certificate Holder)
: 2. Manufactured for Baltimore Gas & Electric P. 0. Box 1535 Baltimore, MD 21203-1E35 (Name and Address of Purchaser)
: 2. Manufactured for Baltimore Gas & Electric P. 0. Box 1535 Baltimore, MD 21203-1E35 (Name and Address of Purchaser)
: 3. Location of Installation           Baltimore Gas & Electric         1650 Caiverts Cliffs Parkway lusby, MD 206574702 (Name end Addreasl
: 3. Location of Installation Baltimore Gas & Electric 1650 Caiverts Cliffs Parkway lusby, MD 206574702 (Name end Addreasl
: 4. Type         OS417                 - SA182 Gr. F347                   76 KSI                           N/A                             1996 (Drawing No.)               (Mat'l. Spec. No.1             (Tensile Strength)               (CRN)                         (Year Built)
: 4. Type OS417  
: 5. ASME Code, Section III Division 1:1968                       Wrnter 1968                     Article 9 (Cl. 11         NIA (Edition)               (Addenda)                       (Class)                   Code Case Noj
- SA182 Gr. F347 76 KSI N/A 1996 (Drawing No.)
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only) N/A                                             Revision iN/A                 Date NiA
(Mat'l. Spec. No.1 (Tensile Strength)
-l--J,_.ttSA(No.)         rI/P.
(CRN)
/. 11emarKs:
(Year Built)
: 8. Norn. thickness tin.) NIA MiUn. design thickness finj) N/A Dia. ID (ft.&in.L!N/ALength overall (ft.&In.)liNA S. When applicable, Certificate Holders' data reports are attached for each item of this report.
: 5. ASME Code, Section III Division 1:1968 Wrnter 1968 Article 9 (Cl. 11 NIA (Edition)
Part or Appurtenance               National Board No.                           Part or Appurtenance                 National Bloard No.
(Addenda)
Serial Number                  In Numerical Order                              serial Number                     In Numerical Order 12 A) 171                                                                              5271 12R)
(Class)
(1 71                            _  _    _  _  _ _  _  _    _    _ _    _    _  _
Code Case Noj
14 M )_                                  _    _ _  _    _  _    _ _      _    _  _
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only) N/A Revision iN/A Date NiA
4121)_                              _  _  _  _  _  _  _  _  _  _    _  _  _  _    _
-l--J,_.ttSA(No.)
(4 122                            _  _  _    _  _  _  _  _    _    _    _    _  _
/.
1191I (I A f117 11    71                            _  _  _  _  _  _  _  _  _    _    _    _  _    _
11emarKs:
MIt 14 0 )                             _  _  _  _  _ _  _  _  _    _    _    _  _  _
rI/P.
fo lr)_                            _  _ _  _  _ _ _ _  _  _ _ _  _
: 8. Norn. thickness tin.)
10.Design Pressure N/A                 psi Temp. N/A                   *FHydro test pressure 4500 PSIG at temp. 'F
NIA MiUn. design thickness finj) N/A Dia. ID (ft.&in.L!N/ALength overall (ft.&In.)liNA S. When applicable, Certificate Holders' data reports are attached for each item of this report.
'Supplemental Information Inform of lists, sketches or drawings may be used provided, 1I size is 8 1Kx 11, (2) Information Initems 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANIL
Part or Appurtenance National Board No.
Serial Number In Numerical Order 171 1191I (I A f117 MIt fo l r)_
Part or Appurtenance National Bloard No.
serial Number In Numerical Order 12 A) 5271 12R)
( 1 7 1 14 M )_
41 2 1 )_
(4 12 2 1 1 7 1 1 4 0 )
10.Design Pressure N/A psi Temp. N/A  
*F Hydro test pressure 4500 PSIG at temp. 'F
'Supplemental Information In form of lists, sketches or drawings may be used provided, 1 I size is 8 1K x 11, (2) Information In items 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANIL


CERTIFICATE OF DESIGN Design specifications certified by               N/A       P.E.             NIA             Rag. no.           N/A (when applicablo)
CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.
Design reports certified by                   N!/A           P.E.               N/A           Reg. no.             Wj A CERTIFICATE. OF COMPLIANCE We certify that the statements made In this report are correct and that this (these)         Nozzles conform to the rules of construction of the ASME Code, Section il Division 1.
NIA Rag. no.
NPT Certificate of Authorization No.                 N-2434               Expires         May 20, 1998 Date     l/     /9?     Name       See Line 1                     Signed       /           ?
N/A (when applicablo)
(NPT Certificata Holder)               (authodzad representalva)
Design reports certified by N!/A P.E.
N/A Reg. no.
Wj A
CERTIFICATE. OF COMPLIANCE We certify that the statements made In this report are correct and that this (these)
Nozzles conform to the rules of construction of the ASME Code, Section il Division 1.
NPT Certificate of Authorization No.
N-2434 Expires May 20, 1998 Date l/  
/9?
Name See Line 1 Signed /  
?
(NPT Certificata Holder)
(authodzad representalva)
CERTIFICATE OF INSPECTION l, the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler ingspctlon & Insurance Co.,
CERTIFICATE OF INSPECTION l, the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler ingspctlon & Insurance Co.,
of Hartford, CT, have inspected these Items described In this data report on                                           . and
of Hartford, CT, have inspected these Items described In this data report on  
                                                                                                                      */Kf state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section liI Division 1. Each part listed has been authorized for stamping on the date shown above.
*/Kf  
. and state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section liI Division 1. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Impfled concerning the equipment described In this data report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or loss of any kind arising from or connected with this Inspection.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Impfled concerning the equipment described In this data report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or loss of any kind arising from or connected with this Inspection.
Date                     Signed                           Commissions               __        _ _          _ _ _
Date Signed Commissions (Authorized rispector)
(Authorized rispector)               MNat'l. Bd. (in. endorsement) astate or prov. and no.1
MNat'l. Bd. (in. endorsement) astate or prov. and no.1


.A,     r a               Aeadria LuwaI A Alexandria, Laulstana USA FORM N-2 OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES" As Required by the Provisions of the ASME Code, Section III, Div. 1 Not to Exceed One Day's Production                                                                     Page I of I Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
.A, r
: 1. Manufactured               and certified     by           Intersection Hwy. 167 & 3225 North, Alexandria. LA 71309-1430 (Name end Address of Certificate Holder)
A a
: 2. Manufactured for Baltimore Gas & Electric                                                         P. 0. Box 1635 Baltimore, MD 21203-1535 (Name and Address of Purchaser)
eadria LuwaI A Alexandria, Laulstana USA FORM N-2 OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES" As Required by the Provisions of the ASME Code, Section III, Div. 1 Not to Exceed One Day's Production Page I of I Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations
: 3. Location of Installation                   Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 (Name and Address)
: 1. Manufactured and certified by Intersection Hwy. 167 & 3225 North, Alexandria. LA 71309-1430 (Name end Address of Certificate Holder)
: 4. Type OS417                                         S5637 Inconel X750                                               NtA                         NJA                         1995 (Drawing No.)                       IMat1. Spec. No.)                                         (Tensile Strength)               (CRN)                   (Yeer Bunt)
: 2. Manufactured for Baltimore Gas & Electric P. 0. Box 1635 Baltimore, MD 21203-1535 (Name and Address of Purchaser)
: 5. ASME Code, Section ill:                             1968                                           Winter 1968                 A Article 9                         NJA lEdition)                                     (Addenda)                           (Class)                   ICodo Case No.)
: 3. Location of Installation Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 (Name and Address)
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only)                                                               N/A                     Revision NIA             Date N/A
: 4. Type OS417 S5637 Inconel X750 NtA NJA 1995 (Drawing No.)
      -    Pa-         -.a(NoJ)
IMat1. Spec. No.)
: 7. remarnas:                 _NM
(Tensile Strength)
: 8. Nom. thickness tin.)                     NIA Min. design thickness (in.) N/A Dla. ID (ft.&in.). NIALength overall (ft.&in.) NlA
(CRN)
(Yeer Bunt)
: 5. ASME Code, Section ill:
1968 Winter 1968 A Article 9 NJA lEdition)
(Addenda)
(Class)
ICodo Case No.)
: 6. Fabricated In accordance with Const. Spec. (Div. 2 only)
N/A Revision NIA Date N/A Pa-  
-.a(NoJ)
: 7. remarnas:
_ NM
: 8. Nom. thickness tin.)
NIA Min. design thickness (in.) N/A Dla. ID (ft.&in.). NIALength overall (ft.&in.) NlA
: 9. When applicable, Certificate Holders' data reports are attached for each Item of this report.
: 9. When applicable, Certificate Holders' data reports are attached for each Item of this report.
Part or Appurtenance                             National Board No.                                              Part or Appurtenance                National Board No.
Part or Appurtenance National Board No.
Serial Number                             In Numerical Order                                                Serial Number                    In Numerical Order III A4IM 71                                 _                                                                        Mul MI} ArM7s 141       AthM 74 cm AeM 75                                               .
Serial Number In Numerical Order III A4IM 71 MI} ArM7s 141 AthM 74 cm AeM 75 m7, (t9m
m7,                                                                                                                 tam
'in' El7 1141_  
                                                                                                                                'in}  ,            ._                _ _  _  _  _  _  _  _ _ _  _  _
~
t461            _                ____        __      _____. ___
'_________*______I__
{141 1341 (IRM
..7 Ev41 E,%l Part or Appurtenance National Board No.
            'in'                                                             _ _____ _    _  _  _    _    _    _
Serial Number In Numerical Order Mul tam
El7                           ---                        _      _    _    _____  _  _    _    _    _
'in},
(t9m 1141_                                             _    _        _    _    __    _  _    _  _    _
t461
1491 W41
{141 1341 (IRM 1491 W41 1441 1468 M 5}
                  ;            ~            _      '_________*______I__
t4rm
1441 1468
!'47 ---  
              .. 7                                   _  .. _.__
--I
M5}
.. ;U...
                                                                                                                                                !'47
10.Design Pressure N/A psi Temp. N/A  
                                                                                                                                                  -------                                          --I Ev41 E,%l t4rm
*F Hydro test pressure 4500 at temp. 'F
                                                                                                                              .. ;U...                           __.._..___,
'Supplemental Information in form of lists, sketches or drawings may be used provided, (1) size is 8 Y x 1 1, (2) information In Items 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets Is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.
10.Design Pressure N/A                         psi Temp. N/A                                             *F Hydro test pressure                 4500       at temp. 'F
    'Supplemental Information in form of lists, sketches or drawings may be used provided, (1) size is 8Y x 11, (2) information InItems 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets Is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.


I % --- .
I CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.
CERTIFICATE OF DESIGN Design specifications certified by               N/A         P.E.               NIA               Reg. no.           NLA (when appUcabla)
NIA Reg. no.
Design report' certified by                   NIA             P.E.               N/A             Rag. no.             N/A CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section IlIl.
NLA (when appUcabla)
NPT Certificate of Authorization No.                   N-2434                 Expires             May 20. 1995 Date ,/27LiL             Name       See line 1                       Signed
Design report' certified by NIA P.E.
        '(NT                     Certificate Holdars               (authorized rop.en CERTIFiCATE OF SHOP COMPLIANCE I, the undersigned, holding a valid commission by the National Board of BoIler and Pressure Vessel inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler InoectonA Insurance Co.,
N/A Rag. no.
of Hartford, CT, have Inspected these Items described In this data report on                 //'o /IS                     *. and state that to the best of my knowledge and believe, the Certificate Holder has fabticated these parts or appurtenances in accordance with the ASME Code, Section lil. Each part listed has been authorized for stamping on the date shown above.
N/A CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section IlIl.
NPT Certificate of Authorization No.
N-2434 Expires May 20. 1995 Date,/27LiL Name See line 1 Signed
'(NT Certificate Holdars (authorized rop.en CERTIFiCATE OF SHOP COMPLIANCE I, the undersigned, holding a valid commission by the National Board of BoIler and Pressure Vessel inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler InoectonA Insurance Co.,
of Hartford, CT, have Inspected these Items described In this data report on  
//'o  
/IS  
*. and state that to the best of my knowledge and believe, the Certificate Holder has fabticated these parts or appurtenances in accordance with the ASME Code, Section lil. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.
Date                     Signed       d           ,I?   Commissions                             ro.
Date Signed d  
              /                   AuthoIzed In-speotori                 (Nat'!. Bd. ((nol. endors amants) state or prov. and no.)
,I?
Commissions ro.
/
AuthoIzed In-speotori (Nat'!. Bd. ((nol. endors amants) state or prov. and no.)


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)         -
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2002-1-062, MWO No. 1200204580 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:         Calvert Cliffs Nuclear Power Plant Dept.                         Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:           One (address)
Date:
: 4. Identification of System:     System Number           064       System Name:         Reactor Coolant System 5.(a) Applicable Construction Code and Class:               ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b)Applicable Sect XI Ed. for Repairs/Replacement                                                   1998 Edition
11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 2. Plant:
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-062, MWO No. 1200204580 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
: 6. Identification of Components Repaired or Replaced and Replacement Components:
Repaired,     Code Name of         Name of               Manufacturers         National                   Other                   Year Replaced, oi Stamped Componet     Manufacturer             Serial Number         Board No.               Identification             Built Replacemen (Yes or No)
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Piping System       Bechtel               2 1/2"CC-10-1007         N/A       Pressurizer Piping to Safety         1975       Repaired/Rept   No Relief Valve 1-RV-200                                 aced Nut       Cardinal Industrial         S7533-GX             N/A       Nut, Heavy Hex, I 1/8 In. X I TPI,   1992     Replacement     No Products Inc.                                             ASME SA-194 Gr. 7 Rod       Allied Nut & Bolt             18438             N/A       Rod, Allthread, I 1/8 In. X 8 TPI,   1998     Replacement     No Co. Inc.                                               ASME SA-193 Gr. B7
Identification Built Replacemen (Yes or No)
Piping System Bechtel 2 1/2"CC-10-1007 N/A Pressurizer Piping to Safety 1975 Repaired/Rept No Relief Valve 1-RV-200 aced Nut Cardinal Industrial S7533-GX N/A Nut, Heavy Hex, I 1/8 In. X I TPI, 1992 Replacement No Products Inc.
ASME SA-194 Gr. 7 Rod Allied Nut & Bolt 18438 N/A Rod, Allthread, I 1/8 In. X 8 TPI, 1998 Replacement No Co. Inc.
ASME SA-193 Gr. B7
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of pressure retaining fastener materials on 1-RV-200 on the Inlet flange to the piping system 1#CCIO-1007.
This plan was for the replacement of pressure retaining fastener materials on 1-RV-200 on the Inlet flange to the piping system 1#CCIO-1007.
: 8. Tests Conducted: Hydrostatic:E           PneumaticO         Nominal Operating Pressure:   rIservice:E     Leakage:f     Functional:'El Pressure:       N/A         psi.           Test Temperature:       N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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
: 8. Tests Conducted:
Hydrostatic:E PneumaticO Nominal Operating Pressure:
rIservice:E Leakage:f Functional:'El Pressure:
N/A psi.
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this   RevalrlReplacement       conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReplacement conforms to the rules of the ASME Code, Section XI.
Type Code Syrnbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:               NIA
Type Code Syrnbol Stamp:
                                      /1e                     I/Charles                   H.Ballard Signed:                                     _                        EngineeringTechnician         Date:   11/17/2003 Owner or   ees Designee, Title Certificate of Inservice Inspection 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period                             to                 , and state to the best of my knowledge and belief; the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.
N/A Certificate of Authorization No.: N/A Expiration Date:
NIA
/1e I/Charles H. Ballard Signed:
EngineeringTechnician Date:
11/17/2003 Owner or ees Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to  
, and state to the best of my knowledge and belief; the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
                          ,                                  Commissions: A~ ZY/3/             V,7#4 -     A4 /Z7(
Commissions: A~ ZY/3/
                  /       Insnectoes Sigmature                                     National Board, State, and Endorsements Date: /--       /200_                 3
V,7#4 -
A4 /Z7(
/
Insnectoes Sigmature National Board, State, and Endorsements Date: /--  
/200_
3


FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI
FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner              Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     01124/2003
: 1. Owner
                                      , (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of a.
, (name)
(addmss)
Date:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                        R&R No. 2002-1.060, MWO No. 1200204888 (address)                                                             (P.O. no., job no., etc.)
01124/2003 Sheet I of a.
Cliffs Nuclear Power Plant Dept.
1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addmss)
Calvert (nWokamre) 3 WorkPefomedby:y.Authorization                                                             Type Code Symbol        NIA N/A No.: Stamp:
: 2. Plant:
Exp Date:         A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:            One (address)
Calvert Cliffs Nuclear Power Plant (name)
: 4. Identification of System:     System Number         064     SystemName:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:           ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b) Applicable Sect M Ed. for Repairs/Replacement                                               1998 Edition
Unit:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Name of              Manufacturers      National                    Other                  Year Replaced, ol Stanmed Componet       Manufacturer           Serial Number     Board No.               Identification             Built Replacemere (YMs or No)
One R&R No. 2002-1.060, MWO No. 1200204888 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Tubing System         Bechtel   I               NIA           NIA       #11 Pressurizer Instrumentation       1970      RepalrWRepl        No aced Tubing        Consolidated        20439 Ht. 0442042      N/A       Tubing, 1m2 In. X .065 Wall,         1998 .Replacement            No Power Supply                                          ASME BA213, Tp. 316                     .7 Tubing Nut      bid Atlantic        18402-GX Beat          N/A       Nut, Tabe, 1/2 In. Parker             1997      Replacement        No Instrumentatlon Inc        Code: TIH                    Hanuifln, P/N 8BZ4;S,       :
(P.O. no., job no., etc.)
ASTMIASME A/SA182 or A/SA479, Tp. 316 Tubing Ferrule    Mid Atlantic        18402-OX Beat          N/A       Ferrule, Tube, 1m2 In. Parker         1997      Replacement        No Instrumentation Inc      Code: CEKU --                  Hanailln, PIN 8TZ-SS, ASTMJASME A/SA182 or A/SA479, Tp. 316 Tubing Union    Parker Hannifin        77567-GX Heat          NIA       Union, Tube, 3/4 In. X In2           1992      Rep latc emen t    No Corp              Code: CBTD                      "n4arkerHannlfin, PIN 12TZ-SS,ASTMWASME A/SAIU2 or AISA479, Tp. 316
3 WorkPefomedby:
: 7. Description of Work:                           I This plan was for the work and parts needed to replace tubing and fittings upstream of 1-HVRC-1180, a drain valve for instrument I-LT-1 1OX.
Calvert Cliffs Nuclear Power Plant Dept.
: 8. Tests Conducted:     Hydrostatic:fl     PneumaticQ       Nominal Operating Pressure:   Inservice:C     Leakagc: C Functional: Q Pressure:      N/A        psi.        Test Temperature:         N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-ll2 in. x I I in., (2) information in Items 1through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Type Code Symbol Stamp: N/A (nWokamre) y.Authorization No.: NIA Exp Date:
A Section XI Class:
1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
One
: 4. Identification of System:
System Number 064 SystemName:
Reactor Coolant System
: 5. (a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b) Applicable Sect M Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, ol Stanmed Built Replacemere (YMs or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Tubing System Bechtel I
Tubing Consolidated Power Supply Tubing Nut bid Atlantic Instrumentatlon Inc Tubing Ferrule Mid Atlantic Instrumentation Inc Tubing Union Parker Hannifin Corp NIA 20439 Ht. 0442042 18402-GX Beat Code: TIH 18402-OX Beat Code: CEKU --
77567-GX Heat Code: CBTD NIA  
#11 Pressurizer Instrumentation N/A Tubing, 1m2 In. X.065 Wall, ASME BA213, Tp. 316 N/A Nut, Tabe, 1/2 In. Parker Hanuifln, P/N 8BZ4;S, ASTMIASME A/SA182 or A/SA479, Tp. 316 N/A Ferrule, Tube, 1m2 In. Parker Hanailln, PIN 8TZ-SS, ASTMJASME A/SA182 or A/SA479, Tp. 316 NIA Union, Tube, 3/4 In. X In2 "n4arker Hannlfin, PIN 12TZ-SS,ASTMWASME A/SAIU2 or AISA479, Tp. 316 1970 RepalrWRepl aced 1998
.Replacement 7
1997 Replacement 1997 Replacement 1 992 Rep latc emen t No No No No No
: 7. Description of Work:
I This plan was for the work and parts needed to replace tubing and fittings upstream of 1-HVRC-1180, a drain valve for instrument I-LT-1 1OX.
: 8. Tests Conducted:
Hydrostatic:fl PneumaticQ Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice:C Leakagc: C Functional: Q Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-ll2 in. x I I 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.


Sheetaof g.
Sheetaof g.
Line 1,371: Line 3,070:
: 9. Remarks:
: 9. Remarks:
No Section Xl Pre-Serfice NDE was performed in support of this activity.
No Section Xl Pre-Serfice NDE was performed in support of this activity.
Applicable Manufactuer's Data Reports to be Attached Certificate of Complance             _______cfn__
Applicable Manufactuer's Data Reports to be Attached Certificate of Complance
We certifyrthat the statements made in this report are correct and thatthis   Roileaemrtc~onronnto                   the rules of the ASME Code, Section XI.
_______cfn__
Type Code Symbol Stamp: N/A CertificateofAuthorizationNo.: N/A ExpirationDate:               N/A
We certifyrthat the statements made in this report are correct and thatthis Roileaemrtc~onronnto the rules of the ASME Code, Section XI.
                                            &deg;/ (70                o4D       /   Charles IL Ballard Signed:                                                             Engineering Technician       Date:   01/24/2003 OwnerorOwneesDesigneeitle 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 of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described inthis Owners Report during the period //- /O                 2 to 2-2/-             O3 . and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furtiermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or pmperty damage of a loss of any kind arising from or connected vt~ipc Commissions:     A14     7/7 Z-           9P4-         ,x/5 k l   wr$Signature                                       Nadonal Board, State, and Endorsements Date:     Z/-             200 &L
N/A CertificateofAuthorizationNo.: N/A ExpirationDate:
N/A
&deg;/ (7 0 o4D  
/
Charles IL Ballard Signed:
Engineering Technician Date:
01/24/2003 OwnerorOwneesDesigneeitle Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described inthis Owners Report during the period  
//- /O 2
to 2-2/-
O3  
.and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furtiermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or pmperty damage of a loss of any kind arising from or connected vt~ipc Commissions:
A14 7/7 Z-9P4-  
,x/5 k l wr$Signature Nadonal Board, State, and Endorsements Date:
Z/-
200 &L


-- -  -1 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
' -1 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-022a, MWO No. 1200205233 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:           Two (address)
Date:
: 4. Identification of System:     System Number       041     System Name:           Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:           ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class-2 (b) Applicable Sect Xl Ed. for Repairs/Replacement                                             1998 Edition
6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Conponents:                                                             ASME Repaired,     Code Name of         Name of           Manufacturers       National                     Other                 Year Replaced, o0 Stamped Componet       Manufacturer           Serial Number     Board No.               - Identification             Built Replacemen (Yes or No)
: 2. Plant:
Valve     Velan Engineering         I-CKVCVC-165         N/A       #llCbargIng Pump Discharge             1975     Repalred/Repl   Yes Co.                                               Check Valve                                           aced Check Valve     Enertech Inc.     408934 SN: 11273       N/A       Valve, Nozzle Check, 2 In., 1500     2002     Replacement     Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark #
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022a, MWO No. 1200205233 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:
ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class-2 (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Conponents:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, o0 Stamped Componet Manufacturer Serial Number Board No.  
- Identification Built Replacemen (Yes or No)
Valve Velan Engineering I-CKVCVC-165 N/A  
#llCbargIng Pump Discharge 1975 Repalred/Repl Yes Co.
Check Valve aced Check Valve Enertech Inc.
408934 SN: 11273 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark #
212M3N)
212M3N)
: 7. Description of Work:
: 7. Description of Work:
Thus plan was for the replacement of 1-CKVCVC-165, #1 ICharging Pump Discharge Check Valve.
Thus plan was for the replacement of 1-CKVCVC-165, #1 ICharging Pump Discharge Check Valve.
: 8. Tests Conducted:       Hydrostatic:]   Pneumatic:       Nominal Operating Pressure:     Inservice: O   Leakage: F     Functional:
: 8. Tests Conducted:
Pressure:     2400       psi.         Test Temperature:         115       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Hydrostatic:]
Pneumatic:
Nominal Operating Pressure:
Inservice: O Leakage: F Functional:
Pressure:
2400 psi.
Test Temperature:
115 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.
A Section Xi System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                     Repalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A           Expiration Date:       N/A Charles H. Ballard Signed:                                                                 Engineering Technician         Date:     6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7- ~aY -03                     to G -mO Y           , and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7-aY
~  
-03 to G -mO Y  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
      ,TVJ A)1Z4ZIS PEEL 7-F*FS                                   Commissions: /V 15         I . A) II/A7/             A. //
,TVJ A)1Z4 ZIS PEEL 7-F*FS Commissions: /V 15 I  
                        -Anr4                                                         NIoal Board, /w     //Srse
. A) II/A7/
                          .TIn~ectoi't 1.ionature                                       National Board, State, and Endorsements Date:     44-,IG60
A. //
-Anr4 NIoal Bo ard,  
/w  
//Srse
.TIn~ectoi't 1.ionature National Board, State, and Endorsements Date:
44 -,IG60


FORM NPV-I CERTIFICATE fOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
FORM NPV-I CERTIFICATE fOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
As Required by the Provisions of the ASME Code. Section III, Division I
As Required by the Provisions of the ASME Code. Section III, Division I
: 1. Manufactured and certified by Enertech, A Div. of CurUss-Wright Flow Cbntrol Corp., 2950 Blirh St., Brea, CA 92821 (name and address of N Certificate Holder)
: 1. Manufactured and certified by Enertech, A Div. of CurUss-Wright Flow Cbntrol Corp., 2950 Blirh St., Brea, CA 92821 (name and address of N Certificate Holder)
: 2. Manufactured for             Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
: 2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
: 3. Location ot instalation       Calvert Cliffs nuclear Power Plant; 1650 Calvert Clffs Parkway,-Lusby, MD 20657 (n~ame and address)
: 3. Location ot instalation Calvert Cliffs nuclear Power Plant; 1650 Calvert Clffs Parkway,-Lusby, MD 20657 (n~ame and address)
: 4. Model No., Series No., or Type             KRV             Drawing       MD20990             Rev           A       CaRN       None
: 4. Model No., Series No., or Type KRV Drawing MD20990 Rev A
: 6. ASME Code, Section     rtl Division 1:             1995                 ba dt                           1                     None (edition)             laddenda data)               (class)           lCode Case no.)
CaRN None
: 6. Pump or valve Nozzle Check Valve           Nominal Inlet slze-             2             Outlet size             2 7nd                                   oin.)
: 6. ASME Code, Section rtl Division 1:
: 7. Material:     Body SA-479 Type 31 6         66e                                                 N/A________________
1995 ba dt 1
(a)                           lb)                          IC)                            (d)                          (el Cert.                       Nat'l                        Body                          Bonnet                        Disx Holder's                       Board                        Serial                        Serial                      Serial Serial No.                       No.                           No.                           No.                         No.
None (edition) laddenda data)
11256                        None.                     KNG-001                          None                    KNH-001 11257                        None                      KNG-002                          None                    KNH-002 11258                        None                      KNG-003                          None                    KNH-003 11259                        None                      KNG-004                          None                    KNH-004 11260                        None                      KNG-005                          None                    KNH-005 11261                        None                      KNG-006                          None                      KNH-006 11262                        None                      KNG-007                          None                      KNH-007 11263                        None                      KNG-008                          None                      KNH-008 11264                        None                      KNG-009                          None                      KNH.009 11265                        None                      KNG-010                          None                      KNH-010 11266                        None                      KNG-011                          None                      KNH-01 1 11267                        None                      KNG-012                          None                      KNH-012 11268                        None                      KNG-013                          None                      KNH-013 11269                        None                      KNG-014                          None                      KNH-014 11270                        None                      KNG-015                          None                      KNH-015 11271                        None                      KNG-016                          None                      KNH-016 11272                        None                      KNG-017                          None                      KNH-017 11273                        None                        KNG-018                          None                      KNH-018
(class) lCode Case no.)
*Supplemental kIformasion In form of lists, sketches. br drawings may be used provided II) size is81 x 11, (2) hinformetion iMItems 1 through 4 on this Data Report Is Included on each sheet (31 each sheet is numbered end the number ot sheets Is recorded at the top of this forn.
: 6. Pump or valve Nozzle Check Valve Nominal Inlet slze-2 Outlet size 2
112188)         This form (E00037) may be obtained from the Order Dept.. ASME, 22 Law Drive. Box 2300. Fairfield. NJ 07007-2300.         &9PRINT M3
7nd oin.)
: 7. Material:
Body SA-479 Type 31 6 66e N/A________________
(a)
Cert.
Holder's Serial No.
1 1256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273 lb)
Nat'l Board No.
None.
None None None None None None None None None None None None None None None None None IC)
Body Serial No.
KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-015 KNG-016 KNG-017 KNG-018 (d)
Bonnet Serial No.
None None None None None None None None None None None None None None None None None None (el Disx Serial No.
KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH.009 KNH-010 KNH-01 1 KNH-012 KNH-013 KNH-014 KNH-015 KNH-016 KNH-017 KNH-018
*Supplemental kIformasion In form of lists, sketches. br drawings may be used provided II) size is81 x 11, (2) hinformetion iM Items 1 through 4 on this Data Report Is Included on each sheet (31 each sheet is numbered end the number ot sheets Is recorded at the top of this forn.
112188)
This form (E00037) may be obtained from the Order Dept.. ASME, 22 Law Drive. Box 2300. Fairfield. NJ 07007-2300.  
&9PRINT M3


I AM NPV-1 (Back                 -   Pg. 2 of 2..)
I AM NPV-1 (Back -
                                                                -      . .11256                                                               thru Certificate Holder's Serial No.           11273
Pg. 2 of 2..)
: 8. Design conditions       _____  2800__ps___ralvpesur psi               250             e or valve pressure     class              1500           11
..11256 thru Certificate Holder's Serial No.
11273
: 8. Design conditions 2800 psi 250 e or valve pressure 1500 11
__ps___ralvpesur class
()
()
(pressure)                       (temperaturel 0
(pressure)
: 9. Cold working pressure                 3600               psi at I     &deg;F
(temperaturel
: 10. Hydrostatic test         5400             psi. Disk differential test pressure                                 N/A                           psi
: 9. Cold working pressure 3600 psi at I 0&deg;F
: 11. Remarks: Oty.       18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by             JohnR.Sponsel, I                       P.E. State         MD           Rag.             17308 DesignReport certifiedby                     Ira J, Silverman                         p.A.State         C             eg. no.       23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Cods, Section ill, Division 1.                                                                                           ao is __a____
: 10. Hydrostatic test 5400 psi. Disk differential test pressure N/A psi
NP Lertrincae As 01 Autnorizalon   No.                             i'i-Z1!5.                            Expato         d     1s1  1/Ut Date    _____    _0__3  Nsame     Enertd     Oiv. d CuLs.Wrd Fow Convol Corp.           Signed      ,      a IN Certificate Holder)                                      (authoriecd represuntatva)
: 11. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by JohnR.Sponsel, I P.E. State MD Rag.
CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission issued by the Nationsl Board of Boler and Pressure Vessel Inspectors and the State or Province of                       Califoia                         and employed byHSBCT of                       Connecticut                                   have inspected the pump, or valve, described in this Data Report on
17308 DesignReport certifiedby Ira J, Silverman p.A. State C
  !                /i / . &@              , and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.
eg. no.
23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Cods, Section ill, Division 1.
ao i'i-Z1!5.
is __a____
As NPLertrincae 01 Autnorizalon No.
Date _____
_0__3 Expato 1
d s1 1/Ut Signed a
(authoriecd represuntatva)
Nsame Enertd Oiv. d CuLs.Wrd Fow Convol Corp.
IN Certificate Holder)
CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission issued by the Nationsl Board of Boler and Pressure Vessel Inspectors and the State or Province of Califoia and employed byHSBCT of Connecticut have inspected the pump, or valve, described in this Data Report on
/i /  
, and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.
By signing this certificate, neither the Inspector nor Nis employer makes any warranty, expressed or Implied, concerning the component described in this Data Report; Furthermore, neither the Inspector not his employer shall be liable ln any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
By signing this certificate, neither the Inspector nor Nis employer makes any warranty, expressed or Implied, concerning the component described in this Data Report; Furthermore, neither the Inspector not his employer shall be liable ln any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
Date -     &#xa3;6'0S Signed         4.                     Com               rnmisaions           eav1go           ;       04 %           A/
Date -
(Authorized Inspector)                             INafl. Bd.lncl. endorsements) and state or prov. and no.]
&#xa3;6'0S Signed
: 4.
Com rnmisaions eav1go ;
04 %
A/
(Authorized Inspector)
INafl. Bd. lncl. endorsements) and state or prov. and no.]
(I) For manually operated valves only.
(I) For manually operated valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner.             Calvert Cliffs Nuclear Power Plant, Inc.                                   Date:     6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                     Sheet I of 2-.
: 1. Owner.
Calvert Cliffs Nuclear Power Plant, Inc.
(name)
Date:
6/1512004 Sheet I of 2-.
1650 Calvert Cliffs Parkway; Lusby, MD 20657
: 2. Plant:
(address)
(address)
: 2. Plant:              Calvert Cliffs Nuclear Power Plant                                         Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2003-1-022b, MWO No. 1200205233 (address)                                                                   (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant (name)
Type Code Symbol Stamp: NIA
Unit:
: 3. WorkPerformedby-          Calvert Cliffs Nuclear Power Plant Dept.
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022b, MWO No. 1200205233 (address)
(name)                                                    Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                     Section Xl Class:            Two (address)
: 3. WorkPerformedby-Calvert Cliffs Nuclear Power Plant Dept.
: 4. Identification of System:     System Number         041       System Name:         Chemical Volume Control 5.(a) Applicable Construction Code and Class:             ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                   1998 Edition
(name)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               - ASME Repaired,. Code Name of          Name of              Manufacturers          National                      Other                  Year Replaced. oI Stamped Componet       Manufacturer           Serial Number       Board No.                 Identification               Built Replacemen (Yes or No)
(P.O. no., job no., etc.)
Piping System       Bechtel                 2" CC-7-1001         N/A       #11 Charging Pump Discharge ---        1975      Repalred/Repi  No Piping                                                 aced Pipe       DuBose National     400298 Ht#: 8324H           N/A       Pipe, 2 In., Sch. 160, ASME SA-         2000    Replacement      No Energy Services                                            376, Tp. 316 Inc.
Type Code Symbol Stamp: NIA Authorization No.: N/A Exp Date: N/A Section Xl Class:
Insert Reducer  DuBose National        54906-GX Heat            NIA         Reducer, Insert, 2 In.X 3/4 In.,       1992      Replacement      No Energy Services          Code: DVE                        6000 lb, Socketweld, ASME SA-Inc.'                                                182, Gr. F316 Tee      DuBose National        54906-GX Heat            N/A         Tee, 2 In, 6000 lb., Socket Weld,     1992      Replacement      No Energy Services            Code: BV                        ASME SA-IS2, Gr. F316 Inc.
Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Nut          Mackson Inc.      400066 Heat Code:          N/A       Nut, Heavy Rex, 7/1 In.X 9 TPI,         2000      Replacement    No JIX                            ASME SA-194 Gr. 2H Ailthread Rod    Mackson Inc.      410155      t#: S20751      NIA       Rod, Allthread, 7/8 In. X9 TPI,         2003      Replacement    No ASME SA-193 Gr. B7 Flange      DuBose National        409374 Ht. Code:          N/A       Flange, 2 In., 1500 lb., Large         2003      Replacement    No Energy Services              BEZ                          Tongue, Socketweld, ASME SA-Inc.                                                  182, Gr. F316
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME Repaired,.
Code Year Replaced. oI Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 2" CC-7-1001 N/A  
#11 Charging Pump Discharge Piping Pipe Insert Reducer Tee Nut Ailthread Rod DuBose National Energy Services Inc.
DuBose National Energy Services Inc.'
DuBose National Energy Services Inc.
Mackson Inc.
Mackson Inc.
400298 Ht#: 8324H 54906-GX Heat Code: DVE 54906-GX Heat Code: BV 400066 Heat Code:
JIX 410155 t#: S20751 409374 Ht. Code:
BEZ N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 NIA Reducer, Insert, 2 In. X 3/4 In.,
6000 lb, Socketweld, ASME SA-182, Gr. F316 N/A Tee, 2 In, 6000 lb., Socket Weld, ASME SA-IS2, Gr. F316 N/A Nut, Heavy Rex, 7/1 In. X 9 TPI, ASME SA-194 Gr. 2H NIA Rod, Allthread, 7/8 In. X9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 1975 Repalred/Repi aced 2000 Replacement 1992 Replacement 1992 Replacement 2000 Replacement 2003 Replacement 2003 Replacement No No No No No No No Flange DuBose National Energy Services Inc.
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-165 and IHVCVC-166, #11 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.
This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-165 and IHVCVC-166, #11 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.
: 8. Tests Conducted:     Hydrostatic:[]   Pneumatico           Nominal Operating Pressure:     Inservice: 6   Leakage:   l   Functional:   El Pressure:    2400          psi.            Test Temperature:         115        Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
: 8. Tests Conducted:
Hydrostatic:[]
Pneumatico Pressure:
2400 psi.
Nominal Operating Pressure:
Inservice: 6 Leakage: l Functional: El Test Temperature:
1 1 5 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is


SheetQof 2-FORM NIS-2 (Back)
SheetQof 2-FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Inservice Test of the affected component was Perforrned during the system
A Section Xl System Inservice Test of the affected component was Perforrned during the system
,nneditnnc lichmte in comi-inn 8. nf this nannrt
,nneditnnc lichmte in comi-inn 8. nf this nannrt CodefCaseQ~ Nt11-2l-wasQ invotkned tam 3isfv Sat~ion Yl we.  
      ~ , ,,...-
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                                                                                                          ,-1vt..-.-
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reauired Dressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N-416-2 and Re-q.Guide 1.147.
reauired Dressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N-416-2 and Re-q.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                               ReoalrlReolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date:         N/A Charles H. Ballard Signed:                                                                       Engineering Technician                Date:     6/15/2004 Owner or Ownei's D~sijiiee Title '
Type Code Symbol Stamp:
Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors I      and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 7-                 OY-o3           to 6-/0O1                       . and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section M.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A ReoalrlReolacement Charles H. Ballard Engineering Technician Signed:
Date:
6/15/2004 Owner or Ownei's D~sijiiee Title '
I Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 7-OY-o3 to 6-/0O1  
. and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section M.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
bosIhJ AJO.-2USd Pt             -7Em -I-<                 Commissions:         AJ813   9t; ,/             D i/;7/ , A4IV Inspecto's Signature                                                National Board, State, and Endorsements Date: 6 -/6                200-Y
bosIhJ AJO.-2USd Pt  
-7Em -I-<
Inspecto's Signature Date:
6 -/6 200-Y Commissions:
AJ813 9t;  
, /
D i/;7/, A4IV National Board, State, and Endorsements


. i v - -'4 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
. i v -
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date       611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
-'4 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-022c, MWO No. 1200205233 (address)                                                               (P.O. no., job no., etc.)
: 1. Owner:
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                     Type Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:             Two (address)
Calvert Cliffs Nuclear Power Plant, Inc.
: 4. Identification of Systern     SystemNumber         041     SystemName:           Chemical Volume Control
Date 611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 5. (a) Applicable Construction Code and     Class:     ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 2         -
: 2. Plant:
(b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
Calvert Cliffs Nuclear Power Plant Unit:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of         Name of           Manufacturers       National                     Other                   Year Replaced, ot Stamped Componet     Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022c, MWO No. 1200205233 (address)
Valve     Velan Engineering         1-HVCVC-166         N/A       #11 Charging Pump Discharge           1975       Repaired/Repi   Yes Co.                                               IsolatIon Valve                                         aced Gate Valve     Framatome ANP     400425 SN: 001028-1       N/A       Valve, Gate, 2 In. 1690 lb.; ASME     2001     Replacement     Yes Inc.                                             SA-132 Gr. F316
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of Systern SystemNumber 041 SystemName:
Chemical Volume Control
: 5. (a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, ot Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Valve Velan Engineering 1-HVCVC-166 N/A  
#11 Charging Pump Discharge 1975 Repaired/Repi Yes Co.
IsolatIon Valve aced Gate Valve Framatome ANP 400425 SN: 001028-1 N/A Valve, Gate, 2 In. 1690 lb.; ASME 2001 Replacement Yes Inc.
SA-132 Gr. F316
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-HVCVC-166, #11 Charging Pump Discharge Isolation Valve.
This plan was for the replacement of 1-HVCVC-166, #11 Charging Pump Discharge Isolation Valve.
: 8. Tests Conducted:     Hydrostatic:[] PneumaticCl       Nominal Operating Pressure:   Inservice: El   Leakage: W     Functional: 1 Pressure:   2400       psi.         Test Temperature:         115       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I 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.
: 8. Tests Conducted:
Hydrostatic:[]
PneumaticCl Nominal Operating Pressure:
Inservice: El Leakage: W Functional: 1 Pressure:
2400 psi.
Test Temperature:
115 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I 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.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl Svstem Leakaae Test of the affected component was performed during the system cnnditions listed in section 8. of this report.                 Code Case N-416-2 was invoked to satisfy Section XI reauired pressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N416-2 and Reci.Guide 1.147.
A Section Xl Svstem Leakaae Test of the affected component was performed during the system cnnditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RepalrlReplacement conforms to the rules of the ASME Code, Section XI.
Code Case N-416-2 was invoked to satisfy Section XI reauired pressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N416-2 and Reci.Guide 1.147.
Type Code Symbol Stamnp: N/A Certificate of Authorization No.: N/A       Expiration Date: N/A Charles H.Ballard Signed:       A4740                     xYi'                       Engineering Technician         Date:     6/15/2004 Owner or Own   sibnee, Titedi 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7 -A -o 3                     to C -/p '-           , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures descnbed in this Owner's Report in accordance with the requirements of the ASME Code, Section Xa.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamnp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A RepalrlReplacement Signed:
A4740 xYi' Charles H. Ballard Engineering Technician Date:
6/15/2004 Owner or Own sibnee, Titedi 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7 -A -o 3 to C -/p ' -
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures descnbed in this Owner's Report in accordance with the requirements of the ASME Code, Section Xa.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his -
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his -
employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
ach4-e A . stH4-P/1124 r/azw Atiz-
ach4-e A. stH4-P/1124 r/azw Atiz-
      ''D   i+AJl &77-&2S _                                   Commuissions: flJr6 9 {5     1, Ate //'7/ , A///1 1o N t n B r-7dA , State a     E Inspector's Signature                                      National Board, State, and Endorsemnents Date:        6& /6              200
''D i+AJl &77-&2S _
Commuissions: flJr6 9 {5 1, Ate //'7/, A///1 Inspector's Signature Date:
6 & /6 200 N t n B 1o r-7dA  
, State a E
National Board, State, and Endorsemnents


&#xa3; DATA PACKAGE NO.                         001028 FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES
&#xa3; DATA PACKAGE NO.
* As Required by the Provisions of the ASME Code, Section II,                                                                         Division 1 Pg. 1 of -. 2.
001028 FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES
: 1. Manufactured and certified by                               VELAN iNC.           2125 WNRD AVE.MONTREAL.OUEEBC CANADA g4KlT6 (ncame and address of N Certillcate Holder)
* As Required by the Provisions of the ASME Code, Section II, Division 1 Pg. 1 of -. 2.
: 2. Wanufactured for               FRAMTO1ME TECOLOGIES 3315-A OLD ZOItEST RD.LYXCHB1TRG.VA.IJSA 24501 (name and address of purchaser)
: 1. Manufactured and certified by VELAN iNC. 2125 WNRD AVE.MONTREAL.OUEEBC CANADA g4KlT6 (ncame and address of N Certillcate Holder)
: 3. Location of installion                     -IA (name and address)
: 2. Wanufactured for FRAMTO1ME TECOLOGIES 3315-A OLD ZOItEST RD.LYXCHB1TRG.VA.IJSA 24501 (name and address of purchaser)
: 4. Model No., Series No., or Type: GAT                                       Drawing         PI-76800-N22 Rev                     E   CRN_ ./A
: 3. Location of installion  
: 5. ASME     Code,     Section II,           Division 1:                 1989               .OQ.                       I (edition)           (addenda date)         (class)         (Code Case no.)
-IA (name and address)
: 6. Pump or valve             VALVE               Nominal inlet           size         2._.2Outlet size           2 (In.) -('n.)
: 4.
: 7. Material: Body,           SA-182.F316             BonnetSA-182.7316                     Disk SA-351.CP8M                       Bolting SA-194.8M SA-564,630H1100 (a)                              (b)                            (c)                                  (d)                            (e)
Model No.,
Cert.                             Nat'l                          Body                              Bonat                            Disk
Series No.,
          'Holder I s                         Board                        Serial                              Serial                        Serial Serial No.                              NO.                            No.                                  NO.                            No.
or Type: GAT Drawing PI-76800-N22 Rev E
001028-1                           N/A                    . R/C:CX                              !c:      ZA                  E/C: 750 a001028-2                                                             CAK                                                        I 75G 001028-3                                                                                                 YZA                            750 C01028-4                                                               CAX                              YZA                            75G 001028-5                                                               CAK                              FZA                            750 OC1028-6                                                               CUX                              FZA                            1?
CRN_./A
uu=== ===
: 5.
                                                                          =N           v
ASME Code, Section II, Division 1:
_              _m
1989  
_I
.OQ.
                                                                                                                                  .P -  -
I (edition)
_i Supplemental Information hI form of rists, sketches, or drawings may be used provi'ded (1)slfe Is 1/2 x ll,(2) Information In Items 1 through 4on is Data Report Is Included on each sheet, (3)each shest Is numbered and the number of sheets Is recorded at the top of this form.
(addenda date)
(12/38)       Ths form (E00037) may be obtained trom the Order Dept, ASME, 22 LAW DRIVE< BOX 2300 Fatrield. NJ 07007-2300.
(class)
                                                                                                                                                      -' .t@&#xa2;t w PAGE               3                     OFsA                                                                        ;:w
(Code Case no.)
: 6. Pump or valve VALVE Nominal inlet size 2._.2Outlet size 2
(In.)  
-('n.)
: 7.
Material: Body, SA-182.F316 BonnetSA-182.7316 Disk SA-351.CP8M Bolting SA-194.8M SA-564,630H1100 (a)
Cert.
'Holder I s Serial No.
001028-1 a001028-2 001028-3 C01028-4 001028-5 OC1028-6 uu======
(b)
Nat'l Board NO.
N/A
_I (c)
Body Serial No.
. R/C:CX CAK CAX CAK CUX
=N v
(d)
Bonat Serial NO.
!c:
ZA YZA YZA FZA FZA
_i (e)
Disk Serial No.
E/C: 750 I 75G 750 75G 750 1 ?
_m
.P Supplemental Information hI form of rists, sketches, or drawings may be used provi'ded (1) slfe Is 1/2 x ll,(2) Information In Items 1 through 4on is Data Report Is Included on each sheet, (3) each shest Is numbered and the number of sheets Is recorded at the top of this form.
(12/38)
Ths form (E00037) may be obtained trom the Order Dept, ASME, 22 LAW DRIVE< BOX 2300 Fatrield. NJ 07007-2300.
.t@ &#xa2;t w
PAGE 3
;:w OFsA


FORM NPV-1       (Back - Pg. 2' 6f                   2         )
FORM NPV-1 (Back -
Certificate       [older's Serial No.                 001028
Pg. 2' 6f 2  
: 8. Design conditions           4055       psi           100           *F or valve pressure class 1690                           (12)
)
(pressure)                                   (temerature)
Certificate [older's Serial No.
: 9. Cold working pressure             4055                 psi at 100F7
001028
: 10. Hydrostatic test           6350       psi. Disk differential test pressure                           4650                       psi Remarks:     MATSERIALS MEET AS=       SECTION II           EDITION:     1989     ADDENDA:       NONE C:RTIF}CATI OF CONTLXANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construct'on of the ASME Code, Section III, Division 1.
: 8. Design conditions 4055 psi 100  
N Certificate of Authorization No.                 N-2797-1                             3xp Date   OCT I A XOI1_       Name       VELAN NC.                         Signed (NCertificate Holder)                         uhorind repr     tie)
*F or valve pressure class 1690 (12)
CERTIFICATZ OF INSPECTION                           -
(pressure)
I, the undersigned,     holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of                           OUBBSC                     and employed by REGIZ DU BATIMENT         a c    I     OUEBEC /                   have inspected the pump, or valve, described in this Data Report on U*t4.O4 /lO' O , and state that to the best of my knowLedge and belief, the Certificate Holder has .onstructed *this pump, or valve, in accordance with the AS1H Code, Section I1, Division 1.
(temerature)
: 9. Cold working pressure 4055 psi at 100F7
: 10. Hydrostatic test 6350 psi. Disk differential test pressure 4650 psi Remarks:
MATSERIALS MEET AS= SECTION II EDITION: 1989 ADDENDA:
NONE C:RTIF}CATI OF CONTLXANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construct'on of the ASME Code, Section III, Division 1.
N Certificate of Authorization No.
N-2797-1 3xp Date OCT I A XOI1_
Name VELAN NC.
Signed (N Certificate Holder) uhorind repr tie)
CERTIFICATZ OF 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 OUBBSC and employed by REGIZ DU BATIMENT c
a I
OUEBEC /
have inspected the pump, or valve, described in this Data Report on U*t4.O4 / lO' O, and state that to the best of my knowLedge and belief, the Certificate Holder has.onstructed *this pump, or valve, in accordance with the AS1H Code, Section I1, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data Report. Furthermor.,
By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data Report. Furthermor.,
neither the inspector nor his employer shall be liable in any mamaar for any personal injury or propert, damage or a loss of any kind arising from or -connected with this inspection.
neither the inspector nor his employer shall be liable in any mamaar for any personal injury or propert, damage or a loss of any kind arising from or -connected with this inspection.
Date                   signed NZL__
NZL__
o=1issions                       0t3BEC J. MARCHAND Q QC #
J. MARCHAND Q
871 .4
871 Date signed o=1issions 0t3BEC QC #
                                /      ~t     d Inspector)             3       (Nat'L Bd (f~tciE           D         u QUt
/
_ _      (       / 1/           stre or prov. andano.)                       _          ,,   ._ .
~t d Inspector) 3 (Nat'L Bd (f~tciE u
(1) For manually operated valves only.                                                                               . arri           .
D QU t
t  "    _    .  .7 -..
.4
rP~~n$ -L4.                             -SL
(  
/ 1/
stre or prov. andano.)
,,
(1) For manually operated valves only.
. arri t
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rP~~n$  
-L 4.  
-SL


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASMt Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASMt Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6/1612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-052a, MWO No. 1200205235 (address)                                                               (P.O. no-,job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                      Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:            Two (address)
6/1612004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657
: 4. Identification of System:     System Number       041     SystemName:           Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:             ASME Draft Code forPumps                     & Valves, 1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Name of            Manufacturers        National                      Other                    Year Replaced, oi Stamped Componet       Manufacturer         Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
(address)
Valve     Velan Engineering             SN: 8370         N/A       #13 Charging Pump Discharge           1975      Repaired/Repi    Yes Co.                                                Check Valve                                             aced Check Valve      Enertech Inc.      408934 SN: 11271        N/A       Valve, Nozzle Check, 2 In., 1500       2002      Replacement      Yes lb, Large Groove connections, Enertech, Tp. KRV (Mark#
Calvert Cliffs Nuclear Power Plant (name)
212M3N)
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052a, MWO No. 1200205235 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no-,job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Two
: 4. Identification of System:
System Number 041 SystemName:
Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:
ASME Draft Code forPumps & Valves, 1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Engineering Co.
SN: 8370 Check Valve Enertech Inc.
408934 SN: 11271 N/A  
#13 Charging Pump Discharge Check Valve N/A Valve, Nozzle Check, 2 In., 1500 lb, Large Groove connections, Enertech, Tp. KRV (Mark#
212M3N) 1975 Repaired/Repi aced 2002 Replacement Yes Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-CKVCVC-177, #13Charging Pump Discharge Check Valve.
This plan was for the replacement of 1-CKVCVC-177, #13Charging Pump Discharge Check Valve.
: 8. Tests Conducted:     Hydrostatic:E     Pneumatics       Nominal Operating Pressure:   Inservice: E   Leakage: E       Functional: 1-Pressure:    2352      psi.            Test Temperature:         17     Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:E Pneumatics Pressure:
2352 psi.
Nominal Operating Pressure:
Inservice: E Leakage: E Functional: 1-Test Temperature:
17 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.


Sheet 2f M2
Sheet 2f M2
                .5_h FORM NIS-2 (Back)
.5_ h FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RepairlReplacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepairlReplacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:         N/A Charles H.Ballard Signed:                                                           Engineering Technician         Date:     6/16/2004 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 - AD-03               to ( -/0 - OY             . and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/16/2004 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 - AD-03 to
( -/0 - OY  
. and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
        >7O"J AKJI-&S             Pew                       Commissions: A113 9&3)               /   1//7/1       14//1 A     -,,/     at ,7      o AD A   ,    Insoector's Signature                                     National Board, State, and Endorsements Date:     (O '/             200 9
>7O"J AKJI-&S Pew Commissions: A113 9&3)  
: i. - I %
/ 1//7/1 14//1 A  
FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
,7
As Required by the Provisions of the ASME Code, Section III, Division I Pg. 1 of       2
/
at AD o
A Insoector's Signature National Board, State, and Endorsements Date:
(O '/
200 9
: i.
I FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
As Required by the Provisions of the ASME Code, Section III, Division I Pg. 1 of 2
: 1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Iname end addresi of N Cirtiflcate Holder)
: 1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Iname end addresi of N Cirtiflcate Holder)
: 2. Manufactured for             Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
: 2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
: 3. Location of InstallatLon       Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 3. Location of InstallatLon Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 4. Model No.. Series No., or Type               KRV             Drawing       MD20990             Rev.           A         CRN         None
: 4. Model No.. Series No., or Type KRV Drawing MD20990 Rev.
: 6. ASME Code, Section- iP,Division 1:                   1995                     1996                       1                     NQne iedition)             laddenda date)               (class)             (Code Case no.)
A CRN None
: 6. Pump or valve Nozzle Check Valve             Nominal Inlet aize             2             Outlet size               2 On.)                                 oin.)
: 6. ASME Code, Section-iP, Division 1:
7.Material:     Body   SA49Tye3             6rionet             N/ADisk SA-479Tye316                           Bolting           NA la)                           (b)                        Ic)                            (d)                            (el Cort.                         Nat'l                        Body                        Bonnet                          Disk Holder's                       Board                        Serial                        Serial                        Serial Serial No.                       No.                         No.                          No.                            No.
1995 1996 1
11256                        None                        KNG-001                       None                        KNH-001 11257                        None                        KNG-002                        None                        KNH-002 11258                        None                        KNG-003
NQne iedition) laddenda date)
* None                       KNH-003 11259                        None                        KNG-004                        None                        KNH-004 11260                        None                        KNG-005                        None                        KNH-005 11261                        None                        KNG-006                        None                      KNH-006 11262                        None                        KNG-007                        None                        KNH-007 11263                        None                        KNG-008                        None                      KNH-008 11264                        None                        KNG-009                        None                      KNH-009 11265                        None                        KNG-010                        None                      KNH-010 11266                        None                        KNG-011                        None                      KNH-011 11267                        None                        KNG-012                        None                        KNH-012 11268                        None                        KNG-013                        None                        KNH-013 11269                        None                        KNG-014                        None                      KNH-014 11270                        None                        KNG-01 5                        None                            iKNH-015 11271                        None                      *KNG016                          None                      KNH-016
(class)
* 11272                        None                        KNG-41 7                        None                      KNH-017 11273                        None                        KNG-018                        None                      KNH-018
(Code Case no.)
* Supplemental Information In form of Uts. sketches. br drawings may be used provided (1 size Is 8% x 11, W2Information In Items 1 through 4 on this Data Report is Included on each sheet. 131each sheet Is numbered and the number ot sheets Is recorded at the top of this torn.
: 6. Pump or valve Nozzle Check Valve Nominal Inlet aize 2
(IV88)           This form 11200037) may be obtained from the Order Dept.. ASME. 22 Law Drive, Box 2300. Fairfield, NJ 07007.2300.           IMPRINT as
Outlet size 2
On.)
oin.)
7.Material:
Body SA49Tye3 6rionet N/ADisk SA-479Tye316 Bolting NA la)
Cort.
Holder's Serial No.
11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273 (b)
Nat'l Board No.
None None None None None None None None None None None None None None None None None None Ic)
Body Serial No.
KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-01 5
*KNG016 KNG-41 7 KNG-018 (d)
Bonnet Serial No.
None None None None None None None None None None None None None None None None None None (el Disk Serial No.
KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-011 KNH-012 KNH-013 KNH-014 iKNH-015 KNH-016 KNH-017 KNH-018
* Supplemental Information In form of Uts. sketches. br drawings may be used provided (1 size Is 8% x 11, W2 Information In Items 1 through 4 on this Data Report is Included on each sheet. 131 each sheet Is numbered and the number ot sheets Is recorded at the top of this torn.
(IV88)
This form 11200037) may be obtained from the Order Dept.. ASME. 22 Law Drive, Box 2300. Fairfield, NJ 07007.2300.
IMPRINT as


                                                  .M NPV-t1Back-.Pg. 2 of                 2                               l 11256 thru Certificate Holder's Serial No.         11273
.M NPV-t 1Back-.Pg. 2 of 2
: 8. Design conditions               2800             Psi             250             For valve pressure dass                 1500           (1)
l 1 1256 thru Certificate Holder's Serial No.
Ipressure)                     Itemperaturel
11273
: 9. Cold working pressure               3600             psi at 1001F
: 8. Design conditions 2800 Psi 250 F or valve pressure dass 1500 (1)
: 10. Hydrostatic test           5400           psi. Disk differential test prassure                           N/A 1i. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by             John R. Sponsel, II               P.E. State       MD           Reg. no.       17308 Design Report certified by                 Ira J. Silverman                     P.E. State         CA         Reg. no.       23241 CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
Ipressure)
N Certificate of Authorization No.                         N-2826                               Exp>,             10/11/05 Datea/4/3               -Name     Enenled AOiv. Curss-Wrht   sFbWCa       p.
Itemperaturel
orCO        Signed         I     6     A       T INCertificate Holder)                                (authorized represuntatlvel CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province   of tateor the ofandemployed        California Povine                          and             by                  HSB CT of                       Connecticut                           have inspected the pump, or valve, described in this Data Report on l - if.         '
: 9. Cold working pressure 3600 psi at 1001F
: 10. Hydrostatic test 5400 psi. Disk differential test prassure N/A 1 i. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by John R. Sponsel, II P.E. State MD Reg. no.
17308 Design Report certified by Ira J. Silverman P.E. State CA Reg. no.
23241 CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1.
N Certificate of Authorization No.
N-2826 Exp>,
10/11/05 Date a/4/3  
-Name Enenled AOiv. Curss-Wrht sFbWCa orCO p.
IN Certificate Holder)
Signed I
6 A
T (authorized represuntatlvel CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of California and HSB CT the tateor Povine ofandemployed by of Connecticut have inspected the pump, or valve, described in this Data Report on l - if.
* and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.
* and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.
By signing this certIficate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data 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.
By signing this certIficate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
Date     1'bt-@0Signed         Ag             P&#x17d;.P W icosmissions                     'A/9'2             P (Authorized Inspector)                         INati. 8d. (lncLendorsernents) and stme or prov. and no.1 (1) For manually operated valves only.
Date 1' bt- @0Signed Ag P&#x17d;. P W icosmissions  
'A/9'2 P
(Authorized Inspector)
INati. 8d. (lncL endorsernents) and stme or prov. and no.1 (1) For manually operated valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owier:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date     611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 0-(address)
: 1. Owier:
: 2. Pl                   Calvert Cliffs Nuclear Power Plant                                 Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                     R&R No. 2003-1-052b, MWO No. 1200205235 (address)                                                           (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. WorkPerformedby:           Calvert Cliffs Nuclear Power Plant Dept.                     Type Code Symbol Starnp: N (name)                                           AuthorizationNo.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section X Class:             Two (address)
Date 611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 0-(address)
: 4. Identification of System:       System Number         041   System Name:       Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:                   ASME B31.7 1969 Editlon, Sum.1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
: 2. Pl Calvert Cliffs Nuclear Power Plant Unit:
: 6. Identification of Cornponents Repaired or Replaced and Replacement Components:                                                         ASME Repaired,    Code Name of         Name of                 Manufacturers     NBational                  Other                    Year Replaced, ox Stamped Cornponet      Manufacturer              Serial Number     Bo ard No.            Identification                Built Replacemen (Yes or No)
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052b, MWO No. 1200205235 (address)
Piping System      Bechtel                  2" CC-7-1003     NtA     #13 Charging Pump Discharge             1975      Repaired/Repl  No Piping                                                   aced Pipe        DuBose National        400298 Ht.#: 8324H    N/A     Pipe, 2 In., Sch. 160, ASME SA-         2000      Replacement    No Energy Services                                      376, Tp. 316 Inc.
(P.O. no., job no., etc.)
Insert Reducer  Energy & Process        411138 Heat Code:      N/A     Reducer, Insert, 2 In. X 1 In, 6000     2003    Replacement      No Corporation                  EM6S                  lb., Socketweld, ASME SA-182, Gr. F316.
: 3. WorkPerformedby:
Tee      DuBose National          S4906-GX Heat        N/A     Tee,21In, 6000 lb., Socket Weld,       1992    Replacement      No Energy Services            Code: BV                  ASME SA-182, Gr. F316 Inc.
Calvert Cliffs Nuclear Power Plant Dept.
Nut          Mackton Inc.        408227 Ht.#: S44018    N/A     Nut, Heavy Hex, 7/8 in. X 9 TPI,       2002      Replacement      No ASME 6A-194 Gr. 2H Allthread Rod      Mackson Inc.        410155 Ht#: S20751    NIA     Rod, Allthread, 7/MIn. X 9 TPI,         2003      Replacement    No ASME SA-193 Gr. B7 Flange      DuBose National        409374 Ht. Code:      NIA     Flange, 2 In, 1500 lb., Large           2003      Replacement    No Energy Services                EHI                  Tongue, Socketweld, ASME SA-Inc.                                          182, Gr. F316 Coupling        Ladish Co.          F-8588 Heat Code:      N/A     Coupling, 2 In., 6000 lb., ASTM A-     1973      Replacement    No D6MG H                  182, Gr. F316 Pipe Strap    Anvil International      34757 Lot#: 17925    N/A     Strap, Pipe Guide, 2 In., for PG-       1999      Replacement    No Inc. Grlnnell                                      44, BGEDRWG FSK-MP-Supports                                          0571SH 0005 & 6, Item #2
Type Code Symbol Starnp: N (name)
AuthorizationNo.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section X Class:
Two (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Editlon, Sum.1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Cornponents Repaired or Replaced and Replacement Components:
Name of Cornponet Piping System Pipe Insert Reducer Tee Nut Allthread Rod Flange Coupling Pipe Strap Name of Manufacturer Bechtel DuBose National Energy Services Inc.
Energy & Process Corporation DuBose National Energy Services Inc.
Mackton Inc.
Mackson Inc.
DuBose National Energy Services Inc.
Ladish Co.
Anvil International Inc. Grlnnell Supports Manufacturers Serial Number 2" CC-7-1003 400298 Ht.#: 8324H 411138 Heat Code:
EM6S S4906-GX Heat Code: BV 408227 Ht.#: S44018 410155 Ht#: S20751 409374 Ht. Code:
EHI F-8588 Heat Code:
D6MG H 34757 Lot#: 17925 NB Bo ational Other ard No.
Identification NtA  
#13 Charging Pump Discharge Piping N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 N/A Reducer, Insert, 2 In. X 1 In, 6000 lb., Socketweld, ASME SA-182, Gr. F316.
N/A Tee,2 1In, 6000 lb., Socket Weld, ASME SA-182, Gr. F316 N/A Nut, Heavy Hex, 7/8 in. X 9 TPI, ASME 6A-194 Gr. 2H NIA Rod, Allthread, 7/M In. X 9 TPI, ASME SA-193 Gr. B7 NIA Flange, 2 In, 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 N/A Coupling, 2 In., 6000 lb., ASTM A-182, Gr. F316 N/A Strap, Pipe Guide, 2 In., for PG-44, BGEDRWG FSK-MP-0571SH 0005 & 6, Item #2 ASME
: Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No) 1975 Repaired/Repl No aced 2000 Replacement No 2003 Replacement 1992 Replacement 2002 2003 2003 1973 1999 Replacement Replacement Replacement Replacement Replacement No No No No No No No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-177 and 1HVCVC-178, #13 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.
This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-177 and 1HVCVC-178, #13 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.


Sheet 2 of 2 FORM NiS-2 (Back)
Sheet 2 of 2 FORM NiS-2 (Back)
: 8. TestsConducted:     Hydrostatic:O       Pneumatics       Nominal Operating Pressure:     Inservice:     Leakage:Eo     Functional:O Pressure:       2352     psi.           Test Temperature:         1 17     Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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 {his form.
: 8. TestsConducted:
Hydrostatic:O Pneumatics Nominal Operating Pressure:
Inservice:
Leakage:Eo Functional:O Pressure:
2352 psi.
Test Temperature:
1 17 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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 {his form.
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was Performed during the system conditions listed in section 8. of this report.               Code Case N-416-2 was invoked to satisfy Section Xl required Pressure       tests. Addtional     Section   III Examinations       were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section Xl System Leakage Test of the affected component was Performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                         Repalr/Reolacement conforms to the rules of the ASME Code, Section XM.
Code Case N-416-2 was invoked to satisfy Section Xl required Pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A         Expiration Date:   N/A Charles H.Ballard Signed:                                                                   Engineering Technician           Date:   .6/16/2004 Owner or                   il awesDsgne Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board ofBoiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 -AN- 0 5 to 6 -/&)- /                                   and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective               measures   described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code, Section XM.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Engineering Technician Date:  
.6/16/2004 Owner or awesDsgne il 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9  
-AN- 0 5 to 6 -/&) -
/
and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or
  -- c-rined-CStlhisi                       -I   --                                      espection.                                            _ .7-TL)4o-J   AMILX       Pe       7Z/'1                 Commissions:     l'S W3/,AI,9//7/ 1 A4iJ//
-- c-rined-CStlhisi espection.
Insoector's Signature                                             National Board, State, and Endorsements Date: 6 - / 7       -       200if
-I  
.7-TL)4o-J AMILX Pe 7Z/'1 Commissions: l'S W3/,AI,9//7/ 1 A4iJ//
Insoector's Signature National Board, State, and Endorsements Date: 6 - / 7 -
200 if


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet 1of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                               Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                   R&R No. 2003-1-052c, MWO No. 1200205235 (address)                                                           (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:         Calvert Cliffs Nuclear Power Plant Dept.                   ype Code Symbol Stamp: N/A (name)                                           Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                           Section XI Class:           Two (address)
Date:
: 4. Identification of System:     System Number       041   SystemName:         Chemical Volume Control
6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)
: 5. (a)Applicable Construction Code and Class:         ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                         1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,       Code Name of         Name of           Manufacturers       National                   Other                   Year Replaced, oi Stamped Componet     Manufacturer         Serial Number     Board No.             Identification               Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant Unit:
Valve     Velan Engineering         1-HVCVC-178       N/A     #13 Charging Pump Discharge             1975     Repalred/Repi   No Co.                                           Isolation Valve                                       aced Gate Valve     Vendor. BWNS         70390LNP SN:         N/A       Valve, Gate, 2 In. 1690 lb.; ASME     1994     Replacement       Yes Nuclear               941005-1                 SA-182 Gr. F316 Mfgr: Velan Engrg. Co.
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052c, MWO No. 1200205235 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
ype Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 041 SystemName:
Chemical Volume Control
: 5. (a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Valve Velan Engineering 1-HVCVC-178 N/A  
#13 Charging Pump Discharge 1975 Repalred/Repi No Co.
Isolation Valve aced Gate Valve Vendor. BWNS 70390LNP SN:
N/A Valve, Gate, 2 In. 1690 lb.; ASME 1994 Replacement Yes Nuclear 941005-1 SA-182 Gr. F316 Mfgr: Velan Engrg. Co.
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-HVCVC-178, #13Charging Pump Discharge Isolation Valve.
This plan was for the replacement of 1 -HVCVC-178, #13Charging Pump Discharge Isolation Valve.
& TestsConducted:-- -Hydrostatic:E]-- Pneumaticfl -NominalOperatingPressure-       -- Inservice:--Leakage:         --Functional:           --  -
& TestsConducted:-- -Hydrostatic:E]-- Pneumaticfl -NominalOperatingPressure-  
Pressure:   2352       psi.       Test Temperature:       117       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I 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.
-- Inservice:--Leakage:  
--Functional:
Pressure:
2352 psi.
Test Temperature:
117 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I 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.


Sheet2of 2 FORM NIS-2 (Back)
Sheet2of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section XI System Leakaae Test of the affected comoonent was cerformed durina the system conditions listed in section 8. of this report.               Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section XI System Leakaae Test of the affected comoonent was cerformed durina the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Repair/Replacement conforms to the rules of the ASME Code, Section XI.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:             N/A Charles H.Ballard Signed:                ;0                                          Engineering Technician         Date:     6/17/2004 Owneror Owner's Designee,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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period             ' X;L-c3       to (V /0 - 1V7 , and state to the best of my knowledge and belief, the 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.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Repair/Replacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
;0 Charles H. Ballard Engineering Technician Date:
6/17/2004 Owneror Owner's Designee,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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period  
' X;L-c3 to (V /0 - 1V7, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
Do) AJAfi) A - S94-7'),4 iFtKL               ,(l/Z sow Womits Pk'               iff                 Commissions: /JIq'3/,           ,qO       1/7/   44V//
Do)
aio77
AJAfi) A - S94-7'),4 iFtKL  
                                                                                          / l oa0 Sae ad Inspector's Signature                                      National Board, State, and Endorsements Date:    6_-_/_7            200-S
,(l/Z sow Womits Pk' iff Inspector's Signature Date:
 
6_-_/_7 200-S Commissions: /JIq'3/,  
                          *e                                                                                                       AR\\toS FORM NPVY 1CERTIFIC.                 - HOLDERS' DATA REPORT FOR NUCLL.                             PUMPS OR VALVES*
,qO 1/7/ 44V//
As Required b,         .e Provisions of the ASME Code. Sectio(                         Division 1 Pg. 1 of     -
a io77 l
: 1. Manufactured and certified by                           \   .    '\Y&           NQ           It.&            \i\,     .
/
oa0 Sae ad National Board, State, and Endorsements
* e AR\\\\toS FORM NPVY 1CERTIFIC.  
- HOLDERS' DATA REPORT FOR NUCLL.
PUMPS OR VALVES*
As Required b,  
.e Provisions of the ASME Code. Sectio(
Division 1 Pg. 1 of
: 1. Manufactured and certified by It.&
\\  
'\\Y&
NQ  
\\i\\,
(name and address of N Certificate Holderl
(name and address of N Certificate Holderl
: 2. Manufactured for                                     Lvtii9& SRXN\_O               fi_
: 2. Manufactured for Lvtii9& SRXN\\_O fi_
Ename and address of Purchaser)
Ename and address of Purchaser)
: 3. Location of Installation                                                         .
: 3. Location of Installation (name-VW a ddress)
(name-VW address)
: 4. Model No., Series No., or Type GF,.
: 4. Model No., Series No., or Type         GF,.               Drawing\ '.                     Rev.                       6CR
Drawing\\ '.
: 5. ASME Code. Section 111.     Division 1:       \&deg;!&deg;.4         .            C (addenda datel
Rev.
                                                                                                .        (class)
6 CR
: 5. ASME Code. Section 111.
Division 1:  
\\&deg;!&deg;.4 C
lditiont (addenda datel (class)
Coda Cse no.)
Coda Cse no.)
lditiont
: 6. Pump or valve o Nominal inlet size Outlet size v
: 6. Pump or valveo        .      .            Nominal inlet size                         Outlet size           v
: 7. Materbl:
: 7. Materbl:       Body                         Bonnet                           Dkk                             Bolting Bi6XqC                W la)                         (1b                           IC)                         Id;                           (a)
Body Bonnet Dkk Bi6XqC Bolting W
Coet.                       Nat'I                         Body                       8onnet                           Disk Holders                       Board                         Serial                     senra           4.,i     ,    Serial Serial No.                     No.                           No.                         No -                           No.
la)
9i\ObSW                   \       tbW           t       As-etll.%
(1b IC)
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Id; (a)
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Coet.
*Supplemental informraon inform of Hats. skitcas, or drawvngs may be used provided 111 ize s 8 X 11. (21 information In items 1 through 4      8 on tis Dot Rport IsIncluded on each sheet. 13) each sheet Isnumbered and the number ol shaots Is reco,rded at the top of this form.
Nat'I Body 8onnet Disk Holders Board Serial senra 4.,i Serial Serial No.
112188)                   This form (E00037) may be obtained from the Order Dept.. ASME. 22 Law Drive B,ox 2300. Farfield. NJ 07007-2300.
No.
[ PA           E           PPF~
No.
No -
No.
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*Supplemental informraon in form of Hats. skitcas, or drawvngs may be used provided 111 ize s 8 X 1 on tis Dot Rport Is Included on each sheet. 13) each sheet Is numbered and the number ol shaots Is reco, 112188)
This form (E00037) may be obtained from the Order Dept.. ASME. 22 Law Drive
: 1. (21 information In items 1 through 4 8
rded at the top of this form.
B, ox 2300. Farfield. NJ 07007-2300.
[ PA E
PPF~


ORM NPV-1 (Back             - Pg. 2 of Certificate Holder's Serial No. -M               M B. Design conditions       ~AQ 1&                   psi                           aF or valve pressur, class Coeneasuraie S. Cold working pressure             - ~A               psi at wo00F IO. Hydrostatic test       (aii 1lso... psi. Disk differential test pressure                 Wa^psi 1 1. Remarks:   Anl~%                         U           SY\                 ai             A         X.SS~                                   I CERTIFICATION OF DESIGN Design Specification certified by Design Report catfe by -
ORM NPV-1 (Back -
                                        -'&   NJ.
Pg. 2 of Certificate Holder's Serial No. -M M
4ak\"%
B. Design conditions ~AQ 1&
pi.EStateDO S
psi aF or valve pressur, class Coeneasuraie S. Cold working pressure  
                                                                                                                  'e.n.MQ
- ~A psi at wo00F IO. Hydrostatic test (aii 1lso... psi.
:            1E CERTIFICATE OP COMPLIANCE We certify that the statements made in this report are correct and tht this pump at valve conforms to the rules for construction of the ASME Cods, Section Iii, Division 1.
Disk differential test pressure Wa^psi 1 1. Remarks: Anl~%
Os A '
U SY\\
A    kpL             w N Certificate of Authorization No.                                                                 Expires Dat                       amNin             INCactifleate
ai A
                                                                \'inCo Hodder Signed lauthoriad reprd~ntative)
X.SS~
CERTIFICATE OF INSPECTION I. the undersigned. holding a valid conjnission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or ifpvince of                                                   and employed by of                                                               have inspected the pump, or yaive, described in this Data Report on
I CERTIFICATION OF DESIGN Design Specification certified by  
        -q 41-/ g,                       and state that to the best of my knowledge and belief, the Certificate Holder hies con-structed tWs pump, or valve, in accordance with the ASME Code, Section Ill, Division 1.
-'& NJ.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the component described In this Data Report. Furthermore, neither the inspector not his employer shall be liable in any maniner for anty personal injury orproperty damage or a loss of any kind arising from or connected with this inspection.
pi.EStateDO  
Date   2&#x17d;4~.Signed / lAuthodedzs            Intolator)
'e.n.MQ 1E Design Report catfe by -
                                                            /'rommissions         (Qe   ,
S 4ak\\"%
Naili. 0d.111vAt. endorsewnantsl and   state or praw. and no.1 (II For manually operated valves only.
CERTIFICATE OP COMPLIANCE We certify that the statements made in this report are correct and tht this pump at valve conforms to the rules for construction of the ASME Cods, Section Iii, Division 1.
A kpL w
N Certificate of Authorization No.
Expires Os A '
Dat amNin  
\\'inCo Signed IN Cactifleate Hodder lauthoriad reprd~ntative)
CERTIFICATE OF INSPECTION I. the undersigned. holding a valid conjnission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or ifpvince of and employed by of have inspected the pump, or yaive, described in this Data Report on
-q 41-/
g, and state that to the best of my knowledge and belief, the Certificate Holder hies con-structed tWs pump, or valve, in accordance with the ASME Code, Section Ill, Division 1.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the component described In this Data Report. Furthermore, neither the inspector not his employer shall be liable in any maniner for anty personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Date 2&#x17d;4~.Signed  
/'rommissions (Qe,
/ lAuthodedzs Intolator)
Naili. 0d.111vAt. endorsewnantsl and state or praw. and no.1 (II For manually operated valves only.


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                     Unit:     One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2003-1-077, MWO No. 1200205240 (address)                                                             (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by         Calvert Cliffs Nuclear Power Plant Dept.                         Tpe Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:         One (address)
Date:
: 4. Identification of System:     System Number         064     System Name:           Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:                 ASME B31.7 1969 Edltion, Sum.1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of         Name of               Manufacturers       National                     Other                 Year Replaced, oi Stamped Componet       Manufacturer             Serial Number       Board No.               Identification             Built Replacemen (Yes or No)
: 2. Plant:
Pipe Support       Bechtel             2 1/2"CC-10-1003-H3     N/A       #11 Pressurizer Pipe Support to 1- 1975         Repalred/Repl   No ERV.402                                               aced Spring Can   Anvil International       411825 PN:           N/A       Support, Constant, Anvil Figure     2004     Replacement       No Inc. Grinnell           80VB014-NB                     SO-V, Size 14, Type B, with Travel Supports                                             Stop, Load - 620 lbs.
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-077, MWO No. 1200205240 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.
Tpe Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Edltion, Sum.1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Pipe Support Bechtel 2 1/2"CC-10-1003-H3 N/A  
#11 Pressurizer Pipe Support to 1-1975 Repalred/Repl No ERV.402 aced Spring Can Anvil International 411825 PN:
N/A Support, Constant, Anvil Figure 2004 Replacement No Inc. Grinnell 80VB014-NB SO-V, Size 14, Type B, with Travel Supports Stop, Load - 620 lbs.
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1003, Pressurizer Piping to Electric Relief Valve 1-ERV-402, support number H3.
This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1003, Pressurizer Piping to Electric Relief Valve 1-ERV-402, support number H3.
: 8. Tests Conducted:     Hydrostatic:[     PneumaticCl       Nominal Operating Pressure:   Inservice: E   Leakage: M     Functional:
: 8. Tests Conducted:
Pressure:       N/A       psi.           Test Temperature:       N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Hydrostatic:[
PneumaticCl Nominal Operating Pressure:
Inservice: E Leakage: M Functional:
Pressure:
N/A psi.
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-3 Visual Examination of the affected component suDDort was Derformed Drior to the system being returned to service.
A Section Xi VT-3 Visual Examination of the affected component suDDort was Derformed Drior to the system being returned to service.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                   ReaalrlReolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this ReaalrlReolacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Signed:
Type Code Symbol Stamp:
AD     S                     A t,/4 J      Charles H. Ballard Engineering Technician         Date:     6/15/2004 Owner or Ok~ers- Des-ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Reportduringtheperiod 39-7-a Y                         to 6 -3 09Y         , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section MI.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A AD S A t,/4J Charles H.
Ballard Signed:
Engineering Technician Date:
6/15/2004 Owner or Ok~ers-Des-ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Reportduringtheperiod 39-7-a Y to 6 -3 09Y  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section MI.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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se tSn Nata B79o/ tte ad os Inspector's Signature National Board, State, and Endorsemnents Date: 6 - A 2


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     611412004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1 of 2
: 1. Owner:
                              -                      (address)
Calvert Cliffs Nuclear Power Plant, Inc.
: 2. Plant:              Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2003-1-078, MWO No. 1200205247 (address)                                                               (P.O. no., job no., etc.)
(name)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                          Authorization No.: N/A (name)
611412004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section X1 Class:          One (address)
: 2. Plant:
: 4. Identification of System:     SystemrNumnber         064     System Name:         Reactor Coolant System S.(a) Applicable Construction Code and Class:             ASME 631.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
(address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,       Code Name of        Name of              Manufacturers        National                      Other                  Year Replaced, oi Stamped Comnponet       Manufacturer           Serial Number     Board No.                 Identification             Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Pipe Support       Bechtel             2 1/2"CC-10-1004-H3     N/A       #11 Pressurizer Pipe Support to 1- 1975         Repalred/Repl   No ERV-404                                                aced Spring Can   Anvil International       411825 PN:           N/A       Support, Constant, Anvil Figure     2004       Replacement       No Inc. Grlnnell          SIHCO15-NB                      81-H- SIze 15, Type C, with Supports                                              Trave Stop, Load - 725 lbs,
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-078, MWO No. 1200205247 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X1 Class:
One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
: 4. Identification of System:
SystemrNumnber 064 System Name:
Reactor Coolant System S.(a) Applicable Construction Code and Class:
ASME 631.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Comnponet Name of Manufacturer Manufacturers Serial Number National Board No.
Other Identification Pipe Support Bechtel 2 1/2"CC-10-1004-H3 N/A
#11 Pressurizer Pipe Support to 1-1975 ERV-404 Repalred/Repl aced No Spring Can Anvil International Inc. Grlnnell Supports 411825 PN:
SIHCO15-NB N/A Support, Constant, Anvil Figure 2004 Replacement 81-H-SIze 15, Type C, with Trave Stop, Load - 725 lbs, No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1004, Pressurizer Piping to Electric Relief Valve 1-ERV-404, support number H3.
This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1004, Pressurizer Piping to Electric Relief Valve 1-ERV-404, support number H3.
: 8. Tests Conducted:       Hydrostatic:[J     Pneumatico       Nominal Operating Pressure:     Inservice: E   Leakage: E     Functional: 0 Pressure:        N/A      psi.          Test Temperature:         N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[J Pneumatico Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: E Leakage: E Functional: 0 Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-3 Visual Examination of the affected component supp~ort was Derformed Porior to the system being returned to service.
A Section Xi VT-3 Visual Examination of the affected component supp~ort was Derformed Porior to the system being returned to service.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Repalr/Repiacement conforms to the rules of the ASME Code, Section X1.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Repiacement conforms to the rules of the ASME Code, Section X1.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:         N/A Charles H.Ballard Signed:         .ignee,                           Tf                 Engineering Technician         Date:   6/14/2004 Owner or Owneiresignee   le Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3 -/ 7 0 3"             to 60           / , and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:  
.ignee, Tf Engineering Technician Date:
6/14/2004 Owner or Owneiresignee le Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3 -/ 7 0 3" to 60 /, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with inspection.
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V,6l /I77cf WV //3'S National Board, State, and Endorsements Date:
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                    Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2003-1-023a, MWO No. 1200205332 (address)                                                                 (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.:       N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:            One (address)
611612004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:     System Number         064     System Name:         Reactor Coolant System 5.(a) Applicable Construction Code and Class:             ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class`1-(b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
Calvert Cliffs Nuclear Power Plant (name)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                                 ASME Repaired,       Code Name of          Name of              Manufacturers        National                    Other                    Year Replaced, Oz Stamped Componet       Manufacturer           Serial Number       Board No.               Identification               Built Replacemen (Yes or No) 1975       Repaired/RepI Valve     Velan Enginnering               SN: 155           NIA       Pressurizer Isolation Block Valve     1975      Repaired/Repl    Yes Co.                                                  for I-ERV-402                                           aced Gate Valve        Flowserve        405820 SN: E506T-          NIA       Valve, Gate, 2 1/2 In., 1703 lb.,       2002      Replacement      Yes Corporation                1-1                        Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M
: 2. Plant:
Unit:
One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-023a, MWO No. 1200205332 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.:
N/A Exp Date: N/A Section XI Class:
1650 Calvert Cliffs Parkway, Lusby, MD 20657 One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class`1-(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, Oz Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification 1975 Repaired/RepI Valve Velan Enginnering Co.
SN: 155 Gate Valve Flowserve Corporation 405820 SN: E506T-1-1 NIA Pressurizer Isolation Block Valve for I-ERV-402 NIA Valve, Gate, 2 1/2 In., 1703 lb.,
Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M 1975 Repaired/Repl aced 2002 Replacement Yes Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of 1-MOV-403, #11 Pressurizer Isolation Block Valve for 1-ERV-402.
This plan was for the replacement of 1-MOV-403, #11 Pressurizer Isolation Block Valve for 1-ERV-402.
: 8. Tests Conducted:     Hydrostatic:r     PneumaticO         Nominal Operating Pressure:   Inservice: E   Leakage: i-     Functional:   a Pressure:    2260        psi.          Test Temperature:       660         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:r PneumaticO Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: E Leakage: i-Functional: a Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 a.2,z 0FORM                                                           NIS-2 (Back)
Sheet 2 of 2 a.2,z 0FORM NIS-2 (Back)
: 9. narks:                                         . ........                                                              _ _    _    _
: 9.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements. A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report. A Section XI Surface Examination of the affected component was performed to satisv Section XI Pre-Service Requirements.
narks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section XI Surface Examination of the affected component was performed to satisv Section XI Pre-Service Requirements.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtlonal Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtlonal Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                   Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:             N/A Charles H. Ballard Signed:           4         W9 9                                       Engineering Technician         Date:   6/16/2004 Owner or Owners Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period /2 - A                       to -.;2) -o*'         , and state to the best of my knowledge and belief; the Owner has performedexammations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
4 W9 9
Engineering Technician Date:
6/16/2004 Owner or Owners Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period /2 - A to  
-.;2) -o*'  
, and state to the best of my knowledge and belief; the Owner has performedexammations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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                    -    Ins~netnr's Sirntum                                         National Board, State, and Endorsements Date:   & /77              2000
1 6 9&3/
1 AD //7/ X441//
IV J5 1A77 51 Af O /,'5..
Ins~netnr's Sirntum National Board, State, and Endorsements Date: & /7 7 2000


?<,-   0, FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
?<,-
As Required by the.Provlslons of the ASME Code; Section Iil, Division 1
0, FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
                                                                                                          * ---.                                Pg. 1 of       2 j
As Required by the.Provlslons of the ASME Code; Section Iil, Division 1 Pg. 1 of 2 j
: 1. Manufactured and certified by             Flowserve Corporation, 701 First Steeti Williamsport, PA 17701 Iname and address of N Certificate Holder)
: 1. Manufactured and certified by Flowserve Corporation, 701 First Steeti Williamsport, PA 17701 Iname and address of N Certificate Holder)
: 2. Manufactured for         Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657
: 2. Manufactured for Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657
[name and address of Purchaser)
[name and address of Purchaser)
: 3. Location ot installation       CCNPP, 165Q Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 3. Location ot installation CCNPP, 165Q Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
: 4. Model No., Series No., or Type               D.D. Gate         Drawing       W0125821           Rev.           A           CRN       NIA
: 4. Model No., Series No., or Type D.D. Gate Drawing W0125821 Rev.
              'S. ASME Code, Section 111.Division 1:                     1995                     1996                     I                       N/A (edition)             (addenda date)               cl(ssi             (Code Case no.)
A CRN NIA
: e. Pump or valve'           Valve               Nominal Inlet size       2 1/2"           Outlet size           2 l1l" 7.Material:    Body    SA35l-CF8M             Bonnet      SA351-CF8M           Disk Dolting    SA479-316           Bolt,', Studs: SA453-660B Nuts: SA194-8M (a)                              (bl                        ic)                          (d)                            (e)
'S. ASME Code, Section 111. Division 1:
Cart.                           Nat'l                        Body      -                Bonnet                          Disk Holder's                         Board                        Serial                        Serial                        Serial Serial No.                          No.                        No.                          No.                            No.
1995 1996 I
E506T- 1-1                         N/A                          'RI5                          R21                          6 and 19 E506T-1-2                           N/A                          R16                            R19                          5 and 18 E506T-1-3                     *N/A                               R17                         R20                           7and20 E506T- 14                          NYA                          R18           -             R22                          8 and 21 '
N/A (edition)
                                              . .      M
(addenda date) cl(ssi (Code Case no.)
                ..  .O ff informatIon form of lists.
: e. Pump or valve' Valve Nominal Inlet size 2 1/2" Outlet size 2 l1l" SA35l-CF8M SA351-CF8M Disk SA479-316 Bolt,',
Suppiemental          in or drawings may be used provided (1)aIze is 8 if, x II, (21 Information Initerns 1 through 4 sketches,
Studs: SA453-660B 7.Material:
          'Supple montal Inforumationl In form of lists, sketches, or drawings may be used providedII size Is1S K X 11l, 12) Informaton WIntern I through 4 on this Oata Report is Included on each sheet. (31 each shast Is numbered and the number of sheets Is recorded at the top of this form.
Body Bonnet Dolting (a)
Ii2t8di           This form (!000371 may be obtained fron the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ07007-2300.             REPRJNTSU93
Cart.
Holder's Serial No.
E506T-1-1 E506T-1-2 E506T-1-3 E506T-14 (bl Nat'l Board No.
N/A N/A
*N/A NYA M
ic)
(d)
Body Bonnet Serial Serial No.
No.
'RI5 R21 R16 R19 R17 R20 R18 R22 Nuts: SA194-8M (e)
Disk Serial No.
6 and 19 5 and 18 7and20 8 and 21 '
.O ff Suppiemental informatIon in form of lists. sketches, or drawings may be used provided (1) aIze is 8 if, x II, (21 Information Initerns 1 through 4
'Supple montal Inforumationl In form of lists, sketches, or drawings may be used providedII size Is1 S K X 11l, 12) Informaton WIntern I through 4 on this Oata Report is Included on each sheet. (31 each shast Is numbered and the number of sheets Is recorded at the top of this form.
Ii2t8di This form (!000371 may be obtained fron the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ07007-2300.
REPRJNTSU93


FORM NPVY1 (Back             -   Pg. 2 of       2..
FORM NPVY1 (Back -
CertificatelHoIlder'i SrialNo.       E506T1-1 thru 4 S. Design conditions             2485               psr             675             eF or valve pressure class               1703 (pressure)                     (temperature)
Pg. 2 of 2..
: 9. Cold workingpressure             4087               psi at 100WF
CertificatelHoIlder'i SrialNo.
: 10. Hydrostatic test                         pstL Disk differenttal test pressura                     -        4500
E506T1-1 thru 4 S. Design conditions 2485 psr 675 eF or valve pressure class 1703 (pressure)
                                -61                                                                                                            psi
(temperature)
: 11. Re     k:   Maiterial: Bonnet Stads: (30)       Trace Code E621 (2)   Trace Code B719 Bonnet Nuts: (23)       Trace Code TSK (9)   Trace Code A288 I
: 9. Cold workingpressure 4087 psi at 100WF
CSRTIFICATION OF DESIGN Design Specification certified by   John EL Spowel                             P.E. State         MD           Reg. no.       17308 Design Report certified by               Ronald S. Farreff                     P.E. State         PA           Fleg. no. PE-0352 16-E I .
: 10. Hydrostatic test  
CERTIFICATE OF COMPUANCE We certify that the statements made Inthis report are correct and that this pump or valve conforms to'the rules for construcifon of the ASME Code, Section Ili, Division 1.
-61 pstL Disk differenttal test pressura 4500 psi
N Csrtifica o ot Authortzatlon No.                         N712             -              -    .-                                a Flowserve Cotporation INCertificate Holderl                                     uthorized rs$senthval CERTIFICATE OF INSPECTiON i the undersigned, holding a valid commission Issued by the National Board of 3oller and Pressuri Vessel Inspectors and the Statu       6MVIM of                   Pennsvlvania                       and employed by One Beacon America Insurance at     Boston. Mass.                           have Inspected the pump, or valve, described In this Data Report on I-/57                     O0--J 3.
: 11. Re k: Maiterial: Bonnet Stads: (30) Trace Code E621 (2) Trace Code B719 Bonnet Nuts: (23) Trace Code TSK (9) Trace Code A288 I
CSRTIFICATION OF DESIGN Design Specification certified by John EL Spowel P.E. State MD Reg. no.
17308 Design Report certified by Ronald S. Farreff P.E. State PA Fleg. no. PE-0352 16-E CERTIFICATE OF COMPUANCE We certify that the statements made In this report are correct and that this pump or valve conforms to'the rules for construcifon of the ASME Code, Section Ili, Division 1.
N Csrtifica o ot Authortzatlon No.
N712 a
Flowserve Cotporation IN Certificate Holderl uthorized rs$senthval CERTIFICATE OF INSPECTiON I.
i the undersigned, holding a valid commission Issued by the National Board of 3oller and Pressuri Vessel Inspectors and the Statu 6MVIM of Pennsvlvania and employed by One Beacon America Insurance at Boston. Mass.
have Inspected the pump, or valve, described In this Data Report on I-/57 O0--J 3.
* and state that to the beat of my knowledge and belief, the Certificate Holder has cont structed this pump, or valve, In accordance with the ASME Codas Section ill, Division 1.
* and state that to the beat of my knowledge and belief, the Certificate Holder has cont structed this pump, or valve, In accordance with the ASME Codas Section ill, Division 1.
By signind this cetficate, neither the Inspector nor his employer makes any warranty. expressed or Im 1fed con component described In this Data Report. Furthermore, neither the Inspector nor his eamployer ihal be liable in any                     er any personal Injury or proper         a     r at     Itany kind arising from or connected with this Inspection.
By signind this cetficate, neither the Inspector nor his employer makes any warranty. expressed or Im 1fed con component described In this Data Report. Furthermore, neither the Inspector nor his eamployer ihal be liable in any er any personal Injury or proper a
Date 43C             Slgne                                 '~   mmrbasona                         Pennsylvania 2392                 9 Cha~vrellt2t             0                               INat'l. sd. fInd. endorsammntsi and stUs or prov. and no.J (11 For manually eperatid valves only..
r at Itany kind arising from or connected with this Inspection.
Date 43C Slgne  
'~
mmrbasona Pennsylvania 2392 9
Cha~vrellt2t 0
INat'l. sd. fInd. endorsammntsi and stUs or prov. and no.J (11 For manually eperatid valves only..


FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:            Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     611612004 (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2003-1-023b, MWO No. 1200205332 (address)                                                               (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.
611612004 Sheet I of 2
Authorization No.:     N/A (name)
: 2. Plant:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                    Section XI Class:         One (address)
Calvert Cliffs Nuclear Power Plant Unit:
: 4. Identification of System:     System Number         064     System Name:           Reactor Coolant System
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-023b, MWO No. 1200205332 (address)
: 5. (a) Applicable Construction Code and Class:           ASME   B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
: 3. Work Performed by:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,     Code Name of          Name of            Manufacturers        National                        Other                Year Replaced, oi Stamped Componet     Manufacturer           Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant Dept.
Piping System     Bechtel                     N/A             N/A       #11 Pressurizer Piping to l-MOV-       1975     Repaired/Repi   No 403                                                     aced Pipe       DuBose National     410658 Ht.#: PZ278       N/A       Pipe, 2 1/2 in., Sch. 160, ASME       2003      Replacement      No Energy Services                                          SA-376, Tp. 316 Inc.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Elbow        Consolidated        408690 Ht.: F8746      N/A         Elbow, Pipe, 2 1/2 In., 90 Deg.,     2002      Replacement      No Power Supply                                            Sch.160, Long Radius, butt weld, ASME SA403, Gr. WP316 Concentric    DuBose National      410658 Ht#: F8791        N/A       Reducer, Pipe, Concentric, 4 In. X     2003      Replacement      No Reducer      Energy Services                                          2 1/2 in., Sch. 120 X 160, ASME Inc.                                              SA-403, Gr. WP316
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
One
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System
: 5. (a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel N/A N/A  
#11 Pressurizer Piping to l-MOV-1975 Repaired/Repi 403 aced No Pipe DuBose National Energy Services Inc.
Elbow Consolidated Power Supply Concentric DuBose National Reducer Energy Services Inc.
410658 Ht.#: PZ278 408690 Ht.: F8746 410658 Ht#: F8791 N/A Pipe, 2 1/2 in., Sch. 160, ASME SA-376, Tp. 316 N/A Elbow, Pipe, 2 1/2 In., 90 Deg.,
Sch.160, Long Radius, butt weld, ASME SA403, Gr. WP316 N/A Reducer, Pipe, Concentric, 4 In. X 2 1/2 in., Sch. 120 X 160, ASME SA-403, Gr. WP316 2003 Replacement 2002 Replacement No No No 2003 Replacement
: 7. Description of Work:
: 7. Description of Work:
This plan was for the piping/fittings in support of the replacement of 1-MOV-403, #11 Pressurizer Isolation Block Valve for 1-ERV-402.
This plan was for the piping/fittings in support of the replacement of 1 -MOV-403, #11 Block Valve for 1 -ERV-402.
: 8. Tests Conducted:     Hydrostatic:E   PneumaticC         Nominal Operating Pressure:       Inservice: LI Leakage: i     Functional:   a]
Pressurizer Isolation
Pressure:    2260        psi.          Test Temperature:           660       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:E PneumaticC Pressure:
2260 psi.
Nominal Operating Pressure:
Inservice: LI Leakage: i Functional: a]
Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakacie Test of the affected component was performed during the system conditions listed in section 8. of this report. A Section Xl Surface Examination of the affected component was performed to satisv Section Xl Pre-Service Requirements. A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.                                     Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section Xi System Leakacie Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RepairlReplacement conforms to the rules of the ASME Code, Section XI.
A Section Xl Surface Examination of the affected component was performed to satisv Section Xl Pre-Service Requirements.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:         .                                                    Engineering Technician         Date:   6/16/2004 Ownero Owneras Lk-fgnee, TitIe 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 of Maryland and employed by ABS Consulting of Houston, Tx. have-inspected the components described in this Owner's Report during the period /.a - a - 3                 to .5- ao -o         ,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.
Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepairlReplacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/16/2004 Ownero Owneras Lk-fgnee, TitIe 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 of Maryland and employed by ABS Consulting of Houston, Tx. have-inspected the components described in this Owner's Report during the period  
/.a -a -
3 to  
.5-ao -o  
,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
bob <<D A .Sgw/f /:,                       /-f2.
bob <<D A.Sgw/f /:,  
      ;R0         1)094L15 Pk                 -8z-           Commissions:   AJt 7 & 3         /Vd //7/ '4.V//
/-f2.
n-XauNia AosI                oarSate adnr
;R0 1)094L15 Pk  
                      ,_ Insmector's Sisma~ture                                     National Board, State, and Endorsements Date:6 -/7           -. 2003*
-8z-Commissions:
AJt 7 & 3  
/Vd //7/ '4.V//
AosI n-XauNia oar Sate adnr
,_ Insmector's Sisma~ture National Board, State, and Endorsements Date: 6 -/7 2003*


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date:       6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet 1of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                 Unit:         One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-024a, MWO No. 1200205334 (address)                                                               (P.O. no.,job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                     Type Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:             One (address)
Date:
: 4. Identification of System:     System Number       064     System Name:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:         ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 1 (b) Applicable Sect )a Ed. for Repairs/Replacement                                             1998 Edition
6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,       Code Name of         Name of           Manufacturers       National                     Other                     Year Replaced, oi Stamped Componet     Manufacturer           Serial Number     Board No.               Identification                 Built Replacemen (Yes or No)
: 2. Plant:
Valve     Velan Enginnering               154           N/A       Pressurizer Isolation Block Valve       1975     Repalred/Repl   No Co.                                               for l-ERV-404                                           aced Gate Valve       Flowserve       405820 SN: E506T-       N/A       Valve, Gate, 2 1/2 In., 1703 lb.,       2002     Replacement     Yes Corporation             1-2                         Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024a, MWO No. 1200205334 (address)
(P.O. no.,job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 1 (b) Applicable Sect )a Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Valve Velan Enginnering 154 N/A Pressurizer Isolation Block Valve 1975 Repalred/Repl No Co.
for l-ERV-404 aced Gate Valve Flowserve 405820 SN: E506T-N/A Valve, Gate, 2 1/2 In., 1703 lb.,
2002 Replacement Yes Corporation 1-2 Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M
: 7. Descripion of Work:
: 7. Descripion of Work:
This plan was for the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
This plan was for the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
: 8. Tests Conducted: Hydrostatic:[]       Pneumatic{]     Nominal Operating Pressure:   Inservice: E     Leakage: W Functional:     E Pressure:   2260       psi.           Test Temperature:       660         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[]
Pneumatic{]
Nominal Operating Pressure:
Inservice: E Leakage: W Functional: E Pressure:
2260 psi.
Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


a 4 01 q                                                                                                   Sheet 2 of 2 FORM NIS-2 (Back)
a 4
01 q
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements. A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report. A Section Xl Surface Examination of the affected component was performed to satisy Section Xl Pre-Service Requirements.
A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements.
A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xl Surface Examination of the affected component was performed to satisy Section Xl Pre-Service Requirements.
Code Case N416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Code Case N416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Reoalr[Replacement conforms to the rules of the ASME Code, Section Xl.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Reoalr[Replacement conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date:   N/A Signed:                                                             Engineering Technician         Date:     6/17/2004 Own forO 4ts-feg-nee, riie 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod iB-LD--o3                       to 6 - *,- O'           , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
Engineering Technician Date:
6/17/2004 Own forO 4ts-feg-nee, riie 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod iB-LD--o3 to 6 -*,- O'  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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Tn/nc                                                     Nta       oa7rd, Stateo   and Endrsee In-snector's Sionature                                     National Board, State, and Endorsemnents Date:     $          - r 2 --          --
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Tn/nc Nta oa7rd, Stateo and Endrsee In-snector's Sionature National Board, State, and Endorsemnents Date:  
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FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*
As Required by the.Provisions of the ASME Code; Section 111,Division 1 Pg. 1 of       2
As Required by the.Provisions of the ASME Code; Section 111, Division 1 Pg. 1 of 2
: 1. Manufactured and cenified by         Flowserve Corporation, 701 First Street, Williamsport, PA 17701 (name and address of N Certificate Holder)
: 1. Manufactured and cenified by Flowserve Corporation, 701 First Street, Williamsport, PA 17701 (name and address of N Certificate Holder)
: 2. Manufactured for         Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657 Iname and address of Purchaser)
: 2. Manufactured for Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657 Iname and address of Purchaser)
: 3. Location of instellation       CCNPP,     1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and addressl
: 3. Location of instellation CCNPP, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and addressl
: 4. Model No., Series No., or Type             D.D. Gate             arawing   W0125821           Rev         A           CRN         N/A
: 4. Model No., Series No., or Type D.D. Gate arawing W0125821 Rev A
: 5. ASME Code, Section Ill. Division 1:                 1995                       1996                     1                       N/A (editionl             (addenda data)               Iclassl             (Code Case no.)
CRN N/A
: 6. Pump or valve               Valve           Nominal Inlet size         2 1/2"           Outlet size           2 1/2" lin l(in.)
: 5. ASME Code, Section Ill. Division 1:
7   Material       Body   SA351-CF8M         Bonnet     SA351-CF8M             Disk     SA479-316           Bolting Studs: SA453-660B Nuts: SA1 94-8M (a)                         Ib)                          (ci                          (d)                            (el Cert.                       Nat'l                      - Body                          Bonnet                          Disk Holder's                     Board                        Serial                        Serial                        Serial Serial No.                      No.                          No.                          No.                            No.
1995 1996 1
E506T- 1-1                       NIA                          R15                          R21                          6 and 19 E506T-1-2                         N/A                          R16                            R19                          5and 18 E506T-1-3                         N/A                           R17                           R20-                         7 and 20 E506T- 14                        N/A                        - R18                            R22                          8 and 21 ziOV
N/A (editionl (addenda data)
          ..    .11
Iclassl (Code Case no.)
*Supplemental information In form of ists. sketrchas. or drawings may be used provided 111size is 8Ys X 11, (21 information In Iterns I through 4 on this Data Report Is Included on each sheet. 131each sheet Is numbered and the number of sheets Is recorded at the top of this form.
: 6. Pump or valve Valve Nominal Inlet size 2 1/2" Outlet size 2 1/2" lin l(in.)
(11/881             This form 1E00037) maybe obtained from the Order Dept., ASME. 22 Law Drive, Box 2300. Fairfield, NJ07007.2300.           REPAINT V93
7 Material Body SA351-CF8M Bonnet SA351-CF8M Disk SA479-316 Bolting Studs: SA453-660B (a)
Cert.
Holder's Serial No.
E506T-1-1 E506T-1-2 E506T-1-3 E506T-14 ziOV
.11 Ib)
Nat'l Board No.
NIA N/A N/A N/A (ci
- Body Serial No.
R15 R16 R17
- R18 (d)
Bonnet Serial No.
R21 R19 R20-R22 Nuts: SA1 94-8M (el Disk Serial No.
6 and 19 5and 18 7 and 20 8 and 21
*Supplemental information In form of ists. sketrchas. or drawings may be used provided 111 size is 8Ys X 11, (21 information In Iterns I through 4 on this Data Report Is Included on each sheet. 131 each sheet Is numbered and the number of sheets Is recorded at the top of this form.
(11/881 This form 1E00037) maybe obtained from the Order Dept., ASME. 22 Law Drive, Box 2300. Fairfield, NJ07007.2300.
REPAINT V93


FORM NPV-1 (Back           -   Pg. 2 of       2 Certificate Holder'i Serial No.     E506T-1-1 II= 4
FORM NPV-1 (Back -
: 8. Design conditions               2485               psi           675               F or valve pressure class               1703               11 (pressurel                     Itemperaturel
Pg. 2 of 2
: 9. Cold workingpressurs               4087               psi at 100&deg;F
Certificate Holder'i Serial No.
: 10. Hydrostatic test         6150           psi. Disk differential test pressure                               4500                           p31
E506T-1-1 II= 4
: 1. Remarks         tei: Bonnet Studs: (30) Trace Code E621 (2) Trace Code B719 Bonnet Nuts: (23) Trace Code TSK (9) Trace Code A288 CERTIFICATION OF DESIGN Design Specificaton certified by     John R.Sponsel                   -.        PE. State           MD           Reg. no.       17308 Design Report certdfl d by                 Ronald S. PafeU                     P.E State             PA           eDn.PE-035216-E CERTIFICATE OF COMPPUANCE We certify thatthe statements made in this report are correct and that this pump or valve conforms to'the rules for construction of the ASME Code, Section 111,   Division 1.
: 8. Design conditions 2485 psi 675 F or valve pressure class 1703 11 (pressurel Itemperaturel
N Certifica a of Authorization No.                           N1712                                                       4.15/04 9 AIts Date .j.M.i&.anme AI    no          Flowserve Corporation Srgned                       AW (NCerticate Holderl,                                 N. uthorlaed reserntyivel CERlIFICATE OF INSPECTION 1, the undersigned, holding a valid commriss3on Issued by'tha National Board of Boiler and Pressure Vessel Inspectors and the State     f   'CA;PM of*               PennsvIvania                     and employed by         One Beacon America Insuranco of                   _Boston. Mass.                             have Inspected the pump, or valve, described in this Date Report on i-i/i25~6~. &,AO_                       and state that to the best of my knowledge and belief, the Certificate Holder has con.
: 9. Cold workingpressurs 4087 psi at 100&deg;F
structad this pump, or valve, In accordance with the ASME Code, Saction 111,           Division 1.
: 10. Hydrostatic test 6150 psi. Disk differential test pressure 4500 p31
By signin9 this certificate, neither the Inspector nor his employer makes any warranty' expressed or Implied, con' component described In this Data Report. Furthermore, neither the Inspector nor his employer shall be liable In any                     ar   r any personal Injury or props           a       a I of any kind arising from or connected with this Inspection.
: 1. Remarks tei: Bonnet Studs: (30) Trace Code E621 (2) Trace Code B719 Bonnet Nuts: (23) Trace Code TSK (9) Trace Code A288 CERTIFICATION OF DESIGN Design Specificaton certified by John R.Sponsel PE. State MD Reg. no.
Date-3-o-od                       F                                                                 Pennsylvania 2392                 9 adrles 4Ayljzed ictro                                   [iNat'l. Bd. ilnd. endorsemental and state ot prov. and no.)
17308 Design Report certdfl d by Ronald S. PafeU P.E State PA eDn.PE-035216-E CERTIFICATE OF COMPPUANCE We certify thatthe statements made in this report are correct and that this pump or valve conforms to'the rules for construction of the ASME Code, Section 111, Division 1.
v       .-
N Certifica a of Authorization No.
(1) For manually operated valves only..
N1712 4.15/04 AIts 9
AI no Flowserve Corporation Date.j.M.i&.anme Srgned AW (N Certicate Holderl, N.
uthorlaed reserntyivel CERlIFICATE OF INSPECTION 1, the undersigned, holding a valid commriss3on Issued by'tha National Board of Boiler and Pressure Vessel Inspectors and the State f  
'CA;PM of*
PennsvIvania and employed by One Beacon America Insuranco of
_Boston. Mass.
have Inspected the pump, or valve, described in this Date Report on i-i/i25~6~.
AO_
and state that to the best of my knowledge and belief, the Certificate Holder has con.
structad this pump, or valve, In accordance with the ASME Code, Saction 111, Division 1.
By signin9 this certificate, neither the Inspector nor his employer makes any warranty' expressed or Implied, con' component described In this Data Report. Furthermore, neither the Inspector nor his employer shall be liable In any ar r
any personal Injury or props a
a I of any kind arising from or connected with this Inspection.
Date-3-o-od F
Pennsylvania 2392 9
adrles 4Ayljzed ictro
[ iNat'l. Bd. ilnd. endorsemental and state ot prov. and no.)
v (1) For manually operated valves only..


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6/1712004 (name) 1650 Calvert Cliffs Parkway; -Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-024b, MWO No. 1200205334 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                           ype   Code Symbol Stamp: N/A (name)        (name)Authorization                                     No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Section XI Class:           One (address)
Date:
: 4. Identification of System:     System Number       064     System Name:           Reactor Coolant System 5.(a) Applicable Construction Code and Class:           ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
6/1712004 (name) 1650 Calvert Cliffs Parkway; -Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of         Nameof             Manufacturers         National                       Other                 Year Replaced, oz Stamped Componet     Manufacturer           Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 2. Plant:
Piping System     Bechtel               4'CC-10-1002         NIA       #11 Pressurizer Piping to 1-MOV-       1975       Repaired/Repi   No 405                                                     aced Concentric   DuBose National     410658 Ht.#: F8791       N/A       Reducer, Pipe, Concentric, 4 In.X     2003     Replacement       No Reducer     Energy Services                                         2 1/2 In., Sch. 120 X 160, ASME Inc.                                             SA-403, Gr. WP316
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024b, MWO No. 1200205334 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
ype Code Symbol Stamp: N/A (name)Authorization No.: N/A (name)
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Nameof Manufacturers National Other Year Replaced, oz Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Piping System Bechtel 4'CC-10-1002 NIA  
#11 Pressurizer Piping to 1-MOV-1975 Repaired/Repi No 405 aced Concentric DuBose National 410658 Ht.#: F8791 N/A Reducer, Pipe, Concentric, 4 In. X 2003 Replacement No Reducer Energy Services 2 1/2 In., Sch. 120 X 160, ASME Inc.
SA-403, Gr. WP316
: 7. Description of Work:
: 7. Description of Work:
This plan was for the fitting and work needed to support the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
This plan was for the fitting and work needed to support the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
: 8. Tests Conducted:     Hydrostatic:E   Pneumaticd       Nominal Operating Pressure:     Inservice: E Leakage: i       Functional:   2 Pressure:   2260       psi.           Test Temperature:         660       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:E Pneumaticd Nominal Operating Pressure:
Inservice: E Leakage: i Functional: 2 Pressure:
2260 psi.
Test Temperature:
660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet 2 of 2 a 11b                                         FORM NIS-2 (Back)
Sheet 2 of 2 a 11b FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report. A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements. A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.                                           Code Case N-416-2 was invoked to satisfy Section Xi required pressure tests. Addtional Section III Exarrinations were-performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                     Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:               N/A Charles H. Ballard Signed:                                                                   Engineering Technician         Date:   6/17/2004 Owner 6r OWn-e~s Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components descnlbed in this Owner's Report during the period I J v 3                   to 6(4&-O               , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.
A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.
Code Case N-416-2 was invoked to satisfy Section Xi required pressure tests. Addtional Section III Exarrinations were-performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/17/2004 Owner 6r OWn-e~s Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components descnlbed in this Owner's Report during the period I J v 3 to 6(4&-O  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
        -TOMAJ Al~rL4             P     L WCommissions:                         Ilt5 r3/, ,9t)//7/ A4/1/
-TOMAJ Al~rL4 P
U'J I A 7 5 A 7 //,
L WCommissions:
Insneetor's Sianature                                         National Board, State, and Endorsements Date:     6 - Go             2r0O
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     6/17/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:         One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                     R&R No. 2003-1-024c, MWO No. 1200205334 (address)                                                                 (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                       Type   Code Symbol Stamp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                               Section XI Class:               One (address)
Date:
: 4. Identification of System:     System Number       064     SystemName:           Reactor Coolant System 5.(a) Applicable Construction Code andClass:           ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition                         -
6/17/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,     Code Name of         Name of             Manufacturers       National                     Other                     Year Replaced, oi Stamped Componet       Manufacturer         Serial Number     Board No.               Identification                 Built Replacemen (Yes or No)
: 2. Plant:
Pipe Support       Bechtel           2 1/2"CC-10-1002-     N/A       #11 Pressurizer Pipe Support to 1- 1975             Repalred/Repl   No R12                     MOV.405                                                   aced Steel Plate   DuBose National     89317-GX Ht.#:         N/A       Plate, Steel 1 1/2 In. X 48 In. X 96     1993       Replacement     No Energy Services           421J4411                     InASME SA-36 Inc.
Calvert Cliffs Nuclear Power Plant Unit:
Nut         Consolidated     405854 Ht.# 7307732     N/A       Nut, Heavy Hex, 5/8 In. X 11 TPI,       2001     Replacement       No Power Supply                                         ASME SA-194 Gr. 2H Rod         Mackson Inc.     412170 Ht.#: 622817     N/A       Rod, Allthread, 5/8 In. XIITPI,         2004     Replacement       No ASME SA-193 Gr. B7
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024c, MWO No. 1200205334 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 SystemName:
Reactor Coolant System 5.(a) Applicable Construction Code andClass:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
Pipe Support Bechtel 2 1/2"CC-10-1002-N/A  
#11 Pressurizer Pipe Support to 1-1975 Repalred/Repl No R12 MOV.405 aced Steel Plate DuBose National 89317-GX Ht.#:
N/A Plate, Steel 1 1/2 In. X 48 In. X 96 1993 Replacement No Energy Services 421J4411 InASME SA-36 Inc.
Nut Consolidated 405854 Ht.# 7307732 N/A Nut, Heavy Hex, 5/8 In. X 11 TPI, 2001 Replacement No Power Supply ASME SA-194 Gr. 2H Rod Mackson Inc.
412170 Ht.#: 622817 N/A Rod, Allthread, 5/8 In. XI ITPI, 2004 Replacement No ASME SA-193 Gr. B7
: 7. Description of Work:
: 7. Description of Work:
This plan was for the pipe support work on 2 1/2"CCI0-1002-R12 in support of the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
This plan was for the pipe support work on 2 1/2"CCI0-1002-R12 in support of the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.
: 8. Tests Conducted:     Hydrostatic:[] PneumaticO2       Nominal Operating Pressure:     Inservice: f     Leakage: E     Functional:   E Pressure:     NIA       psi.         Test Temperature:         N/A         Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[]
PneumaticO2 Nominal Operating Pressure:
Inservice: f Leakage: E Functional: E Pressure:
NIA psi.
Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


ci"qe   i.Sheet                                                                                                     2 of 2 FORM NIS-2 (Back)
ci"qe i.Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system being returned to service.
A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system being returned to service.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this               Repalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H.Ballard Signed:                                                             Engineering Technician         Date:     6/17/2004 Owner Kr ~v     Deit-d, rifle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod '1-/7-                   '    to 6     -            .and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/17/2004 Owner Kr ~v Deit-d, rifle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod '1-/7-to 6  
.and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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FORM NIS-2 OWNER'S REPORT                                     1OR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl Owner:
FORM NIS-2 OWNER'S REPORT 1OR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl O.
O.                Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6116/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                   Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-018, MWO No. 1200301717 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamp: N/A (name)                                                 Authonzation No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                 Section XI Class:           One (address)
Date:
: 4. Identification of System:     System Number       064       System Name:         Reactor Coolant System 5.(a) Applicable Construction Code and Class:         ASME B&PV Code Sect. 111,1983 Edition, Sum.1983 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
6116/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,       Code Name of         Name of           Manufacturers         National                     Other                 Year Replaced, oi Stamped Componet     Manufacturer           Serial Number       Board No.               Identification               Built Replacemen (Yes or No)
: 2. Plant:
RCP Seal     Sulzer Blngham               SN: 1C864       NB 1236     #1IB Reactor Coolant Pump             1988       Repalred/Repi   Yes Inc.                                               Mechanical Seal.                                       aced Seal     BGE CCNPP Shops       1200103259 SN:       NB: 1238     Seal, Cartridge Assembly (RCP)       2002     Replacement     Yes IC866                       875B-3V Complete Sulzer Blngham per FCR 87-0074
Calvert Cliffs Nuclear Power Plant Unit:
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-018, MWO No. 1200301717 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authonzation No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 064 System Name:
Reactor Coolant System 5.(a) Applicable Construction Code and Class:
ASME B&PV Code Sect. 111,1983 Edition, Sum.1983 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.
Identification Built Replacemen (Yes or No)
RCP Seal Sulzer Blngham SN: 1C864 NB 1236  
#1IB Reactor Coolant Pump 1988 Repalred/Repi Yes Inc.
Mechanical Seal.
aced Seal BGE CCNPP Shops 1200103259 SN:
NB: 1238 Seal, Cartridge Assembly (RCP) 2002 Replacement Yes IC866 875B-3V Complete Sulzer Blngham per FCR 87-0074
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump.
This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump.
: 8. Tests Conducted:   Hydrostatic:FJ   Pneumaticf       Nominal Operating Pressure:     Inservice: [   Leakage: W     Functional:   E Pressure:   2260       psi.           Test Temperature:         532       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form
: 8. Tests Conducted:
Hydrostatic:FJ Pneumaticf Nominal Operating Pressure:
Inservice: [
Leakage: W Functional: E Pressure:
2260 psi.
Test Temperature:
532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                       RevalrlReolacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReolacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date:                   N/A Charles H. Ballard Signed:                                                                     Engineering Technician       Date:     6/16/2004 er or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3 3                         to         0Y          ., and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/16/2004 er or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3
3 to 0 Y
., and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
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FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     4/1912004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                             Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                  Unit:       One_
Calvert Cliffs Nuclear Power Plant, Inc.
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                     R&R No. 2003-1-080, MWO No. 1200303202 (address)                                                             (P.O. no.,job no., etc.)
(name)
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                     Type Code Symbol Stamp: N/A Work                                             -_bAuthorization  No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                     _                      Section XI Class:         Two (address)
Date:
: 4. Identification of System:   System Number       041     System Name:           Chemical Volume Control
4/1912004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 5. (a) Applicable Construction Code and Class:       ASME 831.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                           1998 Edition
Calvert Cliffs Nuclear Power Plant (name)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,     Code Name of        Name of          Manufacturers        National                    Other                Year Replaced, oi Stamped Componet     Manufacturer         Serial Number     Board No.               Identification             Built Replacemen (Yes or No)
: 2. Plant:
Pipe Support     Bechtel             1-ACC233X-SUP         N/A       #l1ChargingPumpDischargeDe-         1980     Repalred/Repi   No Surger Restraint                                     aced
Unit:
One_
1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-080, MWO No. 1200303202 (address)
(P.O. no.,job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A Work  
-_ bAuthorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control
: 5. (a) Applicable Construction Code and Class:
ASME 831.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Pipe Support Bechtel 1-ACC233X-SUP N/A  
#l1ChargingPumpDischargeDe-1980 Repalred/Repi Surger Restraint aced No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work on the support/restraint around #11 Charging Pump Discharge De-surger. Shims were used and are not considered Section XI work, but the welding was controlled by a Section Xl WAT which was documented on the R&R.
This plan was for the work on the support/restraint around #11 Charging Pump Discharge De-surger. Shims were used and are not considered Section XI work, but the welding was controlled by a Section Xl WAT which was documented on the R&R.
: 8. Tests Conducted:     Hydrostatic:[] PneumaticCl       Nominal Operating Pressure:   Inscrvice: E   Leakage: D   Functional:   E Pressure:    N/A      psi.          Test Temperature:       N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:[]
PneumaticCl Pressure:
N/A psi.
Nominal Operating Pressure:
Inscrvice: E Leakage: D Functional: E Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section XI Pre-Service NDE was performed in support of this activity.
No Section XI Pre-Service NDE was performed in support of this activity.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance             _______
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in thUs report are correct and that this RepairlReplacement conforms to the rules of the ASME Code, Section XI.
We certify that the statements made in thUs report are correct and that this   RepairlReplacement         conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp:
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:                                                             Engineering Technician         Date:     4/19/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 12 -/0 - 0 3                 to 2 - . 3- o * , and state to the best of my knowledge and belief, the 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.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Engineering Technician Date:
4/19/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 12 -/0 - 0 3 to 2 -.
3-o *, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
9           ,-                                          Commissions: l     S-3 A(   A           Ap Q n   i   v- ,
9 Commissions: l S-3 A(
                        ,Insnecrns Sirnature                                       National Board, State, and Endorsements Date: -4'K-.23         r       7--
A Ap Q n i v-,
,Insnecrns Sirnature National Board, State, and Endorsements Date: -4'K-.23 r
7--


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:              Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                         _        Unit:      One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                       R&R No. 2003-1-072, MWO No. 1200303410 (address)                                                             (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:       Calvert Cliffs Nuclear Power Plant Dept.                       Type Code Symbol Stamnp: N/A (name)                                               Authorization No.: N/A Exp Date: N/A 1650   Calvert Cliffs Parkway, Lusby, MD 20657                                             Section XI Class:           One (address)
Date:
: 4. Identification of System:     System Number       052       System Name:           Safety Injection 5.(a)ApplicableConstructionCodeandClass:               ASME B31.1.0 1967 Edition, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement                                             1998 Edition
6/1512004 Sheet I of 2
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                           ASME Repaired,       Code Name of          Name of            Manufacturers        National                      Other                  Year Replaced, oi Starped Componet       Manufacturer         Serial Number     Board No.                 Identification             Built Replacemen (Yes or No)
: 2. Plant:
Valve     ITT Hammel-Dahl           694126-006         N/A       #12B Safety Injection Tank,           1974      Repafred/Repi    No Reactor Safeguards Check Valve                         aced leakage drain CV to R.W.T.
Calvert Cliffs Nuclear Power Plant (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Unit:
Plug Assembly      Flowserve      400322 Ht.#: 726176      N/A       Plug & Stem Ass. I In. 1500 lb.       2000      Replacement      No Corporation                                          ITT Hammel-Dahl Unbalanced Globe Valve, BGEDRWG 12121-0013, Item #6
One R&R No. 2003-1-072, MWO No. 1200303410 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamnp: N/A (name)
Authorization No.:
N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
One (address)
: 4. Identification of System:
System Number 052 System Name:
Safety Injection 5.(a)ApplicableConstructionCodeandClass:
ASME B31.1.0 1967 Edition, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Starped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve ITT Hammel-Dahl 694126-006 Plug Assembly Flowserve Corporation 400322 Ht.#: 726176 N/A  
#12B Safety Injection Tank, Reactor Safeguards Check Valve leakage drain CV to R.W.T.
N/A Plug & Stem Ass. I In. 1500 lb.
ITT Hammel-Dahl Unbalanced Globe Valve, BGEDRWG 12121-0013, Item #6 1974 Repafred/Repi aced No 2000 Replacement No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the rebuilding of the #12B Safety Injection Tank, Reactor Safeguards Check Valve leakage drain 1-CV-648 to R.W.T.
This plan was for the rebuilding of the #12B Safety Injection Tank, Reactor Safeguards Check Valve leakage drain 1-CV-648 to R.W.T.
: 8. Tests Conducted:     Hydrostatic:[   Pneumaticd       Nominal Operating Pressure:     Inservice: E   Leakage: E     Functional: M Pressure:    N/A      psi.          Test Temperature:         NIA       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:[
Pneumaticd Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: E Leakage: E Functional: M Test Temperature:
NIA Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.


Sheet2of 2 FORM NIS-2 (Back)
Sheet2of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section Xi Pre-Service NDE was performed in support of this activity.
No Section Xi Pre-Service NDE was performed in support of this activity.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RevalrlReplacement conforms to the rules of the ASME Code, Section XI.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H.Ballard Signed:                                                              Engineering Technician         Date:     6/15/2004 Own5er of Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 10 -a7-0 3 to 3-9 v                                 and state to the best of my knowledge and belief, the 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.
RevalrlReplacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
Charles H. Ballard Engineering Technician Date:
6/15/2004 Own5er of Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 10 -a7-0 3 to 3-9 v and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DEEDj         A. SJt41 rL*r             M9z Z3y         add4me-s   -i         r-m an      - a=, -)       Commissions: AJ8 ' 93 /     , Ato //7 /           A-i//f AJ /77   IA/ 4f/S.
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6: - 4,      Inspector's Signature                                      National Board, State, and Endorsements Date:      l      6          200 M        -
M9z r
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Commissions: AJ8 ' 93 /, Ato //7 /
A-i//f
: 6 -
4, Inspector's Signature Date:
l 6
200 M AJ  
/77 IA/ 4f/S.
National Board, State, and Endorsements


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                   Date:     2/1912004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                     Sheet 1 of 2 (address)
: 1. Owner:
: 2. Plant:                Calvert Cliffs Nuclear Power Plant                             ___      Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                           R&R No. 2003-1-075, MWO No. 1200303794 (address)                                                                   (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:          Calvert Cliffs Nuclear Power Plant Dept.                          Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                      Section XI Class:             Two (address)
2/1912004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:       System Number         041     System Name:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:               ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                   1998 Edition
Calvert Cliffs Nuclear Power Plant
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                                   ASME Repaired,     Code Name of          Name of              Manufacturers          National                      Other                    Year Replaced, oi Stamped Componet     Manufacturer             Serial Number         Board No.                 Identification                 Built Replacemen (Yes or No)
: 2. Plant:
Pipe Support         Bechtel             IACC233Z, SUP           N/A       #13 Charging Pump Discharge De-         1980       Repaired/Repl   No
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Unit:
                      !  .    . I
One R&R No. 2003-1-075, MWO No. 1200303794 (address)
                                              . I    :  ..  .
: 3. Work Performed by:
Surger Restraint                                         aced Steel Plate    DuBose National      400428 Ht#Y07703            N/A       Plate, Steel I/2 In. X 48 In. X 96       2001      Replacement      No Energy Services              or A351S                      In., ASME SA-36 Inc.
Calvert Cliffs Nuclear Power Plant Dept.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Pipe Support Bechtel I
Steel Plate DuBose National Energy Services Inc.
IACC233Z, SUP I
400428 Ht#Y07703 or A351S N/A  
#13 Charging Pump Discharge De-1980 Repaired/Repl Surger Restraint aced No No N/A Plate, Steel I/2 In. X 48 In. X 96 In., ASME SA-36 2001 Replacement
: 7. Description of Work:
: 7. Description of Work:
This plan was for the work on the support/restraint around #13 Charging Pump Discharge De-surger that was allowed by ES200300606-000.
This plan was for the work on the support/restraint around #13 Charging Pump Discharge De-surger that was allowed by ES200300606-000.
: 8. Tests Conducted:     Hydrostatic:M     Pneumaticd         Nominal Operating Pressure:     Inservice: O     Leakage:E       Functional:   a Pressure:      N/A          psi.          Test Temperature:           N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:M Pneumaticd Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: O Leakage:E Functional: a Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section XI Pre-Service NDE was performed in support of this activity.
No Section XI Pre-Service NDE was performed in support of this activity.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this   Repair/Replacement       conforms to the rules of the ASME Code, Section Xl.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date: N/A Charles H.Ballard Signed:                     Owo__Tln                                       e     Technician       Date:     2/19/2004 Owner or Own s Designee, itl 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period         _3               to /g -. 27 - o 3 , and state to the best of my knowledge and belief, the 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.
Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Charles H. Ballard Signed:
Owo__Tln e
Technician Date:
2/19/2004 Owner or Own s Designee, itl 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period
_3 to /g -. 27 - o 3  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
                ~         %          9                     Conmnissions: WRT             41tn 17/,
~
A3                AzT.Aga7L Insnectores Sinature                                       National Board, State, and Endorsements Date: 3-O-
9 Conmnissions: WRT A3 41tn 17/, AzT.Aga7L Insnectores Sinature National Board, State, and Endorsements Date: 3-O-20
* 20


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
: 1. Owner:           Calvert Cliffs Nuclear Power Plant, Inc.                             Date:     4/20/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:             Calvert Cliffs Nuclear Power Plant                                 Unit:      One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                         -            R&R No. 2003-1-081, MWO No. 1200304508 (address)                                                            (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Dpt     Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant De (name)
Date:
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                              Section XI Class:           Two (address)
4/20/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:     System Number       052     System Name:         Safety InJection             __          _      __
: 2. Plant:
5.(a) Applicable Construction Code and Class:         ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 d; Class 3 (b) Applicable Sect XI Ed. for Repairs/Replacement                                           1998 Edition
Calvert Cliffs Nuclear Power Plant (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         ASME Repaired,       Code Name of        Name of            Manufacturers        National                    Other                  Year Replaced, oi Stamped Componet     Manufacturer         Serial Number       Board No.               Identification             Built Replacemen (Yes or No)
: 3. Work Performed by:
Valve     Velan Enginnering             SN: 1314         N/A       Refueling Water Tank Drain to         1975     Repaired/Rep!   Yes Co.                                              Miscellaneous Waste Storage                          aced Tank Isolation Valve
Calvert Cliffs Nuclear Power Plant De (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
Unit:
One R&R No. 2003-1-081, MWO No. 1200304508 (P.O. no., job no., etc.)
Dpt Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two
: 4. Identification of System:
System Number 052 System Name:
Safety InJection 5.(a) Applicable Construction Code and Class:
ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 d; Class 3 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Valve Velan Enginnering Co.
SN: 1314 N/A Refueling Water Tank Drain to Miscellaneous Waste Storage Tank Isolation Valve 1975 Repaired/Rep!
aced Yes
: 7. Description of Work:
: 7. Description of Work:
This plan was for the welding on 1-HVSI-4163, Refueling Water Tank Drain to Miscellaneous Waste Storage Tank Isolation Valve. This welding is only for tacks on the bonnet assembly to prevent the Yoke Bushing/Nut from backing out.
This plan was for the welding on 1-HVSI-4163, Refueling Water Tank Drain to Miscellaneous Waste Storage Tank Isolation Valve. This welding is only for tacks on the bonnet assembly to prevent the Yoke Bushing/Nut from backing out.
: 8. Tests Conducted:     Hydrostatic:Z   Pneumatic:       Nominal Operating Pressure:   inservice: E   Leakage: E     Functional:   E Pressure:    N/A      psi.          Test Temperature:       N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:Z Pneumatic:
Pressure:
N/A psi.
Nominal Operating Pressure:
inservice: E Leakage: E Functional: E Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2
Sheet 2 of 2
                                                        . FORM NIS-2 (Back)
. FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section Xi Pre-Service NDE was performed in SUDDort of this activity.
No Section Xi Pre-Service NDE was performed in SUDDort of this activity.
Applicable Manufacturer's Data Reports to be Attached
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this rules of the ASME Code, Section XI.
                            -                        Certificate of Compliance             RevalrlReplacement        conforms to the We certify that the statements made in this report are correct and that this rules of the ASME Code, Section XI.
RevalrlReplacement conforms to the Type Code Symbol Stamp:
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date:   N/A Charles H.Ballard Signed:           AYo-    Owner or Owners Designee, Title Engineering Technician        Date:     4/20/2004 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period / 2_- 1         o It -     /2- /8? -0 3       , and state to the best of my knowledge and belief, the 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.
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A AYo-Charles H. Ballard Engineering Technician Signed:
Date:
4/20/2004 Owner or Owners Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period / 2_ -1 o It -
/2-  
/8? -0 3  
, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
Commissions: A49   9U.?/ 1 4Az              ',f   41 7 ,
Inspector's Sitwure Date:
Inspector's Sitwure                                      National Board, State, and Endorsements Date:          5....        200(
5....
200(
Commissions: A49 9U.?/ 14A z
',f 41 7,
National Board, State, and Endorsements


FORM NIS-2 OWNER'S REPORT FOR REPAIR i REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR i REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                                 Date:     6/17/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:              Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                        R&R No. 2004-1-009a, MWO No. 1200400341 (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
: 3. Work Performed by:         Calvert Cliffs Nuclear Power Plant Dept.                         Type Code Symbol Stamp: N/A (name)                                                 Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                   Section XI Class:           Two (address)
(name)
: 4. Identification of System:     System Number         041     System Name:           Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:                 ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect XI Ed. for Repairs/Replacement                                               1998 Edition
Date:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                               ASME Repaired,     Code Name of          Name of              Manufacturers      National                      Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number       Board No.                 Identification               Built Replacemen (Yes or No)
6/17/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Piping System       Bechtel               3"HC-7-1004         N/A       #12 Boric Acid Pump discharge to       1975     Repaired/Repl  No I-BS-209, basket strainer.                             aced Pipe       Tloga Pipe Supply     76446-GX Ht.#:         N/A         Pipe, 3 In.Sch. 10, ASME SA-376       1993    Replacement      No Co. Inc.              L25610                        Tp. 304 Nut        Mackson Inc.          407912 Ht.#:          N/A         Nut, Heavy Hex, s/8 in. X 11 TPI,     2002      Replacement      No 7307732                      ASME SA-194 Gr. 2H Rod          Mackson Inc.      409797 Ht.#: 614117      N/A       Rod, Althread, 518 In. X 11 TPl,       2003      Replacement      No ASME SA-1 93 Gr. B7 Slip-on Flange  DuBose Natlonal        54906-GX Heat          N/A       Flange, 3 In., 150 lb., Raised Face,   1992    Replacement      No Energy Services        Code: D3912                      Slip-on, ASME SA-182, Gr. F316 Inc.
Calvert Cliffs Nuclear Power Plant
: 2. Plant:
(name)
Unit:
One R&R No. 2004-1-009a, MWO No. 1200400341 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
(P.O. no., job no., etc.)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
Type Code Symbol Stamp: N/A (name)
Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:
Two (address)
: 4. Identification of System:
System Number 041 System Name:
Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:
ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Piping System Bechtel 3"HC-7-1004 N/A  
#12 Boric Acid Pump discharge to 1975 I-BS-209, basket strainer.
Repaired/Repl aced No Pipe Tloga Pipe Supply Co. Inc.
Nut Mackson Inc.
76446-GX Ht.#:
L25610 407912 Ht.#:
7307732 409797 Ht.#: 614117 54906-GX Heat Code: D3912 N/A Pipe, 3 In. Sch. 10, ASME SA-376 Tp. 304 N/A Nut, Heavy Hex, s/8 in. X 11 TPI, ASME SA-194 Gr. 2H N/A Rod, Althread, 518 In. X 11 TPl, ASME SA-1 93 Gr. B7 N/A Flange, 3 In., 150 lb., Raised Face, Slip-on, ASME SA-182, Gr. F316 1993 2002 2003 1992 Replacement Replacement Replacement Replacement No No No No Rod Slip-on Flange Mackson Inc.
DuBose Natlonal Energy Services Inc.
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the 3" piping, fittings and fastener material from I -HVCVC-236 to the flange on the upstream side of basket strainer 1-BS-209.
This plan was for the replacement of the 3" piping, fittings and fastener material from flange on the upstream side of basket strainer 1-BS-209.
: 8. Tests Conducted:     Hydrostatic:M     PneumaticC       Nominal Operating Pressure:     Inservice:E     Leakage:R     Functional:   a Pressure:      100      psi.          Test Temperature:           150        Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
I -HVCVC-236 to the
: 8. Tests Conducted:
Hydrostatic:M PneumaticC Pressure:
1 00 psi.
Nominal Operating Pressure:
Inservice:E Leakage:R Functional: a Test Temperature:
1 50 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Sheet 2 of 2 q  tA I -FORM                                                         NIS-2 (Back)
q tA Sheet 2 of 2 I -FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xi Svstem Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report.               Code Case N-416-2 was invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were performed (as anolicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
A Section Xi Svstem Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 RenalrlReolacement conforms to the rules of the ASME Code, Section XI.
Code Case N-416-2 was invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were performed (as anolicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.
Type Code Symbol Stamp: N/A Certificate of Authorization No.: N/A       Expiration Date:       N/A Charles H. Ballard Signed:                                                            Engineering Technician         Date:     6/17/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period .         3 -o             to 3-5 *Y             , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code, Section XI.
RenalrlReolacement Type Code Symbol Stamp:
N/A Certificate of Authorization No.: N/A Expiration Date:
N/A Signed:
Charles H. Ballard Engineering Technician Date:
6/17/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period.
3 -o to 3 -5 *Y  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DoAM-u           A - SH14*-P/I'L       FAmt /YIZ.
DoAM-u A - SH14*-P/I'L FAmt /YIZ.
      ;o4tN 46DA6S               k-7 7WCF~f         Z         Commissions: AJIR9 9-3J 3           Ai9 /17/       ,   //
;o4tN 46DA6S k-7 7WCF~f Z Commissions: AJIR9 9-3J 3
_ _l                   _
Ai9 /17/,  
Dt Inspector's Signture                                       National Board, State, and Endorsements Date:      60 - / 7          200v
//
_ _l Dt Inspector's Signture Date:
60 - / 7 200v National Board, State, and Endorsements


F6 RM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
F6RM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.
: 1. Owner:            Calvert Cliffs Nuclear Power Plant, Inc.                           Date:     6/1712004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                               Sheet I of 2 (address)
: 1. Owner:
: 2. Plant:              Calvert Cliffs Nuclear Power Plant                       __      Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                      R&R No. 2004-1-009b, MWO No. 1200400341 (address)                                                           (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:
Type Code Symbol Stamp: N/A
6/1712004 Sheet I of 2 (address)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                      Authorization No.: N/A (name)
Calvert Cliffs Nuclear Power Plant
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                              Section XI Class:           Two (address)
: 2. Plant:
: 4. Identification of System:     System Number       041     SystemName:           Chemical Volume Control 5.(a) Applicable Construction Code and Class:         ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect Xl Ed. for Repairs/Replacement                                             1998 Edition
(name)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                         .ASME Repaired,       Code Name of          Name of            Manufacturers      National                    Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number     Board No.               Identification             Built Replacemen (Yes or No)
Unit:
Pipe Support       Bechtel           3"HC-7.1004,H2/R3     N/A       Pipe Support on CVCS Sys.             1975      Repilred/Repl    No upstream of 1-BS-209, basket                         aced strainer.
One R&R No. 2004-1-009b, MWO No. 1200400341 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 3. Work Performed by:
Calvert Cliffs Nuclear Power Plant Dept.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two
: 4. Identification of System:
System Number 041 SystemName:
Chemical Volume Control 5.(a) Applicable Construction Code and Class:
ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
.ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Pipe Support Bechtel 3"HC-7.1004,H2/R3 N/A Pipe Support on CVCS Sys.
upstream of 1-BS-209, basket strainer.
1975 Repilred/Repl aced No
: 7. Description of Work:
: 7. Description of Work:
This plan was for the removal and rewelding of pipe support 3"HC-7-1004, H2 / R3, upstream of 1-BS-209, basket strainer.
This plan was for the removal and rewelding of pipe support 3"HC-7-1004, H2 / R3, upstream of 1-BS-209, basket strainer.
: 8. Tests Conducted:     Hydrostatic:E   PneumaticC]     Nominal Operating Pressure:   Inservice: E   Leakage: []   Functional:     E Pressure:      N/A      psi.          Test Temperature:         N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form
: 8. Tests Conducted:
Hydrostatic:E PneumaticC]
Pressure:
N/A psi.
Nominal Operating Pressure:
Inservice: E Leakage: []
Functional: E Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form


Sheet 2 of 2 FORM NIS-2 (Back)
Sheet 2 of 2 FORM NIS-2 (Back)
: 9. Remarks:
: 9. Remarks:
No Section XI Pre-Service NDE was Derformed in support of this activity, Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                 Reoalr/Renlacement conforms to the rules of the ASME Code, Section XI.
No Section XI Pre-Service NDE was Derformed in support of this activity, Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Reoalr/Renlacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Sta-mp: N/A Certificate ofAuthorization No.: N/A Expiration Date:             N/A Charles H.Ballard Signed:                                                             Engineering Technician         Date:     6/17/2004 Owner or Owfr's Deignee, Title Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period A v /                   to S -/ Y e"         , and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
Type Code Symbol Sta-mp:
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.         -                          -
N/A Certificate of Authorization No.: N/A Expiration Date:
    &0,4Ai-O A         &8hffD ftA7 MfO> lJS             Z72                   Commissions: A18 3 8X3 1 /A               11//7/ .4A4J0 Insnectnr's Sianature                                     National Board, State, and Endorsements Date:-  6- /7       ---          M
N/A Charles H. Ballard Signed:
Engineering Technician Date:
6/17/2004 Owner or Owfr's Deignee, Title Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period A v /
to S -/ Y e"  
, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.  
&0,4Ai-O A &8hffD ftA7 MfO> lJS Z72 Commissions: A18 3 8X3 1 /A 11//7/  
.4A4J0 Insnectnr's Sianature National Board, State, and Endorsements Date: /7 M


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert ClIffs Nuclear Power Plant, Inc.
: 1. Owner:            Calvert ClIffs Nuclear Power Plant, Inc.                                 Date:     5/20/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                   Sheet 1 of 2 (address)
: 1. Owner:
: 2. Plant.             Calvert Cliffs Nuclear Power Plant                                     Unit:       One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                         R&R No. 2004-1-017, MWO No. 1200401939 (address)                                                               (P.O. no., job no., etc.)
(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Type Code Symbol Stamp: N/A
Date:
: 3. Work Performed by.        Calvert Cliffs Nuclear Power Plant Dept.
5/20/2004 Sheet 1 of 2
Authorization No.:     N/A (name)
: 2. Plant.
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                  Section XI Class:           Two (address)
Calvert Cliffs Nuclear Power Plant Unit:
: 4. Identification of System:     System Number         052     SystemName:           Safety Injection 5.(a)ApplicableConstructionCodeandClass:                 ASME   B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement                                                 1998 Edition
One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-017, MWO No. 1200401939 (address)
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Name of            Manufacturers        National                      Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number       Board No.                 Identification             Built Replacemen (Yes or No)
: 3. Work Performed by.
Rod Eye           Grin neil Pipe Support       Bechtel             12" GC-9-1003-R6       N/A       Sarety Injection Piping Support       1975       Repalred/Repl   No aced Rod Eye           Grinnell                 45824              NIA        Bracket, Rod Eye, Rear                1999      Replacement      No Bracket       Corporation                                             Assembly, 2 1/2" size, Grinnell Fig. 201, Item 17, ASME SA-216, Gr.WCB
Calvert Cliffs Nuclear Power Plant Dept.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)
(P.O. no., job no., etc.)
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:
Two
: 4. Identification of System:
System Number 052 SystemName:
Safety Injection 5.(a)ApplicableConstructionCodeandClass:
ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Rod Eye Grin neil Pipe Support Bechtel 12" GC-9-1003-R6 N/A Sarety Injection Piping Support 1975 Repalred/Repl aced No Rod Eye Grinnell Bracket Corporation
: 7. Description of Work:
: 7. Description of Work:
This plan was for the replacement of the lower rod eye bracket on Snubber 1-52-34, on support 12"GC9-1 003-R6.
45824 NIA Bracket, Rod Eye, Rear Assembly, 2 1/2" size, Grinnell Fig. 201, Item 17, ASME SA-216, Gr.WCB 1999 Replacement No This plan was for the replacement of the lower rod eye bracket on Snubber 1-52-34, on support 12"GC9-1 003-R6.
: 8. Tests Conducted:     Hydrostatic:M   Pneumaticfj         Nominal Operating Pressure:     Inservice: El Leakage: M     Functional:   E Pressure:     N/A         psi.           Test Temperature:        NIA        Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.
: 8. Tests Conducted:
Hydrostatic:M Pneumaticfj Nominal Operating Pressure:
Inservice: El Leakage: M Functional: E Test Temperature:
NIA Deg. F Pressure:
N/A psi.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Z0 d -bO1 0>/'=d4/ ACW       j3 . J A 8AB         PE Orf AJ1-ak oF      RD   p         . A00f P/ot7                             $et2 of 2 FORM NIS.2 (Back)
Z0 d -bO1 0>/'=d4/ ACW j3. J A 8AB PE Orf oF AJ1-ak RD p
: 9. e,=arks:
A00f P/ot7  
No Sectdon Xl Pre-Service NDE was grftrned in suoyort of ths actM                         _
$et2 of 2 FORM NIS.2 (Back)
                            -          Applicable Manufactwc's Data Repmu to be Attacbed
: 9.
                    .~'                         . Certificate of Compliance                             ;
e,=arks:
We ear       that tlt stamtrnade hi rLport aetrect Ad tbat this         -8421108212e rdes of ibe ASO Code, SwdcronM.
No Sectdon Xl Pre-Service NDE was grftrned in suoyort of ths actM Applicable Manufactwc's Data Repmu to be Attacbed
Type coa Symbol Stapp: N/A Cerdficateof Autorizadon No.: NIA         xpiratdon Date   NIA Sipe                             /         Charles H.3allard Signue                                 4MS                                 f             Date:+/-O   So,20Q4 t
.~'  
Certificate oflnservice Inspection 1,the undesigned, holding a valid coovuhIon isuadby dte Nadonul Board of Boiler and Ptesgure Vessel laspectors and dmc State of Mayland an employed by ABS Conmufi of oustom TX have inspected th cwrmpotenb deribed intbis Ow s Repot ing thepegiod                 .2-A         to                     astateto te benof Imowledge and belief, the Own= bAs performed raminvions owd taken co ticdve =ea=u descnbed inthis Ovrs Report in accordance with the xarirea of the ASM Code Secion                           :L By siS this certficte neither 1e Isp!eTtr wr his enmpljdybrakes aty warant exprwed or implie4 canjceg dw examinarios and coucive maswu desenbed in this Owncs fepoit fPfwre, neirdh the Inpector nor his employer shall b liable i any mrer for any pesonal irjuy or property 4gtwga ofa lu of any kd adsig f0om o connected wih thu isspecdox g6 1.a-771             //(5 1Hv rm4 Stoand
. Certificate of Compliance We ear that tlt stamtrnade hi rLport aetrect Ad tbat this  
_otiana~oa     .     Enaorsemants Pats: 6- -     5.Z           200j34                   ..        .    .                                .
-8421108212e rdes of ibe ASO Code, SwdcronM.
Type coa Symbol Stapp:
N/A Cerdficate of Autorizadon No.: NIA xpiratdon Date NIA Sipe  
/
Charles H. 3allard Signue 4MS f
Date:+/-O t
So,20Q4 Certificate of lnservice Inspection 1, the undesigned, holding a valid coovuhIon isuad by dte Nadonul Board of Boiler and Ptesgure Vessel laspectors and dmc State of Mayland an employed by ABS Conmufi of oustom TX have inspected th cwrmpotenb deribed in tbis Ow s Repot ing thepegiod  
.2-A to astateto te benof Imowledge and belief, the Own= bAs performed raminvions owd taken co ticdve =ea=u descnbed in this Ovrs Report in accordance with the xarirea of the ASM Code Secion
:L By siS this certficte neither 1e Isp!eTtr wr his enmpljdybrakes aty warant exprwed or implie4 canjceg dw examinarios and coucive maswu desenbed in this Owncs fepoit fPfwre, neirdh the Inpector nor his employer shall b liable i any mrer for any pesonal irjuy or property 4gtwga ofa lu of any kd adsig f0om o connected wih thu isspecdox g6 1.a-771 1Hv
//(5
_otiana~oa 4 rm
.Stoand Enaorsemants Pats: 6- -
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200j34


FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner:             Calvert Cliffs Nuclear Power Plant, Inc.                               Date:     6/21/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                                 Sheet 1 of AL (address)
: 1. Owner:
: 2. Plant:               Calvert Cliffs Nuclear Power Plant                         __        Unit: Common (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657                                        R&R No. SNUB-0-004, MWO No. SNUB POOL (address)                                                               (P.O. no., job no., etc.)
Calvert Cliffs Nuclear Power Plant, Inc.
Type Code Symbol Stamp: N/A
(name)
: 3. Work Performed by:        Calvert Cliffs Nuclear Power Plant Dept.                        Authorization No.: N/A (name)
Date:
Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657                                                  Section X Class: 1, 2, & 3 (address)
6/21/2004 Sheet 1 of AL 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
: 4. Identification of System:     System Number 065B             SystemName:           Seismic Snubbers 5.(a) Applicable Construction Code and Class:           ASME B31.7 1969 Ed, Sum.1971 Add. Class I or Combustion Eng. Spec 8067-487-503 (b) Applicable Sect X1 Ed. for Repairs/Replacement                                                 1998 Edition
: 2. Plant:
: 6. Identification of Components Repaired or Replaced and Replacement Components:                                                             ASME Repaired,       Code Name of          Name of              Manufacturers        National                      Other                  Year Replaced, oi Stamped Componet       Manufacturer           Serial Number     Board No.                 Identification             Built Replacemen (Yes or No)
Calvert Cliffs Nuclear Power Plant (name)
Snubber Pool       Grinnell                 Snubber Pool       N/A       Hydraulic Shock and Sway             1975      RepaIred/RepI    No Corporation                                              Suppressor                                             aced Snubber            Grinnell        59013-GX SN: 32323      N/A         Hydraulic Shock and Sway             1991      Replacement      No Corporation                                            Suppressor, 1 1/2 In. Bore X 5 In.
Unit: Common R&R No. SNUB-0-004, MWO No. SNUB POOL 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
Stroke, Grinnell Fig. 200 Opt. 1 Snubber            Grinnell        59013-GX SN: 32325        NIA         Hydraulic Shock and Sway             1991      Replacement      No Corporation                                            Suppressor, 1 1/2 In. Bore X 5 In.
: 3. Work Performed by:
Stroke, Grinnell Fig. 200 Opt. I Snubber      Anvil International    411825 SN: 35846        N/A       Hydmullc Shock and Sway               2004      Replacement      No Inc. Grinnell                                          Suppressor, Size: 3 X 5 In.
Calvert Cliffs Nuclear Power Plant Dept.
Supports                                              Stroke, Anvil Fig. 3306N Snubber          Grinnell        59013-GX SN: 32321        N/A       Hydraulic Shock and Sway             1991      Replacement      No Corporation                                            Suppressor, 1 1/2 In. Bore X 5 In.
(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (P.O. no., job no., etc.)
Stroke, Grinnell Fig. 200 Opt. 1
Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X Class:
1, 2, & 3 (address)
: 4. Identification of System:
System Number 065B SystemName:
Seismic Snubbers 5.(a) Applicable Construction Code and Class:
ASME B31.7 1969 Ed, Sum.1971 Add. Class I or Combustion Eng. Spec 8067-487-503 (b) Applicable Sect X1 Ed. for Repairs/Replacement 1998 Edition
: 6. Identification of Components Repaired or Replaced and Replacement Components:
ASME
: Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)
Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.
Other Identification Snubber Pool Grinnell Corporation Snubber Pool Snubber Snubber Grinnell Corporation Grinnell Corporation 59013-GX SN: 32323 59013-GX SN: 32325 411825 SN: 35846 59013-GX SN: 32321 N/A Hydraulic Shock and Sway Suppressor N/A Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.
Stroke, Grinnell Fig. 200 Opt. 1 NIA Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.
Stroke, Grinnell Fig. 200 Opt. I N/A Hydmullc Shock and Sway Suppressor, Size: 3 X 5 In.
Stroke, Anvil Fig. 3306N N/A Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.
Stroke, Grinnell Fig. 200 Opt. 1 1975 RepaIred/RepI aced No 1991 Replacement 1991 Replacement 2004 Replacement 1991 Replacement No No No No Snubber Anvil International Inc. Grinnell Supports Snubber Grinnell Corporation
: 7. Description of Work:
: 7. Description of Work:
This plan was for the continued control of the Snubber Pool and documentation of new components/parts added to the Snubber Pool per Section XI 1998, IWA-4132, Items Rotated From Stock. This plan covers all Snubber work from the end of Unit #2, 2003 outage through to the end of Unit #1, 2004 outage.
This plan was for the continued control of the Snubber Pool and documentation of new components/parts added to the Snubber Pool per Section XI 1998, IWA-4132, Items Rotated From Stock. This plan covers all Snubber work from the end of Unit #2, 2003 outage through to the end of Unit #1, 2004 outage.
: 8. Tests Conducted:     Hydrostatic:D     PneumaticC         Nominal Operating Pressure:     Inservice: E Leakage:   a     Functional:   E Pressure:      NIA      psi.          Test Temperature:         N/A       Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 8. Tests Conducted:
Hydrostatic:D PneumaticC Pressure:
NIA psi.
Nominal Operating Pressure:
Inservice: E Leakage: a Functional: E Test Temperature:
N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.


Qh..f a4f J FORM NIS2 (Back)
Qh..f a 4f J FORM NIS2 (Back)
: 9. Remarks:
: 9. Remarks:
A Section Xl VT-3 Visual Examination of the affected component suDport was performed prior to the system being returned to service.
A Section Xl VT-3 Visual Examination of the affected component suDport was performed prior to the system being returned to service.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this                       Revalr/Reptacement conforms to the rules of the ASME Code, Section X1.
Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Reptacement conforms to the rules of the ASME Code, Section X1.
Type Code Symbol Stamp:             N/A Certificate of Authorization No.: N/A           Expiration Date:     NIA
Type Code Symbol Stamp:
_g4         /       Charles H. Ballard Signed:                   ,'                    D     e, Tite           Engineering Technician         Date:   6/21/2004 1wnarorO%;nee Desigznee~,Titlc~-"
N/A Certificate of Authorization No.: N/A Expiration Date:
Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod St-;'3-D                 V/         to   -aI -9ov           ,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
NIA
_g4  
/
Charles H. Ballard Signed:
D e, Tite Engineering Technician Date:
6/21/2004 1wnaror O%;nee Desigznee~,Titlc~-"
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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod St-;'3-D V/
to  
-aI -9ov  
,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Reports Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Reports Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.
DOD4A-O A .SH479/As'1                         1-Ab   .
DOD4A-O A.SH479/As'1 1-Ab  
      ,M   IjVjA       CoME7       ek)2 7           .            Commissions:   AJA 9A           A ABASIJ 4            , lfI/f     3
,M IjVjA CoME7 ek)2 7 Commissions: AJA 9A A 4 ABASIJ, lfI/f 3
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                    , P   Inspector's Signature                                           National Board, State, and Endorsements Date:     { -is?.           200     4"}}
-e Z7" v /3 /77 97, U
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, P Inspector's Signature Date:
{ -is?.
200 4" National Board, State, and Endorsements}}

Latest revision as of 01:43, 16 January 2025

Inservice Inspection Report
ML042330486
Person / Time
Site: Calvert Cliffs Constellation icon.png
Issue date: 08/04/2004
From: Vanderheyden G
Constellation Energy Group
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML042330486 (156)


Text

George Vanderheyden Vice President Calvert Cliffs Nuclear Power Plant Constellation Generation Group, LLC 1650 Calvert Cliffs Parkway Lusby, Maryland 20657 410.495.4455 410.495.3500 Fax I

Constellation Energy August 4, 2004 U. S. Nuclear Regulatory Commission Washington, DC 20555 ATTENTION:

SUBJECT:

Document Control Desk Calvert Cliffs Nuclear Power Plant Unit No. 1; Docket No. 50-317 Inservice Inspection Report Please find enclosed the Inservice Inspection Report for the Calvert Cliffs Nuclear Power Plant Unit 1.

This inspection fulfilled the intentions and requirements stated in our program plan and our commitment to comply with American Society of Mechanical Engineers Code Section XI Inservice Inspection Requirements.

Should you have questions regarding this matter, we will be pleased to discuss them with you.

Very trul our GV/CAN/bjd

Enclosures:

(1)

Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-1 (2)

Calvert Cliffs Nuclear Power Plant, Inservice Inspection Summary Report for Calvert Cliffs Unit 1, ASME Boiler & Pressure Vessel Code Section XI, Form NIS-2 cc:

Mr. Craig Lowry (Without Enclosures)

J. Petro, Esquire J. E. Silberg, Esquire Director, Project Directorate I-1, NRC R. V. Guzman, NRC H. J. Miller, NRC Resident Inspector, NRC R. I. McLean, DNR 04kc7

ENCLOSURE (1)

CALVERT CLIFFS NUCLEAR POWER PLANT, INSERVICE INSPECTION

SUMMARY

REPORT FOR CALVERT CLIFFS UNIT 1 ASME BOILER & PRESSURE VESSEL CODE SECTION XI, FORM NIS-1 Calvert Cliffs Nuclear Power Plant, Inc.

August 4, 2004

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

Page I of 2

1. Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 (Name and Address of Owner)
2. Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (Name and Address of Plant)
3. Plant Unit 1
4. Owner Certificate of Authorization (if required)

N/A

5. Commercial Service Date 05/0
6. National Board Number for Unit 2091
7. Components Inspected 811975 11 Component or Manufacturer or Manufacturer or Installer State or National Board No.

Appurtenance Installer Serial No.

Province No.

Reactor Pressure Vessel Combustion Engineering CE-67107 14000NV 20911 Pressurizer Combustion Engineering CE-67602 14000NV 20915 Steam Generator #11 Combustion Engineering CE-67504 14000NV 20922 Steam Generator #12 Combustion Engineering CE-67505 14000NV 20923 Reactor Coolant Piping Combustion Engineering N/A N/A N/A Safety Injection Bechtel N/A N/A N/A Pioinv/Suvoorts Pressurizer Spray Bechtel N/A I N/A N/A Pivinw/Suooorts I

Pressurizer Safety & Relief Bechtel N/A N/A N/A Pioine/Suovorts l

Shutdown Cooling Bechtel N/A N/A N/A Pinine/Suioorts l

Main Steam Bechtel N/A N/A NIA Pioine/Sunnorts l

Feedwater Piping/Supports Bechtel N/A N/A N/A Charging Piping/Supports Bechtel N/A N/A N/A Letdown Piping Supports Bechtel N/A N/A N/A Containment Spray Bechtel N/A N/A NIA PioinelSumoorts i

8. Examination Dates 6/19/2002 to 7/20/2004
9. Inspection Period Identification:

2002 to 2006

10. Inspection Interval Identification: 1999 to 2009
11. Applicable Edition of Section XI 1998 Addenda None
12. Date/Revision of Inspection Plan: CCNPP Units I & 2 Third Interval ISI Plan, Revision 0

NIS-1 rage OL x

13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan.

The examinations reported herein constitute the sixteenth report of Inservice Inspections performed at Calvert Cliffs Unit 1, and the first report within the second inspection period of the third Inspection interval during commercial operation. The examinations for this inspection period, as required by the Third Interval Plan for Calvert Cliffs Units I& 2, were performed In accordance with the 1998 Edition of ASME Code Section Xl with No Addenda. In addition to the Section Xl required examinations we performed baremetal visual examinations of all of the Unit 1 dissimilar metal butt welds containing Ahloy 82/182 material which operate at hot leg and pressurizer temperatures in accordance with the EPRI MRP recommendations.

We also performed baremetal visual and volumetric examinations of the reactor vessel closure head in accordance with the revised NRC Order EA-03-009. See Attachment I for a list of Class 1 and 2 components examined. Nondestructive examination data and procedures are available at the plant site for review.

14. Abstract of Results of Examinations and Tests.

Surface examination of feedwater support 16-FW-1218-R3 integral attachment revealed an indication which exceeded the acceptance criteria of IWC-3512. Supplemental volumetric examinations In accordance with IWC-3512(c) verified the indication was acceptable and the depth of the indication was verified to be less than 1/32" by physical removal of the indication. Examinations of the dissimilar metal butt welds and the reactor vessel closure head were found to be acceptable with no indications of leakage.

15. Abstract of Corrective Measures.

Supplemental examinations of feedwater support 16-FW-1218-R3 found the surface Indication to be acceptable.

We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI, and c) corrective measures taken conform to the rules of the ASME Code,Section XI.

Certificate of Authorization No. ( if applicable)

N/A Expiration Date 3/ 0A Date 07/21/2004 Signed Constellation Energy By m5 f

r 1

Owner 9T* IY% tff'AVA/

CERTIFICATE OF INSERVICE INSPECTION L, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectores and the State or provinces of Maryland and employed by ABS Consulting of Houston, TX have inspected the components described in this Owner's Report during the peroid 6/2012002 to 7/20/2004

, and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owners Report in accordance with the inspection plan and as required by the ASME Code, Section Xl.

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

Doff-4 A.- s H4P / 4 Fot extra1z 0q&5 i) d

~ 3 pat efg Commissions A 74a; N, Is /US M ii/o National Board, State, Province, and Endorsements Date Q I TiULY a,06' N 6 17775 } /

13S

-- I --

Pae of 1 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certifcate of Authorization (If Req.): NIA Commercial Service Date: 05/08/1975 National Board Number for Unit 20911 Summary No.

cIA 1

003625 Commenr:

003es0 Conments:

004000 Commefts:

004050 Comments:

004250 004550 Conmf:

005750 Comment:

005850 Comments:

007050 Comments:

007150 Comments:

104550 Conts:

107600 Comments:

110450 Comments:

110850 Comments:

110900 Comnrnts:

111100 Conmnenft:

Comp ID t1.4-it-0.....A.-

M4fhitAhUR" sUe C-#.-

MMn M.-l C.-.

f.*-

..v

-.

-Y......

1.

ICI BOLTING 1-64 ICI BOLTING 1-64 B-G-2 B7.10 NDE-5712-C No caUIns rnoed.

2-401D LOWER SHELL ATODEG.

B-B 92.12 NDE-5419-CC NO RECORDABLE INDICATIONS NOTED 3-401 LOWER SHELL TO LOWER HEAD B-B B2.11 NDE-5419-CC NDE-5419-CC ID GEOMETRY INDICATIONS WERE NOTED 4-404 NOZZLE TO HEAD WELDS B-0 93.110 NDE-5419-CC WILL CONSIDER SUBMIT'ING RELIEF REQUEST FOR THIS WELD BASED ON LIMITED UT COVERAGE 4-404 IRS NOZZLE INSIDE RADIUS SECTION B-D B3.120 NDE-5417-CC NO RECORDABLE INDICATIONS NOTED MANWAY STUDSINUTS 1-20 MANWAY STUDS 1-20 B9--1 B7.20 NDE-5712-CC No evIdence o boric acdd found OUTLET SIDE MANWAY STUDSINUTS OUTLET SIDE MANWAY STUDSINUTS -

NDE-5712-CC No cwable hndcaft noted INLET SIDE MANWAY STUDSrNUTS INLET SIDE MANWAY STUDSrNuTS NDE-5712-CC No rmccrdble kIdlcallo noled OUTLET SIDE MANWAY STUDSrNUTS OUTLET SIDE MANWAY STUDSNUTS -

NDE-s712.CC No Recordable Indications noted.

INLET SIDE MANWAY STUDSrNUTS INLET SIDE MANWAY STUDSrNuTS NDE-8712-CC No recordable indications noted.

30-RC-IiB-7 ELBOWTOSAFE END R-A R1.20 NDE-5710-CC No leakage noted.

30-RC-12A -10 SAFE END TO PIPE R-A R1.20 NDE-5710-CC No leakage noted 12-PSL-1 NOZZLETOSAFEEND R-A RI11 NDE-5710-CC No leakage noted 12-PSL-6 ELBOWTOPIPE R-A RI11 NDE-5412-CC NO RECORDABLE INDICATiONS NOTED 12-PSL-9 PIPETOELBOW R-A R1.11 NDE-5412-CC INDICATIONS WERE INTERMITTENT 360 DEGREES AROUND WELD 12-PSL-1 3(star)

NOZZLE TO SAFE END R-A Ri11 NDE-6710-CC No bleake noted VT CCO44V-182 Accept UT CC04-IU-018 Accept UT CC04-lU-017 Accept UT CCO44U-031 Accept UT CCo4-IU-014 Accept UT CC04-IU-032 Accept VT CCo44V-005 Accept VT CCO44V-01 I Accept VT CC044V-012 Accept VT CCO44V-013 Accept VT CC044V-014 Accept VT CC04-IV-010 Accept VT CCo4-lV-016 Accept VT CCo4-IV-0I8 Accept UT CC044U-002 Accept UT CC04-IU-02S Accept VT CCO4-IV.009 Accept 064 064 064 064 A-I 57r2004 4/22004 4J22/2004 4/27/2004 064 064 4/0/004 4/21/2004 064 064 064 U-1 A-4 U-1 A-4 U-1 A-5 064 064 064 064 064 064 064 064 U-I A-S U-1 A-4 120344004.4008 12034-004 4008 80798,120244009 60798,12024-0009 60796, 120244009 6079s,1202440009 411042004 4/11r2004 4/11/2004 4/11I2004 4/11/2004 4/13/2004 4/15/2004 4/11r2004 4/27/2004 4/27/2004 4/132004

Page of 2 - 10 Attachment I InservIce Inspection Report Owner. Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Owner Certificate of Authorization (Hf Req.): N/A Commercial Service Date: 0510811975 National Board Number for Unit 20911 Plant UnIt: 1 Summary No.

113150 Comments:

114350 Comments:

115000 Comments:

118300 Comments:

118500 Comm~ents:

123100 Commernts:

123450 Comments:

124210 Comments:

126300 Coniments:

129750 Canments:

12l800 Commrents:

129950 Comments:

130000 Commants:

130450 Comnts:

131250 Comments:

131500 Comnts:

132150 Comments:

0Comp ID Comp Desc.

Categor! Item Procedure 12-SC-1004 - 1(star)

NOZZLE TO SAFE END R-A R1.20 NDE-5710-CC No leakage noted 12-SI-1009 -16 SAFE END TO NOZZLE R-A R1.20 NDE-5710-CC no leakage noted 12-SI-1011 -13 NOZZLE TO SAFE END R-A R1.20 NDE-5710-CC No leakage noted 4-PS-1003-2 TEETOELBOW R-A R1.11 NDE-5412-CC ID ROOT GEOMETRY WILL CONSIDER THIS WELD FOR REUEF REQUEST BASED ON LIMITED COVERAGE 4-PS-1003 -t NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No widicatlons noted 4-SR-1005 -1 NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No leakage noted 4-SR-100W-1 NOZZLE TO SAFE END R-A R1.11 NDE-5710-CC No leakage noted 2.5-SR-1004 - 2A PIPE TO PIPE R-A B9.21 NDE-5210-CC This was a presevce examisnatIon the orlgral report was filed wit the MO package.

2-CV.1003-13 PIPE TO PIPE R-A R1.20 NDE-5412-CC NO RECORDABLE INDICATIONS NOTED 2-CV-1005 - 17 ELBOW TO PIPE R-A R1.20 NDE-5412-CC WILL CONSIDER FOR RELIEF REQUEST SUBMITAL DUE TO LIMITED COVERAGE 2-CV-1005 - 18 ELBOW TO PIPE R-A R1.20 NDE4412.CC NO RECORDABLE INDICATIONS NOTED 2-CV-1005 - 21 PIPE TO PIPE R-A R1.20 NDE-5412-CC Root geometry seen intermittently 380 degrees at loe amplitudes.

2-CV-1005 - 22 PIPE TO PIPE R-A R1.20 NDE-5412-CC ROOT GEOMETRY INDICATIONS NOTED 2-CV-1005 -29 NOZZLE TO SAFE END R-A R1.11 NDE-6710-CC No leakage noted 2-DR-1003 -1A SAFE END TO PIPE R-A R1.20 NDE-5412-CC NO RECORDABLE INDICATIONS NOTED 2-DR-1004-1 NOZZLE TO SAFE END DRAIN LINES R-A R1.20 NDE-5710-CC No leakage noted 2-DR-1 008

  • 1 NOZZLE TO SAFE END DRAIN LINES R-A R1.20 NDE-4710-CC No leakage noted tUtothnot/Rhoot/F7ot Ite Cuctom Ila^ M...-

C-n n%-&-

m m p

. f l I v ~

, v o u i s

. y @ c,,

  • J %

l u,

..- c,.

a VT CCO44V-08 Accept VT CC044-v021 Accept VT CCO44V-017 Accept UT CC04-IU-029 Accept VT CC044V-004 Accept VT CC04V-022 Accept VT CC04V-023 Accept PT CC04-IP-01 I Accept UT CC04-IU-030 Accept 052 91101,9114U 052 052 084 064 064 064 0t4 041 041 041 041 041 041 064 084 064 91100 91 100SH0003 91099SH0002 91099SH-t002 91098SH0002 91098SHOOOI0 91098SHOOOI FSK-MP-490 FSK-MP-492 FSK(-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-575, -5i5H FSK-MP"1053..053H FSK-MP-1006, -lOO0GH-4/10/204 414/2004 4/15/2004 412712004 4/10/2004 411/2004 418/r2004 4/23/2004 v=004 4V17/2004 4117/2004 4/17/2004 4117/2004 4114/2004 411/204 4112/2004 4114V2004 UIT CCO44-.1-012 UT CCO44IU.013 UT CC04-IU-033 LT CC04"U-035 VT CC044IV.020 Accept Accept Accept Accept Accept UT CC044U-036 Accept VT CCO4-r008 AcCept VT CCo4-4V-019 Accept

Page of 3 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (Hf Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit: 20911 C

---,,o V

I

  • U
f.

~In r-~nn rfl-132450 2-DR-1007 -

Comments:

No leakage noted NOZZLE TO SAFE END DRAIN LINES 133200 Comments:

133250 Conaents:

11A-1 INTEGRAL ATTACHMENT RCP-I IA NO RECORDABLE INDICATIONS NOTED 11A-2 INTEGRAL ATTACHMENT RCP-1 1A NO RECORDABLE INDICATIONS NOTED Categ R-A B-K B-K B--2 or Iem Procedure R1.20 NDE-5710-CC 810.30 NDE-210-CC B10.30 NDE-5210-CC 87.60 NDE-5712-CC 87.60 NDE-5712-CC B7.60 NDE-5712-CC B7.60 NDE-5712-CC 133500 11A-C-I THROUGH 1e Comments:

No recodble indications noted RCP-1 1A SEAL BOLTING 134050 Comments:

134600 Commns:

135150 Comments:

135235 Comments:

135240 Comments:

136150 Commvenls:

136200 Comments:

136250 Comments:

136300 Commnts:

136450 Commns:

136500 Comments:

136550 Co aments:

136600 Comments:

136650 Comments:

118-C-1 THROUGH 16 No recordable indications noted 12A-C-1 THROUGH 16 No recordable indications noted 128C01 THROUGH 16 No ecordble IIdtions noted I-CV-100F1I No recordable ndiations noted.

1-CV-100F-2 No recordable Indications noted.

1-MOV-614 ON 12-S-1009 No material loss. No signs d Boric Abd 1-MOV-424 ON 12-S1010 No recordable indications noted 1-MOV-634ON 12-SI-1011 No recdable Indications noted 1-MOV-644 ON 12-S11012 No recordable indications noted 1-MOV-403 ON 2.5-SR-1003 No recordable indications noted.

1-MOV-405 ON 2.5-SR-1004 No recordable Indication noted I-CV-517 ON 2-CV-1003 No recordable indictions noted 1-CVC-3ss ON 2-CV-1003 No bolting on this valve.

1-CVC-165 ON 2-CV-1003 There was no bdlti assocated wift gim RCP-118 SEAL BOLTING B--2 RCP-12A SEAL BOLTING B--2 RCP-12B SEAL BOLTING B--2 PRESSURIZER SPRAY VALVE LOWER B-M-i PRESSURIZER SPRAY VALVE UPPER B-M-I VALVE BODY BOLTING B--2 812.30 812.30 87.70 VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOOY BOLTING VALVE BODY BOLTING W-0-2 87.70 B--2 87.70 B-0-2 B7.70 B-0-2 87.70 B-0-2 B7.70 NDE-5210.CC NDE-210-CC NDE-s712-CC NDE-5712-CC NDE-5712-CC NDE-571 2-CC NDE-5712-CC NDE-5712-CC NDE-5712-CC NDE-5712-CC NDE-4712-CC Method/Sheet/Results VT CCO44V-07 Accept PT CC04-IP-020 Accept PT CCU4-IP.021 Accept VT CC04-IV-OfO Accept VT CCO4-IV-081 Accept VT CC044V-04 Accept VT CC04-IV-3 Accept PT CC04-IP-002 Accept PT CC04-IP-003 Accept VT CCU4-IV-038 Accept VT CCo4-V-039 Accept VT CCO4-IV-040 Accept VT CC04-lV-031 Accept VT CCO44V-030 Accept VT CCU4V-065 Accept VT CC04-IV-034 Accept VT CCU44V-033 Accept VT CCO-V-032 Accept 064 064 064 064 064 052 052 052 052 064 064 041 041 System 064 064 064 064 91099SHOO02 91099SHOO02 91100 91100SH10002 91100SHOD03 91 100SHOO04 91098SH0002 91093SHooo1 FSK-MP-490 FSK-MP-490 ISO Num FSK-MP-507 A-33 A-33 Exam Date 4/12/2004 4/22/2004 4/22/2004 4Rn2004 4/27/004 4/27/2004 4/27/2004 4/27/2004 4/15/2004 4/15/2004 4/15/2004 4/20/04 4/27/2004 4/2712004 4/20/2004 4/2ot20014 B--2 B-0-2 B--2 87.70 87.70 B7.70 041 FSK-MP-490

Page of 4 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorizatlon (If Req.): N/A Commercial Seovtce Date: 05/08/1975 National Board Number for Unit: 20911

.e.

Immns txrs rmnI

n.

r..

'1mmd C

'u.

vum*,u *F wwVU.C.

13M850 Comments:

137100 Comments:

137200 Comments:

137250 Coaments:

137300 Comments:

13785O Comments:

137700 Conts:

137750 Comments:

137800 Commentt:

137t)0 Coments:

137900 Conts:

137950 Comments:

138000 Comments:

138050 comments:

138100 Comments:

138630 Comments:

138840 Cots:

1-CVC-392 ON 2-CV-1005 No valve bolting on tis valve.

1 -CV-515 ON 2-1004 No recordable dications noted 1-CV-516 ON 2LD-1I002 No recodble Indcatiors noted 1-CV-518 ON 2-CV-1004 No recordable indications noted 1-CV-519 ON 2-CV-1005 No recordable InlIcatons noted 1-1-217 ON 12-SI-1009 No reco ble ndications noted 1-SI-227 ON 12-SI-1010 No rewbdb indictin noted 141-247 ON 12-S1-1012 No recordable indications noted.

141-237 ON 12-S1-1011 No redable Indlicatons noted 1-MOV-651 ON 14-SC-1004 No Indications noted.

1-MOVW-ON 12-SC-1004 No recordable indications noted 11-5-118 ON 8-81-1001 No recordable Indications noted 141-128 ON "81-1002 Sliht cornelon. no materdal Ioss noted 1-41-138 ON t-S1-1003 No recordable Indications noted 1-51-148 ON 8-51-1004 No recordable Indications noted 2.5-SR-1007 - 2FB No recoable IdctIons noted 2.5-SR-1008 - 2FB No indications noted VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOGY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BODY BOLTING VALVE BOGY BOLTING VALVE BODY BOLTING INLET FLANGE BOLTING INLET FLANGE BOLTING Categorw item Procedure B-G-2 87.70 NDE-5712-CC B4--2 B7.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B-C-2 B7.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B4--2 87.70 NDE-5712-CC B-G-2 B7.70 NDE-5712-CC B-G-2 B7.70 NOE-5712-CC B-0-2 07.70 NDE-5712-CC BG-2 87.70 NDE-5712-CC 8-G-2 87.70 NDE-4712-CC BG-2 B7.70 NDE-5712-CC B-4-2 87.70 NDE-5712-CC B4--2 B7.70 NOE-5712-CC B-0-2 B7.70 NDE-5712-CC B4--2 87.50 NDE-5712-CC B--2 B7.50 NDE-5712-CC Ijathk,.AIh910a

.4.

11lOIRI1B7X:

1-il[

V

.1II

-7li.....

.l VT CC04-4V-088 Accept VT CC04-IV458 Accept VT CCO44V-059 Accept VT CC04-IV-041 Accept VT CC04-IV-042 Accept VT CCO44V-078 Accept VT CC04-V-079 Accept VT CCO44V-080 Accept VT CC04V-081 Accept VT 2004BV028 Accept VT CCO44-V82 A-t VT CC04-IV-043 Accept VT CC044V-089 Accept VT CC04-IV-070 Accept VT CC044V-038 Accept VT CC044V-87 Accept VT CC044V-088 Accept Otlatam IMC Mt,,n, I=am fat.

041 FSK-MP-492 041 041 041 041 052 052 052 052 052 052 052 052 052 052 084 084 FSK-MP-455. -458 FSK-MP-455, -456 FSK-MP-401 FSK-MP-492 91100 91100SHO002 91`1008HC0004 911005H0003 91101.91148 91101.91146 91100 91 1005t10002 911008110003 911005H0004 910985H0002 91098SHOI01 4/15/2004 4/27/2004 412712004 4/15r2004 4/1512004 4/2012004 412012004 4/27/2004 4/27/2004 3/1/2004 4/27/2004 4/1512004 4/15/2004 4/1152004 4/202004 4/27/2004 4/2712004

Page of 5-10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant. 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: I Owner Certificate of Authorization (f Req.): N/A Commerclal Service Date: 05108/1975 National Board Number for Unit: 20911 Summary No.

138650 Commns:

138750 Co Tfens:

138850 Commnts:

1389!0 Conf 139050 Conms:

139150 Cons:

139250 Convnrt 600250 Comrents:

eos550 Cornffs:

605350 Comment:

605400 Comments:

605600 Comnna:

605650 Comma:

Conrsef:

806850 Convients:

606700 Comma:

Comp ID Comp Desc.

Catl PRESSURE RETAINING COMPONENT REACTOR PRESSURE VESSEL B-P No Indications noted PRESSURE RETAINING COMPONENT PRESSURIZER B-P No IndlcatIons noted.

PRESSURE RETAINING COMPONENT STEAM GENERATORS B-P No Indications noted.

PRESSURE RETAINING COMPONENT HEAT EXCHANGERS B-P No IrndIatIons noted.

PRESSURE RETAINING COMPONENT PIPING B-P No Indications node.

PRESSURE RETAINING COMPONENT PUMPS B-P No indIcations noted.

PRESSURE RETAINING COMPONENT VALVES B-P Minor packg leakage noted on several valves corecled on fte spot under IR4

-95.

12-PSL - H-1 COMPONENT SUPPORT F-A No.lcorabe Indications 3-PS-1001 - H-12 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-L-l1004 - R-4 (144-35)

COMPONENT SUPPORT-SNUBBER F-A No recordable Inicatons noted 2-LD-1004 (1-64-31)

COMPONENT SUPPORT-SNUBBER F-A No recordable indicatom noted.

2-CV-1003 - H-28, R-32 CONPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-CV-1003 - H-27, R-33 CONPONENT SUPPORT F-A NO RECORDABLE INDICATIONS 2-CV-1005 - R-13, R-14 COMPONENT SUPPORT F-A No relevant conditions noted.

2-CV-1005 - R-17 COMPONENT SUPPORT F-A Examination folIlowrg bed removal revealed no recorable Indications.

2-CV-1005 - R-15, R-18, H-12 COMPONENT SUPPORT-SNUBBER F-A ExamInation foalng bead removal revealed no recordable Idications.

egon kRem B15. 10 615.20 B15.30 B15.40

=

Procedure NDE-5710-CC NDE-5710-CC NDE-5710-CC NDE-4710-CC C.Ctm AC0 Mi,...

rc-n.f PVIUL IuonUIvWQUS

Jfl~m l-I S.0.,

ualJ B15.50 NDE-5710-CC B15.60 NDE-5710-CC B15.70 NDE-5710-CC FIOC NDE-5711-CC FI.IA NDE-5711-CC F1.10C NDE-5711-CC FIOC NDE-5711-CC F1.10B NDE-4711-CC F1.108 NDE-5711-CC F1.108 NDE-5711-CC F1.10B NDE-5711-CC NDE-571 1-CC Fi1OC NDE-5711-CC NDE-571 1 -CC VT CC04-IV-164 Acce-t VT CC044V-165 Accept VT CCO44IV-166 Accept VT CC044V-167 Accept VT CC044V-168 Accept VT CC04-1V-169 Accept VT CC04-IV-170 Accept VT CCO4-4V-050 Accept VT CCO4-V-04 2 Accept VT CCo4-4V-180 Accept VT CC04-IV-181 Accept VT CC04-IV-057 Accept VT CC04-4V-05 Accept VT CC04-NV-027 Accept VT C004V-l18S Accept VT CC04-NV426 Info VT CC04-V-184 Accept VT CCO44V-025 Info 06A 064 064 064 064 052 041 064 052 041 064 064 041 041 041 041 041 041 041 041 041 8072SHO1OO 607295HO001 80729SHo1OO 607295H0001 60729sHooo1/ 60730 60731 607295H0001 60730 & 60731 12024-9 REV 11 910995H0001. SH0002 FSK-MP-455, -456 FSK-MP-455, -456 FSK-MP-490 FSK-MP-490 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 FSK-MP-492 Y712004 57/2004 Y7/2004 57/2004 57/2004 5/7/2004 5/7/2004 4/23/2004 40/2004 4/19/2004 4/19/2004 427/2004 471274004 51/2004 511/2004 4/22a2004 5/1/2004 416/2004

Page of 6 -10 Owner Conste Plant: Calvert i Plant Unit: 1 ummary No.

Ca Comments:

607900 607950 Comments:

eosooo Comments:

Comments:

808075 Comments:

Cf:

soso8s Comments:

eilation Energy, P.O. Box 1475, Baltimore, MD 21203 Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Attachment I Inservice Inspection Report Owner C Commer National ertificate of Authorizatlon (If Req.): N/A cia!l Sevice Date: 05/08/1975 Board Number for Unit 20911 System ISO Num Ex 041 FSKXMP-492 041 FSK-MP-492 CopID Corrp Desc.

Categor Item Procedure Method/Sheet/Results 2-CV-1005-H-14 COMPONENT SUPPORT F-A F1.10B NDE-6711-CC VT CCO4-4V-186 Accept NDE-571 1-CC VT CCO4tV026 Info R-xaminaton lai lad removal revealed no recbe Indications.

11A-ISC COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CC04-tV-044 Info This examination was not completed measreent need to be taken to verify the loedaig on the sprin cans. Exam will be remseduled to verify cods.

11A-2SC COMPONENTSUPPORT F-A F1.40C NDE-5711 -CC VT CC04-V-045 Info This examination was not completed messmrements need to be taken to verity the eading on the spring cans. Exam wit be rescheduled to verity beds.

IIA-3SC COMPONENT SUPPORT F-A F1.40C NDE-5711 -CC VT CC04-IV-048 Info This examination was not completed measurements need to be taken to verify the oading on the spring cans. Exam witl be rescheduled to verify loads.

IIA-4SC COMPONENT SUPPORT F-A F1.40C NDE-5711 CC VT CCO4-V-047 Info This examination was not completed measurement need to be taken to verify the loading on the sprng cans. Exam wit be rescheduled to verify beds.

14496 COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CCC4-V-049 Accept NO RECORDABLE INDICATIONS NOTED 1-44-097 COMPONENT SUPPORT F-A F1.40C NDE-5711-CC VT CC04NV-048 Accept NO RECORDABLE INDICATIONS NOTED am Date 5/1/2004 4/2/00 064-B 064-B 4r23Q004 4/23/2004 064-084-B 0848 4/23J2004 4/23/2004 4/3/2004 Class 2 252275 Comments:

300400 Comments:

300850 Comments:

301800 Comments:

307200 Comments:

309650 Comments:

SCHE-11-SI INTEGRAL ATTACHMENT C-C C3.10 NDE-5110-CC MT CC04-lM-001 Accept 052 72% coverage due to obstructions. Consider for relef request submittal. No rewdable indications 2441-1201-4 ELBOW TO PIPE R-A R1.20 NDE-5412-CC UT 20046U002 Accept 052 91097SH0012 NDE-5210-CC PT 2004BP01 I Accept 052 91097SH0012 No recordabe Indict noted 24-SI-1201 - R-7 INTEGRAL ATTACHMENT C-C C3.20 NDE-5210-CC PT 2004BP017 Accept 052 91097SH0012 NDE-5210-CC PT CC04-IP-22 Accept 052 91097SH0012 INITIAL EXAM IDENTIFIED WELD SPATTER AND AN ARC STRIKE WHICH INTERFERED WITH COMPLETION OF THE EXAM FOLLOWUP EXAM HAD NO RECORDABLE INDICATIONS.

24-SI-1202-H-22 INTEGRAL ATTACHMENT C-C C3.20 NDE-5210-CC PT CC04-IP-001 Accept 052 91097SH0013 418/2004 24/2004 2/4/2004 2/2t2oo4 6e30n2004 3/18N2004 3/25no4 3/15/2004 No recordable Indications noted 14-SI-1201 - 2 ELBOW TO PIPE NO RECORDABLE INDICATIONS NOTED 12-SI-1213 -4 PIPE TO ELBOW NO RECORDABLE INDICATIONS NOTED R-A RI.20 NDE-5412-CC UT CC04-IU-001 Accept 052 R-A RI.20 NDE-5412-CC UT CC044U-003 Accept 052 91097SH0011, SH0013 91097SH0001 91097SH0026, 91166, 91109 311300 12-SI-1214 - 22 PIPE TO ELBOW Comments:

Previousy recorded IndICation bs not recodabe under current Code.

R-A RI.20 NDE-5412-CC UT 20048U018 Accept 052 3/101204

Page of 7 - 10 Attachment I Inservice Inspectlon Report Owner Constellation Energy, P.O. Box 1475. Balimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: I Owner Certificate of AuthorizatIon (1f Req.): N/A Comrnercial Service Date: 05108/1975 National Board Number for UnIt 20911 Summary No.

312250 Comments:

333550 Conmnets:

333900 Comments:

3388 Comnents:

339350 Comments:

403350 Comments:

403400 Comments:

403550 Comments:

403650 Comments:

408550 Comments:

408950 Comments:

412950 Comments:

413000 Comments:

413100 Comments:

Camp ID Camp Desc.

Cater Item 12-SI-1216-1 TEE TO PIPE R-A R1.20 Consider for relW request due to lited wverage on UT. No recordeble ndications noted.

6-SI-1217-3 ELBOWTOPIPE R-A RI.20 NO RECORDABLE INDICATIONS NOTED.

8-S1-1217-9 PIPETOELBOW R-A R1.20 No IndIcatIons Noted 4-5-1209-1 BRANCH CONNECTION TO ELBOW R-A R1.20 Relief Request reguired due to only 50% coverage.

4-SI-1209 -10 ELBOW TO PIPE R-A Ri.20 UT exim coverage kilted to 91.5% due to loss of contact on hItradose od etbow.

8-CS-1205 -3 PIPE TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8-CS-125 -4 ELBOW TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8CS-1205-8 PIPE TO ELBOW R-A R1.20 NO RECORDABLE INDICATIONS NOTED 8-CS-1205 -8 PIPE TO ELBOW R-A R1.20 No Indications Noted 8-CS-1 206 - 20 PIPE TO ELBOW R-A R1.20 ID GEOMETRIC INDICATIONS NOTED 8-CS-1206 - 27 ELBOW TO PIPE R-A R1.20 No recordable hIdications noted.

14-SC-1203 -28 PIPE TO TEE R-A R1.20 No Indcations Noted 14-SC-1204 -1 TEE TO PIPE R-A R1.20 No Indications Noted 14-SC-1204 -2 PIPE TO ELBOW R-A R1.20 ID Root Geometry noted. No recordable idictions noted.

Procedure NDE-5210-CC NDE-5412-CC NDE-5412-CC NDE-5412-CC NDE-5210-CC NDE-5412-CC NDE-5412-CC NDE-5210-CC 154kAIftkaaa.,

.J4.

P.vetFm IMCM MI...m Cn-P%.,

-Y*IH%-flJfl USWUU O.U

  • -JJ

-*1I t.Anl JOIUd PT 2004BP015 Accept 052 91097SH000, 91110 UT UT UT PT UT UT PT 2004BL1003 Accept 20048U014 Accept 2004BU019 Accept 2004BP012 Accept 2004BU1005 Accept 20048U001 Accept 2004BP013 Accept 052 052 052 91097SH0006, 911 10 91110 91110 NDE-5412-CC UT 2004BU024 Accept NDE-412-CC UT 2004BU025 Accept NDE-5412-CC UT 2004811028 Accept NDE-5412-CC UT 2004BU020 Accept 052 91169 052 91169 052 91189 052 91189 91172, 910975H0002, 081 91145 91172, 91097SH0002.

081 91145 91172. 91097SH0002.

081 91145 91172, 91097SHtO02.

051 91145 051 910975H0007, 91173 051 91097SH0007, 91173 061 91097SH0007,91173 051 91097SH0007, 91173 081 91097SH0007, 91173 91097SH0011, 91166.

052 91148 052 91097SH0001 052 91097SH0001 2ten20o4 2/6rA4 3/4/2004 3t10t2004 2tsnoo4 2t/U2004 2t/U2004 21562004 3/16/204 3/16U2004 3/1U/2004 3/11/2004 513t2004 5/Y2004 3/4/2004 217/2004 2tet2004 3/12/2004 3/122004 3NV2004 NDE-5412-CC NDE-5210-CC NDE-54 12-CC UIT CC04-IU1-034 Accept PT CC04-IP-019 Accept UT 2004BU012 Accept NDE-5412-CC UT 20048U004 Accept NDE-5210-CC PT 2004BP014 Accept NDE-5412-CC NDE-5412-CC NDE-5412-CC UT UT UT 2004BU021 Accept 20048U022 Accept 2004811015 Accept

Page of 8 - 10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway. Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (If Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit 20911 Summary No.

ComD ID Como Desc.

413150 Conments:

417200 Contents:

417950 Come:

419150 Commt :

421400 Comments:

422350 Commnts 422400 Contnents:

422450 Comment:

422500 422550 Commiens:

433500 Comment:

433550 orrnfents:

14-30-1204 - 3 ELBOW TO ELBOW ID Root Geometry noted. No reordable idlctnws noted.

10-SC-1214-1 TEE TO PIPE Wi consider for relief request due to UT coverage.

10-SC-1214 -13 ELBOW TO PIPE NO RECORDABLE INDICATIONS NOTED

-SC-1206S 1A PIPE TO ELBOW NO RECORDABLE INDICATIONS NOTED.

1/64RV-3993 BRANCH CONNECTION To be considered for relief quest due to coverage.

18-IRV-4001 8-IN. BRANCH CONNECTION Wll consider for relIef request due to UT coverage.

1-WRV-4002 8-IN. BRANCH CONNECTION WI consider for ree request due to UT coverage.

1/8-RV-4003 8-IN. BRANCH CONNECTION WM consider for relief request due to UT coverage.

1/-RV4004 t-N. BRANCH CONNECTION WN consider for rele request due to UT coverage.

1/8-RV-4005 8-IN. BRANCH CONNECTION Wil consider for relief request due to UT coverage.

18-FW-1218 - R-3 INTEGRAL ATTACHMENT Categor! Item Procedure R-A R1.20 NDE-4412-CC R-A R1.20 NDE-5412-CC R-A R1.20 NDE-5412-CC R-A R1.20 NDE-5412-CC C-F-2 HELB NDE-s IO-CC NDE-541 1-CC AUGMT HELB NDE-5110-CC NDE-541 1-CC AUGMT HELB NOE-110-CC NDE-5411-CC AUGMT HELB NDE-5110-CC NDE-541 1-CC AUGMT HELB NDE-51 10-CC NDE-6411 -CC AUGMT HELS NDE-51 10-CC NDE-541 1 CC C-C C3.20 NDE-5110.CC Method/Sheet/Results UT 2004BLt1J1 Accept UT 2004BU017 Accept UT CC04-IU-004 Accept UT 2004BU013 Accept MT CCO4-4M-008 Accept UT CC04-1U-021 Accept MT CC04-IM-OOS Accept UT CC04-1L-022 Accept MT CC04-IM-007 Accept UT CC04-lu-020 Accept MT CC04-IM-004 Acceot UT CCO44U-019 Accept MT CC04-IM-003 A-cet UT CCo44U-024 Accept MT CC04-IM-02 Accept UT CCO44tU-023 Accept MT CC04-IM-010 Accept 052 91097SHW0t 3/8/2004 System ISO Num Exam Date 052 052 052 083 083 083 083 083 083 083 083 083 083 083 083 045 91097SH0001, SHOO05 91097SH0001. SHODOS 91097SH001 1 60345SHO001 80345SHDD01 80345SHW001 80345S3t1tO1 f0345SHD001 80345SHo001 80345SHD100 80345SHDC01 I0345SHC001 80345SHW01 f0345SHC001 60345SHW01 91093 3/412004 312412004 3/4/2(04 4/17/2004 4123P2004 4/1712004 4/23/2C04 4/17/2004 4/23/2004 4/17/2004 4/23/2004 4117/2C04 4123R004 4/2312004 41282004 4/2212004 4/282004 4/21/2004 4/1312004 NDE-5413-CC UT CCO44U-018 Accept NDE-5403-CC UT CC04-IU-037 Info 045 91093 045 91093 NDE-5110-CC MT CC04-IM-4S Reject 045 91093 The rejectable surface ndcation was found to be acceptable using supplemental vdlunet techraiques and the depth was verified to be less than 1/32 by physical removal of the hflicaton.

18-FW-1218 -8 PIPE TO PIPE R-A R1.20 NDE-8411-CC UT CC044U-010 Accept 045 91093 ID ROOT GEOMETRY INDICATIONS NOTED 038 041 045052 C-H C7.10 NOE-5710-CC VT CC044V-171 Accept 083 VARIOUS 567J2004 436050 PRESSURE RETAINING COMPONENT SYSTEM LEAKAGE TEST Conments:

No hnications noted.

Page of 9 -10 Inseivice Inspecton Report Owner Constellation Energy, P.O. Box 1475. Baltimore, MD 21203 Plant Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby. MD 20657 Plant Unit: 1 Owner Cerifcate of Authorization (1f Req.): N/A Commercial Service Date: 05/08/1975 National Board Number for Unit: 20911 e,

-mmo bln^m I----

fl-.-.

N-t -

t 0

P 1-s ti^kAIeka*0.

.1t.

Reon Un, C.m nnf*

VWU...IIItaly Ulu.

t~~il L,*IUO.

~Ilat WU-.n s If uu ivo m.*-.ous JYII I,

LS!aO C-H C7.30 NDE-5710-CC 436150 PRESSURE RETAINING COMPONENT PIPING Comments:

No Indications vioted.

436250 PRESSURE RETAINING COMPONENT PUMPS Comments:

No indications noted VT CC04-iV-172 Accept PRESSURE RETAINING COMPONENTS VARIOUS PRESSURE RETAINING COMPONENTS VARIOUS 5Y7/2004 Y712004 C-H C7.50 NDE-5710-CC VT CC044V-179 Accept 436350 Comments:

700900 Comments:

701000 Comments:

701250 Comments:

701450 Comments:

704450 Cormenns:

704750 Comments:

708250 Comments:

701550 Comments:

711700 Comments:

711750 Comments:

717850 PRESSURE RETAINING COMPONENT VALVES C-H No Indications noted.

SCHE-1 1-S1 COMPONENT SUPPORT F-A No recordable indications noted.

SCHE4-12-51 COMPONENT SUPPORT F-A No recordable Indications noted.

24-SI-1001 - R-7 COMPONENT SUPPORT F-A The as found condits were accepted in accordance with ES200400128 Supp No. 000.

24-SI-1202 - H-22 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 12-SI-1004 - H-2 COMPONENT SUPPORT F-A No recorble hdlone noted 10-SI-1002 - R-12 COMPONENT SUPPORT F-A No Recordable indications 6-5I-1010-H-3 COMPONENT SUPPORT F-A Issue Report 3R4-09-424 was witten to evaitate the as found conditions. ES200400221 6-SI-1012 - R-2 COMPONENT SUPPORT F-A No recordable Indications noted 4-SI-1208-H-11,R-9 COMPONENT SUPPORT F-A No recordable ndiations noted.

4-51-1208* H-10, R-8 COMPONENT SUPPORT F-A NO RECORDABLE INDICATIONS NOTED 2-SI-1226 -S-1 COMPONENT SUPPORT F-A C7.70 F1.40B F1.40B F1.20B F1.20A NDE-8710-CC NDE-571 1-CC NDE-5711 -CC NDE-5711-CC NDE-571 1-CC VT VT VT VT VT CCO4-IV-174 Accept CC04-iV-183 Accept 2004BV004 Accept 2004BV003 Accept 2004BV034 Accept PRESSURE RETAINING COMPONENTS VARIOUS 052 B-3/ 12015-0012 052 052 052 F1.20B NDE-5711-CC VT CC04-iV-073 Accept 052 F1.20B NDE-5711-CC VT CC04-iV-001 Accept 052 F1.20A NDE4711-CC VT 2004BV025 Reject 052 Supp No. 0 accepted fe as found condition and directed the drawins to be dianged.

F1.20A NDE-5711-CC VT 2004BV024 Accept 052 F1.206 NDE-5711-CC VT 20049V028 Accept 052 F1.20B NDE-5711-CC VT CC04-iV-071 Accept 052 F1.20B NDE-4711-CC VT 2004BV016 Accept 052 91097SH0012 91097SH0013 91097H0026. 911it, 91109 91097SHo0026 91143, 91100SH0001 91144, 9i 100SH0002 91097SH0016, SH0017 91097SH0016, SH0017 FSK-MP-432 5t7/2004 7/2at2004 2/9N2004 2/2/2004 3/1S/2004 3/10/2004 329/2004 3/1/2004 3112004 3V412004 3/25/2004 2t24/2004 Comments:

No recordable hidications noted.

717900 2-SI-1228 - S-2 COMPONENTSUPPORT F-A F1.20B NDE-571I-CC VT 2004BV017 Reject 052 FSK-MP-432 2124/2004 Comiments:

Issue Report IR4409-422 was written to evaluate the as found conditions. ES200400154 Supp No. 0 evaluated the as found conditors and found hem to be acceptable and directed the dawing to be updated to relet the as beit conditions.

717950 2-S1-1226 - S-3 COMPONENTSUPPORT F-A F1.20B NOE-711-CC VT 2004BV018 Accept 052 FSK-MP-432 2124/2004 Comments:

Issue Report # IR4-009421 was written to evaluate the as found condtions. ES200400154 SUp, No 0 evauated the as tound conditions end found thm to be acceptable and directed the dawing to be updated to refec the as butt conditions.

718300 S-CS-1203 - R4 COMPONENT SUPPORT-SNUBBER F-A F1.20C NDE-5711-CC VT 2004BV002 Accept 061 91097SH0005 2N9/2004 Comments:

Concrete damage is noi servce Induced. No rewdable indications noted.

Page of 10 -10 Attachment I Inservice Inspection Report Owner Constellation Energy, P.O. Box 1475, Baltimore, MD 21203 Plant: Calvert Cliffs Nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Plant Unit: 1 Owner Certificate of Authorization (H1 Req.): NIA Comrnmerclal Service Date: 05108/1975 National Board Number for Unlt 20911 Summary No. ComD ID Como Desc.

718800 Comments:

721550 Comments:

721950 Comments:

722300 Comrents:

722750 Comments:

723500 Comments:

725750 Comments:

725800 Comments:

725950 commets:

8-CS1205 -H4-5, R4 COMPONENT SUPPORT Cleafances found weto acceptable h accordance with ES-02.

14-SC-1203 - A-270 COMPONENT SUPPORT No recordable Idications noted.

14-1204 - H4-5, R-4 COMPONENT SUPPORT SOME MINOR COATINGS DAMAGE ON RESTRAINT NOTED 14-SC-1204 - R-1 COMPONENT SUPPORT No rable Idlostous 12-SC-1200 - H4 COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 10-SC-1214 - H4-8.

R-7 COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 34-MS-1204 COMPONENT SUPPORT-vARIABLE NO RECORDABLE INDICATIONS NOTED 34-MS-1204 - R-e COMPONENT SUPPORT NO RECORDABLE INDICATIONS NOTED 34-MS-1205 1 COMPONENT SUPPORT-VARIABLE NO RECORDABLE INDICATIONS NOTED Catego Item Procedur F-A F1.20A NDE-4711 -CC F-A F1.20B NDE-5711-CC F-A F1.20A NDE-5711 -CC F-A F1.20m NDE-5711-CC F-A F1.20B NDE-5711-CC F-A F1.20B NDE-571 1-CC F-A F1.20C NDE-5711-CC F-A F1.20B NDE-4711-CC F-A F1.20C NDE-5711-CC F-A F1.20B NDE-57i1-CC Method/Sheet/Results System ISO Num Exam Date VT 2004BV033 Accept VT 2004BV001 Accept VT 2004BV031 Accept VT rC04-4V402 Accept VT CC04V-072 Accept VT CC4-IV-003 Acct VT CCO44V-075 Accept VT CC04-rIv-76 Accept VT CCo4-IV-077 Accept VT CCU 4-IV-415 Accept 061 91172, 91097SHOO02. 91 052 052 052 052 052 083 063 083 063 91097SHDO11, 91166. 91 91097SH0001 910975H0001 91097SHOO02, SH1OWS 91097SH6001, SHOD0s 603455sH000 60345SH0001 80345SH0001 eO345SHOO01. SH0002 3/16/2004 2N/2004 3/6/2004 3/29/2004 3/25/2004 3/18/2004 4119/2004 4R0/2034 4/19/2004 419/2004 726e00 6-MS-1208 - R-2 Comments:

No nc ble Indlcations.

COMPONENT SUPPORT 727200 16-FW-1218 - R4 Comments:

No recordable indications.

COMPONENT SUFPORT-SNUBBER F1.20C NDE-5711-CC VT CCO4IV-037 Accept 045 91M 4/21rdOO4

ENCLOSURE (2)

CALVERT CLIFFS NUCLEAR POWER PLANT, INSERVICE INSPECTION

SUMMARY

REPORT FOR CALVERT CLIFFS UNIT 1 ASME BOILER & PRESSURE VESSEL CODE SECTION XI, FORM NIS-2 Calvert Cliffs Nuclear Power Plant, Inc.

August 4, 2004

2004-1 Class I and 2 NIS-2's Completed

%N&"4Imb fu'ti

'I

Vi, 1199700129 97-1-027 1 MOV658 Two 1200200636 2003-1 -047a 1 CKVCVC-1 87 One 2003-1-047b 1 #CC5-1005 One 1200200640 2003-1 -M48a 1 CKVCVC-184 Two 2003-1 -048b 1 #CC7-1009 Two 1200200641 2003-1-049a 1 CKVCVC-435 One 2003-1-049b 1#CC5-1006 One 1200202505 2002-1-049b 1 HVCVC-172 Two 2002-1 -049c 1#CC7-1 002 TWO 1200202602 2002-1-033 1PUMPRC11B(s)

One 1200202689 2002-1 -050a 1 CKVCVC-1 71 Two 2002-1 -050b 1#CC7-1002 Two 1200202762 2002-1-051 1 CV1OF One 1200203109 2003-1-046a 1CKVSI-426 Two 2003-1 -046b 1 #DC2-1003 Two 1200203364 2003-1-056 1RV200 One 2003-1-056a 1#CC10-1007 One 1200203390 2004-1-027 1 PZVRXI1 One 1200203521 2004-1-010 1CV4070 Two 1200203958 2003-1-032-IPIJMPRC12A(s)-

One 1200203966 2003-1-008 1 RV201 One 2003-1 -008a 1#CC10-1008 One 1200204093 2003-1-057 1 ERV404 One 2003-1 -057a 1#CCI0-1004 One 1200204377 2003-1-058 1 ERV402 One 2003-1 -058a 1 #CCI0-1003 One 1200204580 2002-1-052 1RV200 One 2002-1-062 1 #CCI0-1007 One 1200204888 2002-1-060 1#CC-2,1" & under One 2003-1-022b 1#CC7-1001 Two 1200205233 2003-1-022c 1 HVCVC-166 Two 2003-1 -022a 1 CKVCVC-165 Two 2003-1-052c 1 HVCVC-178 Two 1200205235 2003-1 -052a 1CKVCVC-177 Two 2003-1 -052b 1 #CC7-1003 Two 1200205240 2003-1-077 1#CCI0-1003-H3 One 1200205247 2003-1-078 1#CC10-1004-H3 One 2003-1-023b 1#CCIO-1001 One 1200205332 2003-1-023a 1 MOV403 One 2003-1-024a 1 MOV405 One 1200205334 2003-1 -024c 1#CC10-1002-R12 One 2003-1-024b 1#CC10-1002 One MEIU Reference No. 200447-22-3496

2004-1 Class 1 and 2 NIS-2's Completed 1200301717 2003-1-018 1 PUMPRC11 B(s)

One 1200303202 2003-1-080 1ACC233X-SUP Two 1200303410 2003-1-072 1 CV648 One 1200303794 2003-1-075 1ACC233Z-SUP Two 1200304508 2003-1-081 1 HVSI-4163 Two 1200400341 2004-1-009a 1#HC7-1004 Two 2004-1-009b 1#HC7-1004-H2/R3 Two 1200401939 2004-1-017 1#GC9-1003-R6 Two SNUB POOL SNUB-0-004 *Snubber Pool 1, 2, & 3 MEWU Reference No. 2004-47-22-3496

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Date:

514/2004 Sheet I of 2

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 97-1-027, MWO No. 1199700129 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X) Class:

1650 Calvert Cliffs Parkway, Lusby, Md. 20657 Two (address)

4. Identification of Systern SystemNumber 052 SystemName:

Safety Injection 5.(a)Applicable ConstructionCode and Class:

ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Conponet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Enginnering Co.

1-MOV-658 NIA Low Pressure Safety Injection system supply to Shut Down Cooling Heat Exchangers Isolation valve 197S Repalred/Repi aced No

7. Description of Work:

This plan was for the pluging of the leak off line and seal welding the plug on 1 MOV-658, Low Pressure Safety Injection system supply to Shut Down Cooling Heat Exchangers isolation valve.

8. Tests Conducted:

Hydrostatic:E PneumaticE Pressure:

NIA psi.

Nominal Operating Pressure:

Inservice: 0 Leakage: C]

Functional: El Test Temperature:

NIA Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

No Section Xi Pre-Service NDE was performed in support of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renair/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A

/

GCharles H. Ballard Signed:

Engineering Technician Date:

5/4/2004 d-wnf-d)e~e ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the periodto

/-2 O

.andstate to the bestofmy knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.

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

___dCommnissions:

IV8 '?eTA/ 4'r M

o

//7

___7

-Inspector's Signature National Board, State, and Endorsements Date:e.-,/

200 4

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY

. As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/1512004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-047a, MWO No. 1200200636 (address)

3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Comuponet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Engineering Co.

SN: 335 N/A

  1. 11 Regen. Heat Exch. to #IIA RCS Cold Leg Loop Check Valve 1975 Repaired/Repl aced Yes CheckValve Enertech Inc.

408934 SN: 11269 NIA Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark#

212M3N)

Yes

7. Description of Work:

This plan was for the work needed to replace 1-CKVCVC-1 87, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop Check Valve.

8. Tests Conducted:

Hydrostatic:[]

Pneumatic1l Pressure:

2355 psi.

Nominal Operating Pressure:

Inservice: O Leakage: 3 Functional: E Test Temperature:

74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (l) size is 8-1/2 in. x I I 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReplacgement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: NIA Expiration Date:

N/A 7

A7</

/

Charles H. Ballard Signed:

rcs Engineering Technician Date:

6/15/2004 Owner or

eesanee, Title '

Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9a9-a

-3 to i -

O -°

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

bDo0h-2-D A

. $/)#7O//Z F

AUZ, 'OI; t&r§ZS Pot 7EZ-

-IW Commissions:

AJiJi9 3,1,trOn7/.

1 4-J 7/

5 1 16 1217791o A40115

,.Insectoes Signature National Board, State, and Endorsements Date:

/ /&'

200 h,

FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the ProvisIons of the ASME Code,Section II, D islon 1 Pg. I of_ 2

1. Manufactured and certified by Eiertech, A Diy. of Curtiss-Wright Flow Control Corp., 2950 BIrch St., Brea, CA 92821 Iname and address of N Certiflcate Holder)
2. Manufactured for
  • Calvert Cliffs Nuclear Power Plant, PO Box 17323. Baltimore, MD 21297-1323 Iname and address ef Purchaser)
3. Location of Instaliation Calvert Cliffs nuclear Power PIant-1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)

KR raig MD20990 A____None_____

4. Model No., Series No., or Type KRV Drawing Rev.

A CRN None

6. ASME Code. Section ilt. Division 1:

1995 W9.

1 NQne (edition) laddenda date)

(claess (Code Cese no.)

6. Pump or vaive Nozzle Check Valve Nominal Inlet size 2

Outlet size 2

On.7 ItnNl

7. Material:

Body SA-479 Type 316 86oinel N/A DsA

.-479 Tye 16 Bolting N/A (a)

Cert.

Holder's Serial No.

11256 11257 11258 11259-11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11t272 11273 I.

.. W Nat'l Board No.

None None None None None None None None None None None None None None None None None None IC)

Body Serial No.

KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-OO0 KNG-009 KNG-01 0 KNG-011 KNG-012 KNG-013 KNG-014 KNG-015

  • KNG-016 KNG-017 KNG-018 (d)

Bonnet Serial No.

None None None None None None None None None None None None None None None None None None (e1 Disk Serial No.

KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-O11 KNH-012 KNH-013 KNH-014 KNH-015 KNH-016 KNH-017 KNH-01 B

  • Supplemental kormation in form of Usts. sketches. br drawings may be used provided (11 adze Is BI x 11, (2) hIformation hI kems I through 4 on this Date Report is Included on each sheet. 131 each Sheet is numbered and the number of sheets Is recorded at the top of this foT.

(12188)

This form (Eoo0371 may be obtalned from the Order Dept.. ASME. 22 Law Drive. Box 2300, Fairfield. NJ 07007.2300.

REPRINT M3

.M NPV-1 (Back-Pg. 2 of 2 )

c H11256 thru Certificate HOlder'S Serial No.

11273

8. Design conditions 2800 psi 250 or valve pressuro class 1500 (11 (pressurel Itemperaturel
9. Cold working pressure 3600 psiastIO1,F
10. Hydrostatic test 5400 psi. Disk differential N/A test pressure

_psi II. Remarks: Qly 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by JohnR.Sponsel, P.E. State MD Re9. no 17308 Design Report certified by IraJ,Silverman P.E. Stase Reg. no.

23241 CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code,Section III, Division 1.

N Certificate of Authorization No.

N-2826 ExpM -

10/11/05 Date -

Enelecsme Ech.Aoiv of Cit-WrigAhePbw CoolCofp e

(N Certificate Holder Signed (authorized represantaftve)

CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boler and Pressure Vessel Inspectors and the State or Province of Califomia snd employsd by HSB CT of Connecticut have inspected the pump, or valve, described In this Data Report on l

. t9Z

. and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code.Section III, Division 1.

By signing this certificate; neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the component described in this Data Report; Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

Date /. £390Signed eiz P ESo missions e

(Auhorized Inspectori (Nat'l 3d. (nict. endotsements) and stae or prov. and no.1 (11 For manually operated valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

611412004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-047b, MWO No. 1200200636 (address)

3. WorkPerformedby:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 2"CC-5-1005 N/A

  1. 11A Charging Line Stop Valve 1975 Repaired/Repi aced No Pipe Nut AlIthread Rod DuBose National Energy Services Inc.

Mackson Inc.

Mackson Inc.

400298 Ht.#: 8324H 408227 Ht.#: S44018 410155 Ht.#: S20751 411064 Heat Code:

XX13 N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 NIA Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Gr. 2H

-N/A Rod, Aluth read, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Weld Neck, ASME SA-182, Tp. F 316 2000 Replacement 2002 Replacement 2003 Replacement 2003 Replacement No No No No Flange Energy & Process Corporation

7. Description of Work:

This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-187, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop Check Valve.

8. Tests Conducted:

Hydrostatic:.

PneumaticC Pressure:

2355 psi.

Nominal Operating Pressure:

Inservice: E Leakage: W Functional: E Test Temperature:

74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1I 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.

Sheet2of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements.

A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.

A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements.

Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Reopacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

G Engineering Technician Date:

6/14/2004 Own err or 6wrefiDesi-g e, Title Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9-A2 -03 to S - XO °

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

OOci-JDz-I 4

- S 4in'/[l4 r-cv cT,;-,,d 5 PetYL -

-r-6 Commissions:

NA/ 'j&3 J.

M//7/< 8,'/

, nsnecto,'s Signature National Board, State, and Endorsements Date:

/6 200

I J

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi

1. Owner.

Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Date:

6/1412004 Sheet I of 2 Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-048a, MWO No. 1200200640 (address)

3. WorkPerfornedby:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 System Name:, Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 1:

(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, ot Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Engineering Co.

SN: 1404 NIA

  1. 1I Regen. Heat Exchanger Inlet Check Valve (Containment Isolation) 1975 Repaired/Repi need Yes Yes Check Valve Enertech Inc.

408934 SN: 11266 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark#

212M3N)

7. Description of Work:

This plan was for the work and parts needed to replace 1-CKVCVC-184, #11 Regen. Heat Exchanger Inlet Check Valve.

8. Tests Conducted:

Hydrostatic:j]

PneumaticC kPressure:

2355 psi.

Nominal Operating Pressure:

Inservice: r Leakage: 6 Functional: a Test T icnperatwe.

Z74 Dcg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

-I 1

j I_0 Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI System Leakace Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached

-Certificate of Compliance We certify that the statements made in this. tOwnt tre correct and that this Repalr/Replacement conforms to the rules of the ASM IWde, Section X1.

Type Code Symbol Stamnp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/14/2004 Ownmer ori5AersTsizhee, it 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 -a S -5O3 to 6 - rO 9Y

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

DOAb)4,O A. Se-/ 1,6J4 F:ce,A,..

,U1)L2_ai< PL-&

Commissions: /dC 9 831,

//7/

4-"11 A Insnctors Signature National Board, State, and Endorsements Date:

t 1

200--

FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the Provisions of the ASME Code,Section III, DIv1slon I Pg. 1of.2...

1. Manufactured and certified by Enertech, A Diy. of Curliss-Wright Flow Control Corp., 2950 Birch St.. Brea, CA 92821 (name d addresa of N Certificate Holderl
2. Manufacted for
  • Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address ef Purchaser)
3. Locationof installetion Calvert Cliffs nuclear Power Plant, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
4. Model No., Series No., or Type KRV Drawing MD20990 Rev.

A CRl None

6. ASME Codo. Section RI, Division 1:

1995 1q96 I

NQne leditionl leddends date)

(isasl (Code Case.o.I

6. Pump or valve Nozzle Check Valve Nominal Inlet size Outlet size 2

(in.)

oin.g

7. Material:

Body Bonnet ______________

DiskSA.-479 Type 318 Botn N/A la)

Cert.

Holder's Serial No.

11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273

..lb)

Nat'l Board No.

None None None None None None None None None None None None None None None None None None

, c)

Body Serial No.

KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-O1 5

  • KNG-016 KNG-017 KNG-018 (d)

Bonnet Serial No.

None None None None None

KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-01 1 KNH-01 2 KNH-013 KNH-014 KNHII-015 KNH-016 KNH-017 KNH4018

  • Supptementai Information in form of Ustsa sketches, br drawings may be used provided (II size Is 8 1 x 11, 12! Information In Items 1 through 4 on this Data Report is Included on each shoet, 13) each sheet Is numbered and the number of sheets Is recorded at the top of this form.

112/88)

ThIs form IE000371 may be obtained from the Order Dept.. ASME. 22 Law Drive. Box 2300. Fairfield, NJ 07007 2300.

REPRINT W93

  • I -t-1

..AMNPV-1 IBack-Pg.2o:f 2 )

11256 thru Certificate Holder's Serial No.

11273

8. Design conditions 2800 psi 250 or valve presaur dess 1500 (pressure) ltemperature)
9. Cold working pressure 3600 psi at 1 o0F
10. Hydrostatic test 540 psi. Disk differential test pressure N/A psi I1. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by John R. Sponsel, I P.i State MD Fleg. no.

17308 Design Report certified by-Ira J, Silverman PE State Ceg no.

23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section Ill, Division 1.

N Certificate of Authoritation No.

N-2826 10/11/05 Data me//6/A'3 Nmame Frb ADh io !CwFtCo Signed

?

d Z

IN Certificate Holder)

(authorized representativei CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission Issued by the National Board of Bolrer and Pressure Vessel Inspectors and the State or Province of Caitomia and employ d by HSB CT of Connedicut have inspected the pump, or valve. described in this Data Report on l

O

5.

and state that to the best of my knowledge and bellel, the Certificate Holder has corn structed this pump. or valve, In acaordance with the ASME Code,Section III, Division 1.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described In this Data 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.

Data Signed AE..

ComComm issions

'>'a

',0C4,%

2 '

(Authorized Inspector)

(Net'l. Wd. ncd.

endorsements) and stats or prev. and no.)

(1) For manually oparatrd valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Date:

611412004 Sheet I of 2

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-048b, MWO No. 1200200640 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System System Number 041 SystemName:

ChemIcal Volume Control 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Piping System Bechtel 2" CC-7-1009 N/A Charging Pumps discharge piping 1975 to Containment Penatration #28.

Repaired/Repi aced No Pipe Nut Ailthread Rod DuBose National Energy Services Inc.

Mackson Inc.

Mackson Inc.

400298 Ht.#: 8324H 408227 Ht.#: S44018 410155 Ht.#: S20751 409374 Ht. Code:

BHZ N/A Pipe, 2 In, Sch. 160, ASME SA-376, Tp. 316 NIA Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-1 94 Gr. 2H N/A Rod, Allthread, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 2000 Replacement 2002 Replacement 2003 Replacement 2003 Replacement No No No No Flange DuBose National Energy Services Inc.

7. Description of Work:

This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-1 84, #11 Regen. Heat Exchanger Inlet Check Valve.

8. Tests Conducted:

Hydrostatic:[]

Pneumaticf]

Pressure:

2355 psi.

Nominal Operating Pressure:

Inservice: El Leakage: i Functional: al Test Temperature:

74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI Svstem Leakaae Test of the affected component was oerformed durina the system conditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfy Section XI required pressure tests. Addtional Section III Examinations were performed (as applicable) to sahsfv Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached We certify that the statements made m s repon are correcxaa this conforms to the rules of the ASME Code, Section Xl.

Repair/Reolacement Type Code Symbol Stamp:

NIA Certificate of Authorization No.: N/A Expiration Date: N/A Signed:

Charles H. Ballard Engineering Technician Date:

6/14/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 9-S-03 to 8-t

°v

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

Da'J41D /1, SPI-PI/Df AL q1Z re iAJ/

AFEZ Is" Commissions: A £ 9

  • 3 I.,4-/) 1/7/

A.ta

/

D a t e A

0 0 '

Date:

G -&

200 C~-

A'6Natioaiioard State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Plant+.

Calvert Cllffs Nuclear Power Plant Date:

611612004 Sheet I of 2 Unit:

One z.,...

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant D4 (name)

R&R No. 2003-1-049a, MWO No. 1200200641 (P.O. no., job no., etc.)

apt.

Type Code Symbol Stamp: N/A ap. Authorization No.: N/A Exp Date: N/A Section XI Class:

One 1650 Calvert Cllffs Parkway, Lusby, MD 20657 (address)

4. Identification of Systemn System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class I I

(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Cormponet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Engineering Co.

SN: 4248 NIA

  1. 11 Regen. Heat Exch. to U11A RCS Cold Leg Loop CV By Pass Check Valve 1975 Repalred/Rept aced Yes Check Valve Enertech Inc.

408934 SN: 11270 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement lb., Large Groove connections, Enertech, Tp. KRV (Mark #

212M3N)

Yes

7. Description of Work:

This plan was for the work needed to replace 1-CKVCVC-435, #11 Regen. Heat Exch. to #1 1A RCS Cold Leg Loop CV By Pass Check Valve.

8. Tests Conducted:

Hydrostatic:5 PncumaticO Pressure:

2355 psi.

Nominal Operating Pressure:

Inservice: E Leakage:R Functional:fl Test Temperature:

74 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet2of 2 It7.

FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr[Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A

~elr 7Charles H. Ballard Signed:

Eni ng Technician Date:

6/16/2004 Owner or Owner's Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod

/-1/103 to

(~//

0y and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

b644 1 A -S43HfmH

/f,,.

G

'J-t Commissions: AJ 83 913/,

Yad //)1, 4O'WE r

JS r /Nt7i7o Br SA a

//

ESS Insnector's Sian~ature National Board, State, and Endorsements Date:

i - / 7


2-0-0D--

FORM NPV-1 CERTIFICATk HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES As Required by the Provisions of the ASME Code, Section 111, Division I 2

Pg. 1 oi.2..

1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Inamer and eddrest of N Certficate Holder)
2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 Inarme and address of Prchaser)
3. Locatlon of installation Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Iname and address)
4. Model No., Series No., or Type KRV Drawing MD20990 Rev.

A CRN None

6. ASME Cod, Sectlon* Ilt, Division 1:

1995 I9 NoneWm ledition)

(addenda date)

(class)

(Code Case no.)

6. Pump or vave Nozzle Check Valve Nominal Inlet slzo 2

Outlet size 2

on.)

(In.

N

7. Material:

Body SA-479 Type 316 Bdninet N/A Disk SX-479 TYPe 316 BolN/A (a)

  • Cart.

Holderes Serial No.

11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273

.. b)

Nat'I Board No.

None None None None

.None None None None None None None None None None None None None None (c)

Body Serial No.

KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG406 KNG-007 KNG-008 KNG-009 KNG-O1 0 KNG-01 1 KNG-012

  • KNG-013 KNG-014 KNG-015
  • KNG-016 KNG-017 KNG-018 (dl Bonnet Serial No.

. None None None None None None None None None None None None None (a)

DlsIk Serial No.

KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH 006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-011 KNH-012 KNH-013 KNH-014 KNH-015 KNH-01 6 KNH-017 KNH-018

  • Supplamentdl Information in form of lists, sketches. br drawings may be used provided (1) size Is 81$ x 11, (2) information In iems 1 through 4 on this Data Report Is Included on each sheet. (3) each sheet is numbered end the number of sheets Is recorded at the top of this forn.

(12)88)

This form iE000371 may be obtained from the Order Dept.. ASME, 22 Law Drive, 3ox 2300, Fairfield, NJ 07007-2300.

htPINTOW4

r.

IM NPV-1 (Back -Pg. 2 of 2.)

o 'S 11256th7 ICertificate Hoideres Serial No.

11273 S. Design conditions 2800 250 F or valve pressure dass 1600 11)

(pressure)

Itemperature)

9. Cold working pressure 3600 psi at 1I 60F
10. Hydrostatic test 5400 psi. Disk differential test pressure N/A IPsI I1. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN DesignSpecificationcertifiedby John R. Sponsel, 11 P.E. Ste MD Rg. no.

17308 Design Report certified by Ir J. Silverman CA 23241 Saeng o

CERTIFICATE OF COMPUANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code,Section III, Division 1.

N Certificate of Authoiation No N-2826 110/11/05 Dato Name E

Ane C)'k Deiv.

FowC Cop Signed.

(N Cenimicate Holderl (authorized representaftv)

CERTIFICATE OF INSPECTION 1I the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the Stat. or Province of Californi a and emp ed byBCT of Connecticut have Inspected the pump, or valve, described in this Data Report on

  • 1
  • OT5

, and state that to the best of my knowledge and belief, the Certificate Hold'er has con-structed this pump, or valve, In accordance with the ASME Cods,Section III, DivIsIon 1.

By signing this certiflcate; neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

Date -bL0L350SIgned A 7

ommissions eA4 pJ864wA (Authorized Inspector (Nael. 8d. lincL endorsements) and stat or prov. and nol

1) For manually operated valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provislons of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

611612004 Sheet I of g 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addess)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name) unit.

One R No. 2003-1-049b, MWO No. 1200200641 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&F (address)

3. WorkPerformedby:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no.,job no., e*c.)

Type Code Symbol Stamp: NA Authorization No.: N/A Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657 SectionXI Class:

One (addess)

4. Identification of System:

SystemNumber 041 SystemName:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

A.SME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for RepairslReplacement 1998 Edition Identificatidon of Components Repaired or Replaced ind Replacement Components:

ASME.

Rcpaired, Code Year Replaced, o: Stamped Built Replacemer (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National BoardNo.

Other Identification Piping System Bechtel 2"CC-5-1006 Pipe DuBose National Energy Services Inc.

Nut Mackson Inc.

Allthread Rod Macksou Inc.

'Flange Energy & Process Corporation Reducing Tee Energy & Process Corporation Plate Energy Steel &

Supply Co.

Pipe Tloga Pipe Supply Co. Inc.

400298 E1.0s 324E 408227 Ht: 54401S 410155 EtA. S20751 411064 Beat Code:

XX13 411064 Ht: 70802 402572 Ht.:

832N34270 402564 Et.#: L42618 N/A

  1. 11 Regen. Heat Exch. to II1A RCS Cold Leg Loop CV By Pass piping N/A Pipe, 2 In., Sch. 160, ASME.SA-376, Tp. 316 N/A Nut, Heavy Rex, 7/8 In. X 9 TPI, ASMESA-194 Gr.2H N/A Rod, Ailthread, 7/8 In. X 9 TPI, ASME SA-193 Gr. B7 N/A Flang, 2 In, 1500 lb., Large Tongue, Weld Neck, ASME SA-182, Tp. F 316 NIA Tee, Reducing, 2 In. X 314 In.,

Sc.I60, butt weld, ASME SA-403, Gr. WP316 N/A Plate, Steel 1/4 In. X 48 In. X 96 In., ASME SA-36 NIA Pipe, 3/4 In. Sch. 160, ASME SA-376, Tp. 316 1975 Repalred/Rept aced No 2000 Replacement 2002 2003 Replacement Replacement 2003 Replacement 2003 Replacement 2001 Replacement 2001 Replacement

  • No No No no No No No
7. Description of Work:

This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVCVC-435, #I11 Regen. Heat Exch. to #11A RCS Cold Leg Loop CV By Pass Check Valve.

NOTE: Supplemental sheets in form of lists, sketches, or drawings maybe used, provided (1) size is 8-1/2 in x l lin., (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.

Sheetgpf.-

fib FORM NIS-2 (Back)

8. Tests Conducted:

HYdostatic:O PneumaticO Pressure:

2355 psi.

Nominal Operating Pressure:

is ervice: 0 Leakage: E Functional: a Test Temperature:

74 Deg. F

9. Remarks:

A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was oerformed to satisfv Section Xi Pre-Service NDE Requirements.

A Section XI System Leakaqe Test of the affected component was Performed durina the system conditions listed In section 8. of this report.

A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system belna returned to service.

A Section Xi Surface Examination of the affected component was oerformed to satisv Section Xl Pre-Service Requirements.

Code Case N-416-2 was Invoked to satisfy Section XI required oressure tests. Addtlonal Section IlIl Examinations were performed fas applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASM Code,Section XI.

Renalr/Repfacernent Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

° Charles H. Ballard Engineering Technician Date:

6/16/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period // -/3 -03 to 6 -// " 5

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

b00J4t4O4. Sp4k1e Ait,I,2.

Ar AdVUJ?_Zt I s 69 6'-~

1/-0Z/

Inspectoes sigatr Date:

6;- / ^7 200 VIsr Commissions:

AOld 963 / / Alm)I

//7/J 4A //

N a i a B ao r

2

,7 aX an E n d orse m ent National Board, State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

0113012003 (namne) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (add)ss)

2. Plan Calvert Cliffs Nuclear Power Plant Unit-One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-049b, MWO No. 1200202505 (add=s)

(P.O. no, job no, ect.)

3. WorkPerformedby:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: Y (namc)

Authorization No.: N/A Exp Date: M 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Sectio XI Class:

Two (address)

4. IdentificationofSystem:

SystemNumber 041 SystemName:

Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:

ASME Draft Code for Pumps & Valves, 1968 EditIon, March 1970 Add; Class Two (b) Applicable SectXI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Otiher Year Replaced,oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemm (Yes or No)

Valve Velan Engineering NIA

  1. 12 Charging Pump Discharge 1975 Repalred/Repl Yes Co.

Isolation Valve sced Gate Valve Velan Engineering 90585-GX SN:

NIA Valve, Gate, 2 In. 1690 lb.; ASME 1994 Replacement Yes Co.

951075-1 SA-1S2 Tp. F316

7. Description of Work:

This plan was for the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve.

8. Tests Conducted:

HYdrostatic:Q PCumalicf Nominal Operating Pressure:

bIservice: [1 Leakage:R FunctionaL 5 Pressure:

2300 psi.

Test Temperature:

118 Deg. F NOTE: Supplemental sheets in fonn of lists, sketches, or drawings maybe used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form

k7U Sheet2of 2 FORM NIS-2 (Back)

9. Remarks:

Code Case N-416-1 was invoked to satisfy Section Xi required Pressure tests. Addtlonal Section il Examinations were performed (as aDDlicable) to satisfv Code Case N-41-1 and Req.Gulde 1.147.

Applicable Manufacturer's Data Reports to be Atached Certificate of Compliance We certi dat the statements made in this report are corTect and that this Repair/Replacement confotmso the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate ofAuthorization No.: N/A Expiration Date: N/A 00

<Charles H. Ballard Signed:

Engineerng Tchnician Date:

01/30/2003 Owner or Ownees Designce. rite I

Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel inspectors and the Statepf Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described in this Owner's Report during the period l L.

4 3/< to ;ZL2

/

A9 3

and state to the best of my knowledge and belief, the Owner has performed exaninations and taken correctve measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

By signing this certificate neither the Inspector nor his employer makes any wanrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furthennore, neither the Inspector nor his employer shall be liable in any mamer for any personal injury or property damage of a loss of any kind arising fkom or connected with this inspection

/f Commissions: PA z

  • iso6 4A. I S,

d!

5**37 lnspectoeis Sigature National Board, State. ia Endorsements Date: 2..

t 20013

.V i

r I

-I

    1. ^

il-;

DATA PACKAGE NO.

_95075 P.7 FORM WPV.-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUmPS OR VALVES

  • An Required by the Provisions of the ASHE Code, Section 1U3, Division I Pa. I of 2
1. manufactured and cert
2. manufactured fos_

t iled by VEIM ruNC. 2125 IWARD AVE.

MTh.

QXNADA m sad addess of N Cafiicakt Holder)

BALTIMORE GAS & ELECTRIC P.O. BOX 1472 BALTYMORM. Mfl 2ii20

_ _ _ _ c,

  • ^ & v a
3. Location of installIon CA eVERT CIIFFS NUCLEAR PLANT NORTH OF LUSBY.

MD.

206S7 anmc nd adds)

4.

Modal No., Series No., or Types -GATE Drawin P-76800-a22 Rev FL CR..

ciw

_A

5. ASS Code, Section U!, Dirision Is a 1989 NOE-

/A (edito (addcnda date)

(class)

(Codcase Cm o.)

6. Pump or valve NAM Nominal inlet size 2

Outlet sire 2v M.)

W

7. materials Body SA-182.F316 Boet SA-l82.F316 Disk SA-351.CFEM Bolting SA-54.,6o3 SA-194.6 (a)

Cert.

Holder' a Serial No.

u51075-1 w

§ 9 75-.,

w=

==-

(b)

Nat' 1 Board NO.

N/A (C)

Body Serial No.

- I/Cl E-ER W

a-Wsg (d)

Bonnet Serial No.

H/C: ADU 4'

ass e~is (e)

Disk Serial No.

- X/C ; 03R_

91.

S tflfls.

suppw=a lal rmation In frbm of =ss, wces, or drwaings may be Used provided (1) sIe I s 12 x I 1, (2)

Inhformtln In Item: I trough4 on this Da Rep=o is Incjuded o each,ee; (3) each shd Is sumbered and the number of ahee4 is recorded at t Itop of tld5 fbrm.

(12133)

ThM frm (E0037) may be obtained from te Order Dept, ASM, 22 L&W DBZVE< BOX 2300 Fairfield, M 07007-2300.

1.

0

t FORQ MV-1 (Back - Pg. 2 of 2

.7 Certificate Rolder's SBezrial No.

951075

8. Design conditions _405S psi

.100 o

ps or valve pressure class 1690 (1)

(PraUM) oacmnro))

9. Cold working pressure 405 psi at 100?*
10. Bydrostatis teat _

6350 psi. Disk differential teat pressure 46S0 pSi

11. Remarks s MATBRIALS ?MBBT ASMR SMCI N Il MDITIO: 1989 ADDENDA2 NXON CZRTZPICkU OP D3SS62 Design Specification certified by J.M. FARRBTJ P.Z. State OUR Reg. no.

30032 Design report certified by S. ____TSKY P.R. State _QgL_ Reg. no. 22125 CRRTI1ZCAT3 OP COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASMB Code, Section IIU, Division 1.

N Certificate of Authorization No..

N-2797-1 REpires MAY 2.95 Date N

2 Zlame VULAN INC.

Signed c v4..

=

(- -- OCmaCfa Holdv(*

zcp=roseudh)

CZRTIPICATS OW 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 OUEBBC and employed by PROVIWCE of OUEBRC!

have inspected the pump, or valve, described in this Data Report on

-- o-Z.F

, and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code,Section III, Division 1.

By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data 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 thia inspection.

Date Si-°z-.

2-ssgn s___Cosml 9

ons

'ozc0t (Ki.

Rd. ancL wdorment) ad s'ats og pQCm.

ad o)

(1) For manually operated valves only.

RAYMOND LA'C.;CN D

RPtIE OU aArMENTsLu C'J£3,C

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi Caivert Cliffs Nuclear Power Plant, Inc.

1. Owner

(_M) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addrss)

.Caivert Cliffs Nuclear Power Plant Date:

0113012003 Sheet 1 of tL unit..

One R&R No. 2002-1-049c, MWO No. 1200202505

2. Plant (name) 1660 Calvert Cliffs Parkway; Lusby, MD 20657 (address)
3. WorkPerformedby:

Cavert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. nojob no, etc.)

Type Code Symbol Starop: NIA Authorization No.: ;Q, Exp Date: NIA Section Xl Class:

Two

4. Identification of System:

SystemNumber 041 SystemName:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

- -Repaired, Code Year Replaced, ot Stamped Built Replacemer (Yes or No)

Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel NIA Pipe Reducer Insert Consolidated Power Supply Ladish Co.

Tee DcBose National Energy Services Inc.

Pipe Strap Anvil Internatonal Inc. (Grinnell Pipe Supports)

Elbow Consolidated Power Supply 20439 HeatN 447/

XBJ FP8588 Heat Code:

D6MC Hl 54906-GX Heat Code: RV 34757 408879 Heat Code:

MA N/A f12 ChargIng Pump Discharge Piping NIA PIpe, 2 In. Sch. 160, ASME SA-376Tp.316 N/A Reducer, Insert. 2 In. X 3/4 In, ASME SA-182, Gr. F316, Socketweld, 6000 lb.

N/A Tee, 2 In., 6000 lb., ASME SA-112, Tp. F316, Socket Weld N/A Strap, Pipe Guide, 2 In, Part# 2 of PG-44 en Drwg.# FSK-MP-0S71SH 005 &6 N/A Elbow, Pipe, 2 In., 45 Deg, 6000 lb, Socketweld, ASME SA-12, Gr. F316 1975

-RepalredtRepl aced 1998 Replacement 1973 Replacement 1992 Replacement 1999 Replacement 2002 Replacement No No No No No No

7. Description of Workc This plan was for the use of the parts listed herein to support the replacement of 1-HVCVC-172, #12 Charging Pump Discharge Isolation Valve. This plan also covers any work on supports/hangers needed to support this work.
8. Tests Conducted.

Hydrostatic:o Pneumatico Nominal Operating Pressure:

Inservice: Ol Leakage. O Functional C3 Test Temperature:

118 Deg. F Pressure:

2300 psi.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-l/2 in. x I I 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.

Sheet:kof a FORM NIS-2 (Back)

9. Remarks:

Code Case N-416-1 was Invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were oerformed (as apalicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance W certi that the statements made in this report are correct and that tis ReoallRenlacemnt conoms to the rules of the ASME Code,Section XI.

Type Code Symibol Stamp:

N/A Certificate ofAuthorization No.: NIA Expiration Date: N/A Charles H. Ballard Signed:

Engieering Technician Date 01/30/2003 Owner or Owne sDesl ne;Titfe Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectoms and the State of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components descnbedin ffiis Owner's Report ding the period /64 /I.2. -to _2j//o3

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken correctve rrteasureu described in this Owner's Report in accordance with the requirernents of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any wamnt, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal inxury or property damage of a loss of any kind arising forn or connected with this inspection.

/7h sx

)(3 Comnmissions: A20? ZoS-19 4 I tJ'4 fliA 37Z Lnspetoes Signature National Board, State, and Endorsements Date:

200

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

. O Calvert Cliffs Nuclear Power Plant, Inc.

Date 0810412003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant Calvert Cliffs Nuclear Power Plant Unit One (nae) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-033, MWO No. 1200202602 (address)

(P.O. no.job no., etc.)

3. WorkPerformedby.

Calvert Cliffs Nuclear Power Plant Dept Type Code Symbol Stamp: N/A (name)

Authorization No.: NIA Exp Date: N 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

SystemNumber 064 SystemName:

ReactorCoolantSystem 5.(a) Applicable Constuction Code and Class:

ASME B&PV Code Sect. III, 1983 Edition, Summer 1983 Add; 5is `s-

-i (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, o0 Stamped Componet Manufacture Serial Number Board No.

Identification Built Rcplacemen (Yes or No)

RCP Seal Sulzer Bingham SN: 1C870 NB 1290

  1. 11B Reactor Coolant Pump 1988 RepalredtRepl Yes Inc.

Mechanical Seal.

aced Seal BCE CCNPP Shops 1199901394 SN:

NIA Seal, Cartridge Assembly (RCP) 1999 Replacement Yes 1864 875 i Complete Sulzer Bingham per FCR £740074

7. Description of Work This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump
8. Tests Conducted.

Hydrostatic:[

Paeumaticf Nominal Operating Pressure:

Inseice: C]

Leakage: 2 Functional:;

Pressure:

2250 psi.

Test Temperature:

A28 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is S-112 in x 1I1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is mbhered and the nunber of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report Applicable Manufacturers Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct aCd that this Revafr/Renlacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A CertificateofAuthorizationNo.:

N/A ExpirationDate:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

08/04/2003 Ower fwe

nscsg, Tidle 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 of Maryland and employed by AB§ Consulting of Houston, Tx. ave inspected the components descrnbed in this Owner's Report during the period _ -7 3

to t

/ xI okw

. andstatetothebestofmy knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Fbrthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any Idnd arising from or connected with this inspection.

7 (z4 q

Commissions:A/atf/ o2/ 8 1/3 AB2WDi A

, inspectoes Sigature National Board, State, and Endorsements Date:

if / St 200 3

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

1210312003 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Di (name)

R&R No. 2002-1-050a, MWO No. 1200202689 (P.O. no., job no., etc.)

Ipt.

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 SystemName:

Chemical Volume Control

5. (a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Componet Nane of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Engineering Co.

Check Valve Velan Engineering Co.

1-CKVCVC-171 90585-GX SN:

951037-1 N/A

  1. 12 Charging Pump Discharge Check Valve N/A Valve, Check, 2 In, 2680 Ib.,Socketweld, SA-182, Tp F316, BGE Dwg 12968-0138 1975 Repaired/Rep!

aced 1994 Replacement Yes Yes

7. Description of Work:

This plan was for the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve.

8. Tests Conducted:

Hydrostatic:[

PneumaticO Pressure:

2320 psi.

Nominal Operating Pressure:

Inservice: E Leakage: i Functional: E Test Temperature:

112 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-1 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepafrlReplacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

c Engineering Technician Date:

1V03/2003 Owner or Owners ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

Commissions: It,9P3/0`31 A

I.9 /117/

Insoector's Signature National Board, State, and Endorsements Date: 4',

q200

-3

DATA PACrAGH NO.-

951037 P.6 rt 5'DATA REPO LAR P OVAES C

-9 Pg. I of, 2

1. Kanufactured and certified by YVEhAN INC. 2125 WARD AV_.

MTL. CANADA (name and address of F Ceruificate Holder)

2. Manufactured for BALTIMORE GAS & ELECTRIC

'P.O. BOX 1472 BALTIMORE, MD.

21203 (name and address of purchiser)

3. Location of installion CALVERT CLIFFS NUCLEAR PLANT NORTH OF LUSBY. MD. 20657 (rame and address)
4. Model No., Series No., or TQpes PS.CECK Drawing P1-76800-K28 Rev D

CRN N/A

5. ASME Code,Section III, Division It 198S NONE 1

NTA (editlon)

(addenda date)

(CUass)

(Code Case no.)

6. Pump or valve VALVE Koinal inlet size 20 Outlet size 20
7. Materials Body SA-182.F316 Bonnet SA-182,F316 Disk COLMONOY 4 Bolting N/&

(a)

Cert.

Holder ' s Serial No.

951037-1 951037-2

_ 951037-3 nfl--a--a----_

tb)

Nat' 1 Board No.

N/A (C)

Body Serial No.

H /C : CH U

U I9 ff td)

Bonnet Serial NO..

N...

H/Ce 1AR.A I,

  • (e)

Disk Serial No.

H/C: 2072 a

a

.3?

Supplemental Information in fbrn of Usts, iketches; or drawings may be used provided (1) ize is S 1/2 x I1, C2) Infornation In Itemns I through 4 on this Data Repoet Is Included on tact sheet, (3) each shee Is numbered and the number of sheets Is recorded at the top of Ihis form.

(12/88)

MIs form (500037) may bc obtaine from the Order Dept., ASME, 22 LAW DRI

<E<

BOX 2300 Fairfield, NJ 07007-2300.

PORQ PV-1 (Back - Pg. 2 of 2

P.7 S. Dexign conditions 6430 psi 100 OF or valve pressure class 2680 (1)

(preaxr)

ACmperd)

9. Cold working pressure 6430 psi at 1007Y
10. Hydrostatic test 10050 psi. Disk differential tes~t pressure 7375 psi
11. Remarkas MATERIALS MEET ASMa SECTION II EDITIONS 1989 AMDDENDA:

NONE CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code,Section III, Division 1.

N Certificate of Authorization No.

N-2797-1

__xPirs

-MAY 2_98 Date MAY 2 61995 Name VELAN INC Signed __

(N Certificate. Holder)

A (autbov se3aZrve)

'1

CERTIFICATE OF INSPECTIOR I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of OUBBMC and employed by PROVINCE of OUEBEC have inspected the pump, or valve, described in this Data Report on 4-Y,- 4&

, and state that to the best of my knowledge and belief, the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code,Section III, Division 1.

By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or

implied, concerning the component described in this Data Report.

Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Date 925-signOS'2'

- Commissions _

rhoried Inspo0)

(Natel

d. Od.

endorsmmnt) and stats or prov. and no.)

(1) For manually operated valves only.

RAYMOND LAUZON Q

PMGI3 DU ATIMENTMTDOUA.o

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

11/06/2003 Sheet i of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657.

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-050b, MWO No. 1200202689 (address)

3. WorkPerformedby:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Summer 1971 Add; Class Two (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Comnponet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 2" CC-7-1002 Pipe Tee Consolidated Power Supply DuBose National Energy Services Inc.

20439 Heat# 447 54906-GX Heat Code: BV N/A

  1. 12 Charging Pump Discharge Piping N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 N/A Tee, 2 In., 6000 lb, ASME SA-182, Tp. F316, Socket Weld 1975 Repaired/Repl aced 1998 Replacement 1992 Replacement No No No Insert Reducer Ladish Co.

F-8588 Heat Code:

D6MC H1 N/A Reducer, Insert, 2 In. X 3/4 In.,

6000 lb., Socketweld, ASME SA-182, Gr. F316 1973 Replacement No

7. Description of Work.

This plan was for the use of the parts listed herein to support the replacement of 1-CKVCVC-171, #12 Charging Pump Discharge Check Valve. This plan also covered work on supports/hangers needed to support this work.

8. Tests Conducted:

HydrostaticO PneumaticCj Pressure:

2320 psi.

Nominal Operating Pressure:

Inservice: 0 Leakage: i Functional: C]

Test Temperature:

112 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I 1 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Code Case N-416-1 was invoked to satisfy Section Xl required pressure tests. Addflonal Section III Examinations were Performed (as applicable) to satisfy Code Case N-416-1 and-Req.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code,Section X.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

NIA Charles H. Ballard Signed:

Engineering Technician Date:

11/06/2003 Owner or Oirne~s Vesinei, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period_

to and state to the best of my knowledge and belief; the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

Commissions:

?Ad q3

/,4O Z Alq1L/L?

_y p4

//

AlInspector's Signature Kate:

Im 3

200 -3 National Board, State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi

1. Owncr Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:

101312003 Sheet of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant DE (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 R&R No. 2002-1-051, MWO No. 1200202762 (P.O. no., job no., etc.)

ept.

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section Xl Class:

I One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:

ASMEB31.1.0 1967Edition,CCasesN-2,N110 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

6. Identification of Components Repaired or Replaced and Replaceint Components:

Name of Comnponet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Valve ITT Hammel Dahl Bonnet Flowserve Corporation 69-4126-002 400322 SN; D909A-1-1 10486-GX Heat Code: HTK 56479-GX SN:

R1613-1 Pipe Cap Dulose National Energy Services Inc.

NIA 11 lBPressurizerSprayCuitrol 197S Repalred/Repi Valve ed NtA Bont!i, Bellows, 3 In. 1500 lb.

2000.

Replacement ITT Hammel-Dahl Angle Valve, Drwg. #12121-0006, Item 02 NMA Cap, Pipe, 12 InI, 300Q lb. SW, 1996 Replacement ASME SA-482, Tp. 316 N/A Plugtor3 In. 1500 lb.ITT 1991 Replacement IHanid-Dabl Angle Valve, Drwg.

N1212140006, Item 16 No No No No Plug Neles Jamesbory

7. Description of Work:

This plan was for the rebuilding and replacement of the Bonnet and Plug on 1-CV-100F, which is #11B Pressurizer Spray Control Valve.

8. Tests Conducted:

Hydrostatic:Q Pncunaticl Pressure:

2250 psi.

Nominal Opaating Pressure:

Inservicc: 0 Lkahgc: 0 Functional: 0 Test Temperature:

532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x II 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:.

A Section Xi Svstem Leakace Test of the affected component was Derformed durino the system conditions listed in section 8. of this report.

A Section Xl Surface Examination of the affected component was Derformed to satisy Section Xi Pre-Service Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Renlacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed: __

Engineering Technician Date:

10/3/2003 Owner or Ownces Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 6,:

to

//-/s-dL,.

and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthernore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

1 Commissions:

A/A, 7 11 3 421 //6W 44/A T nspectoe's Signature National Board, State, and Endorsemenpq, Date

'AC AK 200 -

S0

[ O ___ _

is.

FORM NIS-2 OWNER'S FEPORT FOR REPAIR / FKEPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-046a, MWO No. 1200203109 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 052 System Name:

Safep nection 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Valve Velan Enginnering 1-CKVSI426 N/A

  1. 13 High Pressure Safety 1975 Repalred/Repl No Co.

Injection Pump Mini Flow Check aced Valve CheckValve Enertech Inc.

411160 SN: 11319 N/A Valve, Nozzle Check, 2 In, 1500 2004 Replacement Yes lb, Enertech KRV, Body SA-479, Tp. 316, Disc SA-564, Tp.

6301H1075

7. Description of Work:

This plan was for the work needed to replace 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.

8. Tests Conducted:

Hydrostatic:Fj Pneumatic:

Nominal Operating Pressure:

Inservice: f Leakage: j Functional: E Pressure:

1310 psi.

Test Temperature:

82 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.

as

  • v Sheet 2 of 2 FORM NIS-2 (Back)
9. Remarks:

A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Reolacement conforms to the rules of the ASME Code, Section Xl.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A K

A Charles H. Ballard Signed:

gineering Technician Date:

6/15/2004 Owner or Owne' Designee, Ttle I

Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period _aA3 Ok to

'- 9S -9 A and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

bco4J1D A, SW U1M fo& fe-ionjfJ sejoeads Pt.

ZYKE-fAi Commissions:

N6 98 3/,O1

//7X, 4A /

u N ai77 9B

/S, a nd Insoector's Signature National Board, State, and Endorsemnents Date:

6' - /&

f 200 -

N1

FORM NPV;1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the Provislons of-the ASME Code,Section III, DIvi8ion I

.Pg.1of 2

1. Manufactured and ceified'by Enertech, A Div. of Curtiss-Wdght Flow Control Corp., 2950 Birch St., Brea, CA 82821 (name and address of N Certificate Holder)
2. Manufactured for Calvert Cliffs Nuclear Power Planit, PO Box 17323. Baltimore, MD 21297-1323 haine and address of Purchaseri
3. Location of Instalan Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby,.MD.206S7.

(name an4 iddress:

4. Model No., Series No., or Typ KRV Drowing MD21083 Rev.

A None S. ASME Code,Section III; Division t:

1995 1996 2

.None (edition)

(addenda date)

Iless)

ICode Case no.)

6. Pump or valve NNorhini Inlet size 2

Outlet size

((in.)

7 MateIal Bdy SA-479Type316 Sonnet N/A Disk US-564Tiye30H1075 Bolting.

(b (c

(al Wb (cW d

(el Cert.

Nat' I Body Bonnet Disk.

Holder's Board Serial Serial Serial Serial No.

No.

No.

No.

No.

11311 None KTV-3327 None KITW-3335 11312 None KTV-3328 None KTW-3336 11313 None KTV-3329 None...

'TW3337 11314 None KTV-3330

.None KTW-3338 11315 Nne-.

KTV-3331 None KTW-3339 11316 None*

KTV-3332 None ITW-3340 11317 None KTV-3333 None '

T..K:FW-3341 11318 None KTV-3334 None KTW-3342

.7 Supplemental Information In form of lsts, sketches, or drawings may be used provided (1) size Is B X x I1I, (21 Informatioe in Items I through 4 on this Data Report Is included on each sheet, 13) each sheet Is numbered and the number ef sheets Is recorded at the top of this for3n.

(12/88)

This form lEOWO371 may be obtained from the Order Oept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007.2300.

REPFUNT U93

FORM NPV-t (Bock -

Pg. 2 of 2..

11311 thru Ce'rtificate Holder's Serial No.

11318

.8 Design conditiona 1600 psi 30 F or valve pressure class 1500 (pressure).

Itemperaturel

9. Cold working pressure 3600 psl at tOOF
10. Hydrostatic test 5400 psi.. Disk differantial test pressure N/A i

px-1: Rlemarks: Qty. 8, Enertech Project Number 810048 I

CERTIFICATION OF DESIGN Design Specification certifted'by John R. Sponsel, I P.E. State MD Reg. no.

17308 Design Report certified by Ira J, Silverman P.E. State CA Reg. no.

23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASMi Code, Section lIl. Division 1.

N Certificats of Authorization No N2826E bate Edt A Div. of Curtfss-Wwfght Flow Corrro Cbrp.

Big

1.

1 IN Certificate fHolder)

(authorizud represntatv I

.1 I

CERTIFICATE OF INSPECT1iON

.1, the undersigned. holding a valid commission Ipssued by the National Board of Boller and Pressure Vessel Inspectors and the StatS or Province of Calaforia end employed by HSB CT of Connecticut have Inspected the pump, or valve, described In thisflita Report on 1 -

Zq 4~* -

!and stats that to the best of my knowildge and belief, the Certificite Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section ill, Division 1.

By signing this certificate; neither the Inspector nor his employer mekei any warranty, expressed or Implied, concerning the component described in this Data 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 klhd aIsIng from or connected with this Inspection.

Date

/

42I 3igned mLissona 14q4-lAuthorized Inspector)

[Nat'l. 8d. (Incl. endorsements) and state or prov. and no.)

(11 For manua'ly operated valvesvonly.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-046b, MWO No. 1200203109 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 052 SystemName:

Safety Injection 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME Name of Componet Piping System Pipe Nut Allthread Rod Flange Nut Name of Manufacturer Bechtel Albert Pipe Supply Co. Inc.

Mackson Inc.

Mackson Inc.

DuBose National Energy Services Inc.

Mackson Inc.

Manufacturers Serial Number 2"DC-2-1003 F-5630 Ht.#: 496481 408227 Ht.#: S44018 410155 Ht.#: S20751 411588 Ht.#:31438 Code: BQL 400066 Heat Code:

JKX Na Boa tional Other ard No.

Identification N/A

  1. 13 High Pressure Safety Injection Pump Mini Flow Recirc.

to Refueling Water Tank N/A Pipe, 2 In., Sch. 80, ASME SA-376, Tp. 304 N/A Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Cr. 2H N/A Rod, Aulthread, 7/8 in. X 9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Raised Face, Socketweld, ASME SA-182, Gr. F316 N/A Nut, Heavy Hex, 7/8 In. X 9 TPI, ASME SA-194 Gr. 2H Year Built 1975 1970 2002 2003 2003 2000

Repaired, Code Replaced, oi Stamped Replacemen (Yes or No)

Repaired/Repi No aced Replacement Replacement Replacement Replacement Replacement No No No No No

7. Description of Work:

This plan was for the piping, fittings, hanger support work and fasteners needed to support the replacement of 1-CKVSI-426, #13 High Pressure Safety Injection Pump Mini Flow Check Valve.

8. Tests Conducted:

Hydrostatic:n PneumaticO Nominal Operating Pressure:

Inservice: E Leakage: R Functional: n Pressure:

1310 psi.

Test Temperature:

82 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi Svstem Leakage Test of the affected comoonent was performed durina the svsteml conditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfv Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

RepalrlReplacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A V

Charles H. Ballard Engineering Technician Signed:

Date:

6/15/2004 Owner`r (iwnes Designee, Title i' Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

.2.23 04 to C-M-O.,

and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

bLordL A. 5 N-71A rY AlIz.

5-04J AMvJ6IS PM

-o a

-A(

D Inspector's Signture Date:

6v-14 200 Commissions: AXJ3

&'3/, /10 /7/ 71 4

/1

,vi J A. -77' e National Board, State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

Date:

6/15/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 0 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name)

Unit:

One R&R No. 2003-1-056, MWO No. 1200203364 1650 Calvert Cliffs Parkway; -Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no.,job no., etc.)

Type Code Symbol Starmp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One

4. Identification of System System Number 064 SystemName:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Dresser Industrial Valve Co.

Nozzle Consumer Power Co. (Midland Plant Project)

Relief Valve Dresser Industries Inc.

Disc Dresser Industries Inc.

ReliefValve Consumer Power Co. (Midland Plant Project)

SN: BM-07953 N/A Unit One Pressurizer Safety Relier Valve 06045-GX AAA26 N/A Nozzle, Maxiflow Relier Valve, 2 1/2 In., Model 31739A, Dresser P/N 4231701N, ASME SA-182 Gr.

F347 411829 SN: BN-N/A Valve, Consolidated Closed 04373 Bonnet Maxlflow Safety; 2-1I2 In.

Mode! 31739A, only for RV 200 4dDK location.

409135 SN:*915F 6 N/A Disc, Maxillow Relief Valve, 2 1/2 In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688 06045.GX AAA19 N/A Cannibalized pressurizer relief valve, SIN BN 04376 1977 Repalred/Repl aced 1987 Replacement 2004 Replacement Yes Yes Yes Yes Yes 2003 Replacement 1987 Replacement

7. Description of Work:

This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.

8. Tests Conducted:

Hydrostatic:n PneumaticG Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: l Leakage: i Functional: 0 Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

i

- r 0-56~-Sheetaof

~..

c' 3 6FORM NIS-2 (Back)

9. Remarks:

A Section XI VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

A Section Xl System Leakaae Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacenent conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A i dI/

  • 7v Charles H. Ballard Signed:

Engineering Technician Date:

6/15/2004 er or Ownes Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period 3 30-0' to 4_-__-_ _

_and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described-in this Owner's Report in accordance with the requirements of the ASME Code, Section )[.

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

D044LD A. Se-/IA (tvL AU?.

DoffsSH jeiL2 S PrL T7-1741 Commissions: Ak3 '7g31 1 1/17/1 AJ

yL'-?7

/AU' M

_5 Insnectores Signature National Board, State, and Endorsements Date:

-- / 7 200.

FORM NVR-1 REPORT i tEPAIR [Z MODIFICATION i OR REPLACEMENT

]

OF NUCLEAR PRESSURE RELIEF DEVISES

1. Work performed by Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ Us Hwy 167 N 4118291408989 01287030101284080

( name of organization)

(P.O. no., job no., eta)

P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (address)

2. Work performed for Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657

( name and address )

3. Owner Baltimore Gas & Electric Co. 1650 Calvert Cliffs Parkway Lusby, Maryland 20657 (name)

(address)

4. Name, address and Identification of nuclear power plant Baltimore Gas & Electric Co. Calvert Cliffs Nuclear Station 1650 Calvert Cliffs Parkway Lusby, Maryland 20657
5. a: Repaired pressure relief device:

Safety Valve b: Name of manufacturer Same as item 1 above c: Identifying nos.

31739A BN-04373 N/A STEAM 2-1/2" 1977 (type)

(mrs serial no.)

(Nat'l. Bd. No.)

(service)

(size)

(yearbultt) d: Construction Code ASME Section III 1968 Winter 1968 W 1968 Art. 9 A

(name/section/division)

(edition)

(addenda)

(Code case(s))

(Code Class)

6. ASME Code Section Xl applicable for in service inspection:

1998 NO NONE (edition)

(addenda)

(Code Case(s))

7. ASME Code Section Xl used for repairs, modifications, or replacements:

1998 NO NONE (edition)

(addenda)

(Code Case(s))

8. Construction Code used for repairs, modifications, or replacements:

1968 W 1968 Art. 9 NONE (edition)

(addenda)

- (Code Case(s))

9. Design responsibility Same as item 1 above
10. Opening pressure:

2485 PSIG Blowdown (if applicable)

N/A

%. Set pressure and blowdown adjustment made at:

Wyle Laboratories, Huntsville, Alabama Using Steam

-lcataon (test medium) i 1. Description of work: (include name and identifying number of replacement parts)

Valve Was Disassembled, Inspected, Repaired Assembled, & Tested. Parts Replaced: Base P/N 1861505NC2015,S/N AAA-19; Nozzle PIN 18448060S278,SIN AAA26; Bellows PIN 1840801N, SIN 2872/2-2; Disc PIN 1840404N, S/N ADK-59; Guide/Support Plate Gaskets PIN 3831018N, Cotter Pins P/N 2220219, & Adi. Ring Pin Gaskets PIN 3610508.

12. Remarks:

Base was modified on owner's purchase order 411554, Dresser order no. 31-52548-0.

CERTIFICATE OF INSPECTION I, P.- a )

W.l A /

certify that to the best of my knowledge and belief the statements made in this report are Correct and the repair, modification or replacement of the pressure relief devices described above conforms to Section Xl of the ASME Code and the National Board Inspection Code 'VR' and 'NR' rules.

National Board Certificate of Authorization No.

VR-70,95,97-118 & 12G-124 to use the 'VR stamp expires 6-29-2004 National Board Certificate of Authorization No.

NR-45 to use the M Ra stamp expires 630-2005 Date

/t4 O (

Same as Item 1 above.

Signed (name of certificate holder )

(authorized representive)le)

CERTIFICATE OF INSPECTION I,

,j k?,

-f/OS,*4b,

, holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by the jurisdiction of Louisiana and employed by Hartford Steam Boiler Inspection and Insurance Co.

of Hartford, CT have Inspected the repair, modification or replacement described In this report on and state that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the ASME Code and the National Board Inspection Code "VR' and

'NR' rules.

By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or Implied, concerning the repair modification or replacement described in this report. Furthermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury, property damage or ss ao 8

nd arising from or connected with this inspection.

Date Signed Commissions.424= A lkb' LrcJ (National Board (i.

endorsements),

iurisdiction, and no.1

FORM N-2 CERTIFICATE HOLDERS' DATA REPORT PuR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*

As Required by the Provisions of the ASME Code, Section Ill Not to Exceed One Day's Production Pg.Iof 2

Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ US Hwy 167 N

1. Manufactured and certified by P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (name and address of NPT Certificate Holder) _
2. Manufactured for Calvert Cliffs Nudear Power Plant P.O. Box 17323 820 G & E Building Baltimore Md 21297-1323 (name and addes of pwdhaser)
3. Location of installation Calvert Cliffs Nuclear Plant, 1650 Calvert Cliffs Parkway Lusby Md 20657 (nam andm address)
4. Type OS417 SB637 (Inconel X-750) 170 KSI NIA 2003 (drawing no.)

(matl spec, no.)

tensile strength)

(CRN)

( yearbult)

5. ASME Code Section III, Division 1:

1968

- Winter 1968 1

N/A

( edition)

(addenda date)

(cdass)

(Code Case no.)

6. Fabricated In accordance with Const. Spec. (Div. 2 only)

NJA Revision N/A Date NIA (no)

7. Remarks:

Serial Numbers Are Used In Ueu Of NPT Stamping.

8. Nom. thickness (in.)

N/A Mi ndesign thickness (In.)

NiA Dia. ID (ft. & In.)

N/A Length overall ( ft & in.)

N/A

9. When applicable. Certificate Holders' Data Reports are attached for each item of this report Part or Appurtenance Serial Number National Board No.

In Numerical Order (1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

(23)

(24)

(25)

ADK59 4

t 4

I I

I l

l.

I.

1-

10. Design pressure N/A psi Temp.

N/A

  • F.

Hydro. Test pressure 4500 PSIG at temp. OF

  • Supplemental information in the form of lists. Sketches, or drawings may be used provided (1) sIze is 8-1/2 x 11, (2) information In items 2 and 3 on this Data Report Is ninduded on each sheet. (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

4 1

FORM N-2 (Back -

Pg. 2 of 2

)

Certificate Holder's Serial Nos.

ADK59 and CERTIFICATION OF DESIGN Design specificaffons certified by NZA P.E. State N/A Reg. No.

N/A (wten applicable)

Design report* certilled by NWA P.E. State N/A Reg. No.

NIA (when applicable)

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this ( these)

DISC conforms to the rules of construction of the ASME Code, Section Iii, Division 1.

NPT Certificate of Authorization No.

N-2434 Expires

_012004 Date 3/i 103 Name SEE LINE I Signed i*V W)

I

{ NPT Certificate Holder)

(authorized represewtattva)

CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of LOUISIANA and employed by H. S. B. I. & i. Co.

of HARTFORD, CT.

have Inspected these items described in this Data Report on 1/M o0k..I

, and state that to the best of my knowedge and belief, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code,Section III, Division 1. Each part listed has been authorized tor stamping on the date shown above.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or imptied, concerning the equipment desraibed in this Data Report. Furthermore, neither the Inspector nor his employer shall be gable In any manner for any personal injury or property damage or loss of any kind arising from or connected witht p pecon.

Date 3

//

Signed Al f

Commissions f AMMa WM Mwf hp s

Imaectnr I I NM.04 4 E

n d,.-4 e

n an

-I zs

% o.-..Go.svaw

-}.-

Se1w CRX dn e

I 

A el -. 71r 4c-k I

DSO A'. 3ei FORM NV-I N CERTIFICATS HOLDERS' DATA REPORT FOR SAFETY AN4 SAFETY RELIEF VALVES*

(AS REQUIRED IT THE PROVISIONS OF THE ASKE CODE, SECTION III, DIV. 1)

1. RANUFACTURED if DRESSER INDUSTRIAL VALVE A IXSTR. DIV.

Ml6Ayl7ft NOWMN ALEWDRIi.

1.603IfiANA (ANAE AND ADDRESS OF ItDRTI FICATE HOLDER)

2. MANUFACTURED FOR Babcock & Wilcox Pwr-Gen.Div.qP.0.Box 1260, Lynchburg, Va. 24505 CRNAE AND ADDAESS OF PURCHIASER 01 OWNER)
3. LOCATIOR OF INSTALLATION Cons~ers Power Co., Midland Unit 1, Midland, Mich.

(NAME AND ADDRESS) 4 4CP-243Z 258 1978 (CRAN)

(BRAVING NO.)

(AT'L IRO.HO.)

(TEAR D9ILT3

5. VALVE 2

31739A-1-X2-0S278 (MODEL DO..SERIES NO.)

ITENT41111NE So. BN04376 (N CERTIFICATIHQLDER5'1SEIIAL.NC-.)

TYPE Safety ORIFICE SIZE..

CLASS J

(SAFETYSAFETY RELIEF;PILOT:POWER ACTUATED)

SOMINAL INLET SIZE 21/2 CUTLET SIZE 6"

1.

IICH

0. SET PRESSURE (PStC) 2500 STAMPED CAPACITY 297.845 L!S/HR.

SAT.STEAM HYDROSTATIC TEST (Psi)

INLET 3750 -SIG T. PRESSURE RETAINING PIECES SERIAL IN. OR IDENTIFICATION INCH INCII 670 RATED TEMPERATURE IDF

  • 3

% OVERPRESSURE SLOWDOWN (PSIG) 125 OUTLET 1050 PSIG (APPLICASLE TO VALVES FOR CLOSED SYSTEMR' HLY]

MATERIAL SPECIFICATION.

INCL. TYPE OR GRADE SODY SONNET 1Zffsx==

SUPPORT RaOS NOZZLE eISC SFRI19 WASHERS ADIUSTINO SCREW SPINDLE SPARIN DOLTING OTHER PIECES B/A/AAAIS SA-182 Gr. F316 B/AR/AAA40 SA105 TRIlIAAA26 SA-187 !Gr-r-347 RjrjAAT~nq SA-6137 !Gr. figg 15023 SA-105 M6356aSB-164 Class A t'17RR7

  • SA--479 er -

147 AH1210 AISI H21 ohtlct Elamse 79207 SA-182 Gr. F316 B^-^

-o f, a M.14 SA_194 Gr. 21 I

  • SUPPLEMENT SHEETS IN FORM OF LISTS.SKETCHES OR ORAWINOS MAY BE USED PROVIDED (I) SIZE IS 3-1/2"X II1 (2) INFORMATION IN ITEMS 1-2 0H THIS DATA REPORT IS INCLUDED ON EACH SHEET. AND (3) EACH SHEET IS NUNDERED AND NUMBER OF SHEETS IS RECORDED AT TOP OF THIS FORM.

i 1S

i j
sIii

FORM xWlI (SACX)

CERTIFICATE OF COMPLIANCE wl CERTIFY THAT THE STATEMENTS YADI IN THIS REPORT ARl CORRECT AND THAT THIS TALYI CONFORMS TO THE RULES OF CONSTRUCTION OF THE ASNE CODE FOR NUCLEAR PO1E1 PLANT COMPONENTS, SECTION III, DIV.I, 1971 EDITION. ADDENDA Sumer 1972 CODE CASE N/A DATE 1-26-78' SISNED Ball=

IV/p DATE(N CERTlFICATE 0OIDER)

P1ri pal Qual y Assurance Engiear OUR ASE CERTIFICATE OF AUTIIORIZATICO MD.

71-1747 UDSE THE M SYMBOL EXP!RES Ma 20, 1980 (NV)

(DATE)

CERTIFICATION Of 0131?t DESIGN INFORNATION 0N FILE AT 1resbr-Plarm, AlexAndrfia, TA..

STRESS ANALYSIS REPORT (CLASS I ONLY) ON FILE AT Dress2r Wlpant Al ewaredr4^

T.a_

DESISJI SPECIFICATIONS CERTIFIED AVI Johtn II U_ M 1.par PE STATE V4 r ln.

Rao. No.

4418 STRESS REPORT CERTIFIED ay' Y. S. Lai FE STATE T.nLouisina RE2.N3.

14105 1SISNATURE NOT REQUIRED-LIST NAME ONLY CERTIFICATE OF SHOP INSPECTION ITHE UNOERSIGNED. HOLDINS A VALID COMNISSION ISSUED BY THE NATIONAL BOA2D DF DOILIR AND PRESSURE VESSEL INSPECTORS ANO THE ;TATE OR PROVINCE OF LOUISIANA AND EMPLOYED BY TlE HARTFCA§ STal BST ILA 1..II.

COUP1W OF IANTFOPA, CCXN., HAVE INSPECTED THE PUIP.OR VALVE.DESCRIVD IN TNIS DATh REPORT ON 19.A AND STATE THAT TO TIHE DEST OF BY INOVLEDG1 AND SELIEF.TNS X CERTIFICATE HOLDER 1IAS CONSTRUCTED TVIS PUMP, OR.VALVE, IN ACCORDANCE WITH ItHE-ASME CODE FOR NUCLEAR FI1ER PLANT COMPONENTS.

BY SININ3 THIS CERTIFICATE. NEITHER THE INSPECTOR NOR HIS EMPLOYER KAXES ANY VARIIAIRYEXPAISSED OR IMPLIED, CONCERNINI THE £QUIPMENT DESCRIBED IN THIS DATA REPORT.FUTHERVORE.NEITHER. THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MAMNEA FOR ANY PERSONAL INJURY OR PROPERTY DAMASE OR A LOSS OF ANiT KIND ARISINI FO OR o

Dnp; E. WIT SIS IB FICTION.

DAtE _102 I In' I4

'fly SDAMEP.

A&P T tw e

COEMISSION SNational Board No. 7876 I SPECTOR)

.NATOL.DR.STATE PROY.AN ND.)

V

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6115/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-056a, MWO No. 1200203364 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Syrbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Piping System Bechtel 21/2"CC-10-1007 N/A

  1. 11 Pressurizer Piping to Safety 1975 Repalred/Repi No Relief Valve 1-RV-200 aced Nut Mackson Inc.

409779 Heat Code:

N/A Nut, Heavy Hex, 11/8 In. X 8 TPI, 2003 Replacement No AGM ASME SA-194 Gr. 7 Rod Nova Machine 38612 Heat Code:

N/A Rod, Allthread, I 1/8 In. X 8 TPI, 1999 Replacement No Products Corp.

MWX ASME SA-193 Gr. B7

7. Description of Work:

This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-200.

8. Tests Conducted:

Hydrostatic:E Pneumatic]

Nominal Operating Pressure:

Inservice: E Leakage: 1 Functional: I]

Pressure:

N/A psi.

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

.nr C}

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI VT-1 Visual Examination of the reDlacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

/n/a, g

Engineering Technician Date:

6/15/2004 Owner-o'wner's De rinee, Titr 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 39 V Y to 6

,11

@e

. and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

DO ddZ-0 4 - S14-ePoMr f,,=t

,V.

EUOH,%) A4OiCfs pat-GA F

Commissions:

4J13 7?S3/, /)

/1 7/

AWY Tnqntnr'qs1;in hatre National Board, State, and Endorsements Date: 6 -/7 --------

1 f-

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6118/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-027, MWO No. 1200203390 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Synbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 064 SystemName:

ReactorCoolantSystem 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. 1I1, 1965 Edition, Win.1967 Add; Class A CCases: 1335-2, 1336, 1359-1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Pressure Vessel Combustion Engineering ICI Flange ABB Combustion Engineering Plug BGE CCNPP Shops Vessel SN: 67107; Head SN: 67207 95991-GX SN: 94-0855 0200101511 SN:

011, 012 & 013 20911 Unit PI Reactor Vessel and Head N/A Flange, S In., 2500 lb, Large Tongue, Blind with 6 holes for ICI's, ASTM A-182, Gr.F321 N/A Plug, Incore Detection Seal, Dwg.

12148-03,ASTM-A276, Ty316 SS 1971 Repaired/Repl aced 1994 Replacement 2001 Replacement Yes No No

7. Description of Work:

This plan was for the installation of dummy stainless steel ICI plugs and a new In Core Instrumentation Flange on Unit #1 Reactor Vessel at the #4 ICI penetration.

8. Tests Conducted:

Hydrostatic:E Pneumaticfl Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice:

l Leakage: b Functional: a]

Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Simertinn Yl Prp-.qprvirA Ngl Rqnutiremnts A Rpreninn YIX Svrtm I ank-n Tt Ta f Ikf

g!ffg%&tofr41 &r^mn,%nfn#

Iu~ \\. -

Ac o

  • _*--lllu.

-tv

,\\

ow>g1

  • Io a

wlvI&t was performed durinq the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Repair/Replacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

W Charles H. Ballard Engineering Technician Date:

6/18/2004 Owner ofOwner's Designee, Ttkle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

/- a 7

'if

-0 to 5- /0 -09

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

DoAd-t A. 5"194 SrZ A2.R, A,4kI1Al C04-71;S 7-L-F4C 5e.

-1 A

-la 4

Inspector's Sign;ture Date:

2" 00-1-u 200 Commissions: AJIB ;;

J X.

i/&T A

Nai

/

n 7

o7 9

Ste a

/

Ere National Board, State, and Endorsemnents

'~I---

ii FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/1512004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-010, MWO No. 1200203521 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 083 System Name:

- Main Steam & SG Blowdown 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. III,1977 Edition, Win.1979 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

- ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Fisher Controls 8252433436 Plug, Primary Fisher Controls Intl., Inc.

76678-GX SN:

LB3717-1 N/A

  1. 11I Steam Generator Auxiliary Feed Water Pump Steam Supply Control Valve N/A Plug, Primary, 6 In. Control Valve, ASME SA-479, Gr. 316L /

Stellite, BGEDRWG #1229040018, Item 67 1980 RepalredtRepl aced Yes 1992 Replacement Yes

7. Description of Work:

This plan was for the work and part needed to rebuild 1-CV-4070, #11 Steam Generator Auxiliary Feed Water Pump Steam Supply Control Valve.

8. Tests Conducted:

Hydrostatic:[]

Pneumatico Pressure:

NiA psi.

Nominal Operating Pressure:

Inservice: E Leakage: f Functional: [

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

No Section Xi Pre-Service NDE was performed in suODort of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Dso e

iX e4 Charles H. Ballard Signed:

5, Engineering Technician Date:

6/15/2004 Owner orT er's rs-igne'e itle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod d-/a

- 0M to S -t-e'l

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

45.

,:OR-

/R af

=

iH JO A;?-L'AS PEZ 7.L.-fLFYAX Commissions: AJ 3r 983, /10//7/, -'J//

Inspectores Signature National Board, State, and Endorsements Date: 6-14'*

200O4

003B-P21C18573 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAteM 0001 NUCLEAR PARTS AND APPURTENANCES As Required by the Provisions of the ASME Code,Section III Not To Exceed One Day's Production Pg.

of

1. Manufactured end certified by FISHER CONTROLS INT'L INC, KAPSHALLTOWN, IOWA 50158 InaW and 8sd&s ot NPT Certifcate 14old0f
2. Manulacturedfor Baltimore Gas & Electric Co.. Box 1535, Baltimore. Md. 21203 sname and address of ovicnlaserI
3. Locationofinstallation Calvert Cliffs Nuclear Station. Lbsby. Md. 20657

.nAn am lcddressi

4. Type 34A2071 Rev G SA-479-S31603 70.0 KSI N/A 1993

-draweng 1.1

'Mat il spec. noJ tnflStr*Ngthl

-CNI ear bwlt

5. ASME Coda, Section III:

1977 Winter 1979 2

N/A a.0t.Ons addends alts iclasse Code Case moI

6. Fabricated in accordance with Const. Spec. IDiv. 2 onlyl N/A Revision N/A Date N/A

'no.,

7. Remarks:

PARTS ARE FOR VALVE SIN 8252433-436

8. Nom. thickness in. l NIA Min, design thickness (in.

A NA Die. ID fit & in.)

NLA.-

Length overall (ft

& in.I N/A

9. When applicable. Certificate Holders' Data Reports are attached for each item of this report:

Part or Appurtenance

-N efc Part or Appurtenance National Serial Number 1

4O o.No II Serial Number Board Number

.m.NlOideS

! § in Numerical Order Heat Number I

i1 LB3717-1 31333-1

'26)

12) 1(27) 13!

!128)

I

14)
429) m1.

-I

161, (73

'8) 19)

(10) t111 I-

.aVP 131)

(32)

(33t 1341 1351

(361 1

137) 1131

_138) t14) 139) -

015 I

(403 116.

141) 71 142 11i_..).

143)

  • 191 144 120) 345)

(21) 1461 122) 147)

.123)

  • 148)
  • 124)
149)

'125)

(i0-

10. Design pressure 1000 psi.

Temp.

580 F.

Hydro, test pressure N-A at temp. F j.1

  • ponatiep~e
  • Supplemental informatioin the form o lists. sketches. or drawings may be used provided 311 site is 8X K t 121 2Informtion in stems 2 and 3 on ths Data Reort is included on each sheet. i31 each sheet is numbered and the numboer of sheets Is recorded at the top of this form.

112/86)

This form (E000403 may be obtained from the Order Oct.. ASME. 22 Low Dive. Box 2300. Fasirfield, NJ 07007.2300.

'I- -I FORM N-2 (back)

Mfr. Serial No.

CERTIFICATION OF DESIGN Design specifications certified by Robert F. Ash PE State Md.

Rel n.

9198 Design report certified by N/A PE. State N/A Fel.no.

N/A l

~whefl Ip4.aob~e)

CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that this Ithese)

Primary Plug conforms to the rules of construction of the ASME Code, Section Ill.

NPT Certificate of Authorization No.

1930 Expires 11-18-95 Date 7-:

Name FISHER CONTROLS INT'L INC Signed a ra_

NPT Cert.ieste Holdeu Ilutihonzed eptesontatZ CERTIFICATE OF SHOP INSPECTION

  • tigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province ofI dA and employed by HARTFORD S.B.I & I CO.

of HARTFORD.

CONN have inspected these items described in this Dats Repor on_

7 S

.and state that to the i best of my nowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code. Section l Ill. Each part I sted has been authorized for stamping on the date shown above.

By signing this certificate. neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described In this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising fram or connected with this inspection.

Date 7-2? 3 Signed 7 i.

(

4 Commissions

° ;a4*

tAuthenzed Inetorl KN&OC M. 1Inal. endoreamonisl staes at Sav. ane nol!

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6/1712004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-032, MWO No. 1200203958 (address)

(P.O. no.. job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of Systemn System Number 064 System Name:

Reactor Coolant System 5.(a)Applicable Construction Code and Class:

ASME B&PV Code Sect. 1I1, 1983 Edition, Sum. 1983 Add; Class I (b) Applicable Sect XM Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

RCP Seal Sulzer Blngham SN: 1C869 NB 1294

  1. 12A Reactor Coolant Pump 1988 Repaired/Repi Yes Inc.

Mechanical Seal aced Seal BGE CCNPP Shops 1200202602 SN:

NB 1290 Seal, Cartridge Assembly (RCP) 2003 Replacement Yes IC870 875B-3V Complete Sulzer Blngham per FCR 87-0074

7. Description of Work:

This plan was for the replacement of the mechanical seal on #12A Reactor Coolant Pump.

8. Tests Conducted:

Hydrostatic:E Pneumatics Nominal Operating Pressure: -

Inservice: E Leakage: 0 Functional:E Pressure:

2260 psi.

Test Temperature:

532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 3 X FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Leakage Test of the affected component was oerformed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Repalr/Replacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

Charles H. Ballard Engineering Technician

_Date:

6/17/2004 Owner or orwerss ignee, T ite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 6' -A' 3 to 6-/1 69y

,andstatetothebestofmy knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

OHAJ 4J*Zl Pg z-f Comnissions:

A16\\ 9A-3), 1t9 11/7/, FhJ N a t io7 7

Bo a St ate and E ndI National Board, State, and Endorsemnents D

Inspector's Signature Date: _

_I 200 Y

T

-d FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:

611512004 Sheet I of 2

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-008, MWO No. 1200203966 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

One

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. 111, 1968 EditIon, Win. 1968 Add; Class A, Cases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification ASME

Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)

Valve Dresser Industrial Valve Co.

Nozzle Dresser Industries Inc.

Relief Valve Dresser Industries Inc.

Disc Dresser IndustrIes Inc.

SN: BM-07952 86592-GX SN:

AAB60 404679 SN: BM-07948 95597-GX SN:

ACM73 N/A Unit One Pressurizer Safety Relief Valve N/A Nozzle, Maxiflow Relief Valve, 2 1/2 In., Model 31739A, Dresser P/N 4231701N, ASME SA-182 Gr.

F347 N/A Valve, Consolidated Closed Bonnet Maxiflow Safety; 2-1/2 In.

Model 31739A, only for RV 201 location.

1977 Repaired/Rep]

aced 1987 Replacement 2002 Replacement Yes Yes Yes Yes N/A DIsc, Maxinlow ReliefValve,2 1/2 1995 In., Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688 Replacement

7. Description of Work:

This plan was for the replacement of Unit-1 Pressurizer Safety Valve, 1-RV-201.

8. Tests Conducted:

Hydrostatic:[

PneumaticO Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: O Leakage:R Functional: E Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Q.Crfinn YX Prga:hfrui' NIF fl Pgn.,;rnmmnta A Section Xi System Leakage Test of the affected CO Donent tJvtIflu I

I P I

-I%-

-v4-I

-av II,-J.

was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Repair/Replacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Z" " /

n'1. /

Signed:

Charles H. Ballard Engineering Technician Date:

6/15/2004 Owner or Owner's Designee, Tie T 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

//-f 2)- 0 3 to 6 -/0 -0 4

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

iDOA)41-0, A.

j.nM fitZ,Yi2i.

ZYOH-A10f-2-IS pL'YZ-ff Commissions: AJ157953 1AfO/17/, 4Ad//

Inspector's Signature Date:

7 -/6 200 1 NJ ationa Boad a0 / a nd S

National Board, State, and Endorsements

Alexandria. Louisiana USA FORM N-2 OR NPr CERTIFICATE HOLDERS' DATA REPORT FOR IDOENMCAL NUCLEAR PARTS AND APPURIENANCES-As Required by the Provisions of the ASME Code,Section III, Div. 1 Not to Exceed One Day's Production Page l of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations

1. Manufactured and certified by Intersection Hwy. 167 & 3225 North, Alexandria, LA 71309-1430 (Name and Address of Certificate Holder)
2. Manufactured for Baltimore Gas & Electric P. 0. Box 1635 Baltimore, MD 21203-1535 (Name and A"dres of Purchaser)
3. Location of Installation Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 4.

5.

6.

7.

(Name and Address)

Type OS417 SB637 Inconel X750 NIA NIA (Drawing NoJ (Mat'l. Spec. NoJ frensile Strength)

(CRNM ASME Code, Section III:

1968 Winter 1968 A Article 9 (Edition)

(Addenda)

(Class)

Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revislor Remarks:

N/A No.)

1995 (Year Built)

NIA ICode Case No.)

I N/A Date N/A 8.

9.

Nom. thickness (in.)

NIA Min. design thickness lin.)_NLfADia. ID (ft.&in.)NIA_.Length overall (ft.&in.)l N/A When anolicable. Certificate Holders' data renorts are attached for each item of this report.

t Part or Appurtenance National Board No.

Serial Number In Numerical Order tll Af-7M 71 I)

ACM 79 t12 A MtP 72 141 ALM 74 IA)1 AM 7R_

IR) fill 119)

(IMs 11 7

__}

II Mdi}

Par or Appurtenance National Board No.

Sorial Number In Numerical Order 19A7 19pi th90 I'M

{ 12fl

  1. 191,0 till f4Q1 12411 fI2~

127)

'IA)

( 4 9 1_

  • 4 4 1 14 S ;)

I4415 _

I 47 l'~

1 O.Deslgn Pressure N/A psi Temp. N/A

'F Hydro test pressure 4500 at temp. 'F

  • Supplemental information in form of lists, sketches or drawings may be used provided, 41) size Is 8X xI 1, (2) information in items 2 & 3 on this data report is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.

r---_

CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.

NIA Reg. no.

NIA (when applicable)

Design report' certified by NIA P.E.

N/A Reg. no.

N/ilA CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section Ill.

NPT Certificate of Authorization No.

N-2434

. Expires Mau 20. 1995 Date 4/2 Lqs Name See Line 1 Signed (NPT Certificat. Holder)

(authorized repros CERTIFICATE OF SHOP COMPLIANCE

1. the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler lnpect n_ Insurance Co.,

of Hartford, CT, have Inspected these items described in this data report on ________S

. and state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section Ill. Each part listed has been authorized for stamping on the date shown above.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.

Date Signed

,M I

Commissions (At hoidzed Inspectorl INalt. 8d. Onol. endorsements) state or prov. andno.)

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-008a, MWO No. 1200203966 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 SystemName:

Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Piping System Bechtel 2 1/2"CC-10-1008 N/A

  1. 11 Pressurizer Piping to Safety 1975 Repalred/Repl No Relief Valve 1-RV-201 aced Nut Mackson Inc.

409779 Heat Code:

NIA Nut, Heavy Hex, 11/8 In. X 8 TPI, 2003 Replacement No AGM ASME SA-194 Cr. 7 Rod Nova Machine 38612 Heat Code:

N/A Rod, Allthread, 1 1/8 In. X 8 TPI, 1999 Replacement No Products Corp.

MWX ASME SA-193 Gr. B7

7. Description of Work:

This plan was for the replacement of pressure retaining fastener materials to assist in the replacement of Unit-I Pressurizer Safety Valve, 1-RV-201.

8. Tests Conducted:

Hydrostatic:E PneumaticO Nominal Operating Pressure:

Inservice: E Leakage: fl Functional: fl Pressure:

NIA psi.

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI VT-I Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Relacerment conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A A~<(2 5 ~1I.&/LjCharles H.

Ballard Signed:

Engineering Technician Date:

6/15/2004 Owner or Owner's Designee, Tite 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Report during the period /.2 -

O' to 56 -/°09

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

()Q~s A X SHA4-P//$

F. A/.

t o

HU Commissions:

JI3 V 8q

/5 0

/7t A e//

Al /S / X779' A1,0 /X /

National Board, State, and Endorsements Date:

200

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/1512004 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)

Calvert Cliffs Nuclear Power Plant (name)

2. Plant:

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-057, MWO No. 1200204093 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

1650 Calvert Cliffs Parkway, Lusby, MD 20657 One (address)

4. Identification of System.

System Number 064 SystemName:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. III, 1968 Edition, Win. 1968 Add; Class A, CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Dresser Industries BM-07951 N/A Unit H1 Pressurizer Electromatic Power Operated Safety Valve 1996 Repaired/Repi aced No Electromatic Relief Valve Dresser Industries 402603 SN: BS-Inc.

07325 NIA Valve, Pressurizer ERV, 2 1/2 In.

2001 Replacement 2500 lb., Consolidated Electromatic, P/N: 31533VX-30 XFF1-NC2005 No

7. Description of Work:

This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.

8. Tests Conducted:

Hydrostatic:]

Pneumatic{]

Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: 17 Leakage: i Functional: E]

Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

/

Engineering Technician Date:

6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 8-a 1-3 to 6 -//-a

. and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection DOt4a-A.31,f li4 v ql.o AceJ AiO2rZ-Ifi PbLYZ 7,S-7-C-A4q--

Commissions:

4AC 9 0'3 /, AfD//7/

4.A///

,J

,Nl775 Ai l

oaSt S

Imnecor'sSi~ntureNational Board, State, and Endorsements Date:

A -

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Date:

6/1512004 Sheet 1 of 2

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One R&R No. 2003-1-057a, MWO No. 1200204093 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no.,job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One

4. Identification of System:

SystemNumber 064 SystemName: - Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Componet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 2 1I2"CC-10-1004 N/A

  1. 11 Pressurizer Piping to 1-ERV-404 1975 Repaired/Repi aced No Nut Nova Machine Products Corp.

Rod Nova Machine Products Corp.

38612 Heat Code:

MVJ 38612 Heat Code:

MWX N/A Nut, Heavy Hex, 1 1/ In. X 8 TPI, 1999 ASME SA-194 Gr. 7 N/A Rod, Allthread, 1 1/8 In. X 8 TPI, 1999 ASME SA-193 Gr. B7 Replacement Replacement No No

7. Description of Work:

This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-404.

8. Tests Conducted:

Hydrostatic:E]

PneumaticO Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: E Leakage: [

Functional: E Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI VT-1 Visual Examination of the replacement threaded fasteners was Performed to satisfy Section Xl Pre-Service NDE Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Reolacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/15/2004 Owner or Owneres Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9-aS -

__ to 6 //-OY

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

4M-4Z/S Commissions:

Ai13 913/

, A1f) 1274,.P`/

-=

tn nIS A77oa A

n Edrmn Ins~ctoss sznaureNational Board, State, and Endorsements Date:

(a -0 /

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:

6118/2004 Sheet I of 2 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant De (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (addirss)

Unit:

One R&R No. 2003-1-058, MWO No. 1200204377 (P.O. no., job no., etc.)

,pt.

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. 1I1,1968 Edition, Win.1968 Add; Class A,

-CCases 1581, N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers National Serial Number

- Board No.

Other Identification Valve Dresser Industries BM.07950 N/A Unit #1 Pressurizer Electromatic Power Operated Safety Valve 1975 Repalred/Repl aced No Electromatic Wyle Laboratories 412522 SN: BY-Relief Valve 77325 N/A Valve, Pressurizer ERV, 21/2 In.

2004 Replacement 2500 lb., Consolidated Electromatic, PIN: 31533VX-30 XFFI-NC200S No

7. Description of Work:

This plan was for the replacement of Unit-1 Pressurizer Power Operated Relief Valve 1-ERV-402.

8. Tests Conducted:

Hydrostatic:n PneumaticO Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: n Leakage: i Functional: E Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xi Pre-Service NDE Requirements.

A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renair/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

G Engineering Technician Date:

6/18/2004 Owner or owneis Designee, Trile 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

? -a / - 0 3 to 6 /-C* O9

.and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XM.

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

DWJ4--

'1.SH1 Sad" r F0tZ H12 MA10VJ^- 6Co7S Commissions: /

9/i 13 (of!) //63 6e Siatur Nional Bard, Ste a m1 aInspector's Signature National Board, State, and Endorsements Date:

( - -L-

-- 2O-

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl.

Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:

611812004 Sheet I of 2 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name)

Unit:

One R&R No. 2003-1-058a, MWO No. 1200204377 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no.. job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One

4. Identification of System:

SystemNumber 064 SystemName:

Reactor Coolant System 5.(a) Applicable ConstructionCode and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Conponet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 2 1/2"CC-10-1003 N/A

  1. 11 Pressurizer Piping to 1-ERV-1975 402 Nut Rod Nova Machine Products Corp.

Nova Machine Products Corp.

38612 Heat Code:

MVJ 38612 Heat Code:

MWX N/A Nut, Heavy Hex, 1 1/8 In. X 8 TPI, 1999 ASME SA-194 Gr. 7 N/A Rod, AlIthread, 1 1/S In. X 8 TPI, 1999 ASME SA-193 Gr. B7 Repaired/Repl aced Replacement Replacement No No No

7. Description of Work.

This plan was for the replacement of fastener materials to support the replacement of the Unit-1 Pressurizer Power Operated Relief Valve 1 -ERV-402.

8. Tests Conducted:

Hydrostatic:E Pneumaticj Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: E Leakage: El Functional: [

Test Temperature:

N/A Deg. F NOTE Siujppemeiinl sheetsm nform of lists, sketches, or drawings may be used, provided[(l1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/18/2004 Owner or nwrer' es~lignee,ritle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period Y/ -2 kO091 to 6 -/ ov /

and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

DoMJ/f-L-A q.

7

- S 4'//V F

, C IV -ZIVIAJ C6

-S Pht -

82L Commissions: A113 7

/.

I/S A ) /4 65 Insnector's Signature National Board, State, and Endorsements Date:

=L --

200O4r

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-052, MWO No. 1200204580 (address)

(P.O. no., job no., etc.)

3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of Systemn System Number 064 SystemName:

Reactor Coolant System 5.(a)Applicable ConstructionCode and Class:

ASME B&PV Code Sect. Ill, 1968 Edition, Winter 1968 Add; Class A, CCases N-2, N-10.

(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 EditIon

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oz Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Valve Dresser Industrial SN: BN-04373 N/A Unit One Pressurizer Safety 1977 Repalred/Repi Yes Valve Co.

Relief Valve aced Nozzle Dresser Industries 15988-GX SN: ACS N/A Nozzle, Maxflfow Relief Valve, 2 1996 Replacement Yes Inc.

96 1/2 In, Model 31739A, Dresser F/N 423170 IN, ASME SA-182 Gr.

F347 Relief Valve Dresser Industries 404679 SN: BM-N/A Valve, Consolidated Closed 2002 Replacement Yes Inc.

07953 Bonnet Maxiflow Safety; 2-112 In.

Model 31739A, only for RV 200 location.

Disc Dresser Industries 95597-GX SN: ACM N/A DIsc, Maxinfow Relief Valve, 2 1/2 1995 Replacement Yes Inc.

76 In, Model 31739A, Dresser P/N 1840404N, ASME SB-637 Gr. 688

7. Description of Work:

This plan was for the replacement of Unit-I Pressurizer Safety Valve, 1-RV-200.

8. Tests Conducted:

Hydrostatic:n Pneumatico Nominal Operating Pressure:

Inservicc E Leakage:E.

Functional:[]

Pressure:

2250 psi.

Test Temperature:

594 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

A Section Xl System Leakaae Test of the affected component was Performed duino the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Renalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: NIA Expiration Date: N/A iD

//

Charles H. Ballard Signed:

A, e

nEngineering Technician Date:

11/17/2003 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

7 Commissions: coa'x 4bg-:7 -'4) I f7D I Z /

Inspector's Signature National Board, State, and Endorsements Date:

.g

/

20 -o

inutra ValvesI Alexandria, Louisiana USA FORM N-2 OR NPT CERliFICATE HOLDERS' DATA' REPORT FOR IDEBIiCAL NUCLEAR PARTS AND APPUIRTENANCESX As Required by the Provisions of the ASME Code,Section III, DIv. 1 Not to Exceed One Day's Production Page 1 of 1 Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations

1. Manufactured and certified by Intersection Hwv. 167 & 3225 Nbrth. Alexandria. LA 71309-1430 IName and Address of Certificate Holder)
2. Manufactured for Baltimore Gas & Electric P. 0. Box 1535 Baltimore, MD 21203-1E35 (Name and Address of Purchaser)
3. Location of Installation Baltimore Gas & Electric 1650 Caiverts Cliffs Parkway lusby, MD 206574702 (Name end Addreasl
4. Type OS417

- SA182 Gr. F347 76 KSI N/A 1996 (Drawing No.)

(Mat'l. Spec. No.1 (Tensile Strength)

(CRN)

(Year Built)

5. ASME Code,Section III Division 1:1968 Wrnter 1968 Article 9 (Cl. 11 NIA (Edition)

(Addenda)

(Class)

Code Case Noj

6. Fabricated In accordance with Const. Spec. (Div. 2 only) N/A Revision iN/A Date NiA

-l--J,_.ttSA(No.)

/.

11emarKs:

rI/P.

8. Norn. thickness tin.)

NIA MiUn. design thickness finj) N/A Dia. ID (ft.&in.L!N/ALength overall (ft.&In.)liNA S. When applicable, Certificate Holders' data reports are attached for each item of this report.

Part or Appurtenance National Board No.

Serial Number In Numerical Order 171 1191I (I A f117 MIt fo l r)_

Part or Appurtenance National Bloard No.

serial Number In Numerical Order 12 A) 5271 12R)

( 1 7 1 14 M )_

41 2 1 )_

(4 12 2 1 1 7 1 1 4 0 )

10.Design Pressure N/A psi Temp. N/A

  • F Hydro test pressure 4500 PSIG at temp. 'F

'Supplemental Information In form of lists, sketches or drawings may be used provided, 1 I size is 8 1K x 11, (2) Information In items 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANIL

CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.

NIA Rag. no.

N/A (when applicablo)

Design reports certified by N!/A P.E.

N/A Reg. no.

Wj A

CERTIFICATE. OF COMPLIANCE We certify that the statements made In this report are correct and that this (these)

Nozzles conform to the rules of construction of the ASME Code, Section il Division 1.

NPT Certificate of Authorization No.

N-2434 Expires May 20, 1998 Date l/

/9?

Name See Line 1 Signed /

?

(NPT Certificata Holder)

(authodzad representalva)

CERTIFICATE OF INSPECTION l, the undersigned, holding a valid commission by the National Board of Boiler and Pressure Vessel Inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler ingspctlon & Insurance Co.,

of Hartford, CT, have inspected these Items described In this data report on

  • /Kf

. and state that to the best of my knowledge and believe, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code, Section liI Division 1. Each part listed has been authorized for stamping on the date shown above.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Impfled concerning the equipment described In this data report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or loss of any kind arising from or connected with this Inspection.

Date Signed Commissions (Authorized rispector)

MNat'l. Bd. (in. endorsement) astate or prov. and no.1

.A, r

A a

eadria LuwaI A Alexandria, Laulstana USA FORM N-2 OR NPT CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES" As Required by the Provisions of the ASME Code,Section III, Div. 1 Not to Exceed One Day's Production Page I of I Dresser Industries, Inc., Dresser Valve & Controls Div. Industrial Valve Operations

1. Manufactured and certified by Intersection Hwy. 167 & 3225 North, Alexandria. LA 71309-1430 (Name end Address of Certificate Holder)
2. Manufactured for Baltimore Gas & Electric P. 0. Box 1635 Baltimore, MD 21203-1535 (Name and Address of Purchaser)
3. Location of Installation Baltimore Gas & Electric 1650 Calverts Cliffs Parkway Lusby, MD 20657 (Name and Address)
4. Type OS417 S5637 Inconel X750 NtA NJA 1995 (Drawing No.)

IMat1. Spec. No.)

(Tensile Strength)

(CRN)

(Yeer Bunt)

5. ASME Code, Section ill:

1968 Winter 1968 A Article 9 NJA lEdition)

(Addenda)

(Class)

ICodo Case No.)

6. Fabricated In accordance with Const. Spec. (Div. 2 only)

N/A Revision NIA Date N/A Pa-

-.a(NoJ)

7. remarnas:

_ NM

8. Nom. thickness tin.)

NIA Min. design thickness (in.) N/A Dla. ID (ft.&in.). NIALength overall (ft.&in.) NlA

9. When applicable, Certificate Holders' data reports are attached for each Item of this report.

Part or Appurtenance National Board No.

Serial Number In Numerical Order III A4IM 71 MI} ArM7s 141 AthM 74 cm AeM 75 m7, (t9m

'in' El7 1141_

~

'_________*______I__

..7 Ev41 E,%l Part or Appurtenance National Board No.

Serial Number In Numerical Order Mul tam

'in},

t461

{141 1341 (IRM 1491 W41 1441 1468 M 5}

t4rm

!'47 ---

--I

.. ;U...

10.Design Pressure N/A psi Temp. N/A

  • F Hydro test pressure 4500 at temp. 'F

'Supplemental Information in form of lists, sketches or drawings may be used provided, (1) size is 8 Y x 1 1, (2) information In Items 2 & 3 on this data report Is Included on each sheet, (3) sheet Is numbered and number of sheets Is recorded at top of this form, and (4) each additional sheet shall be signed by the Certificate Holder and the ANI.

I CERTIFICATE OF DESIGN Design specifications certified by N/A P.E.

NIA Reg. no.

NLA (when appUcabla)

Design report' certified by NIA P.E.

N/A Rag. no.

N/A CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that these disc conform to the rules of construction of the ASME Code, Section IlIl.

NPT Certificate of Authorization No.

N-2434 Expires May 20. 1995 Date,/27LiL Name See line 1 Signed

'(NT Certificate Holdars (authorized rop.en CERTIFiCATE OF SHOP COMPLIANCE I, the undersigned, holding a valid commission by the National Board of BoIler and Pressure Vessel inspector and the state or province of Louisiana and employed by The Hartford Steam Boiler InoectonA Insurance Co.,

of Hartford, CT, have Inspected these Items described In this data report on

//'o

/IS

  • . and state that to the best of my knowledge and believe, the Certificate Holder has fabticated these parts or appurtenances in accordance with the ASME Code, Section lil. Each part listed has been authorized for stamping on the date shown above.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or Implied concerning the equipment described In this data report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.

Date Signed d

,I?

Commissions ro.

/

AuthoIzed In-speotori (Nat'!. Bd. ((nol. endors amants) state or prov. and no.)

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

11/17/2003 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2002-1-062, MWO No. 1200204580 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

6. Identification of Components Repaired or Replaced and Replacement Components:
Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Piping System Bechtel 2 1/2"CC-10-1007 N/A Pressurizer Piping to Safety 1975 Repaired/Rept No Relief Valve 1-RV-200 aced Nut Cardinal Industrial S7533-GX N/A Nut, Heavy Hex, I 1/8 In. X I TPI, 1992 Replacement No Products Inc.

ASME SA-194 Gr. 7 Rod Allied Nut & Bolt 18438 N/A Rod, Allthread, I 1/8 In. X 8 TPI, 1998 Replacement No Co. Inc.

ASME SA-193 Gr. B7

7. Description of Work:

This plan was for the replacement of pressure retaining fastener materials on 1-RV-200 on the Inlet flange to the piping system 1#CCIO-1007.

8. Tests Conducted:

Hydrostatic:E PneumaticO Nominal Operating Pressure:

rIservice:E Leakage:f Functional:'El Pressure:

N/A psi.

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReplacement conforms to the rules of the ASME Code,Section XI.

Type Code Syrnbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

NIA

/1e I/Charles H. Ballard Signed:

EngineeringTechnician Date:

11/17/2003 Owner or ees Designee, Title Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period to

, and state to the best of my knowledge and belief; the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X1.

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

Commissions: A~ ZY/3/

V,7#4 -

A4 /Z7(

/

Insnectoes Sigmature National Board, State, and Endorsements Date: /--

/200_

3

FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section XI Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner

, (name)

Date:

01124/2003 Sheet I of a.

1650 Calvert Cliffs Parkway; Lusby, MD 20657 (addmss)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One R&R No. 2002-1.060, MWO No. 1200204888 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

3 WorkPefomedby:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (nWokamre) y.Authorization No.: NIA Exp Date:

A Section XI Class:

1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

One

4. Identification of System:

System Number 064 SystemName:

Reactor Coolant System

5. (a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Summer 1971 Add; Class One (b) Applicable Sect M Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, ol Stanmed Built Replacemere (YMs or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Tubing System Bechtel I

Tubing Consolidated Power Supply Tubing Nut bid Atlantic Instrumentatlon Inc Tubing Ferrule Mid Atlantic Instrumentation Inc Tubing Union Parker Hannifin Corp NIA 20439 Ht. 0442042 18402-GX Beat Code: TIH 18402-OX Beat Code: CEKU --

77567-GX Heat Code: CBTD NIA

  1. 11 Pressurizer Instrumentation N/A Tubing, 1m2 In. X.065 Wall, ASME BA213, Tp. 316 N/A Nut, Tabe, 1/2 In. Parker Hanuifln, P/N 8BZ4;S, ASTMIASME A/SA182 or A/SA479, Tp. 316 N/A Ferrule, Tube, 1m2 In. Parker Hanailln, PIN 8TZ-SS, ASTMJASME A/SA182 or A/SA479, Tp. 316 NIA Union, Tube, 3/4 In. X In2 "n4arker Hannlfin, PIN 12TZ-SS,ASTMWASME A/SAIU2 or AISA479, Tp. 316 1970 RepalrWRepl aced 1998

.Replacement 7

1997 Replacement 1997 Replacement 1 992 Rep latc emen t No No No No No

7. Description of Work:

I This plan was for the work and parts needed to replace tubing and fittings upstream of 1-HVRC-1180, a drain valve for instrument I-LT-1 1OX.

8. Tests Conducted:

Hydrostatic:fl PneumaticQ Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice:C Leakagc: C Functional: Q Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-ll2 in. x I I 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.

Sheetaof g.

FORM NIS-2 (Back)

9. Remarks:

No Section Xl Pre-Serfice NDE was performed in support of this activity.

Applicable Manufactuer's Data Reports to be Attached Certificate of Complance

_______cfn__

We certifyrthat the statements made in this report are correct and thatthis Roileaemrtc~onronnto the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A CertificateofAuthorizationNo.: N/A ExpirationDate:

N/A

°/ (7 0 o4D

/

Charles IL Ballard Signed:

Engineering Technician Date:

01/24/2003 OwnerorOwneesDesigneeitle 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 of Maryland and employed by Factory Mutual Insurance Co. of Johnston, RI have inspected the components described inthis Owners Report during the period

//- /O 2

to 2-2/-

O3

.and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report Furtiermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or pmperty damage of a loss of any kind arising from or connected vt~ipc Commissions:

A14 7/7 Z-9P4-

,x/5 k l wr$Signature Nadonal Board, State, and Endorsements Date:

Z/-

200 &L

' -1 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6/1512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022a, MWO No. 1200205233 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable ConstructionCode and Class:

ASME Draft Code for Pumps & Valves,1968 Editlon, March 1970 Add; Class-2 (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition

6. Identification of Components Repaired or Replaced and Replacement Conponents:

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, o0 Stamped Componet Manufacturer Serial Number Board No.

- Identification Built Replacemen (Yes or No)

Valve Velan Engineering I-CKVCVC-165 N/A

  1. llCbargIng Pump Discharge 1975 Repalred/Repl Yes Co.

Check Valve aced Check Valve Enertech Inc.

408934 SN: 11273 N/A Valve, Nozzle Check, 2 In., 1500 2002 Replacement Yes lb., Large Groove connections, Enertech, Tp. KRV (Mark #

212M3N)

7. Description of Work:

Thus plan was for the replacement of 1-CKVCVC-165, #1 ICharging Pump Discharge Check Valve.

8. Tests Conducted:

Hydrostatic:]

Pneumatic:

Nominal Operating Pressure:

Inservice: O Leakage: F Functional:

Pressure:

2400 psi.

Test Temperature:

115 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakage Test of the affected component was performed durina the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/15/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7-aY

~

-03 to G -mO Y

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

,TVJ A)1Z4 ZIS PEEL 7-F*FS Commissions: /V 15 I

. A) II/A7/

A. //

-Anr4 NIoal Bo ard,

/w

//Srse

.TIn~ectoi't 1.ionature National Board, State, and Endorsements Date:

44 -,IG60

FORM NPV-I CERTIFICATE fOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the Provisions of the ASME Code.Section III, Division I

1. Manufactured and certified by Enertech, A Div. of CurUss-Wright Flow Cbntrol Corp., 2950 Blirh St., Brea, CA 92821 (name and address of N Certificate Holder)
2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
3. Location ot instalation Calvert Cliffs nuclear Power Plant; 1650 Calvert Clffs Parkway,-Lusby, MD 20657 (n~ame and address)
4. Model No., Series No., or Type KRV Drawing MD20990 Rev A

CaRN None

6. ASME Code, Section rtl Division 1:

1995 ba dt 1

None (edition) laddenda data)

(class) lCode Case no.)

6. Pump or valve Nozzle Check Valve Nominal Inlet slze-2 Outlet size 2

7nd oin.)

7. Material:

Body SA-479 Type 31 6 66e N/A________________

(a)

Cert.

Holder's Serial No.

1 1256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273 lb)

Nat'l Board No.

None.

None None None None None None None None None None None None None None None None None IC)

Body Serial No.

KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-015 KNG-016 KNG-017 KNG-018 (d)

Bonnet Serial No.

None None None None None None None None None None None None None None None None None None (el Disx Serial No.

KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH.009 KNH-010 KNH-01 1 KNH-012 KNH-013 KNH-014 KNH-015 KNH-016 KNH-017 KNH-018

  • Supplemental kIformasion In form of lists, sketches. br drawings may be used provided II) size is81 x 11, (2) hinformetion iM Items 1 through 4 on this Data Report Is Included on each sheet (31 each sheet is numbered end the number ot sheets Is recorded at the top of this forn.

112188)

This form (E00037) may be obtained from the Order Dept.. ASME, 22 Law Drive. Box 2300. Fairfield. NJ 07007-2300.

&9PRINT M3

I AM NPV-1 (Back -

Pg. 2 of 2..)

..11256 thru Certificate Holder's Serial No.

11273

8. Design conditions 2800 psi 250 e or valve pressure 1500 11

__ps___ralvpesur class

()

(pressure)

(temperaturel

9. Cold working pressure 3600 psi at I 0°F
10. Hydrostatic test 5400 psi. Disk differential test pressure N/A psi
11. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by JohnR.Sponsel, I P.E. State MD Rag.

17308 DesignReport certifiedby Ira J, Silverman p.A. State C

eg. no.

23241 CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this pump or valve conforms to the rules for construction of the ASME Cods, Section ill, Division 1.

ao i'i-Z1!5.

is __a____

As NPLertrincae 01 Autnorizalon No.

Date _____

_0__3 Expato 1

d s1 1/Ut Signed a

(authoriecd represuntatva)

Nsame Enertd Oiv. d CuLs.Wrd Fow Convol Corp.

IN Certificate Holder)

CERTIFICATE OF INSPECTION 1, the undersigned. holding a valid commission issued by the Nationsl Board of Boler and Pressure Vessel Inspectors and the State or Province of Califoia and employed byHSBCT of Connecticut have inspected the pump, or valve, described in this Data Report on

/i /

, and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.

By signing this certificate, neither the Inspector nor Nis employer makes any warranty, expressed or Implied, concerning the component described in this Data Report; Furthermore, neither the Inspector not his employer shall be liable ln any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

Date -

£6'0S Signed

4.

Com rnmisaions eav1go ;

04 %

A/

(Authorized Inspector)

INafl. Bd. lncl. endorsements) and state or prov. and no.]

(I) For manually operated valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner.

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/1512004 Sheet I of 2-.

1650 Calvert Cliffs Parkway; Lusby, MD 20657

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022b, MWO No. 1200205233 (address)

3. WorkPerformedby-Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: NIA Authorization No.: N/A Exp Date: N/A Section Xl Class:

Two 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME Repaired,.

Code Year Replaced. oI Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 2" CC-7-1001 N/A

  1. 11 Charging Pump Discharge Piping Pipe Insert Reducer Tee Nut Ailthread Rod DuBose National Energy Services Inc.

DuBose National Energy Services Inc.'

DuBose National Energy Services Inc.

Mackson Inc.

Mackson Inc.

400298 Ht#: 8324H 54906-GX Heat Code: DVE 54906-GX Heat Code: BV 400066 Heat Code:

JIX 410155 t#: S20751 409374 Ht. Code:

BEZ N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 NIA Reducer, Insert, 2 In. X 3/4 In.,

6000 lb, Socketweld, ASME SA-182, Gr. F316 N/A Tee, 2 In, 6000 lb., Socket Weld, ASME SA-IS2, Gr. F316 N/A Nut, Heavy Rex, 7/1 In. X 9 TPI, ASME SA-194 Gr. 2H NIA Rod, Allthread, 7/8 In. X9 TPI, ASME SA-193 Gr. B7 N/A Flange, 2 In., 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 1975 Repalred/Repi aced 2000 Replacement 1992 Replacement 1992 Replacement 2000 Replacement 2003 Replacement 2003 Replacement No No No No No No No Flange DuBose National Energy Services Inc.

7. Description of Work:

This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-165 and IHVCVC-166, #11 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.

8. Tests Conducted:

Hydrostatic:[]

Pneumatico Pressure:

2400 psi.

Nominal Operating Pressure:

Inservice: 6 Leakage: l Functional: El Test Temperature:

1 1 5 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is

SheetQof 2-FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Inservice Test of the affected component was Perforrned during the system

,nneditnnc lichmte in comi-inn 8. nf this nannrt CodefCaseQ~ Nt11-2l-wasQ invotkned tam 3isfv Sat~ion Yl we.

~

v.

vex U s,

v<

ou Eut

-v-~

e..

,- t..

1v -.-

s v

-,9.-v I I.

reauired Dressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N-416-2 and Re-q.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A ReoalrlReolacement Charles H. Ballard Engineering Technician Signed:

Date:

6/15/2004 Owner or Ownei's D~sijiiee Title '

I Certificate of Inservice Inspection I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod 7-OY-o3 to 6-/0O1

. and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section M.

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

bosIhJ AJO.-2USd Pt

-7Em -I-<

Inspecto's Signature Date:

6 -/6 200-Y Commissions:

AJ813 9t;

, /

D i/;7/, A4IV National Board, State, and Endorsements

. i v -

-'4 FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date 611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-022c, MWO No. 1200205233 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of Systern SystemNumber 041 SystemName:

Chemical Volume Control

5. (a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, ot Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Valve Velan Engineering 1-HVCVC-166 N/A

  1. 11 Charging Pump Discharge 1975 Repaired/Repi Yes Co.

IsolatIon Valve aced Gate Valve Framatome ANP 400425 SN: 001028-1 N/A Valve, Gate, 2 In. 1690 lb.; ASME 2001 Replacement Yes Inc.

SA-132 Gr. F316

7. Description of Work:

This plan was for the replacement of 1-HVCVC-166, #11 Charging Pump Discharge Isolation Valve.

8. Tests Conducted:

Hydrostatic:[]

PneumaticCl Nominal Operating Pressure:

Inservice: El Leakage: W Functional: 1 Pressure:

2400 psi.

Test Temperature:

115 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 I 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.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl Svstem Leakaae Test of the affected component was performed during the system cnnditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfy Section XI reauired pressure tests. Addtional Section III Examinations were Derformed (as applicable) to satisfy Code Case N416-2 and Reci.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamnp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A RepalrlReplacement Signed:

A4740 xYi' Charles H. Ballard Engineering Technician Date:

6/15/2004 Owner or Own sibnee, Titedi 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 7 -A -o 3 to C -/p ' -

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures descnbed in this Owner's Report in accordance with the requirements of the ASME Code, Section Xa.

By signing this certificate neither the Inspector nor his employer makes any warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's ReporL Furthermore, neither the Inspector nor his -

employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

ach4-e A. stH4-P/1124 r/azw Atiz-

D i+AJl &77-&2S _

Commuissions: flJr6 9 {5 1, Ate //'7/, A///1 Inspector's Signature Date:

6 & /6 200 N t n B 1o r-7dA

, State a E

National Board, State, and Endorsemnents

£ DATA PACKAGE NO.

001028 FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES

  • As Required by the Provisions of the ASME Code,Section II, Division 1 Pg. 1 of -. 2.
1. Manufactured and certified by VELAN iNC. 2125 WNRD AVE.MONTREAL.OUEEBC CANADA g4KlT6 (ncame and address of N Certillcate Holder)
2. Wanufactured for FRAMTO1ME TECOLOGIES 3315-A OLD ZOItEST RD.LYXCHB1TRG.VA.IJSA 24501 (name and address of purchaser)
3. Location of installion

-IA (name and address)

4.

Model No.,

Series No.,

or Type: GAT Drawing PI-76800-N22 Rev E

CRN_./A

5.

ASME Code,Section II, Division 1:

1989

.OQ.

I (edition)

(addenda date)

(class)

(Code Case no.)

6. Pump or valve VALVE Nominal inlet size 2._.2Outlet size 2

(In.)

-('n.)

7.

Material: Body, SA-182.F316 BonnetSA-182.7316 Disk SA-351.CP8M Bolting SA-194.8M SA-564,630H1100 (a)

Cert.

'Holder I s Serial No.

001028-1 a001028-2 001028-3 C01028-4 001028-5 OC1028-6 uu======

(b)

Nat'l Board NO.

N/A

_I (c)

Body Serial No.

. R/C:CX CAK CAX CAK CUX

=N v

(d)

Bonat Serial NO.

!c:

ZA YZA YZA FZA FZA

_i (e)

Disk Serial No.

E/C: 750 I 75G 750 75G 750 1 ?

_m

.P Supplemental Information hI form of rists, sketches, or drawings may be used provi'ded (1) slfe Is 1/2 x ll,(2) Information In Items 1 through 4on is Data Report Is Included on each sheet, (3) each shest Is numbered and the number of sheets Is recorded at the top of this form.

(12/38)

Ths form (E00037) may be obtained trom the Order Dept, ASME, 22 LAW DRIVE< BOX 2300 Fatrield. NJ 07007-2300.

.t@ ¢t w

PAGE 3

w OFsA

FORM NPV-1 (Back -

Pg. 2' 6f 2

)

Certificate [older's Serial No.

001028

8. Design conditions 4055 psi 100
  • F or valve pressure class 1690 (12)

(pressure)

(temerature)

9. Cold working pressure 4055 psi at 100F7
10. Hydrostatic test 6350 psi. Disk differential test pressure 4650 psi Remarks:

MATSERIALS MEET AS= SECTION II EDITION: 1989 ADDENDA:

NONE C:RTIF}CATI OF CONTLXANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construct'on of the ASME Code,Section III, Division 1.

N Certificate of Authorization No.

N-2797-1 3xp Date OCT I A XOI1_

Name VELAN NC.

Signed (N Certificate Holder) uhorind repr tie)

CERTIFICATZ OF 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 OUBBSC and employed by REGIZ DU BATIMENT c

a I

OUEBEC /

have inspected the pump, or valve, described in this Data Report on U*t4.O4 / lO' O, and state that to the best of my knowLedge and belief, the Certificate Holder has.onstructed *this pump, or valve, in accordance with the AS1H Code, Section I1, Division 1.

By signing this certificate, neither the inspector nor his employer makes any warrenty, expressed or implied, concerning the component described in this Data Report. Furthermor.,

neither the inspector nor his employer shall be liable in any mamaar for any personal injury or propert, damage or a loss of any kind arising from or -connected with this inspection.

NZL__

J. MARCHAND Q

871 Date signed o=1issions 0t3BEC QC #

/

~t d Inspector) 3 (Nat'L Bd (f~tciE u

D QU t

.4

(

/ 1/

stre or prov. andano.)

,,

(1) For manually operated valves only.

. arri t

.7 -..

rP~~n$

-L 4.

-SL

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASMt Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/1612004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052a, MWO No. 1200205235 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no-,job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

Two

4. Identification of System:

System Number 041 SystemName:

Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:

ASME Draft Code forPumps & Valves, 1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Engineering Co.

SN: 8370 Check Valve Enertech Inc.

408934 SN: 11271 N/A

  1. 13 Charging Pump Discharge Check Valve N/A Valve, Nozzle Check, 2 In., 1500 lb, Large Groove connections, Enertech, Tp. KRV (Mark#

212M3N) 1975 Repaired/Repi aced 2002 Replacement Yes Yes

7. Description of Work:

This plan was for the replacement of 1-CKVCVC-177, #13Charging Pump Discharge Check Valve.

8. Tests Conducted:

Hydrostatic:E Pneumatics Pressure:

2352 psi.

Nominal Operating Pressure:

Inservice: E Leakage: E Functional: 1-Test Temperature:

17 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 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.

Sheet 2f M2

.5_ h FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepairlReplacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/16/2004 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9 - AD-03 to

( -/0 - OY

. and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

>7O"J AKJI-&S Pew Commissions: A113 9&3)

/ 1//7/1 14//1 A

,7

/

at AD o

A Insoector's Signature National Board, State, and Endorsements Date:

(O '/

200 9

i.

I FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the Provisions of the ASME Code,Section III, Division I Pg. 1 of 2

1. Manufactured and certified by Enertech, A Div. of Curtiss-Wright Flow Control Corp., 2950 Birch St., Brea, CA 92821 Iname end addresi of N Cirtiflcate Holder)
2. Manufactured for Calvert Cliffs Nuclear Power Plant, PO Box 17323, Baltimore, MD 21297-1323 (name and address of Purchaser)
3. Location of InstallatLon Calvert Cliffs nuclear Power Plant; 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
4. Model No.. Series No., or Type KRV Drawing MD20990 Rev.

A CRN None

6. ASME Code, Section-iP, Division 1:

1995 1996 1

NQne iedition) laddenda date)

(class)

(Code Case no.)

6. Pump or valve Nozzle Check Valve Nominal Inlet aize 2

Outlet size 2

On.)

oin.)

7.Material:

Body SA49Tye3 6rionet N/ADisk SA-479Tye316 Bolting NA la)

Cort.

Holder's Serial No.

11256 11257 11258 11259 11260 11261 11262 11263 11264 11265 11266 11267 11268 11269 11270 11271 11272 11273 (b)

Nat'l Board No.

None None None None None None None None None None None None None None None None None None Ic)

Body Serial No.

KNG-001 KNG-002 KNG-003 KNG-004 KNG-005 KNG-006 KNG-007 KNG-008 KNG-009 KNG-010 KNG-011 KNG-012 KNG-013 KNG-014 KNG-01 5

  • KNG016 KNG-41 7 KNG-018 (d)

Bonnet Serial No.

None None None None None None None None None None None None None None None None None None (el Disk Serial No.

KNH-001 KNH-002 KNH-003 KNH-004 KNH-005 KNH-006 KNH-007 KNH-008 KNH-009 KNH-010 KNH-011 KNH-012 KNH-013 KNH-014 iKNH-015 KNH-016 KNH-017 KNH-018

  • Supplemental Information In form of Uts. sketches. br drawings may be used provided (1 size Is 8% x 11, W2 Information In Items 1 through 4 on this Data Report is Included on each sheet. 131 each sheet Is numbered and the number ot sheets Is recorded at the top of this torn.

(IV88)

This form 11200037) may be obtained from the Order Dept.. ASME. 22 Law Drive, Box 2300. Fairfield, NJ 07007.2300.

IMPRINT as

.M NPV-t 1Back-.Pg. 2 of 2

l 1 1256 thru Certificate Holder's Serial No.

11273

8. Design conditions 2800 Psi 250 F or valve pressure dass 1500 (1)

Ipressure)

Itemperaturel

9. Cold working pressure 3600 psi at 1001F
10. Hydrostatic test 5400 psi. Disk differential test prassure N/A 1 i. Remarks: Oty. 18, Enertech Job Number 29345V CERTIFICATION OF DESIGN Design Specification certified by John R. Sponsel, II P.E. State MD Reg. no.

17308 Design Report certified by Ira J. Silverman P.E. State CA Reg. no.

23241 CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code,Section III, Division 1.

N Certificate of Authorization No.

N-2826 Exp>,

10/11/05 Date a/4/3

-Name Enenled AOiv. Curss-Wrht sFbWCa orCO p.

IN Certificate Holder)

Signed I

6 A

T (authorized represuntatlvel CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of California and HSB CT the tateor Povine ofandemployed by of Connecticut have inspected the pump, or valve, described in this Data Report on l - if.

  • and state that to the best of my knowledge and belief, the Certificate Holder has con-structed this pump, or valve, In accordance with the ASME Code, Section Ill, Division 1.

By signing this certIficate, neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in this Data Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

Date 1' bt- @0Signed Ag PŽ. P W icosmissions

'A/9'2 P

(Authorized Inspector)

INati. 8d. (lncL endorsernents) and stme or prov. and no.1 (1) For manually operated valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owier:

Calvert Cliffs Nuclear Power Plant, Inc.

Date 611612004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 0-(address)

2. Pl Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052b, MWO No. 1200205235 (address)

(P.O. no., job no., etc.)

3. WorkPerformedby:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Starnp: N (name)

AuthorizationNo.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section X Class:

Two (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Editlon, Sum.1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

6. Identification of Cornponents Repaired or Replaced and Replacement Components:

Name of Cornponet Piping System Pipe Insert Reducer Tee Nut Allthread Rod Flange Coupling Pipe Strap Name of Manufacturer Bechtel DuBose National Energy Services Inc.

Energy & Process Corporation DuBose National Energy Services Inc.

Mackton Inc.

Mackson Inc.

DuBose National Energy Services Inc.

Ladish Co.

Anvil International Inc. Grlnnell Supports Manufacturers Serial Number 2" CC-7-1003 400298 Ht.#: 8324H 411138 Heat Code:

EM6S S4906-GX Heat Code: BV 408227 Ht.#: S44018 410155 Ht#: S20751 409374 Ht. Code:

EHI F-8588 Heat Code:

D6MG H 34757 Lot#: 17925 NB Bo ational Other ard No.

Identification NtA

  1. 13 Charging Pump Discharge Piping N/A Pipe, 2 In., Sch. 160, ASME SA-376, Tp. 316 N/A Reducer, Insert, 2 In. X 1 In, 6000 lb., Socketweld, ASME SA-182, Gr. F316.

N/A Tee,2 1In, 6000 lb., Socket Weld, ASME SA-182, Gr. F316 N/A Nut, Heavy Hex, 7/8 in. X 9 TPI, ASME 6A-194 Gr. 2H NIA Rod, Allthread, 7/M In. X 9 TPI, ASME SA-193 Gr. B7 NIA Flange, 2 In, 1500 lb., Large Tongue, Socketweld, ASME SA-182, Gr. F316 N/A Coupling, 2 In., 6000 lb., ASTM A-182, Gr. F316 N/A Strap, Pipe Guide, 2 In., for PG-44, BGEDRWG FSK-MP-0571SH 0005 & 6, Item #2 ASME

Repaired, Code Year Replaced, ox Stamped Built Replacemen (Yes or No) 1975 Repaired/Repl No aced 2000 Replacement No 2003 Replacement 1992 Replacement 2002 2003 2003 1973 1999 Replacement Replacement Replacement Replacement Replacement No No No No No No No
7. Description of Work:

This plan was for the work, piping, fittings, hanger supports and fasteners needed to support the replacement of 1-CKVCVC-177 and 1HVCVC-178, #13 Reactor Coolant Charging Pump discharge Check Valve and Isolation valve.

Sheet 2 of 2 FORM NiS-2 (Back)

8. TestsConducted:

Hydrostatic:O Pneumatics Nominal Operating Pressure:

Inservice:

Leakage:Eo Functional:O Pressure:

2352 psi.

Test Temperature:

1 17 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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 {his form.

9. Remarks:

A Section Xl System Leakage Test of the affected component was Performed during the system conditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfy Section Xl required Pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code, Section XM.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

.6/16/2004 Owner or awesDsgne il 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 9

-AN- 0 5 to 6 -/&) -

/

and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

-- c-rined-CStlhisi espection.

-I

.7-TL)4o-J AMILX Pe 7Z/'1 Commissions: l'S W3/,AI,9//7/ 1 A4iJ//

Insoector's Signature National Board, State, and Endorsements Date: 6 - / 7 -

200 if

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-052c, MWO No. 1200205235 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

ype Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 041 SystemName:

Chemical Volume Control

5. (a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves,1968 Edition, March 1970 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Valve Velan Engineering 1-HVCVC-178 N/A

  1. 13 Charging Pump Discharge 1975 Repalred/Repi No Co.

Isolation Valve aced Gate Valve Vendor. BWNS 70390LNP SN:

N/A Valve, Gate, 2 In. 1690 lb.; ASME 1994 Replacement Yes Nuclear 941005-1 SA-182 Gr. F316 Mfgr: Velan Engrg. Co.

7. Description of Work:

This plan was for the replacement of 1 -HVCVC-178, #13Charging Pump Discharge Isolation Valve.

& TestsConducted:-- -Hydrostatic:E]-- Pneumaticfl -NominalOperatingPressure-

-- Inservice:--Leakage:

--Functional:

Pressure:

2352 psi.

Test Temperature:

117 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I 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.

Sheet2of 2 FORM NIS-2 (Back)

9. Remarks:

A Section XI System Leakaae Test of the affected comoonent was cerformed durina the system conditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

Repair/Replacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

0 Charles H. Ballard Engineering Technician Date

6/17/2004 Owneror Owner's Designee,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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

' X;L-c3 to (V /0 - 1V7, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

Do)

AJAfi) A - S94-7'),4 iFtKL

,(l/Z sow Womits Pk' iff Inspector's Signature Date:

6_-_/_7 200-S Commissions: /JIq'3/,

,qO 1/7/ 44V//

a io77 l

/

oa0 Sae ad National Board, State, and Endorsements

  • e AR\\\\toS FORM NPVY 1CERTIFIC.

- HOLDERS' DATA REPORT FOR NUCLL.

PUMPS OR VALVES*

As Required b,

.e Provisions of the ASME Code. Sectio(

Division 1 Pg. 1 of

1. Manufactured and certified by It.&

\\

'\\Y&

NQ

\\i\\,

(name and address of N Certificate Holderl

2. Manufactured for Lvtii9& SRXN\\_O fi_

Ename and address of Purchaser)

3. Location of Installation (name-VW a ddress)
4. Model No., Series No., or Type GF,.

Drawing\\ '.

Rev.

6 CR

5. ASME Code. Section 111.

Division 1:

\\°!°.4 C

lditiont (addenda datel (class)

Coda Cse no.)

6. Pump or valve o Nominal inlet size Outlet size v
7. Materbl:

Body Bonnet Dkk Bi6XqC Bolting W

la)

(1b IC)

Id; (a)

Coet.

Nat'I Body 8onnet Disk Holders Board Serial senra 4.,i Serial Serial No.

No.

No.

No -

No.

9i\\ObSW

\\

tbW t

As-etll.%

i

\\

B~t -?

. ~ ~ ~

~

~

~

~

~

~

-V CC S:

C.S f,

41\\

  • Supplemental informraon in form of Hats. skitcas, or drawvngs may be used provided 111 ize s 8 X 1 on tis Dot Rport Is Included on each sheet. 13) each sheet Is numbered and the number ol shaots Is reco, 112188)

This form (E00037) may be obtained from the Order Dept.. ASME. 22 Law Drive

1. (21 information In items 1 through 4 8

rded at the top of this form.

B, ox 2300. Farfield. NJ 07007-2300.

[ PA E

PPF~

ORM NPV-1 (Back -

Pg. 2 of Certificate Holder's Serial No. -M M

B. Design conditions ~AQ 1&

psi aF or valve pressur, class Coeneasuraie S. Cold working pressure

- ~A psi at wo00F IO. Hydrostatic test (aii 1lso... psi.

Disk differential test pressure Wa^psi 1 1. Remarks: Anl~%

U SY\\

ai A

X.SS~

I CERTIFICATION OF DESIGN Design Specification certified by

-'& NJ.

pi.EStateDO

'e.n.MQ 1E Design Report catfe by -

S 4ak\\"%

CERTIFICATE OP COMPLIANCE We certify that the statements made in this report are correct and tht this pump at valve conforms to the rules for construction of the ASME Cods, Section Iii, Division 1.

A kpL w

N Certificate of Authorization No.

Expires Os A '

Dat amNin

\\'inCo Signed IN Cactifleate Hodder lauthoriad reprd~ntative)

CERTIFICATE OF INSPECTION I. the undersigned. holding a valid conjnission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or ifpvince of and employed by of have inspected the pump, or yaive, described in this Data Report on

-q 41-/

g, and state that to the best of my knowledge and belief, the Certificate Holder hies con-structed tWs pump, or valve, in accordance with the ASME Code, Section Ill, Division 1.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the component described In this Data Report. Furthermore, neither the inspector not his employer shall be liable in any maniner for anty personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Date 2Ž4~.Signed

/'rommissions (Qe,

/ lAuthodedzs Intolator)

Naili. 0d.111vAt. endorsewnantsl and state or praw. and no.1 (II For manually operated valves only.

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

611512004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-077, MWO No. 1200205240 (address)

(P.O. no., job no., etc.)

3. Work Performed by Calvert Cliffs Nuclear Power Plant Dept.

Tpe Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Edltion, Sum.1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Pipe Support Bechtel 2 1/2"CC-10-1003-H3 N/A

  1. 11 Pressurizer Pipe Support to 1-1975 Repalred/Repl No ERV.402 aced Spring Can Anvil International 411825 PN:

N/A Support, Constant, Anvil Figure 2004 Replacement No Inc. Grinnell 80VB014-NB SO-V, Size 14, Type B, with Travel Supports Stop, Load - 620 lbs.

7. Description of Work:

This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1003, Pressurizer Piping to Electric Relief Valve 1-ERV-402, support number H3.

8. Tests Conducted:

Hydrostatic:[

PneumaticCl Nominal Operating Pressure:

Inservice: E Leakage: M Functional:

Pressure:

N/A psi.

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi VT-3 Visual Examination of the affected component suDDort was Derformed Drior to the system being returned to service.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this ReaalrlReolacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A AD S A t,/4J Charles H.

Ballard Signed:

Engineering Technician Date:

6/15/2004 Owner or Ok~ers-Des-ignee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthis Owner's Reportduringtheperiod 39-7-a Y to 6 -3 09Y

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section MI.

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

bDo&t-A.sn4f/o;"

f 2..

o Commissions: A) 8 9 T 3 All /M 7/41 1/

se tSn Nata B79o/ tte ad os Inspector's Signature National Board, State, and Endorsemnents Date: 6 - A 2

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

611412004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657

2. Plant:

(address)

Calvert Cliffs Nuclear Power Plant (name)

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-078, MWO No. 1200205247 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X1 Class:

One 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

4. Identification of System:

SystemrNumnber 064 System Name:

Reactor Coolant System S.(a) Applicable Construction Code and Class:

ASME 631.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Comnponet Name of Manufacturer Manufacturers Serial Number National Board No.

Other Identification Pipe Support Bechtel 2 1/2"CC-10-1004-H3 N/A

  1. 11 Pressurizer Pipe Support to 1-1975 ERV-404 Repalred/Repl aced No Spring Can Anvil International Inc. Grlnnell Supports 411825 PN:

SIHCO15-NB N/A Support, Constant, Anvil Figure 2004 Replacement 81-H-SIze 15, Type C, with Trave Stop, Load - 725 lbs, No

7. Description of Work:

This plan was for the replacement of the Spring Can on pipe line 2 1/2"CC-10-1004, Pressurizer Piping to Electric Relief Valve 1-ERV-404, support number H3.

8. Tests Conducted:

Hydrostatic:[J Pneumatico Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: E Leakage: E Functional: 0 Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi VT-3 Visual Examination of the affected component supp~ort was Derformed Porior to the system being returned to service.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Repiacement conforms to the rules of the ASME Code, Section X1.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

.ignee, Tf Engineering Technician Date:

6/14/2004 Owner or Owneiresignee le Certificate of Inservice Inspection 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3 -/ 7 0 3" to 60 /, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with inspection.

Aot. az7f)1J AJ7W Z/S fA)Z 7~Z6-t

>z- /i--LOY-Commissions:

MJ

?83/.

MO //7/.

/X//

V,6l /I77cf WV //3'S National Board, State, and Endorsements Date:

4 _/,y/

4r-v.oo 0e

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

611612004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Calvert Cliffs Nuclear Power Plant (name)

2. Plant:

Unit:

One 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-023a, MWO No. 1200205332 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.:

N/A Exp Date: N/A Section XI Class:

1650 Calvert Cliffs Parkway, Lusby, MD 20657 One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class`1-(b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, Oz Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification 1975 Repaired/RepI Valve Velan Enginnering Co.

SN: 155 Gate Valve Flowserve Corporation 405820 SN: E506T-1-1 NIA Pressurizer Isolation Block Valve for I-ERV-402 NIA Valve, Gate, 2 1/2 In., 1703 lb.,

Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M 1975 Repaired/Repl aced 2002 Replacement Yes Yes

7. Description of Work:

This plan was for the replacement of 1-MOV-403, #11 Pressurizer Isolation Block Valve for 1-ERV-402.

8. Tests Conducted:

Hydrostatic:r PneumaticO Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: E Leakage: i-Functional: a Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 a.2,z 0FORM NIS-2 (Back)

9.

narks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section Xl Pre-Service NDE Requirements.

A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

A Section XI Surface Examination of the affected component was performed to satisv Section XI Pre-Service Requirements.

Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtlonal Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

4 W9 9

Engineering Technician Date:

6/16/2004 Owner or Owners Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period /2 - A to

-.;2) -o*'

, and state to the best of my knowledge and belief; the Owner has performedexammations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

D0-JA*-t0 A SNA-ib^4 1-v-L 4R1 p.

Zroj" AIDDDS,

p Amp Commissions:

1 6 9&3/

1 AD //7/ X441//

IV J5 1A77 51 Af O /,'5..

Ins~netnr's Sirntum National Board, State, and Endorsements Date: & /7 7 2000

?<,-

0, FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the.Provlslons of the ASME Code; Section Iil, Division 1 Pg. 1 of 2 j

1. Manufactured and certified by Flowserve Corporation, 701 First Steeti Williamsport, PA 17701 Iname and address of N Certificate Holder)
2. Manufactured for Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657

[name and address of Purchaser)

3. Location ot installation CCNPP, 165Q Calvert Cliffs Parkway, Lusby, MD 20657 (name and address)
4. Model No., Series No., or Type D.D. Gate Drawing W0125821 Rev.

A CRN NIA

'S. ASME Code, Section 111. Division 1:

1995 1996 I

N/A (edition)

(addenda date) cl(ssi (Code Case no.)

e. Pump or valve' Valve Nominal Inlet size 2 1/2" Outlet size 2 l1l" SA35l-CF8M SA351-CF8M Disk SA479-316 Bolt,',

Studs: SA453-660B 7.Material:

Body Bonnet Dolting (a)

Cart.

Holder's Serial No.

E506T-1-1 E506T-1-2 E506T-1-3 E506T-14 (bl Nat'l Board No.

N/A N/A

  • N/A NYA M

ic)

(d)

Body Bonnet Serial Serial No.

No.

'RI5 R21 R16 R19 R17 R20 R18 R22 Nuts: SA194-8M (e)

Disk Serial No.

6 and 19 5 and 18 7and20 8 and 21 '

.O ff Suppiemental informatIon in form of lists. sketches, or drawings may be used provided (1) aIze is 8 if, x II, (21 Information Initerns 1 through 4

'Supple montal Inforumationl In form of lists, sketches, or drawings may be used providedII size Is1 S K X 11l, 12) Informaton WIntern I through 4 on this Oata Report is Included on each sheet. (31 each shast Is numbered and the number of sheets Is recorded at the top of this form.

Ii2t8di This form (!000371 may be obtained fron the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ07007-2300.

REPRJNTSU93

FORM NPVY1 (Back -

Pg. 2 of 2..

CertificatelHoIlder'i SrialNo.

E506T1-1 thru 4 S. Design conditions 2485 psr 675 eF or valve pressure class 1703 (pressure)

(temperature)

9. Cold workingpressure 4087 psi at 100WF
10. Hydrostatic test

-61 pstL Disk differenttal test pressura 4500 psi

11. Re k: Maiterial: Bonnet Stads: (30) Trace Code E621 (2) Trace Code B719 Bonnet Nuts: (23) Trace Code TSK (9) Trace Code A288 I

CSRTIFICATION OF DESIGN Design Specification certified by John EL Spowel P.E. State MD Reg. no.

17308 Design Report certified by Ronald S. Farreff P.E. State PA Fleg. no. PE-0352 16-E CERTIFICATE OF COMPUANCE We certify that the statements made In this report are correct and that this pump or valve conforms to'the rules for construcifon of the ASME Code, Section Ili, Division 1.

N Csrtifica o ot Authortzatlon No.

N712 a

Flowserve Cotporation IN Certificate Holderl uthorized rs$senthval CERTIFICATE OF INSPECTiON I.

i the undersigned, holding a valid commission Issued by the National Board of 3oller and Pressuri Vessel Inspectors and the Statu 6MVIM of Pennsvlvania and employed by One Beacon America Insurance at Boston. Mass.

have Inspected the pump, or valve, described In this Data Report on I-/57 O0--J 3.

  • and state that to the beat of my knowledge and belief, the Certificate Holder has cont structed this pump, or valve, In accordance with the ASME Codas Section ill, Division 1.

By signind this cetficate, neither the Inspector nor his employer makes any warranty. expressed or Im 1fed con component described In this Data Report. Furthermore, neither the Inspector nor his eamployer ihal be liable in any er any personal Injury or proper a

r at Itany kind arising from or connected with this Inspection.

Date 43C Slgne

'~

mmrbasona Pennsylvania 2392 9

Cha~vrellt2t 0

INat'l. sd. fInd. endorsammntsi and stUs or prov. and no.J (11 For manually eperatid valves only..

FORM NIS-2 OWNER'S REPORT FOR REPAIR I REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xi Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

Date:

611612004 Sheet I of 2

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-023b, MWO No. 1200205332 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

One

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System

5. (a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel N/A N/A

  1. 11 Pressurizer Piping to l-MOV-1975 Repaired/Repi 403 aced No Pipe DuBose National Energy Services Inc.

Elbow Consolidated Power Supply Concentric DuBose National Reducer Energy Services Inc.

410658 Ht.#: PZ278 408690 Ht.: F8746 410658 Ht#: F8791 N/A Pipe, 2 1/2 in., Sch. 160, ASME SA-376, Tp. 316 N/A Elbow, Pipe, 2 1/2 In., 90 Deg.,

Sch.160, Long Radius, butt weld, ASME SA403, Gr. WP316 N/A Reducer, Pipe, Concentric, 4 In. X 2 1/2 in., Sch. 120 X 160, ASME SA-403, Gr. WP316 2003 Replacement 2002 Replacement No No No 2003 Replacement

7. Description of Work:

This plan was for the piping/fittings in support of the replacement of 1 -MOV-403, #11 Block Valve for 1 -ERV-402.

Pressurizer Isolation

8. Tests Conducted:

Hydrostatic:E PneumaticC Pressure:

2260 psi.

Nominal Operating Pressure:

Inservice: LI Leakage: i Functional: a]

Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakacie Test of the affected component was performed during the system conditions listed in section 8. of this report.

A Section Xl Surface Examination of the affected component was performed to satisv Section Xl Pre-Service Requirements.

A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.

Code Case N-416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RepairlReplacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/16/2004 Ownero Owneras Lk-fgnee, TitIe 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 of Maryland and employed by ABS Consulting of Houston, Tx. have-inspected the components described in this Owner's Report during the period

/.a -a -

3 to

.5-ao -o

,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

bob <<D A.Sgw/f /:,

/-f2.

R0 1)094L15 Pk

-8z-Commissions:

AJt 7 & 3

/Vd //7/ '4.V//

AosI n-XauNia oar Sate adnr

,_ Insmector's Sisma~ture National Board, State, and Endorsements Date: 6 -/7 2003*

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6117/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet 1 of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024a, MWO No. 1200205334 (address)

(P.O. no.,job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 Add; Class 1 (b) Applicable Sect )a Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Valve Velan Enginnering 154 N/A Pressurizer Isolation Block Valve 1975 Repalred/Repl No Co.

for l-ERV-404 aced Gate Valve Flowserve 405820 SN: E506T-N/A Valve, Gate, 2 1/2 In., 1703 lb.,

2002 Replacement Yes Corporation 1-2 Sch. 160 Buttwelded, Flowserve P/N W01-25821, ASME SA-351 Gr. CF8M

7. Descripion of Work:

This plan was for the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.

8. Tests Conducted:

Hydrostatic:[]

Pneumatic{]

Nominal Operating Pressure:

Inservice: E Leakage: W Functional: E Pressure:

2260 psi.

Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

a 4

01 q

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xl VT-1 Visual Examination of the replacement threaded fasteners was performed to satisfy Section XI Pre-Service NDE Requirements.

A Section XI System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

A Section Xl Surface Examination of the affected component was performed to satisy Section Xl Pre-Service Requirements.

Code Case N416-2 was invoked to satisfy Section Xl required pressure tests. Addtional Section III Examinations were performed (as applicable) to satisfy Code Case N-416-2 and Req.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Reoalr[Replacement conforms to the rules of the ASME Code, Section Xl.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

Engineering Technician Date:

6/17/2004 Own forO 4ts-feg-nee, riie 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod iB-LD--o3 to 6 -*,- O'

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

Dd)O )4 rm 1e 40.

So Ivf AJOFZnZ Io S E Z 7nct7-r Y Commissions: /A 6 r 3/,

10,

)// 7/ / 4J//

Tn/nc Nta oa7rd, Stateo and Endrsee In-snector's Sionature National Board, State, and Endorsemnents Date:

- r 2 --

FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES*

As Required by the.Provisions of the ASME Code; Section 111, Division 1 Pg. 1 of 2

1. Manufactured and cenified by Flowserve Corporation, 701 First Street, Williamsport, PA 17701 (name and address of N Certificate Holder)
2. Manufactured for Constellation Nuclear, P.O. Box 1609, Lusby, MD 20657 Iname and address of Purchaser)
3. Location of instellation CCNPP, 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (name and addressl
4. Model No., Series No., or Type D.D. Gate arawing W0125821 Rev A

CRN N/A

5. ASME Code, Section Ill. Division 1:

1995 1996 1

N/A (editionl (addenda data)

Iclassl (Code Case no.)

6. Pump or valve Valve Nominal Inlet size 2 1/2" Outlet size 2 1/2" lin l(in.)

7 Material Body SA351-CF8M Bonnet SA351-CF8M Disk SA479-316 Bolting Studs: SA453-660B (a)

Cert.

Holder's Serial No.

E506T-1-1 E506T-1-2 E506T-1-3 E506T-14 ziOV

.11 Ib)

Nat'l Board No.

NIA N/A N/A N/A (ci

- Body Serial No.

R15 R16 R17

- R18 (d)

Bonnet Serial No.

R21 R19 R20-R22 Nuts: SA1 94-8M (el Disk Serial No.

6 and 19 5and 18 7 and 20 8 and 21

  • Supplemental information In form of ists. sketrchas. or drawings may be used provided 111 size is 8Ys X 11, (21 information In Iterns I through 4 on this Data Report Is Included on each sheet. 131 each sheet Is numbered and the number of sheets Is recorded at the top of this form.

(11/881 This form 1E00037) maybe obtained from the Order Dept., ASME. 22 Law Drive, Box 2300. Fairfield, NJ07007.2300.

REPAINT V93

FORM NPV-1 (Back -

Pg. 2 of 2

Certificate Holder'i Serial No.

E506T-1-1 II= 4

8. Design conditions 2485 psi 675 F or valve pressure class 1703 11 (pressurel Itemperaturel
9. Cold workingpressurs 4087 psi at 100°F
10. Hydrostatic test 6150 psi. Disk differential test pressure 4500 p31
1. Remarks tei: Bonnet Studs: (30) Trace Code E621 (2) Trace Code B719 Bonnet Nuts: (23) Trace Code TSK (9) Trace Code A288 CERTIFICATION OF DESIGN Design Specificaton certified by John R.Sponsel PE. State MD Reg. no.

17308 Design Report certdfl d by Ronald S. PafeU P.E State PA eDn.PE-035216-E CERTIFICATE OF COMPPUANCE We certify thatthe statements made in this report are correct and that this pump or valve conforms to'the rules for construction of the ASME Code, Section 111, Division 1.

N Certifica a of Authorization No.

N1712 4.15/04 AIts 9

AI no Flowserve Corporation Date.j.M.i&.anme Srgned AW (N Certicate Holderl, N.

uthorlaed reserntyivel CERlIFICATE OF INSPECTION 1, the undersigned, holding a valid commriss3on Issued by'tha National Board of Boiler and Pressure Vessel Inspectors and the State f

'CA;PM of*

PennsvIvania and employed by One Beacon America Insuranco of

_Boston. Mass.

have Inspected the pump, or valve, described in this Date Report on i-i/i25~6~.

AO_

and state that to the best of my knowledge and belief, the Certificate Holder has con.

structad this pump, or valve, In accordance with the ASME Code, Saction 111, Division 1.

By signin9 this certificate, neither the Inspector nor his employer makes any warranty' expressed or Implied, con' component described In this Data Report. Furthermore, neither the Inspector nor his employer shall be liable In any ar r

any personal Injury or props a

a I of any kind arising from or connected with this Inspection.

Date-3-o-od F

Pennsylvania 2392 9

adrles 4Ayljzed ictro

[ iNat'l. Bd. ilnd. endorsemental and state ot prov. and no.)

v (1) For manually operated valves only..

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6/1712004 (name) 1650 Calvert Cliffs Parkway; -Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024b, MWO No. 1200205334 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

ype Code Symbol Stamp: N/A (name)Authorization No.: N/A (name)

Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Nameof Manufacturers National Other Year Replaced, oz Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Piping System Bechtel 4'CC-10-1002 NIA

  1. 11 Pressurizer Piping to 1-MOV-1975 Repaired/Repi No 405 aced Concentric DuBose National 410658 Ht.#: F8791 N/A Reducer, Pipe, Concentric, 4 In. X 2003 Replacement No Reducer Energy Services 2 1/2 In., Sch. 120 X 160, ASME Inc.

SA-403, Gr. WP316

7. Description of Work:

This plan was for the fitting and work needed to support the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.

8. Tests Conducted:

Hydrostatic:E Pneumaticd Nominal Operating Pressure:

Inservice: E Leakage: i Functional: 2 Pressure:

2260 psi.

Test Temperature:

660 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet 2 of 2 a 11b FORM NIS-2 (Back)

9. Remarks:

A Section Xl System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

A Section Xi Surface Examination of the affected component was performed to satisy Section Xi Pre-Service Requirements.

A Section Xl Ultrasonic Examination of the affected component was performed to satisfy Section Xl Pre-Service NDE Requirements.

Code Case N-416-2 was invoked to satisfy Section Xi required pressure tests. Addtional Section III Exarrinations were-performed (as applicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/17/2004 Owner 6r OWn-e~s Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components descnlbed in this Owner's Report during the period I J v 3 to 6(4&-O

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.

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

-TOMAJ Al~rL4 P

L WCommissions:

Ilt5 r3/,,9t)//7/ A4/1/

U J I

A 7 5 A

7 //,

Insneetor's Sianature National Board, State, and Endorsements Date: 6 - Go 2r0O

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6/17/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-024c, MWO No. 1200205334 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 SystemName:

Reactor Coolant System 5.(a) Applicable Construction Code andClass:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class I (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

Pipe Support Bechtel 2 1/2"CC-10-1002-N/A

  1. 11 Pressurizer Pipe Support to 1-1975 Repalred/Repl No R12 MOV.405 aced Steel Plate DuBose National 89317-GX Ht.#:

N/A Plate, Steel 1 1/2 In. X 48 In. X 96 1993 Replacement No Energy Services 421J4411 InASME SA-36 Inc.

Nut Consolidated 405854 Ht.# 7307732 N/A Nut, Heavy Hex, 5/8 In. X 11 TPI, 2001 Replacement No Power Supply ASME SA-194 Gr. 2H Rod Mackson Inc.

412170 Ht.#: 622817 N/A Rod, Allthread, 5/8 In. XI ITPI, 2004 Replacement No ASME SA-193 Gr. B7

7. Description of Work:

This plan was for the pipe support work on 2 1/2"CCI0-1002-R12 in support of the replacement of 1-MOV-405, #11 Pressurizer Isolation Block Valve for 1-ERV-404.

8. Tests Conducted:

Hydrostatic:[]

PneumaticO2 Nominal Operating Pressure:

Inservice: f Leakage: E Functional: E Pressure:

NIA psi.

Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

ci"qe i.Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi VT-3 Visual Examination of the affected component support was performed prior to the system being returned to service.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repalr/Reolacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date: N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/17/2004 Owner Kr ~v Deit-d, rifle 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod '1-/7-to 6

.and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

bOsJLie-d) 4

. 5* i -

/7 Z't a'0,

,w.

aTO1J-iJ A) OWt/2 Ld S

41-7 4 f

Commissions:

V 7r n 3 1, l)

/7/,

at/

I Al N

oard,9 Sae-,aEosens t/

v nsnectnrss Signature National Board, State, and Endorsements Date:

v I

20---

FORM NIS-2 OWNER'S REPORT 1OR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl O.

Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

Date:

6116/2004 (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Sheet I of 2 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-018, MWO No. 1200301717 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authonzation No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 064 System Name:

Reactor Coolant System 5.(a) Applicable Construction Code and Class:

ASME B&PV Code Sect. 111,1983 Edition, Sum.1983 Add; Class 1 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Name of Name of Manufacturers National Other Year Replaced, oi Stamped Componet Manufacturer Serial Number Board No.

Identification Built Replacemen (Yes or No)

RCP Seal Sulzer Blngham SN: 1C864 NB 1236

  1. 1IB Reactor Coolant Pump 1988 Repalred/Repi Yes Inc.

Mechanical Seal.

aced Seal BGE CCNPP Shops 1200103259 SN:

NB: 1238 Seal, Cartridge Assembly (RCP) 2002 Replacement Yes IC866 875B-3V Complete Sulzer Blngham per FCR 87-0074

7. Description of Work:

This plan was for the replacement of the mechanical seal on #11 B Reactor Coolant Pump.

8. Tests Conducted:

Hydrostatic:FJ Pneumaticf Nominal Operating Pressure:

Inservice: [

Leakage: W Functional: E Pressure:

2260 psi.

Test Temperature:

532 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

A Section Xi System Leakage Test of the affected component was performed during the system conditions listed in section 8. of this report.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this RevalrlReolacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/16/2004 er or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 3

3 to 0 Y

., and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

00AL47-d.S9470N =2 AN.

OLt Commissions: iJfS A3

, SD 117/ enI/

e l

Sav7 Nationa77 BaM St and EJnre Inspector's Signature National Board, State, and Endorsemnents Date: i L s7 0-

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

4/1912004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Calvert Cliffs Nuclear Power Plant (name)

2. Plant:

Unit:

One_

1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2003-1-080, MWO No. 1200303202 (address)

(P.O. no.,job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A Work

-_ bAuthorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control

5. (a) Applicable Construction Code and Class:

ASME 831.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Pipe Support Bechtel 1-ACC233X-SUP N/A

  1. l1ChargingPumpDischargeDe-1980 Repalred/Repi Surger Restraint aced No
7. Description of Work:

This plan was for the work on the support/restraint around #11 Charging Pump Discharge De-surger. Shims were used and are not considered Section XI work, but the welding was controlled by a Section Xl WAT which was documented on the R&R.

8. Tests Conducted:

Hydrostatic:[]

PneumaticCl Pressure:

N/A psi.

Nominal Operating Pressure:

Inscrvice: E Leakage: D Functional: E Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 1 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

No Section XI Pre-Service NDE was performed in support of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in thUs report are correct and that this RepairlReplacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

4/19/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 12 -/0 - 0 3 to 2 -.

3-o *, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

9 Commissions: l S-3 A(

A Ap Q n i v-,

,Insnecrns Sirnature National Board, State, and Endorsements Date: -4'K-.23 r

7--

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xi Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Date:

6/1512004 Sheet I of 2

2. Plant:

Calvert Cliffs Nuclear Power Plant (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Unit:

One R&R No. 2003-1-072, MWO No. 1200303410 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamnp: N/A (name)

Authorization No.:

N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

One (address)

4. Identification of System:

System Number 052 System Name:

Safety Injection 5.(a)ApplicableConstructionCodeandClass:

ASME B31.1.0 1967 Edition, CCases N-2, N-10 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Starped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve ITT Hammel-Dahl 694126-006 Plug Assembly Flowserve Corporation 400322 Ht.#: 726176 N/A

  1. 12B Safety Injection Tank, Reactor Safeguards Check Valve leakage drain CV to R.W.T.

N/A Plug & Stem Ass. I In. 1500 lb.

ITT Hammel-Dahl Unbalanced Globe Valve, BGEDRWG 12121-0013, Item #6 1974 Repafred/Repi aced No 2000 Replacement No

7. Description of Work:

This plan was for the rebuilding of the #12B Safety Injection Tank, Reactor Safeguards Check Valve leakage drain 1-CV-648 to R.W.T.

8. Tests Conducted:

Hydrostatic:[

Pneumaticd Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: E Leakage: E Functional: M Test Temperature:

NIA Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) 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.

Sheet2of 2 FORM NIS-2 (Back)

9. Remarks:

No Section Xi Pre-Service NDE was performed in support of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

RevalrlReplacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

Charles H. Ballard Engineering Technician Date:

6/15/2004 Own5er of Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period 10 -a7-0 3 to 3-9 v and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

DEEDj A. SJt41 rL*

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Commissions: AJ8 ' 93 /, Ato //7 /

A-i//f

6 -

4, Inspector's Signature Date:

l 6

200 M AJ

/77 IA/ 4f/S.

National Board, State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

2/1912004 Sheet 1 of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Unit:

One R&R No. 2003-1-075, MWO No. 1200303794 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Pipe Support Bechtel I

Steel Plate DuBose National Energy Services Inc.

IACC233Z, SUP I

400428 Ht#Y07703 or A351S N/A

  1. 13 Charging Pump Discharge De-1980 Repaired/Repl Surger Restraint aced No No N/A Plate, Steel I/2 In. X 48 In. X 96 In., ASME SA-36 2001 Replacement
7. Description of Work:

This plan was for the work on the support/restraint around #13 Charging Pump Discharge De-surger that was allowed by ES200300606-000.

8. Tests Conducted:

Hydrostatic:M Pneumaticd Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: O Leakage:E Functional: a Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

No Section XI Pre-Service NDE was performed in support of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Repair/Replacement conforms to the rules of the ASME Code, Section Xl.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Owo__Tln e

Technician Date:

2/19/2004 Owner or Own s Designee, itl 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period

_3 to /g -. 27 - o 3

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

~

9 Conmnissions: WRT A3 41tn 17/, AzT.Aga7L Insnectores Sinature National Board, State, and Endorsements Date: 3-O-20

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

4/20/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant De (name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

Unit:

One R&R No. 2003-1-081, MWO No. 1200304508 (P.O. no., job no., etc.)

Dpt Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two

4. Identification of System:

System Number 052 System Name:

Safety InJection 5.(a) Applicable Construction Code and Class:

ASME Draft Code for Pumps & Valves, 1968 Edition, March 1970 d; Class 3 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Valve Velan Enginnering Co.

SN: 1314 N/A Refueling Water Tank Drain to Miscellaneous Waste Storage Tank Isolation Valve 1975 Repaired/Rep!

aced Yes

7. Description of Work:

This plan was for the welding on 1-HVSI-4163, Refueling Water Tank Drain to Miscellaneous Waste Storage Tank Isolation Valve. This welding is only for tacks on the bonnet assembly to prevent the Yoke Bushing/Nut from backing out.

8. Tests Conducted:

Hydrostatic:Z Pneumatic:

Pressure:

N/A psi.

Nominal Operating Pressure:

inservice: E Leakage: E Functional: E Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Sheet 2 of 2

. FORM NIS-2 (Back)

9. Remarks:

No Section Xi Pre-Service NDE was performed in SUDDort of this activity.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this rules of the ASME Code,Section XI.

RevalrlReplacement conforms to the Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A AYo-Charles H. Ballard Engineering Technician Signed:

Date:

4/20/2004 Owner or Owners Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period / 2_ -1 o It -

/2-

/8? -0 3

, and state to the best of my knowledge and belief, the 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 warrant, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection.

Inspector's Sitwure Date:

5....

200(

Commissions: A49 9U.?/ 14A z

',f 41 7,

National Board, State, and Endorsements

FORM NIS-2 OWNER'S REPORT FOR REPAIR i REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/17/2004 Sheet I of 2 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name)

Unit:

One R&R No. 2004-1-009a, MWO No. 1200400341 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

Type Code Symbol Stamp: N/A (name)

Authorization No.: N/A Exp Date: N/A 1650 Calvert Cliffs Parkway, Lusby, MD 20657 Section XI Class:

Two (address)

4. Identification of System:

System Number 041 System Name:

Chemical Volume Control 5.(a)ApplicableConstructionCodeandClass:

ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Piping System Bechtel 3"HC-7-1004 N/A

  1. 12 Boric Acid Pump discharge to 1975 I-BS-209, basket strainer.

Repaired/Repl aced No Pipe Tloga Pipe Supply Co. Inc.

Nut Mackson Inc.

76446-GX Ht.#:

L25610 407912 Ht.#:

7307732 409797 Ht.#: 614117 54906-GX Heat Code: D3912 N/A Pipe, 3 In. Sch. 10, ASME SA-376 Tp. 304 N/A Nut, Heavy Hex, s/8 in. X 11 TPI, ASME SA-194 Gr. 2H N/A Rod, Althread, 518 In. X 11 TPl, ASME SA-1 93 Gr. B7 N/A Flange, 3 In., 150 lb., Raised Face, Slip-on, ASME SA-182, Gr. F316 1993 2002 2003 1992 Replacement Replacement Replacement Replacement No No No No Rod Slip-on Flange Mackson Inc.

DuBose Natlonal Energy Services Inc.

7. Description of Work:

This plan was for the replacement of the 3" piping, fittings and fastener material from flange on the upstream side of basket strainer 1-BS-209.

I -HVCVC-236 to the

8. Tests Conducted:

Hydrostatic:M PneumaticC Pressure:

1 00 psi.

Nominal Operating Pressure:

Inservice:E Leakage:R Functional: a Test Temperature:

1 50 Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I 1 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

q tA Sheet 2 of 2 I -FORM NIS-2 (Back)

9. Remarks:

A Section Xi Svstem Leakaae Test of the affected component was performed durina the system conditions listed in section 8. of this report.

Code Case N-416-2 was invoked to satisfy Section XI required Pressure tests. Addtional Section III Examinations were performed (as anolicable) to satisfy Code Case N-416-2 and Rea.Guide 1.147.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this conforms to the rules of the ASME Code,Section XI.

RenalrlReolacement Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Signed:

Charles H. Ballard Engineering Technician Date:

6/17/2004 Owner or Owner's Designee, 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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period.

3 -o to 3 -5 *Y

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

DoAM-u A - SH14*-P/I'L FAmt /YIZ.

o4tN 46DA6S k-7 7WCF~f Z Commissions
AJIR9 9-3J 3

Ai9 /17/,

//

_ _l Dt Inspector's Signture Date:

60 - / 7 200v National Board, State, and Endorsements

F6RM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl Calvert Cliffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 Date:

6/1712004 Sheet I of 2 (address)

Calvert Cliffs Nuclear Power Plant

2. Plant:

(name)

Unit:

One R&R No. 2004-1-009b, MWO No. 1200400341 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two

4. Identification of System:

System Number 041 SystemName:

Chemical Volume Control 5.(a) Applicable Construction Code and Class:

ASME B31.1.0 1967 Edition, 1972 Add (b) Applicable Sect Xl Ed. for Repairs/Replacement 1998 Edition

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

.ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Pipe Support Bechtel 3"HC-7.1004,H2/R3 N/A Pipe Support on CVCS Sys.

upstream of 1-BS-209, basket strainer.

1975 Repilred/Repl aced No

7. Description of Work:

This plan was for the removal and rewelding of pipe support 3"HC-7-1004, H2 / R3, upstream of 1-BS-209, basket strainer.

8. Tests Conducted:

Hydrostatic:E PneumaticC]

Pressure:

N/A psi.

Nominal Operating Pressure:

Inservice: E Leakage: []

Functional: E Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x I I in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form

Sheet 2 of 2 FORM NIS-2 (Back)

9. Remarks:

No Section XI Pre-Service NDE was Derformed in support of this activity, Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Reoalr/Renlacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Sta-mp:

N/A Certificate of Authorization No.: N/A Expiration Date:

N/A Charles H. Ballard Signed:

Engineering Technician Date:

6/17/2004 Owner or Owfr's Deignee, Title Certificate of Inservice Inspection I, the undersigned, holding a valid cormnission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described in this Owner's Report during the period A v /

to S -/ Y e"

, and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

&0,4Ai-O A &8hffD ftA7 MfO> lJS Z72 Commissions: A18 3 8X3 1 /A 11//7/

.4A4J0 Insnectnr's Sianature National Board, State, and Endorsements Date: /7 M

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required Required by the Provisions of the ASME Code Section Xl Calvert ClIffs Nuclear Power Plant, Inc.

1. Owner:

(name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

Date:

5/20/2004 Sheet 1 of 2

2. Plant.

Calvert Cliffs Nuclear Power Plant Unit:

One (name) 1650 Calvert Cliffs Parkway; Lusby, MD 20657 R&R No. 2004-1-017, MWO No. 1200401939 (address)

3. Work Performed by.

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (address)

(P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section XI Class:

Two

4. Identification of System:

System Number 052 SystemName:

Safety Injection 5.(a)ApplicableConstructionCodeandClass:

ASME B31.7 1969 Edition, Sum. 1971 Add; Class 2 (b) Applicable Sect XI Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Rod Eye Grin neil Pipe Support Bechtel 12" GC-9-1003-R6 N/A Sarety Injection Piping Support 1975 Repalred/Repl aced No Rod Eye Grinnell Bracket Corporation

7. Description of Work:

45824 NIA Bracket, Rod Eye, Rear Assembly, 2 1/2" size, Grinnell Fig. 201, Item 17, ASME SA-216, Gr.WCB 1999 Replacement No This plan was for the replacement of the lower rod eye bracket on Snubber 1-52-34, on support 12"GC9-1 003-R6.

8. Tests Conducted:

Hydrostatic:M Pneumaticfj Nominal Operating Pressure:

Inservice: El Leakage: M Functional: E Test Temperature:

NIA Deg. F Pressure:

N/A psi.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Z0 d -bO1 0>/'=d4/ ACW j3. J A 8AB PE Orf oF AJ1-ak RD p

A00f P/ot7

$et2 of 2 FORM NIS.2 (Back)

9.

e,=arks:

No Sectdon Xl Pre-Service NDE was grftrned in suoyort of ths actM Applicable Manufactwc's Data Repmu to be Attacbed

.~'

. Certificate of Compliance We ear that tlt stamtrnade hi rLport aetrect Ad tbat this

-8421108212e rdes of ibe ASO Code, SwdcronM.

Type coa Symbol Stapp:

N/A Cerdficate of Autorizadon No.: NIA xpiratdon Date NIA Sipe

/

Charles H. 3allard Signue 4MS f

Date:+/-O t

So,20Q4 Certificate of lnservice Inspection 1, the undesigned, holding a valid coovuhIon isuad by dte Nadonul Board of Boiler and Ptesgure Vessel laspectors and dmc State of Mayland an employed by ABS Conmufi of oustom TX have inspected th cwrmpotenb deribed in tbis Ow s Repot ing thepegiod

.2-A to astateto te benof Imowledge and belief, the Own= bAs performed raminvions owd taken co ticdve =ea=u descnbed in this Ovrs Report in accordance with the xarirea of the ASM Code Secion

L By siS this certficte neither 1e Isp!eTtr wr his enmpljdybrakes aty warant exprwed or implie4 canjceg dw examinarios and coucive maswu desenbed in this Owncs fepoit fPfwre, neirdh the Inpector nor his employer shall b liable i any mrer for any pesonal irjuy or property 4gtwga ofa lu of any kd adsig f0om o connected wih thu isspecdox g6 1.a-771 1Hv

//(5

_otiana~oa 4 rm

.Stoand Enaorsemants Pats: 6- -

.Z 5

200j34

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner:

Calvert Cliffs Nuclear Power Plant, Inc.

(name)

Date:

6/21/2004 Sheet 1 of AL 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

2. Plant:

Calvert Cliffs Nuclear Power Plant (name)

Unit: Common R&R No. SNUB-0-004, MWO No. SNUB POOL 1650 Calvert Cliffs Parkway; Lusby, MD 20657 (address)

3. Work Performed by:

Calvert Cliffs Nuclear Power Plant Dept.

(name) 1650 Calvert Cliffs Parkway, Lusby, MD 20657 (P.O. no., job no., etc.)

Type Code Symbol Stamp: N/A Authorization No.: N/A Exp Date: N/A Section X Class:

1, 2, & 3 (address)

4. Identification of System:

System Number 065B SystemName:

Seismic Snubbers 5.(a) Applicable Construction Code and Class:

ASME B31.7 1969 Ed, Sum.1971 Add. Class I or Combustion Eng. Spec 8067-487-503 (b) Applicable Sect X1 Ed. for Repairs/Replacement 1998 Edition

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

ASME

Repaired, Code Year Replaced, oi Stamped Built Replacemen (Yes or No)

Name of Name of Componet Manufacturer Manufacturers Serial Number National Board No.

Other Identification Snubber Pool Grinnell Corporation Snubber Pool Snubber Snubber Grinnell Corporation Grinnell Corporation 59013-GX SN: 32323 59013-GX SN: 32325 411825 SN: 35846 59013-GX SN: 32321 N/A Hydraulic Shock and Sway Suppressor N/A Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.

Stroke, Grinnell Fig. 200 Opt. 1 NIA Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.

Stroke, Grinnell Fig. 200 Opt. I N/A Hydmullc Shock and Sway Suppressor, Size: 3 X 5 In.

Stroke, Anvil Fig. 3306N N/A Hydraulic Shock and Sway Suppressor, 1 1/2 In. Bore X 5 In.

Stroke, Grinnell Fig. 200 Opt. 1 1975 RepaIred/RepI aced No 1991 Replacement 1991 Replacement 2004 Replacement 1991 Replacement No No No No Snubber Anvil International Inc. Grinnell Supports Snubber Grinnell Corporation

7. Description of Work:

This plan was for the continued control of the Snubber Pool and documentation of new components/parts added to the Snubber Pool per Section XI 1998, IWA-4132, Items Rotated From Stock. This plan covers all Snubber work from the end of Unit #2, 2003 outage through to the end of Unit #1, 2004 outage.

8. Tests Conducted:

Hydrostatic:D PneumaticC Pressure:

NIA psi.

Nominal Operating Pressure:

Inservice: E Leakage: a Functional: E Test Temperature:

N/A Deg. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in Items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Qh..f a 4f J FORM NIS2 (Back)

9. Remarks:

A Section Xl VT-3 Visual Examination of the affected component suDport was performed prior to the system being returned to service.

Applicable Manufacturer's Data Reports to be Attached Certificate of Compliance We certify that the statements made in this report are correct and that this Revalr/Reptacement conforms to the rules of the ASME Code, Section X1.

Type Code Symbol Stamp:

N/A Certificate of Authorization No.: N/A Expiration Date:

NIA

_g4

/

Charles H. Ballard Signed:

D e, Tite Engineering Technician Date:

6/21/2004 1wnaror O%;nee Desigznee~,Titlc~-"

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 of Maryland and employed by ABS Consulting of Houston, Tx. have inspected the components described inthisOwner'sReportduringtheperiod St-;'3-D V/

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,and state to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XM.

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

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, P Inspector's Signature Date:

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200 4" National Board, State, and Endorsements