3819P25001A01_c1v0_FY26_TGI.pdf

FOUO

FOUO: Public availability to be determined under 5 USC 552

TASK GROUP INSTRUCTION

AIM REV 20.11.4.0 (OCTOBER 2020)

TGI COMPONENT NAME: TYPE: PHASE: REPEAT: CHANGE:

NO.: FORCED DRAFT BLOWERS AY A 0 1

SHIP/HULL NO.: SHIP/HULL NAME: SYSTEM: PROJ/WO NO: CASREP CAT:

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

F/O – SA98081D FORCED DRAFT BLOWER VANE ACTUATOR 5-79-0-E

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

HIROSHI MATSUBAYASHI 232. 315-243-4509 17-MAR-2025

APPROVED BY: CODE PHONE DATE

HIDEMI SENDA 232. 315-243-5616 18-MAR-2025

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

REASON FOR WORK/NEED FOR CHANGE:

Typo miss.

CHANGE INSTRUCTIONS:

CH-1: Revise paragraph 5.9. (05/30/2025)

SPECIAL REQUIREMENTS:

This work affects a fire zone boundary. Fabrication and/or staging of a non-flammable closure is required. CLEANLINESS

FOR PIPING SYSTEM/EQUIPMENT LEVEL III.

WORK CERTIFICATION SIGNATURES

COMPLETION OF WORK REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

ACCEPTANCE OF COMPLETED WORK

PHYSICAL INSPECTION PHYSICAL INSPECTION COMPLETED: BADGE NO.: SHOP/CODE: PHONE: DATE:

REQUIRED:☐YES ☒NO

RECORDS REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

TGI NO.: FORCED DRAFT BLOWERS AY A 0

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SHIP: LCC-19 CHG/VER: 1/0

LIST OF EFFECTIVE PAGES

SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO.

1-7 J-1-2 M1-7

1. SCOPE/PURPOSE

1.1. Title: SA98081D Forced Draft Blower Vane Actuator, accomplish

1.2. Location of Work:

1.2.1. Blower Room (5-79-0-E)

1.2.2. Uptake Space (5-76-0-Q)

1.2.3. Fire Room (8-76-0-E)

1.2.4. Passage (2-64-0-L)

1.2.5. Oil Lab (5-83-1-Q)

1.2.6. Contractor Facility

1.3. Identification:

1.3.1. Quantity (One EA), 1A1 Main Forced Draft Blower (FDB)

Mfr: New Philadelphia Fun Co.

Mfr Id: 980A838

APL: 400060761

1.3.1.1. Quantity (One EA), Existing Double Acting Pneumatic Actuator Assembly Size: 5X5 Inch Model: 10035

1.3.1.2. Quantity (One EA), New Electric Viv Actuator Assembly Mfr: Lowen Marine and Industrial Mfr Id: 1601P-MC02 Model: Beck 11-159 with Digital Control Module (DCM-3) Power: 120 VAC, Single-Phase 60 Hz Operating Conditions: -40 DEG F TO 185 DEG F Approx Weight: 50 LBS

1.3.2. Quantity (One EA), 1A2 Main Forced Draft Blower (FDB)

Mfr: New Philadelphia Fun Co.

Mfr Id: 980A838

APL: 400060761

1.3.2.1. Quantity (One EA), Existing Double Acting Pneumatic Actuator Assembly Size: 5X5 Inch Model: 10035

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SHIP: LCC-19 CHG/VER: 1/0

1.3.2.2. Quantity (One EA), New Electric Viv Actuator Assembly Mfr: Lowen Marine and Industrial Mfr Id: 1601P-MC02 Model: Beck 11-159 with Digital Control Module (DCM-3) Power: 120 VAC, Single-Phase 60 Hz Operating Conditions: -40 DEG F TO 185 DEG F Approx Weight: 50 LBS

1.3.3. Quantity (One EA), 1B1 Main Forced Draft Blower (FDB)

Mfr: New Philadelphia Fun Co.

Mfr Id: 980A838

APL: 400060761

1.3.3.1. Quantity (One EA), Existing Double Acting Pneumatic Actuator Assembly Size: 5X5 Inch Model: 10035

1.3.3.2. Quantity (One EA), New Electric Viv Actuator Assembly Mfr: Lowen Marine and Industrial Mfr Id: 1601P-MC02 Model: Beck 11-159 with Digital Control Module (DCM-3) Power: 120 VAC, Single-Phase 60 Hz Operating Conditions: -40 DEG F TO 185 DEG F Approx Weight: 50 LBS

1.3.4. Quantity (One EA), 1B2 Main Forced Draft Blower (FDB)

Mfr: New Philadelphia Fun Co.

Mfr Id: 980A838

APL: 400060761

1.3.4.1. Quantity (One EA), Existing Double Acting Pneumatic Actuator Assembly Size: 5X5 Inch Model: 10035

1.3.4.2. Quantity (One EA), New Electric Viv Actuator Assembly Mfr: Lowen Marine and Industrial Mfr Id: 1601P-MC02 Model: Beck 11-159 with Digital Control Module (DCM-3) Power: 120 VAC, Single-Phase 60 Hz Operating Conditions: -40 DEG F TO 185 DEG F Approx Weight: 50 LBS

1.3.5. Quantity (4 EA), New Linkage Arm

Item No: F2 Material Spec: QQ-S-633, Steel See Detail: 30-A of 2.3

1.3.6. Quantity (4 EA), New Spacer

Item No: F10 Material: Steel Size: 5/8 Inch LG, 0.630 Inch ID X 1.000 Inch OD See Detail: 28-E of 2.3

1.3.7. Quantity (8 AY), Control Air Piping for Main Forced Draft Blower 1A1, 1A2, 1B1 and 1B2 including Deck Sleeve, from Union Joint of Blower Actuation Unit Size: 1/4 Inch O.D (0.250 Inch O.D X 0.030 Inch W.T) and 3/8 Inch O.D (0.375 Inch O.D X 0.032 Inch W.T)

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SHIP: LCC-19 CHG/VER: 1/0

Material: Copper Specification: ASTM B68 Remarks: See 2.6 and Sheet 11 (DET 11A), 13 and 14 of 2.7 for detail

1.3.7.1. Quantity (4 AY), Control Signal Air Piping for Main Forced Draft Blower 1A1, 1A2, 1B1 and 1B2 Size: 1/4 Inch O.D (0.250 Inch O.D X 0.030 Inch W.T) Material: Copper Specification: ASTM B68

1.3.7.2. Quantity (2 AY), Supply Air Piping for Main Forced Draft Blower 1A1, 1A2, 1B1 and 1B2 Size: 3/8 Inch O.D (0.375 Inch O.D X 0.032 Inch W.T) Material: Copper Specification: ASTM B68

1.3.7.3. Quantity (2 AY), Lock Signal Air Piping for Main Forced Draft Blower 1A1, 1A2, 1B1 and 1B2 Size: 3/8 Inch O.D (0.375 Inch O.D X 0.032 Inch W.T) Material: Copper Specification: ASTM B68

1.3.7.4. Quantity (4 EA), Cap for Control Air Piping listed in 1.3.7.1 Size: 1/4 Inch O.D Material: Brass

1.3.7.5. Quantity (4 EA), Cap for Control Air Piping listed in 1.3.7.2 and 1.3.7.3 Size: 3/8 Inch O.D Material: Brass

1.3.8. Quantity (One EA), Power System

Remarks: See 2.10 for details

1.3.9. Quantity (One EA), Lighting System

Remarks: See 2.11 for details

1.3.10. Quantity (One EA), Interior Communication System

Remarks: See 2.12 for details

1.4. Security Classification: None.

1.5. Initial Condition:

1.5.1. Potential Asbestos Hazard.

1.5.2. Potential Lead Hazard.

1.5.3. Potential PCB Hazard.

1.6. Contractor work start date:

1.7. Contractor work completion date:

2. REFERENCES:

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

7/21/2026

11/21/2027

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SHIP: LCC-19 CHG/VER: 1/0

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

1 NSI FY25 Standard Items - ORG N 2 LI FY25 Local Standard Items - ORG N

3 DWG 204-

8783650

FORCED DRAFT BLOWER VANE

ACTUATOR REPLACEMENT

BLOWER ROOM & FIRE ROOM

- Y AL

L

4 DWG 245-

8783651

FORCED DRAFT BLOWERS

EQUIPMENT ARRANGEMENT

FDB ROOM & FIRE ROOM

- Y AL

L

5 DWG 104-

2491048

5th Deck PLTG FR51-1/2 - FR102- 1/4

M Y AL

L

6 DWG 513-

8895001

CONTROL AIR PIPING REMOVAL

INCID FORCE DRAFT BLOWER

UPGRADE 4TH-1ST PLATF, FR 79

- Y AL

L

7 DWG 206-

2492062

AGC19 COMBUSTION CONTROL

PIPING ARR & L/M

B Y SE

E N

OT

E

8 DWG 113-

8787308

FORCED DRAFT BLOWER VANE

ACTUATOR FOUNDATION

MODIFICATION

- Y AL

L

9 DWG 101-

2491023

WEBS FR 77 1/2,79,81,83&84 1/2 H Y AL

L

10 DWG 302-

8894389

POWER SYSTEM

MODIFICATIONS INCIDENTAL TO

FORCED DRAFT BLOWER FAN

ACTUATOR

- Y AL

L

11 DWG 303-

8894428

LIGHTING SYSTEM

MODIFICATIONS INCID FORCED

DRAFT BLOWER VANE

ACTUATOR INSTALL

- Y AL

L

12 DWG 401-

8895251

IC CIRCUITS 1BC & 2BC

MODIFICATIONS FORCE DRAFT

BLOWER VANE ACTUATOR

- Y AL

L

13 LAR SRFY-

0035-25

NON-EXISTENT NSN FOR A

PART OF LOCAL FDB VANE

CONTROL ENCLOSURE

- Y AL

L

14 PDD 302-

ELM-250213

SUPPLEMENTAL INFO FOR FAB

& INSTL OF FDN FOR S/A 98081

- Y AL

L

15 MIL MIL-

STD-2003

Electric Plant Installation Standard Methods for Surface Ships and Submarines

B N

2.1.

3. APPENDICES:

3.1. Appendix “J” TGI Job Summary Information Sheet

3.2. Appendix "M" TGI Material List

3.3. Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1. Not Applicable.

5. PROCEDURE:

5.1. Pump out, clean and dry the bilge area located in 1.2.3 free from oil, debris, and other foreign matter.

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SHIP: LCC-19 CHG/VER: 1/0

5.2. Accomplish the inside machinist work of SCD 28081 for replacement of each actuator assembly in accordance with 2.3.

5.2.1. Fabricate each linkage arm listed in 1.3.5 and spacer listed in 1.3.6 in accordance with 2.3 except as Item No. F2 and F10.

5.2.2. Fabricate each linkage arm listed in 1.3.5 in accordance with Detail 30-A of 2.3.

5.2.2.1. Accomplish the requirements of 009-12 of 2.1, including Table One, Column(s) F, Lines One through 10.

5.2.3. Fabricate each spacer listed in 1.3.6 in accordance with Detail 28-E of 2.3.

5.3. Accomplish the outside machinist work of SCD 28081 for replacement of each actuator assembly in accordance with 2.3 and 2.4, using 2.5 for guidance.

5.3.1. Remove each pneumatic actuator assembly listed in 1.3.1.1, 1.3.2.1, 1.3.3.1 and 1.3.4.1 in accordance with 2.3 and 2.4.

5.3.1.1. Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.3.2. Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the watertight structural boundary. Allowable leakage: None.

5.3.3. Install each electric actuator assembly listed in 1.3.1.2, 1.3.2.2, 1.3.3.2 and 1.3.4.2 in accordance with 2.3 and 2.4.

5.3.3.1. Restore mating surfaces exposed by equipment removal. Repair by removing high spots, burrs, abrasions, and foreign matter, where removal can be accomplished by hand tools.

5.4. Accomplish the piping work of SCD 28081 to remove control air piping listed in 1.3.7 for replacement of each actuator assembly in accordance with 2.6, using 2.7 for guidance.

5.4.1. Accomplish the requirements of 009-95 of 2.1 for installation of each new mechanically attached fitting (MAF) listed in 1.3.7.4 and 1.3.7.5.

5.4.2. Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.4.3. Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the watertight structural boundary. Allowable leakage: None.

5.5. Accomplish the structural work of SCD 28081 for replacement of each actuator assembly in accordance with

2.8 and Enclosure-01, using 2.9 for guidance.

5.5.1. Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.6. Accomplish electrical removals, modifications and installations of the system listed in 1.3.8 through 1.3.10 in accordance with Enclosure-01, 2.4, 2.8, 2.10, 2.11, 2.12,.2.13 and 2.14.

5.6.1. Electrical installations must be in accordance with 2.15.

5.6.2. Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.7. Accomplish the requirements of 009-32 of 2.1 for new and disturbed surfaces.

5.8. Notes:

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SHIP: LCC-19 CHG/VER: 1/0

5.8.1. Planner: Code 232 H. Matsubayashi, 243-4509

Planner: Code 231B T.Ashina, 243-4370 Planner: Code 233 S.Ogawa, 090-6170-8579 Planner: Code 234 R.Saeki, 243-1109 Engineer: Code 260 H. Kudo, 243-7387 Engineer: Code 270 R. Oohashi, 243-4353

5.8.2. Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-5419-0598

5.8.3. The order of the work steps are subject to change.

5.8.4. Cold and hot calibration for forced draft blower vane actuator will be covered by TGI Nos. 3819P25001C01 and 3819P25001C02 (SRF-JRMC TGI).

5.8.5. Provision of oily/chemical water barge will be coordinated by Project Team.

5.8.6. Work per this instruction involves cutting an access (or removal of a door) through a fire zone bulkhead, through the hull of the ship above the turn of the bilge, through ventilation components (ducting, plenums, etc.), or through any air-tight, fume-tight or watertight bulkheads normally used to control air flow in the event of a shipboard fire. A nonflammable closure is required in accordance with COMNAVSEASYSCOM MSG R 261400Z JUL 12. The closure, if not continuously in use, shall be staged near the access, readily visible and accessible, so that any emergency responder can install the closure to affect proper air flow onboard the ship.

5.8.7. WPC will copy the following sheets in 2.7

Sheet: 11, 13 and 14

5.8.8. JCN EXSA-ZC89 is related to this TGI.

5.9. Government Furnished Material (GFM):

5.9.1. SRF-JRMC will provide GFM listed in Appendix “M”.

5.10. SRF-JRMC will provide the following service work: (TGI No. 3819P25001S02)

5.10.1. [C740] Crane and crane rigging service.

5.10.2. [X99E] Utility service, electrical.

5.10.3. [X99M] Utility service, including low pressure air supply, water supply, and steam supply.

5.10.4. [C106.1] Provide safety inspection for SRF-JRMC employees.

5.10.5. [C106.2] Gas free inspection for SRF-JRMC employees.

5.10.6. [C133] QA inspection for (G) symbols.

5.10.7. [C260] Provide technical support.

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J-1

SHIP: LCC-19 CHG/VER: 1/0

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH

VERSION:

CASREP

CAT:

FORCED DRAFT BLOWERS AY A 0 0

CU PHASE TITLE:

F/O – SA98081D FORCED DRAFT BLOWER VANE ACTUATOR 5-79-0-E

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

#1A1 FDB BL #1B1 FDB BL #1A2 FDB BL #1B2 FDB BL LP AIR 5-79-0-E PP

CMPT 5-79-0-E MSCMPT 8-76-0-E MSLP AIR 8-76-0-E PP (2-73-2)-4P-F C- (2-73-2)-1P-F

C- (6-81-1)-1L-B4 LF CKT C-1B IC CKT C-2B IC (5-82-1)-1P-A C- (5-82-1)-1P-B

C- (5-82-1)-1P-C C- (5-82-1)-1P-F C-

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P25001A01-Engrg Inst.pdf) saved on 13-MAR-2025 0000.

ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:

TAKAHASHI ,YASUHIKO

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P25001 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to accomplish the requirements of SA98081D forced draft blower vane actuator for each forced draft blower.

Location of Work:

Blower Room (5-79-0-E) Uptake Space (5-76-0-Q) Fire Room (8-76-0-E) Passage (2-64-0-L) Oil Lab (5-83-1-Q) Contractor Facility

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR, LBR

5.2 IMCH, SFTR, WELD, QA

5.3 OMCH, SFTR, WELD, PNTR, RGRS, QA, INSL

5.4 PFTR, PNTR, RGRS, SFTR, WELD, QA

5.5 SFTR,WELD, PNTR, RGRS, QA, IMCH

5.6 ELEC, SFTR, WELD, INSL, PNTR, RGRS, QA, SMTL

5.7 PNTR, QA

Machinery Work CFM: MISC such as other consumable.

Piping Work CFM: firewatch, lead analysis cost, paint material and MISC such as other consumable.

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J-2

SHIP: LCC-19 CHG/VER: 1/0

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

Structural Work CFM: marine chemist, all paints, grits including disposal cost, thinner, fasteners, fire watch cost, lead analysis cost, asbestos sampler cost and analysis cost for compartment insulation, air compressor rental cost and fuel oil cost for air hose test, ---continue to below--- ---continued from above---and misc such as temporary closure, electrodes, gases, enclosing/covering materials, and other consumable.

Electrical Work CFM: cableway installation material, air compressor rental cost, fuel oil cost for air hose test, fabricate label plate and including miscellaneous material.

Process Funding Document.

TGI NO.: FORCED DRAFT

BLOWERS

AY A 0

FOUO

M-1

SHIP: LCC-19 CHG/VER: 1/0

APPENDIX “M”

TGI MATERIAL LIST

SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH

VERSION:

CASREP

CAT:

FORCED DRAFT BLOWERS AY A 0 0

CU PHASE TITLE:

F/O – SA98081D FORCED DRAFT BLOWER VANE ACTUATOR 5-79-0-E

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 303-8894428 2 302-8894389 3 401-8895251 4 113-8787308 5 513-8895001 6 204-8783650

7 LAR SRFY0035-25

JOB ORDER: KEY OP:

3819P25001 A01

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 1 1 M CABLE,POWER,ELECTRI,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 012019494 EY NA 4 N 50135223 20/FT

002 2 2 M TRANSFORMER,POWER,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5950 005480481 NA 4 N 50145003 3/EA

003 3 2 M PANEL,POWER DISTRIB,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

3B 6110 015819912 NA 4 N 50135197 1/EA

NOTES:

BLOWERS

AY A 0

FOUO

M-2

SHIP: LCC-19 CHG/VER: 1/0

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

003 3 2 M PANEL,POWER DISTRIB,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6110 013798006 NA 4 N 51275066 1/EA

004 4 2 M CIRCUIT BREAKER, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5925 002047494 NA 4 N 50135222 8/EA

005 5 2 M YOKE,CIR, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5925 002020938 NA 4 N 50135249 4/EA

006 6 2 M CABLE,POWER,ELECTRI,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 012028463 NA 4 N 50135202 150/FT

007 7 2 M CABLE,POWER,ELECTRI,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 012019499 NA 4 N 50135204 180/FT

008 8 2 M CABLE,POWER,ELECTRI,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 012023478 NA 4 N 50135205 20/FT

009 1 3 M JUNCTION BOX, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5975 013189256 NA 4 N 50135221 1/EA

010 2 3 M RESISTOR,VARIABLE,W,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5905 014246859 NA 4 N 50135220 4/EA

011 3 3 M TRANSMITTER SUBASSE,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5895 014421010 NA 4 N 50135196 4/EA

012 5 3 M TERMINAL BOARD, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5940 009836084 NA 4 N 50135219 4/EA

013 6 3 M WIRE,ELECTRICAL, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 002754014 NA 4 N 50135218 20/FT

014 7 3 M CABLE,POWER,ELECTRI,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 6145 012053632 NA 4 N 50135208 350/FT

015 8 3 M PANEL,BLANK, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5975 009520890 NA 4 N 50135217 1/EA

016 9 3 M SCREW,MACHINE, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5305 000546672 NA 4 N 50135216 1/HD

017 10 3 M NUT,SELF-LOCKING,HE,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 015313946 NA 4 N 50245345 16/EA

017 10 3 M NUT,SELF-LOCKING,HE,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 015313946 NA 4 N 50135215 16/EA

BLOWERS

AY A 0

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M-3

SHIP: LCC-19 CHG/VER: 1/0

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

018 11 3 M WASHER,FLAT, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 004803641 NA 4 N 50135214 16/EA

019 12 3 M STUFFING, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5975 002964092 NA 4 N 50135250 8/EA

020 13 3 M PLUG,STUFFING TUBE,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5975 002963863 NA 4 N 50135232 4/PG

021 14 3 M O-RING, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5331 005798156 NA 4 N 50135251 8/EA

022 1 4 M PLATE,ME, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 9515 002336261 NA 4 N 50135252 1/PM

023 2 4 M PLATE,ME, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 9515 002336266 NA 4 N 50135254 1/PM

024 3 4 M PLATE,ME, 1 PLATE = 5FT X

2FT REQUIRED

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 9515 002243086 NA 4 N 50135255 10/SF

025 4 4 M TUBE,METALLIC, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 4710 013058994 NA 4 N 50135231 1/EA

026 5 4 M PIPE,METALLIC, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 4710 002778712 NA 4 N 50135230 20/FT

027 6 4 M PIPE,METALLIC, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 4710 002778676 NA 4 N 50135200 10/FT

028 7 4 M SCREW,CAP,HEXAGON H,

SCREW, CAP HEX,

SPEC: MIL-DTL-1222,

SIZE: 3/8"-16UNC-2A X 1-

3/4"LG,

MATL: STEEL GRADE 5,

FINISH: ZINC COATING,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5305 LL9801846 NA 4 N 50167456 16/EA

029 8 4 M NUT,SELF, NUT, SELF-

LOCKING, HEX, NON-

METALLIC INSERT, 250 DEG F,

SPEC: NASM25027,

MS17829Z6C,

SIZE: 3/8"-16UNC-3B,

MATL: STEEL,

FINISH: ZINC-PLATE,

DO NOT CROSS NSN 5310-01-

358-7622 (CRES MATL), NSN:

5310-01-527-1539 (SMIC X6),

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9B 5310 LL9005707 NA 4 N 50137605 16/EA

BLOWERS

AY A 0

FOUO

M-4

SHIP: LCC-19 CHG/VER: 1/0

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

030 9 4 M WASHER,FLAT, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 015927556 NA 4 N 50135199 16/EA

031 10 4 M SCREW, HEX CAP, SCREW,

HEX CAP,

SPEC: MIL-DTL-1222, TYPE I,

GRADE 5

SIZE: 5/16"-18UNC-2A X 1-

1/2"LG,

MATL: STEEL,

FINISH: ZINC COATED,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5305 LL9605928 NA 4 N 50167455 4/EA

032 11 4 M NUT, SELF-LOCKING, NUT,

SELF-LOCKING, HEX, NON-

METALLIC INSERT, 250 DEG F,

SPEC: NASM25027,

MS17829Z5C,

SIZE: 5/16"-18UNC-3B,

MATL: STEEL,

FINISH: ZINC PLATE,

DO NOT CROSS NSN: 5310-01-

485-9220 (SMIC: X3) AND 5310-

01-623-4029 (NOT ZINC),

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 LL4601673 NA 4 N 50167448 4/EA

033 12 4 M WASHER,FLAT, ORDER FOR

KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 012590296 NA 4 N 50135198 4/EA

034 F1 5 M CAP, TUBE FITTING CAP,

TUBE OD: 1/4",

FITTING TYPE: TWO FERRULE

TUBE FITTING A-LOK,

PRODUCT TYPE:

COMPRESSION FITTINGS,

MATL: BRASS,

ORDER FOR KTR

ORIG: C226 Y.TSUCHIYA 080-

9350-1436

9B 4730 LL9311185 NA 4 N 50277471 8/EA

035 F2 5 M CAP, TUBE FITTING CAP,

TUBE OD: 3/8",

FITTING TYPE: TWO FERRULE

TUBE FITTING A-LOK,

PRODUCT TYPE:

COMPRESSION FITTINGS,

MATL: BRASS,

ORDER FOR KTR

ORIG: C-226 Y.TSUCHIYA 080-

9350-1436

9B 4730 LL9311184 NA 4 N 50277468 4/EA

036 F1 6 M ACTUATOR,MECHANICAL,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

3B 1680 016789889 NA 4 N 50165005 4/EA

BLOWERS

AY A 0

FOUO

M-5

SHIP: LCC-19 CHG/VER: 1/0

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

037 F3 6 M SETSCREW, SETSCREW,

HEXAGON CUP-POINT

THEADLESS, SPEC: ASME

B18.3, ASTM F912, SIZE: 1/4”-

20UNC-3A X 1/2” LG,

LOCKING TYPE: THREAD

LOCKER, THREAD LOCKER

TYPE: NYLON PATCH, MATL:

ALLOY STEEL,

FINISH: BLECK-OXIDE, DO

NOT CROSS NSN: 5305-01-534-

2836(OBSOLETE),

9B 5305 LL9100955 NA 4 N 50917455 1/PG

038 F4 6 M BALL JOINT ROD,

LUBRICATION-FREE BALL

JOINT ROD END, SHANK

THREAD SIZE: 1/2"-20, ID: 1/2",

MAXIMUM BALL SWIVEL: 12

DEG,

WIDTH: 1-5/16", THK: 5/8",

SHANK CENTER LENGTH: 2-

1/8", SHANK THREAD LENGTH:

1-1/16", SHANK THREAD

DIRECTION: LEFT HAND, LOAD

CAPACITY: 6450 LBS, MATL:

CARBON STEEL, FINISH: ZINC

PLATED

9B 3040 LL9100953 NA 4 N 50917453 4/EA

039 F5 6 M THREADED ROD, THREADED

ROD, SIZE: 1/2"-20UNF-2A X 1

FT LG, TENSILE STRENGTH:

70000 PSI, THREAD

DIRECTION: RIGHT HAND,

THREADING: FULLY

THREADED, MATL: 18-8

STAINLESS STEEL,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5306 LL9100951 NA 4 N 50917451 4/EA

040 F6 6 M THREADED ROD, THREADED

ROD, SIZE: 1/2"-20UNF-2A X

1FT LG, TENSILE STRENGTH:

70000 PSI, THREAD

DIRECTION: LEFT HAND,

THREADING: FULLY

THREADED, MATL: 18-8

STAINLESS STEEL,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5306 LL9100950 NA 4 N 50917450 4/EA

041 F7 6 M NUT,PLAIN,HEXAGON, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 009895525 NA 4 N 50155187 16/EA

042 F8 6 M HEXAGON BAR, HEXAGON

BAR, SPEC: ASTM A108

GRADE: 1215, WIDTH: 1",

LENGTH: 1 FT, YIELD

STRENGTH: 60000 PSI,

FABRICATION: COLD

WORKED, MATL: CARBON

STEEL,

ORDER FOR KTR

ORIG: C226 Y. TSUCHIYA 080-

9B 9510 LL9100952 NA 4 N 50917452 4/EA

BLOWERS

AY A 0

FOUO

M-6

SHIP: LCC-19 CHG/VER: 1/0

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

043 F9 6 M SHOULDER SCREW,

SHOULDER SCREW SELF-

LOCKING, SPEC: ASME 18.3,

ASTM A574, DRIVE STYLE:

HEXAGON, SHOULDER DIA:

5/8", SHOULDER LENGTH: 1-1/4",

THREAD SIZE: 1/2-13UNC-3A,

THREAD LENGTH: 3/4", HEAD

DIA: 7/8",

THREAD LOCKER TYPE:

NYLON PELLET

ORDER FOR KTR

ORIG: C226 Y. TSUCHIYA 080-

9350-1436

9B 5305 LL9100954 NA 4 N 50917454 4/EA

044 F11 6 M BAR,METAL, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 9510 005419656 NA 4 N 50155221 1/FT

045 F12 6 M PLATE,ME, ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 9515 002336269 NA 4 N 50155225 1/PM

046 F13 6 M SCREW,CAP,HEXAGON H,

ORDER FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5305 012862636 NA 4 N 50155197 1/BX

047 F14 6 M NUT,PLAIN,HEXAGON, ORDER

FOR KTR

ORIG: C-226 Y. TSUCHIYA 080-

9350-1436

9B 5310 012945273 NA 4 N 50155191 1/BX

100 M INSULATI, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9Q 5640 008096312 NA 4 N 50625117 3/EA

101 M INSULATI, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9Q 5640 008096315 NA 4 N 50625118 3/EA

102 M SOUND CO, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9Q 5640 007565866 NA 4 N 50625115 3/SH

103 M INSULATI, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 2510 016490178 NA 4 N 50625121 3/EA

104 M TAPE,TEX, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 8315 002671632 NA 4 N 50625120 1/RO

105 M TAPE,TEX, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 8315 002671633 NA 4 N 50625116 1/RO

106 M ADHESIVE, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 8040 002738708 NA 4 Y 50625114 1/GL

107 M ANGLE,STRUCTURAL, 2 EA X

10FT CONTINUOUS LENGTH

ORIG: C231B T. ASHINA 243-

4370, ORDERED FOR KTR

3B 9520 009545666 NA 4 N 50625110 20/FT

108 M PLATE,ME, 3FT X 1FT X 1PM

ORIG: C231B T. ASHINA 243-

4370, ORDERED FOR KTR

9B 9515 001533184 NA 4 N 50625112 3/SF

109 M ANGLE,ST, 2EA X 10FT

CONTINUOUS LENGTH

ORIG: C231B T. ASHINA 243-

4370, ORDERED FOR KTR

9B 9520 002897013 NA 4 N 50625106 20/FT

BLOWERS

AY A 0

FOUO

M-7

SHIP: LCC-19 CHG/VER: 1/0

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

300 M STANDOFF,THREADED,S,

ORDERED FOR CONTRACTOR

ORIG: CODE 233 S.OGAWA

090-6170-8579

9B 5340 002829526 NA 4 N 50655066 1/HD

301 M NUT,PLAIN,HEXAGON,

ORDERED FOR CONTRACTOR

ORIG: CODE 233 S.OGAWA

090-6170-8579

9B 5310 009138881 NA 4 N 50655092 1/HD

302 M WASHER,LOCK, ORDERED

FOR CONTRACTOR

ORIG: CODE 233 S.OGAWA

090-6170-8579

9B 5310 001947356 NA 4 N 50655067 1/HD

303 7 M SWITCH,TOGGLE, ORDERED

FOR CONTRACTOR

ORIG: CODE 233 S.OGAWA

090-6170-8579

9B 5930 008522407 NA 4 N 50655032 4/EA

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR APPENDIX "D"

DEFICIENCY FORM

☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One)

2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

LCC-19 FORCED DRAFT BLOWERS AY A 0

4a. ICN: 4b. KEY OP: 5. LOC SPACE/LVL: FRAME: P/S/C: 6. CAUSED BY:

3819P25001 A01

7. DESCRIPTION:

8. ORIGINATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

9. CORRECTIVE ACTION:

10. EVALUATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

FOR NON-NUCLEAR USE ONLY

11. RFD/RFW REQ’D ☐ LAR REQ'D ☐

ILS MOD REQ’D ☐

SRD/PLAN REV REQ'D ☐

DWG NO.: _____________________ S/A NO.: ___________________

12. ISOLATION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.:

SATISFACTORY:

13. SUBSAFE OQE RECORD? SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

YES ☐ NO ☐

14. CORRECTIVE ACTION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE:

15. INSPECTION REQ’D? INSPECTION COMPLETE/SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

_________:YES ☐ NO ☐

16. RECORDS REVIEW SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE (DR ONLY)

DL’s ISSUED

(DR ONLY)

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR Deficiency Form Continuation Sheet ☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One) 2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

LCC-19 FORCED DRAFT BLOWERS AY A 0

3819P25001A01

ENGRG INST

ENCLOSURE-01 Sheet 1 of 2

3819P25001A01

ENGRG INST

ENCLOSURE-01 Sheet 2 of 2