Hull Cleaning MPC for Semi-annual.pdf

U.S. COAST GUARD

COMPUTERIZED MAINTENANCE SYSTEM

WPC-154

B10015.D

REV'D 10/31/19

ASSET NUMBER OPERATING ACTIVITY MAINTENANCE ACCOMPLISHED MAINTENANCE DUE

DATE ASSET HOURS DATE ASSET HOURS

MO DAY YEAR MO DAY YEAR

ZULU DATE ZULU TIME

MO DAY YEAR

ITEM 1

DUE

CMS CODE ACTION DESCRIPTION CEINUM

B10015 INSP/CLN UNDERWATER BODY (DIVER) P3-B000-001

SCHEDULED UNSCHEDULED

MAN HOURS: MK___.___DC___.___EM___.___ET___.___IT___.___GM___.___BM___.___FN___.___SN___.___ME___.___OTHER___.___

REMARKS:

TECHNICIAN'S

SIGNATURE

TECHNICIAN'S

ID

* ASTERISK INDICATES QA REQUIRED QA

REVIEWED

BY

LOG YN DATA

ENTRY

COMPLETED

Distribution Statement D: Distribution authorized to the DHS/CG/DoD and their contractors Administrative/Operational use, 10/16/19. Other requests shall be referred to the appropriate asset product line.

WARNING: This document contains technical data whose export is restricted by the Arms Export-Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C. App 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5200.22-M, National Industrial Security Program Operating Manual, Section 5-705 or DoD 5200.1-R, Information Security Program Regulation, Chapter VI, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

PRIVACY ACT STATEMENT

Authority: 44 U.S.C. 3101; 44 U.S.C. 3534; 5 U.S.C. §552a (e)(3); and Executive Order 9397.

Purpose: To account for scheduled and unscheduled maintenance performed on CG aircraft and surface assets.

Routine Uses: Authorized CG personnel will use this information to document scheduled and unscheduled maintenance, man-hours expended, and the technician respon-sible for tasks performed on CG aircraft and surface assets. Any external disclosures of data within this record will be made in accordance with DHS/ALL-004, General Information Technology Access Account Records, 77 Federal Register 70792, November 27, 2012.

Disclosure: Furnishing your Tech ID is voluntary; however, the inability to collect this information could result in untimely or incomplete Asset Computerized Maintenance System reports or the inability for the CG to make informed decisions regarding manpower analysis.

WPC-154

B10015.D

REV'D 10/31/19

ASSET NUMBER OPERATING ACTIVITY MAINTENANCE ACCOMPLISHED MAINTENANCE DUE

DATE ASSET HOURS DATE ASSET HOURS

MO DAY YEAR MO DAY YEAR

REFERENCES:

DWG 154-WPC-111-301, Rev 9, Shell Expansion DWG 154B-WPC-111-301, Rev 9, Shell Expansion DWG 154-WPC-161-301, Rev 4, Skeg Construction DWG 154B-WPC-161-301, Rev 4, Skeg Construction DWG 154-WPC-169-201, Rev 7, Structural Closure Stern Gate DWG 154B-WPC-169-201, Rev 7, Structural Closure Stern Gate DWG 154-WPC-562-201, Rev 4, Rudder Details DWG 154B-WPC-562-201, Rev 4, Rudder Details DWG 154-WPC-565-201, Rev 5, Fin Stabilizer System A and D DWG 154B-WPC-565-201, Rev 5, Fin Stabilizer System A and D DWG 154-WPC-568-201, Rev 4, Bow Thruster System A and D DWG 154B-WPC-568-201, Rev 4, Bow Thruster System A and D DWG 154-WPC-997-301, Rev 2, Docking Plan DWG 154B-WPC-997-301, Rev 2, Docking Plan COMDTINST M9000.6, Naval Engineering Manual Naval Ships’ Technical Manual, Chapter 081 (Waterborne Underwater Hull

Cleaning of Navy Ships) EPA 800-R-11-004, Underwater Ship Husbandry Discharges

REVIEWED

BY

LOG YN DATA

ENTRY

COMPLETED

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document. Page 2 of 32 https://cg.portal.uscg.mil/sites/externaldata/Directives/CIM_9000_6G.pdf

WPC-154

B10015.D

REV'D 10/31/19

MK BM

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

DC IT

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

EM FN

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

ET SN

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

GM OTHER

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

NAME: ____________________________TECH ID/TH: _______/_____ NAME: ____________________________TECH ID/TH: _______/_____

PRIVACY ACT STATEMENT

Authority: 44 U.S.C. 3101; 44 U.S.C. 3534; 5 U.S.C. §552a (e)(3); and Executive Order 9397.

Purpose: To account for scheduled and unscheduled maintenance performed on CG aircraft and surface assets.

Routine Uses: Authorized CG personnel will use this information to document scheduled and unscheduled maintenance, man-hours expended, and the technician respon-sible for tasks performed on CG aircraft and surface assets. Any external disclosures of data within this record will be made in accordance with DHS/ALL-004, General Information Technology Access Account Records, 77 Federal Register 70792, November 27, 2012.

Disclosure: Furnishing your Tech ID is voluntary; however, the inability to collect this information could result in untimely or incomplete Asset Computerized Maintenance System reports or the inability for the CG to make informed decisions regarding manpower analysis.

WPC-154

B10015.D

REV'D 10/31/19

1 UNDERWATER BODY AND APPENDAGES INSPECT/CLEAN (DIVER)

REFERENCES:

COMDTINST 9077.1 (series) Equipment Lockout/Tags-Plus Instruction Engineering Operational Sequencing System (EOSS)

MPC B10018.D

TOOLS/TESTEQUIPMENT:

As Needed by Contractor

EXPENDABLES:

NONE

CONSUMABLES:

As Needed by Contractor

A PRELIMINARY STEPS

NOTE: EPO shall submit the service request thru their Sector EO to the SFLC Asset Manager inbox 60 days prior to required due date for the annual inspection. Services should be ordered by removing and using the service request Form 1 at the end of this MPC. Fill in the required information and the forward service request Form 1 to your Program Depot Maintenance (PDM) for processing.

NOTE: Replacing the underwater zinc anodes shall be done annually in conjunction with this MPC. They are required to be replaced an-nually because they deteriorate at a much faster rate than originally designed.

1. Replace the underwater zinc anodes, (Comply with MPC B10018.D).

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document. Page 4 of 32 https://cg.portal.uscg.mil/sites/externaldata/Directives/CI_9077_1D.pdf http://osc-s-lim-ap106.osc.uscg.mil:8888/webcenter/content/conn/WCC1/path/i/Surface/MPC/154-WPC_B10018.D.pdf http://osc-s-lim-ap106.osc.uscg.mil:8888/webcenter/content/conn/WCC1/path/i/Surface/MPC/154-WPC_B10018.D.pdf

WPC-154

B10015.D

REV'D 10/31/19

CAUTION

EPA REQUIRES VESSEL OWNER/OPERATORS TO MINIMIZE

THE RELEASE OF COPPER BASED ANTIFOULANT PAINT

INTO THE WATER COLUMN WHEN THEY CLEAN THE VES-

SEL. CLEANING OF COPPER BASED ANTIFOULANT PAINTS

SHOULD NOT RESULT IN ANY VISIBLE CLOUD OR PLUME

OF PAINT IN THE WATER, AND IF ONE DEVELOPS, THEN

THE PERSON DOING THE CLEANING SHOULD CHANGE TO

A SOFTER BRUSH OR LESS ABRASIVE CLEANING TECH-

NIQUE (USEPA, 2008).

NOTE: This MPC is a contracted item and personnel listed are for inspection and tag-out purposes only.

NOTE: The contract to inspect/clean the hull and appendages must contain language for a requirement of photographs and video footage for all underwater body and appendages.

NOTE: In the 2008 VGP, EPA required that vessel owner/operators who must perform hull husbandry while the vessel is in the water should use methods that minimize the discharge of fouling organisms and AFCs.

NOTE: Select the appropriate soft cleaning brush or sponge rigidity to minimize the release of paints and hull materials including AFCs into the water column.

NOTE: Limit the use of hard brushes and surfaced tools for the re-moval of hard growth.

NOTE: Use of vacuum cleaning technologies (when available) in con-junction withmechanical scrubbing, tominimize the release or disper-sion of AFCs and fouling organisms into the water column is highly encouraged.

2. Assign someone to take notes of the diver(s) conditions found during execution of this maintenance.

3. Ensure that the area is safe for maintenance.

WARNING

ENSURE EQUIPMENT IS PROPERLY TAGGED OUT. FAILURE

TO COMPLY MAY RESULT IN SERIOUS PERSONAL INJURY

OR DEATH.

4. Complete Red Danger Tags IAW COMDTINST 9077.1 (series).

5. Attach the Danger Tags to the following IAW Engineering Operational Sequencing System (EOSS):

a. Shaft, port.

(1) Install shaft lock on the port shaft in the main engine room.

b. Shaft, starboard.

(1) Install shaft lock on the starboard shaft in the main engine room.

c. SEAWATER COOLING INLET valve, port.

(1) Close SEAWATER COOLING INLET valve in the main engine room, valve # MSW-V-2-28-2.

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WPC-154

B10015.D

REV'D 10/31/19

d. SEAWATER COOLING INLET valve, starboard.

(1) Close SEAWATER COOLING INLET valve in the main engine room, valve #MSW-V-2-28-1.

e. Main engine local operating panel, port.

(1) Tag-out port main engine local operating panel in the main engine room.

f. Main engine local operating panel, starboard.

(1) Tag-out starboard main engine local operating panel in the main engine room.

g. Remote operating station, port.

(1) Tag-out port remote operating station in the pilothouse.

h. Remote operating station, starboard.

(1) Tag-out starboard remote operating station in the pilothouse.

i. Rudder, port.

(1) Tag-out steering pump HPU #2 starboard MCC.

(2) Tag-out steering pump HPU #1 port MCC.

j. Rudder, starboard.

(1) Tag-out steering pump HPU #2 starboard MCC.

(2) Tag-out steering pump HPU #1 port MCC.

k. Fin stabilizer, port.

(1) Tag-out stabilizer hydraulic power unit control box.

l. Fin stabilizer, starboard.

(1) Tag-out stabilizer hydraulic power unit control box.

m. Fire pump controller, fwd and aft.

(1) Tag-out fire pump breaker at MCC, aft, engine room.

(2) Tag-out fire pump breaker at 1E switchboard.

n. Anchor.

(1) Tag-out port MCC breaker.

o. Bow thruster.

(1) Tag-out starboard MCC breaker.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document. Page 6 of 32

WPC-154

B10015.D

REV'D 10/31/19

B INSPECT UNDER WATER BODY AND APPENDAGES

CAUTION

EPA REQUIRES VESSEL OWNER/OPERATORS TO MINIMIZE

THE RELEASE OF COPPER BASED ANTIFOULANT PAINT

INTO THE WATER COLUMN WHEN THEY CLEAN THE VES-

SEL. CLEANING OF COPPER BASED ANTIFOULANT PAINTS

SHOULD NOT RESULT IN ANY VISIBLE CLOUD OR PLUME

OF PAINT IN THE WATER, AND IF ONE DEVELOPS, THEN

THE PERSON DOING THE CLEANING SHOULD CHANGE TO

A SOFTER BRUSH OR LESS ABRASIVE CLEANING TECH-

NIQUE (USEPA, 2008).

NOTE: In the 2008 VGP, EPA required that vessel owner/operators who must perform hull husbandry while the vessel is in the water should use methods that minimize the discharge of fouling organisms and AFCs.

NOTE: Select the appropriate soft cleaning brush or sponge rigidity to minimize the release of paints and hull materials including AFCs into the water column.

NOTE: Limit the use of hard brushes and surfaced tools for the re-moval of hard growth.

NOTE: Use of vacuum cleaning technologies (when available) in con-junction withmechanical scrubbing, tominimize the release or disper-sion of AFCs and fouling organisms into the water column is highly encouraged.

1. Inspect the hull plating for the following, (Refer to Figure 1, Figure 2, Figure 3, and Figure 4):

a. Presence of marine growth.

b. Pitting.

c. Deformation (damaged plating or unusual waviness).

d. Evidence of major corrosion.

e. Evidence of electrolytic action.

2. Inspect sea chests and other cooling intake components for the following, (Refer to Figure 5, Figure 6, and Figure 7):

a. Looseness.

b. Damage.

c. Missing fasteners.

d. Corrosion.

e. Lock wire installed on bolts.

f. Marine growth on grating slots.

g. Obstructions that might prevent proper suction or discharge of water.

(1) Notify EPO if discrepancies are found.

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WPC-154

B10015.D

REV'D 10/31/19

3. Inspect rudders for the following, (Refer to Figure 8):

a. Damage.

b. Corrosion around drain plugs.

c. Pitting on leading or trailing edges.

(1) Notify EPO if discrepancies are found.

4. Inspect fin stabilizers for the following, (Refer to Figure 9):

a. Damage.

b. Corrosion around drain plugs.

c. Pitting on leading or trailing edges.

(1) Notify EPO if discrepancies are found.

5. Inspect the bow thruster for the following, (Refer to Figure 10 and Figure 11):

a. Damage.

b. Corrosion.

c. Loose or missing fasteners.

d. Evidence of electrolytic action.

(1) Notify EPO if discrepancies are found.

e. Obstructions that might prevent proper suction or discharge of water.

(1) Proceed to Step 1 C 5.

6. Inspect propeller, propeller shaft and associated components for the following, (Refer to Figure 12 and Figure 13):

a. Signs of corrosion.

b. Pitting.

c. Erosion.

d. Fouling.

e. Cracks.

f. Dings.

g. Nicks or physical damage to blades.

h. Condition of propeller nut.

i. Condition of securing devices.

(1) Notify EPO if discrepancies are found.

7. Inspect the speed probe for the following, (Refer to Figure 14):

a. Marine growth.

b. Cracks.

c. Cuts.

d. Corrosion.

e. Surface defects.

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B10015.D

REV'D 10/31/19

f. Securing nuts.

(1) Notify EPO if discrepancies are found.

8. Inspect zinc anodes for the following, (Refer to Figure 15, Figure 16, Figure 17, and Figure 18):

a. Soundness of mounting strap.

b. Soundness of stud welds.

c. Missing fasteners.

d. Percentage of remaining material.

(1) Notify EPO if discrepancies are found.

9. Inspect cathodic protection system components for the following, (Refer to Figure 19, Figure 20, and Figure 21):

a. Marine growth.

b. Cracks.

c. Cuts.

d. Corrosion.

e. Surface defects.

(1) Notify EPO if discrepancies are found.

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WPC-154

B10015.D

REV'D 10/31/19

C CLEAN UNDER WATER BODY AND APPENDAGES

CAUTION

EPA REQUIRES VESSEL OWNER/OPERATORS TO MINIMIZE

THE RELEASE OF COPPER BASED ANTIFOULANT PAINT

INTO THE WATER COLUMN WHEN THEY CLEAN THE VES-

SEL. CLEANING OF COPPER BASED ANTIFOULANT PAINTS

SHOULD NOT RESULT IN ANY VISIBLE CLOUD OR PLUME

OF PAINT IN THE WATER, AND IF ONE DEVELOPS, THEN

THE PERSON DOING THE CLEANING SHOULD CHANGE TO

A SOFTER BRUSH OR LESS ABRASIVE CLEANING TECH-

NIQUE (USEPA, 2008).

NOTE: In the 2008 VGP, EPA required that vessel owner/operators who must perform hull husbandry while the vessel is in the water should use methods that minimize the discharge of fouling organisms and AFCs.

NOTE: Select the appropriate soft cleaning brush or sponge rigidity to minimize the release of paints and hull materials including AFCs into the water column.

NOTE: Limit the use of hard brushes and surfaced tools for the re-moval of hard growth.

NOTE: Use of vacuum cleaning technologies (when available) in con-junction withmechanical scrubbing, tominimize the release or disper-sion of AFCs and fouling organisms into the water column is highly encouraged.

1. Clean the hull plating of the following:

a. Presence of marine growth.

2. Clean sea chests and other cooling intake components of the following:

a. Marine growth on grating slots.

b. Obstructions that might prevent proper suction or discharge of water.

3. Clean rudders of the following:

a. Presence of marine growth.

4. Clean fin stabilizers of the following:

a. Presence of marine growth.

5. Clean/clear the bow thruster of the following:

a. Obstructions that might prevent proper suction or discharge of water.

6. Clean/clear propeller and associated components of the following:

a. Marine growth.

b. Obstructions that might prevent proper operation.

7. Clean the transducers of the following:

a. Marine growth.

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WPC-154

B10015.D

REV'D 10/31/19

b. Obstructions that might prevent proper operation.

8. Clean cathodic protection components of the following:

a. Marine growth.

b. Obstructions that might prevent proper operation.

D FINAL STEPS

1. Remove Red Danger Tags IAW COMDTINST 9077.1 (series).

2. Place the following in the normal position IAW EOSS:

a. Shaft, port.

(1) Remove shaft lock on the port shaft in the main engine room.

b. Shaft, starboard.

(1) Remove shaft lock on the starboard shaft in the main engine room.

c. SEAWATER COOLING INLET valve, port.

(1) Open SEAWATER COOLING INLET valve in the main engine room, valve # MSW-V-2-28-2.

d. SEAWATER COOLING INLET valve, starboard.

(1) Open SEAWATER COOLING INLET valve in the main engine room, valve #MSW-V-2-28-1.

e. Main engine local operating panel, port.

(1) Remove tag-out from port main engine local operating panel in the main engine room.

f. Main engine local operating panel, starboard.

(1) Remove tag-out from starboard main engine local operating panel in the main engine room.

g. Remote operating station, port.

(1) Remove tag-out from remote operating station in the pilothouse.

h. Remote operating station, starboard.

(1) Remove tag-out from remote operating station in the pilothouse.

i. Rudder, port.

(1) Remove tag-out from steering pump HPU #2 starboard MCC.

(2) Remove tag-out from steering pump HPU #1 port MCC.

j. Rudder, starboard.

(1) Remove tag-out from steering pump HPU #2 starboard MCC.

(2) Remove tag-out from steering pump HPU #1 port MCC.

k. Fin stabilizer, port.

(1) Remove tag-out from stabilizer hydraulic power unit control box.

l. Fin stabilizer, starboard.

(1) Remove tag-out from stabilizer hydraulic power unit control box.

m. Fire pump controller, fwd.

(1) Remove tag-out from fire pump breaker at MCC, aft, engine room.

(2) Remove tag-out from fire pump breaker at 1E switchboard.

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WPC-154

B10015.D

REV'D 10/31/19

n. Anchor.

(1) Remove tag-out from port MCC breaker.

o. Bow thruster.

(1) Remove tag-out from starboard MCC breaker.

3. Return equipment to readiness condition.

4. Complete the following paperwork, (Refer to Form 2, Form 3, Form 4, Form 5, and Form 6).

5. File a report to the EPO.

6. Record maintenance action by completing appropriate sign-off and adding pertinent remarks.

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WPC-154

B10015.D

REV'D 10/31/19

CUTTER UNDERWATER BODY AND APPENDAGES

Figure 1

CUTTER UNDERWATER BODY AND APPENDAGES WITH MARINE GROWTH

Figure 2

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WPC-154

B10015.D

REV'D 10/31/19

CUTTER UNDERWATER BODY WITH MARINE GROWTH

Figure 3

HULL PITTING

Figure 4

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WPC-154

B10015.D

REV'D 10/31/19

FORWARD SEACHEST STRAINER PLATE

Figure 5

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WPC-154

B10015.D

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AFT SEACHEST STRAINER PLATE WITHOUT DEBRIS

Figure 6

AFT SEACHEST STRAINER PLATE WITH DEBRIS

Figure 7

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WPC-154

B10015.D

REV'D 10/31/19

SHIPS RUDDER

Figure 8

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WPC-154

B10015.D

REV'D 10/31/19

FIN STABILIZER

Figure 9

BOW THRUSTER WITHOUT MARINE GROWTH

Figure 10

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WPC-154

B10015.D

REV'D 10/31/19

BOW THRUSTER WITH MARINE GROWTH

Figure 11

PROPELLER WITHOUT MARINE GROWTH

Figure 12

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WPC-154

B10015.D

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PROPELLER WITH MARINE GROWTH

Figure 13

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WPC-154

B10015.D

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SPEED PROBE

Figure 14

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WPC-154

B10015.D

REV'D 10/31/19

STERN GATE SACRIFICIAL ZINC ANODES

Figure 15

BOW THRUSTER SACRIFICIAL ZINC ANODES

Figure 16

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WPC-154

B10015.D

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SHAFT TUBE ZINC ANODE ACCESS LOCATION

Figure 17

SHAFT TUBE SACRIFICIAL ZINC ANODES

Figure 18

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WPC-154

B10015.D

REV'D 10/31/19

CATHODIC PROTECTION SYSTEM ANODE

Figure 19

CATHODIC PROTECTION SYSTEM REFERENCE ELECTRODE

Figure 20

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WPC-154

B10015.D

REV'D 10/31/19

CATHODIC PROTECTION SYSTEM REFERENCE ELECTRODE

Figure 21

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WPC-154

B10015.D

REV'D 10/31/19

Services Request Form Unit:_______________ POC:_________________ Hull:_______________ Date:_________________

Phone Number:______________

Description of Services Requested:

Completed by Sector:

Company Name:

Address:

Date Scheduled:

Required Date of Completion:

Phone #:

Priority: EO Signature:

Completed Product Line:(Description of work to be accomplished, attach sketch or standard boat repair):

Product Line Signature:

Remarks:

SCHR Entry is required: □ Supplier of services is PL approved:

Supplier of services is not approved, PL De-signee or PL representa-tive will be on site when repairs are effected.

SFLC Form 2455

RESET

FORM

PRINT

FORM

Revised 04Nov09

SERVICE REQUEST FORM 2455

Form 1

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WPC-154

B10015.D

REV'D 10/31/19

DIVER HULL INSPECTION DATA

VESSEL NAME: HULL TYPE/

NUMBER:

LOCATION (CITY): DATE (mm/dd/yy):

PRODUCT LINE: INSPECTING ACTIVITY: VISIBILITY (ft)

LOCATION OF LAST DRYDOCKING: UNDOCKING

DATE:

LOCATION OF LAST PAINTING: DATE:

PAINT TYPE: ANTIFOULING: ANTICORROSION:

DATE OF LAST WATERBORNE HULL CLEANING: DATE OF LAST WATERBORN INTERIM CLEANING:

YES NO YES NOUNDERWATER PHO-

TOGRAPHS TAKEN:

UNDERWATER COLOR

VIDEO TAKEN:

UNDERWATER WORK ACCOMPLISHED THIS DATE: (Circle one)

FULL CLEAN POLISH MULTI-BRUSH INSPECT PAINT

INTERIM HYDRO HAND-HELD REPAIR OTHER

1. HULL COATING SYSTEM (PDR ________________________ )

a. ANTIFOULING PAINT

PERCENTAGE REMAINING ________________________ PERCENT REJUVENATION__________________________

IS THE A/F HARD SOFT (Circle one)

PERCENTAGE __________ PEELING________________ LOCALIZED or __________________ GENERAL

____________ BLISTERING ___________ LOCALIZED or __________________ GENERAL

CONDITION SUMMARY [IF PAINT DAMAGE IS LOCALIZED, GIVE LOCATION(s)]

b. ANTICORROSION PAINT

PERCENTAGE REMAINING ____________________

PERCENTAGE ___________ PEELING ________________ LOCALIZED or __________________ GENERAL

___________ BLISTERING ______________ LOCALIZED or __________________ GENERAL

___________ ABRASION _____________ LOCALIZED or __________________ GENERAL

CONDITION SUMMARY [IF PAINT DAMAGE IS LOCALIZED, GIVE LOCATION(s)]

DIVER HULL INSPECTION

Form 2

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WPC-154

B10015.D

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PROPELLER INSPECTION DATA

USCGC HULL NO. LOCATION DATE

PORT STBD CENTERLINE INBD OUTBD

INDICATE ALL DAMAGE ON BLADES (i.e. BENDS, CRACKS, HEAVY EROSION, etc.)

PROPELLER INSPECTION RESULTS (AVERAGE ROUGHNESS * )

BLADE NUMBER 1 2 3 4 5 6 7 8

PRE POLISH

POST POLISH

CONDITION SUMMARY

PROPELLER INSPECTION DATA

Form 3

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WPC-154

B10015.D

REV'D 10/31/19

PORT AND STARBOARD RUNNING GEAR INSPECTION DATA

HULL NO. LOCATION (PORT/STBD) DATE

RUNNING GEAR INSPECTION DATA

Form 4

DESTRUCTION NOTICE - Destroy by any method that the document. Page 29 of 32

WPC-154

B10015.D

REV'D 10/31/19

PORT AND STARBOARD RUDDER/STABILIZER FIN INSPECTION DATA

HULL NO. LOCATION DATE

PORT AND STARBOARD RUDDER/STABILIZER FIN INSPECTION DATA

Form 5

DESTRUCTION NOTICE - Destroy by any method that the document. Page 30 of 32

WPC-154

B10015.D

REV'D 10/31/19

PRE-CLEAN BIOFOULING INSPECTION DATA

VESSEL NAME HULL TYPE/ NUMBER LOCATION (CITY) DATE (mm/dd/yy)

PRODUCT LINE INSPECTING ACTIVITY VISIBILITY (ft)

LOCATION OF LAST DRYDOCKING UNDOCKING DATE

LOCATION OF LAST PAINTING DATE

PAINT TYPE ANTIFOULING ANTICORROSION

UNDERWATER

PHOTOGRAPHS TAKEN YES NO VIDEO TAKEN YES NO

(CHECK IF) (PERCENTAGES MUST ADD UP TO 100)

COMPONENTS N/A

NOT

INSPECTED

FOULER

RATING

FOULER

RATING FOULER RATING

PROPELLER

CENTERLINE FR- % FR- % FR- %

PORT OUTBOARD FR- % FR- % FR- %

PORT INBOARD FR- % FR- % FR- %

STARBOARD INBOARD FR- % FR- % FR- %

STARBOARD

OUTBOARD FR- % FR- % FR- %

SHAFT

CENTERLINE FR- % FR- % FR- %

PORT OUTBOARD FR- % FR- % FR- %

PORT INBOARD FR- % FR- % FR- %

STARBOARD INBOARD FR- % FR- % FR- %

STARBOARD

OUTBOARD FR- % FR- % FR- %

RUDDER/STAB FINS

CENTERLINE FR- % FR- % FR- %

PORT FR- % FR- % FR- %

STARBOARD FR- % FR- % FR- %

SONAR DOME

PORT SIDE FR- % FR- % FR- %

STARBOARD SIDE FR- % FR- % FR- %

PRE-CLEAN BIOFOULING INSPECTION DATA FORM

Form 6

(Sheet 1 of 2)

DESTRUCTION NOTICE - Destroy by any method that the document. Page 31 of 32

WPC-154

B10015.D

REV'D 10/31/19

(CHECK IF) (PERCENTAGES MUST ADD UP TO 100)COMPONENTS

N/A

NOT

INSPECTED FOULER RATING FOULER

RATING

FOULER RATING

SEA CHEST

TYPICAL FR- % FR- % FR- %

BOW

PORT FR- % FR- % FR- %

STARBOARD FR- % FR- % FR- %

BOTTOM

PORT FR- % FR- % FR- %

STARBOARD FR- % FR- % FR- %

STERN

PORT FR- % FR- % FR- %

STARBOARD FR- % FR- % FR- %

TRANSOM

PORT FR- % FR- % FR- %

STARBOARD FR- % FR- % FR- %

SIGNATURE (SHIP’S ENGINEER):

SIGNATURE (DIVING SUPERVISOR):

PRE-CLEAN BIOFOULING INSPECTION DATA FORM

Form 6

(Sheet 2 of 2)

DESTRUCTION NOTICE - Destroy by any method that the document. Page 32 of 32