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&4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555 H. B. ROBINSON STEAM ELECTRIC PLANT, UNIT NO. 2 DOCKET NO. 50-261/RENEWED LICENSE NO. DPR-23 SUBMITTAL OF 90 DAY INSERVICE INSPECTION SUMMARY REPORT Ladies and Gentlemen: In accordance with the requirements of 10 CFR 50.55a, "Codes and Standards," Carolina Power and Light Company, now doing business as Progress Energy Carolinas, Inc., (PEC), is providing, as an attachment to this letter, the Inservice Inspection Summary Report for Class I and Class 2 pressure retaining components and their supports. This report has been prepared in accordance with the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Section XI, 1995 Edition, 1996 Addenda, Article IWA-6000. This report covers inspection activities before and during Refueling Outage 27 at the H. B. Robinson Steam Electric Plant, Unit No. 2. As stated in Section 3.0 of the attached report, steam generator eddy-current testing was not performed during this outage. Therefore, no Steam Generator Tube Inspection Report will be issued (Technical Specification 5.6.8, Steam Generator Tube Inspection Report). Progress Energy Carolinas, Inc. Robinson Nuclear Plant 3581 West Entrance Road Hartsville, SC 29550 4CC/i A4~-4~

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Page 1: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

&4?, Progress Energy 10 CFR 50.55a

Serial: RNP-RA/12-0063

JUN 1 5 201Z

United States Nuclear Regulatory CommissionAttn: Document Control DeskWashington, DC 20555

H. B. ROBINSON STEAM ELECTRIC PLANT, UNIT NO. 2DOCKET NO. 50-261/RENEWED LICENSE NO. DPR-23

SUBMITTAL OF 90 DAY INSERVICE INSPECTION SUMMARY REPORT

Ladies and Gentlemen:

In accordance with the requirements of 10 CFR 50.55a, "Codes and Standards," CarolinaPower and Light Company, now doing business as Progress Energy Carolinas, Inc.,(PEC), is providing, as an attachment to this letter, the Inservice Inspection SummaryReport for Class I and Class 2 pressure retaining components and their supports. Thisreport has been prepared in accordance with the American Society of MechanicalEngineers Boiler and Pressure Vessel Code, Section XI, 1995 Edition, 1996 Addenda,Article IWA-6000. This report covers inspection activities before and during RefuelingOutage 27 at the H. B. Robinson Steam Electric Plant, Unit No. 2.

As stated in Section 3.0 of the attached report, steam generator eddy-current testing wasnot performed during this outage. Therefore, no Steam Generator Tube Inspection Reportwill be issued (Technical Specification 5.6.8, Steam Generator Tube Inspection Report).

Progress Energy Carolinas, Inc.Robinson Nuclear Plant3581 West Entrance RoadHartsville, SC 29550

4CC/iA4~-4~

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United States Nuclear Regulatory CommissionSerial: RNP-RA/12-0063Page 2 of 2

There are no new commitments being made in this letter. If you have any questionsconcerning this report, please contact me at (843) 857-1329.

Sincerely,

W. Richard HightowerSupervisor - Licensing/Regulatory Programs

WRH/rjr

Attachment

c: V. McCree, NRC, Region IIA. Billoch-Col6n, NRC, NRRResident Inspector, HBRSEP

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United States Nuclear Regulatory CommissionAttachment to Serial: RNP-RA/12-0063160 pages (including cover)

H. B. ROBINSON STEAM ELECTRIC PLANT, UNIT NO. 2

INSERVICE INSPECTION SUMMARYREPORT FOR REFUELING OUTAGE 27

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INSERVICE INSPECTION REPORTINTERVAL 4, PERIOD 3, OUTAGE 2

(RO #27)

ISI SUMMARY REPORT

FOR

H.B. ROBINSON NUCLEAR STATION(UNIT 2)

3581 WEST ENTRANCE ROADHARTSVILLE, SC 29550

CAROLINA POWER AND LIGHT, Dba,PROGRESS ENERGY CAROLINAS, INC.

411 FAYETTEVILLE STREETRALEIGH, NC 27602

COMMERCIAL SERVICE DATE: 3/7/71

REPORT COMPLETION DATE: 6/13/2012

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1995 Edition 1996 Addenda APPENDIX II - MANDATORY FORM NIS-1

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

1. Owner: CP&L, Inc, Dba Progress Energy Carolinas, Inc., 411 Fayetteville St., Raleigqh, NC27602

(Name and Address of Owner)

2. Plant: H.B. Robinson. 3581 West Entrance Rd., Hartsville, SC 29550(Name and Address of Plant)

3.

4.

5.

6.

7.

Plant Unit : 2

Owner Certificate of Authorization (if required) N/A

Commercial Service Date: 3/7/1971

National Board Number for Unit: 20772

Components Inspected

ManufacturerComponent or Manufacturer or or Installer State or NationalAppurtenance Installer Serial No. Province No. Board No.

Reactor Vessel Westinghouse S/N 66109 N/A NB-20772

Pressurizer Westinghouse S/N 16A6208-1 N/A #722

Steam Generator A Westinghouse S/N 93732 N/A N/A

Steam Generator B Westinghouse S/N 93733 N/A N/A

Steam Generator C Westinghouse S/N 93734 N/A N/A

Reactor Coolant Pump A Westinghouse CPLRCPCPC1 N/A N/A

Reactor Coolant Pump B Westinghouse CPLRCPCPC2 N/A N/A

Reactor Coolant Pump C Westinghouse CPLRCPCPC3 N/A N/ARegenerative HeatExchanger Westinghouse N/A N/A N/A

SouthernBoron Injection Tank Fabricators S/N 0049 N/A #368Residual Removal Heat Atlas IndustriesExchanger "A" Mfg. Co. #881 N/A #731Residual Removal Heat Atlas IndustriesExchanger "B" Mfg. Co. #882 N/A #732

Piping Ebasco Services N/A N/A N/A

Piping Maintenance N/A N/A N/A

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Form NIS-1 SECTION XI - DIVISION 1 1995 Edition, thru 1996 Addenda

FORM NIS-1 (Back)

8. Examination Dates 7/19/2010 to 3/18/2012

9. Inspection Period Identification: Period 3 (2/19/2009 / 7/20/2012)

10. Inspection Interval from: 2/19/2002 to 7/20/2012

11. Applicable Editions of Section XI: 1995 Edition, thru 1996 Addenda

12. Date / Revision of the Inspection Plan: 9/29/2011 Revision 19

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

See Attached Summaries

12. Abstract of Results of Examination and Tests.

See Attached Summaries

13. Abstract of Corrective Measures.

See attached Summaries

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

Certificate of Authorization No. (if applicable): N/A Expiration Date: N/A

Date:_ _ __________Signed: Progress Energy Carolinas, Inc. By:ý.9ZZ4Z1.,-

CERTIFICATE OF INSERVICE INSPECTION

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure VesselInspectors and the State or Province of North Carolina and employed by HSBCT haveinspected the components described in this Owner's Report during the period 44&9-0+2- to 3/18/2012and state that to the best of my knowledge and belief, the Owner has performe examinations and takencorrective measures described in this Owner's Report in accordance with the equirements of the ASMECode, Section XI. 7//,9/a.o 1o

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

___-__ __-_" a _ ___.__.__Commissions NB 12442 ANI NC 1580Inspector's Signate National Board, State, Province, and Endorsement

Date: 4/I 311-2- &-r- /Zu. * u v/A

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1.0 ABSTRACT

1.1 This report presents the results of the Inservice Inspection of the Fourth Interval,Third Period, Second Outage, for refueling outage number twenty-seven (RO-27) atthe H. B. Robinson Unit 2 Nuclear Station. Refueling outage RO-27 is the last outageof the Fourth Ten Year Interval. Examinations of steam generator feedwater nozzlesper NRC IE Bulletin No. 79-13, piping welds, piping supports, component welds,component supports, and bolting and were conducted in accordance with ASMESection XI, 1995 Edition, thru 1996 Addenda. Repair and replacement effortsincluded modification and maintenance of component replacements. Pressuretesting of ASME Code systems and their components was performed in accordancewith the requirements of ASME Section XI, IWA-5000, IWB-5000, IWC-5000, andIWD-5000.

1.2 Indications discovered during visual examination of component supports wereevaluated and accepted, repaired or restored to the original design configurations.

2.0 INTRODUCTION

2.1 This report contains a detailed item-by-item summary of examinations and testresults performed by Progress Energy Carolinas, Inc., AREVA, and Mistras, duringRO-27 (1/18/2012 thru 3/18/2012) and from the last NIS-1 Report ending on7/19/2010. The Fourth Interval, Third Period examination percentage requirementsare contained in Tab F. Examination reports, sketches, examination limitations,consumable testing materials, personnel qualifications and calibration standards areretained by Progress Energy Carolinas, Inc. on site. Detailed information for outageactivities is contained in the Inservice Inspection RO-27 Final Report. These reportsmay be obtained through the Progress Energy Carolinas, Inc. plant document controlservices.

3.0 EDDY CURRENT EXAMINATION

3.1 No steam generator Eddy-Current Testing was performed during refueling outage 27.

4.0 INSERVICE EXAMINATION EVALUATION

4.1 The inservice inspection non-destructive examinations performed during RO-27 at H.B. Robinson, Unit 2 Nuclear Station were conducted in accordance with the RO-27outage plan derived from the Fourth Ten Year Inservice Inspection Program andPlan. This plan meets the requirements of ASME Section Xl as defined in the 1995Edition, thru the 1996 Addenda, H. B. Robinson, Unit 2 and Title 10 of the Code ofFederal Regulations, Part 50.55a(g) including those applicable relief requestsapproved by the Nuclear Regulatory Commission for the Fourth Ten-Year Interval.

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4.3 Ultrasonic, liquid penetrant and magnetic particle revealed no service-induced flawsexceeding the acceptance criteria of ASME Section XI, 1995 Edition, thru 1996Addenda.

4.4 Visual examinations of supports, which revealed indications requiring evaluation,were determined to be functional. All reported indications on supports wereevaluated by Civil Engineering under the Corrective Action Program (CAP) todetermine if the supports were functional and had no operability concerns. However,in some cases, Progress Energy Carolinas, Inc. has elected to restore the supports totheir original design via the WO (Work Order) process and re-inspected to ensurethose components have been returned to their design condition.

4.5 The results of examinations performed at the H. B. Robinson Nuclear Station duringRO-27 are classified into one of the following categories:

Sat - No Rejectable IndicationsUnSat - Rejectable Indications

4.6 The Inservice Examination Summary tables (TAB B) itemize the componentsexamined during RO-27. The percent Code required volume (CRV) or Code requiredarea (CRA) covered during the examination, if less than or equal to 90%, isdelineated in the comment section of the examination. The following is a briefexplanation of the type of information included in the NDE Summary:

* Summary No. - Unique tracking number utilized within the ISI Program/Plan.* Component ID - Identification of the component examined or tested* Component Description - A description of the component configuration• Category - The ASME code category that the examination was performed to.* Item - The item number of the applicable code category that the examination was

performed to.* Procedure - The procedure utilized to perform the examination.* Method - The examination or test method* Report # - The unique examination number assigned to an exam.* Results - The results of the examination* System - The system on which the component was examined* ISO Number - The isometric drawing identifying the location of the component

being examined.* Exam Date - The date the examination was completed.

Volumetric examinations were performed on the reactor vessel nozzles forsuccessive inspections are required per IWB-2420 for the three hot leg and one coldleg nozzles with indications identified in RO-25. The indications characteristicsremained essentially unchanged.

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5.0 AUGMENTED EXAMINATION PROGRAM

5.1 The Augmented Examination Program included in this report documents theinspections performed to satisfy regulatory documents or commitments, other thanASME Section XI. These examinations are summarized in the AugmentedExamination Summary, TAB C, of this Report.

AUGMENTED E-1

During refueling outage RO-27, ultrasonic examinations were conducted inaccordance with NRC commitment ID 92R0362 for the steam generator feed waternozzles (79-13).

AUGMENTED E-13

During refueling outage RO-27, examinations were performed on piping related toMRP-1 46S on two lines, 2-RC-2501 R-38 & 2-RC-2501 R-39.

AUGMENT E-16 (N 722-1)

During refueling outage RO-27, the hot leg visual examination was not performed andis crediting the examination requirement associated with ASME Code Case N-770-1.The visual examination of the hot legs was not performed as allowed by ASME CodeCase N-722-1 when volumetric examination is performed under ASME Code Case N770-1.

AUGMENT E-17 (N-770-1)

During refueling outage RO-27, the hot leg volumetric examination was performed asrequired per ASME Code Case N-770-1, as modified by 10CFR50.55a.

6.0 PRESERVICE EXAMINATION

6.1 Preservice examination of Code Class components were conducted at the H.B.Robinson Unit 2 Plant from the close of RO-26 (July 19, 2010) to the close of RO-27(March 18, 2012) were performed to the requirements of ASME Section XI 1995Edition, thru 1996 Addenda. A summary of these examinations and the results arelisted in the Preservice Examination Summary, TAB D, of this report.

6.2 The detailed examination data sheets recording all of the volumetric, surface andvisual results for the preservice examinations are located in the Inservice InspectionRO 27 ISI Final Report and may be obtained through the Progress Energy Carolinas,Inc., H.B. Robinson Plant Document Control Services.

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7.0 PRESSURE TEST SUMMARY

7.1 Pressure tests and VT-2 examinations are performed in conjunction with ASMESection Xl and in accordance with procedure TMM-020 "Inservice Inspection PressureTesting". Also included within TMM-020 are the approaches to testing each CodeClass system and reference to the respective Engineering Surveillance Test (EST)procedures used in the conduct of the credited pressure test. The summary ofcompleted pressure tests is listed in the Pressure Test Summary, TAB E, of thisReport.

8.0 IWEIIWL PROGRAM

8.1 Containment Metallic Liner - 50.55a(b)(2)(ix)(A)

50.55a(b)(2)(ix)(A)(1)

The containment liner is generally inaccessible as it is covered with insulation andsheathing panels with caulked joints. During Refueling Outage 27 (RO-27), onehundred and thirty six (136) insulation and sheathing panels were removed to accessand inspect the metallic liner in conformance with approved relief requests (IWE/IWL-RR-01 and IWE/IWL-RR-02) from ASME Boiler and Pressure Vessel Code, SectionXI, Subsections IWE and IWL requirements for Containment Inspection. Thecontainment liner plate is not relied upon for the structural integrity of the containmentexcept at the dome where it is relied upon to resist tangential shear stresses.However, the dome section of the containment is not covered by insulation andsheathing panels.

During RO-27 (2012), visual examination and measurements on the metallic linershowed pit and banded corrosion and/or bulge at some areas. At all the locationswhere liner bulge was observed, no active corrosion was observed behind (reverseside) the metallic liner. Coating is generally applied to protect the metallic liner fromcorrosion but the coatings were observed to be less effective at locations wheresevere corrosion was found. Degradation of the coatings is partly due to non-conformance of the insulation/sheathing panel to its original design specification whichinferred a system completely impervious to moisture. Presence of moisture behindthe insulation system and long-term leaching of chloride ion from the insulation systemare considered to have contributed to degradation of the protective coatings andsubsequent corrosion of the metallic liner.

50.55a(b)(2)(ix)(A)(2)

Given the magnitude of the containment internal surface area which exceeds 57,000ft2 with more than 2,200 insulation and sheathing panels covering the liner plate, it isimpractical to conduct an immediate inspection of the entire containment metallic liner.A total of 136 insulation and sheathing panels were removed during RO-27 to provideaccessibility for metallic liner examination. The panels removed were randomlyselected, representative, and are located between elevations 228ft (the lowest row ofthe insulation and sheathing panels) and 308ft.

During RO-27 liner plate inspection activities (removal of degraded coatings andcorrosion products using pneumatic needle guns), the liner plate was observed to

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deform (bulge). The effects of the bulge, potential failure of the anchor stud(s) used toconnect the liner plate to the cylindrical concrete wall, and potential tear in the linerplate during failure of anchor stud; are evaluated in calculation RNP-C/STRU-1320,"Effects of Liner Bulge Combined with Corrosion on the Integrity of the CV SteelLiner". The analysis which also considered the interactive effects of corrosioncombined with bulge showed that there is no adverse effect on the ability of the linerplate to perform its safety-related function of serving as a leak tight membrane. Theliner is considered fully operable. All areas of the metallic liner where corrosion wasobserved have been refurbished and re-install to conform to original designrequirements.

The severity of corrosion recorded during RO-27 is similar to the level observed duringRFO-26 and previously evaluated corrosion found during RO inspections dating backto 1993. Engineering Change (EC72699, "Evaluation of Containment Building Liner,Insulation, Sheathing, and Coatings") which estimated future corrosion rate based onmeasured cumulative and historical data indicates that the metallic liner corrosion is ata relatively steady state. The largest magnitude of liner bulge observed during RFO-26 is below the extent observed dating back to 1976.

50.55a (b)(2)(ix)(A)(3)

The original design specification (CPL-R2-M-18,"Heat Insulation for ReactorContainment Steel Liner") for the CV liner insulation system which inferred a perfectimpervious system throughout the service life of the plant is not maintainable. Theassumption that the caulking joint will retain its elastic properties and will continue tobond the sheathing panels through multiple operating heat-up and cool-down cycles isnon-conservative and impractical. The original design specification has been revisedto indicate that the insulation system only serve the function of moisture resistant thatis maintainable to the extent required to assure that the containment liner continue toperform its safety-related function of leak tight membrane under normal and designaccidental conditions.

An engineering analysis is currently being performed to evaluate the structural andfunctional adequacy of the containment metallic liner without the insulation andsheathing panels. The result of the study will enhance the accessibility of the metallicliner and its long-term performance if it is proven that the metallic liner is capable ofperforming its safety-related function without the insulation and sheathing panels.

A Preventative Maintenance (PM) program has been established. The PM is used toproactively remove insulation and sheathing panels; inspect the insulation system(coatings, insulation and sheathing panels, and caulking); refurbish and re-installsystem to original design specification; and continuously monitoring the containmentliner to assure that it is maintained to the design specification.

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9.0 REPAIR AND REPLACEMENT PROGRAM

9.1 The H. B. Robinson Nuclear Station Repair and Replacement Program reportingperiod for the Fourth Ten-Year Interval is from the close of RO-26 (7/19/2010) tothe close of RO-27 (3/18/2012). Repair/replacement activities that occurred duringthis time frame underwent extensive review by the station personnel involved andthe Authorized Nuclear Inservice Inspector (ANII). Work Order packageinformation included within this summary report are those items which havecompleted all the required reviews, final engineering approval, and the requiredANI/ANII NIS-2 certification prior to the close of the reporting period as specified inASME Section XI, IWA-6230(b). The repair/replacement summaries are listed inthe Repair/Replacement Summary, TAB G, of this Report.

9.2 Work Order evolutions performed during RO-27 whose document review, approvaland certification process was not finalized by the established closing date shall bereported by amendment to the original Refueling Outage Twenty Seven NIS-2Summary, at the close of the Fourth Ten Year Interval.

9.3 The enclosed repair and replacement summary (TAB G) and the attached ASMESection XI, NIS-2 forms (Attachment I) detail the component, system, Work Orderdocument, component description and the description of the Work Order activity.Complete repair and replacement documentation for the specific component ismaintained on site as a permanent record and is retrievable through the WO (WorkOrder) document package, which is identified on the NIS-2 form.

9.4 The Owners Report for Repair/Replacement Activities, Form NIS-2 is provided asan attachment to this report.

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INSERVICE INSPECTION REPORT

REFUELING OUTAGE 27

INDEX OF EXAMINATIONS

TAB ACTIVITY

A RO-27 STEAM GENERATOR EDDY CURRENT SUMMARY

B RO-27 INSERVICE EXAMINATION SUMMARY

C RO-27 AUGMENTED EXAMINATION SUMMARY

D PRESERVICE EXAMINATION SUMMARY

E PRESSURE TEST SUMMARY

F EXAMINATION PERCENTAGE SUMMARY

G REPAIR / REPLACEMENT SUMMARY

ATTACHMENT

REPAIR/REPLACEMENT NIS-2 FORMS

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TAB

A

RO-27 STEAM

GENERATOR

EDDY

CURRENT

SUMMARY

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ABSTRACT

No steam generator Eddy-Current Testing was performed during refuelingoutage 27.

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TAB

B

RO-27

INSERVICE

EXAMINATION

SUMMARYThe following tables are arranged by ASME Code Class and CPL component identification. The 100

series are ASME Class 1, and the 200 series are ASME Class 2.

Code Required Volume (CRV) and Code Required Surface (CRS) have been identified throughout the

ISI Summary Tables. When an examination is limited to < 90% CRV or CRS as defined in ASME

Code Case N-460 and NRC Information Notice 98-42, a relief request (RR-20 future) shall be

submitted within 12 months of the close of the Fourth Ten-Year Interval. Generic Code Cases that

apply to all examinations are not specifically identified for each examination.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO Exam Date

IItem III IFClass I Category B-B

29200 103/01 UPPER SHELL LONG SEAM B2.12 NDEP-0450 UT / UT-12-002 (Page 1)/ Sat 2005 HBR2-10618 SHOO005 2/26/2012NDEP-0450 UT / UT-12-002 (Page 2)/ Sat 2005 HBR2-10618 SHOO005 2/26/2012NDEP-0450 UT / UT-12-002 (Page 3)/ Sat 2005 HBR2-10618 SHOO005 2/26/2012

Comments: A volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section XI with satisfactory results.

29400 103/05 UPPER SHELL TO UPPER HEAD B2.11 NDEP-0450 UT / UT-12-003 (Page 1) / Sat 2005 HBR2-10618 SHOO005 2/26/2012NDEP-0450 UT / UT-12-003 (Page 2) / Sat 2005 HBR2-10618 SH00005 2/26/2012NDEP-0450 UT / UT-12-003 (Page 3) / Sat 2005 HBR2-10618 SH00005 2/26/2012NDEP-0450 UT / UT-1 2-003 (Page 4) / Sat 2005 HBR2-10618 SH00005 2/26/2012NDEP-0450 UT / UT-1 2-003 (Page 5) / Sat 2005 HBR2-10618 SHOO005 2/26/2012NDEP-0450 UT / UT-1 2-003 (Page 6) / Sat 2005 HBR2-10618 SH00005 2/26/2012

Comments: A volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section XI with satisfactory results.

33400 106/01 HEAD TO DIVIDER ASSEMBLY B2.51 NDEP-0613 VT / VT-12-006 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

33500 106/02 DIVIDER TO TUBESHEET WELD B2.80 NDEP-0613 VT / VT-12-007 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

33600 106/05 TUBESHEET TO HEAD B2.51 NDEP-0613 VT / VT-12-008 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

33700 106/06 TUBESHEET TO SHELL WELD B2.80 NDEP-0613 VT / VT-12-009 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

33800 106/09 TUBESHEET TO HEAD B2.51 NDEP-0613 VT / VT-12-010 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

33900 106/10 TUBESHEET TO SHELL WELD B2.80 NDEP-0613 VT / VT-12-011 /Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

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Summary No. Component ID Component Description ,,eSM Procedure Method/Report/Results System Dwg/ISO Exam Dte]Class 1 Category B-D

29700 103/BSFTY SAFETY NOZZLE B INNER RADIUS B3.120 RNP-UT06 UT / UT-12-004 / Sat 2005 HBR2-10618 SH00005 2/5/2012Comments: A volumetric examination was performed on the component inner radius to the 1995 Edition, 1996 Addenda of ASME Section XI with satisfactory results

29800 103/CSFTY SAFETY NOZZLE C INNER RADIUS B3.120 RNP-UT06 UT / UT-12-005 / Sat 2005 HBR2-10618 SH00005 2/5/2012Comments: A volumetric examination was performed on the component inner radius to the 1995 Edition, 1996 Addenda of ASME Section XI with satisfactory results

34000 106/13 REGEN HX TO NOZZLE B3.150 NDEP-0613 VT I VT-12-012 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34100 106/131R REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-12-013 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34200 106/14 REGEN HX TO NOZZLE B3.150 NDEP-0613 VT / VT-12-014 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34300 106/141R REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-12-015 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34400 106/15 REGEN HX TO NOZZLE B3.150 NDEP-0613 VT / VT-12-016 / Sat 2005 HBR2-10618 SH00009 2/16/2012

Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34500 106/15IR REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-12-017 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34600 106/16 REGEN HX TO NOZZLE B3.150 NDEP-0613 VT /VT-12-018 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

34700 106/161R REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-12-019 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

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34900 106/171R REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-r12-021 / Sat 2005 HBR2-10618 SH00009 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

35000 106/18 REGEN HX TO NOZZLE B3.150 NDEP-0613 VT / VT-12-022 / Sat 2005 HBR2-10618 SH00009 2/16/2012

Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

35100 106/181R REGEN HX NOZZLE INNER RADIUS B3.160 NDEP-0613 VT / VT-12-023 / Sat 2005 HBR2-10618 SH00009 2/16/2012

Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO ExamDae

I Item IIIIIClass 1 Category B-F

35200 107/01DM HOT LEG NOZZLE TO SAFE END B5.10 54-9171719 UT / VE-12-077 / Sat 1005 HBR2-10618 SHOO010 2/25/201254-9171720 UT / VE-12-078 / Sat 1005 HBR2-10618 SHOW010 2/25/2012

54-9171878 ET / VE-12-101 / Sat 1005 HBR2-10618 SHOO010 2/25/2012Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda for successive examinations.

Indications identified on the previous examination (MRP-139) performed in 2008 (RO-25) have remained essentially unchanged.

37000 107AOIDM HOT LEG NOZZLE TO SAFE END B5.10 54-9171719 UT / VE-12-083 / Sat 1005 HBR2-10618 SHOO01 1 2/25/2012

54-9171720 UT / VE-12-084 / Sat 1005 HBR2-10618 SH0001 1 2/25/201254-9171878 ET / VE-12-103 / Sat 1005 HBR2-10618 SHOO011 2/25/2012

Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda for successive examinations.Indications identified on the previous examination (MRP-1 39) performed in 2008 (RO-25) have remained essentially unchanged.

38700 107AI14DM COLD LEG SAFE END TO NOZZLE B5.10 54-9171719 UT / VE-12-089 / Sat 1005 HBR2-10618 SHOO01 1 2/25/201254-9171720 UT / VE-12-090 / Sat 1005 HBR2-10618 SHOO011 2/25/201254-9171878 ET / VE-12-105 / Sat 1005 HBR2-10618 SHOO011 2/25/2012

Comments: A volumetric and ID surface examination was performed on the component weld indications to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda for successiveexaminations. Indications identified on the previous examination (MRP-1 39) performed in 2008 (RO-25) have remained essentially unchanged.

38800 107B/O1DM HOT LEG NOZZLE TO SAFE END B5.10 54-9171719 UT / VE-12-095 / Sat 1005 HBR2-10618 SH00012 2/25/2012

54-9171720 LIT / VE-12-096 1 Sat 1005 HBR2-10618 SH00012 2/25/201254-9171878 ET / VE-12-106 / Sat 1005 HBR2-10618 SHOO012 2/25/2012

Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda for successive examinations.Indications identified on the previous examination (MRP-139) performed in 2008 (RO-25) have remained essentially unchanged.

39300 107B/04DM "C" HOT LEG ELBOW TO S/G B5.70 NDEP-0201 PT / PT-12-001 / Sat 2005 HBR2-10618 SH00012 2/7/2012NDEP-0449 UT / UT-12-006 (Page 1) / Sat 2005 HBR2-10618 SH00012 2/13/2012NDEP-0449 UT / UT-12-006 (Page 2) / Sat 2005 HBR2-10618 SH00012 2/13/2012

Comments: A surface and volumetric examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

39400 107B/05DM "C" S/G NOZZLE TO ELBOW 85.70 NDEP-0201 PT / PT-12-002 / Sat 2005 HBR2-10618 SH00012 2/7/2012NDEP-0449 UT / UT-12-007 (Page 1) / Sat 2005 HBR2-10618 SH00012 2/13/2012

NDEP-0449 UT / UT-12-007 (Page 2) / Sat 2005 HBR2-10618 SH00012 2/13/2012NDEP-0449 UT / UT-12-007 (Page 3) / Sat 2005 HBR2-10618 SH00012 2/13/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System DwgISO Exam DateI I I ~~Item IIIII

64100 117/01DM PZR RELIEF NOZZLE TO SAFE END B5.40 NDEP-0201 PT / PT-12-024 / Sat 2005 HBR2-10618 SH00024 2/1/2012NDEP-0107 RT / VE-1 2-116 / Eval 2005 HBR2-10618 SH00024 2/17/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results.Supplemental phased array utilized to resolve RT indications.

Evaluation Disposition Supplemental ultrasonic phased array utilized to resolve RT indications.Acceptable:

66000 118/01DM PZR SAFETY NOZZLE TO SAFE END B5.40 NDEP-0201 PT / PT-12-026 / Sat 2005 HBR2-10618 SH00026 2/1/2012NDEP-0107 RT / VE-12-117 / Eval 2005 HBR2-10618 SH00026 2/17/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results.Supplemental phased array utilized to resolve RT indications.

Evaluation Disposition Supplemental ultrasonic phased array utilized to resolve RT indications.Acceptable:

67000 118A/01DM PZR SAFETY NOZZLE TO SAFE END B5.40 NDEP-0201 PT / PT-1 2-030 / Eval 2005 HBR2-10618 SH00027 2/1/2012NDEP-0201 PT / PT-1 2-121 / Sat 2005 HBR2-10618 SH00027 2113/2012

NDEP-0107 RT / VE-12-118 / Eval 2005 HBR2-10618 SH00027 2/17/2012NDEP-0601 VT / VT-1 2-088 / Sat 2005 HBR2-10618 SH00027 2/13/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with unsatisfactory results. WO1820581 26 was initiated to remove round indications and re-examine. Indications were reduced to an acceptable size and were re-examined under NDE report PT-12-121.Supplemental phased array utilized to resolve RT indications.

Evaluation Disposition Supplemental ultrasonic phased array utilized to resolve RT indications.Acceptable:

68100 118B/01DM PZR SAFETY NOZZLE TO SAFE END B5.40 NDEP-0201 PT / PT-12-034 / Sat 2005 HBR2-10618 SH00028 2/1/2012NDEP-0107 RT / VE-12-119 / Sat 2005 HBR2-10618 SH00028 2/17/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/ReportlResults System Dwg/ISO Exam DateI Item IIIII

Class I Category B-G-114701 101B/N01 - 101B/N50 REACTOR VESSEL NUTS 1-50 B6.10 NDEP-0611 VT / VT-12-001 /Sat 1005 HBR2-10618 SH00003 2/11/2012

NDEP-0611 VT / VT-12-089 / Sat 1005 HBR2-10618 SH00003 2/17/2012

lComments: A visual examination was performed on the component nuts to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

149701 144/A-S01 - 144/A-$24 RCP A MAIN FLANGE STUDS 1 - 24 B6.180 NDEP-0439 UT / UT-12-001 / Sat 2005 HBR2-10618 SH00056 2/16/2012

Comments: A volumetric examination was performed on the component studs to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

19701 101B/S01 - 101B/S50 REACTOR VESSEL STUDS 1- 50 B6.30 NDEP-0439 UT / UT-12-035 / Sat 1005 HBR2-10618 SH00003 2/10/2012NDEP-0439 UT/ UT-12-066 / Sat 1005 HBR2-10618 SH00003 2/17/2012

IComments: A volumetric examination was performed on the component studs to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

r24701 101B/WO1- 101B/W50 REACTOR VESSEL WASHER 1 - 50 B6.50 NDEP-0611 VT / VT-12-002 / Sat 1005 HBR2-10618 SH00003 2/11/2012NDEP-0611 VT / VT-12-091 /Sat 1005 HBR2-10618 SH00003 2/17/2012

IComments: A visual examination was performed on the component washers to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

9701 101A/LO1 - 101A/L50 REACTOR VESSEL THREADS IN B6.40 54-9173819 UT / VE-12-076 / Sat 1005 HBR2-10618 SH00002 2/4/2012

FLANGE # 1-50

Comments: A volumetric examination was performed on the component threads in flange to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/,SO lExam DatelClass I Category B-G-2

123000 134/FLG1(FB) FLANGE 1 BOLTING B7.50 NDEP-0611 VT / VT-12-043 / Eval 2060 HBR2-10618 SH00046 1/31/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with unsatisfactory results.

Inadequate thread engagement was identified and AR 513373 evaluated the condition as acceptable for use as is.

Evaluation Disposition Per AR 513373, The requirement to have one thread beyond the nut facilitates visual confirmation of full thread engagement; however, the additionalAcceptable: thread does not add any strength to the bolted connection. Per the AR description, the stud/nut interface is "flush", i.e., all threads on the nut are engaged

by the threads on the bolt; therefore, the bolted connection is full strength. Since the bolted connection is full strength, it is acceptable.

160600 144/C-SH-BLT RCP C SEAL HOUSE BOLTING B7.60 NDEP-0611 VT / VT-12-052 / Sat 2005 HBR2-10618 SH00056 1/30/2012Comments: A visual examination was performed on the component bolting to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

30200 103/PZR-MNY-BLT MANWAY BOLTING B7.20 NDEP-0611 VT / VT-12-003 / Sat 2005 HBR2-10618 SHOO005 2/1/2012Comments: A visual examination was performed on the component bolting to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

43600 109/RHR-751(B) VALVE RHR-751 BOLTING B7.70 NDEP-0611 VT / VT-12-024 / Sat 2045 HBR2-10618 SH00014 2/16/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

52400 112/SI-875C(B) VALVE SI-875C BOLTING B7.70 NDEP-0611 VT / VT-12-027 / Sat 2005 HBR2-10618 SH00017 2/10/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

52600 112/SI-875F(B) VALVE SI-875F BOLTING B7.70 NDEP-0611 VT / VT-12-028 / Sat 2080 HBR2-10618 SH00017 2/14/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

52900 113/SI-876A(B) VALVE SI-876A BOLTING B7.70 NDEP-0611 VT / VT-12-029 / Sat 2080 HBR2-10618 SHOO018 2/17/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

53700 114/SI-876B(B) VALVE SI-876B BOLTING B7.70 NDEP-0611 VT / VT-12-030 / Sat 2080 HBR2-10618 SH00019 2/17/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

54600 115/SI-876C(B) VALVE SI-876C BOLTING B7.70 NDEP-0611 VT / VT-12-031 /Sat 2080 HBR2-10618 SH00020 2/17/2012

Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

68800 118B/RC-551C(B) VALVE RC-551C BOLTING B7.70 NDEP-0611 VT / VT-12-032 / Sat 2005 HBR2-10618 SH00028 2/1/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

68900 118B/RC-551C(FB) VALVE RC-551C FLANGE BOLTING B7.50 NDEP-0611 VT / VT-12-033 / Sat 2005 HBR2-10618 SH00028 2/1/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

77300 122A/CVC-310A(B) VALVE CVC-310A BOLTING B7.70 NDEP-0611 VT / VT-12-034 / Sat 2060 HBR2-10618 SH00033 2/15/2012Comments: A visual examination was performed on the component bolted connection to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Class 1 Category B-J100700 131/03 PIPE TO VALVE SI-873D WELD B9.40 NDEP-0201 PT / PT-12-048 / Sat 2080 HBR2-10618 SH00043 2117/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

100900 132/01A PIPE TO FLANGE 1 B9.40 NDEP-0201 PT / PT-12-049 / Sat 2060 HBR2-10618 SH00044 21112012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

102800 132/15A PIPE TO TEE B9.40 NDEP-0201 PT / PT-12-050 1 Sat 2060 HBR2-10618 SH00044 2/1/2012!

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

102900 132/15B TEE TO PIPE 89.40 NDEP-0201 PT / PT-12-051 / Sat 2060 HBR2-10618 SH00044 2/1/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

103100 132/16 PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-052 / Sat 2060 HBR2-10618 SH00044 2/1/2012!Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

103200 132/17 ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-053 / Sat 2060 HBR2-10618 SH00044 2/4/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

118900 134/10 ELBOW TO PIPE 89.40 NDEP-0201 PT / PT-12-054 / Sat 2060 HBR2-10618 SH00046 1/31/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

119000 134/11 PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-055 / Sat 2060 HBR2-10618 SH00046 1/31/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

119100 134/12 ELBOW TO PIPE 89.40 NDEP-0201 PT / PT-12-056 / Sat 2060 HBR2-10618 SH00046 113112012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

119200 134/12A PIPE TO COUPLING 69.40 NDEP-0201 PT / PT-12-057 / Sat 2060 HBR2-10618 SH00046 1/31/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

119300 134/12B COUPLING TO PIPE 89.40 NDEP-0201 PT / PT-12-058 / Sat 2060 HBR2-10618 SH00046 1/31/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

119800 134/16A PIPE TO TEE B9.40 NDEP-0201 PT / PT-1 2-059 / Sat 2060 HBR2-10618 SH00046 1/31/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

119900 134/168 TEE TO PIPE 89.40 NDEP-0201 PT / PT-12-060 / Sat 2060 HBR2-10618 SH00046 1/3112012

IComments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID I Component Description

120000 134/16C TEE TO REDUCING INSERTComments: A surface examination was performed on the component weld

120100 134/17 PIPE TO COUPLINGComments: A surface examination was performed on the component weld

120200 134/18 COUPLING TO PIPEComments: A surface examination was performed on the component weld

120500 134/19 PIPE TO ELBOWComments: A surface examination was performed on the component weld

120600 134/20 ELBOW TO PIPEComments: A surface examination was performed on the component weld

120700 134/21 PIPE TO ELBOWComments: A surface examination was performed on the component weld

[124400 138/01 BRANCH CONNECTION TOComments: A surface examination was performed on the component weld

ASiE I Procedure j Method/Report/Results System Dwg/ISO

B9.40 NDEP-0201 PT / PT-1 2-061 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-12-062 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-1 2-063 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-i12-064 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-1 2-065 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-12-066 / Sat 2060 HBR2-10618 SH00046to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

B9.40 NDEP-0201 PT / PT-1 2-067 / Sat 2005 HBR2-10618 SH00050

Exam Date

1/31/2012

1/311/2012

2/9/2012

1/12012

1/12012

2/9/2012

to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

124500 138/01BC PIPE TO BRANCH CONNECTION B9.32 NDEP-0201 PT / PT-12-068 / Sat 2005 HBR2-10618 SHOO050 2/9/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

125550 141/32 COUPLING TO PIPE B9.40 NDEP-0201 PT / PT-1 2-071 / Sat 2080 HBR2-10618 SH00053 2/9/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASItE Procedure Method/Report/Results System Dwg/ISO Exam DateIumr Io. Copnn ItD Copnn Descriptio

126400 141/13 PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-069 / Sat 2080 HBR2-10618 SH00053 2/9/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

126500 141/14 ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-070 / Sat 2080 HBR2-10618 SH00053 2/9/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

132300 142/10 ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-073 / Sat 2080 HBR2-10618 SHOO054 2/9/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

132400 142/11 PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-074 I Sat 2080 HBR2-10618 SH00054 2/9/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

132500 142/12 ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-075 / Sat 2080 HBR2-10618 SH00054 2/9/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

139800 143/36C ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-076 / Sat 2060 HBR2-10618 SH00055 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

139900 143/37 PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-077 / Sat 2060 HBR2-10618 SHOO055 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

140000 143/37A ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-078 / Sat 2060 HBR2-10618 SHOO055 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

39600 107B/06 ELBOW TO PIPE B9.11 NDEP-0201 PT / PT-12-003 / Sat 2005 HBR2-10618 SH00012 2/13/2012NDEP-0425 UT/ UT-12-008 (Page 1)/ Sat 2005 HBR2-10618 SH00012 2/13/2012NDEP-0425 UT / UT-12-008 (Page 2) / Sat 2005 HBR2-10618 SH00012 2/13/2012NDEP-0425 UT / UT-12-008 (Page 3) / Sat 2005 HBR2-10618 SH00012 2/1312012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

40100 107B/11 RCP PUMP C TO PIPE B9.11 NDEP-0201 PT / PT-12-004 / Sat 2005 HBR2-10618 SH00012 2/15/2012NDEP-0425 UT/UT-12-009 (Page 1)/ Sat 2005 HBR2-10618 SH00012 2/15/2012NDEP-0425 UT / UT-12-009 (Page 2) / Sat 2005 HBR2-10618 SH00012 2/15/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

40600 108/01BC PIPE TO BRANCH CONNECTION B9.31 NDEP-0201 PT / PT-12-006 / Sat 2005 HBR2-10618 SH00013 2/10/2012NDEP-0425 UT/ UT-12-010 (Page 1)/Sat 2005 HBR2-10618 SH00013 2/10/2012NDEP-0425 UT / UT-12-010 (Page 2) / Sat 2005 HBR2-10618 SH00013 2/10/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results. Thisexamination was limited in volume to 50% CRV due to part geometry of branch connection welded to loop pipe. This weld will be included in the end of interval relief request (RR-20)for limited examinations.

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Summary No. Component ID Component Description ASME Procedure MethodlReportlResults System DwgISO Exam DateI I I ~~Item III11

40700 108/01A BRANCH CONNECTION TO PIPE B9.11 NDEP-0201 PT / PT-12-005 / Sat 2005 HBR2-10618 SH00013 2/10/2012NDEP-0425 UT/ UT-12-012 (Page 1)/ Sat 2005 HBR2-10618 SH00013 2/10/2012NDEP-0425 UT / UT-12-012 (Page 2) / Sat 2005 HBR2-10618 SHOO013 2/10/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results. Thisexamination was limited in volum,e to 75% CRV due to part geometry of branch connection welded to pipe. This weld will be included in the end of interval relief request (RR-20) forlimited examinations.

44800 110/10 ELBOW TO PIPE B9.11 NDEP-0201 PT / PT-12-007 / Sat 2080 HBR2-10618 SHOO015 2/20/2012NDEP-0425 UT/UT-12-011 (Page 1)/Sat 2080 HBR2-10618 SHOOO15 2/20/2012NDEP-0425 UT / UT-12-011 (Page 2) / Sat 2080 HBR2-10618 SH00015 2/20/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

44900 110/10A PIPE TO PIPE B9.11 NDEP-0201 PT / PT-12-008 / Sat 2080 HBR2-10618 SH00015 2/20/2012

NDEP-0425 UT / UT-12-013 (Page 1) / Sat 2080 HBR2-10618 SH00015 2/20/2012NDEP-0425 UT / UT-12-013 (Page 2) / Sat 2080 HBR2-10618 SHOO015 2/20/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

49600 112/01BC PIPE TO BRANCH CONNECTION B9.31 NDEP-0201 PT / PT-12-009 / Sat 2005 HBR2-10618 SH00017 2/15/2012

NDEP-0425 UT/ UT-12-014 (Page 1)/ Sat 2005 HBR2-10618 SH00017 2/15/2012NDEP-0425 UT / UT-12-014 (Page 2) / Sat 2005 HBR2-10618 SH00017 2/15/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results. Thisexamination was limited in volume to 50% CRV due to part geometry of pipe to branch connection. This weld will be included in the end of interval relief request (RR-20) for limited

49800 112/04 PIPE TO VALVE SI-875C WELD B9.11 NDEP-0201 PT / PT-12-010 / Sat 2005 HBR2-10618 SHOO017 2/16/2012NDEP-0425 UT / UT-12-015 (Page 1) / Sat 2005 HBR2-10618 SH00017 2/16/2012NDEP-0425 UT / UT-12-015 (Page 2) / Sat 2005 HBR2-10618 SH00017 2/16/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfacty results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO Exam DateI I I ~~Item III11

50500 112/10 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-011 / Sat 2080 HBR2-10618 SHOO017 2/14/2012NDEP-0425 UT/ UT-12-016 (Page 1)/Sat 2080 HBR2-10618 SH00017 2/14/2012NDEP-0425 UT / UT-12-016 (Page 2)/Sat 2080 HBR2-10618 SHOO017 2/14/2012

lComments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfacty results.

50600 112/11 ELBOW TO ELBOW B9.11 NDEP-0201 PT / PT-12-012 / Sat 2080 HBR2-10618 SH00017 2/14/2012NDEP-0425 UT / UT-12-017 (Page 1) / Sat 2080 HBR2-10618 SHOO017 2/14/2012

NDEP-0425 UT / UT-12-017 (Page 2) / Sat 2080 HBR2-10618 SH00017 2/14/2012Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

50800 112/13A PIPE TO PIPE B9.11 NDEP-0201 PT / PT-12-013 / Sat 2080 HBR2-10618 SH00017 2/22/2012NDEP-0425 UT / UT-12-018 (Page 1) / Sat 2080 HBR2-10618 SH00017 2/22/2012NDEP-0425 UT / UT-12-018 (Page 2) / Sat 2080 HBR2-10618 SH00017 2/22/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

51300 112/19 ELBOW TO TEE B9.11 NDEP-0201 PT / PT-12-014 / Sat 2080 HBR2-10618 SHOO017 2/14/2012NDEP-0425 UT/ UT-12-019 (Page 1)/ Sat 2080 HBR2-10618 SH00017 2/14/2012

NDEP-0425 UT / UT-12-019 (Page 2) / Sat 2080 HBR2-10618 SH00017 2/14/2012Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

52800 113/01 REDUCER TO VALVE SI-876A B9.11 NDEP-0201 PT / PT-12-016 / Sat 2080 HBR2-10618 SH00018 2/21/2012

NDEP-0425 UT / UT-12-065 (Page 1) / Sat 2080 HBR2-10618 SH00018 2/21/2012NDEP-0425 UT / UT-12-065 (Page 2) / Sat 2080 HBR2-10618 SH00018 2/21/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

55600 116/03 ELBOW TO ELBOW B9.11 NDEP-0201 PT / PT-12-017 / Sat 2005 HBR2-10618 SH00021 2/15/2012NDEP-0425 UT / UT-12-020 (Page 1) / Sat 2005 HBR2-10618 SH00021 2/15/2012NDEP-0425 UT / UT-1 2-020 (Page 2) / Sat 2005 HBR2-10618 SH00021 2/15/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

55900 116/06 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-018 / Sat 2005 HBR2-10618 SH00021 2/16/2012NDEP-0425 UT / UT-12-021 (Page 1) / Sat 2005 HBR2-10618 SH00021 2/16/2012

NDEP-0425 UT / UT-12-021 (Page 2) / Sat 2005 HBR2-10618 SH00021 2/16/2012Comments, A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

56000 116/07 ELBOW TO PIPE B9.11 NDEP-0201 PT / PT-12-019 / Sat 2005 HBR2-10618 SH00021 2/16/2012NDEP-0425 UT / UT-12-022 (Page 1)/ Sat 2005 HBR2-10618 SH00021 2/16/2012NDEP-0425 UT / UT-12-022 (Page 2) / Sat 2005 HBR2-10618 SH00021 2/16/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/ResuIts System Dwg/,SO Exam DateI I I ~~Item III11

56300 116/10 ELBOW TO PIPE B9.11 NDEP-0201 PT / PT-12-020 / Sat 2005 HBR2-10618 SH00021 2/21/2012NDEP-0425 UT / UT-12-023 (Page 1)/ Sat 2005 HBR2-10618 SHOO021 2/21/2012NDEP-0425 UT / UT-12-023 (Page 2) / Sat 2005 HBR2-10618 SH00021 2/21/2012

NDEP-0425 UT / UT-12-023 (Page 3) / Sat 2005 HBR2-10618 SH00021 2/21/2012Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

57100 116/141 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-021 / Sat 2005 HBR2-10618 SH00021 2/21/2012NDEP-0425 UT/ UT-12-024 (Page 1)/ Sat 2005 HBR2-10618 SH00021 2/21/2012NDEP-0425 UT / UT-1 2-024 (Page 2) / Sat 2005 HBR2-10618 SH00021 2/21/2012NDEP-0425 UT / UT-12-024 (Page 3) / Sat 2005 HBR2-10618 SH00021 2/21/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

62600 116B/13 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-022 / Sat 2005. HBR2-10618 SH00023 2/1/2012NDEP-0425 UT/ UT-12-025 (Page 1)/ Sat 2005 HBR2-10618 SH00023 2/3/2012

NDEP-0425 UT / UT-1 2-025 (Page 2) / Sat 2005 HBR2-10618 SH00023 2/3/2012NDEP-0425 UT / UT-1 2-025 (Page 3) / Sat 2005 HBR2-10618 SH00023 2/3/2012NDEP-0425 UT / UT-1 2-025 (Page 4) / Sat 2005 HBR2-10618 SH00023 2/3/2012

,Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

63100 1168/161 PIPE TO PIPE B9.11 NDEP-0201 PT / PT-12-023 / Sat 2005 HBR2-10618 SH00023 2/10/2012NDEP-0425 UT / UT-1 2-026 / Sat 2005 HBR2-10618 SH00023 2/10/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

64900 117A/10A REDUCER TO VALVE PCV-456 B9.40 NDEP-0201 PT / PT-12-025 / Sat 2005 HBR2-10618 SHOO026 2/1/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.I

66300 118/04 ELBOW TO PIPE 89.11 NDEP-0201 PT / PT-12-027 / Sat 2005 HBR2-10618 SH00026 2/1/2012

NDEP-0425 UT / UT-12-027 (Page 1) / Sat 2005 HBR2-10618 SH00026 2/3/2012NDEP-0425 UT / UT-1 2-027 (Page 2) / Sat 2005 HBR2-10618 SH00026 2/3/2012NDEP-0425 UT / UT-12-027 (Page 3) / Sat 2005 HBR2-10618 SH00026 2/3/2012

Comments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO lExam Date

66

Co066Cc

67

CcI67Co

400 118/05 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-028 / Sat 2005 HBR2-10618 SH00026 2/3/2012NDEP-0425 UT / UT-12-028 (Page 1) /Sat 2005 HBR2-10618 SH00026 2/3/2012NDEP-0425 UT / UT-1 2-028 (Page 2) / Sat 2005 HBR2-10618 SH00026 2/3/2012

NDEP-0425 UT / UT-1 2-028 (Page 3) / Sat 2005 HBR2-10618 SH00026 2/3/2012omments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

900 118A/01 SAFE END TO PIPE B9.11 NDEP-0201 PT / PT-12-029 / Sat 2005 HBR2-10618 SH00027 2/1/2012NDEP-0425 UT/ UT-12-029 (Page 1)/Sat 2005 HBR2-10618 SH00027 2/3/2012NDEP-0425 UT / UT-1 2-029 (Page 2) / Sat 2005 HBR2-10618 SH00027 2/3/2012

omments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

400 118A/05 PIPE TO ELBOW B9.11 NDEP-0201 PT / PT-12-031 / Sat 2005 HBR2-10618 SH00027 2/1/2012NDEP-0425 UT / UT-12-030 (Page 1) / Sat 2005 HBR2-10618 SH00027 2/3/2012NDEP-0425 UT / UT-1 2-030 (Page 2) / Sat 2005 HBR2-10618 SH00027 2/3/2012NDEP-0425 UT / UT-1 2-030 (Page 3) / Sat 2005 HBR2-10618 SH00027 2/3/2012

mments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

500 118A106 ELBOW TO PIPE B9.11 NDEP-0201 PT / PT-12-032 / Sat 2005 HBR2-110618 SH00027 2/11/2012NDEP-0425 LIT / UT-1 2-031 (Page 1) / Sat 2005 HBR2-10618 SH00027 2/3/2012

NDEP-0425 UT / UT-12-031 (Page 2)/ Sat 2005 HBR2-10618 SH00027 2/3/2012NDEP-0425 LIT / UT-1 2-031 (Page 3) / Sat 2005 HBR2-10618 SH00027 2/3/2012

omments: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

.000 118B/01 SAFE END TO PIPE B9.11 NDEP-0201 PT / PT-12-033 / Sat 2005 HBR2-10618 SH00028 2/1/2012

6s8

NDEP-0425 UT / UT-12-032 (Page 1) / Sat 2005 HBR2-10618 SH00028 2/3/2012

NDEP-0425 UT / UT-12-032 (Page 2) / Sat 2005 HBR2-10618 SH00028 2/3/2012

omm

~comm

1Comm

ents: A surface and volumetric examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

121/01 BRANCH CONNECTION TO CAP B9.21 NDEP-0201 PT / PT-12-035 / Sat 2005 HBR2-10618 SH00031 2/9/2012

ents: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

123/53 BRANCH CONNECTION TO PIPE B9.21 NDEP-0613 VT / VT-12-035 / Sat 2060 HBR2-10618 SH00034 2/16/2012

ents: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

123/54 BRANCH CONNECTION TO PIPE B9.21 NDEP-0613 VT / VT-12-036 / Sat 2060 HBR2-10618 SH00034 2/16/2012ents: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

123/57 BRANCH CONNECTION TO PIPE B9.21 NDEP-0613 VT / VT-12-037 / Sat 2060 HBR2-10618 SH00034 2/16/2012ents: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO Exam Date

78700 123/58 BRANCH CONNECTION TO PIPE B9.21 NDEP-0613 VT / VT-12-038 / Sat 2060 HBR2-10618 SH00034 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

78800 123/61 BRANCH CONNECTION TO PIPE B9.21 NDEP-0613 VT / VT-12-039 / Sat 2060 HBR2-10618 SH00034 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

78900 123/62 PIPE TO ELBOW B9.21 NDEP-0613 VT / VT-12-040 / Sat 2060 HBR2-10618 SH00034 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

82100 123A136A REDUCER TO VALVE CVC-310B B9.40 NDEP-0201 PT / PT-12-038 / Sat 2060 HBR2-10618 SH00035 2/15/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

83300 123A/48 PIPE TO ELBOW B9.21 NDEP-0613 VT / VT-12-041 /Sat 2060 HBR2-10618 SH00035 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

83400 123A/50 ELBOW TO NOZZLE B9.21 NDEP-0613 VT / VT-12-042 / Sat 2060 HBR2-10618 SH00035 2/16/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

93900 125/47 VALVE CVC-474 TO PIPE B9.40 NDEP-0201 PT / PT-12-036 / Sat 2060 HBR2-10618 SH00037 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

94000 125/48 PIPE TO VALVE LCV-460A WELD B9.40 NDEP-0201 PT / PT-12-039 / Sat 2060 HBR2-10618 SH00037 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

94100 125/49 VALVE LCV-460A TO PIPE B9.40 NDEP-0201 PT / PT-12-040 / Sat 2060 HBR2-10618 SH00037 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

94200 125/50 PIPE TO VALVE LCV-460B WELD B9.40 NDEP-0201 PT / PT-12-037 / Sat 2060 HBR2-10618 SH00037 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

98500 128/05A VALVE RC-515A TO PIPE B9.40 NDEP-0201 PT / PT-12-041 / Sat 2005 HBR2-10618 SHOO040 2/4/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

98600 128/06A PIPE TO TEE B9.40 NDEP-0201 PT / PT-12-042 / Sat 2005 HBR2-10618 SHOO040 2/4/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XlI 1995 Edition, 1996 Addenda with satisfactory results.

98900 128/06D PIPE TO ELBOW B9.40 NDEP-0201 PT / PT-12-043 / Sat 2005 HBR2-10618 SH00040 2/4/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

99000 128/06E ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-1 2-044 / Sat 2005 HBR2-10618 SHOO040 2/4/2012

IComments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description IIte Procedure MethodlReport/Results System Dwg/lSO Exam Date

99500 129/01BC PIPE TO BRANCH CONNECTION B9.32 NDEP-0201 PT / PT-12-045 / Sat 2080 HBR2-10618 SH00041 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

99600 129/02 ELBOW TO PIPE B9.40 NDEP-0201 PT / PT-12-046 / Sat 2080 HBR2-10618 SH00041 2117/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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1144IUU 14411,-AVV,-AI I IN It-LIXAL AI IAUMM-NI 1:51U.Ju Ijutr-IuuI rII r II-IIL-U ( UaI LuuDa MI•Ir'L-1UoI I• :1UUUz3o ./'41/LUI1Comments: A surface examination was performed on the component welded attachment to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

49400 112/SI-2-6005-ATT INTEGRAL ATTACHMENT B10.20 NDEP-0201 PT / PT-12-015 / Sat 2080 HBR2-10618 SH00017 2/14/2012Comments: A surface examination was performed on the component welded attachments to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

85000 124/CH-4-SN-23-ATT INTEGRAL ATTACHMENT 810.20 NDEP-0201 PT / PT-12-047 / Sat 2060 HBR2-10618 SH00036 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Page 35: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Summary No. Component ID Component Description I eItE I Procedure MethodlReport/Results System Dwg/ISO Exam Date

Class 1 Category B-M-252700 112/SI-875F(I) VALVE SI-875F BODY INTERIOR B12.50(C) NDEP-0613 VT / VE-12-115 / Sat 2080 HBR2-10618 SH00017 2/20/2012Comments: A visual examination was performed on the component valve interior to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description AssliSME IProcedure Method/ReportlResults System Dwg/ISO Exam DateClass I Category B-N-I

531300 101/GROUP 1 UPPER INTERNALS B13.10 54-ISI-364 VT / VE-12-070 / Sat 1005 HBR2-10618 SHOO001 3/8/2012Comments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

532500 101/GROUP 2 CORE BARREL B13.10 54-ISI-364 VT / VE-12-071 / Sat 1005 HBR2-10618 SH00001 3/8/2012Comments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results. I533100 101/GROUP 3 CORE BARREL B13.10 54-ISI-364 VT / VE-12-072 / Sat 1005 HBR2-10618 SHO0001 3/8/2012!

Comments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

534500 101/GROUP4 REACTOR VESSEL B13.10 54-ISI-364 VT / VE-12-073 / Sat 1005 HBR2-10618 SH00001 3/8/2012Comments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

535900 101/GROUP 4B CORE BARREL B13.10 54-ISI-364 VT / VE-12-074 / Sat 1005 HBR2-10618 SH00001 3/8/2012.Comments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results:

537100 101/GROUP 5 UPPER INTERNALS B13.10 54-ISI-364 VT / VE-12-075 / Sat 1005 HBR2-10618 SHO0001 3/8/2012

IComments: A visual examination was performed on the reactor vessel componentst to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

Page 37: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO Exam Date

I Item IIIIIClass 1 Category F-A

123100 134/G U-BOLT RESTRAINT FI.10B NDEP-0613 VT / V-r-12-044 / Eval 2060 HBR2-10618 SH00046 1/31/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results. Loose anchor bolt

was identified and AR 513535 evaluated the condition as acceptable as is.

Evaluation Disposition An Evaluation in (EC 84907, Rev. 0 ) was performed to conservatively justify affected piping 2-CH-2502R-8A and adjacent supports to discrepant supportAcceptable: CPL-134-G. It was concluded in the justification that piping between the adjacent supports CPL-134-F & CPL-134-1 is adequately supported and meets its

design basis with support CPL-1 34-G in its current condition. There are no past operability issues due to the design basis has always been met.

141300 143/RC-3-133 CLOSED BOX RESTRAINT F.103B NDEP-0613 VT / VT-12-047 / Sat 2060 HBR2-10618 SH00055 2117/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

141400 143/RC-3-136 CLOSED BOX RESTRAINT FI.10B NDEP-0613 VT / VT-12-048 / Sat 2060 HBR2-10618 SH00055 2/17/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results. I142700 143/RC-3-116 I-BEAM SUPPORT F1.10A NDEP-0613 VT / VT-12-046 / Unsat 2060 HBR2-10618 SH00055 2/17/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XA, 1995 Edition, 1996 Addenda with unsatisfactory results. Drawing identifies a

U-bolt and the U-bolt is absent in the field. AR 518747 was initiated and evaluation concluded the support

Evaluation Disposition Three calculations were referenced for evaluating the current configuration of support RC-3-116 and other supports on line 2-CH-151 R-1 5B. Input fromAcceptable: these calculations led to the conclusion that the as-found condition is acceptable, there is no U-bolt required and there is no adverse condition.

155300 144/C-AWS RCP C SUPPORT LEG A F1.40 NDEP-0613 VT / VT-12-049 / Sat 2005 HBR2-10618 SH00056 2/13/2o12Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

155400 144/C-BWS RCP C SUPPORT LEG B F1.40 NDEP-0613 VT / VT-12-050 / Sat 2005 HBR2-10618 SH00056 2/13/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

155500 144/C-CWS RCP C SUPPORT LEG C F1.40 NDEP-0613 VT / VT-12-051 /Sat 2005 HBR2-10618 SH00056 2/13/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

30300 103/SKIRT PRESSURIZER SUPPORT SKIRT F1.40 NDEP-0613 VT / VT-12-004 / Sat 2005 HBR2-10618 SH00005 2/16/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XA, 1995 Edition, 1996 Addenda with satisfactory results.

31800 105A/D S/G "B" SUPPORT LEG D F1.40 NDEP-0613 VT / VT-12-005 / Sat 2005 HBR2-10618 SH00007 1/30/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component I Component Description ASME Procedure MethodlReport/Results System DwgIISO Exam DateF co I ~~Item III11

46100 110/SI-2-2434 WELDED CLOSED BOX RESTRAINT FI.10B NDEP-0613 VT / VT-12-025 / Eval 2080 HBR2-10618 SHOO015 2/10/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results. The original gap

reported under AR 518742 was determined to be in error and the support is acceptable as is, no further action required.

Evaluation Disposition The gap between pipe lug integral attachment, on upstream side and frame box restraint, was found in the field to be is zero (0"). The ISI inspector usedAcceptable: support sketch SI-2-2434, Rev. 1, Section E-E, to determine the actual gap should be 1/8" (+/- 1/16"). Support sketch SI-2-2434, Sheet 1, Rev. 4, was

reviewed by engineering to prepare this OCR. The review determined the required gap between the welded pipe lug and the support fame is in fact 0" CLas shown on Section E-E. The dimensions in question, 1/8" (+/- 1/16"), applies to gap between middle lug and support frame. This dimension is notessential since the middle lugs do not resist the pipe axial loads. Sketch SI-2-2434, Sh. 4 should revised to eliminate any confusion. The 1/8" (+/- 1/16")dimensions will be replaced with 0" min. This evaluation concludes that the as-found condition does not impact operability of the Sl piping under anyoperating mode.

51800 112/SI-2-6005 WELDED SPRING SUPPORT F1.10C NDEP-0613 VT / VT-12-026 / Eval 2080 HBR2-10618 SH00017 2/14/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with unsatisfactory results. Spring scale is

missing and evalaution under AR 517410 determined the current position identified is acceptable as is.

Evaluation Disposition During the ISI examination of spring can SI-2-6005 revealed that the load scale is missing. The support is carrying load as evidenced by the spring being inAcceptable: approximately mid position. The predicted thermal movement, based on cold load 3706 and hot load 3806 is 100/1600, i.e. 1/16". Therefore the spring

being in approximately mid position, leaves sufficient margin for this variable spring to perform its design function for all plant modes.

84600 123A/CH-4-6181 SPRING HANGER FI.10C NDEP-0613 VT / VT-12-045 / Sat 2060 HBR2-10618 SH00035 2/15/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/lSO Exam DateItem

Class 2 Category C-A162700 202/02 BIT SHELL TO UPPER HEAD WELD C1.20 NDEP-0450 UT/ UT-12-036 (Page 1) / Sat 2080 HBR2-10618 SH00058 2/21/2012

NDEP-0450 UT/ UT-12-036 (Page 2) / Sat 2080 HBR2-10618 SH00058 2/21/2012NDEP-0450 UT / UT-12-036 (Page 3) / Sat 2080 HBR2-10618 SH00058 2/21/2012NDEP-0450 UT / UT-12-036 (Page 4) / Sat 2080 HBR2-10618 SH00058 2121/2012

Comments: A volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

165400 204/AO1 RHR HX A SHELL TO FLANGE WELD C1.10 NDEP-0450 UT / UT-12-037 (Page 1) / Sat 2045 HBR2-10618 SH00060 2/15/2012NDEP-0450 UT / UT-12-037 (Page 2) / Sat 2045 HBR2-10618 SH00060 2/15/2012NDEP-0450 UT / UT-12-037 (Page 3) / Sat 2045 HBR2-10618 SHOO060 2/15/2012

Comments: A volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

165700 204/A02 RHR HX A SHELL TO LOWER HEAD C1.20 NDEP-0450 UT/ UT-12-038 (Page 1)/Sat 2045 HBR2-10618 SH00060 2/15/2012NDEP-0450 UT / UT-12-038 (Page 2) / Sat 2045 HBR2-10618 SH00060 2/15/2012NDEP-0450 UT / UT-12-038 (Page 3)/ Sat 2045 HBR2-10618 SHOO060 2/15/2012

Comments: A volumetric examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System DwgISO Exam DateIItemII II

Class 2 Category C-B166000 204/A03" RHR HX A REINFORCING PLATE C2.33 NDEP-0612 VT / VE-12-121 / Sat 2045 HBR2-10618 SH00060 2/16/2012

Comments: A visual VT-2 examination was performed on the component weld during the implementation of EST-080 to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda withsatisfactory results. 1

166100 204/A04" RHR HX A REINFORCING PLATE C2.33 NDEP-0612 VT / VE-12-122 / Sat 2045 HBR2-10618 SH00060 2/16/2012

Comments: A visual VT-2 examination was performed on the component weld during the implementation of EST-080 to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda withsatisfactory results.

166500 204/B01-IN RHR HX B NOZZLE TO INLET C2.31 NDEP-0201 PT / PT-12-080 / Sat 2045 HBR2-10618 SH00060 2/8/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

166600 204/B01-OUT RHR HX B NOZZLE TO OUTLET C2.31 NDEP-0201 PT / PT-12-081 / Sat 2045 HBR2-10618 SH00060 2/8/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results. 1

166800 204/B02-IN RHR HX B NOZZLE TO INLET 02.31 NDEP-0201 PT / PT-12-082 / Sat 2045 HBR2-10618 SH00060 2/8/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

166900 204/B02-OUT RHR HX B NOZZLE TO OUTLET 02.31 NDEP-0201 PT / PT-12-083 / Eval 2045 HBR2-10618 SH00060 2/8/2012REINFORCING PLATE

NDEP-0201 PT / PT-1 2-123 / Sat 2045 HBR2-10618 SH00060 2/21/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results. A rounded indication wasidentified which is acceptable but was removed and re-examined under PT-12-123 with satisfactory results.

167000 204/B03" RHR HX B REINFORCING PLATE C2.33 NDEP-0612 VT / VE-12-123 / Sat 2045 HBR2-10618 SH00060 2/16/2012

Comments: A visual VT-2 examination was performed on the component weld during the implementation of EST-080 to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda withsatisfactory results.

167100 204/B04* RHR HX B REINFORCING PLATE C2.33 NDEP-0612 VT / VE-12-124 / Sat 2045 HBR2-10618 SH00060 2/16/2012

CommentsW A visual VT-2 examination was performed on the component weld during the implementation of EST-080 to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda withsatisfactory results.

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Summary No. Component ID Component Description AIIem I Procedure Method/Report/Results System DwgllSO Exam Date

Class 2 Category C-C326200 247/SI-6-77-ATT INTEGRAL ATTACHMENT C3.20 NDEP-0201 PT / PT-12-118 / Sat 2080 HBR2-10618 SH00113 2/20/2012Comments: A surface examination was performed on the component welded attachment to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

326700 247/SI-6-53-ATT INTEGRAL ATTACHMENT C3.20 NDEP-0201 PT/ PT-12-119 / Sat 2080 HBR2-10618 SH00113 2/13/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System DwgISO Exam Date

I Item IIIIIClass 2 Category C-F-1

204600 218/10 PIPE TO ELBOW C5.11 NDEP-0201 PT / PT-12-084 / Sat 2045 HBR2-10618 SH00077 2/15/2012NDEP-0425 UT / UT-12-048 (Page 1) / Sat 2045 HBR2-10618 SH00077 2/16/2012

NDEP-0425 UT / UT-12-048 (Page 2) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-12-048 (Page 3) / Sat 2045 HBR2-10618 SH00077 2/16/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

204700 218/11 ELBOW TO REDUCING ELBOW C5.11 NDEP-0201 PT / PT-12-085 / Sat 2045 HBR2-10618 SH00077 2115/2012NDEP-0425 UT/ UT-12-049 (Page 1)/ Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-12-049 (Page 2) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-12-049 (Page 3) / Sat 2045 HBR2-10618 SH00077 2/16/2012

NDEP-0425 UT / UT-12-049 (Page 4) / Sat 2045 HBR2-10618 SH00077 2/16/2012,Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

205600 218/20 PIPE TO ELBOW C5.11 NDEP-0201 PT / PT-12-086 / Sat 2045 HBR2-10618 SH00077 2/15/2012NDEP-0425 UT / UT-1 2-050 (Page 1) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-1 2-050 (Page 2) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-1 2-050 (Page 3) / Sat 2045 HBR2-10618 SH00077 2/1612012NDEP-0425 UT / UT-1 2-050 (Page 4) / Sat 2045 HBR2-10618 SH00077 2/16/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

205700 218/21 ELBOW TO PIPE C5.11 NDEP-0201 PT / PT-12-087 / Sat 2045 HBR2-10618 SH00077 2/15/2012NDEP-0425 UT / UT-12-051 (Page 1) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-1 2-051 (Page 2) / Sat 2045 HBR2-10618 SH00077 2/16/2012

NDEP-0425 UT / UT-12-051 (Page 3) / Sat 2045 HBR2-10618 SH00077 2/16/2012NDEP-0425 UT / UT-12-051 (Page 4) / Sat 2045 HBR2-10618 SH00077 2/16/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

209900 219/188 REDUCER TO PIPE C5.11 NDEP-0201 PT / PT-12-088 / Sat 2080 HBR2-10618 SH00078 2121/2012NDEP-0425 UT / UT-12-052 (Page 1) / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-1 2-052 (Page 2) / Sat 2080 HBR2-10618 SH00078 2/21/2012

NDEP-0425 UT / UT-1 2-052 (Page 3) / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-12-052 (Page 4) / Sat 2080 HBR2-10618 SH00078 2121/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

210500 219/193 PIPE TO VALVE SI-885 WELD C5.11 NDEP-0201 PT / PT-12-089 / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-12-053 (Page 1) / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-1 2-053 (Page 2) / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-12-053 (Page 3) / Sat 2080 HBR2-10618 SH00078 2/21/2012NDEP-0425 UT / UT-12-053 (Page 4) / Sat 2080 HBR2-10618 SH00078 2/21/2012

,Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/Report/Results System Dwg/ISO Exam DateI I I ~~Item IIIII

214700 219A/209 PIPE TO ELBOW C5.11 NDEP-0201 PT f PT-12-092 / Sat 2080 HBR2-10618 SH00079 2/19/2012NDEP-0425 UT / UT-1 2-054 (Page 1) / Sat 2080 HBR2-10618 SH00079 2/19/2012

NDEP-0425 UT / UT-12-054 (Page 2)/Sat 2080 HBR2-10618 SH00079 2/19/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

214800 219A/210 ELBOW TO PIPE C5.11 NDEP-0201 PT / PT-12-093 / Sat 2080 HBR2-10618 SH00079 2/19/2012

NDEP-0425 UT / UT-12-055 (Page 1) / Sat 2080 HBR2-10618 SH00079 2/19/2012NDEP-0425 UT / UT-1 2-055 (Page 2) / Sat 2080 HBR2-10618 SH00079 2/19/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

216700 220/39 ELBOW TO PIPE C5.11 NDEP-0201 PT / PT-12-097 / Sat 2045 HBR2-10618 SH00080 2/20/2012NDEP-0425 UT / UT-12-059 (Page 1) / Sat 2045 HBR2-10618 SH00080 2/20/2012NDEP-0425 UT / UT-12-059 (Page 2) / Sat 2045 HBR2-10618 SH00080 2/20/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

216800 220/40 PIPE TO ELBOW C5.11 NDEP-0201 PT / PT-12-122 / Sat 2045 HBR2-10618 SH00080 2/20/2012NDEP-0425 UT/ UT-12-068 (Page 1)/ Sat 2045 HBR2-10618 SH00080 2/20/2012NDEP-0425 UT / UT-12-068 (Page 2) / Sat 2045 HBR2-10618 SH00080 2/20/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

216900 220/42 ELBOW TO RHR PUMP A C5.11 NDEP-0201 PT / PT-12-098 / Sat 2045 HBR2-10618 SH00080 2/16/2012NDEP-0425 UT / UT-12-060 (Page 1) / Sat 2045 HBR2-10618 SH00080 2/16/2012NDEP-0425 UT / UT-12-060 (Page 2) / Sat 2045 HBR2-10618 SH00080 2/16/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

219900 220AN62 VALVE RHR-752B TO ELBOW C5.11 NDEP-0201 PT / PT-12-099 / Sat 2045 HBR2-10618 SH00081 2/7/2012NDEP-0425 UT / UT-12-061 (Page 1) /Sat 2045 HBR2-10618 SH00081 2/7/2012.

NDEP-0425 UT / UT-12-061 (Page 2) /Sat 2045 HBR2-10618 SH00081 2/7/2012Comments: A surface and volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section Xl with satisfactory results. The volumetric

examination was limited due to component geometry (pipe to valve) and will be included in Relief Request (RR-20 future) at the end of the Fourth Ten Year Interval.

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Summoa Component I ComponentDescription ASME Procedure Method/Report/ResuIts System Dwg/ISO lExamDateIy No Copnn IDe I Copnn I I Date

220300 220A/69 PIPE TO ELBOW C5.11 NDEP-0201 PT / PT-12-100 / Sat 2045 HBR2-10618 SHOO081 2/7/2012NDEP-0425 UT/ UT-12-062 (Page 1)/Sat 2045 HBR2-10618 SH00081 2/7/2012NDEP-0425 UT / UT-12-062 (Page 2) / Sat 2045 HBR2-10618 SH00081 217/2012

Comments: A surface and volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section Xl with satisfactory results. The volumetricexamination was limited to to component geometry (adjacent weld) and will be included in Relief Request (RR-20 future) at the end of the Fourth Ten Year Interval.

220400 220A/70 ELBOW TO PIPE C5.11 NDEP-0201 PT / PT-12-101 / Sat 2045 HBR2-10618 SH00081 2/7/2012NDEP-0425 UT / UT-1 2-063 / Sat 2045 HBR2-10618 SH00081 2/7/2012

Comments: A surface and volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section Xl with satisfactory results.

220600 220AI72 ELBOW TO RHR PUMP B C5.11 NDEP-0201 PT / PT-12-102 / Sat 2045 HBR2-10618 SH00081 2/7/2012NDEP-0425 UT / UT-12-064 (Page 1) / Sat 2045 HBR2-10618 SH00081 2/7/20-12NDEP-0425 UT / UT-12-064 (Page 2) / Sat 2045 HBR2-10618 SH00081 2/7/2012

Comments: A surface and volumetric examination was performed on the component weld to the 1995 Edition, 1996 Addenda of ASME Section Xl with satisfactory results. The volumetricexamination was limited to to component geometry (elbow to pump weld) and will be included in Relief Request (RR-20 future) at the end of the Fourth Ten Year Interval.

291800 240/07A PIPE TO SOCKOLET C5.41 NDEP-0201 PT / PT-12-103 / Sat 2080 HBR2-10618 SH00106 2/11/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

320800 246/09 PIPE TO COUPLING C5.30 NDEP-0201 PT / PT-12-104 / Sat 2080 HBR2-10618 SH00112 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

320900 246/10 ELBOW TO PIPE C5.30 NDEP-0201 PT / PT-12-105 / Sat 2080 HBR2-10618 SH001 12 2/17/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

329100 247/20 PIPE TO ELBOW C5.30 NDEP-0201 PT / PT-12-106 / Sat 2080 HBR2-10618 SH00113 2/12/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

329200 247/21 ELBOW TO PIPE C5.30 NDEP-0201 PT / PT-12-107 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

329300 247/22 PIPE TO ELBOW C5.30 NDEP-0201 PT / PT-12-108 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

329400 247/23 ELBOW TO PIPE C5.30 NDEP-0201 PT/ PT-12-109 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

329500 247/24 PIPE TO TEE C5.30 NDEP-0201 PT / PT-12-110 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME I Procedure MethodlReport/Results System Dwg/lSO Exam Date329700 247/25 TEE TO PIPE 05.30 NDEP-0201 PT / PT-12-111 /Sat 2080 HBR2-10618 SH00113 2/12/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

329800 247/26 PIPE TO COUPLING C5.30 NDEP-0201 PT / PT-12-112 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

329900 247/27 COUPLING TO PIPE 05.30 NOEP-0201 PT I PT-12-113/Sat 2080 HBR2-10618 SHOO13 2/1232012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

330000 247/28 PIPE TO ELBOW C5.30 NDEP-0201 PT / PT-12-114 / Sat 2080 HBR2-10618 SH00113 2/12/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

330100 247/29 ELBOW TO PIPE C5.30 NDEP-0201 PT/PT-12-115 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

330200 247/30 PIPE TO ELBOW C5.30 NDEP-0201 PT / PT-12-116 / Sat 2080 HBR2-10618 SH00113 2/12/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

330300 247/31 ELBOW TO PIPE C5.30 NDEP-0201 PT / PT-12-117 / Sat 2080 HBR2-10618 SH00113 2/12/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME Procedure Method/ReportlResuts System Dwg/ISO Exam Date

I Item IIIIIClass 2 Category C-F-2

180300 213/08 PIPE TO ELBOW C5.51 NDEP-0301 MT / MT-12-001 / Sat 3020 HBR2-10618 SH00072 2/6/2012NDEP-0437 UT/ UT-12-039 (Page 1) / Sat 3020 HBR2-10618 SH00072 2/6/2012NDEP-0437 UT / UT-12-039 (Page 2) / Sat 3020 HBR2-10618 SH00072 2/6/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

180400 213/09 ELBOW TO PIPE C5.51 NDEP-0301 MT / MT-12-002 / Sat 3020 HBR2-10618 SH00072 2/6/2012NDEP-0437 UT / UT-12-040 (Page 1) / Sat 3020 HBR2-10618 SH00072 2/6/2012

NDEP-0437 UT / UT-12-040 (Page 2) / Sat 3020 HBR2-10618 SH00072 2/6/2012Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

187100 214/29BC PIPE TO BRANCH CONNECTION C5.81 NDEP-0301 MT / MT-12-003 / Sat 3020 HBR2-10618 SH00073 1/26/2012Comments: A surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

187200 214/30 BRANCH CONNECTION TO VALVE C5.51 NDEP-0301 MT / MT-12-004 / Sat 3020 HBR2-10618 SH00073 1/26/2012SVl-4C

NDEP-0301 MT / MT-1 2-008 / Sat 3020 HBR2-10618 SH00073 2/27/2012NDEP-0437 UT / UT-12-041 / Sat 3020 HBR2-10618 SH00073 1/26/2012NDEP-0437 UT / UT-12-069 (Page 1) / Sat 3020 HBR2-10618 SH00073 2/27/2012NDEP-0437 UT / UT-12-069 (Page 2)/ Sat 3020 HBR2-10618 SH00073 2/27/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

200300 217/10 PIPE TO ELBOW C5.51 NDEP-0301 MT / MT-12-005 / Sat 3050 HBR2-10618 SH00076 2/5/2012NDEP-0437 UT/ UT-12-044 (Page 1)/Sat 3050 HBR2-10618 SH00076 2/5/2012NDEP-0437 UT / UT-12-044 (Page 2) / Sat 3050 HBR2-10618 SH00076 2/5/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

200500 217/11 ELBOW TO PIPE C5.51 NDEP-0301 MT / MT-12-006 / Sat 3050 HBR2-10618 SH00076 2/5/2012NDEP-0437 UT / UT-12-045 (Page 1) / Sat 3050 HBR2-10618 SH00076 2/5/2012

NDEP-0437 UT / UT-12-045 (Page 2) / Sat 3050 HBR2-10618 SH00076 2/5/2012Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

200600 217/12 PIPE TO ELBOW C5.51 NDEP-0301 MT / MT-12-007 / Sat 3050 HBR2-10618 SH00076 2/5/2012NDEP-0437 UT / UT-12-046 (Page 1)/ Sat 3050 HBR2-10618 SH00076 2/5/2012NDEP-0437 UT / UT-12-046 (Page 2) / Sat 3050 HBR2-10618 SH00076 2/5/2012

Comments: A volumetric and surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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IComments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

212000 219/744A(2) V2 RHR-744A C6.20 NDEP-0201 PT / PT-12-091 / Sat 2045 HBR2-10618 SH00078 2/14/2012

Comments: A surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description I. I Procedure Method/Report/Results System Dwg/ISO ExamDateClass 2 Category F-A

169200 205A/05(S) SNUBBER 5 F1.40 NDEP-0613 VT /VT-r12-054 / Sat 3005 HBR2-10618 SH00062 1/29/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

169400 205A/06(S) SNUBBER 6 F1.40 NDEP-0613 VT / VT-1 2-055 / Sat 3005 HBR2-10618 SH00062 1/29/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

169600 205A/07(S) SNUBBER 7 F1.40 NDEP-0613 VT / VT-12-056 / Sat 3005 HBR2-10618 SH00062 1/29/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

169900 205A/08(S) SNUBBER 8 F1.40 NDEP-0613 VT / VT-12-057 / Sat 3005 HBR2-10618 SH00062 1/29/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

170100 205AIRING LATERAL RING B F1.40 NDEP-0613 VT / VT-12-058 / Sat 3005 HBR2-10618 SH00062 1/29/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

171600 206/A U-BOLT RESTRAINT F1.40 NDEP-0613 VT / VT-12-059 / Sat 2060 HBR2-10618 SH00064 2/16/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

171700 206/B SADDLE SUPPORT F1.40 NDEP-0613 VT / VT--12-060 / Sat 2060 HBR2-10618 SH00064 2/16/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

171800 206/C U-BOLT RESTRAINT F1.40 NDEP-0613 VT / VT-12-061 /Sat 2060 HBR2-10618 SH00064 2/16/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory

results.

171900 206/D SADDLE SUPPORT F1.40 NDEP-0613 VT / VT-12-062 / Sat 2060 HBR2-10618 SH00064 2/16/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

172000 206/E U-BOLT RESTRAINT F1.40 NDEP-0613 VT / VT-12-063 / Sat 2060 HBR2-10618 SH00064 2/16/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

172100 206/F SADDLE SUPPORT F1.40 NDEP-0613 VT / VT-12-064 / Sat 2060 HBR2-10618 SH00064 2/16/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda and relief request RR-02 with satisfactory results.

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Summary No. Component ID Component Description AIME Procedure Method/Report/Results System Dwg/ISO Exam Date

201100 217/FW-5C-6073 WELDED SPRING SUPPORT F1.20C NDEP-0613 VT I VT-1 2-065 / Sat 3050 HBR2-10618 SH00076 2/8/2012Comments: A visual examination was performed on this component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

280500 234A/S1-10-6006 WELDED U-BOLT RESTRAINT F1.208 NDEP-0613 VT / VT-12-066 / Sat 2080C HBR2-10618 SH00098 1/26/2012Comments: A visual examination was performed on this component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

333500 247/SI-6-6009 ANGLE IRON SUPPORT F1.20A NDEP-0613 VT / VT-12-067 / Sat 2080 HBR2-10618 SH00113 2/13/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

353200 251/SW-4-25/5 WELDED BOX RESTRAINT F1.201 NDEP-0613 VT / VT-1 2-068 / Sat 4060 HBR2-10618 SH00206 2/20/2012Comments: A visual examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

354700 252/SW-4-1059 I-BEAM SUPPORT F1.20A NDEP-0613 VT / VT-12-069 / Sat 4060 HBR2-10618 SH00207 2/3/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

355800 253/SW-4-24/5 GANG BOX RESTRAINT F1.20B NDEP-0613 VT / VT-12-070 / Sat 4060 HBR2-10618 SH00208 2/20/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

356400 253/SW-4-H25 I-BEAM SUPPORT F1.20A NDEP-0613 VT / VT-12-071 / Sat 4060 HBR2-10618 SH00208 2/20/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

357500 254/SW-4-22/5 WELDED BOX RESTRAINT F1.20B NDEP-0613 VT / VT-12-072 / Eval 4060 HBR2-10618 SH00209 2/3/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with unsatisfactory results. AR 514829 was

initiated for thread engagement less than flush and was evaluated as acceptable as is, no further action required.

Evaluation Disposition Per AR 514829, It is acceptable for the lower-left anchor nut on SW-4-22/5 to be one thread short of full engagement. As evaluated in EC 84908 theAcceptable: fastener meets original design requirements in the as-found condition, there is no potential adverse impact on SW-4-22/5 or any surrounding components.

357600 254/SW-4-1061 I-BEAM SUPPORT F1.20A NDEP-0613 VT / VT-12-073 / Sat 4060 HBR2-10618 SH00209 2/3/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME I Procedure Method/Report/Results System Dwg/ISO Exam Date358900 255/SW-4-38/5 WELDED BOX RESTRAINT F1.20B NDEP-0613 VT / VT-12-074 1 Sat 4060 HBR2-10618 SH00210 2/2112012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

359300 255/SW-4-H28 I-BEAM SUPPORT F1.20A NDEP-0613 VT / VT-12-075 / Sat 4060 HBR2-10618 SH00210 2/21/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

360400 256/SW-4-H42 I-BEAM SUPPORT F1.20A NDEP-0613 VT / VT-12-076 / Sat 4060 HBR2-10618 SH00211 2/3/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

361200 257/SW-4-40/5 GANG BOX RESTRAINT F1.20B NDEP-0613 VT / VT-12-077 / Sat 4060 HBR2-10618 SH00212 2/20/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

362500 258/SW-4-41/5 GANG U-BOLT RESTRAINT F1.20B NDEP-0613 VT / VT-12-078 / Sat 4060 HBR2-10618 SH00213 2/8/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

362600 258/SW-4-41/6 WELDED BOX RESTRAINT F1.20B NDEP-0613 VT / VT-1-2-079 / Eval 4060 HBR2-10618 SH00213 2/3/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results. AR 514832 was

389600 259/AC-7-6001 ROD HANGER F1.20A NDEP-0613 VT / VT-1 2-081 / Sat 4080 HBR2-10618 SH00214 1/27/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

389700 259/AC-7-3 U-BOLT RESTRAINT F1.20B NDEP-0613 VT / VT-1-2-080 / Sat 4080 HBR2-10618 SH00214 1/27/2012Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with satisfactory results.

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Summary No. Component ID Component Description ASME IProcedure MethodReport/ResuIts System Dwg/ISO Exam Date

IItemClass 3 Category F-A

340950 313A/S6-1B STRAINER SUPPORT F1.40 NDEP-0613 VT I VT-12-093 I Eval 4060 HBR2-10618 SH00127 2/22/2012

Comments: A visual examination was performed on the component support to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda with unsatisfactory results. Inadequate threadengagement was identifieid on the base plate nuts and AR 518969 was initiated and evaluated as acceptable as is.

Evaluation Disposition The bolt thread engagement for the North Service water Header Strainer (S6-1B) was previously evaluated in EC 62379. This EC found 5/16"Acceptable: disengagement at the Northwest anchor, 1/8" disengagement at the Northeast anchor, 0", flush engagement at the Southeast anchor, and full engagement

with a jam nut at the Southwest anchor. EC 62379 justified the thread disengagement and found it acceptable due to loads acting on the strainer actingdownward only.

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TAB

C

AUGMENTED

EXAMINATION

SUMMARY

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Summary ~ ~ASME ExmDtSummary Component ID Component Description amE Procedure Method/Report/Results System Dwg/ISO ExNo. IItemIIII

Class 1 Category AUGMENT35203 107/01DM HOT LEG NOZZLE TO SAFE END E-17 54-9171878 ET / VE-12-102 / Sat 1005 HBR2-10618 SH00010 2/25/2012

54-9171719 UT / VE-12-109 / Sat 1005 HBR2-10618 SHOO010 2/25/2012

54-9171720 UT / VE-12-110 / Sat 1005 HBR2-10618 SHOO010 2/25/2012Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section Xl, 1995 Edition, 1996 Addenda for successive

examinations and ASME Code Case N 770-1 as modified by 10CFR50.55a. Indications identified on the previous examination (MRP-139) performed in 2008 (RO-25) haveremained essentially unchanged.

37003 107A/01 DM HOT LEG NOZZLE TO SAFE END E-17 54-9171719 UT / VE-12-108 / Sat 1005 HBR2-10618 SHOO01 1 2/25/2012

54-9171720 UT / VE-12-111 /Sat 1005 HBR2-10618 SHO01l1 2/25/201254-9171878 ET / VE-12-114 / Sat 1005 HBR2-1061 8 SHOO01 1 2/25/2012

Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda for successiveexaminations and ASME Code Case N 770-1 as modified by 10CFR50.55a. Indications identified on the previous examination (MRP-139) performed in 2008 (RO-25) haveremained essentially unchanged.

38803 107B/01 DM HOT LEG NOZZLE TO SAFE END E-17 54-9171878 ET / VE-12-107 / Sat 1005 HBR2-10618 SH00012 2/25/2012

54-9171719 UT / VE-12-112 / Sat 1005 HBR2-10618 SH00012 2/25/201254-9171720 UT / VE-12-113 / Sat 1005 HBR2-10618 SH00012 2/25/2012

Comments: A volumetric and ID surface examination was performed on the component weld to the requirements of ASME Section XI, 1995 Edition, 1996 Addenda for successiveexaminations and ASME Code Case N 770-1 as modified by 1OCFR50.55a. Indications identified on the previous examination (MRP-1 39) performed in 2008 (RO-25) haveremained essentially unchanged.

97750 127/2-RC-2501R-39 PIPE (MRP-146S) E-13 NDEP-0425 UT / UT-12-033 (Page 1) / Sat 2005 HBR2-10618 SH00039 2/9/2012NDEP-0425 UT / UT-12-033 (Page 2)/ Sat 2005 HBR2-10618 SH00039 2/9/2012

IComments: A volumetric examination was performed on the component weld to the requirements Augment E-13, (MRP-146S) with satisfactory results.

199250 128/2-RC-2501R-38 PIPE (MRP-146S) E-13 NDEP-0425 UT/ UT-12-034 (Page 1)/ Sat 2005 HBR2-10618 SH00040 2/9/2012

I NDEP-0425 UT / UT-12-034 (Page 2)/ Sat 2005 HBR2-10618 SH00040 2/9/2012•Comments: A volumetric examination was performed on the component weld to the requirements Augment E-13, (MRP-146S) with satisfactory results.

Class 2 Category AUGMENT

P192300 215/79-13-A S/G A NOZZLE TO ELBOW E-1 NDEP-0437 UT/UT-12-042/Sat 3050 HBR2-10618SH00074 2/22/2012Comments: A volumetric examination was performed on the component to the requirements of Augment E-1 (NRC Bulletin 79-13) with satisfactory results. I

1197200 216/79-13-B S/G B NOZZLE TO ELBOW E-1 NDEP-0437 UT / UT-12-043 / Sat 3050 HBR2-10618 SH00075 2/1/2012

Comments: A volumetric examination was performed on the component to the requirements of Augment E-1 (NRC Bulletin 79-13) with satisfactory results. I201000 217179-13-C S/G C NOZZLE TO ELBOW E-1 NDEP-0437 UT / UT-12-047 / Sat 3050 HBR2-10618 SH00076 2/1/2012

Comments: A volumetric examination was performed on the component to the requirements of Augment E-1 (NRC Bulletin 79-13) with satisfactory results. I

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TAB

D

PRESERVICE

EXAMINATION

SUMMARY

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There were no preservice examinations required as a result of the work performed in RO-27

52

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TAB

E

PRESSURE

TEST

SUMMARY

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The table below lists the completed pressure tests performed from the close date of the previous NIS-1 report (7/19/2010) through the close of

refueling outage 27 (3/18/2012) of the Fourth Ten Year Interval. The pressure tests associated with the third period are complete for HB Robinson.

SYSTEM DESCRIPTION COMPLETION PROCEDURE RESULTSDATE

ISI PRESSURE TESTING OF THE FEEDWATER SYSTEM (EACH ISI PROGRAMFW INSPECTION PERIOD) 11/14/2011 EST-077 SAT

INSERVICE INSPECTION PRESSURE TESTING OF SAFETY IN JECTION PUMPSI DISCHARGE PIPING (EACH ISI PROGRAM IN SPECTION PERIOD)*- 1/12/2012 EST-078 SAT

CV INSERVICE INSPECTION PRESSURE TESTING OF CONTAINMENT SPRAY SYSTEM

SPRAY (EACH ISI PROGRAM IN SPECTION PERIOD) 1/27/2011 EST-079 SAT

RHR INSERVICE INSPECTION PRESSURE TESTING OF RHR SYSTEM (EACH ISI PROGRAM 2/12/2012 EST-080 SATIN SPECTION PERIOD)INSERVICE INSPECTION PRESSURE TESTING OF AUXILIARY FEEDWATER SYSTEM

AFW (EACH ISI PROGRAM INSPECTION PER IOD)** 11/16/2011 EST-082 SAT

INSERVICE INSPECTION PRESSURE RETAINING VT-2 BOLTING EXAMINATION OFRCS THE REACTOR COOLANT SYSTEM (REFUELING SHUTDOWN INTERVAL) 2/12/2012 *EST-083-1 SAT

INSERVICE INSPECTION PRESSURE TESTING OF THE REACTOR COOLANT SYSTEMRCS (REFUELING SHUTDOWN INTERVAL) 3/18/2012 *EST-083-2 SAT

INSERVICE INSPECTION PRESSURE TESTING OF SPENT FUEL PIT COOLINGSFPC SYSTEM (EACH ISI PROGRAM IN SPECTION PERIOD) 4/19/2011 EST-084 SAT

INSERVICE INSPECTION PRESSURE TESTING OF COMPONENT COOLING WATERCCW SYSTEM INSIDE THE AUXILIARY BUILDING(EACH ISI PROGRAM IN SPECTION 10/13/2011 EST-088 SAT

PERIOD)

INSERVICE INSPECTION PRESSURE TESTING OF SAFETY INJECTION SYSTEMSI INSIDE CONTAINMENT(EACH ISI PROGRAM IN SPECTION PERIOD) 3/18/2012 *EST-090 SAT

INSERVICE INSPECTION PRESSURE TESTING OF SAFETY INJECTION SYSTEM ANDCONTAINMENT SPRAY PUMP SUCTION PIPING (EACH ISI PROGRAM INSPECTION 2/15/2011 EST-091 SAT

SPRAY PERIOD)

INSERVICE INSPECTION PRESSURE TESTING OF THE SPRAY ADDITIVE TANK ANDCV SPRAY ASSOCIATED PIPING (EACH ISI PROGRAM INSPECTION PERIOD) 3/9/2012 EST-092 SAT

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SYSTEM DESCRIPTION COMPLETION PROCEDURE RESULTSDATE

INSERVICE INSPECTION PRESSURE TESTING OF THE CHEMICAL AND VOLUMECVCS CONTROL SYSTEM(EACH ISI PROGRAM INSPECTION PERIOD) 6/8/2011 EST-093 SAT

INSERVICE INSPECTION PRESSURE TESTING OF THE SERVICE WATERSW SYSTEM(EACH ISI PROGRAM INSPECTION PERIOD) 4/24/2012 EST-094 SAT

INSERVICE INSPECTION PRESSURE TESTING OF STEAM SUPPLY PIPING TO THESDAFW STEAM DRIVEN AFW PUMP(EACH ISI PROGRAM INSPECTION PERIOD) 8/2/2011 EST-097 SAT

INSERVICE INSPECTION PRESSURE TESTING OF DIESEL FUEL OIL SYSTEMFUEL OIL PIPING(EACH ISI PROGRAM INSPECTION PERIOD) 5/14/2011 EST-098 SAT

INSERVICE INSPECTION PRESSURE TESTING OF THE CHEMICAL AND VOLUMECVCS CONTROL SYSTEM INSIDE CONTAINMENT(EACH ISI PROGRAM INSPECTION 3/18/2012 *EST-127 SAT

PERIOD)INSERVICE INSPECTION PRESSURE TESTING OF THE SIS ACCUMULATORS AND

SI ASSOCIATED CLASS 2 PIPING INSIDE CONTAINMENT(EACH ISI PROGRAM 3/18/2012 *EST-129 SATINSPECTION PERIOD)

*Includes Bolting Inspection on Borated Systems (invoked Code Case N-533-1)

** Includes Completion Dates for Partial Sections Prior to Pressure Test Package closeout. May also be listed in Previous ISI ReportInterval 4, Period 3, Outagel (RO #26) For H.B. Robinson Nuclear Station (Unit 2) 3581 W. Entrance Rd. Hartsville, SC 29550. ReportCompletion Date: 8/31/2010

No deficiencies were noted for the above Engineering Surveillance Tests and all exceptions were addressed by the normal work requestprocess and retained as permanent records, which may be obtained through the Progress Energy Carolinas, Inc., Document ControlServices.

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TAB

F

EXAMINATION

PERCENTAGE

SUMMARY

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CLASS I SUMMARY TABLE

TOTAL INTERVAL INTERVAL INTERVAL NUMBER SCHEDULED/COMPLETED3

CATEGORY NUMBER OF NUMBER NUMBER PERCENT IsT 2 NO 3 RD

COMPONENTS REQUIRED COMPLETE COMPLETE PERIOD PERIOD PERIOD

BA*,2,4 20 0 0 0% 010 0/0 0/0

B-B1 13 5 5 100% 1/1 2/2 2/2

B-D*, 1 36 23 23 100% 3/3 4/4 16/16

B-F*, 4 18 12 12 100% 4/4 8/8 0/0

B-G-1* 347 344 344 100% 48/48 48/48 248/248

B-G-2 44 44 44 100% 17/17 12/12 15/15

B-J 721 189 189 100% 56/56 68/68 61/61

B-K 53 6 6 100% 2/2 2/2 2/2

B-L-1 9 3 3 100% 0/0 0/0 3/3

B-L-2 3 1 1 100% 0/0 0/0 1/1

B-M-2 11 3 3 100% 0/0 2/2 1/1

B-N-1 1 2 2 100% 0/0 1/1 1/1

B-N-2 1 2 2 100% 0/0 1/1 1/1

B-N-3 1 2 2 100% 0/0 1/1 1/1

B-O2 56 3 3 100% 1/1 0/02 2/2

B-P 1 7 7 of 7 100% 2/2 3/3 2/2

B-Q 3 TECH SPEC N/A N/A N/A N/A N/A* Deferral PermissibleI Relief Request2 Reactor Head Replaced in RO-233 Minimum counts identified, actual completion counts may be greater.4 Relief Request from 10 year to 20 year examination frequency.

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CLASS 2 SUMMARY TABLE

TOTAL INTERVAL INTERVAL INTERVAL # SCHEDULEDICOMPLETED 2

CATEGORY NUMBER OF NUMBER NUMBER PERCENT 1 ST 2 RD

COMPONENTS REQUIRED COMPLETE COMPLETE PERIOD PERIOD PERIOD

C-A 21 9 9 100% 3/3 313 3/3

C-B 26 11 11 100% 4/4 3/3 4/4

C-C 164 8 8 100% 3/3 4/4 3/3

C-D 1 1 1 100% 0/0 1/1 0/0

C-F-1 1114 84 84 100% 24/241 28/28 23/23

C-F-2 141 28 28 100% 10/101 10/10 10/10

C-G 4 2 2 100% 0/0 0/0 2/2

C-H 11 11 (per period) 33 of 33 100% 11/11 11/11 11/112 Minimum counts identified, actual completion counts may be greater.

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CLASS 1,2, & 3 SUPPORT SUMMARY TABLE

TOTAL INTERVAL INTERVAL INTERVAL # SCHEDULED/COMPLETED 2

CATEGORY NUMBER OF NUMBER NUMBER PERCENT IST 2ND 3RD

COMPONENTS REQUIRED COMPLETE COMPLETE PERIOD PERIOD PERIOD

F-A F1.10 198 50 50 100% 17/17 17/17 18/18

F-A, F1.20 475 72 72 100% 23/23 24124 25/25

F-A, F1.30 463 47 47 100% 16/16 16/16 16/16

F-A, F1.40 94 Supports 46 46 100% 16116 16/16 16/16

on46

components

(24 Groups)

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TAB

G

REPAIR

AND

REPLACEMENT

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95113504 RHR-744A 2045 Installed new disc and drilled hole in disc. Disc 10-0671530692 CC-749A 4080 Replace disc with new disc Valve Disc 10-068

1926898 CVC-332 2060 Replaced bonnet due to leakage. Bonnet 11-0011828716 2-AC-152N-105 4080 Repair weld by removing existing weld installing new Weld 11-002

weld1775848 SW-560 4060 Replaced valve disc Valve disc 11-0031674158 CVC-348 2060 Replaced bonnet of valve CVC-348 due to leakage. Bonnet 12-0011605807 CVC-341 2060 Replaced bonnet assembly due to bonnet leakage. Valve Bonnet 12-0021876996 30-CW-12 4060 Install modified branch connection to SW-395 Piping - 1 1/2" 12-0031783775 MS-262C 3020 Replaced bonnet cap screws Cap Screw 12-0041958279 CVC-277A 2060 Replaced valve and piping. Valve 12-0051699974 CVC-200B 2060 Replace valve plug Valve Plug 12-0062040448 SW-8 4060 Replace Valve Valve 12-0071898810 24 FIC-657 4080 Replace flow meter and associated piping and fittings Flow meter 12-0081898811 20 FIC-658 4080 Replace flow meter and associated piping and fittings Flow meter 12-0091930221 CVC-342 2060 Replaced valve bonnet Bonnet & Bolting 12-0101857357 CVC-398B 2060 Replaced nuts/studs on Bonnet to Body connection Bonnet Bolting 12-0111944448 CHG-PMP-B 2060 Replaced Cylinder Head extensions and associated Cylinder Head 12-012

bolting Extension2034642 RHR-HTX-B 2045 Evaluate damaged stud thread as acceptable per EC Nut 12-013

84878 and replace nut1531560 CC-728A 4080 Replace valve Globe Valve 12-0141531562 CC-728B 4080 Replace valve Globe Valve 12-0151531563 CC-728C 4080 Replace valve and support Globe Valve 12-0161512225-04 2-FO-60B 5100 Replace valve and install new supports Piping 12-0171624642 SV1-4C 3020 Replace Safety Relief Valve due to steam cuts on seat Valve 12-0181933717 SI-PMP-B 2080 Repaired casing stud #6 by chasing threads Casing Stud 12-0192032676 CVC-398B 2060 Replaced Bonnet Bonnet 12-0201703298 CVC-200C 2060 Replace trim set which includes valve plug. Valve Plug 12-0211800337 FE-496 3050 Disassembled and rewelded flow element structure Flow Element 12-0221800338 FE-486 3050 Disassembled and rewelded flow element structure Flow Element 12-0231800339 FE-476 3050 Disassembled and rewelded flow element structure Flow Element 12-024

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_____ NSyf WQN 4trip.id.fd , M~i IEjSi1789189 SI-875P 2080 Replaced valve and pipe piece Valve 12-0251792508 RC-H3 2005 Restored hanger RC-H3 to design condition including Rod Hanger 12-026

,replacement of pipe saddle1799484 Snubber #19 3005 Replaced snubber # 19. Snubber 12-0271800244 CC-738 4060 Replace disc Disc 12-0282032224 CVC-455 2060 Replace Valve and associated piping Valve 12-0291821008 PCV-456 2005 Replace valve plug Valve Plug 12-0301769791 SI-864A 2080 Replaced double disc Disc 12-0311898810 01 FIC-629 4080 Replace flow meter and associated piping and fittings Flow meter 12-0321898810 10 FIC-632 4080 Replace flow meter and associated piping and fittings Flow meter 12-033

1898810 17 FIC-635 4080 Replace flow meter and associated piping and fittings Flow meter 12-0341820971 CV 8010 Replaced Containment Liner insulation studs Liner 12-0351999484 2-AC-151R-157 7110 Upgrade RW purification system from NS to SS class Support 12-036

22052922 FIC-629 4080 Replaced flow meter orifice plate due to FME cap in Flow meter 12-037

line1967464 3-CH-8 2060 Cut piping welds and replaced tee in line 3-CH-8 to Piping 12-038

facilitate adjustment at B charging pump flange andrepair PT indication on tee at W-5

1800327 RVI-1 3020 Replace Plug Plug 12-0391800099 Snubber-RSV-B 2005 Snubber-RSV-B, change snubber reservoir on Hydraulic Fluid 12-040

snubber Reservoir2041966 CPL-1 34-A 2060 Replaced bent rod for support CPL-134-A on Line Rod 12-041

2-CH-8A1935953 CVC-121D 2060 Install Temporary clamp and monitor for leakage Clamp 12-042

(1940207)1936318/1935 4-CH-151R-47 2060 Remove temporary clamp installed per WO 1935953 Temporary Clamp 12-042953 for 3/4" drain line and replaced drain line and 4"1_ 1_ section of line between flange and elbow2032527 SW-PMP-D 2060 Replaced SW Pump D with spare Pump 12-043

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ATTACHMENT

OWNERS REPAIR I

REPLACEMENT ACTIVITIES

FORM NIS-2

Page 67: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAtRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH. NC 27602Address

2, Plant H.B.ROBINSONName

3581 WEST Entrance RO, HARTSVILLE, SC 29550

Dale: 11/112010

Sheet: 1 0 of 2

Unit: 2

ESR,#I652/6W879 EE:N/AWR.WO:951135 04 CR:N1A

Repai Organdzation PO No;Job No;ezc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

"-3.

Address

Worik Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE: SC 29550Address

4, Identirf.afion of System: Class,2 RESIDUAL HEAT REMOVAL SYSTEM, 2045

5, (a) Applicable Construction Code; _31.1 EditionUL Addenda:N,. Code Case:N/ADesign Specification: N/A "

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition. 1996 Addenda

Code Case: N/A• . • I• • .r4 ~

Name of Name oT Manufacturer National Other Year Rpaiw-'d. ASMEComponent Manufacturer Serial No. Board No. ldendficai•er, Bwlt Replaced, Code

or SiampReplacement (Yes or

No)

Disc Velan N/A NIA RHR-744A 1971 Removed N

Disc VeLan SN 7055 NtA RHR-744A 2010 Installed N

7.

8.

Description of WorK:I Installed new disc and drifled hole in disc.

Test Conducted: Hydrostatic IU Pneumatic aI Nominal Operating Pressure [1

Other IVj PressureLNLIJ psig Test Temp.[NLAJ OF

10-067

L..

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

,FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 951135 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A

Certificate of A th ation No. N/A

Signed 7 M ;4I% ISI ENGINEER Date 11/1/2010Owner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of Norh Carolina and employed by THE KARTFQRD STEAM BOILER INSPECTION

AND INSURANCE COMPANY' oI HARTFORD. CONNECTICUT have Inspected the componen s described in this Owner's

Report duning the period 4/24,1/2008 to 11/1)2010 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the'ASME Code, Section XI. .

By signing this certificate neither the Inspector or his employer makes any warranty. expressed or implied, concerning he

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

Commissions NC# 1580 Jq" • • _r-Z•/-.In National Board. State, Province, and Esdorsemcntsý

Date: 11/112010"

10-067

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

Form NIS 2

I

1. Owner CAROLINA POWER & LI.GT COMPANYName

411 FAYETTEVILLE ST-, RALEIGH, NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed. by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

Date:

Sheet:

6/14/2012

1 of 2

Unit: 2

ESR#:63452 EE:N/AWR/WO:1530692 CR:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.: N/AExpiration Date: N/A

Address

4. Identification of System: I Class:3 COMPONENT COOLING WATER SYSTEM 4080

5. (a) Applicable Construction Code: Bý .1 Edition:1967 Addenda:NIA Code Case:NtADesign Specification: 676258

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: NIA

6. Identification of Comoonents Reoaired or Reolaced and Reolacement Comoonents

Name of Name of 1 Manufacturer National Other Year Corrected, ASMEComponent Manufacturer Serial No. Board No. Identification Built Removed, Code

or StampInstalled (Yes or

No)

Valve Disc Crane i N/A N/A CC-749A 1971 Removed N

Valve Disc Crane D6358 NIA CC-749A 2010 Installed N

7.

8.

Description of Work: Replace disc with new disc

Test Conducted: Hydrostatic [-H Pneumatic U- Nominal Operating Pressure [.1

Other L- Pressure[N.IA psig Test TempJ N/A) F10-068

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1530692 turnover package.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp _ NIA

Certificate of Authorization No. I NI/A

Signed IS./.fA .. %11 rENGINEER Date 6('1412012Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of: HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 10/4/2010 to 11/1/2010 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or 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.

_ Zl • L10 , Commissions NB 12442 ANII I NC# 1580Inspector's Si~t•e National Board, State, Province, and Endorsements

Date: 6114/2012

10-068

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

- - - - -1

1, Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILE ST,.- RALIGH. NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance. RD; HARTSVILLE, SC 29.,S50Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

.581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

Date: 6R712011

Sheet: 1 of 2

Unil: 2

ESR#:N/A EE:N/AWRiWO: 1926898 CR:N/A

Repair Organization PO No;Job No;eic.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

4,

5.

Address

Identification of System: Class:3 CHEMICAL AND VOLUME CONTROL S.YSTEM2060

(a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:NIA Code Case:NIADesign Specification: E 676281

(b) Applicable Edition of Section Xl Used for RepairlReplacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

I,•i.tin f (~nmnnn~nt, nPmRniwAr~ mr Rs, ,.kt:r, .ind4 Rpnt•pn,•ztnt C•rmn,,nepnk

Name of Name of Manufacturer National Other Year Repaired, ASMEComponent Manufacturor Serial No. Board No. Idetififcation Built Replaced, Code

or StampReplacement (Yes or

No)

Bonnet ITT Engineered NIA N/A CVC-332 1971 Removed N

Bonnet ITT 850267-001- NIA CVC-332 2011 Installed N001

7.

8.

Description of Woric Replaced bonnet due to leakaQe,

Test Conducted: Hydrostatic fi Pneumatic . Nominal Operating Pressure [LJ

Other b PressureLQEI psig Test Temp.[NOTJ OF

11-001

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION I

FORM NIS-2 (Back)Sheet2 of 2.

Remarks: See 192t898 turnover packaqe.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section X1,

Type Code Symbol Stamp NIA

Certificate of Authorization No. N1A

Signed --11-Z6 - ,SI ENGINEER Date 6RI2011Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD,. CONNECTICUT.have inspected the components described in this Owner's

Report during the period 5/1012011 to 617/2011 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code. Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

______________________Commissions NC# 1580!/ NB 12442 ANIlnspe"¶•-l alure National Board, State, Province. and Endorsements

Dale. 617/12011 •

11-001

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H B.ROBINSONName

3581 WEhT Entrance RD; HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

6Wf70011

Sheet: 1 of. 2

Unit: 2

ESR#:Nffk EE-N/AWRiVO:1828716 CR:AR 423273

Repair Organization PO No;Job No;elc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

CO.MPONFNT COl ING WATFR SYSTfM •.Rn

Address

Identification of System: Clat4.

5. (a) Applicable Construction Code: 831.1 Edition: 1967 Addenda:.N/A Code CaseDesign Specification: NIA

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N 416-3

: N/A

, Identificatio~n of ~omponenl Repai~red or Relaced and Replacement Compone Is

Name of Name of M.1anufactwter Natio•al O4her Year Repaired, ASMEComponent Manufacturer Serial No. Board No. Identification Built Replaced, Code

or StampReplacement (Yes or

No)

Weld Ebasco N/A N/A 2-AC-152N-105 1971 Removed N

Repair Weld Maintenance N/A NIA 2-AC-152N-105 2011 Installed NWM R-.1

7. Description of Work: Repair weld by removing existing weld installing new weld

B. Test Conducted: Hydrostatic [j Pneumatic f] Nominal Operating Pressure [XS

Other LýT2 Pressure[.O9E. psig Test Temp.4VU 'F

11-002

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS.2 (Back)Sheet 2 of 2

Remarks: See WO 1828716 turnover oackageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are cotroct and this conforms to the requirements of the ASME Code, Sectionr XI

Type Code Symbol Stamp N/A

Cerificate of Auth orizatio No. N/ A

Signed I S ENGINEER Date 617.2011

SOwner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North CarDlina and employed by THE HARTFORD STEAM BQILER INSPECTION

AND INSSULRANCE COMPANY of HARTFORD. CONNECTICUT have Inspected the components described in this Owner's

Report during the period 11/312010 to 6(7/2011 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken correclive measures described in this Owner's

Report in accordance with the requirements of the ASME Code. Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

ihis inspection.

ý' • '-• a . Commissions NC# 1580 / NB 12442 ANIInspector's Signatu National Board, State. Province, and Endorsements

Date:, 6/7/2011

11-002

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section Xl

Form NIS 2

I

Owner CAROLINA POWER & LI.GHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H.B.ROBINONName

35•1 WEST Entrance RD: HARTSVILLE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE SC 29560Address

Date: 6/7f2011

Sheet: 1 of

Unit; 2

ESRU:N/A EE:NIAWRNVO-1775848 -- CRMNA ...

Repair OrgantzaUon PO No:Job No:etc.

Type Code Symbol Stamp: N/AAuthorization No.: NIAExpiration Date: NIA

4,

'5.

Identification of System: Class:3 SERVICE WATER SYSTEM 4060

(a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda.11A Code Case: NADesign Specification: N/A

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

A IdenhiFicatian of Comnonenks Renaired or Ranlaced and Reolacement Comnonente6. . .......... .. ._. of ........ .. R -r- or R e laced a- ..... .... .. - . . . . . ..

Name of Name of thanulacturer National Other Year Repaired. ASMEComponent Manufacturer Serial No. Board No. IdentHltcation Built Replaced, Code

of StampReplacement (Yes or

No)

Valve disc Maintenance N/A N/A SW-560 1971 Removed N

Valve disc Crane Nuclear 03007 NA SW-560 2011 Installed N

_______________________ __________________________ __________________________________________________ ________,,,____,,,_____,___....___

7. Description of Work: Replaced valve disc

8. Test Conducted: Hydrostatic f] Pneumatic D. Nominal Operating Pressure fj

Other IN_/A PressuretNLf psig Test TempNL.AJ OF11-003

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 IBack)Sheet 2 of 2.

Remarks: See WO 1775848 turnover pc..kaq,Applicable Manufacturers Data Reports to be attached

MM

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the teport are co.rrect and this conforms to the requirements of the ASME Code, Section XI.

Type Code Symbol Stamp MIAN/

Certificate of Authorizatio , . NIA

Signed d.L6A 151 GIES Iae0721Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Ckrolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD CONNECTICUT have inspected the components described in this Owner's

Report during the period 3/3/2011 to 6U712011 and state that to the best of my knowledge and

belief, the Owner has performed examinations and taken corrective measures desc:ibed in this Owner's Report in accordance

with the requirements of the ASME Code, Section XL.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

cc2.Ž-- . Commissions NCW 1580 1 NB 12442 ANI

Inspector's Sd~aluib National Board. State. Province, and Endorsements

Date: 6/7/2011

I

11.-003

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of Ihe ASME Code Section XI

Form NIS 2

Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETEVILLE ST., RALEIGH, NC 27602Address

2. Plant H.B,ROBINSONName

3581 WEST Entratic ED: HART.SVILLE. Sc 92550Address

3. Work Performed by CAROULNA POWFR & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550

Date:

Sheet:

Unit:-

1 of 2

2

ESR#:N/A EE:N/AWR/WO:1674i56 CR:N/A

Repair Organization PO No;Job. No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: NIA

4,

5.

Address

Identification of System: Class:3 CHEMICAL AND VOLUME CONTRO SYSTEM2060

(a) Applicable Construction Code: B 31.1 Edition; 1967 Addenda:NIA Code Case:N/ADesign Specification: NIA

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

Ide.ntfr'•tH,A on f Cnmonnnnt•t R~n~i.red nr Re•gac, ed and Re nlat~mient Cnmn~nnt.k6

Name of Name of Manufacturer National Other Year Repaired. ASMEComponent Manufacture Serial No. Baard No- Identiilcation Built Replaced. Code

OfSlatmpReplacmnent (Yes or

No)

Bonnet ITT Engineered NIA NIA CVC-348 1996 Removed N

Valve Bonnet ITT Engineered 587568-002- N/A CVC-348 2011 Installed N001

7.

8.

DesciptIon of Work: Repolaedbonnet of valve CVC-348 due to leakage.

Test Conducted: Hydrostatic U. Pneumatic Di Nominal Operating Pressure i

Other [YŽT- PrassureL.MJ psig Test Temp.[NtAN 'F

12-001

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... -- - .. ...... ..... ...

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION I

FORM NIS-2 (Back)

Sheet _.j of .2_.

Remarks: See 1674158 ,t.rnover oackaoe,Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A

Certificate of Auth, rization No. N/A

Signed ý =IS! JENGINEER Date 219/201211' Owner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUT have inspected the components described in this Owner's

Report during the period 814/2011 to 2/712012 and state that to the best of my knowledge and

belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance

with the requirements of the ASME Code, Section XI,

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

- A--2i. Commissions NB# 12442ANI NC# 1580Inspecto ýature National Board, State, Province, and Endorsements

DDates 2/9/201!2 Ii

12-001

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section X1

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST. RALEIGH, NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed by CAR•OUNA PWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550

Date: 2110/2012

Sheet: 1 of 2

Unit: 2

ESR#.N/A •E:N/A

Repair Organization PO Nb;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No., N)AExpiration Date: N/A

Address

4. Identification of System:. Class:3 CHEMICAL AND VOLUME CONTROL SYSTEM2060

5. (a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:NIA Code Case: N/ADesign Specification: N/A

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Editioqr 199•6 AddendaCode Case: N/A

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Name of Manufacturer National Other Year Repaired, ASMEComponent Mwufacturer Serial No. Board No. Identification Bui8t. Replaced, Code

or StampReplecement (Yes of

No)

Valve Bonnet ITT Engineered N/A CVC-341 1995 Removed N

Valve Bonnet ITT Engineered 850267-001- N/A CVC-341 2010 Installed N002

7.

8.

Description of Work: Replaced bonnet assembly due to bonnet leakage.

Test Conducted: Hydrostatic [I Pneumatic 0 Nominal Operating Pressure L[:J

Other [V j Pressuref N/A] psig Test Te.mp.[_NAl F

12-002

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Form NIS2Form NIS2 '1995 Edition 1996 Addenda

SECTION Xl DIVISION I

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks, See WO 1605807 turnover oackage.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are cofrect and this conforms to the requirements of the ASME Code, Section XI.

Type Code Symbol Stamp NIA

Certifiale of Authorizaiion No. NIA

Signed - IENGINEER Date ,2J0/2012Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

Slate or Province of NorthCarollna and employed by.,THE HARTFORD STEAM BOILER INSPECTION

A IND. NC C ANY of. RD CONNECTf IUThave inspected the components described in this Owner's

Report during the period 2/3/2010 . to 211.Q'10122 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirem.enls of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

L" ý --. Commissions- NB# !244? ANINC# 1580

Inspector's 2igture National Board. State, Province, and Endorsements

Date: 2/10W2012

12-002

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYErTEVtLIE ST.. RALEIGH. NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 .WEST ENTRANCE RD- HARTSVILLE, SC 29550

Date: antw~ni

Sheet: 1 of 2

Unit: 2

ESRP:79649 EE:NfAWMQVO' 187 6996 CR:NJA

Repair Organization PO No;Job No;elc

Type Code Symbol Stamp: .NAuthorization No.: N/AExpiration Date: NIA

4.

5.

Address

Identification of System: Clas,,3 SERVICE WATER SYSTEM 4060

(a) Applicable Constructdon Code: 831.1 Edition. 1,967 AddendajN!a Code CaseLN/ADesign Specification: CPL.HBR2-M-048

(b) Applicable Edition of Section Xl Used for RepairiReplacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

6. Identification of ComponentS Repaired or Replaced and Re 4acerment Components

Name of Name of Manufacturer Nantonal Other Year Repaired, ASMEComponent Manutactu,rer Seiia No. Board No. Identificalion Built Replaced, Code

of StampReplacement (Yes or

No)

Piping - 1 112" Dubose NIA N,?A 30-CW-12 2009 Installed N

Reducer 1- Dubose N/A N/A N/A 2011 Installed N1 /2"xI1/2"

I If

7.

8.

Description of Work: In-stall modified tirachccnnnclion to SW-395

Test Conducted: Hydrostatic [I Pneumatic a Nominal Operating Pressure [Xj

Other [VT-21 Pressure[NOQM psig Trest Temp.INOfL *F12-003

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION I

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See W), I769% turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A

Cenir_.cate of Authorizatj'n No. N!A

Signed L" /"-dý £I-I'*{-1 ENGINEERDte3722rf

Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTLCUthave inspected the components described in this Owner's

Report during the period. 612112011 to 2/13/2012 and state that to the best of

my know•edge and belief, the Owner has perfomied examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section X1.

By signing this certificate neither the rnspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected wilh

this inspection.

lnspectoe(rop~twue National Board, State, Province, and Endorsemrents

/

Date: 3/712012

12-003

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

r-_ I

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant ... H.B.ROBINSONNamlie )

35•1 WEST Entrance RD: HARTSVILLE, SC 29550 IAddress

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RO: HARTSVILLE, SC 29550

Date: 2113122012

Sheet:

Unit:

1

of

1 of 2

2

EES R#:NIA EE:NJAWR/WO:1783775 CR:N/A

Repair Organization PO No:Job No:etc.

Type Code Symbol Stamp:. N/AAuthorization No.: N/AExpiration Date: N/A

4,

5.

Address

Identification of System: Class:2 MAIN STEAM SYSTEM 3020

(a) Applicable Construction Code: B-311 Edition.j,. Z Addenda;NL Code Case: N/ADesign Specification: N,;A

(b) Applicable Edition of Section X1 Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

6. Identificatlon of Comoonents Repaired or Replaced and Re lacement Components

Name of Name of Manufacturer National Other Year Repaired. ASMEComponent Manufacturer Serial No. Board No. Identification Built Replaced, Code

of StampReplacernent (Yes or

No)

Cap Screw Anchor Darlinig NIA N/A MS-262C 1971 Removed N

Cap Screws Southern NIA N/A MS-262C 2012 Installed NFastener

__________________________ ___________________________

7.

8.

Description of Work: Replaced bonnet cap screws

Test Conducted: Hydrostatic L- Pneumatic L- Nominal Operating Pressure U-

Other U Pressure[N1/Al psig Test TempN/Al OF12-004

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2_

Remarks:Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp N!A

Certificate of Authorization No, N/A

Sindd S EGNERDt 11121

Owner or Owneres Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed b THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUT have inspected the components described in this Owners

Report dutirng the period 2/8/2010 to 2/1312012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury of property damage or a loss of any kind arising from or connected with

this inspection.

'~z~ Ii {~) ; ; K. ý A kit kfýý 4 CAý co7... '.sC.. on til ti 4 tt!?1l-I-tffIC f . i 1I J-i

Inspector's-GVEMSre National Board, State, Province, and Endorsements!

Date: 2/13/2012

12-004

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I-P95 Edition 1996 Addenda APPENDIX il MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANY "V'.tf191•Date: 31712012Name

411 FAYETTEVILLE ST. RALEIGH. NC 27602Address

2. Plant. H.B-ROBINSONName

3581 WIEST Entrance RD: FARTSVILLEQAddress

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

Sheet:

Unit:-

1 of 2

2

ESR#:NIA E7FN/A0At AIn-l f4 t37o r lA.•l

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No., NZt A .Expiration Date: N/A

4.

5.

Address

Identification of System: Clasq:2 CHEMICAL AND VOLUME CONTRQL $ SYS'hM2

(a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:N/A Code CaseNL/ADesign Specification: CPL.H.8R2-WV19/CPL-HBR2-Mý048

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Name of Manufacturer National Other Year Repaired, ASMEComponent Manufacturer Serial No. Board No. Identification Built Replaced, Code

or StampReplacement (Yes or

No)

Valve Flowserve 63BLS N/A CVC-277A 2010 Removed N

Valve N/A CVC-277A Installed N

Piping Dubose National 553070 N/A 2-CH-2502R-236 2010 Removed N

Piping N/A 2-CH-2502R-236 Installed N

Piping Dubose 06A7230 N/A 2-CH-151R-6A 2010 Removed N

Piping N/A 2-CH-151R-6A Installed NI7. Description of Work: Relaced valve ano. P!j'

8. Test Conducted: Hydrostatic U-. Pneumatic U Nominal Operating Pressure [X}

Other [VfA Pressure[N.•j psig Test Temp.[NOX. 0F

12-005

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NiS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1958279 turnover oackao_Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct arid this conforms to the requirements of the ASME Codfe. Section Xl.

Type Code Symbol Stamp N/A

Certificate of Authorizaon No. N/A

Signed - PSI ENGINEER Date 3/712012/ Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

I. the uind~enigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of _.rth Carolina and employed byjHE HARTFORD STEAM BOILER INSPECTION

AND INS;URANCE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 7128/2011 to 2/2712012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermnoe, 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 .NB 1Q242 ANt / NC# 1580National Board, State, Provinee, and EndorsementsInspector's Signn irae)

Oate: 3/7/2012 1 I

12-005

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYET-I'EVILLE ST., RALEH.C 27•.2Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 265qg.Address

3. Work Performed by CAROLINA POWESR & LIGHT COMPANYName

3581 WEST ENTRAN9E : HARTVILLE. SC 29550Address

Date 3/7120 12

Sheet: 1 of 2

Unit; 2

ESR#:N/A EE:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.:Expiration Date: N/A

4.

5.

Identification of System: ,CMlassq2 Q. L AN QoLUM ONTR, SST E2060

(a) Applicable Construction Code-.....3U Edition: 1967 Addenda.N/A Code Case.NNDesign Specification: HBR2-09665

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

6. Identification of Component Repaired or Replaced and Re lacement Cornponents

Name of Name of Manufacturer National Other Year Repaired. ASMEComponent Manufacturer Serial No. Board No. Identification Buill Replaced. Code

or StampRejacement (Yes or

No)

Valve Plug Ebasco N/A N/A CVC-200B 1971 Removed N

Plug SPX Valves & VB-0326 NIA CVC-2O0B 2012 Installed NControls

... .L

7. Description of Work;.Rtpj, g va.veq IL

8, Test Conducted: Hydrostatic HI Pneumatic f Nominal Operating Pressure [

Other [N661 Pressure[N.IA psig Test Temp.Lf/AI 'F12-006

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....... ...... . - -__ .. ..

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION I

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1699974 turnover packageApplicable Mantifacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp NIA

Certificate of A rth jization No. NIA

Signed . /I _/ aZZ7 ISI ENGINEER Date 3/7/2012 i

/ Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSU, JRANCE COMPANY of .ARTFORD. CONNECTlJhave inspected the components described in this Owner's

Report during the period , 2/10/2012 - - to 2/2712012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordanco with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or properly damage or a loss of any kind arising from or connected with

this inspection.

Commissions NB 12442 ANI / NC# 1580

Inspector's SIaetu National Board, State. Province, and Endorsements

12-006

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1995 Edition 1996 Addenda APPENDIX t1 MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH. NC 27,6.QL..

Date: . 3/7/2012

Address

2. PlantName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed by PAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTANQ, D.H.A.•a•JLLE, SC 29550Address

Sheet: 1 of

Unit: 2

5SR#:N/A EE:NAWR1NO2040448 CR:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.: NfAExpiration Date: NtA

4.

5.

Identification of System: Class:3 SERVICE WATER SYSTEM 4060

(a) Applicable Constnrction CodeL _B31 Editionb 19OZ Addenda:N/A Code Case: N/ADesign Specification: Ne

(b) Applicable Edition of Section XI Used for Repair/Replacement Actiity: 1995 Edition 199§ AdýdCode Case: N/A

r 114 ý;49 ý; $ f, 4- 0 ; A 0 1 -- A AD 1 4 f,

Name of Name of Manufacturer National Other Year Repaired, ASMEComponent Manufacturer Serial No. Board No. Identificatlon Built Replaced, Code

or StampReplacemen: (Yes or

No)

Valve AC Service and ME2530 NIA SW-8 2005 Removed NRepair ........

Valve AC Service and ME2530 N/A SW-8 2012 Installed NRepair _

; ...... .... 4 -

..... ________ ____________....._________

7. Description of Work: Replace Valve

8. Test Conducted; Hydrostatic a Pneumatic [] Nominal Operating Pressure [xj

Other W-21 Pressufe[NOP psig Test Temp.[NOTl°F

12-007

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2(Back)Sheet 2 of 2.

Remarks: See WO 2040448 trrn over g_ k..eApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp NWA

Certificate of Authorization No. NIA

Signed /K2.,-i _ • 1SI ENGINEER Date 3/7.201Z2

Owner or Owners Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of _North (rotLn and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT.have inspected the components described in this Owner's

Report during the period 2/712012 to 31&2012 and state that to the best of my knowledge and

belief, the Owner has performed examinations and taken corrective measures descried in this Owners Report in accordance

with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

<fz~s wCommissions NB 12442 ANI I NC# 1580

Inspector's Sig tsr National Board. State. Province, and Endorsements

Date: 3f7/2012 I

12-007

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST. RALEIGH, NC 27602

3/712012

SheetV 1 of 2Address

2. Plant H.B.ROBINSON Unit: 2Name

3581 WEST Entrance RD; HARTSVILLE SC 2955DAddress

3. Work Performed by CAROLINA POWER & LIGHT COMPANYNamne

3581 VEST ENTRANCE RO: HARTSVILLE, SC 29550

ESR#:79124 EE:N/AWRiWO: 1898810 24 CR:N/A

Repair Organization PO NoJob No;etC.

Type Code Symbol Stamp; N/AAuthorization No.: N/AExpiration Date. NIA

4.

5.

Address

Identification of System: Cla:•.-•ss;3 COMPONENTCOOLING WALTER SYSTEM 4080

(a) Applicable Construction Code: 831.1 Edition: 1967 Addenda:N/A Code CaseDesign Specification: N/A

(b) Applicable Edition of Seclion XI Used for Repair/Replacement Activity: 19.95_Edit~n-1996 AddendaCode Case: N;116-3

:NIA

6. Identification of Component Repaired or Relaced and Re iacement Components

Name of Name (f Manufacturer National Other Year Repaired, ASMEComponent Manufacturer Serial No. Board No. Identification auwt Replaced, Code

or StampReplacement (Yes or

No)

Flow meter ABB NIA N/A FIC-657 1971 Removed N

Flow Meter Fischer & Porter N/A N/A FIC-657 2012 Installed N

Pipe Ebasco NIA N/A 2-AC-152N-142A 1971 Removed N

Pipe Dubose National 867865 N/A 2-AC-152N-142A 2012 Installed N

Elbow Ebasco N/A N/A 2-AC-152N-142A 1971 Removed N

Elbow Dubose National N/A NIA 2-AC-152N-142A 2012 Inslalled N1|

7. Description of Work: Replace flow meter and associated pioing and fittris

8. Test Conducted: Hydrostatic f' Pneumatic L) Nominal Operating Pressure [U

Other DI'-j Pressure[NOP] psig Test Temp.(NOTJ OF

12-008

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Form NIS2

Foim NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION I

FORM NIS-2 (Back)Sheet• of 2.

Remarks: See WO 18981O turnover Dacka..Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A

CertilfiCate of Autherizat ion No. 0 N/A

Signed <..-Z I St ENGINEER Da'te 317/212Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

,ANQ INSURANCE COMPANY of HARTFO1Q. C(QtN ETICUT have inspected the components described in this Owner's

Report during the period 5/24/2011 to 3/7/2012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures descibed in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

<Z -4 \ Commissions NB 12442 ANI / NC# 1580

Inspector's Soture National Board. State. Province. and Endorsements

Datelj 3/7/2012 1

12-O8

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1995 Edition 1996 Addenda APPENDIX If MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CARLINA POWER & LIGHT COMPANYName

41 FAYETTEVILLE ST.. RALEIGH, NC 27602Address

2. Plant H.B.ROBINQNName

3581 WEST Enlf2ncjp • A13T L .tCoq29550.Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550

q"7/2012

Sheet: . I of 2

Unit: 2

ESR#:79124 EE:NIAWRJ'WDO 1898811 20 MAYA- -

Repair Ofganization PO No;Job No:etc.

Type Code Symbol Stamp: N/AAuthorization No.: ,.N:1Expiration Date: NIA

COMPONENT COOLING WATER SYSTEM 4080

Address

Identification ol System: Clas4.

5.

,s:3

(a) Applicable Construction Code: 831.1 Edition: 1967 Addenda:N/A Code Case&/,ADesign Specification: NIA

(b) Applicable Edition of Secion Xl Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-41&3

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Name of Manufacturer National Other Year Repaired. ASMEComponent Marnufacturer Senril No. Board No. Idenhification Built Replaced, Code

or SlampReplacement (Yes or

NO)

Flow meter ABB N/A N/A FIC-658 1971 Removed N

Flow Meter Fischer & Porter NIA N/A FIC-658 2012 Installed N

Pipe Ebasco N/A NIA 2-AC-152N-143 1971 Removed N

Pipe Oubose National B67440 N/A 2-AC-152N-143 2012 Installed N

Elbow Ebasco N/A N/A 2-AC-152N-143 1971 Removed N

Elbow Dubose National 76259 1lIA 2-AC-152N-143 j 201'2 lrstaIled N

7. Description of Work:j~ flw-mnterAnd ` n

8. Test Conducted: Hydrostatic aI Pneumatic 0. Nominal Operating Pressure

Other [VfT-2 PressurefNOPl psig Test Temp.[NOT ]F

12-009

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1898810 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify trial the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.

Type Code Symbol Siamp -NIA

Certificate of Authorization No... WA-

Sig ned 4-2, ISI ENGINEER Dale L 2012.Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components described in this Owner's

Report during the period 5124/2011 to1 3[7/2012. _and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken conrective measures deswribed in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or properly damage of a loss of any kind ansing from or connected with

this inspection.

_ _ _. .- Commissions NB 12442 ANI / NC# 1530Inspector's gnature National Board, State, Province. and Endorsements

Date: 3/72012 I

12.009

Page 95: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX Ii MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1 Owner CAROLINA POWER & LIGHT COMPANYName

4FAYETTEVILLE ST. RALEIGH, NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD, HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANyName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

ý161gf 4UJate:ý Z 1

Sheet 1 of 2

Ulnit' 2

ESR#;NIA EE•N/AWRJWO:1930221 . CR:NIA

Repair Oigartization PO No:Job No;elc,

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

4.

5.

Address

Identification of System'. CIAss 3 CHEMICAL AND VOLUMECONTROL SYSTEM2060

(a) Applicable Construction Code: B 31.1 Edition: 1957 Add~enda:N/A Code CaseALADesign Specifrication: E 676281

(b) Applicable Edition of Section XA Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

6. Identirbction of Corponents Repaired or Rerlaced and Re lacement Components

Name of Name of Manufacturer National Other Year Repaked. ASMEComponeit ManUfacturer Serial No. Board No. Identffication Built Replaced, Code

ofStampReplacement (Yes or

No)

Bonnet , Grinnel N/A N/A CVC-342 1998 Removed NBolting

Bonnet Grinnell 859910-001- N/A CVC-342 2012 Installed N001

___ __ __ ___ __ __ ___ __ _ ,00 . ...... ...... __ _ _ _ _ __ _ _ _ _ _

- - .. .

7.

8.

Oescrpon of Wod:. L••, aeo

Test Conducted: Hydrostatic U- Pneumatic U Nominal Operating Pressure

Other (•~) Pressure[NOP] psig Test Temp.INOT) F12-010

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Fomi NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: •;e 1930221 turnover package.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the stalements made in the report are correct and this conforms to the requirements of the ASME Code, Section Xi.

Type Code Symbol SLtamp Nbmt

Certificate of Authorization No. - __ ...... NIA.

SignedISI EQINEERDate2012Owner or Owners Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

I. the undersigned, holding a valid commis.sion issued by the National Board of Boiler and Pressure Vessel Inspectors and the

State or Province of North Caro4ina and employed by THE HARTFORD STEAM BOIL.ER INSPECION

AND INSURANCE COMPANY of !IARTFORD. CONNECTICUT have inspected the components described in this Owneres

Report during the period 712112011 to 318/2012 and state that to the best of my

ilowledge and belief, the Owner has performed examinations and taken corrective measures desc6bed in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or 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 personaJ injury or property damage or a loss of any kind arising from or connected with

this inspection.

Commissions N B 12442 ANI , NC# 158,0Inspector% National Board. State. Province, and Endorsements

D 2Date: 318/20"12 I

12-010

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1995 Edition 1996 Addenda APPENDIX 11 MANDATORY

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

As Required by the Provisions of the ASME Code Section Xl

Fomi NiS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH. NC 27602

fl~tA- 217flrt19

Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RON HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RO: HART-SALLE, SC 29550

Sheet: I of 2

Unit:,

ESR#i:N/A EE:NIA

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthowizalion No.: NIAExpiration Date: NIA

CHEMICAL AND VOLUME CONTROL SYSTF:M2B60

Address

Identification of System: Cla,4,

5,

• L

ý 4 rHFMICAL AND VQI IJAF r-QNTR0L';YSTFM20FA)

(a) Applicable Construction Code: B31.1 EditionL:..96 AddendaN/A Code CaseDesign Specification: CPL-XXXX-M-001

(b) Applicable Edilion of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

'N/A

t6, Identilication of Components Repaired or Re !aced and Re lacement Comrponents

Name of Name of Manufacturer National Other Year Repaired. ASPAEComponent Manufacturer Serial No. Board No. Identification Built Replaced. Code

Of StampReplacemenl (Yes or

No)

Bonnet Boiling Maintenance N/A NIA CVC398B 1971 RermoveJ N

Threaded Rod Nova Machine 136C N/A CVC-3986 2012 Installed NProd ucts

Nut Maintenance N/A N/A CVC-398B 1971 Removed N

Nut A & G N/A N/A CVC-398B 2012 Installed N,______________ Enqineeing ..................

- msar ~ 2 ffi

7. Description of Work:.. R erLg u.ts/studs on Sonnet to Body connection

8. Test Conducted: Hydrostatic fl Pneumatic D Nominal Operating Pressure []

Other IN[/Al Pressure[NA) psig Test Temp.LNUA *F

12-011

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. --_- - .. - .............

Form NIS2

Form NIS2 1995 Edition 1996 AddendaSECTION XI DIVISION I

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 1857357 turnover packaQeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp NIA

Certificate of Authorization No. . . - _

Signed ,2 ISI ENGINEER Dale 3/7!2012/ Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCý COMPANY of HARTFORD, CONNECTICUT have Inspected the components described in this Owner's

Report during the period 3/1012011 to 31712012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certficate neither the Inspector or his employer makes any warranty. expressed or implied. concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

thlis inspection.

" •~ L),,,,- Commissions NB 12442 ANI / NC# 1580

lnspector'~p-'t u re National Board, State, Province, and Endorsements

IDate:. 31712012

12-011

Page 99: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER ý LIGHT COMPANYName

411 FAYETrEV1LLE T,. -RALEIGH, NC 27602Address

2. Plant H.B.ROBINSON ________

Name

3581 WEST Entrance RD.Q •LA•R•TI"_"LE SC 29550Address

3. Wor Performed by CARLINQWWER & LIGHT COMPANYName

3581 WEST ENTRANCE R[ý: ARTSVILLE, SC 29550

Dale: 3d8/2012

Sheet: I of 2

Unit: 2

ES5R#:NIA EE NIAWR/WO: 1944448 CR.NJA

Repair Organizatin PO Noj.Jb No;etc,

Type Code Symbol Stamp: NIAAuthorization No,: NIAExpiration Date: NIA

CHEMICAL AND VOl tIMF CONTROl SYRTFM'flrfl

Address

Identification of System: Clas4.

5,

s:2 AND VQ1 t IMF CONTROL SYSTEM2060

(a) Applicable Construction Code: B31.1 Edition: 19,67 AddendaN__AA Code CastDesign Specification: 728-131-99

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

.N/A

6. Identification of Components Repaired or Replaced and Re)lacemenl Components

Name of Name of Manufacturer National Other Year Repalfed, ASMEComporent Manufacurer Serial No, Board No. Identification Built Replaced. Code

oStampReplacement (Yes or

No)

Cylinder Head Union Pump N/A NIA CHG-PMP-B 1971 Removed NExtensionFluJid Cylinder Union Pump 418655 N/A CHG-PMP-B 2011 Installed NextensionFluid Cylinder Union Pump N/A N;A CHG-PMP-8 1971 Removed NextensionFluid Cylinder Union Pump 2741156158111 N/A CHG.PMP-B 2011 Installed NExtension 61Bolting Maintenance N/A NIA CHG-PMP-B 1971 Removed N

Bolting Nova Machine N/A N/A CHG-PMP-B 2011 Installed NProducts

7.

8.

Description of Work: Replaced Cylinder Head extensions and associated bolting

Test Conducted: Hydrostatic [Uj Pneumatic U- Nominal Operating Pressure UL

Other Dg[2J PressureL[IM psig Test Temp.INOT1 OF

12-012

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f-Orn) NIe

SECTION Xl DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 186334.2 nover oackaeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements maide In the repot ate correct and this conforms to (he requirements of the ASME Code, Section XI.

Type Code Symbol Stamp NIA

Certificate of Authorization No. NIA

Signed 6.-I'f ... f., ..-- .SI ENGINEER Date 3W8/2012

Owner or Owners Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed byTHE iARTFQR, -STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 6117/2011 to 318r2012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

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

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore. neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

•'• Commissions NB 12442AN! /NC# 1580Inspector's Sigfl National Board, State, Province. and Endorsements

Date: 31812012

12-012

Page 101: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

Owner CAROLINA POWER -,o. L CHTOMPANYNa•me

41j1 FAYETTEVILLE ST,, RALEIGH, NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3,581 WEST ENTRANCE RD) HARTSVILLF SC 29550

flAf~ q/RI7fl1~'

SlieeLv. 1 of

Unit 2

ESR#:84878 EE:N/AWRiWO:2034642 CR:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: .NAAuthorization No.: NIAExpiration Date: N/A

Address

4. Identification of System: Celass: I RESIDUAL HEAT REMOVAL SYSTEM 2045

5. (a) Applicable Construction Code: ASME Section VII Edition: 1967 Addenda:NIA Code Case:Design Specification: &-A

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 1995 Edition 12Q§ AddendCode Case: N/A

6_ Identification of Comoonents Reoaired or Reolaced and Reotacerment Components

N/A

. .. . . . . . . . . . . . r . . . . r - - -a , , =, ,

Name of Name of Manufactucer Nalional Other Year Repaired. ASMEComponent Manufacturer Serial No. Board No. Identification Built Replaced. Code

or StampReplacernment (Yes or

No)

Nut Maintenance N/A N/A RHR-HTX-B 1971 Removed N

Nut Nova Machine 8099455/tra7v NIA RHR-HTX-B 2012 Installed NProducts -1

___ _I.-7.

8.

Description of Work: Evaluate damaged stud thread as acceptable per EC 84878 and replace nut

Test Conducted; Hydrostatic [] Pneumatic [3 Nominal Operating Pressure LI

Other [I Pressure[NA psig Test Temp.[yfj OF12-013

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1 ul - 111-SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: _e WO 2034642 turnover packa .-Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symool Stamp N/A

Certificale of Authorization No N/A

Signed _ ISI ENGINEER Da'e .. o012/ Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUT have inspected the components described in this Owner's

Report during the period 3_,_,_8,1 Z _ to 3/812012 and state that to the best of my knowledge and

belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance

with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or impfied, conceming the

examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

S6.4 . 0 4 -IL..9. Commissions NB 12442 ANI, NC# 1580

Inspector's Signpnurg) National Board, State, Province, and Endorsements

IDate: 318/2012

12-013

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1995 Edition 1996 Addenda APPENDIX 11 MANDATORY

FORM NIS-2 OWNER*S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

............

1. Owner CAOIN POW.R L& LiGHt UA-EANName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H, 6.R....LO NLOName

3581 WEST Entrance RD: KARTSVIIAE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYNaf-v

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

n•f¢," ?J'2•'/Vn I ?

Sheet: 1 of 2

Unit: 2

ESR#:65390 EE:NIAR:•JO: 1531560 CR:N/A

Repair Organizalion PO No:Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N

4.

5.

Address

Identification of System: Class:3 COMPONENT COOLING WATER SYSTEM 4060

(a) ApplicableConstructlon Code;. B .1 Edition' 1J.2 AddendaMA Code CaseL NDesign Specification: CPL-HBR2-NM4-26/CPL-HBR2-M-Q47

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Name of Manufa."urer National Other Year Corrected, ASMEComponent Manufacturer Serial No. Board No. Idenliatino Bsuit Removed. Code

or StmrpInstt•ed (Yes or

Globe Valve Edwards NIA N/A CC-728A 1971 Removed N

Globe Valve Edwards/Flowse B1PB N/A CC-728A 2012 Installed Nrve

Pipe Ebasco N/A NIA CC-728A 1971 Removed N

Pipe Dubose National 710144 NIA CC-728A 2012 Installed N

4 t 1- t ±

I - - - ____________________ -

I7. Description of Work: Replace valve

8. Test Conducted: Hydrostatic U Pneumatic U Nominal Operating Pressure IMI

Other fT'-21 Pressure[FNOPl psig Test Temp NOFT] 0F

12-014

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Fonm NI•;!Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION I

FORM NIS-2 (Back)Sheet 2 of 2

Remarks: See WO 1531560 _turnoyer pac.kaoeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statemrots lmade 61 the report are correct and this conforms to t-•e requirements of the ASNIE Code. Section Xl.

Type Code Symbol Stamp NIA

Ceftfficate of Authorizaton No. NJA,

Signed IS[--- - [Sl ENLGINEJER Date 3127_2012Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State orProvince of NorthCarolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described in this Owner's

Report during the period . 1/17/2011 to 3.i22j2012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owners

Report in accordance with the requirements of the ASME Code, Secton Xl.

By signing this certificate neither the Inspector or 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.

LL- (II Commissions NB 12442 AN I I NC# 158QInspector's Signatl .- National Board. Slate, Province, and E~ndorsements

f Date: 32202012

12-014

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section X1

Form NIS 2

I

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST,. RALEIGH. N ?•7.__

hn~t'p ?-59'. n1)f3

Sheet: 1 of 2Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RM; HARTSVILLE, SC 29550Address

3. Worrk Performed by ARQNA W. PV .. E.LI GHT COMPANYName

3581 WE5T I NTR.TANC Q, : RD SVAL,...SI_2 9550Address

Ujlt:

ESR#:65390 EE:N/AWPRJ•JO,3162. CR:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: NIA

COMPONENT COOLING WATER SYSTEM 40804,

5.

Identification of System: Clas.s:3

(a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:N/A Code Case:NIADesign Specification: 9PL-HBR2-M-026/QPL4..I, :

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1_95 Edition 1996 AdAeQn.Code Case: N-416-3

a 1A ýNr. 64 it, 0 :-A COY 1,-A.A0 1- 4f,

Name of Name of Manufacturer National Other Year Corrected. ASMEComponent Manufacturer Serial No. Board No. Identification Built Removed. Code

or StampInstalled (Yes or

No)

Globe Valve Edwards N/A N/A CC-728B 1971 Removed N

Globe Valve EdwardslFiowse B1PB N/A CC-728B 2012 Installed Nreve

Pipe Ebasco NIA N/A CC-728B 1971 Removed N

Pipe Dubose National 710144 N/A CC-728B 2012 Installed N

7. Description of Work: Replace valve

8. Test Conducted, Hydrostatic U Pneumatic U] Nominal Operating Pressure XI

Other IVT-21 PressurefNOPl psig Test Temp. N[NO'•F

12-015

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FORM NIS.2 (Back)Sheet 2 of 2.

Remarks; See WO 1531580 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPUANCE

I certify thai the statements made in the report are correct and this confomis to the requirements of the ASME Code, Section XI.

Type Code Symbol Stamp N/A

Certificate of , uhornzation No. N/A

Signed C/4 / 1i.,r. SEGIERDate 3122J2012Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUT have inspected the components described in this Owner's

Report during the period 1/1,7/20,11 to _. ...3/22J'2012 and state that to the best of

my knowledge and belief, the Owner has performed examinaions and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, crnoemring the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

"__Commissions NB 12442 ANI, NC# 1580

Inspector's $ e: National Board, State. Province, and Endorsements

Dade: 3/22/2012

12-015

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1995 Edition 199; Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

Owner 9ABOa, N POWEName

411 FAYETTEVILLE ST.. RALEIGH. NC 27602

Date: 3/22/2012

Sheet: 1 of 2Address

2. Plant H.B.ROBIL4SONName

3581 WEST Entrance RQ.; HARTSVILLE. SC 29550QAddress

3, Work Performed by CAROLINA POWER & IGHT COMPANYName

3S8! WEST ENTRANCE RD: HARTSVILLE, SC 29550

Unit: - 2

ESR#72478 EE:NIAWR/VO-1 531563 CR:N/A

Repair Orgaonization PO No;Job No:etc.

Type Code Syrnmol Stamp: NWAAuthorization No.: NiAExpiration Date: NZA

4.

Address

Identification of System: Class:3 COMPONENT COOLING WATER SYSTEM 4080

(a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:N/A Code Case: N/ADesign Specification: CPL-HBR2-M-026CPL-HBR2-M-047/CPL-HBR2-S-

(b) Applicable Edition of Section XI Used for Repair/Repfacement Activity. 1995 Edition 1996 AddendaCode Case: W-416-

6. Identification of Componen Repaired or R laced and Re placement ComponeIts

Name of Name of Manufacturer Natiofnl Other Ye.w Coreted. ASMEComponcnt Manufacturer Serial No. Board No. Identi.llcaon Built Removed, Code

or StampInstalled (Yes or

No)

Globe Valve Edwards N/A NIA CC-728C 1971 Removed N

Globe Valve Edwards/Flowse B1PB NWA CC-728C 2012 Installed Nrye

Pipe Ebasco NIA N/A CC-728C 1971 Removed N

Pipe Dubose National 710144 NIA CC-728B 2012 Installed N

Pipe Support Maintenance SS-3148 N/A 2-AC-2503-N40F 2012 Installed N

7. Description of Work:.&•.jeae valve and sup•ort

8. Test Conducted: Hydrostatic U.] Pneumatic U- Nominal Operating Pressure LX]

Other M PressureLNOPI psiq TesI Temp.(•NOTj F

12-016

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SECTION XI DIVISION I

FORM NIS-2 (Back)

Sheet 2 of 2.

Rematks: Wn WO 153"1563 lurnover packageApplicable Manufacturers Data Reports tobe attached

CERTIFICATE OF COMPLIANCE

I cetity that the statements made In the report are correct and this conforms to the iequirernents of the ASME CDde, Serio XI.

Type Code Symbol Stamp _______tlA•

Certificate of A"Zation No. ,

Signed 6/E// t tSI ENGINEER Date 31222012Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOJLER INSPECTION

AND INSURANCE COMPANY of HIARTFORD, CONNECTICUThave inspected the cmponents described in this Owners

Report during the period 411212011 to... 3/2212012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or 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 NB 12442 ANItIf NC# 1580Inspector'slgn National Board, State. Province. and Endorsements

Date: 3122Y2012 / (

12-016

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1995 Edition 1996 Addenda APPENDIX Ii MANDATORY

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

As Required by the Provisions of the ASME Code Secto-n XI

Form NJS 2

1- Owner CAROLINA POWER & LIGHT COMPANYName

411 FA6YTTEVILLE ST., RALEIgH, NC 27602Address

2. Plant H.B.ROBINSON

Date: 3/19/20122

Sheet: I of 2

Unit: 2Name

3561 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

358,1• EST ENTRANCE RD: HARTSVILLE. SC 29550

ESR#:72331 EE:N/AWRiWO:!1512225-04 CR:N/A

Repakr Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.: N/AM _Expiration Date: N/A

Address

Identification of System: .. Ca4.

5,

Dr' Ful Oil Svqttrm Man0

(a) Applicable Construction CodeL.1 Edition: 1967 AddendaNNJA Code Case: N/ADesign Specification: CPL-HBR2-M- ,,,CPL-HBR2-S-001

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

6. Identification of Components Repaired or ReIlaced and Rep)acement Components . ,

Name of Name of Manufacturer National Olher Year Correrted, ASMEComponent Manufacturer Serial No. Beoard No. idenlification Built Removed, Code

or StampInstalled (Yes or

No)

Piping Ebasco N/A NIA 2-FO-60B 1971 Removed N

Piping Ebasco N/A N/A 2-FO-606 2011 Re-instailed N

Support Maintenance SS-3140 N/A 2-FO-608 2011 Installed N

Support Maintenance SS-3139 N/A 2-FO-60B 2011 Installed N

7. Description of Work: Reolace valve and install new supoorts

B. Test Conducted: Hydrostatic J1 Pneumatic ] Nominal Operating Pressure [I]

Other fVT-21 Pressure[NOPI psig Test Temp,[[NOQT *F12-017

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FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1512225 turnover pacikgge.__

Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A

Certificate of Authorization No. p N/A

Signed .11 ENGINEER Date 3/1912.012.

Owner or Owneers Designee, T9ie

CERTIFICATE OF INSIERVICE 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 North Carol~ina and employed by THE HAWTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components described in this Owner's

Report during the period 3r29/2011 to 3W19/2012 and state that to the best of

my knovfedge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described In this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

______________________________Commissions NS 12442 6aN 1 NC 1500Inspectdo3s nature National Board, State. Province, and Endorsements

Date: 3/19/2012

12-017

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1 Ownrer CAROLINA POWER & LIGHT COMPANYNane

Date: 3122/2012

Address

2. Plant H.B.ROBINSONNa•me

3581 WEST Entrance RD; HARTSVILLE. SC 295540Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

35,1 .WESTENTRANCE RD: HARTSVILLF_- SC 29550

Sheet:_ _ _ _ Of

Unit: 2

ESR#:NIA EE:NLAVMWO: 1624642 CR:NA

Repair Organization PD No;Job No;elc.

Type Code Symbol Stamp: NiAAuthorzation No.: N/AExpiration Date: -NIA

Address

Identification of System: Cla.4.

5.

MAIN STFAM SYqTFM,-:2

(a) Applicable Construction Code: B31.1 Edition: 1967 Addenda:N/A Code CaseDesign Specification: CPL-R2-MV-81

(b) Applicable Edition of Section XI Used for Repair/Repoacement Activity: 1q95_Edition 1996 AddendaCode Case: N416-3

6. Identification of Componen s Repaired or Replaced and Re ,acement Componenis

Name of Name of Manufaclhier National Other Year Corrected. ASMEComponent Manufactumr Serial No. Board No. Idenlificafion Built Removed, Code

or StampkT44eiled (Yes or

NO)

Valve Crosby NIA NIA SV1-4C 1971 Removed N

Valve Crosby K91298 NIA SV1-4C 2012 Installed N

D SDescription of Work: ReP~la• Safety Relief VaWv due to steam cuts on 2.eLt

7.

8. Test Conducted: Hydrostatic 11 Pneumatic ] Nominal Operating Pressure MX]

Other [VT-2 Pressure[NOP] psig Test Temp.[NOT] •F12-018

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, u,* • 19ýb i:Ldtilon 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (BacSk)Sheet 2 of 2.

Remailks: See WO 1624642 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements madte in the report are cwrect arxd this confoirns to the tequisernents of the ASME Code, Section XI.

Type Code Symbol Stamp N14A

Certificate of Authorization No. A

Signed L ,-11 _ ,ISI ENGINEER Dale 3122/2012

Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of N.rth Q jarolina _ and employed by THE RARTF. Q OILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 2/18/2012 to 3/22/2012 and state that to the best of

my knowledge and belief, the Owner has perfonned examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection,

Commissions NB 12442 ANI I NC# 1580National Boanl, State. Province, anrd Endorsemeniis

Date:_ 3122J2012 .

12-018

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section X1

Form NIS 2

1. Ow-ner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH. NC 27602Address

2. Plant H.,B.RO8INSONName

358 1 WEST Entrance RO: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA pOWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLF SC 29550

Date: 311212012

Sheet: 1 of 2

Unit: 2

WR.•VO: 1933717 CR:N/ARepair Organization PO No:Job No:etc.

Type Code Symbol Stamp: NLAAuthorization No.: N/AExpiration Date: N/A

4.

5.

Address

Identification of System: Class:2 SAFETY INJECTION SYSTEM 2080

(a) Applicable Construction Code: 8 31.1 Edition. 1967 Addenda:N/A Code Case: N/ADesign Specification. NIA

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: NIA

6. Identification of Componenl Repaired or Re laced and Re lIacement Components

Name of Name of Manofacturer National Other Year Corrected, ASMEComponent Manufacturer Serial No. Board No. IdentiicatiJon Built Removed, Code

or StampIrstailed (Yes or

No)

Casing Stud Worthington N/A N/A SI-PMP-B 2011 Corrected NCorp ...

_ _ __I _ __ _ _

7.

8.

Description of Work-: Repaired casing..t8ud #6 by chasing threads

Test Conducted: Hydrostatic L- Pneumatic L- Nominal Operating Pressure UI

Other [NA PressurefN/Al psig Test Temp.IN/Al •r

12-19

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION I

FORM NIS-2 (Back)Sheet 2.of 2o_ L

Remarks; See WO 1933717 turnover packaaeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certpfy that the stateiments made in the report are correct and this conforms to the requirements of the ASME Code, Sectioii XI.

Type Code Symbol Stamp NWA

Certificate of Authorization No NIA

Signed . ISI ENGINEER Date 31122012

Owner or Owreer's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

1. the undersigned. holding a valid comm.ission issued by the National Board of Boger and Pressure Vessel Inspectors arid the

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CQNNECTICUThave inspected the components described in this Owner's

Report during Ihe period- Qt6F2011 to 31912012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signi•g this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

L.•, 11 Commissions NB 12442 ANI / NC# 1580

Inspector's S National Board, State, Province, and Endorsements

I I

12-19

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST,. RA•LQEI• NC 27602

Date: 3119120.12

AddressSheel:___.I _.. all 2

Unit: 22. PI fanNarme

3581 WEST Entrance RO: HARTSVILLE, SC.• (a550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

35R1 WF*T ENTRANCF RD: HARTSVILLF SC 29550

ES#:NA , ,EE;N/AWRWO203276 . . .CR:521t702

Repair Organizalton PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: NdAExpiration Date: NIA

f'tP-PMtiAI A~n Vct lmPA rCnNTr'Wr -YZTFrA.AM7f'n

Address

4. Identification of System; 9Class 2

5. (a) Applicable Constructlorr Code: B31.1 Edition: 1967 AddendaaN/ADesign Specification: 676281

Code Case: NIA

(b) AIppicaa4e Edition of Section XI Used tor RepairfRep4acement Activity: 1995 Edition 1996 AddendaCode Case: N/A

0

Name of Name of Manufacturer National Other Year ConTected. ASMEComponent Manutacturer Serial No. Board No. Identification Built Removed. Code

or SismaInstarled (Yes or

No)

Bonnet Maintenance N/A N/A CVC-398B 1997 Removed N

Bonnet ITT Grinnell 862325-001- N/A CVC-398B 2012 Installed N003

____________ _______________ _____________ I ~ II iI

7. Description of Work,: Re-placed Bonnet

8. Test Conducted: Hydrostatic a Pneumatic al Nominal Operating Pressure XJ

OUter Dg-?j Pressure[NQP psig Test Temp.[.NIQ OF12-020

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS.2 (back)Sheet 2 of 2.

Remarks: See WO) 20326ZQ turnrover package

Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that tre statemenls made in the report are correct and this conforms to the requirements of the ASME Code. Sedc-rn X1.

Type Code Symbol Stamp NIA

Certificate of Authorizaloi No N,

Signed IS, EWG1NEER Date 3119t2012

Oner or Ownees Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER _[N_$PJ.j f1

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described in this Owner's

Report during the perfod 3M8/2012 to 311912012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or 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.

_____________________ Commlnssýons- --NB 12442 ANII/NC# 1580Inspectors Signati National Board, State. Province, and Endorsements

Date: 3119/2012 f

12-020

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1995 Edition 1995 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Secliol XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTE.VIL LE ST. RALEIGH. NC 27602Address

2. Plant H.B.ROBINSONName

3.58,1, WEST EntrancepRD: HARTSVI LLE-SC 9 5 0Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

Date: 3/12/2012

Sheet: 1 of 2

Unit: 2

ESR#:NIA EE:N/Ay&RND17,70.3298 -_ CR:N/A

Repair Organization PO No;Job No:etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

4.

5.

Address

Identification of System: Class:2 CHEMICAL AND VQLUME CONTROL SYSTEM2060

(a) Applicable Construction Code: B31.1 Edition: 1967 AddendaM.4tA Code Case: N/ADesign Specification: HBR2-09665

(b) Applicable Edition of Section XI Used for RepairiReplacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

Identification of Comonrnents Renaired or Renlaced and Reo acement Components6.

Name of Namne of Manufactorer National Other Year Correcled. ASMEComponent Manufacturer Serial No. Board No. Identification Built Removed. Code

or StampInstalled (Yes or

No)

Valve Plug Maintenance NIA N/A CVC-200C 1971 Removed N

Valve Plug Copes Vulcan 11 1-1371437- N/A CVC-200C 2012 Installed N________________ 1-1 ________________

___ _

7.

8.

Description of Work: Replace trim set which includes valve olua.

Test Conducted: Hydrostatic LI Pneumatic L-] Nominal Operating Pressure U-

Other L MA Pressure[NIA] psig Test Temp. N/ALL F12-021

Page 118: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 1703299 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp NIA

Certificate of Autihorization No, NIA

Signed 6s -4/ I/.<*s-SI ENGINEER Date 3V1 2r2012Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

A~ NURAXof IHQARTFOR, CNNEQTIGUhave inspected the components described in this Owners

Report during the period 4113r2011 to 3/9/2012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty. expressed or implied, concerning the

examinations and corrective measures described In this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

Comrmissions NB 1.442 ANII NC# 11580Inspector',n_* re National Board, State, Province, and Endorsements

Date: 3/12/2012 1

12-021

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1995 Edition 1996 Addenda APPENDIX I1 MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

I. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH, NC 27602Address

2, Plant H-B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE- SC 29550

3112/2012

Sheet: 1 of 2

Unit; 2

ESR#-N/A EE:N/AWRWO"18003,37 CR:N/A

Repair Organization PO No;Job No~etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: N/A

4.

5.

Address

Identification of System: Class:3 FEED WATER SYSTEM 3050

(a) Applicable Construction Code% B 31.1 Edition:.196 Addenda:N/A Code Case:NWADesign Specification: CPL-HBR2-M-048

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N!A

Id~nt~it"fir, tn nf t•nmnnnmnI.• Pr~na[ird nr RP "nmr~d and| R•.nlac"•ment ComonnenntRr, Ieni' . . ..... ... . ... of ......... R -r, d ... . .. .. .. .. .Re ......... .. an Replacemen C m, -

Name of Name of Maftufacturer National Othler Year Corrected, ASMEComponent Manufacturer Serial No. Board No, Identifation BuLilt Removed. Code

or StampInstalled (Yes or

No)

Flow Element Ebasco N/A N/A FE-496 1971 Corrected N

7.

8.

Description of Work: DisassembNed and rewolded flow element structure

Test Conducted: Hydrostatic U- Pneumatic Uj Nominal Operating Pressure L-

Other NL Pressure[N/AI psig Test Temp.JN/A1 'F

12-022

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Form NIS2

Form NIS2 1995 Edition 1996 AddendaSECTION Xl DIVISION 1

FORM NIS-2 (Back)

Sheel 2 of 2.

Remarks: See WO 147937 turnover package.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N/A•A,._

Certificate of Authorization No. N/A

Signed ISI ENGINEER Date 3712,20.2Owner or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSUJRANCE COIMPANY of HARTFORD. CONNECTICUT have inspected the components described in this Owner's

Report during the period 2?6,I201ý to W!2,,/20! and state that to the best of my

knowledge and belief. the Owner has performed examinations and taken corectNe measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthernore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any Rirnd arising from or connected with

this inspection,

Inspector's S f

DatS: 3N1212012

National Board, State, Province, and Endorsements

I

12-022

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS.2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Secdon XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETnEVILLEST.. RALEIGH. NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RQLHARTVILLE SC 29;55Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

Date: 3/12/2012

Sheet: 1 of 2

Unit: 2

E-SELLAM . EE;N/AWRANO: 1800338 CR:N/A

Repair OCganization PO No:Job No:etc.

Type Cede Symbol Stamp: N/AAuthorization No.: NIAExpiration Date. N/A

Address

4. Identification of System: Class:3 FEEp WATER SYSTEM 3050

5. (a) Applicable Construction Code: Edition: 1967 Addenda:N/A Code Case:NIADesign Specification: CPL-HBR2-M-048

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

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

Name of Name of Manufacturer National O Mer Year Correced. ASMEComponent Manufoetuwer Serial No. Board No. Identification Built Removed, Code

0r StampInstalled (Yes or

No)

Flow Element Ebasco NIA N/A FE-486 1971 Corrected N

.. ,----i

7.

8.

Description of Work :,Pi bled 8nd rewelded fl e nt structure

Test Conducted: Hydrostatic L- Pneumatic L-] Nominal Operating Pressure L-U

Other IN•]A PressurejN/A] psig Test Temp.INL/A_] *F12-023

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Form NIS2

Form NIS2 19"5 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS.2 (Back)

Sheet..?.Of o2

Remarks: See WO 147936 turnover package,Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this conforms to the requitements of the ASME Code, Sectron XI.

Type Code Symbol Stamp N/A

Certificate of Authorization No. NIA

Signed -AL-- Dsa FN.NEERte/ Owner or Chvne4ls Designee, T71le

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of __Nr9h Carolina and employed by THE HARTFORD 5E

AND INSURANCE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 2/6./2012 to 3,/12/2012 and state that to the best of my

knowledge and betief, the Owner has performed 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 certificate neither the Inspector or his employer makes any warranty, expressed of implied, concerning the

examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind adsing from or connected with

this inspection.

Commissions NB 12442 ANI I NC# 1580Inspector's SilgiitilD National Board. State, Province, and Endorsements

,1

Date: 3/112f2012

12-023

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1995 Edition 1996 Addenda APPENDIX II MANDATORY Form NI

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

1 Owner CAROLINA POWER & LIGHT COMPANY Date: 3/1212012Name

411 FAYETTEVILLE ST.. RALEIGH, NC 27602 Sheet: 1 of 2Address

2. Plant H.B.ROBINSON Unit: 2Name

ESR#:NIA EE:N/A3581 WEST Entrance RD: HARTSVILLE, SC 29550 WR.-VWO:1l00339 CRM N/A

Address Repair Organization PO No;Job No;etc,

3. Work Performed by CAROLINA POWER & LIGHT COMPANY Type Code Symbol Stamp: NIAName Authorization No.: NIA

3581 WEST EINTRANCE RD: HARTSVILLE, SC 29550 Expiration Date: NIAAddress

4. Identification of System: Class:3 FEED WATER SYSTEM 3050

5. (a) Applicable Construction Code: B 31.1 Edition: 1967 Addenda:N/A Code Case:N/ADesign Specification: CPL-HBR2-M-048

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Eidition 1996 AddendaCode Case: NWA

6. identification of Components Repaired or Re_,laced and Re lacement Componets

Name of Name of Manufacturer National Other Year Corrected. ASMEComponent Manufacturer Serial No. Board No. Identification Built Removed, Code

0( StampInstalled (Yes or

No)

Flow Element Ebasco N/A N/A FE-476 1971 Corrected N

7. Description of Workt Disassembled and rewelded flow element structure

8. Test Conducted: Hydrostatic U Pneumatic L Nominal Operating Pressure L-U

Other LN/Aj PressuroN/AI psig Test Temp. [NLJA 'F

S2

12-024

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 147938 turnover package.Applicable Manufacturers. Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I cetify that the statements made in the report are correct and this conforms to the requitements of the ASME Code, Section XI,

Type Code Symbol Stamp NIA

Certificate of Authorization No. N/A

S1Sned ,SI ENGINEER Date V112/2012

" Owner or ,,nees Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of.. NothCarolipa and employed by THE HARTFORD STEAM BOILER INSLP.ECTION

AND INSURANE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 216f2012 to 3112,2012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty,, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or pfoperty damage or a loss of any kind adsing from or connected with

this inspection.

f--• . Commissions NB 12442 ANI / NC# 158)Inspector's .. a re National Board, State, Province, and Endorsements

Date: tQ1 12 2

12-024

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1995 Edition 19-6 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA PQ••E• & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 271502-Address

2. Plant H.B.ROBINSON.Name

3581 WEST Entrance RD; HA&RT.VILLE, SC 2q.550Address

3.. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 MEST ENTRANCE RD- HARTSVILLE. SC 29550

Date: 3Q2212012

Sheet: __ of 2

Unit: 2

ESR#:EC 83325 EE-N•AWRWO, 1789189 CR:N!A

Repair Orgarnizalki PO No;Job No;etc,

Type Code Symbol Stamp: NIAAuthorization No.: N/AExpiration Date: N/A

4.

5.

Address

Identification of System: Class:A SAFETY INJETtON SYSTEM 2080

(a) Applicable Construction Code: , 31.1 Edition'. 1... Addendajf/A Coxle Case- N/ADesign Specification: cPL-tlBR2- -0•P•1 9pl.XMXX -M-W0J

(b) Applicable Edition of Section X1 Used for Repair/Rep4acement Activity: 1995 Edition 1996 Addenda

Code Case: N-416-3

Ilntiftw tinn r•f tr,~mnnrnnk : ~sir nr PRnI ,gt•l rnnd Rp.,li-.impnt f..omnnnent.eR.. . ...... .. ... .... .. .... " ...... . ".... .. ,'"-- ....- - - , -....... l. -- .. ... . .. -....

Name of Name of Manufacturer National O'ther Year Corrected, ASI.EComponr•nt Manuracture Sertal No. Eowd No. loentification Buint ,R-Moed. Code

of Stamp

Instn•Wed (Yea orNO)

Valve Edwards N/A NIA SI-875P 1971 Removed N

Valve Velan HB10 NIA SI-875P 2012 Installed N

Pipe Piece Ebasco N/A NIA 10-RC-2501R-21 1971 Removed N

Pipe Piece Dubose National 509113 NIA 10-RC-250IR-21 2012 Installed NSteel

/7. Description of Work: RepLaced valve and pipe piece

8. Test Conducted: Hydrostatic Lj Pneumatic U Nominal Operating Pressure []

Other D_1ZU Pressure[M.•] psiq Test Temp,[NL'] AF12-025

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Form NIS2Farm NIS2 1995 Edition 1996 Addenda

SECTION Xi DIVISION 1

FORM NIS.2 (Back)Sheot 2 of 2.

Remarks: See WO 1789189 turnover peckaoeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I caef'y that the statements made in the report are correct and this conform$ to the requirements of tVe ASME Code, Section XI,

Type Code Symbol Stamp N/A

Cerltificate of Aut~horization No. N/A

Signed -2~ 1.4-11 ENGINEER .Date 2102Owner or Ovrens Designee. Titde

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by "HE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD CONNECTC Thave inspected the components described in this Owner's

Report during the period 2119/2011 to 312212012 and state that to t0e best of

my knowledge and belief, the Owner has performed examinations and taken correctlive measures described in this Owner's

Report in accordance with the requiements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes. any warranty. expressed or inplied. concerninq the

examinations and corrective measures described in this Ownrer'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.

12 ,ý W •Commissions NB 12442 ANI / NC# 1580I nspector's Sian National Board, State, Province, and Endorsements

Date: 3W22/2012

12-025

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POfER & GITH- COMPANYName

411 FAYETTEVILLE ST., RALEIGH. NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD; HARTLVILL5,_qSC 2955Q

Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581! WEST ENTRANCE RD: HARTSVILLE, SC 29550

Date:

Sheet:

Unit:

3/1?aO12

1 of 2

ESJk.tNJA EE:N"AWRMWO: 1792508 gR;N/A

Repair Organization PO No:Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date: NIA

4.

5.

Address

Identification of System: class:1 REACTOR COOLANT SYSTEM 2005

(a) Applicable Construction Code: 1314 Edition: 1967 Addenda,.LM Code CaseNADesign Specdfication: CPL-HBR2-S-001

(b) Applicable Edition of Section XI Used for RepairlReplacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

Ipntifir~Iinn nf C~nmnon~nte Pmu-~irr'r nr Rn.I;•rLId and Renlric~ment Comoonents6

Name of Name of Manufacturer National Other Year Corrected, ASMEComponent Manufacturer Seral No. Board No. Identification Built Removed. Code

or StampInstalled (Yes oC

No)

Rod Hanger Maintenance RC-H3 N/A RC-H3 2012 Corrected

_ _ _ _ _ _ _ _ _1I

7.

8.

Descrfplion of Work: Restored hanger RC-H3 to design condition inCloing. [•reolcement of 1oie sadd'le

Test Conducted: Hydrostatic U- Pneumatic U- Nominal Operating Pressure [-L

Other v7-3) Pressure[NL/A psig Test Temp.N/AL. F

12-026

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)Sheet _ of

Rerrarlks: See WCO 1792508 turnover cakgeApplicable Manufacturers Data Reports to be attacbed

CERTIFICATE OF COMPLIANCE

I certify that the statemerits made in the report ate correct arnd this conforms to the requirements of the ASME Code. Section XI.

Type Code Symbol Stamp NIA

Certificate of AuthoftzaC n No. N,,_ _

Signed _______________________ ENIEEate 3I117awtOwner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTIO

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components described in this Owners

Report during the period 5124/2011 to 3110,2012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

_'_ _ _ _ _ _ _ Commissions NB; 12442 ANI / NC# 1580

I1spere Ntional Board, State, Proviincte, and Endorsements

D IDate ... . 3112t20 !• .... .. i

12-026

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1995 Edition 1996 Addenda APPENDIX I1 MANDATORY

FORM NIS-2 OWNERS REPORT FOR REPAIR/REPLACEMENT ACTIVITY

As Required by the Provsions of the ASME Code Section XI

Form NIS 2

1. Owner _CAROLINA POWR & LIGHT COMPANYName

411 FAyETTEVILLE ST., aLEIGH NC 27602Address

2. Plant H D.ROQINSONName

3581 WNEST Enhance RDi HARTSVILLE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COAPANYName

351 WVFST ENTRANCE RD: HARTSV]LLE SC 29550

Date: 3_2812012

Sheet- 1 of 2of

Unit: 2

ESR#:N/A EE:N/AWRANO:1799484 CR:NZA

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No,: N/AExpiration Date: N/A

Address

4. Identiflication of System: Class:2 STEAM GENERATOR SYSTEM 3005

5, (a) Applicable Construction Code: NIA Edition: N/A Addenda:NtA Code Case: NIADesign Specifkcation: DRS 200 Rev.2

(b) Applicable Edition of Section XI Used for RepairfReplacement Activity: 19 95_.iiolU 1996_ AddendaCode Case: N

6. Identification of Components Repaired or Replaced and Re lacement Components

Name of Name of Manufacturer National Other Year Corrected. ASItEComponentf Manufacturer Serial No. Board No. Idontificabon Built Removed, Code

or stampIwsta~lled (Ye* o0

No)

Snubber Grinnetl 30077 N/A Snubber ..19 2001 Removed N

Snubber Grinnell 37963 NIA Snubber #19 2012 Installed N

I7.

8.

IDescription of VW4rk: Replaced snubber # 19.

Test Conducted: Hydrostatic L Pneumatic [-j Nominal Operating Pressure L]

Other W-31 PressurefN/AL psig Test Ternp.[N'AI eF12-027

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION I

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See WO 1799484 turnover package.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I cenify that the statements made in the report are correct and this conforms to [he requirements or the ASM5E Code, Section XI.

Type Code Symbol Stamp NIA

Cerlificale of,, rization No. 7/ N/A

Signed L.' - .-',, I IS[ ENGINEER Dite 3/28aQ0 2_

,OCier or Owner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North_ C=olina ...... and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HAFTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 2,/1712012 to 3W2812012 and state that to the best of

my knovAedge and belief, the Owner has perforrmed examinations and taken corrective measures described In this Owners

Report in aocordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or 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 alising from or connected with

this inspection.

Commissions NB 12442 AN] I NC# 1580National Board, State, Province, and Endorsements

Date: 3122 q 12

12-027

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

I GOwner QAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, SC 29550Address

3- Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550

Date: 3/12/2012

Sheet: 1 of 2

Unit 2

ESRMN/A EENIAWRINO:1800244 CR:N/A

Repair Organization PO No:Job No:etc.

Type Code Symbol Stamp: N/AAutlorization No.: N/AExpiration Date: N/Ai

Address

4. Identification of System: Class:3 COMPONENT COOLING WATER SYSTEM 4060

5. (a) Applicable Construction Code: B 31.7 Edition: 19%7 Addenda:N/A Code Case-NIADesign Specification: C.PL-HBR2-M-026

(b) Applicable Edition of Section Xl Used for RepairlReplacement Activity: a995 Edition Iý9Adnda

Code Case: N/A

6. Identification of Comoonents Reoaired or Re laced and ReDlacement Comoonents

Name of Name 61 Manufacturer National Otmer Yeat CorreCted. A5MEComponent Manufacturer Serial No. Board No. Identification Built Removed, Code

or StampInstallkd (Yes or

No)

Disc Velan N/A N/A CC-738 2004 Removed N

Disc Velan 5811 NIA CC-738 2012 Installed N

___ J7.

8.

Description of Work: Replace disc

Test Conducted: Hydrostatic [- Pneumatic [L] Nominal Operating Pressure ]

Other (N/AI PressurelN/Al psig Tes, Temp.iN[A_ 'F12-28

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet _. of 2,

D C_ 10rIn)AA + _G-I S:

Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Sectlion XI.

Type Code Symbol Stamp NtA

Certificate of Authorization No. W4A

Signed ISI ENGINEER Date 3/1212012/ Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Caroina and empioyed by THE HARTFORD STEAM BQILER INSPECTION

ANCINSURA ECOMPANLYof HARTFO1D. CONNECTIQUT have inspected the components described in this Owner's

Report during the period 2J612012 to 310/2012 and state that to the best of my

knowledge and belief, the Owner has perfonmed examinations and taken corrective measures described in this OCwner's

Report in aocordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

Inspectors S'19Commissions___1NB 12442ANI NQ# 1 q8ONational Board, Slate. Province. and Endorsements

Date: 311212012

12-28

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CARQLI4A PWER & LIGHT COMv1PANYNamey-

411 FAYETTEVILLE ST.. RALEIGH. NC 27602Address

2. Plant H.B.ROBINS.ONName

3581 WEST Entrance ROO HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER ,G Q EName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

fl~tn ~9bflI2

Sheet of 2

Unit: 2

ESR:EC 84601 EE:N!AW1VWO:2032224 CR:NIA

Repair Organization PO No;Job No:etc.

Type Code Symbol Stamp: ..Authorization No.; N&AExpiration Date: N/WA

CHEMICAL AND VOLUME CONTROL SYSTEM2060

Address

Identification of System: Clas4.

5.

ss: I

(a) Applicable Construction Code. B31 I Edition. 1967 Addenda:NA Code Case: NIADesign Specification: CPL-HBR2-M0191CPL.H8R2-M-047

(b) Applicable Edition of Section X1 Used for RepaikReplacement Activity: 1995 Edition 1995 AddendaCode Case: N41Q-3

6, Identification of ComponentS Repaired or Re laced and Re•lacement -ompoe s

Name of Nme of Manufacturer National Other Year Correced, ASMEComponent Manufvcturer Seriat No. Board No. Idenfificatlon Built Removed, Code

or StampInstalled (Yea or

No)

VaNe Ebasco N/A N/A CVC-455 1971 Removed N

Valve Rockwell EZ18 N/A CVC-455 2012 Installed NEdwards

Pipe Ebasco N/A N/A 2-CH-2502R-8C 1971 Removed N

Pipe Dubose National 509113 NIA NIA 2012 Installed NSteel

7. Description of Work; Re•lace _Jatve and associated oinlrf

8. Test Conducted: Hydrostalic U Pneumatic U- Nominal Operating Pressure [W

Other a Pressure[Nq0P psig Test Temp.LUf '

12-029

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Foim NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Back)

Sheet 2. of 2

Remarks: See WO 2032224 turnover packa eApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statemenrs made in the report are cortect and this conforms to the requirements of the ASME Code. Section XI.

Type Code Symbol Stamp NtA,

Ceftifcale of Auhaorization No. NIA

Signe ... EDale 3 2 Da012teOwmer or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION.

AND INSURNCE COMPANY of HAIIRTFORD, CONNECTICUThave inspected the components described in this Owner's

Report during the period 21212012 to 3122f2012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Repoet Fuvtihermore, 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.

Comm~issions -NJ_ 1244.2 AN! I NC# 1580

Inspect S~tute National Board. Stale. Province, and Endorsements

DI e: 3/22J2012

12,029

Page 135: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Sec~ion Xl

Form NIS 2

1. Owner •AROLINA POWER & LICHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H_.13ROBINSONName

3581 WE•T Entrance RO: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER_ & GHT COMPANYName

3581 WEST ENTRANCE RO: HARTSVILLE. SC 29550

Date: 3/12/2012

Sheet: of 2

Unit: 2

ESR.,:N/A EE:NIAWRIWO: 1821008 CR:NIA

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: NIAExpiration Date: N/A

4.

5.

Address

Identification of System: Class:2 REACTOR COOLANT SYSTEM 2005

(a) Applicable Construction Code: B31 .1 Edition: 1967 Addenda:NIA Code Case:NIADesign Specification: §ZM

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 19,95 Edition 1996 AddendaCode Case: M/

Idpnirmita~nn! oflnmo~nr~rt' Ren~r•d nru R•)nIacpd and Renlaraw'n~nt Cohinonenla. . . .. ...i. ..ion o. ...... r"s Re 2--e or Re ........

Name of Name of Manufacturer National Other Year Corrected, ASMEComponeol Manufacturer Serial No.. Board No. Identillcation Built Removed, Code

or StampInstaled (Yes or

No)

Valve Plug Copes-Vulcan N/A N/A PCV-456 1971 Removed N

Valve Plug Copes-Vulcan SIN 10-01 N/A PCV-456 2012 Installed N

7.

8,

Description of Work: Replace valve plug

Test Conducted: Hydrostatic [j] Pneumatic U Nominal Operating Pressure r

Other U Pressuret NeLA psig Test Temp. [NA_ OF

12-030

Page 136: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Remarks: See WO 1821008 turnover package-Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the ztatements made in the report are correct and this conforms to the requirements e4 the ASME Code, Section X1.

Type Code Symbol Stamp N/A

Certificate of Authorization No, NIA

Signed IS[ ENGLNEER Date 3(12J2012Ovwer or Owner's Oesignee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North QaU-olina- and employed by THE HARTFORD STEAM BOILER, INSPECTION

AN.JINSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described in this Owner's

Report during the period 2/18/2012 to 3M12/2012 and state that to the best of

my knov.edge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

• _.JQ L,•J • Commissions NB 12442 AN I NC#A 1510Inspectors ~~iare National Board. State, Province, and Endorsements

Date:f 3'1212012 I

12-030

Page 137: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWE .R !3 HT OMPANYName

411 FAYETTEVILLE ST. RALEIGH. NC 27602Address

2 Plant H.B.ROBINSONName

3581 WEST Entrance RD: HARTSVILLE, 5C 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RDI[-IHARTSVILLE. SC 29550

Date: 3/16/2012

Sheet: 1 of 2

Unit: 2

ESR,#:NIA EE:NIAWR•WO:1769791 CR:NIA

Repair Organization PO No;Job No;etc,

Type Code Symbol Stamp: N/AAuthorization No.: NIAExpiration Date: N/A

4.

5,

Address

Identification of System: Class:2 SAFETY INJECTION SYSTEM 2080

(a) Applicable Construction Code: B31.1 Edition. 196 AddendaiNj_• Code Case2jADesign Specirication: NIA

(b) Applicable Edition of Section XI Used for RepairiReplacement Activity: 1995 Edition 1996 AddendaCode Case: M

6. Identification of Componen sRepaired or Re laced and Re lacement Components

Name of Name of Manufacturer National Other Year Corrected. ASMEComponent Marbufactuier Serial No. Board No. Identification Built Removed. Code

or StampInstalld (Yes or

N4)

Disc Anchor Darling N/A N/A Si-864A 1971 Removed N

Disc Anchor Darding 77090 N/A SI-864A 2012 Installed N

- 1 I r ..t7.

8.

Description of Work: Replaced double disc

Test Conducted: Hydrostatic L-1 Pneumatic U- Nominal Operating Pressure U-j

Other ML,] PressureI!N/AI psig Test Temp.[/A•] "F

1

12-031

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS.2 (Back)Sheet 2 of 2.

Remarks: See WO 1769791 turnover pac kae.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I c erfy that the statements made in the report am correct and this conforms to the requirements of tihe ASME Code. Section Xi.

Type Code Symbol Stamp NJA

Cefrtficate of Authorization No. WASigned • '' .,• • -IS] ENGINEER Date 311612012.

Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

1, the undersigned, holding a valid commission issued by the National Board of Boier and Pressure Vessel Inspectors and the

State or Province of -Nort...Caroir--a and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANlCE CMPANY of HARTFORD, CONNECTICUT have inspected the components described in this Owner's

Report during the period 411312011 to - and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

Shall be Liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection

~ ~commissions ND 12442 ANI I NC# 1580Inspector's !;i§ture National Board. State, P(ovince. and Endorsements

Oate: 3/1612..12_L

12-031

Page 139: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Required by the Provisions of the ASME Code Section X1

Form NIS 2

1,ý Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH. NC 27602Address

2. Plant H.B.ROBINSON-.

Date: 3t22/'201 2

Name

3581 WEST Entrance RD! HARTSVILLE- SC 29550

Sheet: 1 of 2

Unit:2

ESR#:79124 EE:NIAWRJWO; :89881Q!2i CR:N/A

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: W/AExpiration Date: N/A

Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550Address

4,

5.

Identification of System: Clasýs;,3 COMPONENT COOLING WATER SYSTEM 4080

(a) Applicable Construction Code, B31,1 EditionL12.Z AddendaaA Code Case:N/ADesign Specification: N/A

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

6 Identifk~aIinn AfCnmnonAnt~ Per Irrrrl rv RenInr,&~rl ~nd Renlaoemerrl Cnmonnent~

Name of Name or Manufacturer National Olher Year Corrected, ASMEComponent Manufactrer Serial No. Board No. Idenltirlatior BuiMt Removed, Code

or StampInstalled (Yes 4N

No)

Flow motor Ebasco N/A NWA FIC-629 1971 Removed N

Flow Meter Kobold Ind. NIA N/A FIC-629 2012 Installed N

Pipe Ebasco NIA N/A 3-AC-152N-38B 1971 Removed N

Pipe Dubose Naijonal HAD948 NIA 3-AC-152N-38B 2012 Installed N

Flange Ebasco N/A N/A 3-AC--152N-38B 1971 Removed N

Flange Dubose National 149T1 NMA 3-AC-152N-388 2012 Installed N

7. Description of Work: Replace flow meter and associated piping and fittings

8. Test Conducted: Hydrostatic L-] Pneumatic [] Nominal Operating Pressure rXI

Other IVT-21 PressuretNO__ psig Test Temp NOT_ °F

12-032

Page 140: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)SheetLof 2.

Remarks: See WO 189B810 turnovr rackagq._ .Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Typo Code Symbol Stamp . .__ , N/A

Certificate of Authorizitiori No NWA

Signed 12.i1/ -"i .. ,S, ENGINEER Date 3122/20121' Owner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Catolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARIQTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 5a2412011 to 312212012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Repont. Furthermote, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

M==A Commissions NB 12442 ANI/NC# 1580Inspector<_pature National Board, State, Province, and Endorsements

Date: 3/22/2012 . I f

12-032

Page 141: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

FORM NIS-2 OWNER'S REPORT FOR REPAIRJREPLACEMENT ACTIVITY

As Reqcited by the Previsions of the ASME Code Section X1

Form NIS 2

I Ovwner CAROLINA POWER & LIGHF COMPANYName

411 FAYETTEVILLE ST.- RALEIGH. NC 27602Address

2, Plant H.ROBIN ONNarme

3581 VVEST Entrance RD: HARTSVILLE. SC 29550Address

3. Work Performed by PAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE Re: HARTSVILLE, SC 29550Address

Date: 3 15/2012

Sheet: I of 2

Unit: 2

ESRO:79124 EE;NAW! ,VO: 1898810 10 CR:NfA

Repair Organization PO No:Job No:elc.

Type Code Symbol Stamp: N/AAuthcmization N~o.: NIAExpiration Date: NWA

4.

5.

Identification of System: C!as:3 COMPONENT COOLING WATER SYSTEM 4080

(a) Applicable ConStructio0n CodeL:61.. 1 Edition: 19867 Addenda.'N/A Code Case: N/ADesign Specification: NIA

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

6. Identification of Components Rewaired or Re laced and Replacement Components

Name of Name of ManufaCturer Nalionral Othar Yewr Cort"od. ASMEComponent Manutacturer Serial No, Board No. Identif.a4kzon Buil Removed, Code

or StampInstalled (Yes or

No)

Flow meter Ebasco N/A NIA FIC-632 1971 Removed N

Flow Meter Kobold Ind. N/A N/A FIC-632 2012 Installed N

Pipe Ebasco N/A NIA 3-AC-152N.38F 1971 Removed N

Pipe Dubose National HA0948 N/A 3-AC-152N-38F 2012 installed N

Flange Ebasco N/A N/A 3-AC-152N-38F 1971 Removed N

Flan,9e Dubose National 149T1 NIA 3-AC-152N-38F 2012 Installed N

77. Description of Worký.Relilace flow aieter and associated giping and filtings

8. Tesl Conducted: Hydrostatic [- Pneumatic f]. Nominal Operating Pressure VJ

Other FVT'-2 PfessurelNOPi psig Test Temp. NOT1 'F

12-033

Page 142: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2_. of 2.

Remarks: See 1•53,M10 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPUANCE

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

Type Code Symbol Stamp N/A

Cerificale of Authorizatfon No. NIA

Signed I-/ ENGINEER- Dote __ 3115r2__12

Owner or Ower's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owners

Report during the period 5124/2011 to ..... 3115/20.,12 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

,• ...- ,,.3• • Commissions NB 12442 ANJ I NC# 1580Inspector's SigRgl.fe National Board. State. Province. and Endorsemonts

Da*e: 311 5/2012 1

12-033

Page 143: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As ReQuired by the Provisions of the ASME Code Secti•n XI

Form NIS 2

1. Owner ARQLOINAPOWER & LIGHT COMPANYName

411 FAYETTEVILLE__ l R ALEIGH, NC 27602Address

2. Plant -HBROBINSONName

3581 WEST Entrar•C--- RQ- HARTSVILLE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYNA~te

3581 WEST ENTRANCE RD: HARTSVILLE. SC 29550

Date: 3/15/2012

Sheet: I o( 2

Unit: 92

ESRW/:79124 ELNMAVA(MVO:. Ia98810i 17 CR:t

Repair Organizatlon PO No;Job No;etc

Type Code Symbol Stamp: NWAAuthorization No.: NIAExpiration Date: N/A

COMPONENT' (cx}OI IINC WATFR •YSTF:M anonf

Address

Identification of System:_ Cla4.

5.

rnMP()wF:NT (,()()I IFJ(- WATER SYSTEM 4080

(a) Applicable Construction Code: B31,1 Edition: 1967 Addenda'N/A Code CaseDesign Specification: NIA

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: N-416-3

1. Gr. li f r ,i.- 0I, 1-'q -1 P. Ir. - 1r-of('n Ss ,tý

NIA

n1I). lSlfl lilllr1;~U lU I. •I1ItS .tIhIp•'JIfI*LOG. I\upIJiIt4J US I•I illle uIli I l \ IIl.SS llI IL UJIJ*I4I~ISII.II.•

Nare of Name of Manufacturer National Other Year Correcled. ASMECompconent .,anufaciudr Serial No. Board No. Identification Built Removed, Code

or StampInstalled (Yes or

N~o)

Flow meter Ebasco N/A N/A FIC-635 1971 Removed N

Flow Meter Kobold Ind. NIA NIA FIC-635 2012 Installed N

Pipe Ebasco N/A N/A 3-AC-152N-38J 1971 Removed N

Pipe Dubose National HA0948 NIA 3-AC-152N-3WJ 2012 Installed N

Flange Ebasco N/A N/A 3-AC-152N-38J 1971 Removed N

Flange Oubose National 149T1 N/A 3-AC-152N-38J 2012 Installed N

7. Descnipton of Work c jIF"e floy metejr and associated eioi,, fl..g. .

8. Test Conducted: Hydrostatic U Pneumatic [E Nominal Operating Pressure [1]

Other D Pressure(N_.P psig Test Temp.[L= cF

f

12-034

Page 144: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet.. 2-of 2.

Remarks: See WO 189J8810 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I ceilify that the statements made in the report are correct and this conforms to the reTq.irements of the ASME Code, Section XI.

Type Code SymnWx Stirp N/A

Certificate of Aulhorization N00o. NIA

Signd 42 -i' J ISI ENGINEER Dl /52t/ Owner or Ownoers Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of Noth CagolinI. _ and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD. CQNNECTICUThave inspected the components described in this Owner's

Report during the period 5a2412011 to 31122012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

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

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and correc9ve measures described in this Owner's Report Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or corineclted with

this inspection.

• • Commissions NB 12442 ANI NC# 158,Inspeclor's Signaprw•l.-. National Board, Slate. Province. and Endorsements

Date: 3/15d2012 /

12-034

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1995 Edition 1996 Addenda APPENDIX II MANNDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

I Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTVAVLLE ST.. RALEIGH, NC 27602AddresS

2 Plant H.B.ROBINSONNairrK

3581 WE5T Entramce RO: HARTSVILLE. SC 29550Address

3. Wor,, Performed by CAROLINA POWER & LIGHT COMPANYName

358,1 WEST ENTRANCE R0: HARTaVILLE. SC 29550

Date: 3116/2012

Sheet I of 2

Unit: 2

ESR#:NIA EE:N/AVWRVO:1820971 CR:NIA

Repair Organization PO No:Job No;elc.

Type Code Symbol Stamp: N/AAuthorization No,: N/AExpiration Date: NIA

4.

5.

Address

Idenrrtiication of System: Class:,MC CONT•INMENT 8010

(a) Applicable Construction Code: API-620 Edition: 1967 Addenda:N/A Code Case: W8LDesign Specification: VELC.5379-51

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: NIA

Idr4•)"flt-•in n~f c..nrnn•n e~r~airn nr Renlan_ and~ R•.n~lar•m•.r~ cnmnon~ntS

Name of Name of Manufacturer Nalional Othew Year Corrected. ASMEComponent Marleacturer Serial No. Board No. Identification Built Rermvted, Coda

ot Stam pInSIrre.d (Yes or

Pk)

Liner Nova Machine 50100405 N/A CV 2012 Corrected NProducts 50335366 ..........

7.

8.

Deicription of Work: Replaced Corttainment Liner insulation studs

Test Conducted; Hydfostatic U Pneumatic L Nominal OperatiRg Pressure [U.

Other [-1 PressureU psig Test Temp.U 'F12-035

Page 146: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

Form NIS2 1995 Edition 1906 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See OQ 1820,971 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify Iat thIle statements made in the report are correct and this conforms to the requirements of the ASME Code. Secdion XI.

Type Code Symbol Stainp NIA

Certificate of Authorization No. N/A

Signed 62-i I ~ ISI ENGINEER Date' X1612012Owner or Ovner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North CarQlina and employed by THE HARTFORD STEAM., BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described in this Ownei's

Report during the period 112712012 to 3116/2012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report In accordance with the requirements of the ASME Code, Section XI.

By signing this certIficate neither the Inspector or 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.

--- 5> 4Commissions NB 12442 ANI /NC# 1580Inspe&t s' Siature National Board, State. Province, aEnd Erndorsements

Date: 3116/2012

12-035

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1995 Edition 1996 Addenda APPENDIX It MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH- NC 27602Address

2. Plant H.B.ROBINSON

Date -1foli'mi")

Sheet: 1 of

Unit: 2Name

3.581 WEST Entr-a.ice .RO: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE, SC 29550

ESR#:80584 EE:N/AWRIWO: 1999484 CR:509406

Repair Organization PO NoJob No;etc,

Type Code Symbol Stamp: NIAAuthorization No.: NIAExpiration Date: NIA

Address

Identification of System: CI.4.

5.

cZ0=KlT ri 1I1 DITir rr Mir!f CVCrizAA 7.•4f

(a} Applicable Construction Code ... EditionL 1988 AddendaA.IA Code CastDesign Specification: .CPL-HBR2-S-.01

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 1995 Edition 1998 AddendaCode Case: NIA

:NIA

6. . Ientifcation of Components Repaired or Replaced and Re 31acement Components

Name of Name of Manufacturer National Other Year Correcled, ASMEComponent Manufacturer Serial No. Board No, Idontllicalion Built Removed, Code

oStampInstalled (Yes or

No)

Support Maintenance SS-3168 NIA 2-AC-151R-157 2012 Installed N

Support Maintenance SS-3169 NIA 2-AC-151R-157 2012 Installed N

Support Maintenance SS-3174 N/A 2-AC-151R-157 2012 Corrected N

Suppoit Grinnell N/A NIA 2-CH-1 51 R-33 2012 Corrected N

I7. Description of Work: Upgrade RW nurificatiori.system from NS to SS class 2

8. Test Conducted: Hydrostatic LI. Pneumatic LI. Nominal Operating Pressure U-

Other [VT-3j PressurefN/Al psig Test Temp. [INA] 'F

12-036

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...... ..............

Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

0 il C I 6nADA L'emaI I -I;)

Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this confornns to the requirements of the ASME Code, Section X!.

Type Code Symbol Stamp N/A

Certificate of Authorization No. N/A

Signed Da,ý 't-t/ ., . ,tl ENGINEER Date 3/2=012 I

I/ Owner or Owner's Designee, Title

CERT7FICATE OF INSERVICE INSPECTION

I, the undersigned, holding a valid commission issued by the National Board of BoWer and Pressur Vessel Inspectors and the

State or Province of North CaroCina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components described in this Owners

Report during the period 12/21/2011 to 312312012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

RC_ -A_Commissions NB 12442 ANI / NC# 1580National Board, State. Province. and EndorsementsInspector's Sa111A

IDate:ti 3123/2012

12-036

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST. _LEIGH, NC.27602Address

2. Plant H.R,,QBINSONName

3581 ,WEST Entrance R0: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD; HARTSVILLE, SC 29550

Date: 3/19/2012

Sheet: of

Unit: 2

ESR#:79124 EE:N(AWR/WO:2052922 QR:NIA

Repak Organizatki P0 No;job NO;e~tc.

Type Code Symbol Stamp: NIAAuthorization No.: N/AExpiration Date: N/A

COMPONENT COOLING WATER SYSTEM 4080

Address

Identificatfion of System: Cja,4,

5.

qs,3

(a) Applicable Construction Code: 31.1 Edition: 1967 Addenda:N/A Code CaseDesign Specification: NIA

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edtion 1996 AddendaCode Case: N/A

Idntifir~t-.,tin ,f mn~n~n~nkl•. In~ir¢t4 nr l•nl~ and PaIRinlamnlf C.'mnnn~nfk

N/A

A--- r- E r________-______________ _____

Name of Name of Manufacturer National Other Year Corrected, ASMECompnoent Maoufmctare- Serial No. Bard No. Idtendtlcatiort Bulk Removed. Code

of StampInstalled (Yes or

No)

Flow meter Kobold NIA NIA FfC-629 2012 Removed N

Flow Meter Kobold N!A NJA FIC-629 2012 Installed N

II I .1. I. _______ .I~ ____________ £ _______ __________

t J7. Dd/scnption of Work: Replj.ced flow meter orifice alate due to FM a Jnjite

8. Test Conducted: Hydrostatic U- Pneumatic fj Nominal Operating Pressure UX

Other [Wr-2 Pressure.NNO] psig Test Temp. NOT. 'F

12-037

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Bac.k)Sheet 2_ of 2.=

Remarks: See WO 20529220 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPIUANCE

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

Type Code Symbol Stamp N/A

Certifite of Authorization No. NIA

Signed _,-,_ ISI ENGINEER Date 3/19120124 19 Owner or Owners Deslgnee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed byTHE RTFORD STEAM 8QILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described in this Owner's

Report during the period 3/15/2012 to 3119J2012 and state that to tMe best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section X1.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures descibed in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or propety damage or a loss of any kind arising from or connected with

this inspection.

Commissions NB 12442 ANI / NC# 1580National Board, State, Provimce, and Endoosernents

Date: 3(1912012 /

12-037

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH, NC 27602Address

2. Plant H.B.RO8INSON

Date: 3/2212012

Sheet: of 2

Unit '2

Name

3581 WEST Etrtartce Rtj EIARTSVILLE, SC 295,50Address

3. Work Performed by CAROINA POWER & LIGHT COMPANYNaie

3581 WEST ENTRANCE RD: HARTSV1LLE, SC 29550

2

ESR#:N/A EE:N/AWR/WO:1,67464 CR:NIA

Repair Organizalion PO No;Job No:etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/AExpiration Date; NWA

CWEI-Mr'.At An Nirntlf I IMPF rnlliT~flI qV-,TFfllu~n

Address

Identification of System: Clas4,

5. (a) Applicable Construction CodeL B.3J. EdittonLt2L7 Addenda:N/A Code Case: N/ADesign Specification: CPL-HBR2--M-04&8CPL-XXXX.M--O02

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Ecdtion 1996 AddendaCode Case: N 416-3

6. Identification of Components Repaired or Re Placed and Replaoement Components

Name of Name of Manufacfuer National Olher Year Corrected, ASMEComponent Manufacturer Serial No, Boewd No. Identification Built Removed, Code

or SlampInstalled {Yes or

NO)

Piping Ebasco NWA NIA 3-CH-8 1971 Removed N

Pipe Dubose National 41282 N/A 3-CH--8 2012 Installed NSteel

Tee Ebasco N/A N/A 3-CH-8 1971 Removed N

Tee Dubose National MHLA-1 N/A 3-CH-8 2012 Installed NSteel

7. Description of Work: Cut piping welds and replaced toe in line 3-CH-8 to facilitate aditustment at 8 charglno oumg ftame andr'pair PT indicition on tee at W-5

8, Test Conducted: Hydrostatic [.] Pneumatic L- Nominal Operating Pressure Ln

Other V-21 PressureiNOPI psig Test Temp. NO. OF12-038

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Form NIS2Form NIS2 1995 Edition 1996 -denda

SECTION XI DIVISION 1

FORM NIS-2 (Back)

Sheet 2 of 2.

Remarks: See 1967464 turnover packageApplicable Manufactufers Data Reports to be atlacaed

CERTIFICATE OF COMPUANICE

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

Type Code Symbol Stamp NIA

Certilicate of Authorization No. NA

Stgnrd ISI ENGINE~ER Datp 3)2212012I, Owner or Oner's Designee. Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THBE- HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave Inspected the components described in this Owneres

Report during the period I19)2012 to 31Q222012 and state that to the best of my

knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, explessed or implied, concerning the

examinations and corrective measures described in this Owners Report Furthefnore, neither the Inspector nor his employer

shal 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 NB 12442 ANI f NC# 1580National Board, State, ProAnce, and Endorsementslaspeclor' ý" dl

ate: 3122/2012 I

12-038

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1, Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.- RALEIGH, NC 27602Address

2. Plant H.B.ROSINSONName

3581 WEST Entrance RD; HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RO: HARTSVILLE SC 29550

Date: 3i 19/2012

Sheet: I of 2

Unit: 2

ESR#:N/A EE:N/A-WRffO:1§800327 CR:N/A

Repair Organization PO No;Job No:etc.

Type Code Symbol Stamp: NIAAuthorization No.: N/AExpiration Date: NIAI I I

Address

4, Identification of System: Class 2 MAIN STEAM SYSTEM 3020

5. (a) Applicable Construction Code: B31-1 Edition: 1967 Addenda:N/A Code Case:NIADesign Specification: L2-N-001

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case:

6. Identification of Components Repaired ox Replaced and Replacement Components

Name of Name of Manufactuer National Other Year Corrected, ASMEComponent Manufactu•er Serial No. BMaid No. lidenhirlcatlon Buell Removed, Coda

or StampInstalled (Yes or

No)

Plug Copes Vulcan N/A N/A RVi-1 1971 Removed N

Plug Copes Vulcan SIN 0751- N/A RVI-1 2012 Installed N143782-1-2

7.

8.

Description of Work: Replaice Pluri

Test Conducted. Hydrostatic U- Pneumatic L-1 Nominal Operating Pressure L-1

Other U Pressure[N/Al psig Test Temp.IN/Al "F

12-039

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Form NIS2

Form NIS2 1995 Edition 1996 AddendaSECTION Xl DIVISION 1

FORM NIS-2 (Back)Sheet 2 of 2.

Rentarks: See WO 1800327 turnovepr paclýage.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp NIA

Certificate of Authoriz ion No._N.A

Signed I'/S-,4It' . I5l ENGINEER Date 3119t2012

Owner or Owners Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

1, the undersigned, holding a valid commission issued by the National Board of Boiker and Pressure Vessel Inspectors and the

State or Province of North Carolina and employed by THE HARTFORD STEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components described In this Owner's

Report during the period 3W17120112 to 3119t2012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in tNs Owner's

Report in accordance with the requirements of the ASME Code, Section Xl.

By signing Ibis certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

• (~,..,. ... . .. Commissions NB 12442 ANI / NC# 1580Inspeph_.lgnature National Board. State, Province, and Endorserrments

Date: 3_/1912.12

12-039

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1995 Edition 1996 Addenda APPENDIX I MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1 Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYE'TE\ILLE ST.. RALEIGH. NC 27602Address

2. Plant .. 8.ROBINSONName

3501 WEST Entrmnce RID. HARTSVILLE. SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: HARTSVILLE. SC 2955.

Data: 312&/2012

Sheet 1 of 2

Unit: 2

ESR#:N/A EE:NIAWRVJR O:180099 CR:NjA

Repair OrganIzallon PO No:Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.: N/AExpiration Date: NIA

Address

4. Identification of System: Clasr:2 STEAM GENERATOR SYSTEM 2005

5, (a) Applicable Construction Code: B 31-1 Edition: 1967 Addenda:NA Code Case: N/ADesign Specification: N/A

(b) Applicable Edition of Section XI Used for RepairlReplacement Activity: 1995 Edition 1996 AddendaCode Case: N/A

6. Identifcation of Components Repaired or Replaced and Replacement Comoonents

Name of Name of Manufacturer National Other Yein Corrected, ASMEComponent Manufacturer Serial No. Boai'd No. Identification Built Removed. Code

ot StampInstalled (Yes or

No)

Hydraulic Anchor Holth N/A N/A Snubber-RSV-B 1971 Removed NFluidReservoirHydraulic Enertech N/A N/A Snubber-RSV-8 2012 Installed NFluidReservoir

/

7.

8.

Description of Work: Snubbec-RSV-B, change snubber reservoir on snubber

Test Conducted: Hydrostatic L-1 Pneumatic [H Nominal Operating Pressure [_j

Otler 5=_,] Pressurc[N•N. psig Test Temp N/LAI F12-040

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DMISION I

FORM NIS-2 (Baic*)Sheet 2 of 2

Remarks: See WO 1800099 turnover oackaqeApplicable Manufacturers Data Reports to be att0cfed

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are coriect and this confomrns to the requirements of the ASME Code, Seclion XI.

Type Code Symbol SItanp NIA

Certificate of Authorization No. N/A

Signed 52' - , 7- -2,_-_.. ISIENGINEER Date U328/2012

/ Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE KARTFORD STEAM BOILER INSPECTION

AND INSURANCE CWuPANY of HARTFORD. CONNECTICUThave inspected the components described in this Owner's

Report during the period 311612011 to 3/2812012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer mak•es any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report, Frthearnore, 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 NB 12442 ANI / NC# 15801nspect n.fature National Board, State, Province. and E~ndorsements

Date:

12-040

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by tho Provisions of the ASME Code Section XI

Form NIS 2

1. Owner CAROLINA POW.R & LIGHT COMPANYName

411 FAYETTEVILLE ST ALEI N 2762

Dale: 3/M9U20_2

Sheel: 1 of 2

UNIt 2

Address

DB._NSON2. PlantNamre

3581 WEST Entrance RDe HARTSV1LLE, SC 29550Address

3. Work PefOrrned by CAROLIJ NA PO R & LIGHT COMPANYName

35•1 WEST ENTRANCE RD: HARTSVILLE, SC 29550

F5:R•'iAAF: nJmzn~l~ FI9:9,/A9=-SRP ME Q-4-AAr

LRAt NVO:2fA419BR CR:NIARepair Organization PO No;Job No;etc.

Type Code Symbol Stamp: NIAAuthorization No.: NIAExpiration Date: NIA

C,,FMIC.At ANfl VL'AI I AA• CATl~lldT• RY.'•T•3FLAX•

Address

Identification of System: Cla4,

5.

ss:1 (-.H;:PAICAl Amn VQI I I";: CQNTRQ1 RY-RTP""Q

(a) Applicable Construction Code:Di_ Edition: 1988 Addenda:N/A Code CaseDesign Specification: CPL-HBR2-S-001

(b) Applicable Edition of Section Xl Used for Repair/Replacement Activity: 1995 Edition 1996 AddendaCode Case: ha

t: N/A

Gt Identilication of Componen Repaired or Repfaced and Re 3lacement Components

Name of Nome of IAsnuttirer N.51ions! Other Year Couraded, ASMEComponent Manufaclurer Searig No. Board No. Idenlicaion Built Removed. Cooe

or StampInlstlled (Yes Of

No)

Rod Nova Machine A74965 N/A CPL-134-A 2012 Installed NProducts

3/8 Nut Nova Machine A74905 N/A CPL-134-A 2012 Installed NProducts

1/4" Nut Southern 8H2907 NIA CPL-134-A 2012 Installed NFastener

7. j Description of Work: Replaced bentrod for sE...r- CPL-134-Aon Lne-_-CHA-A

8. Test Conducted: Hydrostatic U Pneumatic El Nominal Operating Pressure El

Other n3pj PressureL[NJ psig Test Temnp,[LL!Aj *F12-041

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Form NIS2Form NIS2 1995 Edition 1996 Addenda

SECTION XI DIVISION 1

FORM NtS-2 (Back)

Sheet _2_ of 2.

Remarks: See WO 2041966 turnover packageApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made In the repo!t are correct and this conforms to the requirements of the ASME Code. Section XI.

Type Code Symbol Stamp NIA

Certificate of Authorization No. NIA

Signed 2 ,4.•. . -,SI ENGINEER Dale 3!19/2012

Owner or Ovaiers Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolna and employed by THE HARTFORD $TEAM BO13JLR INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUThave inspected the components described In this Owner's

Report during the period 2/1712012 to 311912012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signirg this certificate neither the Inspector or 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 krrury or property daenage or a loss of any kind arising from or connected with

this Inspection.

k.• ( •-c.1... Commissions NB 12442 AN] I NC# 1580Inspector's Sow%?Fb National Board. State. Province, and Endorsements

Date: 3r19 12012 II

12-041

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section XI

Form NIS 2

1 Owner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST., RALEIGH, NC 27602Address

2. Plant H.BROBINSONNarne

35§1 WEST Entrance RD, HARTSVILLE. SC 29550Address

3. Work Periorned by CARQL!N-A.PQW0R B-t&IC,•TMP.AN•Name

3581 WEST ENTRANCE R3D: ARTVILLE. SC 29550

Date. 3/23/2012

Sheet: 1 of 2

Unit:

ESR#:B1467/839G8 EE:N/AWRANO: 193631811035953 CR:N/A

Repair O0ganization PO No;Job No:etc.

Type. Code Symbol Stam-rp:_ N/AAuthorization No.: NWAExpiration Date: N!A

CHEMICAL AND VOLUME CONTROL SYSTEM2060

Address

Identification of System: Clas4.

5.

s:2

(a) Applicable Construction Code: B31.1 Edition: 1967 Addenda:N/A Code CaseDesign Specificationm CPL- HR2-M-047

(b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 1o9,5 Edition 1996 AddendaCode Case: N/A

: N/A

6. Identification of Component Repaired or Replaced and Rellacement Components _

Name of Name of Manufacurer National Other Year Corrected, ASMEComponent Manufacturer Serial No. Board No. Identification Built Removed, Code

or StampInstalled (Yes or

No)

Clamp Maintenance N/A N/A 4-CH-151R-47 2011 Installed N

Clamp Maintenance N/A NIA 4-CH-151R-47 2012 Removed N

Pipe Energy and L41567 N/A 4-CH-151 R-47 2010 Removed NProcess I

Pipe Energy and L41567 NIA 4-CH-151R-47 2012 InstalledI NProcess

Flange Dubose National 241964 NIA 4-CH-15IR-47 2010 Removed NSteel

Flange Dubose National 241964 N/A 4-CH-151R-47 2012 NSteel -

7. Description of Work: Remove temoorary clarnp installed per WO 1935953 for 3/4" drain line and replaced drain line and 4"section of line between Range and elbow

8. Test Conducted: Hydrostatic LX] Pneumatic U Nominal Operating Pressure [j

Other JVT-2? Pressure[1651 psig Test Temp.Ambient OF

12-042

I

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Form NIS2

Form NIS2 1995 Edition 1996 Addenda

SECTION Xl DIVISION 1

FORM NIS-2 (Back)Sheet _.. of .2ý

Remarks: See WO 1936318 turnover packaQeApplicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section Xl,

Type Code Symbol Stamp NIA

Certificate of Authoization No. NA

Signed 6? t 'I4ir StENGINEER - Date 3/23/2012Owner or Owner's Designee, Title

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of North Carolina and employed by THE HARTFOR.D STEAM BO-ILE8 INSRECTI.N

AND INSURANCE COMPANY of HARTFORD. CONNECTICUT have inspected the components descibed in this Owner's

Reportcduring the period .1/17a7012 to 3=2312012 and state that to the best of

my knowledge and belief, the Ovner has performed examinations and taken corrective measures described in this Owner's

Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or inplied, 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.

'Z....z 9 -- ýý Commissions NB 12442 AN, / NC# 1580

Inspecror's Slgnatue;ý,_ National Board, State, Ptovince, and Endorsements

Date: 3/23/2012 j

12-042

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1995 Edition 1996 Addenda APPENDIX II MANDATORY

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

As Required by the Provisions of the ASME Code Section X!

Form NIS 2

1 Ovwner CAROLINA POWER & LIGHT COMPANYName

411 FAYETTEVILLE ST.. RALEIGH. NC 27602

fl~ti~v Y' "rY' %'Y 'Date:

Address

2. Plant H. LRQBINSONName

3581 WEST Ent!ance RD: HARTSVILLE, SC 29550Address

3. Work Performed by CAROLINA POWER & LIGHT COMPANYName

3581 WEST ENTRANCE RD: LARTSV;LLE, SC 29550

Sheet: I of 2

Unit 2

ESR#:NI/A EE:N/AwWRVQg2032527 CRTN!A ,.

Repair Organization PO No;Job No;etc.

Type Code Symbol Stamp: N/AAuthorization No.: N/A . . .Expiration Date: NIA

CHEMICAL AND VOLUME CONTROL SYSTEM2080

Address

Identificalion of System: Clas4.

5. (a) Applicable Construction Code: B31.1 Edition: 1967 Addenda-N/A Code CasEDesign Specification: CPL-R2-MP-12

(b) Applicable Edition of Section XI Used for RepairlReplacement Activity: 1995 Edition 1996 AddendaCode Case: M

Irtcntiflr'tinn nf tnmnnn~ntk R•.n~irprj nr Ppnlnr'pr •nd R• )n~nrPrmcrt C, nmnnn~nfn

e'jWA

R.. . .Id ntfi.to ........ -ý ,enni'ed-r Re.......... ...........-Com p ......

Name of Name of Manufacturer National Other Year Corrected, AStAEComponent Manufacturer Sertal No. Board No. Idenriticatlon 8vilt Removed, Code

or StampInstalled (Yes or

No)

Pump Johnston JZ6436 N/A SW-PMP-D 2004 Removed N

Pump Johnston JZ-6437 N/A SW-PMP-D 2012 Installed N

7, Description of Work: Replaced SW Pump D with spare

8. Test Conducted: Hydrostatic WŽJ Pneumatic [.U Nominal Operating Pressure [W.]

Other [_rT-21 PressureLJ psig Test Temp. [NOT• 'F

12-043

Page 162: &4?, Progress Energy · 2012-07-20 · &4?, Progress Energy 10 CFR 50.55a Serial: RNP-RA/12-0063 JUN 1 5 201Z United States Nuclear Regulatory Commission Attn: Document Control Desk

FORM NIS-2 (Back)

Sheet 2 of 2,

Remarls: See WO203227 turnover _ackze.Applicable Manufacturers Data Reports to be attached

CERTIFICATE OF COMPLIANCE

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

Type Code Symbol Stamp N!A

Certificate of Authorization No. NIA

Signed _ 0S1 ENGIEER Date 312612012

Owner or Owner's Designee, Titte

CERTIFICATE OF INSERVICE INSPECTION

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

State or Province of N2Et Carolina -and employed by THE HARTFORD, 5TEAM BOILER INSPECTION

AND INSURANCE COMPANY of HARTFORD, CONNECTICUT have inspected the components descnibed in this Owners

Report during the period 1/28/2012 to 3126/2012 and state that to the best of

my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners

Report In accordance with the requirements of the ASME Code, Section X1.

By signing this certificate neither the Inspector or his employer makes any warranty, expressed or implied, concerning the

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer

shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with

this inspection.

SLy Commissions NB 12442 ANt / NC# 1580

Inspector's Sig uiaa[Li National Board. State, Province. and Endorsements

; /Date: 3/26/2012t 1

12-043