Appendix C Template.pdf

24 November 2015 Appendix C - AE2100 QEC Subsystems Inspection

Appendix C - Page 1 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC S/N: LMG7169- Performed at: TMMC Date: ______________ Removed from Engine S/N: KC-130J Event BUNO:

Instrument Type Instrument S/N Probe Type Probe S/N Cs -137

Efficiency (%)

Nominal Minimum Detectible

Activity (MDA)

Calibration Date

LAM12 1309LAM12008 N/A N/A N/A

* All items within this document were surveyed for radioactive contamination using the LAM 12 bulk counter or inspection probe in accessible locations. Some items were also swiped/swabbed depending on geometry or presence of loose debris

(ex. dirt) to obtain a removable (loose) contamination value. The highest reading was placed in data column.

_____No loose contamination above 1,000 dpm/100 cm2, fixed contamination above 5,000 dpm/100 cm2, or 15,000 dpm total activity per component was found on any component.

X X X Radiation Safety Officer Surveyor Reviewer Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

X X X Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

X X X Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

Appendix C - Page 2 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC Subsystem Inspection Requirements:

Part numbers are representative numbers listed for reference only. Refer to applicable C-130 publications for alternate part numbers.

Preferred inspection method for all components in this appendix is the LAM 12. If a component cannot fit inside the LAM 12, the complete outside surface shall be surveyed (frisked), and the inside surface shall be inspected by wiping and analyzing the wipe for radioactivity. If a tube, hose, or duct cannot fit inside the LAM 12, the entire outside surface shall be surveyed, and the internal surface of the tube, hose, or duct shall be inspected by wiping internally at least 2 inches from the end and analyzing the wipe for radioactivity.

List all of the equipment used for the inspection on Page 1.

Circumferential items/features shall be inspected at a minimum of three locations with up to a 360 degree inspection as available. Reading from circumferential location with highest reading shall be recorded.

Inspection surface points that exceed 0.5 inch from survey instrument probe shall be wiped, and the wipe shall be analyzed for radioactivity.

This inspection has instances where multiple items share the same figure and description; survey all items and record the highest value.

For parts with a large surface area describe dimensions and location of area that exhibits contamination in excess of 5,000 dpm/100 cm2.

Fire suppression and anti-icing piccolo tubes shall be inspected using the LAM 12.

All fittings, gaskets, couplings, nuts and bolts connecting the removed components shall be inspected. If the removed component is being inspected via the LAM 12, these items can remain on the removed component. If the removed component is only being surveyed using a hand held survey instrument, these items shall be removed from the component and the complete outside surface surveyed with the inside surface of fittings being inspected by wiping the surface and analyzing the wipe for radioactivity.

Parts with o-rings or gaskets shall be measured with o-ring/gasket attached.

Support clamps shall remain on the removed component and be inspected along with the removed component.

Mounting brackets shall be surveyed when components are removed.

“N/R” used throughout this document signifies “not required”. “N/A” used throughout this document signifies “not applicable”.

Appendix C - Page 3 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC Subsystem Inspection Requirements: (continued)

For item surveys which have an Item # “All Assy”, items shall be hand frisked as an assembly and record the highest hand frisk survey reading in the initial survey block.

For items requiring LAM 12 survey, if hand frisk survey readings are below limits, remove items identified in the survey inspection sheet.

These items, and the items in the figure removed to gain access, shall also be surveyed in the LAM 12 bulk counter as an assembly unless otherwise noted, and record the reading in the Initial LAM 12 survey block.

If bulk counter and hand frisk survey readings are within the limits on page 1 of this appendix, then further disassembly is not required and the “All Assy” reading shall be applied to all parts in the table.

If hand frisk survey or LAM 12 survey readings are above the limits, then follow approved DECON procedures identified in the plan, record individual item survey data, and circle any parts on the diagram that are quarantined.

For item surveys which have an Item # “All Assy” and require LAM 12 survey, if all of the items identified will not fit in the LAM 12 simultaneously, annotate on the survey page accordingly, and use the LAM 12 results ID column to differentiate between “lots” of parts surveyed.

If contamination is found on items not specifically identified in the tables, then manually annotate survey location and values on the bottom of the survey sheet.

Apply any transmission factors to the LAM 12 results as deemed appropriate for the component being surveyed and ensure the transmission factor is recorded on the LAM 12 survey form. As a guide, use the following transmission factors:

Thickness of Metal Transmission Factor

0.5 inch 0.75

1.0 inch 0.50

2.0 inch 0.25

For items surveyed utilizing the LAM 12 bulk counter, insert the LAM 12 results ID number in the applicable results ID column of the survey sheet and attach applicable LAM 12 printouts to the inspection package. Annotate appendix page, figure number, item number, and applied transmission factors on each LAM 12 printout.

Appendix C - Page 4 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL QUARANTINE PARTS LIST SHEET INSTRUCTIONS

One sheet is provided. Attach additional sheets, as necessary.

Enter engine S/N from Page 1, module (QEC, PGB, GMAD, torquemeter, or power section), and last survey date.

In the Appen. - Page # column, enter the appendix letter, followed by a “–“, then the appendix page number.

Enter the figure #, item #, and description from the applicable survey sheet, in the applicable columns.

Enter the P/N and S/N identified on the part, in the applicable columns. If the part is not serialized, enter “N/A” in the S/N column.

Enter final survey measurement, final loose measurement, final LAM 12 results ID, and final LAM 12 measurement from the applicable DECON sheet, in the applicable columns.

In the space provided in page footer, enter the page number of the applicable quarantine page.

Engine S/N Module Module S/N Date

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C – Page __________ of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QUARANTINED PARTS LIST

Appen

Page# Figure # Item # Description P/N S/N Final Survey

(dpm/100 cm2)

Final Loose/ Swipe (dpm/

100 cm2)

Final LAM 12 Results

ID

Final LAM 12 Survey (dpm total activity)

Appendix C - Page 6 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL DECON SHEET INSTRUCTIONS

Attach sheet(s) as required following the frisk/LAM 12 initial survey page and before applicable LAM 12 survey sheets.

Enter the survey date, meter, probe, engine S/N, LAM 12 survey date, LAM 12 S/N, background, and Beta efficiency.

In the DECON Method column, annotate method of decontamination used (such as wipe, wash tank, etc.); provide additional comments as required.

Enter the figure number and item number that corresponds to the applicable survey page.

At the bottom of the page annotate survey plan page followed by “–“ then number of Supplemental DECON sheets.

Add detailed findings in the “Additional Comments” section, to include, but not limited to, areas on each component with the highest survey readings.

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page __________ of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL DECON SHEET

FIGURE NUMBER:

Item # Initial Survey

(dpm/100 cm2)

Final Survey (dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Final Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

Final LAM 12 Results ID

Final LAM 12 Survey (dpm total activity)

DECON

Method

Quarantined?

(Y or N)

ADDITIONAL COMMENTS:

Appendix C - Page 8 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

26-20-00 FIGURE 7 ENGINE FIRE SUPPRESSION

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 9 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

26-20-00 FIGURE 7 ENGINE NACELLE FIRE SUPPRESSION

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

26-20-00 FIGURE 7 ENGINE NACELLE

FIRE SUPPRESSION N/A

30 TUBE ASSY, FIRE SUPPRESSION 3350959-1

75 TUBE ASSY, FIRE SUPPRESSION 3351604-1

155 TUBE ASSY, PICCOLO, FIRE

SUPPRESSION 3351603-3

190 TUBE ASSY, FIRE SUPPRESSION 3351606-1

200 TUBE ASSY, PICCOLO, FIRE

SUPPRESSION 3351605-3

205 TUBE ASSY, FIRE SUPPRESSION 3350957-1

215 TUBE ASSY, FIRE SUPPRESSION 3354429-1 OR

3350954-1

250 TUBE ASSY, PICCOLO, FIRE

SUPPRESSION 3350955-3

305 TUBE ASSY, FIRE SUPPRESSION 3354430-1

310 TUBE ASSY, FIRE SUPPRESSION 3352487-1

320 TUBE ASSY, FIRE SUPPRESSION 3352197-1

325 TUBE ASSY, FIRE SUPPRESSION 3352488-1 OR

3358516-1

335 TUBE ASSY, PICCOLO, FIRE

SUPPRESSION 3357515-1

340 TUBE ASSY, PICCOLO, FIRE

SUPPRESSION 3357516-1

Appendix C - Page 10 of 48

29-10-00 FIGURE 1 POWER PLANT HYDRAULICS

Appendix C - Page 11 of 48

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 12 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

29-10-00 FIGURE 1 POWER PLANT HYDRAULICS

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

85* TUBE ASSY, HYDRAULIC PUMP

CASE DRAIN RETURN

3350923-1 OR

3352195-1 N/R N/R

ALL

ASSY

29-10-00 FIGURE 1 POWER PLANT

HYDRAULICS (EXCEPT ITEM 85) N/A

10 HOSE ASSY, HYDRAULIC SUPPLY AS622-16H0431

30 HOSE ASSY, HYDRAULIC

PRESSURE AS622-10H0306

50 HOSE ASSY, HYDRAULIC PUMP

CASE DRAIN RETURN AS623-06H0183

135 TUBE ASSY, HYDRAULIC SUPPLY 3350925-1

150 HOSE ASSY, HYDRAULIC

PRESSURE AS623-10H0352

434 FILTER AC-2291-104

440 FILTER ELEMENT

AC-2291-F10

OR

AC-2291EB-10

520 HYDRAULIC PUMP 66039 OR

66039-01

*All removed items in this figure require LAM 12 survey, except item 85, as item 85 will not fit in the LAM 12.

Appendix C - Page 13 of 48

30-20-00 FIGURE 3 NACELLE ANTI-ICING

Appendix C - Page 14 of 48

Appendix C - Page 15 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC S/Ns LMG7169-0001 through -0346

QEC S/Ns LMG7169-0347 and above

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 16 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

30-20-00 FIGURE 3 NACELLE ANTI-ICING

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

30-20-00 FIGURE 3 NACELLE ANTI-

ICING N/A

65 PRESSURE TRANSDUCER 1833B3

90 TUBE ASSY, ANTI-ICE 3351623-1

105 HOSE ASSY 44071

108 HOSE ASSY 44755

195 HOSE ASSY 42824

270 TUBE ASSY, PICCOLO 3352475-1

Items 65, 90, 95, and 105 are specific to QEC S/Ns QEC S/Ns LMG7169-0001 through -0346. Item 108 is specific to QEC S/Ns QEC S/Ns LMG7169-0347 and above.

Appendix C - Page 17 of 48

36-10-00 FIGURE 6 COMPRESSOR BLEED AIR PLUMBING

Appendix C - Page 18 of 48

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 19 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

36-10-00 FIGURE 6 COMPRESSOR BLEED AIR PLUMBING

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

36-10-00 FIGURE 6 COMPRESSOR

BLEED AIR PLUMBING N/A

10 DUCT ASSY, BLEED AIR, LOW

PRESSURE

697989-7 OR

698269-7

30 DUCT ASSY, BLEED AIR, LOW

PRESSURE

697989-21 OR

698269-21

50 DUCT ASSY, BLEED AIR, LOW

PRESSURE

697989-5 OR

698269-5

65 DUCT ASSY, BLEED AIR, LOW

PRESSURE

697989-3 OR

698269-3

85 DUCT ASSY, PNEUMATIC MIXING 698000-1

115 CHECK VALVE, ENGINE BLEED AIR 697998-1 OR

697998-3

150 PNEUMATIC CONTROLLER, HIGH

STAGE BLEED AIR AUGMENTOR 697999-1

205 DUCT ASSY, BLEED AIR, HIGH

PRESSURE

697989-11 OR

698269-11

210 DUCT ASSY, BLEED AIR, HIGH

PRESSURE

697989-13 OR

698269-13

240 DUCT ASSY, BLEED AIR, HIGH

PRESSURE

697989-9 OR

698269-9

275 VALVE, HIGH STAGE BLEED AIR

AUGMENTOR

697996-1 OR

697996-3

295 FILTER, HIGH STAGE BLEED AIR

AUGMENTOR VALVE 728872-3

Appendix C - Page 20 of 48

71-10-00 FIGURE 1 ENGINE COWLING

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 21 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-10-00 FIGURE 1 ENGINE COWLING

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

71-10-00 FIGURE 1 ENGINE

COWLING N/A

800 HOSE ASSY, ENGINE AIR DUCT,

ANTI-ICING 755073-1

830 ELBOW 755074-1

835 ELBOW ASSY, ENG AIR DUCT, FWD

MFD 346429

860 PAN ASSY, GEAR CASE OIL 346428

Appendix C - Page 22 of 48

71-70-00 FIGURE 2 NACELLE DRAINS

Appendix C - Page 23 of 48

Appendix C - Page 24 of 48

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 25 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-70-00 FIGURE 2 NACELLE DRAINS

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

71-70-00 FIGURE 2 NACELLE

DRAINS N/A

15 TUBE ASSY, OVERBOARD

DRAIN, PROP OIL SCUPPER 388968-1

20 TUBE ASSY, OVERBOARD

DRAIN, PROP OIL SCUPPER

363800-147 3358521-1

90 TUBE ASSY, NACELLE DRAIN 3350928-1

95 TUBE ASSY, NACELLE DRAIN 3350929-1

100 TUBE ASSY, DRAIN, PROP OIL

SCUPPER 3350926-1

120 VALVE, LUBE OIL TANK DRAIN 32141

140 HOSE ASSY, FUEL MFD DRAIN MS8005E110CA

150 HOSE ASSY, CVG ACTUATOR

SEAL DRAIN MS8005E292EA180

160 HOSE ASSY, L.O. TANK

SCUPPER DRAIN MS8005E342C

170 HOSE ASSY, FUEL PUMP

SHAFT DRAIN

MS8005E350CA OR

MS8005E364CA

180 HOSE ASSY, STARTER DRAIN MS8005E364C

185 HOSE ASSY, PROP SHAFT

DRAIN MS8005E410B

190 HOSE ASSY, HYDR PUMP SEAL

DRAIN MS8005E414AA

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 26 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-70-00 FIGURE 2 NACELLE DRAINS (Cont)

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

71-70-00 FIGURE 2 NACELLE

DRAINS (CONT) N/A

195 HOSE ASSY, HYDR PUMP SEAL

DRAIN MS8005E546CA

200 HOSE ASSY, PROP SHAFT

DRAIN MS8005E582C

205 HOSE ASSY, LUBE OIL TANK

DRAIN MS8005G122B

210 HOSE ASSY, LUBE OIL TANK

DRAIN MS8005G454B

Appendix C - Page 27 of 48

72-30-00 FIGURE 2 POWER PLANT WATER WASH

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 28 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-30-00 FIGURE 2 POWER PLANT WATER WASH

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

30 TUBE ASSY, WATER WASH 3351615-1 N/R N/R

ALL

ASSY

72-30-00 FIGURE 2 POWER PLANT

WATER WASH (EXCEPT ITEM 30) N/A

10 HOSE ASSY, WATER WASH AIR 698032-1 OR

698270-1

65 HOSE ASSY MS8005E260BA

Appendix C - Page 29 of 48

73-10-00 FIGURE 3 FUEL PRESSURE SIGNAL

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 30 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

73-10-00 FIGURE 3 FUEL PRESSURE SIGNAL

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

73-10-00 FIGURE 3 FUEL

PRESSURE SIGNAL N/A

10 TUBE ASSY, FUEL 3350933-1

90 TUBE ASSY, FUEL 3350935-1

110 SIGNAL ASSY, FUEL PRESSURE 40088

140 HOSE ASSY, FUEL A7731-1

155 HOSE ASSY MS8005E546CA

230 TUBE ASSY, FUEL DRAIN 3354427-1

Appendix C - Page 31 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

73-20-00 FIGURE 4 FADEC/NIU ENCLOSURE

Alternate configuration (reference

TCTO TO 2(K)J-AE2100D3-542)

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 32 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

73-20-00 FIGURE 4 FADEC/NIU ENCLOSURE

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

73-20-00 FIGURE 4 FADEC/NIU

ENCLOSURE N/A

420 HOSE, FADEC 698073-1

Appendix C - Page 33 of 48

75-10-00 FIGURE 1 ENGINE ANTI-ICING

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 34 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

75-10-00 FIGURE 1 ENGINE ANTI-ICING

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

75-10-00 FIGURE 1 ENGINE ANTI-

ICING N/A

205 ELBOW ASSY, ENGINE AIR DUCT,

ANTI-ICING, AFT 347231

Appendix C - Page 35 of 48

75-20-00 FIGURE 1 ENGINE OIL COOLER PAN

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 36 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

75-20-00 FIGURE 1 ENGINE OIL COOLER PAN

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

75-20-00 FIGURE 1 ENGINE OIL

COOLER PAN N/A

235 VALVE, OIL COOLER AUGMENTATION

SYSTEM 698119-1

* 275 EJECTOR ASSY, OIL COOLER

AUGMENTATION SYSTEM 698118-3

305 TUBE ASSY, OIL COOLER

AUGMENTATION SYSTEM 3353341-1

310 PRESSURE SWITCH 1103P1036

345 DUCT ASSY, OIL COOLER

AUGMENTATION SYSTEM

698118-5 OR

698118-7

* Removal and LAM 12 survey is not required for the oil cooler augmentation system ejector assy (item 275) if the initial LAM 12 survey of the valve (item 235), tube assy (item 305), pressure switch (item 310), duct assy (item 345), and oil cooler assy (ref 79-20-00 figure 8, item 230) are within acceptable limits; and the initial Frisk survey of the oil cooler augmentation system ejector assy is within acceptable limits. If contamination is found above limits for any of the aforementioned items, the oil cooler augmentation system ejector assy shall be removed and surveyed in the LAM 12.

Appendix C - Page 37 of 48

75-40-00 FIGURE 1 COMPRESSOR TEMPERATURE AND PRESSURE SENSORS

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 38 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

75-40-00 FIGURE 1 COMPRESSOR TEMPERATURE AND PRESSURE SENSORS

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

* 170 PROBE, STATIC PRESSURE 3351627-1

195 HOSE ASSY MS8005E386C

* Static pressure probe (item 170) removal and LAM 12 survey is not required if the initial survey of the probe and initial LAM 12 survey of the hose assembly is found within acceptable limits. If contamination is found above acceptable limits, the probe shall be removed and surveyed in the LAM 12.

Appendix C - Page 39 of 48

79-10-00 FIGURE 1 ENGINE OIL TANK

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 40 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-10-00 FIGURE 1 LUBE OIL TANK

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY 79-10-00 FIGURE 1 LUBE OIL TANK N/A

195 VALVE, SHUTOFF, OIL TANK SUMP 132555-1

220 VALVE, OIL TANK PRESSURIZING 411600-5 OR

203-0001-01

Note: Oil tank item 165 is surveyed in 79-20-00 Figure 8, item 400.

Appendix C - Page 41 of 48

79-20-00 FIGURE 7 OIL COOLER FLAP ACTUATOR

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 42 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-20-00 FIGURE 7 OIL COOLER FLAP AND ACTUATOR

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

79-20-00 FIGURE 7 OIL COOLER

FLAP AND ACTUATOR N/A

10 ACTUATOR, OIL COOLER FLAP

1105123-1 880T100-3

8656 OR

8656M2

Appendix C - Page 43 of 48

79-20-00 FIGURE 8 ENGINE NACELLE LUBRICATION DISTRIBUTION

Appendix C - Page 44 of 48

Appendix C - Page 45 of 48

Appendix C - Page 46 of 48

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 47 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-20-00 FIGURE 8 ENGINE NACELLE LUBRICATION DISTRIBUTION

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

79-20-00 FIGURE 8 ENGINE

NACELLE LUBRICATION

DISTRIBUTION

N/A

10 TUBE ASSY, OIL SUPPLY,

POWER SECTION 3350917-1

65 HOSE ASSY, OIL SUPPLY

POWER SECTION AS4499-12H0167A

100 HOSE ASSY, OIL COOLING,

ACOC DISCH A7733-3

115 HOSE ASSY, OIL COOLING,

ACOC SPLY A7733-5

215 TEE ASSY, AIR/OIL SEPARATOR 230-0259-01

220 TUBE ASSY, OIL DIVERTER 3350953-3

230 COOLER ASSY, OIL 697997-1

390 HOSE ASSY, AUX FEATHER

PUMP DISCHARGE A7758-1

400 OIL TANK ASSY 3355156-31 OR

335770-1

405 HOSE ASSY, LUBE

VENT/BREATHER A7742-1

655 HOSE ASSY, AUX FEATHER

PUMP SUPPLY AS4353-08H0211U

660 HOSE ASSY, OIL SCAVENGER A7723-1

665 HOSE ASSY, LUBE AIR/OIL

SEPARATOR A7755-2

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix C - Page 48 of 48

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-20-00 FIGURE 8 ENGINE NACELLE LUBRICATION DISTRIBUTION (Cont)

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

79-20-00 FIGURE 8 ENGINE

NACELLE LUBRICATION

DISTRIBUTION (CONT)

N/A

670 TUBE ASSY, OIL, DIVERTER

VALVE TANK RETURN 3350948-2

675 HOSE ASSY, OIL, DIVERTER

VALVE TANK RETURN MS8005H180DA120