3819P22115A06_c0v0_FY26_TGI.pdf
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- Solicitation number
- N6264925RA059-0008
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This document is a WebAIM Short Form Task Group Instruction (TGI) for the USS Blue Ridge (LCC-19) dated 05-MAR-2025, focusing on a hydrostatic test of the 1B Boiler Fuel Oil (FO) Burner Lead Piping in Fire Room 8-76-0-E. The task involves disconnecting and reconnecting three separate fuel oil burner lead piping sections for testing, with each 1/2 inch IPS carbon steel pipe being tested using clean, fresh water at 605 PSIG for 30 minutes. The work is scheduled to start on 7/21/2026 and complete by 11/21/2027, triggered by a Boiler Inspection and Repair Management Information System (BIRMIS) report from 17 OCT 2024.
The document specifies that the Ship Repair Facility - Japan Regional Maintenance Center (SRF-JRMC) will provide government-furnished materials and services, including crane and rigging, utility services (electrical, low pressure air, water, and steam), safety inspections, gas-free inspections, and quality assurance inspections. The task requires Level II cleanliness for piping systems/equipment, and includes provisions for material procurement such as spiral wound gaskets. The job involves multiple work tasks including piping, painting, electrical work, and process funding, with careful documentation required on QA Form 28 to record the hydrostatic test results.
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Text version
FOUO
WebAIM Short Form TASK GROUP INSTRUCTION
05-MAR-2025 1644
20.14.15.2.9020 (September 2024) ICN: 3819P22115 KeyOp: A06
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1B BLR FO BNR LD PPG AY A 0 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P
CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1B BLR FO BURNER LEAD PP IN 8-76-0-E
WORK CERTIFICATION SIGNATURES: DLs
COMPLETION OF WORK REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
RECORDS REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
FOUO Pg 1 of 4
EM02L192
PREPARING ACTIVITY: STATUS: APP WORKING STATUS:
PREPARED BY: CODE: PHONE: DATE:
NAGASHIMA, TETSU 234 3152434527 24-FEB-2025
APPROVED BY: CODE: PHONE: DATE:
SHINMEI, HIDEKUNI 234 3152432371 24-FEB-2025
CONCURRED BY: CODE: PHONE: DATE:
REASON FOR WORK/NEED FOR CHANGE:
JCN:
EM02-L192
SPECIAL REQUIREMENTS:
CU PHASE DESCRIPTION:
ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:
YAGINUMA, TAKEHIDE
JOB SUMMARY ID: TOT MAN HR.: TOT DUR: TOT JML COST: PLANNING ACCEPTANCE:
221A1115
1. SCOPE/PURPOSE:
1.1 Title: Hydrostatic Test of 1B Boiler Fuel Oil (FO) Burner Lead Piping; accomplish
1.2 Location of Work:
1.2.1 Fire Room (8-76-0-E)
1.3 Identification:
1.3.1 Quantity (One AY), No. One FO Burner Lead Piping including FO Valve Actuator (1B-BIS-F-1) for 1B Boiler, from FO Manifold Root Valve No. 23 to No. One Burner
Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 11-A and Zone 11-B) of Ref. No. 3 for detail.
TGI Short Form
05-MAR-2025 1644
20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22115 KeyOp: A06
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1B BLR FO BNR LD PPG AY A 0 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P
CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1B BLR FO BURNER LEAD PP IN 8-76-0-E
FOUO Pg 2 of 4
CU PHASE DESCRIPTION (Cont.)
1.3.2 Quantity (One AY), No. 2 FO Burner Lead Piping for 1B Boiler, from FO Manifold Root Valve No. 24 to No. 2 Burner
Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 11-A and Zone 11-B) of Ref. No. 3 for detail.
1.3.3 Quantity (One AY), No. 3 FO Burner Lead Piping for 1B Boiler, from FO Manifold Root Valve No. 25 to No. 3 Burner
Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 11-A and Zone 11-B) of Ref. No. 3 for detail.
1.4 Security Classification: None.
1.5 Initial Condition:
1.5.1 Potential Lead Hazard.
1.6 Contractor work start date: 7/21/2026
1.7 Contractor work completion date: 11/21/2027
2. PROCEDURE:
2.1 Disconnect and reconnect each existing FO burner lead piping listed in 1.3.1 through 1.3.3 for accomplishment of hydrostatic test, using Ref. No. 3 for guidance.
2.1.1 Accomplish the requirements of 009-71 of Ref. No. One for hydrostatic test, using clean, fresh water at 605 PSIG, for each existing FO burner lead piping listed 1.3.1 through 1.3.3.
2.1.1.1 Document shop hydrostatic test results on QA Form 28 Enclosure-01-1.
2.2 Accomplish the requirements of 009-32 of Ref. No. One for each new and disturbed surface.
2.3 Notes:
2.3.1 Planner: Code 234 T. Nagashima, 243-4527
Planner: Code 233 M. Takemura, 080-9350-1458
2.3.2 This TGI is response to Boiler Inspection and Repair Management Information System (BIRMIS) for 1B Boiler report dated 17 OCT 2024, Line Item(s) K37A-02.
2.3.3 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-5419-0598
2.3.4 JCN EM02-L192 is related to this TGI.
2.4 Government Furnished Material (GFM):
05-MAR-2025 1644
20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22115 KeyOp: A06
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1B BLR FO BNR LD PPG AY A 0 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P
CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1B BLR FO BURNER LEAD PP IN 8-76-0-E
FOUO Pg 3 of 4
CU PHASE DESCRIPTION (Cont.)
2.4.1 SRF-JRMC will provide GFM listed in Material List.
2.5 SRF-JRMC will provide the following Service Work: (TGI No. 3819P22115S07).
2.5.1 [C740] Crane and crane rigging service.
2.5.2 [X99E] Utility Service, electrical.
2.5.3 [X99M] Utility Service, including low pressure air supply, water supply, and steam supply.
2.5.4 [C106.1] Safety inspection for SRF-JRMC employees.
2.5.5 [C106.2] Gas free inspection for SRF-JRMC employees.
2.5.6 [C133] QA inspection for (G) symbols.
05-MAR-2025 1644
20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22115 KeyOp: A06
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1B BLR FO BNR LD PPG AY A 0 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P
CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1B BLR FO BURNER LEAD PP IN 8-76-0-E
FOUO Pg 4 of 4
OTHER SPECIAL REQUIREMENTS:
CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II.
Ref.
No.
Document/Drawing Number DOCUMENT/DRAWING TITLE REV
CHG
NO.
CPY
REQ PARAGRAPH SECT PG CHPT
1 NSI FY-25 NAVSEA Standard Items - ORG N 2 LI FY-25 Local Standard Items - ORG N 3 DWG 210-2492122 F.O SERV. DISCH. Piping -
ARR
G Y ALL
TASK NAME / TASK DESCRIPTION
SHOP/
TSD TS
SF
WC
CREW
# MHRS RWRK
2.1 PFTR HRs, RGRS HRs, INSL HRs, ELEC HRs, QA HRs 22/KE PC N
2.2 PNTR HRs, QA HRs 22/KE PC N
Piping Work CFM sample cost for lead paint, misc such as painting material, plastic bag and tapes.
22/MQ CS N
Electrical Work CFM for insulation tape, plastic bags, rope, and other consumable.
22/MQ CS N
Process Funding Document. 10/CT OM N
MATERIAL LIST
ITEM
NO.
PC
NO.
REF
NO.
M
C DESCRIPTION
STOCK
NUMBER
GENERIC
MATL
TYPE LVL QA
HAZ
MAT
DOC
NO.
QTY
REQD/
UNIT
QTY
USED/
UNIT
001 M GASKET,SPIRAL WOUND,
GASKET, SPIRAL WOUND,
1/2"- 600
ORDERED FOR KTR, ORG:
C234, T. NAGASHIMA, TEL:
243-4527
9B 5330 013387849 NA 4 N 50435171 6/EA
002 M GASKET,SPIRAL WOUND,
GASKET, SPIRAL WOUND,
3/4"-600
ORDERED FOR KTR, ORG:
C234, T. NAGASHIMA, TEL:
243-4527
9B 5330 013387875 NA 4 N 50435166 6/EA
ATTACHMENT LIST
TITLE FILE NAME SAVED DATE
ENCLOSURE-01 3819P22115A06-QA28.docx 10-FEB-2025 0000
MATERIAL REFERENCES
REF
NO.
DOCUMENT/DRAWING NUMBER DOCUMENT/DRAWING TITLE
REV
ICN: 3819P22115 KEY OP: A06
COMUSFLTFORCOMINST 4790.3 REV D CHG 3
07 Nov 2023
3819P22115A06 ENCLOSURE-01-1 TOTAL 1
SHOP TEST RECORD Page 1 of 1
QA FORM 28 Planning must fill in blocks identified by a prior to issuing
1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.
USS BLUE RIDGE LCC19 EM02-L192 KTR N/A FO BURNER LEAD SYSTEM PIPING
6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT
A. S9086-RK-STM-010/CH-505 Rev. 6
B. DWG 210-2492121 Rev. E
C.
D.
9. TEST REQUIREMENTS & RESULTS
TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER
(SPECIFY): ______________________
TE
ST
T Y
PE
(S
EE
K
EY
) PARAGRAPH
DESCRIBING
VALVE POSITION
AND POINT OF
ENTRY
REF
LTR
GAGE
USED
(LTR
FROM
BLK 7)
REQUIRED
MEDIUM
MEDIUM
USED
REQUIRED
PRESSURE
ACTUAL
PRESSURE
MINIMUM
DURATION
ACTUAL
DURATION
ALLOWED
LEAKAGE
ACTUAL
LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE
H 2.1.1 for 1.3.1 A,B Clean Fresh Water 605 PSIG 30 minutes None
H 2.1.1 for 1.3.2 A,B Clean Fresh Water 605 PSIG 30 minutes None
H 2.1.1 for 1.3.3 A,B Clean Fresh Water 605 PSIG 30 minutes None
10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)
11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD
REVIEWED FOR FINAL ACCEPTANCE)
DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR
COMPLETENESS)
DATE
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