o o pneumatic nominaf exempt pressure - nrc

FORM NI8-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1 Owner Southem Nuclear Operating Co Date Oclober 27 2011 Name

40 Invemess Center Pallltway Birmingham Al35242 Sheet ____ of ___2__ Address

2 Plant ___-JoseJphMFar1ey~NuclearPlantl(FNP)____ Unit FNP Unit 2 Name

7388 North State Hwy 95 Columbia AL 36319 Wolllt Order No E21- SNC82724 Address RepairIRepl8cement Organization PO No Job No ele

3 Wolllt Performed By FNP Maintenance Department Type Code Symbol Stamp NlA Name

7388 North State Hwy 95 Columbia Al36319 Authorization No NlA Address

Expiration Date NlA

4 Identification of System TPNS Q2E21SNUBBSIR171 SAFETY INJECTION SYSTEM ASME Class 1

5 (a) Applicable Construction Code __S8eR ~Edilion________ ___NI_A___em_alllts_ NA Addenda Code Case

Year

(bl Applicabie Edition of Section XI Used for RepairReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Case(s) NA

6 Identification of Components

Name of Component Name of Manufacturer Serlaf No National Other Year Corrected ASMECode

Hydraulic Snubber lIT GRINNELL 2SI-R171 NA FNP-2-29 1977 Removed NO

Hydraulic Snubber lISEGA 310003461008 NA SNA10016533 2011 Installed NO

7 Description of Walllt Snubber 2SI-R171 was replaced as a scheduled upgrade Ref TransaC1lon 1325173

8 Tests Conducted Hydrostatic Pneumatic Nominaf OperaUng Pressure Exempt

o o o Other Pressure _____pSI Test Temp _____ oF

o NOTE Supplementaf sheets in form of lists sketches or drawings may be used provided (1) size Is 8-12 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 number of sheets Is recorded at the top of this form

Page 76 of 153

--------------------------------------------------------------------------9

FORM NIS-2 (Back)

Remarks

ApplICBbl9 Manufacturers Ootd Repoi1s to 1gt0 attach6d

Supports Designed to AISC-1969 and welded to AWS 011-86

Reference equivalency determination (ED) 2110882901 ED

Ref Transaction I 1325173

VT -3 Exam Performed after Installation

CERTIFICATE OF COMPLIANCE

l2h ct N(~l I certify that the statements made in the report are correct and that thls~onforms to the requirements of the ASME Code Section XI

Type Code Symbol Stamp NA

NA Expiration Date NACertificate of Ai(7~ Signed Leonard Smith Maintenance Manallar Date zl3h z-

Owner or Owners Designee Title


CERTIFICATE OF INSERVICE INSPECTION

I the undersigned holding a valid commission Issued by the NaUonaJ Board of Boiler and Pressure Vessel Inspectors and the

State or Province 01 C~ ie ltl- and employed bY__ S~ middot ___________________I I t1 ~_C -_middotT

of 4 tlQ(cn i) c have Inspected the components described in this

Owners Report during the period 62--05 ) Z VI 2 to C _ Cgt 7 Z ())lt- and state that to

the best of my knowledge and belief the Owner has performed examinations and taken correctlve measures described in this

Owners Report In accordance with the requirements of the ASME Code Section XI

By signing this certificate nelther the Inspector nor his employer makes any warranty expressed or implied conceming the exam inations and correcttve measures described In this Owners 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

~-2S2 ~~~~~ Commissions 2 I~ ()6 04 ) 1 Inspectors Signature National Board Stale Province and Endorsements

Date 02- 7 -2 Ll j ~

Page 77 of 153

FORM NI5-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1 Owner Southem Nuclear Operating Co Date October 19 2011

Name

40 Invemess Center Parkway 8irmingham AL 35242 Sheet of 2

Address

2 Plant Joseph M Fariey Nuclear Plant (FNP) Unit FNP Unit 2

Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No E21middot SNC82707

Address RepairReplacement Organization PO No Job No etc

3 Work Pertonned By FNP Maintenance Depar1ment Type Code Symbol Stamp NfA

Name

7388 North State Hwy 95 Columbia AL 36319 Authorization No NA

Address

Expiration Date NA

4 IdenUfication of System TPNSli Q2E21 SNU8BCVCR71 B CHEMICAL VOLUME CONTROL SYSTEM ASME Class 2

5 (a) Applicable Construction Code See Remarks NA Edition NA Addenda NA Code Case y- ----shy

(b) Applicable Edition of SecUon XI Used for RepairReplacement Activity 2001 Addenda 2003 Year



National Corrected ASME CodeName of Other Year

Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identification Built

No Installed (Yes or No)

Hydraulic Snubber InGAINNELL 2CVC-R71 NlA FNPmiddot2-29 19n Removed NO

Hydraulic Snubber ANVIL 36462 NlA QPll0051 2011 Installed NO

Adapter Plate ANVIL 38462 NlA QP110051 2011 Installed NO

7 Description of Work Snubber 2CVC-R718 was replaced as a scheduled upgrade Ref Transaction II 1058987 AND 1058985

8 Tests Conducted Hydrostatic 0 Pneumatic D Nominal Operating Pressure 0 Exempt [i3

Other 0 Pressure _____psl Test Temp _____oF

NOTE Supplemental sheets in fonn of IIsls sketches or drawings may be used provided (1) size is 8-112 In )( 11 In (2) information In items 1 through 6 on this report Is Included on each sheet and (3) each sheet is numbered and number of sheets Is recorded at the top of this fonn

Page 78 of 153

FORM NIS-2 (Back)

9 Remarks

APPicAlbJii Manufscturas DatB Reports 0 be aNBChed

Supports Designed to AISC-1969 and welded to AWS DL 1-86

Reference equiValency determination (ED) C092099701

Ref Transaction 1058987 AND 1058985

VT-3 Exam Performed after Installation

CERTIFICA TE OF COMPLIANCE

~l ctMtNf ~ I certify that the statements made In the report are correel and that thls( onforms to the requirements of the ASME Coda Section XI


NlA Expiration Date NJA ------------------1 Signed Leonard Smith Maintenance Manager Date


I the undersigned holding a valid commission Issued by the National Boam of Bolier and Pressure Vessel inspectors and the

State or Province of Gl iigtfLC 6-C_________________and employed bY_-iI--~gt --i 01 ~ til C-ift D C r- have Inspected the components described In this

Owners Report during the period L L 0 J 2 -) IL to 0 z 0 2 ) I -- and state that to

the best of my knowledge and belief the Owner has performed 9)(smlnatlons and taken corrective measures described In this

Owners Report In accordance WiUl the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and corrective measures described in this Ovmers Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a ross of any kind arising from or connected with this inspec~on

Commissions -zl 03P i N CQAL1 ( ~~~~~~~~~--~~--~-

InspectorS Signature National Board State Province and Endorsements

Date U gt_ 0 -j 20 I ltshy

Page 79 of 153

020712094458 FN P-O-GMP-02

F 1 FORM NIS-2 OWNERS REPORT FOW~~PAIRlREPlACEMENT ACTIVITY

As Required By The Provisions Of The ASME Code Seclion XI

1 Owner Southern Nuclear Operating Company Dale December 8 2010 Name

40 Inverness Center Parkway Birmingham Alabama 35242 (an agent for Alabams Power Company Sheet of 2

Address 2 Plant FARLEY NUCLEAR PLANT Unit TWO

Name Highway 95 South Columbia Alabama 36319 Q2p16 - WOII 2051571453

Address RepalrlReplacement Organization PO No Job No etc

3 Work Performed by Southam Nuclear Operating Company I ES bull Modifications Type Code Symbol SlBmp NJA

Name Authorization No NIA Expiration Dale ___________NJ_~_______FARLEY NUCLEAR PLANT

Address 4 Identification of System P16 - SERVICE WATER

5 (a) Applicable Construction Code ASME Section III Edition 1971 Addenda 1971 Code Case (b) Applicable Edition of Section XI Used for RepairReplacement Activity _-200=-1__ Addenda ~ (c) Applicable Section XI Code Case(s) NA

6 Identification Of Components

1 National Corrected ASME Code Name of Name of Manufacturer Boerd Other Year Removed or Stamped

Componant Manufacturer Serial No No Identification Built Installed JYes or No PUMP SULZER PUMPS

ASSEMBLY (US) INC 08C02148 NIA P 0 QP060449 2007 REMOVED YES

PUMP SULZER PUMPS ASSEMBLY (US) INC 08C02147 NIA Po QP060449 2008 REPLACED YES

7 Description of Work ALL WORK COMPLETED UNDER WOH 2051571453

8 Test Conducted Hydrostatic 0 PneumatlcD Nominal Operating Pressure[l Exempt 0 Other 0 Pressure ____ psi Test Temp AMBIENT F

of 2 Version 22 Page 80 of 153

120810 143915 FNP-O-GMP-O2

Figure 1 FORM NIS-2 (Back)

9 Remarks ----------------------~~~~~~--~~~--~~~~~---------------------Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and that this refdf~rd- conforms to the

rules of the ASME Code Section XI repair or replacement

Type Code Symbol Stamp ________________NJ~~__________________i

____________ Expiratlon Date _______-N_~______--t

Date


If the undersigned holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the state or Province ot ~fjgtrLG 1ft and employed by H~6 C 1 of

ttM-~O ~r have inspected the components described in this Owners Report during the oqrlod (010= o22ozo 7 to o 2- 0B zolz- and state that to the best of my knowledge and

( iet the Owner has performed examinations and taken corrective measures described in this Owners Report In i ccordance with the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be tiabie In anv manner for any personal Injury or property damage or 8 loss of any kind arising from or connected with this inspection

~~ Commissions Z-bD3AI 4Aclo----------~-~ffp-ec National Board State Province and Endorsements t=or-8Si-gnat-u-re-----shy

Date 0 Joe L0 J Z-

Page 2 of 2 Version 22 Page 81 of 153

----- -----

-----

FORM NI5-2 OWNERS REPORT FOR REPAJRlREPLACEMENT ACTIVITY As Required by the Provisions 01 the ASME Code Section XI

1 Owner Southern Nuclear Operating Co Date October 20 2011

Name

40 Invemess Center Parlltway Birmingham AL 35242 Sheet of 2

Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2

Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No N11 - SNC82716


3 Work Performed By FNP Maintenance Department Type Code Symbol Stamp NlA

Name

7388 North State Hwy 95 Columbia AL 36319 Authorization No NA Address

Expiration Date NA

4 Identification 01 System TPNS 02N11 SNUBBMSR807 MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NA Edition NA Addenda NA Code Case

Year

(b) Applicable Edition of Section XI Used lor RepairfReplacement Activity 2001 Addenda 2003

Year



National Corrected ASME Code Name of Other Year

Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identificatlon BuiltNo Installed (Yes or No)

Hydraulic Snubber ITIGRINNELL 24027 NlA FNP-2-29 1977 Removed NO

Hydraulic Snubber ANVIL 38484 NA OP110051 2011 Installed NO

7 DeSCription of Work Snubber 2MS-R807 was replaced as a scheduled upgrade Ref Transaction 1 1056987

8 Tests Conducted Hydrostatic 0 Pneumatic D Nominal Operating Pressure 0 Exempt B

Other 0 Pressure psi Test Temp _____ oF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8-12 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 number of sheets is recorded at the top of this form

Page 82 of 153

FOAM NISmiddot2 (Back)

9 Remarks

APplicable ManUlScfvres 018 Roparrs 10 6 artaCli9

Supports Designed to AISCmiddot1969 and welded to AWS 011-86

Reference equivalency determination C0921651 01

Ref Transaction 1056987

VT-3 Exam Periormed after Installation


fUoJ~ M(1Jf Y1middot 1shy

I certify that the slatements made in the report are correct and that this conforms to the requirements of the ASME Code Section XI


Expiration Date NJA ----------------~

Maintenance Manager Date


I the undersigned holding a valid commiSSion issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of Se~( 1 A c-middot -________________--1and employed by_--lr b_C-1of --A j2i ~~t C T have inspected the components described In this

Owners Report during the period 01- i 0 32 () Go to Q 2--1 [ 7 Izv I and state that to

the best of my knowtedge and belief the Ownehas performed examinations and taken correcUve measures described in this

Owners Report in accordance wl1h the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss 01 any kind arising from or connected with this Inspection

~~1l~- Commissions zt lY3A IJ GAc~ ()~~~~~~~~~~--~~~------~

spectors Signature National Board State Province and Endorsements

Page 83 of 153

------

-----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1 Owner Southern Nudear Operating Co Date October 12 2011

Name

40 Inverness Center Parkway Birmingham AL 35242 Sheet of 2

Address

2 Plan Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2

Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No N12middot SNC82685


3 Work Performed By FNP Maintenance Department Type Code Symbol Stamp NA

Name


Address

Expiration Date NA

4 Identification of System TPNS 02N12SNUBBASR14 AUXILLARY STEAM SYSTEM ASME CLASS 3

5 (a) Applicable Constnuctlon Code See Remarks NlA Edition NJA Addenda NlA Code Case

Year

(b) Applicable Edition of Section XI Used for RepairReplacement Activity 2001 Addenda 2003

Year


6 Identiftcation of Components




Hydraulic Snubber ITIGRINNELL 2middotASmiddotR14 NA FNpmiddot2middot29 1977 Removed NO

Hydraulic Snubber ANVIL 38474 NA QP110051 2011 Installed NO

7 Descrlption of Work Snubber 2ASmiddotR14 was replaced as a scheduled upgrade Ref Transaction 1056773

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt el


NOTE Supplemental sheets in form of lists sketdhes or drawings may be used provided (1) size Is 8middot12 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 number of sheets Is recorded at the top of this form

Page 84 of 153

FORM NI5-2 (Back)

9 Remarks

APpliCable ManUfactu(srs 6ta Reports to be 8l18cll9d

Supports Designed to AISC-1969 and welded to AWS 01 1-86

Relerence equivalency determination C091569201

ReI Transaction 1056773

VT-3 Exam Perlormed alter Installation

CERTIFICATE OF COMPLIANCE ~U

ptf M1 ftI(rr ih 11shy

I certify that the statements made In the report are correct and that thls fonlorms to the requirements 01 the ASME Code Section XI


NA Expiration Date NA ----------------~

Signed Leonard Smith Maintenance Manager Date J -3 1


I the undersigned holding a valid commission Issued by the National Board of Boffer and Pressure Vessel Inspectors and the

State or Province 01 C~tH1 -lt 1 11 and emptoyed by l- SE C --~~~----------------------------~------------~ have Inspected the components described In this

Owners Report during the period oZ- C 2- iJ L_ to OJ- IDe -OY= and state that to

the best of my knowledge and belief the Owner has perlormed examinations and taken correcUve measures described in this

Owners Report in accordance with the requirements of the ASME Code Section XI

of H-fla f-ClrllO c

By signing this certlf1cate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures descnbed In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner lor any personal Injury or property damage or a loss of any kind anslng from or connected with this inspection

Commissions 7-LO3 AJI~ GJl tiO Ins ctofs SIgnature National Board StatB ProvincB and Endorsements

i Date 0-lt- I OB bgt1 2-

Page 85 of 153

FORM NIS-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

L Owner Southem Nuclear Operating Co Date October 20 2011

Name

40 Invemess Center Parkway Birmingham AL 35242 Sheet of 2

Address


Name

7388 North State Hwy 95 Columbia AL 36319 Worlt Order No P16 - SNC82730

Address RepairRepacement Organization PO No Job No etc

3 Worlt Performed By FNP Maintenance Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Authorization No NJA

Address

Expiration Date NA

fiFI lshy4 Identification of System TPNS Q2Pl6SNUBBXSWR514A SERVICE WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remarlts NlA Edition NA Addenda NlA Code Case ------- --y- -----shy


Year

(c) Applicable Section XI Code Case(s NA

6 IdentlflcaUon of Components


Name 01 Component Manufacturer Serlal No Board Removed or StampedManufacturer Identification Built


Hydraulic Snubber lIT GRINNELL 2SW-R514 NlA FNP-2-29 1977 Removed NO


Adapter Plate ANVIL 38459 NA QP110051 2011 Installed NO

7 Description of Worlt Snubber 2SWR514A was replaced as a schedufed upgrade Ref Transaction It 1071425 1071341

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 6a

Other 0 Pressure psi---shy Test Temp OF---shy

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size Is 8-12 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 number of sheets is recorded at the top of this form

Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs

ApphC8bls MBnUlilCluNI DSI R8f1OrlS 10 bo snsched


Reference equivalency determination C092570501

Ref Transaction II 1071425 1071341

VT-3 Exam Performed after InstallaUon


C)poundc ( JL - 1middot (shyr4 - I -(TIshyI certify that the statements made In the report ere correct and that this conlorms to the requirements of the ASME Code Section XL

Type Code Symbol Stamp NlA

Certiflcata of Authorization No NJA Expiration Date NlA ----------------~ampJI44 2Yhz-Signed Leonard Smith Maintenance Manager Date ~~~~~--------4



__

I the undersigned holding a valid commission issued by the Na~onal Board 01 Boller and Pressure Vessel Inspectors and the

-L~~__~______________________________~Stata or Province 01 c ~~ I [ and employed by l - ~ 1lt c

of HAQ~1- () C have Inspected the components described In this

Owners Report during the pertod D 2- 1gt ~ Z_D l-- to C-l ufl 2 )J 1-~ and state that to

the best of my knowledge and bellel the Owner has pertormed examinations and taken orrective measures described In this

OWners Report In accordance with the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concemlng the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner lor any personal Injury or property damage or a loss 01 any kind arislng from or connected with this Inspection

~S2~-t~~-- Commissions i 2 10 0 ~ A )J Inspectors Signature National Board State Province and Endorsements

Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----


1 Owner Soulhem Nuclear Operating Co Date October 1 B 2011

Name


Address


Name

73BB North State Hwy 95 Columbia AL 36319 Work Order No P17 - SNCB2697

Address RepairReplacemenl Organization PO No Job No elc


Name

7388 North State Hwy 95 Columbia AL 36319 Ault1orization No NlA

Address

Expiration Dale NlA

4 Identification of System TPNS 02P17SNUBBCCWR322A COMPONENT COOLING WATER SYSTEM ASME CLASS 3


Year


Year



National Corrected ASMECodeName of Other Year

Name ot Component Manufacturer Serial No Board Removed or StampedManufacturer Identification Built


Hydraulic Snubber ITT GRINNELL 17B07 NA FNP-222 1976 Removed NO

Hydraulic Snubber ANVIL 38476 NlA OP110051 2011 Installed NO

7 Description of Work Snubber CCW-A322A was replaced as a scheduled upgrade Ref Transaction I 1056829

8 Tests Conducted HydrostaUc 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt e Other 0 Pressure pSi Test Temp OF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size Is 8-12 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 number of sheets is recorded at the top of 1hls form

Page BB of 153

FORM NISmiddot2 (Back)

9 Remarks

ApPlicable Manuaclu Oa18 Report 10 be 8N8Ch8d

Supports Designed to AISC1969 and welded to AWS 01 1middot66

Reference equivalency determination C091933S01


VTmiddot3 Exam Performed after Installation


~LI) IampU ~ 1-( In I certify that the statements made in the report are correct and that Ihisfconforms to the requirements of the AS ME Code Section XI


NA Expiration Date NA------------------i Signed Leonard Smith Malntenence Manager Date 2)

Owner or Owners Designee Tille


I the undersigned holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of q Ir-uft ( I A and employed by___L Y5 C T Hc --__gt~ _________________-i

of ~l-ftmO e have Inspected the components described In this

Owne(s Report during the period Q J () 3 2 --0 1 ~l- to C -06 -z-o j z__ and state that to

the best of my knowledge and belief the Owner has perfonmed examinations and taken corrective measures described In this

Owne(s Report In accordance with the requirements of the ASME Code Section XI

By signing this certiflcate neither the Inspector nor his employer makes any warranty elCpressed or implied concerning the examinations and corrective measures described In this Owne(s Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this inspection

Commissions l L Ie G 3 A IN Ins tors Slgnatuf9 National Board Slate Province and Endorsements

Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----


Owner Southern Nuclear Operating Co Date October lB 2011

Name 40 Inverness Center Parkway Birmingham AL 35242 Sheet of 2

Address


Name 7388 North State Hwy 95 Columbia AL 36319 Work Order No E13 - SNC82702



Name 7388 North State Hwy 95 Columbia AL 36319 Authorization No NA

Address

Expiration Date NA

4 Identification of System TPNS Q2E13SNUBBCSR310B CONTAINMENT SPRAY SYSTEM ASME CLASS 2


Year (b) Applicable Edition of Section XI Used for RepairReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Sectfon XI Code Case(s) NA


Name of Component Name of

ManufaC1urer Manufacturer Serial No

National Board

No

Other Identification

Year Built

Corrected Removed or

Installed

ASME Code Stamped

(Yes or No)


Hydraulic Snubber ANVIL 38470 NlA QP110051 2011 Installed NO

7 DeSCription of Warlt Snubber 2CSRmiddot310B was replaced as a scheduled upgrade Ref Transaction 111056195

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt eJ

Other 0 Pressure psi Test Temp OF

NOTE Supplemental sheets In form of ists sketches or drawings may be used provided (1) size Is B-ll2ln x 11 In (2) information In Ilems 1 through 6 on this report Is Included on each sheet and (3) each sheet Is numbered and number of sheets Is recorded at the top 0 Ihls form

Page 90 of 153

FORM NIS-2 (Back)

9 Remarks

Applicabl9 Manusetuters billa Reports 10 be oNachlld

Supports Designed 10 AISC-1969 and welded to AWS 011 -86


Ref Transection 1056201

VTmiddot3 Exam Pertormed after Installation


) LlJAi T bullltI Lr ~ lr-

I certify that the statements made In the report are correct and that Ihis conlorms to Ihe requirements of the ASME Code Section XL


NA Expiration Date NlA ----------------~

Signed Leonard Smith Maintenance Menager Date




State or Province of (1pound91 bull II and employed by ~ gt ( c --~--~----------------------------------~ of 1- klTflaquol o c have Inspecte the components described In this I

Owners Report during the period e 2 gt 3 Z u Z- to C) iL ( t 7 2 - I k and state that to

the best of my knowledge and belief the Owner has performed examinations and taken corrective measures described In this

Owners Report In accordance with the requirements 01 the ASME Code Section XL

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations end corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner lor any personal inlury or property damage or a loss 01 any kind ariSing Irom or connected with thislnspectian

Commissions 7 ( to -3 A i t~ r A bi l Inspectors Signature National Board State Province and Endorsements

Date 07- 0gt Z~O t -L

Page 91 of 153

-----



Name

40 Inverness Center Parkway Birmingham AL 35242 Sheet 01 2

Address


Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No P17 middot SNC826B8

Address Repair Replacement Organimlfon PO No Job No etc

3 Work Pertormed By FNP Maintenance Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Aulhorizalion No NA

Address

Expiralion Date NlA

4 Identification 01 System TPNS Q2P17SNUBBCCWH40A COMPONENT COOUNG WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remarks NlA Edltfon NA Addenda NA Code Case

Year

(b) Applicable Edition 01 Section XI Used for RepairReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Case(s) NlA



Name of Component Manufacturer Serlal No Board Removed or StampedManufacturer Identification Built


Hydraulic Snubber tTT GRINNELL 2CCWmiddotH40 NA FNP-2middot29 19n Removed NO

Hydraulic Snubber ANVIL 38468 NJA QP110051 2011 Installed NO


7 Descrlptlon of Work Snubber 2CCWmiddotH40A was replaced as a scheduled upgrade Ref Transaction 1056127 1056129

8 Tests Conducted Hydrosta~c 0 Pneumatfc 0 Nominal Operating Pressure 0 Exempt e Other 0 Pressure Test Temp _____oF -----psi

NOTE Supplemental sheets in form 01 lists sketches or drawings may be used provided (1) size Is 8-112 in xlI In bull (2) Information in lIems 1 through 6 on this report Is Included on each sheet and (3) each sheet is numbered and number of sheets Is recorded at the top of this form

Page 92 of 153

FORM NIS-2 (Back)

9 Remarks

APphubl6 Manufacturers OMB Rsports 10 be anaCileo






~ Jt t~~E-Nr ~r1-I certify that the statements made in the report are correct and that thls(contorms to the requirements of Ihe ASME Code Section XI


NA Expiration Date- NlA ----------------~

Leonard Smith Mainlenance Manager Dale 2 3 2- ~--~~~~----~


CERTiFICATE OF INSERVICE INSPECTION

I the undersigned holding a valid commission Issued by the National Boord of Boiler and Pressure Vessel Inspectors and the

State or Province of (2t ibILe A- and employed by -j- f C --~~------------------------------------~ of t-AR-n-tlt1l D C T have inspected the components described in this

Owners Report during the period Z-b 2 to and stale thaI toQ2-1 -3 Q7_It8 I7 fJ 7--shy

the best of my knowiedge and belief the Owner has performed examinatlons and laken corrective measures described In this

Owners Report in accordance with the requlremenls of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concemlng Ihe examinations and corrective measures described In this Owners Report Furthem1ore neither the Inspeclor nor his employer shall be tiable In any manner for any personal injury or property damage or a loss of any klnd arising rom or connecled with Ihls inspection

Commissions Z t u 3 A J (1 A( 1 0

nspectors SIgnature National Board State Province and Endorsements

Dale 1) 7i06 h1) I Z-

Page 93 of 153

----


1 Owner Southern Nuciear Operating Co Date October 24 2011

Name

40 Inverness Center Parkway 8inningham AL 35242 Sheet of 2

Addf9SS


Name

7388 North Slate Hwy 95 Columbia AL 36319 Work Order No E21- SNC82706

Address RepairReplacement Organization PO No Job No elc

3 Work Perfonned By FNP Maintenance Department Type Code Symbol Stamp NA

Name


Address

ExplratJon Date NA

4 Id9floflcation of System TPNS 02E21SNUBBCVCR71A CHEMICAL VOLUME CONTROL SYSTEM ASME Class 2

5 (a) Applicable Construction Code See Remarks NA Addenda NJA Code Case

Year


Year




Name of Component Manufaclurer Serlal No Board RemOVed or StampedManufacturer Identification Built


Hydraulic Snubber ITI GRINNELL 2CVC-R71 NA FNP-2-29 1977 Removed NO


Adapter Plate ANVIL 38463 NlA OPll00S1 2011 Installed NO

7 Description of Work Snubber 2CVC-R71A was replaced as a scheduled upgrade Ref Transaction 10589091058611

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt e Other 0 Pressure _____ psl Test Temp OF

NOTE Supplemental sheets In fonn of lists sketches or drawings may be used provided (1) size Is 8middot12 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 number of sheets Is recorded at the top of this fonn

Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts

Apphcabls Manulacu Dii l Reporl5 0 b aNachod

Supports Designed to AISC-1969 and welded to AWS 011 -86

Relerence equivalency determination (ED) C092099701




jgtwtgtshy ) 6-fl-~ 6 JT r1l ( I

I certify that the statements made In the report are correct and thalthlsiconforms 10 Ihe requirements of the ASME Code Section XI

Type Code Symbol Slamp NlA

NA Explrallon Date NA --------------------~

Signed Leonard Smith Maintenance Manager Date 2912shy-------~----------~ Owner or Owners Designee ntla

CERTIFICA TE OF INSERVICE INSPECTION

I the undersigned holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of G Iicentf c l lt and employed by -cogt E c --~~~~----------------------------------~ of r-- iR f-tr1LIgt cT have Inspected the components described In this

Owners Report during the period Co -z I tl 3) 7- z- to ( 2- 0 7 2 J J L and state that 10

the best of my knowledge and belief the Owner has performed examinations and takan corrective measures described In thIs

Owners Report In accordance with the reqUirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures described in this Owners Report_ Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

CommIssions 76 0 3 4 IN GA LqD Inspectors Signature Nstlonal Board State Province and Endorsements

Date 6Z- b 7 7U I Z-

Page 95 of 153

-----

----- ----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

t Owner Southern Nuclear Operating Co Date October t 2 2011

Name

40 Inverness Center Parkway Binnlngham AL 35242 Sheet of 2

Address


Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No PHmiddot SNC82689


3 Work Perfonned By FNP Maintenance Department Type Code Symbol Stamp NlA

Name


Address

Expiration Date NA

4 Identification of System TPNS Q2P17SNUBBCCWH40B COMPONENT COOLING WATER SYSTEM ASME CLASS 3


Year

(b) Applicable Edition of SecUon XI Used for RepairReplacement Acllvlty 2001 Addenda 2003

Year



National Corrected AS ME CodeName of Other Year

Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identlflcation Buill


Hydraulic Snubber ITT GRINNELL 2CCW-H40 NA FNP-2-29 1977 Removed NO



7 Description of Work Snubber 2CCW-H40B was replaced as a scheduled upgrade Ref Transaction 1056191 1056193

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt ~

Other 0 Pressure pSi Test Temp OF

NOTE Supplemental sheals In fonn of lists sketches or drawings may be used provided (1) size is 8middot12 in x In (2) information In Items 1 through 6 on this report Is included on each sheet and (3) each sheet is numbered and number of sheets Is recorded at the top of this lonn

Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts

ApPlicable MaMacts Dala Repanslo be aNeNld

Supports Designed to AISC-I969 and welded to AWS 01 1middot86

Reference equivalency determination C09193350t

Ref Trensaction 1 t056191 AND t056193

VT-3 Exam Perfonned after Installation

~ibull c


l((Yt~t rJi q 1 I eMily that the stetements made In the report are correct and that thlstconfonns to the requirements of the ASME Code Section XI


NlA Expiration Date NA------------------1 Signed Leonard Smith Maintenance Manager Date 23



I the undersigned holding a valid commission issued by the National Board 01 Boiler and Pressure Vessel Inspectors and the

State or Province 01 G lu11t I A and employed by t--tc a c - ----~------~----------------------------~ of Hmiddot~~~ 0 cT have Inspected the components described in this

Owners Report during the period 0 L- D 3 2-( I lt- to 0 L D ~ 2-v ) z- and state that to

the best of my knowledge and beliel the Owner has perfonned examinations and taken corrective measures described in this

Owners Report in accordance with the requirements 01 the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations end corrective measures described In this Owners Report Furthennore 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 Irom or connected with this Inspection

Commissions J 2-b u 3 A 1l1 --~~--~~----------------------~ Inspectors Signature National Boord State Province and Endorsements

Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----


1 Owner Southern Nuclear Operaling Co Date October 19 2011

Name

40 Invemess Center Parkway Binningham AL 35242 Sheet of 2

Address

2 Plant Joseph M Ferfey Nuclear Plent (FNP) Unit FNP Unit 2

Name

738B North State Hwy 95 Columbia AL 36319 Work Order No NIlmiddot SNC82713



Name

7388 North State Hwy 95 ColumbIa AL 36319 AuthOrization No NA

Address

Expiration Date NA

4 Identitical10n of System TPNS Q2Nl1SNUBBMSR802 MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NA Edition NA Addenda NA Code Case ------ Year ----- ----shy

(b) Applicable EdlHon of Section XI Used for RepalrReplacement Activity 2001 Addenda 2003

Year

(c) Applicable SecUon XI Code Case(s) NlA





Hydraulic Snubber ITIGRINNELL 22603 NA FNPmiddot2middot29 1977 Removed NO


7 Description of Work Snubber 2MSmiddotR802 was replaced as a scheduled upgrade Ref Transacl10n Ii 1056851

B Tests Conducted Hydrostatlc 0 Pneumatic 0 Nominel Operating Pressure 0 Exempt 8


NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size Is 8middot12 in x 11 in (2) Infonnalion in Items 1 through 6 on this report is included on each sheet and (3) each sheet Is numbered and number of sheets Is recorded at the top of this form

Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks

APPlicable ManuacMes Oala R_rlS 10 b8 nach8d

Supports Designed 10 AISC-1969 and welded 10 AWS 011-86





~ (-0r AcP~o-I- -f) I certity that the statements made in the report are correct and that this conforms 10 the requirements of the ASME Code Section XI


NA Expiration Dale NfA

----------------~ Signed Leonard Smith Maintenance Manager Date 2~

Owner or Owners DesigneB ntle

CERTIFICATE OF INSERViCE INSPECTION

i the undersigned holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of C tcr~ I A and empioyed by_-=HS3_c-lt_________________--t

of _ttA-UT ~o lt have inspected the components described In this

Owners Report during the period 62-0 3 -u)I 2- to en00 1lt--01 L and state that to

the best ot my knowledge and belief the Owner has performed examinations and taken corrective measures described in this


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concemlng the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner lor any personallnlury or property damage or a loss of any kind arising from or cOMectsd with this inspection

Commissions Lloo 3 A IN GA 6qa --~~~~--~~~~~~=-~--~~ Natonal Board State Province and Endorsements

Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by Ihe Provisions 01 the ASME Code Section XI


Name


Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unil2

Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No P17 - SNC82695

Address RepairReplacement Organization PO No Job No Blc

3 Work Performed By FNP Malntenence Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Authorization No NlA

Address

Expiration Date NA

4 Identification of System TPNS Q2P17SNUBBCCWR205A COMPONENT COOLING WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Coda See Remarks NlA Edition NA Addenda NA Code Case ------- Yeiir -----shy


Year

(c) Applcable Secllon XI Code Case(s) NlA


National Corrected ASME Code Name 01 Other Year



Hydraulic Snubber ITT GRiNNELL 2CCWR205A NA FNPmiddot2-29 19n Removed NO

Hydraulic Snubber ANVIL 38464 NlA QPl t0051 2011 Installed NO

Adapter Plate ANVIL 38464 NA QP110051 2011 installed NO

7 Description of Work Snubber 2CCW-R205A was replaced as a scheduled upgrade Ref Transaction 1058865 1058867

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 8


NOTE Supplemenlal sheets in form of lists sketches or drawings may be used provided (1) size Is 8-12 in x 11 in bull (2) inlormation in Items 1 through 6 on this report Is included on each sheet and (3) each sheet Is numbered and number 01 sheets is recorded at the top of this form

Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts

Appllcabie ManulaCfUfe(s DaIS Repett 10 ( aUachlld



Ref Transaction II 1058865 and 1058867



RffiAaMampJT ~ t I certify that the statements made In the report are correct and that thlsIConforms to the requirements of the ASME Code Section XI


NIA Expiration Date NlA ----------------- Signed Leonard Smith Maintenance Manager Date 2- $ 12--shy


I Ihe undersigned holdlng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the

Slate or Province of C~ fcVtL C I A and employed by ~~5 3 cshy----~~----------------------------------~ of P~(t~O (1 have Inspected the components described In this

Owners Report during the period 0 7_1 tl -s I kLgt I k to Q z- Ie hS I 2--0 z- and state that to

the best of my knowledge and belief the Owner has performed examinations and taken corrective measures described In Ihis


By Signing this certlflcate neither the Inspector nor hIs emptoyer makes any warranty expressed or Implied concerning the examinations and corrective measures descrtbed In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or e loss of any kind arising from or connected with this Inspection

Commissions z l L 3 A I ~ GA ic1 (gt --~~~~~~~~~--~~~--~--

Inspectors SignaturB NatanaBoard State Prov(nce snd Endorsements

Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required By The Provisions Of The ASME Code Section XI

1 Owner Southern Nuclear Operating Company Date January 25 2012 Name

40 Inverness etr Pkwy Birmingham AI 35242 Sheel of 2 Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2 Name 13 i3 th p

7388 N Stale Hwy 95 Columbia AI 36319 Work Order No fHj21ciJ5532f4 lila ltd) 50 I ~r~ Address RepairReplacement Organization PO No Job No etc

3 Work Performed by FNP Maintenance Department Type Code Symbol Stamp NIA Name Authorization No NIA

7388 N State Hwy 95 Columbia AI 36319 Expiration Date NlA Address

4 Identification of System TPNS Q2B13SNUBBRCR 18B Reaclor Coolant System ASME Ctass 1

5 (a) Applicable Construction Code See Remarks Edition 4--____N~V Addenda _--NIA~_ Code Case

(b) Applicable Edition of Section XI Used for RepalrlReplacement Activity 2001 Edition 2003 Addenda (c) Applicable Section XI Code Case(s) NlA


National Corrected ASME Code Name of Name of Manufacturer Board Other Vear Removed or Stamped

Component Manufacturer Serial No No Identification Built Installed (Ves or No)

MECHANICAL GRINNELL 2859 NA NA 19n REMOVED NOSNUBBER

HYDRAULIC LlSEGA 31000519042 NA ~1 ~01~~~C~ 1t- 2010 INSTALLED NOSNUBBER r

7 Description of Work Remove mechanical snubber and replace with hydraulic snubber

8 Test Conducted Hydrostatic D PneumalfcD Nominal Operating PressureD EXemptI] Other D Pressure ____ psi Test Temp _____ oF

Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)

9 Remarks Designed per AISC 1969 Ed Welded per AWS 011middot86 Applicable Manufacturers Data Aeports 10 be attached

CERTIFICATE OF COMPLIANCE We certify thet the stetements made in the report sre correct and Ihat this Replacement conforms to the rules of the ASME

Code Section XI repair or replacement


NIA


I the undersigned holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the state or Province of 4~ ~ A and employed by t sIS c of ~+prr----tn 0 0

hie inspected the components described in this Owners Report during the period 0 - 0 I Agt to __ -I)- --1-uS7-9 Z- and state that to the beet of my knowledge and belief the Owner has performed examinations and taken corrective measures described In this Owners Report in accordance with the requirements of the ASME Code Section XI

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

~ ~ Commissions Aqtl 12 b l) 3 GA ( ~ () Inspectors Signature National Board State Province and Endorsements

Date 0) fgt bvu__


012612073055 FNP-0-GMP-02

FORM NISmiddot2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required By The Provisions Of The ASME Code Section XI

1 Owner Southern Nuclear Opera ling Company Data January 252012 Name

40 Inverness Clr Pkwy Birmingham AI 35242 Sheet of 2 Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNPUnil 2 Name

7388 N Slate Hwy 95 Columbia AI 36319 Work Order No P16middot2102553201 Address RepairReplacement Organization PO No Job No etc

3 Work Performed by FNP Maintenance Department Type Code Symbol Stamp NlA Name Authorizetion No NIA


4 Identification of System Piping and TPNS Q2PI6V584 Q2P16V589 Service Waler Syslem ASME Class 3

5 (a) Applicable Construction Code See Remarks Edition ____~Nv~A~___ Addenda ____N~~~A~__ Code Caee

(b) Applicable Edition of Section XI Used for RepairReplacement Activity 2001 Edition 2003 Addenda (c) Applicable Section XI Code Case(s) NlA


National Corrected ASME Code Name of Name of Manufacturer Board O1her Year Removed or Stamped

Component Manufacturer Serial No No Identification Buill Installed ~Yeamp or No) DANIEL Q-2middotPI6middotHBCshy

2 PIPE NlA NlA 1976 REMOVED YESCONSTRUCTION 200-E5580middot1

DANIEL Qmiddot2middotPI6middotHBCmiddot2 SW ELBOW NIA NIA 1976 REMOVED YESCONSTRUCTION 200-E5580middot1

DANIEL Qmiddot2middotPI6-HBCmiddot2SWTEE NIA NIA 1976 REMOVED YESCONSTRUCTION 2oomiddotE5580middot1

2SWCHECK KEROTEST ST13middot19 NlA NlA 1976 REMOVED YES

VALVE

2SWGLOBE KEROTEST J05middot1 NIA NIA 1976 REMOVED YES

VALVE

MICHIGAN2 PIPE NlA NIA HEA T A054337 2006 INSTALLED NOSEAMLESS TUBE

2SWELBOWS BONNEY FORGE NIA NIA HEA T 77464 76996 2008 INSTALLED YES

2SW TEE BONNEY FORGE NIA NlA HEA T 77464 2008 INSTALLED YES

2SWCHECK FLOWSERVE SOBAA NIA NlA 2004 INSTALLED YES

VALVE

2SWGLOBE FLOWSEFIVE S8BCY NlA NIA 2005 INSTALLED YES

VALVE

7 Description of Work Remove 2 valves and associated piping and replace

8 Test Conducted Hydrostatic 0 PneumiltlcD Nomlnill Operating Pressure[] Exempt0 _____ oFOther 0 Pressure _____ psi Test Temp

Page 1 of 2

012612 073055 FNP-0-GMP-02


(tcshy9 Remarks Piping and Fil1ings designed to ASME Section 111 1971 Edihon up 10~~itiOn7(111_

Applicable Manufacturers Data Reports to be attached Valves designed to ASME Seclion 111 1971 Edition Winler 1971 Addenda

CERTIFICATE OF COMPLIANCE We certify that the statements mada In the report are correct and that this Replacement conforms to the rules of the ASME

Code Section XI repeir or replacement


Certificate of Authorization NIA EICpiration Date

Signed

No

iJIlLlIilaquo

NIA



I the undersigned holding a valid commission issuad by the National Board of Boiler end Pressure Vessel Inspectors and the state or Province of (- rmJ G I A and employed by t1 is B e T of t4~I1Hr1L() e x

have inspected the componants described in this Owners Report during the period Q L- o o 22-0 j z to 1--O-~ZD0 1 2-1gt k 2- and state that to the best of my knowledge and belief tha Owner has performed examinations and taken corrective meesures described in this Owners Report in accordance with the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes eny warranty expressed or implied concerning the examinations and corrective measures describad in this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal Injury or properly damage or a loss of any kind arising from or connected with this inspection

~~~- Commissions

Inspectors gnature National Board State Province and Endorsements

Page 2 of 2

-----

----- ----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the Provisions 01 the ASME Code Section XI


Name 40 Invemess Center ParKway Birmingham Al 35242 Sheet 01 2

Address

2 Plant Joseph M Ferley Nuclear Plant (FNP) Unit FNP Unit 2

Name 7388 North Stale Hwy 95 Columbia Al36319 WorK Order No Nl1middot SNC82715

Address RepairReplacement Organization PO No Job No etc 3 Work Performed By FNP Maintenance Department Type Code Symbol Stamp NA


Address Expiration Date NlA

4 Identiflcation 01 System TPNS 02N11SNUB8MSR804 MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NlA Edition NA Addenda NA Code Case

Yeiir (b) Applicable Edition of Section XI Used for RepalrlRepiacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Cases) NlA

6 fdentification 01 Components




Hydraulic Snubber ITT GRINNEll 17015 NlA FNpmiddot222 1976 Removed NO

Hydraulic Snubber ANVil 38485 NlA QP110051 2011 Installed NO

7 DeSCription of Work Snubber 2MSmiddotR804 was replaced as a scheduled upgrade Ref Transaction It 1186305

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt E2I

Other 0 Pressure psi Tesl Temp OF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8middot12 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 number of sheets Is recorded at the top of this form

Page 106 of 153


9 Remarllts

APPJkible MtlnufaCIlJTers Oats Reports 10 be atrachfJd

Supports Designed to AISC-1969 and welded to AWS Dl l ~ 86





)~pt~( - i 1 11 n

I certify that the statements made In the report are correct and that this( onforms to the requirements of the ASME Code Section XI


NA Expiration Date NlACertificate of AU1otion NOL ----------------~

Signed d Leonard Smilh Maintenance Manager Date 212shyOwner or Owners Designee Title

CERTIFICATE OF INSERVICE tNSPECTION

I the undersigned holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or PrOVince 01 C1EDllGI A and employed by 1 $ B e --~~~~~------------------------------~

01 ~A2 middotr-Li2~ lt have inspected the components described in this

Owners Report during the period u_c I u ~ 70 - to t _ 0 7 2-0I L and state that to

the best of my knowledge and beliel the Owner has periormed examinations and taken correcUve measures described In this

Owners Report in accordance wllh the requirements 01 the ASME Code Section XL

By signing this certlflcate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector 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 Inspecllon

Commissions 2 603 AI rI GA(oi D Inspectors Signature National Board State Province and Endorsements

Date middot72 _ 12_D 2 D

Page 107 of 153

----- ----

As Required by he Provisions of he ASME Code Section XI

15 of he ASME Code Section XI

1 Owner Southern Nuclear Operating Co Date November 5 2011

Name


Address

2 Plant Joseph M Fartey Nuclear Plant (FNP) Unit FNP Unll2

Name

7388 North State Hwy 95 Columbia Al 36319 Wortlt Order No Ell- SNC344131


3 Wortlt Performed By FNP Maintenance Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Aultlorization No NlA

Address

Expiration Date NJA

4 Identification of System TPNS Q2El1SNUBBRHRBR1 RESIDUAL HEAT REMOVAL SYSTEM ASME Class 1

5 (a) Applicable Construction Code See Remarks NlA Edition NA Addenda NlA Code Case ------- ya- ---- shy

(b) Applicable Edition of Section XI Used for RepairiAeplacement Actlvlly 2001 Addenda 2003

Year



National Corrected ASME CodeName 01 Other Year

Name 01 Component Manufacturer Serial No Board Removed or StampedManulacturer Identification Built


Hydraulic Snubber ITT GRINNELL 2RHR-8Rl NlA FNpmiddot2middot29 19n Removed NO

KIT UPGRADE ANVIL 37940 NlA QP0091163 2009 Installed NO

Descrtption of Wortlt Snubber 2SI-R171 was Upgraded to contlg A

7 because of cracked reservoir Ret Tranaactlon 1516533

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt e Other 0 Pressure psi Test Temp OF

NOTE Supplemental sheets In form of Usls sketches or drawings may be used provlded (1) size Is 8-112 In )( 11 In (2) Information In Items 1 through 6 on this report Is inCluded on each sheet and (3) each sheet is numbered and number of sheets Is recorded at the top 01 this form

Page 108 01 153

FORM NIS-2 (Back)

9 Remarks

Apphcabl MsnufaCfures bSf Repotl fa b9 a6chlKi


Reference equivalency determination (ED) C092533401


VT-3 Exam Performed after Installallon


~6 traquopoundf Meuro1VT ~-i1 1 I certify that the statements made In the report are correct and that this conforms to the requirements or the ASME Code Section XI

Type Code Symbol Stamp NIA

NIA Expiration Date NA ------------------~

Signed Leonard Smith Maintanance Manager Date



I the undersigned holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of ( pound01- 1A and employed by ) Beymiddot --~--------------------------------------~ of - AfLmiddot(tgt11 tl C T heve Inspected the components described In this

Owners Report during the period C32 ( OS 2 I L to () -z[) 7 I 2 6 I z and state that to

the best 01 my knowledge and belief the Owner has pertormed examinations and taken corrective measures described in this

Owners Report In accordance with the requirements 01 the ASME Code SecHon XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and corrective measures described In thiS Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personallnury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions ) lt bu~ AI-1 Gl bQ ( ~~~~~~~--~------~--------~ National Board State Province and Endorsements

Date 0 7- Imiddot r IJ 11__

Page 109 of 153

012612141545 FNP-O-GMP-O2


1 Owner Southern Nuclear Operating Compeny Date January 262012 Name

4() Inverness Ctr Pkwy Birmingham AI 35242 Sheet of 2 Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2 Name

7388 N State Hwy 95 Columbia AI 36319 Work Order No 2071439901 Address RepairReplacement Organization PO No Job No etc

3 Work Performed by FNP Maintenance Department Type Code Symbol Stamp NlA Name Authorization No NIA

7388 N State Hwy 95 Columbia AI 36319 EXpiration Date NlA Address

4 Identification of System TPNS H Q2G31V007 G31- Spent Fuel Pool Cooling System ASME Class 3

5 (a) Applicable Construction Code See Remarks Edition ____~~~~~___ Addenda ____M~~~__ Code Case

(b) Applicable Edition of Section XI Used for RepalrRepacement Activity 2001 Edition 2003 Addenda (c) Applicable Section XI Code Case(s) N(A


National Corrected ASME Code Name of Name of Manufacturer Board Other Year Removedor Stamped

Component Manufacturer Serial No No Identification Built Installed (Yes or No)

2 DIAPHAAM GRINNEll 73-2761-12-4 NA NA 1974 REMOVED YESVAlVE BONNET

2 DIAPHRAM BONNET HEAT IIIn 833408-001-001 NA 2009 INSTAllED YESVALVE BONNET ~

tltlltfC middot wL ~-

7 Description of Work Replace bonnet 01 existing valve Used the old valve body and Instalied the new bonnet assembly

8 Test Conducted Hydrostatic 0 PneumaticD Nominel Operating PreS8ure[] ExemptD _____ oFOther D Pressure ______ psi Test Temp


01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA

-1a~~ampi~iiirQ1oriii~~be~_I_-~ttiIe--$~middot---DIll 2 JLsn

I~ gp bull---_

I undI halcInIwIId n OMIlo8rdoflos v _ orProvfnco Ct ~tIA InChlllloudby - ~sectlt=( of AQ~~ T_ f

1__h8Ye~00IIIP0ftIIII dMoItbed In IhIa 0Wner Report middot Ihe prtDd 0 21 0 $ L 9 tL- 10 = 01 Ieru iz- that 10 1M of lIlY 1Inow on ~~ ~ ctcribed kI thI8 0Wnen RItIM In IIOCOfdIrwIt _Ihlhe requiI ofAlII CoM ~)O

By ItgnIne hie ~ NIl IhI Inapeotor nor ilia 1mpIo _ w~ bull_ 01 implied ~ thl 1n8tIona COIIICdw __t dMolIbtd In tIIIe 0wnIr RIporL PuIbnncNe nIltbIr thll~ nor hit empfoyw1 be utIIe In WIfar-oMI or property 01 bull tou GI1dncI WI from or cotMIeCIId with INa lnepdon

~L~~_ ~ 2-~~ia~~~and ~1Ia

Page 2 of 2 VersJon 240

Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


1 Owner Southern Nuclear Operating Company Date February 72012 Name

40 Inverness Ctr Pkwy Birmingham AI 35242 Sheet of 2 Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP-UNIT2 Name

7388 N Stale Hwy 95 Columbia AI 36319 WOII SNCB2700 - E13 Address RepairReplacement Organization PO No bullbull Job No etc

3 Work Performed by FNP Maintenance Department Type Code Symbol NIA Stamp

Name Authorization NIA No

7388 N State Hwy 95 Columbia At- 36319 Expiration NlA Date

Address 4 Identification of System 02E13SNUBBCSR282A - CLASS 2

5 (a) Applicable Construction Code SEE REMARKS Edition NIA Addenda _-eN-cIA--_ Code Case (b) Applicable Edition of Section XI Used for RepeirReplacement Activity 2001 Edition 2003 Addenda (c) Applicable Section XI Code Case(s) VA


National ltArrected ASME Code Name of Name of Manufacturer Board Other Year Removed or Stamped

COI1Ponent Manufacturer Serial No No Identification Built Installed (Yes or No) SNUBBER GRINNELL 2CS-R2B2 NIA FNP2-29 1977 REMOVED NO

SNUBBER ANVIL 38478 NlA QP11oo51 2011 INSTALLED NO

7 Description of Work Recpaceosnubber________________________________

6 Test Conducted Hydrostatic 0 Pneumatic D Nominal Operating PressureD Exempt 00 Other D Pressure psi Test Temp ----- OF

Page 1 of 2 Version 21a~e 112 of 153

____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)

9 Remarks Applicable Manufacturers Data Reports to be attached

Supports designed 10 AISC-1969 and welded 10 AWS 01 1middot86 Reference Equivalency Determination

C09205041 Reference Transaclion H 1056845 VTmiddot3 exam performed alter installallOn

CERTIFICATE OF COMPLlANj -1 We certify that the statements made in the report are correct and that this Jf ~ conforms to the rules of the ASME


Type Code Symbol NIA Stamp

Certificate of NlA Expiration NlAOateAuthorization No

Signed Datel14oo~~ CERTIFICATE OF INSERVICE INSPECTION

I the undersigned holding a valid commission Issued by the National Board of Boiler Bnd Pressure Vessel Inspectors and the atate or Province of GftfY2Ci 1fr and employed by H$6 C of t--AQ7Hr1L D e

I___have Inspected the components described In this Owners Report during the period C7_ () 3 2-D Z_ to __ 02- (0 fgt I Zl Z and state that to the best of my knowledge and belief the Owner has periormed examlna1ions and taken

corrective measures described in this Owners Report in accordance with the requirements of the ASME Code Section XI

By signing this certificate ntither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector 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

Commission=~~~~= s 2bV3AJ~ Inii~ectors Signature National Board State Province and Endorsements

Date 0705 IZI) I 2shy

Page 2 of 2 Version 24gtQe 113 of 153

--------- ----------

-----

FORM NI$-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code SecUon XI

1 Owner Southem Nuclear Operating Co Dale October 20 2011

Name

40 Inverness Center Parllway Birmingham AL 35242 Sheet of 2

Address

2 Ptant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2

Name

7388 North State Hwy 95 Columbia AL 36319 Worll Order No N12- SNC82687


3 Worll Performed By FNP Maintenance Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Authortzation No NA


4 Identification of System~ TPNS Q2N12SNUBBASR17 AUXILLARY STEAM SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remarks NlA Edition NA Addenda NlA Code Case


Year

(c) Appllcabte Section XI Code Case(s) NA





Hydraulic Snubber ITIGRINNELL 17001 NlA FNP-222 1976 Removed NO

Hydraulic Snubber ANVIL 38475 NlA QP110051 2011 Instalted NO

7 Description of Work Snubber 2ASmiddotR17 was replaced as a scheduled upgrade Ref Transaction 1056825

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt Ga

Other 0 Pressure psi Test Temp -------OF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8-12 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 number of sheets Is recorded at the top of this form

Page 114 of 153

FORM NIS-2 (Back)

9 Remarks

AppliCable Manusewf8e Oar Reports (0 be 8nachltid

Supports Designed to AISCmiddot1969 and welded to AWS 01 1middot86



VTmiddot3 Exam Periormed after Installation

CERTIFICATE OF COMPLIANCE 1ltgtshy

Mp~ -t I I certify that the statements made In the report are correct end thet this~onform9 to the requirements of the ASME Code Sect10n XL


Certificate of Authorization No NA Expiration Date NA

Signed a~---L-e-on-a-r-d-S-m-it-h--M-al-n-te-n-an-cB Manager Date ~~2~~~~3~~h~~~2-~~~~~~~~~ Owner or Owners Designee Title



State or Provtnce of C 0nL~ I ~ and employed by IS-6-_C~___t-middot ~ _________________~

of HJ(L HnLj) Q- have Inspected the components described in this

Owners Report during the panod 0 pound) 2 D 2-- to 07-10 ~ 2- 0 1 2 and state that to

the best of my knowledge and belief the Owner has periormed examinations and taken corrective measures described In this

Owners Report in accordance with the requirements of the ASME Code Section XL

By signing this certlHcate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be tlable In any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions -2 c Ll 3 4 I J ~ 4 0 c National Board State Province and Endorsements

Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Sectron XI



Address 2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit 2

------------------~Na-m-e----------------E I ~ fU17~i

7388 North State Hwy 95 Columbia AL 36319 Work Order No pff SNC82705



Name

7388 North State Hwy 95 Columbia AL 36319 Aulhorization No NlA

Addrass Expiration Dete NA

4 Identification of System TPNS 02E13SNUBBCSR334 CONTAINMENT SPRAY SYSTEM ASME CLASS 2


Year

(b) Applicable Edition of Section XI Used lor RepairReplacement Activity 2001 Addenda 2003

Year


6 identificallon of Componentsmiddot

National Corrected AS ME Code Nameo Other Year

Name of Component Manufacturer Serlal No Board Removed or StampedManulacturer Identification Built

No installed (Yes or No)

Hydraulic Snubber ITIGRINNELL 2CS-R334 NlA FNP-2-29 1978 Removed NO

Hydraulic Snubber ANVIL 38473 NA OPll0051 2011 Installed NO

7 DeSCription of Work Snubber 2CSRmiddot334 was replaced as e scheduled upgrade Ref Transaction 1056201

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operallng Pressure 0 Exempt ~

Other 0 Pressure ________ psi Test Temp _____ middotF

NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8-12 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 number of sheets Is recorded at the top of this form

Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s

AppilCllbl Manufacturers DBt Reports to 6e 8NaChed

Supports Designed to A I SCmiddot1969 and welded to AW S 01 1middot86


Ref Transaction N 1056201

VTmiddot3 Exam Pertormed alter Installation


~ Reuroi1- ACfMfr( 1 t-I certify Ihalthe statements made in the report are correct and thai thisfconforms to the requlremenls of the ASME Code SacHon XI


Certificate of AUratiOn N~ NA Expiration Dale NlA ----------------~

Signed Leonard Smith Maintenance Manager Date 4 kL Owner or Owners Designee Title


I the undersigned holding a valid commission Issued by Ihe NaHooal Soard of Soiler and Pressure Vessellnspaclors and Ihe

Stale or Province of GItD~ I A and employed by -ir) B C_ of rAAT-e-lt20 Cr ----------ha-v-e-in-s-p-ec-t~-t-h-e-co-m-pon--e-nl-s-d-e-sc-ri-be-d--n-th-s--l

Owners Report during Ihe period C 2 J ~ J7 ) 11- to () -ltJD ( I U 1lt- and state thai to

the best of my knowledge and belief the Owner has pertormed examinations and laken corrective measures described In this

Owners Report In accordance with the requirements of Ihe ASME Code Seclion XL

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied conceming the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any mamer for any personal Injury or property damage or a toss of any kind arising from or connected with this InspacNon

Commissions 2 663 AI ~ GA IoS0 ( spectors Signature Nationsl Board Stste Province snd Endorsements

Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----


1 Owner Soulhem Nuclear Operating Co Dale October 24 201 t

Name

40 Inverness Cenler Par1ltway Birmingham AL 35242 Sheet 01 2

Address

2 Plant Joseph M Fartey Nuclear Plant (FNP) Unitmiddot FNP Unit 2

Name


Address RepairReplacement Organlzalion PO No Job No etc

3 Worlt Performad By FNP Malntenance Department Type Code Symbol Stamp NA

Name

7388 North Stale Hwy 95 Columbia AL 36319 Authorization No NlA

Address

Expiration Date NA

11shy4 Identification of System TPNS Q2PI6SNUBB SWR41A SERVICE WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remarks bull NlA Edition NlA Addenda NJA Code Case ------- Yesr ---- shy

(b) Applicable EdiUon of Section XI Used for RepairlRepiacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code easels) NA

6 Identification of Componenls


Name of Component Manufacturer Serial No Board RemOVed or StampedManufacture r Identification Built


Hydraulic Snubber ITIGRfNNELL 2SWmiddotR41 NA FNP-2middot29 1977 Removed NO



7 Description 01 Wor1lt Snubber 2SWR41A was replaced as a scheduled upgrade Ref Transaction 1071423 1071339


Other D Pressure psi Test Temp OF

NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8middot112 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 number of sheets Is recorded at the top of this form

Page 1180f153

FORM NIS-2 (Back)

9 Remarks

APPhcable ManuiflCUS oata Rel)Orfs 10 b8 attached

Supports Designed to AISC-l969 and welded 10 AWS 01 1middot86


Ref Transaction 1071423 1071339



I ~ Jvle if ~II ~~ I certify that the statements made In the report are correct and that thi conforms to the requirements at the ASME Code Section XI


Expiration Date NA ----------------~



I the undersigned holding e valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the

Stale or Province of C)1tPfLG I A and employed by tJlt e C T ----~~----------------------------------~ of have Inspected the components described In this

Owners Report during the period to __ ~~ ____ trM ( lgt12D C ---shy

D t)O1_2-0_ 2- and slate that to

the best of my knowledge and berlet the Owner has periormed examinations and tallen corrective measures described In this

Owners Report In accordance with the requlremenls of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied conceming the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions 2- (D3 4 il~ ( A 1010 ~~--~~~~~~-----~~~------~

Inspectors Signature National Board State ProvInce and Endorsements

Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----


1 (Niner Southern Nuclear Operating Co Dale October 6 2011

Name

40 Invemess Center Parkway Blrmingam AL 35242 Sheet of 2

Address

2 Plant Joseph M Farley Nuclear Plant (FNP) Unit FNP Unit2

Name


Address RepairReplacemenf Organization PO No Job No etc

3 Work Perfonned By FNP Malnlenance Department Type Code Symbol Stamp NA

Name


Address

E)(jlIratlon Date NA Pvtshy

~ z V 4 Identification of System TPNS Q2PI7SNUBBCCWIl2018 COMPONENT COOLING WATER SYSTEM ASME ClJSS3

5 (al Applicable Construction Code See Remarks NlA Edition NA Addenda NA Code Case

Year (b) Applicable Edition of Secllon XI Used for RepairReplacement Activity 2001 Addenda 2003

Year


6 dentlfication of Components


Name of Component Manufacturer Senal No Board RemOVed or StampedManufacturer Identification BuillNo Installed (Yes or No)

Hydraulic Snubber ITT GRINNELL 19171 NA FNpmiddot2middot29 1977 Removed NO



7 Description of Work Snubber 2CCWmiddotH201 B was replaced as a scheduled upgrade Ref Transaction 1 1071411 1071333



NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8middot 12 In x 1 t In (2) Information In Items 1 through 6 on this report is Included on each sheel and (3) each sheet Is numbered and number of sheets Is recorded at the lop of this form

Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls

Appuca61s MBnufaclures Oala Rapons to 60 aNacled

Supports Designed to AISCmiddot1969 and welded to AWS D11 -86

Reterence equivalency determination C091933501

ReI Transaction 107141 1 1071333



Apoundp i AcCMpound1JI _ ~v jZ

I certlfy that the statements made in the report are correct and that this ontorms to the requirements of the ASME Code Section XI


0n NACSle9rtnedficaIe of AU)thOrlzBti-pNoJ J ~( NIA Expiration Date

d fi-tb~ Leonard Smith Maintenance Manager Date 21~hz -=~~~~~------i

Owner or Owners Designee TItle


I the underSigned holding a valid commission Issued by the National Board ot Boller and Pressure Vessel Inspectors and Ihe

State or Province of C 0H14 I i and employed bY___h--- S6___Cmiddot -________________

ot dA nT -t-7ltLO Q have Inspected the components described in this

Owners Report during ttle period O-z 10 I Z i) 2 to Dlt O~ 20 Z and state thelto

the bast 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 Seclion Xi

By signing ttlls certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described In this Owners Report Ful1hennore nalther the Inspector nor his employer shall be liable In any manner tor any personal injury or property damage or a loss of any klnd arising from or connected with this inspection

Commissions 2 0 3 A I J c AIcCjo Ins8CtOrS SIgnature National Board State Province and Endorsements

Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----



Name 40 Invemess Center Parkway Birmingham AL 35242 Sheet of 2

Address


Name 7388 North State Hwy 95 Columbia AL 36319 Work Order No Nl1 - SNC82717


3 Work Perlormed By FNP Maintenance Department Type Code Symbol Stamp NA


Address Expiration Date NA

4 Identlticatlon of System TPNS Q2N11 SNUBBMSR80B MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NiA Edihon NiA Addenda NlA Code Case Y~r ---------- shy

(b) Applicable Edition of Section XI Used for RepalrAeplacement Activity 2001 Addenda 2003

Year

(c) Applicable Secbon XI Code Case(s) NA

6 IdentifIcation of Components




HydrauliC Snubber IITGAINNELL 22564 NA FNP-2-29 1977 Removed NO

Hydraulic Snubber ANVIL 38479 NfA QP110051 2011 tnstalled NO

7 Description of Work Snubber 2MS-R80B was replaced as a scheduled upgrade Ref Transaction 1056991

8 Tests Conducted Hydrostatic 0 Pneumatic 0 NomInal Operating Pressure 0 Exempt 8

Other 0 Pressure psi Test Temp ______ QF

NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8-12 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 number of sheets is recorded at the top of this form

Page 122 of 153

FORM NIS~2 (Back)

9 Remarks

Applicable Manufacturas Data Reporl to b bullbullNaChed




VT-3 Exam Perlooned after Installation


J tPikt eNI 1t1jt-I certlty that the statements made in the report are correct and that thisfconforms to the requirements of the ASME Code Sec lion XI



Signed Leonard Smith Maintenance Manager Date 2 3 2 Owner or Owners Designee TItle


I the undersign ad holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the

Stata or Province of G Mrltlt A and employed by H t cT ------~~~------------------------------~ of ---A-Q ~t lt-T have inspected the components described In this

Owners Report during the period 0-2 1lt37 zo -z to 0 --1D 72 0 I 2- and state that to

the best of my knowfedge and belief the Owner has perfonned examinations and taken corrective measures described in this


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report_ Furthennore neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a loss of any kind ariSing from or connected with this inspection

Commissions 21003 A I ~ GA 0 lt1 u Inspectors Signature National Board Stafe Province and Endorsemenfs

Date 0 2-01Zc)I Z-shybull

Page 123 of 153




Address


Name 7388 North State Hwy 95 Columbia AL 36319 Work Order No E21- SNC82708

Address RepalrlRepacemenl Organlzaion PO No Job No elc

3 Work Performed By FNP Maintenance Department Type Code Symbol Stamp NJA

Name 7388 North State Hwy 95 Columbia AL 36319 Authorization No NJA

Address

Expiration Dale NJA

4 Identification of System TPNS Q2E21 SNU8BCVCA74 CHEMICAL VOLUME CONTROL SYSTEM ASME Class 2

5 (a) Applicable Construction Code See Remarks bull NJA Edition NJA Addenda NA Code Case ------- YiiBr ----shy

(b) Applicable Edition 01 Section XI Used 101 RepairReplacement Actlvlty 2001 Addenda 2003

Year

(c) Applicable SecUon XI Code Case(s) NA

6 IdenUfication 01 Components


Name of Component ManLIfacturer Serial No Board Removed or StampedManufacturer Identification Built

No Installed (yes or No)

Hydraulic Snubber ITIGRINNELL 2CVC-R74 NA FNpmiddot2-29 19n Removed NO


Adapter Plate ANVfL 38455 NlA QP110051 2011 Installed NO

7 Oescrlllon of Wol1lt Snubber 2CVC-A74 was replaced as a sCheduled upgrade Ref Transaction 1071415 1071335

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nomnal Operating Pressure 0 Exempt Ii]

Other 0 Pressure Test Temp _____ oF----- psi

NOTE Supplemental sheets In form of lists sketches or drewings may be used provided (1) size is 8-12 In x 11 in (2) Informallon In lIems 1 through 6 on this repOOls included on each sheet and (3) each sheet Is numbered and number of sheets is recorded at the top of this form

Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts

AppICS M8nu(ocUrr Dala Rsports to b6 attachoo

Supports Designed to AISCmiddot1969 and welded to AWS 01 1-86

Reference equivalency delermlnatJon (ED) C09209970 1


VTmiddot3 Exam PerfOm1ed after Installation


rltt PiMpoundMpoundJJT ~t I~ I certify that the statements made In the report are correct and that this confom1s to the requirements of the ASME Code Section XI


Certificate of Authorlzatlon No N1A Expiration Date N1A

Signed 2i1~ct-S-m-ith--M-ai-n-te-na-n-ce Manager Date ~~2~~3~~~~2~~-~~~~~~~ Owner or Owners D9slgne9 nte



State or Province of G t-1l5 il ~ gt _ c_------------------tand employed by ___ r ~ middotmiddotmiddotof W (l-M1QP C I have Inspected the components described In this

Owners Report during the period G LO 3 t I 2 to (Yz-l C bull rI lt t J I ~ bull and state that to

the best of my knowledge and belief the Owner has performed examinations and taken correctJve measures described in this


By signIng this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures described in this Owners Report Furthem1ore neither the Inspector nor his employer shall be liable in any manner lor any personal InJury or property damage or a loss of any kind arising Irom or connected with this Inspection

Commissions ) 2lt- ($ A I ~ C 1 ct ) I pectors Signature Natonal Board State Province and Endorsements

Dale 0 -z en Z-lt) 2

Page 125 of 153

-----

----- -----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the ProviSions of the ASME Code Section XI

1 Owner Southem Nuclear Operating Co Date October 272011

Name 40 Inverness Center Parkway Binntngham A~ 35242 Sheet of 2

Address

2 Plant Joseph M Faney Nuclear Plant (FNP) Unit FNP Unit 2

Name 7388 North State Hwy 95 Columbia AL 36319 Work Order No N11 - SNC82711


3 Wortlt Perfonned By FNP Maintenance Department Type Code Symbol Stamp NA

Name 7388 North State Hwy 95 Columbia AL 36319 Authonzation No NJA

Address

Expiration Date NA

4 Identification of System TPNS Q2N11SNUBBMSR510A MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Conslructlon Code See Remarks NA Edition NA Addenda NA Code Case

Year

(b) Applicable Edition of Section XI Used for RepairlReplacement AClivity 2001 Addenda 2003

Year

(c) Applicable SectIon XI Code Case(s) NA



Name of Component Manufacturer Serial No Board Removed or StampedManufacturer ldentitlcation Buill


Hydraulic Snubber ITIGRINNELL 22099 NlA FNpmiddot2-29 19n Removed NO

HydrauliC Snubber LlSEGA 310002361002 NA SNA 1 00 16533 2010 Installed NO

ADAPTER ROUND BAA 3 LlSEGA GB51B NA SNA 10022529 2010 Installed NO

7 Descrtption of WorY Snubber 2MSmiddotR51OA was replaced as a scheduled upgrade Ref Transaction 13251691385514


Other 0 Pressure psi Test Temp F

NOTE Supplemental sheets in form of lsts sketches or drawings may be used provided (1) size is 8-112 in x 11 in (2) information In Items 1 through 6011 this report Is included on each sheet and (3) each sheet is numbered and number 01 sheets is recorded at the top of this form

Page 126 of 153

FORM NI$--2 (Back)

9 Remarks

AppilCdble Manufclure Oa Reporto bo af1BdUJo

Supports Designed to AJSC-t969 and welded to AWS D1 t-86

Reference equivalency determinalion 2110882901


VT-3 Exam Performed after Instalation


fltYtAa~~r f206ll IS 19 ~ lj11shy

I certify that the slatements made In Ihe report are correct and that thlsconforms to the requirements 01 the ASME Code Section XI


Certificate of Authorization No NlA Expiralion Dale NA----------------- Signed Leonard Smith Maintenance Manager Dale t2iJ)pound 252shy

OWl16r or Owners Designee Title


I the undersigned holding a valid commission issued by the Nationai Board of Boiler and Pressure Vessel Inspectors and the

State or Province of G t A and employed by __S gt _ middotX __________________-teeJ1C H _ Cshy

01 tAfl~O C have inspected the components described in this

Owners Report during the period In- o 3 j 2 gt 1Z_ to (Yl l ~712ol t - and state thai to

the best 01 my knowedge 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 certJficBle neither tile Inspector nor his employer makes any warranty expressed or implied concemlng the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this inspection

Commissions 2 - ( ( 1- gt-1 CuHu In pectors Signature National Board State Province and Endorsements

Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----





Name 7388 North State Hwy 95 Columbia AL 36319 Work Order No P17 - SNC82693



Name 7388 North State Hwy 95 Columbia AL 36319 Au1horization No NA

Address E)(piration Date NA

tltC~R Iqlrz-shy4 Identification of System TPNS Q2P17SNUBBCCWj11201A COMPONENT COOLING WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remarks NA Edition NJA Addenda NA Code Case

Year (b) Applicable EdlHon of Section XI Used for RepalrlReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Case(s) NJA


National Corrected ASME CodeName of Other YearName of Component Manufacturer Serlal No Board Removed or Stamped

Manufacturer Identification Built No Installed (Yes or No)

Hydraulic Snubber ITIGRINNElL 19170 NlA 36803 1985 Removed NO



7 Description of Work Snubber 2CCW-HI49B was replaced as a scheduled upgrade Ref Transaction II 1058805 1058807

8 Tests ConduC1ed Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 E)(empt e Other 0 Pressure psi Test Temp OF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size Is 8-12 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 number of sheets is recorded at the top 01 this lorm

Page 128 of 153

9

FORM NIS-2 (Back)

Remarks

APplble MBnulaCIUrBfS Dal Reports 10 be anached

Supports Designed to AISCmiddot1969 and welded to AWS 011 86

Reference equivalency determination C091933501 d I

Ref Transaction It 1058805 1058807


CERTIFICATE OF COMPLIANCE 1

(ltPL c tJ( r z I certify that the statements made in the report are correct and that thls~onforms to the requirements of the ASME Code Section XI

Type Code Symbol Stamp NJA

NA Expiration Date NA --------------------~

Signed Leonard Smith Malntenance Manager Date



State or Province of C~ lti ~ I A and employed by_-- --CT __________________-I~ Hlt ~ _middot of H Ao-01lD C have Inspected the components described In this

Owners Report durlng the period to and stale that to() 2 1u $ -eo 12 Q 2 () gt 12-0 )shy

the best of my knowiedge and beliel the Owner has performed examlnaUons and taken corrective measures described In this


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspec~on

Commissions 2 ( 05 A )t b A bq c In~tors Signature National Board State Province and Endorsements

Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------

FORM NIS-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section xt


Name 40 Invemess Center Par1ltway Birmingham AL 35242 Sheet of 2



Address RepairReplacement Organlzatfon PO No Job No elc

3 Work Penormed By FNP Maintenance Department Type Code Symbol Stamp NA



I 1

4 IdentHication of System TPNS Q2PllSNUBBSWBRI2A SERVICE WATER SYSTEM ASME CLASS 3

5 (a) Applicable Construction Code See Remar1lts NA Edition NA Addenda NA Coda Case ------------- Year --------- shy


Year

(c) Applicable Seclion XI Code Case(s) NA





Hydraulic Snubber ITT GRINNELL 2SWmiddot8R12 NlA FNP-2middot29 1977 Removed NO


Adapter Plate ANVIL 38456 NA OPll0051 2011 Installed NO

7 Description of Wor1lt Snubber 2SWBR12A was replaced as a scheduled upgrade Ref Transaction It 10714191071337

B Tests Conducted Hydrostatic 0 Pneumatic D Nominal Operating Pressure 0 Exempt ~

Other 0 Pressure psi Test Temp ---- OF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size Is 8-12 In x 11 In (2) Information in Items 1 through 6 on Ihls report Is included on each sheet and (3) each sheet is numbered and number of sheets is recorded at the lop of this form

Page 130 of 153

FORM NIS-2 (Back)

9 Remarks

App019 Manuserum DaIs Aeports 10 be aChed


Reference equivalency detenninalion C092570501


VT-3 Exam Perfonned alter Installation

CERTIFICATE OF COMPLIANCE i t

R tl t~jJT 1hll~ I certify that the statements made In the report are correct and that thls( onfonns 10 the requirements of the ASME Code Section XI

Type Code Symbol Siamp NA

NA Expiration Date NA ----------------------~

Signed leonard Smith Malnt8f1ance Manager Date


I the underSigned holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of CqfLG ij l~ c_-_________________-fand employed by_---lH s-_-shyof - A ~ft7Il 0 C have Inspected the components described In this

Owners Report during the period o-zo 37 2-DI z- tO O Ll pound1 4~ I L bull and slate that to

the besl of my knowledge and belief the Owner has performed examinations and taken corrective measures described in this


By signing Ihis certificate neither the Inspector nor his employer makes any warranty expressed or Implied conceming the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions 2-1 D3 AJ tl CA~O Inspectors Signature National Board State Province and Endorsements

Date -- middot2-J6GC6llt O L--=()-II=7-__________

Page 131 of 153


1 Owner Southern Nuclear Operating Co Date April 29 2010

Name 40 Invemess Cemer Parkway Birmingham AL 35242 Sheet of 2

Address


Name 7388 North State Hwy 95 Columbia AL 36319 Wor1lt Order No E21- 2091330001



Name 7388 North State Hwy 95 Columbia AL 36319 Authorization No NIA

Address Expiration Date NIA

4 IdentiNcation of System TPNSQ2E21SNUBBSIRI81 SAFETY INJECTION SYSTEM ASME CLASS 1

5 (a) Applicable Construction Code See Remarks NIA Edition NIA Addenda NlA Code Case ------------ Year ----------shy

(b) Applicable Edition of Section XI Used for RepalrlReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Case(s) NIA


National Corrected ASME Code Name of Other Year Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identification Built

No Inslalled (Yes or No)

Hydraulic Snubber ITT GRINNELL 21625 NA FNP-2middot29 1979 Removed NO

Hydraulic Snubber ANVIL 37942 NA QP090698 2009 Inslalled NO

Upgrade Kit

7 Description of Work Snubber was upgraded 10 a conflgulallon A design Ref Transaction 1 180253


Other 0 Pressure _______ pSi Test Temp ______ F

NOTE Supplemental sheels in form of lists sketches or drawings may be used provided (1) size is 8-1 i2 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 number 01 sheets IS recorded at the top of this form

Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)

AppIicab ManufactuffJll 04td Repai1S to b6 ditscJJsd


Relerence equivalency determination CI01300501

Rei Transaction I 180253

VTmiddot3 Conducted


~s(-

RtPlALeuroMCI0T ~N I certify that the statements made in the report are correcl and that Ihis 00nlorms to the requirements of the ASME Code Section Xi


Certificate 01 Aulton NO _ NA Expiration Date NlA

SIgned ~ Asia O Jerkins Supv Support Date Z3hz wner or Owners Designee TItfe _


I the undersigned holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and Ihe

State or Province of ~e~ I A and employed by_t- - __( _l ~ IS _ - ---------------------t 01 -AP~t-rl- D C T have inspectBltthe componenls described In this

Owners Report during Ihe period () 2-J0 3 -2 Gj 2- to 6 ~ 07 I Z-u L and state that to

the best of my knowledge and belief the Owner has performed examinations and laken corrective measures described in this


By Signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shali be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions z6 0 ~ A I J GA10 qQ ~~~~~~----~~~--------------~

National Board State Province and Endorsements

Date

Page 133 of 153

------------------------- -----------

-----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Sectlon XI


Name 40 Inverness Center Parkway Birmingham AL 35242 Sheet 01 2

Address




3 Worllt Performed By FNP Maintenance Department Type Code Symbol Stamp NiA



4 Identification of System TPNS Q2E13SNUBBCSR325A CONTAINMENT SPAAY SYSTEM ASME CLASS 2

5 (a) Applicable ConstrucUon Code See Remarks NA Edition NA Addenda NA Code Case ~

(b) Applicable Edition of Section XI Used for RepairReplacement Actlvity 2001 Addenda 2003

Year

(c) Applicable Seclion XI Code Case(s) NlA



Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identificatlon Built


HydrauliC Snubber ITIGRINNELL 20623 NA FNP-2-29 1977 Removed NO


7 Description of Work Snubber 2CSR-325A was replaced as a scheduled upgrade Ref Transaction 1056197

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt S

Other 0 Pressure -------- pSi Test Temp OF

NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8-112 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 number of sheets is recorded at the top of this form

Page 134 of 153

FORM NIS-2 (Back)

9 Remarks

Applabls ManufBCiurers Dara Rsporr ro bo affsCled

Supports Designed to AISCmiddotI969 and welded to AWS Dl 1middot86



VTmiddot3 Exam Perlormed after InstaJiation

CERTIFtCATE OF COMPLIANCE

RUl u T bull ) I certify that the statements made in the report are correct and that thls~onforms to the requirements 01 the ASME Code Section XI


NJA Expiration Date NAGrtlfi~l oT No --------------------~

Signed Leonard Smith Maintenance Manager Date 14lt2 232shyOwner or Owners DeSignee TItle



State or Province of ( kfpound I j~ and employed by ______-- 7-- C ____________________-t~-___-

of JldtZF~~Jgt CT have Inspected the components described In this

Owners Report during the period 0 7 ( ( 2-lt 2- to c 2 poundgt I 2 ) r 1- and state that to

the best of my knowledge and belief the Owner has performed examinations and taken corrective measures described in thIs


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his empioyer shall be liable in any manner lor any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions z a C3 ) 114 C II ~ q D National Board State Province and Endorsements

Page 135 of 153

-----

FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY As Required bylhe Provisions of the ASME Coda Section XI

Owner Southern Nuclear Operating Co Date October 202011

Name

40 Inverness Center Par1ltway Birmingham AL 35242 Sheet of 2

Address


Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No E21- SNC82736

Address RepairlRepiacement Organization PO No Job No etc


Name



4 Identification of System TPNSII Q2E21SNU8BSSl2717 CHEMICAL VOLUME CONTROL SYSTEM AS ME Class 2

5 (a) Applicable Construction Code See Remarks NA Edition NA Addenda NA Code Case ------- Year ----- shy

(b) Applicable Edition of Section XI Used for RepalrlReplacement Actfvlty 2001 Addenda 2003

Year



Natlonaf Corrected ASME CodeName of Other Year

Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Identiflcatlon Built


Mechanical Snubber Pacific-Scientific 20442 NlA OP-1470 1986 Removed NO

Hydrauilic Snubber Lis ega 309003721027 NA OP100730 2009 Installed NO

7 DeSCription of Work Snubber SS-12717 was replaced as a scheduled upgrade Ref Transaction II 1103245

8 Tests Conducted Hydrostetic D Pneumatic [J Nominal Operallng Pressure 0 Exempt if

Other 0 Pressure psi---shy Test Temp F ---shyNOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8-12 In x 11 In (2) information In lIems 1 through 6 on this report is included on each sheet and (3) each sheet 15 numbered and number of sheets is recorded at the top of this form

Page 136 of 153

FORM NIS-2 (Back)

9 Remarks

Apolb1bie Manufcture ba RePort to be nchod


Reference equivalency determination (ED) 96middot0middot0225 Rev 1

Ref Transaction It 1103245

VTmiddot3 Exam Performed afler Installation


fuiP-~PI-ACkMc-r 7- -

I certify thaI the statements made tn the report are correct and that thlsrconforms to the requirements of the ASME Code Section XI


Certificate of AUt~Z0rlza Ion No NA Expiration Date NA ----------------~JIi _

Signed i ll ~ A l ( d iI1 hJ leonard Smith Maintenance Manager Date

bull Owner or Owners lJ6signee TIlle


t the undersigned holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of G~ r r ) and employed by -- l C --~~~~--------------------------------~ of 11 2 II ( T have inspected the components described in this

Owners Report during the period 01 ~ 2 77 j 1lt to C) t i lt I and state that to

the best 01 my knowledge and bellel the Owner has perlonned examinations and taken corrective measures described in this


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures described In this Owners Report Furthermore nalther 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 InspecHon

-- Commissions I 7 -L 1 J- r~

InspCIOrS Signature National Board Stale Province and Endorsemenls

Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----

FORM NIS-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl


Name

40 Inverness Center Parkway Binningham AL 35242 Sheet of 2

Address


Name

7388 North State Hwy 95 Columbia AL 36319 Worlt Order No P16middot SNC82732

Address RepairRapacemant Organization PO No Job No etc


Name


Address

Expiration Date NA

~zrl~5~UQ SWfV71~B fl-nshy4 Identification of System TPNS 82P179NUBBZGItA514B SERVICE WATER SYSTEM ASME CLASS 3


Year


Year






Hydraulic Snubber IHGRINNELL 2SWmiddotR514 NA FNP-2-29 1977 Removed NO

Hydraulic Snubber ANVIL 38467 NA apl10051 2011 Installed NO

Adapter Plate ANVIL 38467 NlA apl10051 2011 Installed NO

7 Description of Warlt Snubber 2SWR514B was replaced as a scheduled upgrade Ref Trensaction I 10722731072271



NOTE Supplemental sheets In fann of lists sketches or drawings may be used provided (1) size Is 8-12 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 number of sheets Is recorded at the top of thIs fann

Page 138 of 153

FORM NIS-2 (Back)

9 Remarks

AppIJCable Manufacues 6s Raports 0 De affacl19d

Supports Oeslgned to AISC-1969 and welded to AWS 011-86





I2t AL~T l-11 I certify that the statements made in the report are correct and that thi conforms to the requirements of the ASME Code Section XI


NJA Expiration Date NJA----------------- Signed Leonard Smith Maintenance Manager Date

Owner or Owners Designee ntle

CEATIFICA TE OF INSERVICE INSPECTION


State or Province 01 C1etOiLCA and employed by H5 G C tAIL~V c - -~----h-a-v-e-in-s-p-ec--e-d-th-e-c-o-m-p-on-en-t-s-d-e-sc-rl-b-e-d-In--h-Is-iof

Owners Report during the pertod 62-0 3 7zo l- to 02- D3 z cJ I -z- and state that to

the best 01 my knowledge and belief the Owner has performed examinations and taken corrective measures described In this


By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures deSCribed In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising Irom or connected with this inspection

~~ Commissions Udgt3 AIJ ~ A b 9 0 7h5P8CiOfSSjgnalure National Board Siale Province and Endorsemenls

Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name

7388 North State Hwy 95 Columbia AL 36319 Work Order No E13 - SNC82704

Address RepalrlRepacement Organization PO No Job No etc


Name


Address

Expiration Date NA

4 Identification of System TPNS 02E13SNUBBCSR325B CONTAINMENT SPRAV SVSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NA Edition NlA Addenda NlA Code Case

Year


Year


6 Identlficatlon of Components

National Corrected ASME Code Name of Other Vear



Hydraulic Snubber ITT GRINNELL 20626 NA FNpmiddot2-29 1978 Removed NO


7 DeSCription of Work Snubber 2CSmiddotR325B was replaced as a scheduled upgrade Ref Transaction H 1056199



NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8-112 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 number of sheets Is recorded at the top of thIs form

Page 140 of 153

FORM NIS-2 (Back)

R Remarllts

APpltCable Manuleclus Dal RBPOf19 to be aNilchod

Supports Designed to AISC-1969 and welded 10 AWS D1 1middotB6


Rei Transaction 1056199

VT -3 Exam Perlormed after Installation

CERTIFICATE OF COMPLIANCE ~ M ~ r I ltr gt(euroJAt I illrv

I certify that Ihe stalements made in Ihe report are correct and that Ihlsconforms 10 the reqUirements of the ASME Code Section XL


Certificate 01 AUlhjoalion No NA Expiration Date NA --------~------~

Signed Leonard Smil Maintenance Manager Date 2$~2shyIi t)Jd7 ~~~~~~----~



I the undersigned holding a velid commission Issued by the Natlonat Board 01 Boiler and Pressure Vessel Inspectors and the

State or Province of (]pound~U1 1 A H-- middotand employed bY_rS Y)lt--C___________________-1

of -+A i2 (-e-tt () c have inspected the components described In this

Owners Report during the period O~ I 0 3 Z4J I Z to O OB z U - and state that to

the best of my knowledge and belief the Owner has performed examinations and taken corrective measures described in this


By signing this cert1f1cate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and corrective measures described In this OWners Report Furthermore neither the Inspector nor his employer shall be liable In any manner lor any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions L t 0 ~ A 1- G Abi 0 (spectors Signature National Board State Province and Endorsements

Date 0 zj camp J-zo I Zshy

Page 141 of 153

------

020112 100823 FNP-0-GMP-02

FOAM NIS-2 OWNERS REPORT FOR REPAJRJREPLACEMENT ACTIVITY As Required By The Provisions Of The ASME Code Section XI


40 Inverness Ctf Pkwy Birmingham AI 35242 Sheet of 2 Address



3 Work Performed by FNP Maintenance Department Type Code Symbol Stamp ______NI7-A______

Name Authorization No NA 7388 N State Hwy 95 Columbia AI 36319 Expiration Date __________-NI4-_____

Address

4 Identification of System TPNS Q2P16V634 P16middot Service Water System ASME Class 3

5 (a) Applicable Construction Code See Remarks Edition ___Nl~~~___ Addenda ____Nl~~~__ Code Case

(b) Applicable Edition of Section XI Used for RepairlReplacement Activity 2001 Edmon 2003 Addenda (c) Applicable Section XI Code Case(s) NIA


National Corrected ASME Code Name of Name of Manufacturer Board Other Year Removed or Stamped

Component Manufacturer Serial No No Identification Built Installed (Yes or No) DANIEL Qmiddot2middotP16middotHBCmiddot2 PIPE NA NA 1976 REMOVED YESCONSTRUCTION 20middotE5580middot1

2 GLOBE VALVE KEROTEST DX12middot19 NA NA 1975 REMOVED YES

2GLOBE ~f~307FLOWSERVE 18AZW NA 2004 INSTALLED YESVALVE IltfY11L MICHIGAN CJOA~3 (~~2L~(t~~~ shy2 PIPE NA - L 2006 INSTALLED NOSEAMLESS TUBE Pcv- hlJl

7 Description of Work Replace bonnet of existing valve Used the old valve body and instailed the new bonnet assembly

8 Test Conducted Hydrostatic 0 PneumaticD Nominal Operating PressureGJ ExemptD Other D Pressure ____ psi Test Temp OF


020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)

9 Remar1lts Applicable Manufacturers Data Reports to be attached

Valve designed per ASME Section III 1971 Edition Winter 1972 Addenda

Piping designed to ASME Seclion III 2004 Edilion 2005 Addenda

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct end that this Replacement conforms to the rules of the ASME



Certificate of Authorization No NlA Expiretion Date NIA

Signed

o

CERTIFICATE OF INSERVCE INSPECTION

I the undersigned holding a valid commission issued by the National Board of Boiler Bnd Pressure Vessel Inspectors and the state or Province of C euroraquoi G A and employed by tb h C T of -IAct-(-amplt-0 lt-

I____have iqspected the components described in this Owners Report during the period 02 Q 3JQ 1 z to __ 02 10f3 (2 Q I L and state that to the best of my knowledge and beUet the Owner has performed exemlnations Bnd taken

corrective measures described in this Owners Report In accordance with the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal injury or property demage or a loss of any kind arising from or connected with this Inspection

~lL- it ~ Commissions ll o3AI--t 11 1010 Inapector Signature National Board State Province and Endorsements

Date O J DB zo I -z-shybull

Page 2 of 2 Version 240 Page 14301 153

------------- -----------

------ ----


Owner Southern Nuclear Operating Co Date October 24 2011

Name


Address


Name




Name

7388 North State Hwy 95 Columbia AL 36319 AuthOrization No NA

Address

Expiration Date NlA

4 Identitication of System TPNS Q2E21SNUBBCVCR797A CHEMICAL VOLUME CONTROL SYSTEM ASME Class 2

5 (a) Applicable Construction Code See Remarks NA Edition NlA Addenda NA Code Case ~

(b) Applicable Edition of SecUon XI Used for RepairReplacement Acllvity 2001 Addenda 2003

Year




Name of Component Manufacturer Serial No Board Removed or StampedManufacturer Idantification Built


Hydraulic Snubber ITT GRINNELL 2CVC-R797 NlA FNPmiddot2middot29 1977 Removed NO


7 DeSCription of Work Snubber 2CVC-R797A was replaced as a scheduled upgrade Ref Transaction II 1056849

8 Tests Conducted Hydrostatic 0 Pneumatic D Nominal Operating Pressure 0 Exempt 8


NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size is 8middot12 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 number of sheets Is recorded at the top of this form

Page 144 of 153

FORM NI5-2 (Back)

9 Remarks

Appiicibte ManufRC1ures Data Reporrs (0 be atraChed

Supports Designed to AISC middot I969 and weldad to AWS 011-86




CERTIFICATE OF COMPLIANCE tIJ ~-

gts1gt IA(t T 1-) shy

I certlty that the statements made In the report are correct and that thisfconlorms to the requirements 01 the ASME Code Section XL



Signed Leonard Smith Maintenance Manager Date 2 3 ~lt=-Owner or Owners Designee Tlte


1 the undersigned holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of GtRC I~ and employed bY__l ~b- -1_-)5 _middot___________________middot C T

of H~1 t-~ ) C-r have Inspected the components described In this

Owners Report during the period ~LI u Z D I z_ to ltr 7_ 0 7 Z L I L bull and state that to



By Signing Ihis certificate neither the Inspector nor his employer makes any warranty expressed or Implied concerning the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner lor any personal Injury or property damage or a toss of any kind arising from or connected with Ihis Inspection

Commissions zJ 0 3 AI rI a A l Cf 0 ~--~~~~--~~----------------~

Inspec 5 Signature National Board State Province and Endorsements

Date (y z o ( 2 Ll 1_

Page 145 of 153

---------

FORM NIS-2 OWNERS REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Seclion XI


Name

40 Inverness Center Parilway Birmingham Al 35242 Sheet of 2

Address

2 Plant Joseph M Farley Nuclear Ptant (FNP) Unit FNP Unit 2

Name

7388 North State Hwy 95 Columbia AL 36319 Woril Order No NIl - SNC82714

Address RepalrRepacement Organization PO No Job No etc

3 Work Performed By FNP Mainlenance Department Type Code Symbol Stamp NA

Name

7388 North State Hwy 95 Columbia AL 36319 Authortzalion No NA

Addmss

Expiration Dale NlA

4 ldemlfication of System TPNS 02Nll SNUBBMSRS03 MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NlA Edition NA Addenda NA Code Case --y- --------- ---------shy

(b) Applicable Edillon of Section XI Used for RepairReplacement Activity 2001 Addenda 2003

Year


6 IdenliNcation of Components


Name of Component Manufacturer Serial No Board Removed OJ SiampedManufacturer Identification Built


Hydraulic Snubber ITIGRINNELL 22367 NA FNPmiddot2-29 1977 Removed NO


7 Description of Woril Snubber 2MSmiddotR803 was replaced as a scheduled upgrade Ref TransacUoo 1056957

8 Tesls Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 8

Other 0 Pressure psi Test Temp ----- F

NOTE Supplemental sheets In form of IIsIS sketches or drawings may be used provided (1) size is 8-12 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 number of sheets is recorded at the top of this form

Page 146 of 153

FORM NIS-2 (Back)

9 Remarks

APphcablO Msnulactures 08(8 ReporlS to be attached



Ret- Transaction 1 1056957

VT-3 Exam Perlormed after Installation

CERTIFICATE OF COMPLIANCE ~-t ~

~ Pl-Nt r -1)1 I certify thet the statements made In the report are correct and that this ( onforms to the requirements of the ASME Code Section XI


Certificate of Auth rlzation No NlA Expiration Date NA ------------------~

Signed --N~illt hI J Leonard Smith Maintenance Manager Date

dwnef or Owners Designee Title



State or Province of G fr-lt1-S 8 lt_ _____________-tand employed by_-~~ -~-_c______

of tj-AQ ~) CT have Inspected the components described In this

Owners Report during the period 0 h D 3201 L to 07---6 7 -D (-- and state that to

the best of my knowledge and belief the Owner has performed examinations and taken corrective measures descrlbed In this

Owners Report In accordance with the requirements of the ASME Code Seelion XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and correctlve measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner lor any pers()1allnjury or property damage or a loss of any kind arising from or connected wtth this inspection

Commlssi()1s 2l GsA I I~ G 1 bq t Nstlonal Board State Province and Endorsements

Page 147 of 153

----- ----

As Required by Ihe Provisions of Ihe ASME Code SecUon XI


Name


Address


Name

7388 Norlh State Hwy 95 Columbia AL 36319 Work Order No N11middot SNC82712


3 Work Performed By FNP Maintenance Departmenl Type Code Symbol Stamp NA

Name

7388 North Stale Hwy 95 Columbia AL 36319 Authorization No NA

Address

Expiration Date NA

p ~~I1-4 Identification ot System TPNS 02Nt1SNUB8MSR516j( MAIN STEAM SYSTEM ASME CLASS 2

5 (a) Applicable Construction Code See Remarks NA Edltlon NA Addenda NfA Code Case ------ Yeii( ----shy

(b) Applicable Edition of Seclion XI Used for RepairReplacement Activity 2001 Addenda 2003

Year

(c) Applicable Section XI Code Case(s) NfA


National Correc1ed ASME Code Name of Other YearName of Component Manufacturer Serial No Board Removed or StampedManufacturer Identification Built


Hydraulic Snubber In GRINNELL 23866 NA FNp-2-29 1977 Removed NO

Hydraulic Snubber USEGA 31 000536014 NfA SNA10016533 2011 Installed NO

7 Description of Work Snubber 2MSmiddotR516A was replaced as a scheduled upgrade Ref Transaction 1 1385454

8 Tests Conducted HydrostatiC 0 Pnaumatlc 0 Nominal Operating Pressure 0 Exempt ~


NOTE Supplemental sheets in form of lists sketches or drawings may be used provided (1) size Is 8-112 in x 11 In (2) Information In items 1 through 6 On this report Is Included on each sheet and (3) each sheelis numbered and number of sheets Is recorded at the top of this form

Page 148 of 153

FORM NIS-2 (Back)

9 Remarks Apphcab6 MSllufscrurer Data Reports 10 be ttached

Supports Designed to AISCmiddot 1969 and welded to AWS D 11 -86

Reference equivalency determination 2110882901



CERTIFICATE OF COMPLIANCE ~

(P1 ~pound AI r l-I certify that the statements made In the report are correct and that this conforms to the requirements of the ASME Code Section XI



Signed Leonard Smith Maintenance Manager Date



I the undersigned holding a valid commIssion Issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of GtVA- and employed by_---H~-Si3cI-__________________t

of I-tAQTL) c- have Inspec7t d the components described In this

Owners Report during the period 02 Q 20 )Z- to 0 7- lot _7- 0 I L- and state that to

the best of my knowfedge and belief the Owner has perlormed examinations and taken corrective measures described In this

Owners Report In accordance wfth the requirements of the ASME Code Section XI

By signing this certificate neither the Inspector nor his employer makes any warranty expressed or Implied concemlng the examinations and correctIve measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be tiable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions 2( () 3 A ~ G A bq 0 nspectors SIgnature National Board SIBle Province and Endorsemenls

Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name

7388 North State Hwy 95 Columbia AL 36319 Wortlt Order No B13 - SNC82721

Address RepairReplacement OrganIzation PO No Job No etc

3 Work Periormed By FNP Maintenance Department Type Code Symbol Stamp N1A

Name


Address

Expiration Date NA

4 Identllicatlon of System TPNS Q2813SNUBBRCR2B REACTOR COOLANT SYSTEM ASME CLASS 1

5 (a) Applicable Construction Code See Remarks N1A Edition NA Addenda NA Code Case

Year

(b) Applicable Edition of SecUon XI Used for RepairReplacement Actlvity 2001 Addenda 2003

Year



Nama of Component Name of

Manufacturer Manufacturer Serial No

National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)

Hydraulic Snubber ITIGRINNELL 2RC-R2 NA FNP-2-29 1977 Removed NO

Hydraulic Snubber ANVIL 38482 N1A QP110051 2011 Installed NO

7 Description of Work Snubber 2RC-R2 was replaced as a scheduled upgrade Ret TransacUon II 1056997

8 Tests Conducted Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt eI

Other 0 Pressure _____pSI Test Temp _____ oF

NOTE Supplemental sheets In form of lists sketches or drawings may be used provided (1) size Is 8-112 In x 11 In (2) Information in items 1 through 6 on this report is Included on each shaet and (3) each sheet Is numbered and number of sheets Is recorded at the top of this form

Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts

APPfC8b19 M8nufacturer Data Reports 10 be art8ched

Supports Designed to AISC-1969 and welded to AWS 01 186





g ~ A - ~ev - - I certify that the statements made In the report are correct and that thl conforms to the requirements of tie ASME Code Section XI


NlA Expiration Date NJA----------------- Signed Leonard Smith Maintenance Manager Date 2~ - L-shy


I tie undersigned holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the

State or Province of fa ib (LC and employed bY_--J___~ _ -___________________-ItV- ~_c~ middotmiddot -l

of -~MTf~+ILlt) 0 have Inspected the components described in this

Owners Report during the period (gt ~ (gt ~ 76) J- to 0 L D ( J-t u _ and state that to

the best of my knowledge and belef the Owner has performed examinations and taken correctJve measures described In this

Owners Report In accordance with tie requirements 01 the ASME Code Section XI

By signing this certilicate neither the Inspector nor his employer makes any warranty expressed or implied concemlng the examinations and corrective measures described In this Owners Report Furthermore neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection

Commissions i 2 ( o3A I tt eer At9t Insprlors Signa lure National Board State Province and Endorsements

Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02

Figure 1 FORM NIS-2 OWNERS REPORT FOR REPAIRREPLACEMENT ACTIVITY

As Required By The Provisions Of The ASME Code Section XI

1 Owner Southern Nucear Operating Co Date 21172011 Name

40 Inverness CIr Pkwy Birmingham Ai 35242 Sheet of 2 Address


7388 N Stale Hwy 95 Columbia Ai 36319 WO 2103425801 Address RepairReplacement Organization PO No Job No etc

3 Work Performed by FNP Maintenance Department Type Code Symbol Stamp NA Name Authorization No NA

7388 N State Hwy 95 Columbia Ai 36319 Expiration NA Dale

Address 46shy4 Identification of System Q2E21V0109 - ReS Pressurizer Auxiliary Spray Check Valve - (oPt- CiA$~ i rj 9jit

5 (a) Applicable Construction Code Section 111-1971 Edition Winter 1971 Addenda NA Code Case (b) Applicable Edition of Section XI Used for RepairReptecement Activity 2001 Edition 2003 Addenda (c) Applicable Section XI Code Case(s) NlA

bull with pare NB61111(c) of Winter 1972 Addenda 6 Identification Of Components

National Corrected ASME Code Name 01 Nameo Manufacturer Board Other Year Removed or Stamped


INST ALLED (SEE CHECK VALVE KEROTEST MA3middot9 NA FNP2middot55 1975 YESDESCRIPTION)

WELD FilLER ARCOS 735857 NA QPOB0617 2008 INSTALLED NOMATERIAL

WELD FILLER ARCOS CT8659 NA QP070369 2007 INSTALLED NOMATERIAL

7 Description of Work Remove and machined valve cover per manufacturers recommendation Reinstalled cover and torqued to 1200 ftIlbs Seal welded valve cover to valve body

s Test Conducted Hydrostatic 0 PneumatlcO Nominal Operating Pre68ure[Kj ExemptD Other 0 Pressure 2235 psi Test Temp 545 OF

Page 1 of 2 Page 1iBis100 22

021711 11 0324 FNP-0-GMP-02

Figure 1

9 Remarks Valve cover was removed and machined in accordance wilh manufacturer recommendation and remiddotinstalled par work order

2103425801 Cover was Ihen seal welded 10 the valve body in accordance with manufacturer recommendation No new valve parts were

Der this work order Weld rods were Issued Der transaclon II 82062 and 82063

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and that this replacement conforms to the


Type Code Symbol Stamp NIA ------------------------------------------------------------------~ _____~____ Expiration Date _____Ny4____--t

Signed Date


I the undersigned holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the state or Province of 6o-0e6lA and employed by ItSI3 c r of ~j~Tj have inspected the components described in this Owners Report during the

penod ~ I~ 0 to l~ and state that to the best of my knowledge and belief the Ownehs performed examination an taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code Section XI

By Signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied concerning the examinations and corrective measures described in this Owners Report Furthermore neither the middot 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

----~~~==___gtJz---=h~ ---Commisslons 16 II~~ 6 1 if1-7middot In~Signature National Board State Province and Endorsements

Date ----~~~~-------------

Page 2 of 2 Page Mel)$ioo 22

--------------------------------------------------------------------------9

FORM NIS-2 (Back)

Remarks

ApplICBbl9 Manufacturers Ootd Repoi1s to 1gt0 attach6d


Reference equivalency determination (ED) 2110882901 ED


VT -3 Exam Performed after Installation


l2h ct N(~l I certify that the statements made in the report are correct and that thls~onforms to the requirements of the ASME Code Section XI


NA Expiration Date NACertificate of Ai(7~ Signed Leonard Smith Maintenance Manallar Date zl3h z-




I the undersigned holding a valid commission Issued by the NaUonaJ Board of Boiler and Pressure Vessel Inspectors and the

State or Province 01 C~ ie ltl- and employed bY__ S~ middot ___________________I I t1 ~_C -_middotT

of 4 tlQ(cn i) c have Inspected the components described in this

Owners Report during the period 62--05 ) Z VI 2 to C _ Cgt 7 Z ())lt- and state that to

the best of my knowledge and belief the Owner has performed examinations and taken correctlve measures described in this


By signing this certificate nelther the Inspector nor his employer makes any warranty expressed or implied conceming the exam inations and correcttve measures described In this Owners 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

~-2S2 ~~~~~ Commissions 2 I~ ()6 04 ) 1 Inspectors Signature National Board Stale Province and Endorsements

Date 02- 7 -2 Ll j ~

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(Yes or No)







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NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


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01126112 1415=45 FNP-o-GMP-o2

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WA ElplfIIion DatI

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020712 173304 FNP-0-GMP-02

Figure 1


















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Figure 1

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Upgrade Kit





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VTmiddot3 Conducted


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020112 100823 FNP-0-GMP-02








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Date 07-072 0 I Z-

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Year Built


Installed

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(Yes or No)







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021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







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Date ----~~~~-------------




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ASME Code Stamped

(Yes or No)







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NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

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Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















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012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


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020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

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NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

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)~pt~( - i 1 11 n















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01126112 1415=45 FNP-o-GMP-o2

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WA ElplfIIion DatI

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~L~~_ ~ 2-~~ia~~~and ~1Ia


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Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

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VTmiddot3 Conducted


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Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

---------



Name


Address


Name




Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

FORM NIS-2 (Back)

9 Remarks





















Page 147 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


020712094458 FN P-O-GMP-02




















120810 143915 FNP-O-GMP-O2







Date







Date 0 Joe L0 J Z-


----- -----

-----



Name


Address


Name




Name


Expiration Date NA



Year


Year











Page 82 of 153


9 Remarks





















Page 83 of 153

------

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 84 of 153

FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

FORM NIS-2 (Back)

9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----



Name


Address


Name




Name


Address





Year












Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















Page 123 of 153




Address






Address

Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




Address






Address

Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

-----



Name


Address


Name




Name






Year











Page 136 of 153

FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 138 of 153

FORM NIS-2 (Back)

9 Remarks



















Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

---------



Name


Address


Name




Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

FORM NIS-2 (Back)

9 Remarks





















Page 147 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


120810 143915 FNP-O-GMP-O2







Date







Date 0 Joe L0 J Z-


----- -----

-----



Name


Address


Name




Name


Expiration Date NA



Year


Year











Page 82 of 153


9 Remarks





















Page 83 of 153

------

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 84 of 153

FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

FORM NIS-2 (Back)

9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----



Name


Address


Name




Name


Address





Year












Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















Page 123 of 153




Address






Address

Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




Address






Address

Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

-----



Name


Address


Name




Name






Year











Page 136 of 153

FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 138 of 153

FORM NIS-2 (Back)

9 Remarks



















Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

---------



Name


Address


Name




Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

FORM NIS-2 (Back)

9 Remarks





















Page 147 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


----- -----

-----



Name


Address


Name




Name


Expiration Date NA



Year


Year











Page 82 of 153


9 Remarks





















Page 83 of 153

------

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 84 of 153

FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

FORM NIS-2 (Back)

9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----



Name


Address


Name




Name


Address





Year












Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















Page 123 of 153




Address






Address

Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




Address






Address

Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

-----



Name


Address


Name




Name






Year











Page 136 of 153

FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 138 of 153

FORM NIS-2 (Back)

9 Remarks



















Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

---------



Name


Address


Name




Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

FORM NIS-2 (Back)

9 Remarks





















Page 147 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------



9 Remarks





















3 of 153

------

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 84 of 153

FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts





















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-----

----- ----




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Name




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Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






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Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


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Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

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Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






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012612073055 FNP-0-GMP-02


















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VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








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No

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~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















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----- ----




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Address


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Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

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WA ElplfIIion DatI

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Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






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9 Remarks




















Date 0 2 O~ 20 ( 7-shy

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------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












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FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

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9 Remarks





















Date 0 2Oeq 7-0 Z-

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Address


Name




Name


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Address










Year












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FORM NIS~2 (Back)

9 Remarks




















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Address

Expiration Dale NJA




Year













Page 124 of 153

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9 Remar1lts




















Page 125 of 153

-----

----- -----




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Expiration Date NA



Year


Year













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9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

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----- ----













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Remarks



















Date 0 20$ 2 () ) 2shy

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----------










I 1




Year













Page 130 of 153

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9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


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Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

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9 Remarks






















Date G 201 2( ) -L

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----- ----



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Name




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Year













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Date 02-05 2-012shy

Page 139 of 153

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Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

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9 Remarks























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Addmss

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9 Remarks





















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Name


Address

Expiration Date NA




Year











Page 148 of 153

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Date 07-072 0 I Z-

Page 149 of 153

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Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


------

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 84 of 153

FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



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Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












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Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

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Address


Name




Name


Address

Expiration Dale NlA



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Year











Page BB of 153


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Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







0 of 153

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9 Remarks






















Page 91 of 153

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Address


Name




Name


Address

Expiralion Date NlA



Year


Year












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9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

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Addf9SS


Name




Name


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ExplratJon Date NA



Year


Year












Page 94 of 153

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9 Remar1lts





















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----- ----




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Address


Name




Name


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Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






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Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




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Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






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012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








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No

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NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















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----- ----




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Address


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Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


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Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












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9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





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Year












Page 116 of 153

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9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


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Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

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Address


Name




Name


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Page 120 of 153

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9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















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Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




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Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

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----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

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----------










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Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


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Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

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Page 136 of 153

FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----



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Address


Name




Name


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Expiration Date NA



Year


Year













Page 138 of 153

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9 Remarks



















Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



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Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

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Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

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9 Remarks





















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----- ----



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Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

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Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


FORM NI5-2 (Back)

9 Remarks


















of H-fla f-ClrllO c




Page 85 of 153



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












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Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


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Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

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9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

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Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

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9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













0 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

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NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


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~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

FORM NIS-2 (Back)

9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----



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Address


Name




Name


Address





Year












Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















Page 123 of 153




Address






Address

Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




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Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










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Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


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Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

-----



Name


Address


Name




Name






Year











Page 136 of 153

FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

Page 137 of 153

----- -----

----- ----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 138 of 153

FORM NIS-2 (Back)

9 Remarks



















Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

---------



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Address


Name




Name


Addmss

Expiration Dale NlA




Year












Page 146 of 153

FORM NIS-2 (Back)

9 Remarks





















Page 147 of 153

----- ----



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Address


Name




Name


Address

Expiration Date NA




Year











Page 148 of 153

FORM NIS-2 (Back)





















Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------




Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 86 of 153

FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

FORM NIS-2 (Back)

9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

FORM NIS-2 (Back)

9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

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NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2



















Page 1 of 2 Version 240 0 of 153

01126112 1415=45 FNP-o-GMP-o2

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WA ElplfIIion DatI

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~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

FORM NIS-2 (Back)

9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

---------





------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












Page 116 of 153

FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

FORM NIS-2 (Back)

9 Remarks





















Date 0 2Oeq 7-0 Z-

Page 119 of 153

----- ----



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Address


Name




Name


Address





Year












Page 120 of 153

FORM NIS-2 (Back)

9 Remarlls






















Date _cJ2-~_l_J~5~Z~ OJL_______

Page 121 of 153

-----




Address










Year












Page 122 of 153

FORM NIS~2 (Back)

9 Remarks




















Page 123 of 153




Address






Address

Expiration Dale NJA




Year













Page 124 of 153

FORM NI$-2 (Back)

9 Remar1lts




















Page 125 of 153

-----

----- -----




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Address

Expiration Date NA



Year


Year













Page 126 of 153

FORM NI$--2 (Back)

9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

Page 127 of 153

-----

----- ----













Year











Page 128 of 153

9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

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FORM NIS-2 (Back)





VTmiddot3 Conducted


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Date

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Date G 201 2( ) -L

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Year












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R Remarllts






















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------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












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Date 07-072 0 I Z-

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Address


Name




Name


Address

Expiration Date NA



Year


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National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







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9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






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FORM NIS-2 (Back)

9 RemarXs












__









Date 0 2-- 0i3 7 0 1shy

Page 87 of 153

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Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







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Name




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Dale 1) 7i06 h1) I Z-

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~ibull c














Date 0 2- D8 2-lt) 2-

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Address


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Address

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I

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Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















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Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















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------------------~Na-m-e----------------E I ~ fU17~i




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Address

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----- -----




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Address

Expiration Date NA



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Year













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----------










I 1




Year













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9 Remarks




















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Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












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Date G 201 2( ) -L

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Year












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R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












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Date 07-072 0 I Z-

Page 149 of 153

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Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

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9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


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Name


Address

Expiration Dale NlA



Year


Year











Page BB of 153


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Date () 2-0 8 7-0 12shy

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----- ----




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Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

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Name


Address

Expiralion Date NlA



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Dale 1) 7i06 h1) I Z-

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Year












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Address


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Name


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Expiration Date NA



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Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



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Address


Name




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Address

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I

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Name


Address

Expiration Date NA




Year













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9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















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Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












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9 Remarks




















Date 0 2 O~ 20 ( 7-shy

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------------------~Na-m-e----------------E I ~ fU17~i




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Year












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Date 0 2Oeq 7-0 Z-

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Address

Expiration Dale NJA




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9 Remar1lts




















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----- -----




Address






Address

Expiration Date NA



Year


Year













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9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

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FORM NIS-2 (Back)

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Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













0 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















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9 Remarks






















Date G 201 2( ) -L

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Date 02-05 2-012shy

Page 139 of 153

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Address


Name




Name


Address

Expiration Date NA



Year


Year












Page 140 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

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Name


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Expiration Date NA




Year











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Date 07-072 0 I Z-

Page 149 of 153

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Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

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9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------



9 Remarks




















Date () 2-0 8 7-0 12shy

Page 89 of 153

-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

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9 Remarks






















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Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

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9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

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Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

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9 Remar1lts





















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----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




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I

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Name




Name


Address

Expiration Date NA




Year













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9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



Name


Address


Name




Name






Year












Page 114 of 153

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9 Remarks




















Date 0 2 O~ 20 ( 7-shy

Page 115 of 153

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------------------~Na-m-e----------------E I ~ fU17~i




Name





Year


Year












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FORM NIS-2 (Back)

9 RemarJ(s



















Date G 2- ( 0 2 U 2

Page 117 of 153

----- -----



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Address


Name




Name


Address

Expiration Date NA




Year













Page 1180f153

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Date 0 2Oeq 7-0 Z-

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Year












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Address

Expiration Dale NJA




Year













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9 Remar1lts




















Page 125 of 153

-----

----- -----




Address






Address

Expiration Date NA



Year


Year













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9 Remarks





















Date _0 L~t)1J1IzQ~) 2____________

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----- ----













Year











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9

FORM NIS-2 (Back)

Remarks



















Date 0 20$ 2 () ) 2shy

Page 129 of 153

----------










I 1




Year













Page 130 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 131 of 153




Address










Year







Upgrade Kit





Page 132 of 153

---------------------------------------------------------------------------------------------9 Remarks

FORM NIS-2 (Back)





VTmiddot3 Conducted


~s(-














Date

Page 133 of 153

------------------------- -----------

-----




Address










Year












Page 134 of 153

FORM NIS-2 (Back)

9 Remarks




















Page 135 of 153

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Name


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Name






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FORM NIS-2 (Back)

9 Remarks






















Date G 201 2( ) -L

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----- -----

----- ----



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Address


Name




Name


Address

Expiration Date NA



Year


Year













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Date 02-05 2-012shy

Page 139 of 153

------------- ----------

-------- -----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year












0 of 153

FORM NIS-2 (Back)

R Remarllts






















Page 141 of 153

------

020112 100823 FNP-0-GMP-02








Address












020112 100823 FNP-O-GMP-O2

FORM NIS-2 (Back)








Signed

o









------------- -----------

------ ----



Name


Address


Name




Name


Address

Expiration Date NlA




Year












Page 144 of 153

FORM NI5-2 (Back)

9 Remarks























Page 145 of 153

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Address


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Name


Addmss

Expiration Dale NlA




Year












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9 Remarks





















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Address


Name




Name


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Expiration Date NA




Year











Page 148 of 153

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Date 07-072 0 I Z-

Page 149 of 153

-----



Name


Address


Name




Name


Address

Expiration Date NA



Year


Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 150 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 ~ rJ 1 2 11 I l-

Page 151 of 153

021711 123658 FNP-0-GMP-02




















021711 11 0324 FNP-0-GMP-02

Figure 1







Signed Date






Date ----~~~~-------------


-----

----- ----




Address






Address

Expiration Date NA




Year





National Board

No


Year Built


Installed

ASME Code Stamped

(Yes or No)







Page 90 of 153

FORM NIS-2 (Back)

9 Remarks






















Page 91 of 153

-----



Name


Address


Name




Name


Address

Expiralion Date NlA



Year


Year












Page 92 of 153

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9 Remarks





















Dale 1) 7i06 h1) I Z-

Page 93 of 153

----



Name


Addf9SS


Name




Name


Address

ExplratJon Date NA



Year


Year












Page 94 of 153

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9 Remar1lts





















Page 95 of 153

-----

----- ----




Name


Address


Name




Name


Address

Expiration Date NA



Year


Year













Page 96 of 153

FORM NIS-2 (Back)

9 Rematilts






~ibull c














Date 0 2- D8 2-lt) 2-

Page 97 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year












Page 98 of 153

I

FORM NIS-2 (Back)

9 Remarks





















Date 0 2- 1 0 e ( -z () I -z-

Page 99 of 153

----- ----



Name


Address


Name




Name


Address

Expiration Date NA




Year













Page 100 of 153

FORM NIS-2 (Back)

9 Remar1lts



















Date 0 -(09 zu I -z

Page 101 of 153

0126120731 34 FNP-0-GMP-02


















Page 1 of 2

012612 0731 34 FNP-0-GMP-02

FORM NIS-2 (Back)





NIA






Date 0) fgt bvu__


012612073055 FNP-0-GMP-02


















VALVE


VALVE





VALVE


VALVE



Page 1 of 2

012612 073055 FNP-0-GMP-02








Signed

No

iJIlLlIilaquo

NIA






~~~- Commissions


Page 2 of 2

-----

----- ----




Address









Year












Page 106 of 153


9 Remarllts







)~pt~( - i 1 11 n















Page 107 of 153

----- ----




Name


Address


Name




Name


Address

Expiration Date NJA




Year












Page 108 01 153

FORM NIS-2 (Back)

9 Remarks





















Page 109 of 153

012612141545 FNP-O-GMP-O2




















01126112 1415=45 FNP-o-GMP-o2

a

WA ElplfIIion DatI

--------------------------NlA


I~ gp bull---_




~L~~_ ~ 2-~~ia~~~and ~1Ia


Page 111 of 153

020712 173304 FNP-0-GMP-02

Figure 1


















____________________

020712 173311 FNP-O-GMP-O2

Figure 1

FORM NIS-2 (Back)
















--------- ----------

-----



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Upgrade Kit





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VTmiddot3 Conducted


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020112 100823 FNP-0-GMP-02








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020112 100823 FNP-O-GMP-O2

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