TGI_3819P12318A01_c2v3.pdf

PDF 575 KB Posted

Attached to
USS BLUE RIDGE (LCC-19) 5C1 DSRA TYCOM 1
Solicitation number
N6264925RA021
Issued by

About this file

This document is a Task Group Instruction (TGI) for the USS BLUE RIDGE (LCC-19), specifically focused on cleaning, inspecting, repairing, and preserving the Distillate Fuel Overflow or Ballast tank (9-64-0-F). The TGI provides detailed instructions for maintenance work to be performed, including visual inspections, general cleaning at Level III, manhole cover installations, welding repairs, and preservation of various tank and compartment spaces. The work involves removing unused heating coil piping, repairing structural members, and addressing potential lead and asbestos hazards.

The task is part of a larger ship repair and maintenance project scheduled from January 12, 2026, to May 15, 2027, at Commander, Fleet Activities Yokosuka Naval Base. The instruction includes specific technical requirements such as vee-out and weld repairs, base metal weld buildup, plate replacements, and non-destructive testing. The work will be conducted across multiple spaces including salt water ballast tanks, potable water tanks, and various storerooms, with careful attention to fire zone boundaries and requiring non-flammable closures during the repair process.

View the file

Other files

File Type Posted
TGI_3819P59302A01_c1v1.pdf PDF
TGI_3819P14213A01_c0v0.pdf PDF
TGI_3819P14203_T04_c0v0.pdf PDF
TGI_3819P14206T01_c0v0.pdf PDF
TGI_3819P14206T02_c0v0.pdf PDF
TGI_3819P12393_A01_c0v0.pdf PDF
TGI_3819P12357_T01_c0v0.pdf PDF
TGI_3819P12341A01_c0v0.pdf PDF
TGI_3819P12340A01_c1v0.pdf PDF
TGI_3819P12336A01_c0v0.pdf PDF
TGI_3819P12312A01_c0v0.pdf PDF
TGI_3819P12305A01_c0v0.pdf PDF
TGI_3819P13506A01_c0v0.pdf PDF
TGI_3819P14203_A01_c2v1.pdf PDF
TGI_3819P12387A01_c0v1.pdf PDF
2.03 Solicitation N6264925RA0210002.pdf PDF
TGI_3819P14212A01_c0v0.pdf PDF
TGI_3819P14215A01_c0v0.pdf PDF
TGI_3819P51404A01_c0v0.pdf PDF
TGI_3819P14206T03_c0v0.pdf PDF
TGI_3819P12387A01_c0v1.pdf PDF
TGI_3819P14206A01_c0v2.pdf PDF
TGI_3819P12364A01_c0v0.pdf PDF
TGI_3819P13506A01_c0v0.pdf PDF
TGI_3819P14203_T04_c0v0.pdf PDF
TGI_3819P12321A01_c1v1.pdf PDF
TGI_3819P12342A01_c0v0.pdf PDF
TGI_3819P12336A01_c0v0.pdf PDF
TGI_3819P12320A01_c0v0.pdf PDF
TGI_3819P12354A01.pdf PDF
TGI_3819P12305A01_c0v0.pdf PDF
Attachment IV RFI (fillable).pdf PDF
TGI_3819P14211A01_c0v0.pdf PDF
TGI_3819P14214A01_c0v0.pdf PDF
TGI_3819P16729A02_c0v1.pdf PDF
TGI_3819P51405A01_c0v0.pdf PDF
TGI_3819P51401A01_c1v2.pdf PDF
TGI_3819P12388A01_c1v1.pdf PDF
TGI_3819P12393_A01_c0v0.pdf PDF
TGI_3819P14203_T01_c0v0.pdf PDF
TGI_3819P12335A01_c1v0.pdf PDF
TGI_3819P12357_A01_c0v0.pdf PDF
TGI_3819P12357_T01_c0v0.pdf PDF
TGI_3819P12340A01_c1v0.pdf PDF
TGI_3819P12323A01_c1v1.pdf PDF
TGI_3819P12341A01_c0v0.pdf PDF
TGI_3819P12312A01_c0v0.pdf PDF
Attachment VII Warranty Tracking Information.pdf PDF
Attachment IV RFI.docx DOCX document
Attachment III TYCOM1_GFP_List_V3.xlsx XLSX spreadsheet
Show 40 more

50 files listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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.: TK/MS 9-64-0-F AY A 0 2

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

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

F/O - CLEAN, INSPECT, REPAIR, AND PRESERVE DSTLT FUEL OVFL OR BLST (9-64-0-F)

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TATSUYA OOSERA 231B 315-243-9935 20-DEC-2023

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 20-DEC-2023

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:

Reference No. 13 and Enclosure-01 are incorrect.

CHANGE INSTRUCTIONS:

CH1: Revise location name for 9-64-0-F. (12/23/2023) CH2: Revise reference No. 13 and Enclosure-01. (08/19/2024)

SPECIAL REQUIREMENTS:

SURFMEPP

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL III

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

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.: TK/MS 9-64-0-F AY A 0

FOUO

SHIP: LCC-19 CHG/VER: 2/3

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 Sketch (1)

J1-2 M-1 Sketch (1)

1. SCOPE/PURPOSE

1.1 Title: Distillate Fuel Overflow or Ballast (9-64-0-F); clean, inspect, repair, and preserve

1.2 Location of Work:

1.2.1 Distillate Fuel Overflow or Ballast (9-64-0-F)

1.2.2 Clean Salt Water Ballast (9-56-0-F)

1.2.3 Clean Salt Water Ballast (9-52-1-W)

1.2.4 Clean Salt Water Ballast (9-52-2-W)

1.2.5 Clean Salt Water Ballast (9-64-1-W)

1.2.6 Clean Salt Water Ballast (9-64-2-W)

1.2.7 Potable Water Tank (9-74-0-W)

1.2.8 Void (7-52-0-V)

1.2.9 Ship Store Storeroom (7-58-0-A)

1.2.10 Dry Provisions Storeroom (7-64-0-A)

1.2.11 Air Conditioning Machinery Room No. 3 (7-64-2-E)

1.2.12 Dry Provisions Storeroom (7-68-0-A)

1.2.13 Small Arms Magazine (7-69-2-M)

1.2.14 Passage (7-72-2-L)

1.3 Identification:

1.3.1 Quantity (One EA), Distillate Fuel Overflow or Ballast

Tank No. : 9-64-0-F Capacity: 142,245 Gallons

1.3.2 Quantity (2 EA), Manhole Cover Plate for 9-64-0-F

Manhole No(s). : 7-65-1 Size: 15 Inches x 23 Inches Manhole No(s). : 7-75-2 Size: 15 Inches x 23 Inches Material: Steel

FOUO

SHIP: LCC-19 CHG/VER: 2/3

1.3.3 Quantity (2 EA), Bolting Ring of Manhole for 9-64-0-F

Manhole No(s). : 7-65-1 and 7-75-2 Material: Steel

1.3.4 Quantity (One EA), Stud on Web Frame 68 in 9-64-0-F, between Longitudinal Nos. 2P and 3P, Port Material: Steel Remarks: See Sketch Enclosure-01 for location detail

1.3.5 Quantity (12 AY), Unused Obsolete Heating Coil Piping including Penetration Sleeve Size: 1/2 Inch IPS and 1-1/2 Inch IPS Material: Carbon-Steel Remarks: See Sheet 2 (Plan 12-B) of 2.14, Sheet One of 2.15 and Sketch Enclosure-02 for details.

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 FY-25 NAVSEA Standard Items - ORG N 2 LI FY-25 Local Standard Items - ORG N

3 TM S9086-

CJ-STM-

010/CH-075

Fasteners 7 N

4 DWG 101-

2491013

Floors FR 8-98 S Y SE E N

OT

E

5 DWG 100-

2491003

SHELL PLTG & STGR FRAME 51

1/2 -102 1/4 CL TO 4 TH DECK

G Y AL

L

6 DWG 101-

2491012

CVK & Shell Long AFT FR 51 1/2 L Y AL L

7 DWG 101-

2491022

WEBS FR 66, 68, 70, 72, & 74 K Y AL

L

1.3.6 Quantity (One Lot), Structural Member in 9-64-0-F

Remarks: See Sketch Enclosure-02 for location detail

1.3.6.1 Quantity (One Lot), Longitudinal Bulkhead, Frames between 66 and 73, Port and Starboard (Stbd) Base Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate

1.3.6.2 Quantity (One EA), Transverse Bulkhead Frame 64, between Longitudinals No. 9P and No. 9S, Port and Stbd Base Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate

1.4 Security Classification:

1.4.1 Spaces - 1.2.13

1.5 Initial Condition:

1.5.1 Potential Lead Hazard.

1.5.2 Potential Asbestos Hazard.

1.6 Contractor work start date: 1/12/2026

1.7 Contractor work completion date: 5/15/2027

2. REFERENCES:

FOUO

SHIP: LCC-19 CHG/VER: 2/3

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

8 DWG 102-

2491031

Inner Bottom PLTG FR 51 1/2 - 98 K Y AL L

9 DWG 103-

2491033

2 PLATF FR 52-98 J Y AL

L

10 DWG 114-

2491156

AGC19 TRANSV BHD FR 52 & 64 G Y AL

L

11 DWG 114-

2491157

TRANSV BHD FR 76 & 86 N Y AL

L

12 DWG 114-

2491161

DEEP TANK BHD FR 24, 48, 56, &

LONG BHD BEL 2ND PLATF FR

30-76

F Y AL

L

13 DWG 114-

2491166

MISC STRUCT BHD BELOW 1ST

PLATF FWD FR98

R Y 3,4

14 DWG 512-

6550071

LCC19-1071D DEACTIVATED

HEATING COILS REMOVAL

- Y AL

L

15 DWG 511-

2492437

FO JP5 BALL STR LDS FR52 76 D Y AL

L

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 Accomplish the requirements of 099-902YO of 2.2 for each tank listed in 1.3.1.

5.1.1 Accomplish a visual inspection of each tank listed in 1.3.1 for existing preservation coating.

5.1.1.1 Mark each corroded, damaged and/or deteriorated coating area in each tank.

5.1.1.2 Submit one legible copy, in hard copy or approved transferrable media, of a report with a sketch listing results of the requirements of 5.1.1.1 to the SUPERVISOR.

5.1.2 Accomplish the requirements of 009-107 of 2.1.

5.1.2.1 Ensure General Cleaning must be Level III.

5.1.3 Accomplish installation of each manhole cover for each tank listed in 1.3.1 in accordance with Figure 075-4-1 of 2.3.

5.2 Weld fill, drill, and tap a total of 10 each stripped manhole cover bolting ring holes for each tank listed in 1.3.1 as designated by the SUPERVISOR. See 5.11.5.

5.2.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column A, Lines One through 7.

5.3 Repair each tank listed in 1.3.1, based on the CCIMS assessment report as designated by the SUPERVISOR, using 2.4 through 2.13 for guidance. See 5.11.4 through 5.11.6.

FOUO

SHIP: LCC-19 CHG/VER: 2/3

5.3.1 Vee-out and weld a total of one linear foot of each deteriorated and damaged weld. Each area of repair must include deck, bulkhead, shell plating, and overhead.

5.3.2 Chip and grind each surface flush in way of each repair.

5.3.3 Base metal weld buildup a total of 60 square inches of each plate defect in the tank.

5.3.3.1 For bidding purposes the base metal weld buildup must be one quarter inch thick.

5.3.3.2 Surface must be ground to sound metal prior to base metal weld buildup.

5.3.3.3 Fill each local pit and groove with weld material prior to application of each principal build up layer.

5.3.3.4 Grind each surface of completed base weld metal buildup smooth if greater than 1/8 inch above plate surface.

5.3.4 Remove existing, fabricate, and install new a total of 10 square feet of deteriorated plate.

5.3.5 Remove existing, fabricate, and install new a total of 4 linear feet of defective stiffener.

5.3.6 Accomplish the requirements of 009-12 of 2.1, including Table 2, Columns A, Lines One through 7.

5.3.6.1 Accomplish nondestructive testing in accordance with Line 11.

5.3.7 Accomplish the requirements of 009-25 of 2.1 for an air hose, water hose, or vacuum box test of each new insert weld seam. Allowable leakage: None.

5.4 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 11, for tank side surface, and Table 3, Line(s) 25, for interior compartment side surface of each cover plate listed in 1.3.2.

5.5 Accomplish the requirements of 009-32 of 2.1 for each bolting ring listed in 1.3.3.

5.6 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 11, for a total of 1,726 square feet of defective painted surfaces, for each tank listed in 1.3.1, as designated by the SUPERVISOR.

5.6.1 The preservation area must not exceed 10 square feet per one area.

5.7 Remove unused each existing stud listed in 1.3.4, using 2.7 for guidance.

5.8 Remove each existing unused obsolete heating coil piping listed in 1.3.5, using 2.14, 2.15 and Enclosure-02 for guidance.

5.9 Accomplish build up weld of remaining holes on each structural member listed in 1.3.6 caused by the removal each unused obsolete heating coil piping listed in 1.3.5, using 2.10 and 2.12 for guidance.

5.9.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column A, Lines One through 7.

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

5.10 Accomplish the requirements of 009-32 of 2.1 for each new and disturbed surface.

5.11 Notes:

5.11.1 Planner: Code 231B T. Oosera, 243-9935

FOUO

SHIP: LCC-19 CHG/VER: 2/3

Planner: Code 234 A. Onose, 243-0093 Engineer: Code 250 S. Yokota, 243-5969

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

5.11.3 This TGI meets the intent of DDG CSWT File Nos. 123-133, 123-142, and 123-143.

5.11.4 CCIMS assessment of each tank listed in 1.3.1 will be accomplished by SRF-JRMC (TGI No.

3819P12318I01), and the Project team will provide the assessment report with engineering evaluation under DL process for front loading structure repair.

5.11.5 Removal and installation of interferences, and gas free operation, preservation of boundary spaces relating to front loading structure repair are not included in this TGI. They will be covered by a DL in the future based on Contractor submitted condition report.

5.11.6 Materials for structure members relating to front loading repair will be provided in the future as a DL based on Contractor submitted condition report.

5.11.7 Opening, initial cleaning, and closing of each space listed in 1.2.2 through 1.2.8 will be covered by the following TGI No(s).

Clean Salt Water Ballast (9-56-0-F): 3819P12317A01 (KTR TGI) Clean Salt Water Ballast (9-52-1-W): 3819P12339A01 (KTR TGI) Clean Salt Water Ballast (9-52-2-W): 3819P12340A01 (KTR TGI) Clean Salt Water Ballast (9-64-1-W): 3819P12341A01 (KTR TGI) Clean Salt Water Ballast (9-64-2-W): 3819P12342A01 (KTR TGI) Potable Water Tank (9-74-0-W): 3819P12323A01 (KTR TGI) Void (7-52-0-V): 3819P12365A01 (KTR TGI)

5.11.8 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.

5.11.9 WPC will copy the following pages in reference.

REF. 2.4: Pages One, and 17 through 20

5.11.10 JCNs EM04-ZAD5, EM04-ZAD7, ER01-ZAN3, ES01-NPA9, and ES01-NPAA are related to this TGI.

5.12 Government Furnished Material (GFM):

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

5.13 SRF-JRMC will provide the following service work: (TGI No. 3819P12318S02).

5.13.1 [C740] Crane and crane rigging service.

5.13.2 [X99E] Utility service, electrical.

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

5.13.4 [C106.1] Safety inspection for SRF-JRMC employees.

FOUO

SHIP: LCC-19 CHG/VER: 2/3

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

5.13.6 [C133] QA inspection for (G) symbol(s).

5.13.7 [C135] QA inspection for (G) symbol(s).

5.13.8 [C250] Technical support.

FOUO

J-1

SHIP: LCC-19 CHG/VER: 2/3

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

TK/MS 9-64-0-F AY A 0 3

CU PHASE TITLE:

F/O - CLEAN, INSPECT, REPAIR, AND PRESERVE DSTLT FUEL OVFL OR BLST (9-64-0-F)

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

MANHOLE 7-75-2 HA MANHOLE 7-65-1 HA FO/BLST 9-64-0-F TK

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P12318A01-Sketch-01.pdf) saved on 19-AUG-2024 0000.

2. ENCLOSURE-02 (3819P12318A01-Sketch-02.pdf) saved on 19-DEC-2023 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P12318 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to clean, inspect, repair, and preserve distillate fuel overflow or ballast (9-64-0-F).

Location of Work:

Distillate Fuel Overflow or Ballast (9-64-0-F) Clean Salt Water Ballast (9-56-0-F) Clean Salt Water Ballast (9-52-1-W) Clean Salt Water Ballast (9-52-2-W) Clean Salt Water Ballast (9-64-1-W) Clean Salt Water Ballast (9-64-2-W) Potable Water Tank (9-74-0-W) Void (7-52-0-V) Ship Store Storeroom (7-58-0-A) Dry Provisions Storeroom (7-64-0-A) Air Conditioning Machinery Room No. 3 (7-64-2-E) Dry Provisions Storeroom (7-68-0-A) Small Arms Magazine (7-69-2-M) Passage (7-72-2-L)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 LBR HRs, PNTR HRs 22 KE PC

5.2 SFTR HRs, WELD HRs, PNTR HRs, QA HRs 22 KE PC

5.3 SFTR HRs, WELD HRs, PNTR HRs, CARP HRs, QA HRs 22 KE PC

5.4 PNTR HRs, QA HRs 22 KE PC

5.5 PNTR HRs, QA HRs, RGRS HRs 22 KE PC

5.6 PNTR HRs, QA HRs 22 KE PC

FOUO

J-2

SHIP: LCC-19 CHG/VER: 2/3

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.7 SFTR HRs, SMTL HRs, INSL HRs, RGRS HRs 22 KE PC

5.8 PFTR HRs, WELD HRs, RGRS HRs 22 KE PC

5.9 WELD HRs, PNTR HRs, QA HRs 22 KE PC

5.10 PNTR HRs, QA HRs 22 KE PC

Dewatering and Cleaning Work CFM marine chemist, gaskets, fasteners, tank watch cost, and MISC.

22 MQ CS

Structural Work CFM for fire watch and tank watch cost, MT inspection cost, lead sampling/analysis cost, asbestos sampler and analysis cost for compartment insulation, air compressor rental cost and fuel oil cost for air hose test, and MISC such as electrode, gases, temporary closure and covering material, and other consumable.

22 MQ CS

Preservation Work CFM for all paints, thinner, grit including waste disposal cost, tank watch cost, and MISC such as covering material and other consumable.

22 MQ CS

Piping Work CFM for fire watch tank watch cost, electrode, gases, marine chemist and misc.

22 MQ CS

Process Funding Document. 10 CT OM

Version-1: revise location name for 9-64-0-F. C231B R. Takagi, 12/23/2023, -/-/N

V-01

Version-2: revise reference No. 13. C231B S. Yamaoka, 8/19/2024, Y/Y/N

V-02

Version-3: revise Enclosure-01. C231B S. Yamaoka, 8/19/2024, Y/Y/N

V-03

FOUO

M-1

SHIP: LCC-19 CHG/VER: 2/3

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

TK/MS 9-64-0-F AY A 0 3

CU PHASE TITLE:

F/O - CLEAN, INSPECT, REPAIR, AND PRESERVE DSTLT FUEL OVFL OR BLST (9-64-0-F)

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P12318 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 M INSULATI, ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9Q 5640 008096312 NA 4 N 40045007 1/EA

002 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8315 002671632 NA 4 N 40045002 1/RO

003 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8040 002738708 NA 4 Y 40045009 1/GL

NOTES:

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 TK/MS 9-64-0-F AY A 0

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

3819P12318 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 TK/MS 9-64-0-F AY A 0

LOCATION DETAIL OF UNUSED STUD IN 9-64-0-F

PLAN VIEW 1-A

2ND PLATF FR 64 - 74 PORT & STBD

OPP SIDE (LKG DOWN)

SECT 1-B

SECT 1-B

ENCLOSURE-01

WEB FR 68

LKG AFT

3819P12318A01

SKETCH

SHEET 1 OF 1

01234567089-

File details come from the government source that posted it. Updated .