TGI_3819P12387A01_c0v1.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.: CMPT 9-98-0-Q AY A 0 0

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

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

F/O - ACCOMPLISH REPAIR OF STRUCTURAL MEMBER AND PRVTN OF BILGE IN 9-98-0-Q

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

MASAMICHI HAGA 231B. 315-243-2513 26-JUL-2024

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B. 315-243-4502 26-JUL-2024

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:

CHANGE INSTRUCTIONS:

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.: CMPT 9-98-0-Q AY A 0

FOUO

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

LIST OF EFFECTIVE PAGES

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

1-12 Sketch (1)

QA17

(1)

J 1-2 Sketch (1-2)

M 1-5 Map (1- 3)

Sketch (1-3)

QA20

(1-14)

1. SCOPE/PURPOSE

1.1 Title: Repair of Structural Member and Preservation of Bilge in 9-98-0-Q; accomplish

1.2 Location of Work:

1.2.1 Shaft Alley (9-98-0-Q)

1.2.2 Engine Room (8-86-0-E)

1.2.3 Waste Oil Tank (9-94-0-F)

1.2.4 Clean Salt Water Ballast (9-98-1-W)

1.2.5 Clean Salt Water Ballast (9-98-2-W)

1.2.6 JP-5 Tank (9-109-1-J)

1.2.7 JP-5 Tank (9-109-4-J)

1.2.8 Void (9-118-0-V)

1.2.9 Underwater Hull Weather, Frames between 105 and 119, Port and Starboard (Stbd)

1.2.10 Skeg, Frames between 98 and 121, Port and Stbd

1.2.11 Trunk (6-117-0-T)

1.2.12 Intel Storeroom (7-102-1-A)

1.2.13 Passage (7-102-2-L)

1.2.14 Chemical Warfare Defense Equipment Storeroom (7-106-1-K)

1.2.15 Landing Force Equipment Store Room (7-106-2-A)

1.2.16 Emergency Generator Room No. 2 (7-109-1-E)

1.2.17 Pump Room No. 2 and Air Conditioning Machinery Room No. 2 (7-109-2-E)

1.2.18 Trunk (7-118-2-T)

1.2.19 “E” Division Storeroom (9-118-1-A)

1.2.20 Crew Living Space (6-98-0-L)

FOUO

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

1.3 Identification:

1.3.1 Quantity (One Lot), Floor Plate of Bilge Area in 9-98-0-Q, Frames between 98 and 118, Port and Stbd

Remarks: See 2.3 for material and details.

JCN: EM01-L252

1.3.2 Quantity (One Lot), Structural Member in 9-98-0-Q and 9-118-0-V

Remarks: See 2.4 for material and details.

1.3.2.1 Quantity (2 EA), Flat Keel, Frames between 116 and 119, Port and Stbd

Remarks: See Plan 5-A of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.2 Quantity (One Lot), Web Plate of Center Vertical Keel, Frames between 116 and 118

Remarks: See Elevation 5-C of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.3 Quantity (2 EA), Flange Plate of Center Vertical Keel, Frames between 116 and 118

Remarks: See Elevation 5-C of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.4 Quantity (8 EA), Chock on Web Plate of Center Vertical Keel listed in 1.3.2.2

Remarks: See Detail 5-D of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.5 Quantity (One EA), Horizontal Stiffener on Web Plate of Center Vertical Keel listed in 1.3.2.2

Remarks: See Detail 5-E of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.6 Quantity (2 EA), Flange Plate of Floor Plate, Frame 117, Port and Stbd

Remarks: See Section 5-B of 2.4 for material and details.

JCN: EM01-L222 and ES01-NPFA

1.3.2.7 Quantity (2 Lot), Web Plate of Floor Plate, Frame 117, Port and Stbd

Remarks: See Section 5-B of 2.4 for material and details.

JCN: EM01-L222 and ES01-NPFA

1.3.2.8 Quantity (One EA), Reinforce, Frames between 118 and 119, Ship’s Centerline

Remarks: See Elevation 5-C of 2.4 for material and details.

JCN: ES01-NPNC

1.3.2.9 Quantity (2 EA), Chock on Reinforce listed in 1.3.2.8

Remarks: See Elevation 5-C of 2.4 for material and details.

JCN: ES01-NPNC

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

1.3.2.10 Quantity (One Lot), Bulkhead Plate, Transverse Bulkhead Frame 118, Port and Stbd

Remarks: See Section 6-A of 2.4 for material and details.

JCN: EM01-L222 and ES01-NPND

1.3.2.11 Quantity (2 EA), Vertical Stiffener on Bulkhead Plate listed in 1.3.2.10

Remarks: See Section 6-A and Detail 6-B of 2.4 for material and details.

JCN: EM01-L222 and ES01-NPND

1.3.2.12 Quantity (One Lot), Collar Plate on Bulkhead Plate listed in 1.3.2.10

Remarks: See Section 6-A of 2.4 for material and details.

JCN: EM01-L222 and ES01-NPND

1.3.2.13 Quantity (One EA), Web Plate of Floor Plate, Frame 115, Stbd

Remarks: See Section 6-D of 2.4 for material and details.

JCN: ES01-NPF8

1.3.2.14 Quantity (One EA), Web Plate of Floor Plate, Frame 116, Stbd

Remarks: See Section 6-C of 2.4 for material and details.

JCN: ES01-NPF9

1.3.2.15 Quantity (2 EA), Bulkhead Plate, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Port

Remarks: See Elevation 7-A of 2.4 for material and details.

JCN: ES01-NPN2

1.3.2.16 Quantity (One EA), Web Plate of Floor Plate, Frame 106, Port

Remarks: See Section 7-B of 2.4 for material and details.

JCN: ES01-NPN2

1.3.2.17 Quantity (One EA), Web Plate of Floor Plate, Frame 107-1/2, Port

Remarks: See Section 7-B of 2.4 for material and details.

JCN: ES01-NPN2

1.3.2.18 Quantity (2 EA), Bulkhead Plate, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Stbd

Remarks: See Elevation 7-C of 2.4 for material and details.

JCN: ES01-NPMW, ES01-NPMX, and ES01-NPMY

1.3.2.19 Quantity (One EA), Web Plate of Floor Plate, Frame 106, Stbd

Remarks: See Section 7-D of 2.4 for material and details.

JCN: ES01-NPMW, ES01-NPMX, and ES01-NPMY

1.3.2.20 Quantity (3 EA), Bulkhead Plate, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 112 and 114, Stbd

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

Remarks: See Elevation 8-A of 2.4 for material and details.

JCN: ES01-NPN0

1.3.2.21 Quantity (One EA), Web Plate of Floor Plate, Frame 113, Stbd

Remarks: See Section 8-B of 2.4 for material and details.

JCN: ES01-NPN0

1.3.2.22 Quantity (One EA), Flange Plate of Floor Plate, Frame 113, Stbd

Remarks: See Section 8-B of 2.4 for material and details.

JCN: ES01-NPN0

1.3.2.23 Quantity (2 EA), Bulkhead Plate, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 110 and 113, Stbd

Remarks: See Elevation 8-C of 2.4 for material and details.

JCN: ES01-NPMZ

1.3.2.24 Quantity (One Lot), Web Plate of Floor Plate, Frame 111, Stbd

Remarks: See Section 8-D of 2.4 for material and details.

JCN: ES01-NPMZ

1.3.2.25 Quantity (One Lot), Web Plate of Floor Plate, Frame 112, Stbd

Remarks: See Section 8-D of 2.4 for material and details.

JCN: ES01-NPMZ

1.3.3 Quantity (One Lot), Structural Member in 9-98-0-Q

1.3.3.1 Quantity (One Lot), Shell Plate, Frames between 106 and 107, Stbd

Remarks: See 2.6 for base material and Detail 1-D of Sketch Enclosure-01 for location details.

JCN: EM01-L222, ES01-NPN7, and ES01-NPN8

1.3.3.2 Quantity (One Lot), Flat Keel, Frames between 105 and 107, Stbd

Remarks: See 2.6 for base material and Details 1-C and 1-D of Sketch Enclosure-01 for location details.

JCN: EM01-L222, ES01-NPN5, and ES01-NPN6

1.3.3.3 Quantity (One Lot), Center Vertical Keel, Frame 109

Remarks: See 2.7 for base material and Elevation 2-B of Sketch Enclosure-01 for location details.

JCN: EM01-L222

1.3.3.4 Quantity (One Lot), Bulkhead Plate, Transverse Bulkhead Frame 98, Port

Remarks: See 2.8 for base material and Details 1-B of Sketch Enclosure-01 for location details.

JCN: ES01-NPMU

1.3.3.5 Quantity (One Lot), Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 106 and 107, Port

Remarks: See 2.9 for base material, Elevation 7-C of 2.4, and Elevation 3-A and Detail 3-B of Sketch Enclosure-01 for location details.

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

JCN: ES01-NPN3

1.3.3.6 Quantity (One Lot), Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 113 and 114, Port

Remarks: See 2.9 for base material and Detail 1-E of Sketch Enclosure-01 for location details.

JCN: ES01-NPN4

1.3.3.7 Quantity (One Lot), Bulkhead Plate, Transverse Bulkhead Frame 118, Port and Stbd

Remarks: See 2.10 for base material, Section 6-A of 2.4, and Detail 3-C of Sketch Enclosure-01 for location details.

JCN: EM01-L222 and ES01-NPND

1.3.4 Quantity (One Lot), Foundation for Line Shaft Bearing in 9-98-0-Q, Frame 110, Port

Remarks: See 2.11 for base material and Sketch Section 2-C of Enclosure-01 for location details.

JCN: EM01-L222

1.3.5 Quantity (One EA), Pipe Hanger for JP-5 Stripping Piping, located in 1.2.1

Size: 1-1/2 Inch IPS Material: C-Steel Remarks: See Sheet 2 (Zone 13-G) of 2.12 and Sketch Enclsoure-02 for details.

JCN: ES01-NPN1

1.3.6 Quantity (586 SF in Total), Bilge Area in 9-98-0-Q, Frames between 98 and 118, Port and Stbd

1.3.6.1 Quantity (166 SF), Shell Plating, between Frames 114 and 118, and Ship’s Center Line and Longitudinal Bulkhead, 4 Feet Off from Ship’s Center Line, Port and Stbd, including flat keel and vertical surface up to height of 6 inches from shell plating and flat keel

Remarks:

The area includes flat keel where new material listed in 1.3.2.1 is installed and disturbed by hot work See Plan 5-A of 2.4 and Plan 1-A of Sketch Enclosure-03 for location details.

JCN: ES01-NP5Z, ES01-NPNA, ES01-NPNB and ES01-NPNC

1.3.6.2 Quantity (96 SF), Structural Member, Frames between 116 and 118, Port and Stbd, including web plate of center vertical keel, flange plate of center vertical keel, chock on web plate of center vertical keel, horizontal stiffener on web plate of center vertical keel, flange plate of floor plate, and web plate of floor plate, where new material listed in 1.3.2.2, through 1.3.2.7 are installed and disturbed by hot work

Remarks: See Section 5-B, Elevation 5-C, Detail 5-D, and Detail 5-E of 2.4 for location and details.

JCN: ES01-NPNC, EM01-L222, and ES01-NPFA

1.3.6.3 Quantity (33 SF), Bulkhead Plating, Transverse Bulkhead Frame 118, Port and Stbd, including collar plate on transverse bulkhead plate frame 118, where new material listed in 1.3.2.10 through 1.3.2.12 are installed and disturbed by hot work

Remarks: See Section 6-A and Detail 6-B of 2.4 for location and details.

JCN: EM01-L222 and ES01-NPND

1.3.6.4 Quantity (17 SF), Web Plating of Floor Plate, Frame 115, Stbd, where new material listed in 1.3.2.13 is installed and disturbed by hot work

Remarks: See Section 6-D of 2.4 for location and details.

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

JCN: ES01-NPF8

1.3.6.5 Quantity (17 SF), Web Plating of Floor Plate, Frame 116, Stbd, where new material listed in 1.3.2.14 is installed and disturbed by hot work

Remarks: See Section 6-C of 2.4 for location and details.

JCN: ES01-NPF9

1.3.6.6 Quantity (41 SF), Bulkhead Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Port, including web plate of floor plate, where new material listed in 1.3.2.15 through 1.3.2.17 are installed and disturbed by hot work

Remarks: See Elevation 7-A and Section 7-B of 2.4 for location and details.

JCN: ES01-NPN2

1.3.6.7 Quantity (25 SF), Bulkhead Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Stbd, including web plate of floor plate, where new material listed in 1.3.2.18 and 1.3.2.19 are installed and disturbed by hot work

Remarks: See Elevation 7-C and Section 7-D of 2.4 for location and details.

JCN: ES01-NPMW, ES01-NPMX, and ES01-NPMY

1.3.6.8 Quantity (58 SF), Bulkhead Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 112 and 114, Stbd, including foundation of duplex strainer, web plate of floor plate, and flange plate of floor plate, where new material listed in 1.3.2.20 through 1.3.2.22 are installed and disturbed by hot work.

Remarks: See Elevation 8-A and Section 8-B of 2.4, and Elevation 2-A of Sketch Enclosure-03 for location details.

JCN: ES01-NP5Y and ES01-NPN0

1.3.6.9 Quantity (13 SF), Bulkhead Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 110 and 113, Stbd, including web plate of floor plate, where new material listed in 1.3.2.23 through 1.3.2.25 are installed and disturbed by hot work

Remarks: See Elevation 8-C and Section 8-D of 2.4 for location and details.

JCN: ES01-NPMZ

1.3.6.10 Quantity (48 SF), Bulkhead Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 98 and 101, including adjacent 6 inches width of shell plating and floor plating, Stbd

Remarks: The area is vertical surface up to 36 inches height from shell plating.

JCN: ES01-NPMV

1.3.6.11 Quantity (72 SF), Shell Plating, between Frames 109 and 112, and Ship’s Center Line and Longitudinal Bulkhead, 4 Feet Off from Ship’s Center Line, including flat keel and vertical surface up to height of 6 inches from shell plating, Stbd

JCN: ES01-NPN9

1.3.7 Quantity (60 SF), Structural Member in 9-118-0-V, Frames between 118 and 119, Port and Stbd, including flat keel, reinforce, chock on reinforce, transverse bulkhead plating Frame 118, and vertical stiffener on transverse bulkhead plate frame 118,, where new material listed in 1.3.2.1, and 1.3.2.8 through 1.3.2.12 are installed and disturbed by hot work

Remarks: See Plan 5-A, Elevation 5-C, Section 6-A, and Detail 6-B of 2.4 for location and details.

JCN: ES01-NPNC, EM01-L222, and ES01-NPND

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

1.3.8 Quantity (21 SF), Bulkhead Plating in 9-98-2-W, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Port, where new material listed in 1.3.2.15 through 1.3.2.17 are installed and disturbed by hot work

Remarks: See Elevation 7-A and Section 7-B of 2.4 for location and details.

JCN: ES01-NPN2

1.3.9 Quantity (14 SF), Bulkhead Plating in 9-98-1-W, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 105 and 108, Stbd, where new material listed in 1.3.2.18 and 1.3.2.19 are installed and disturbed by hot work

Remarks: See Elevation 7-C and Section 7-D of 2.4 for location and details.

JCN: ES01-NPMW, ES01-NPMX, and ES01-NPMY

1.3.10 Quantity (62 SF in Total), Bulkhead Plating in 9-109-1-J, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 110 and 114, Stbd

1.3.10.1 Quantity (28 SF), Longitudinal Bulkhead Plating, Frames between 112 and 114, where new material listed in 1.3.2.20 through 1.3.1.22 are installed and disturbed by hot work

Remarks: See Elevation 8-A and Section 8-B of 2.4 for location and details.

JCN: ES01-NPN0

1.3.10.2 Quantity (10 SF), Longitudinal Bulkhead Plating, Frames between 110 and 113, where new material listed in 1.3.2.23 through 1.3.2.25 are installed and disturbed by hot work

Remarks: See Elevation 8-C and Section 8-D of 2.4 for location and details.

JCN: ES01-NPMZ

1.3.11 Quantity (One Lot), Bilge Area in 9-98-0-Q, Frames between 98 and 118, Port and Stbd

Remarks: The area is up to 12 inches above second platform level including all structure members, grating frames and support, deck fittings, drain wells, bulkhead fittings, foundation, piping, piping hangers, top side of manhole covers, and boundary bulkheads

JCN: EM01-L252

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Dry Dock Work

1.5.2 Critical Coated Area: CCNY-LCC19-061-25 for the area listed in 1.3.6 through 1.3.10.

1.5.3 Potential Lead Hazard

1.5.4 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: 0/1

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 DWG 603-

2492590 Floors Plates-shaft Alley, Misc Loc & Shaft Coupling Guards- ARR & L/M

C Y AL

L

4 PDD 100-

ELM-240355

REPAIR PLAN OF CORRODED

STRL MEMBERS IN SHAFT

ALLEY (9-98-0-Q)

- Y AL

L

5 DWG 100-

2491010

SKEG B Y AL

L

6 DWG 100-

2491005

SHELL PLTG & STGR FRAME 102

1/4 STERN CL TO 4 TH DECK

F Y AL

L

7 DWG 101-

2491012

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

8 DWG 114-

2491158

TRANSV BHD FR 98 &109 K Y AL

L

9 DWG 114-

2491163

SHAFT ALLEY BHD F Y AL

L

10 DWG 114-

2491167

MISC STRUCT BHD BELOW 1ST

PLATF FR 98-121

J Y 4,6

11 DWG 112-

2491086

FDN LINE SHAFT BEARING C Y AL

L

12 DWG 504-

5593571

MODS TO JP-5 STRIPPING PMP

NO.2 DISCHARGE PIPING

A Y 2

13 DWG 810-

4714432

STD Pipe Hangers Fabrication

DETS & INSTL

L N

14 TM T-9630-

AB-MMD-

Corrosion Control Assessment and Maintenance Manual (CCAMM)

3 N

15 TM NAVSEA

4790/14

Tank and Void Structural and Coating Condition Survey (MRC G1N5)

- N

16 DWG 101-

2491013

Floors FR 8-98 S Y 26

17 DWG 101-

2491014

FLOORS FR 99-120 D Y SE

E N

OT

E

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 Remove each existing floor plate listed in 1.3.1 in way of bilge preservation, using 2.3 for guidance.

5.1.1 Matchmark, identify and retain each floor plate.

5.2 Pump out, clean, and dry each bilge area located in 1.2.1 and 1.2.2 to free from oil, debris, and other foreign matter.

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

5.3 Remove existing, fabricate and install new each structural member listed in 1.3.2 in accordance with 2.4, using

2.5 for guidance. See 5.12.5.

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

5.3.1.1 Accomplish nondestructive testing in accordance with Line 9.

5.3.1.2 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-05-1 through Enclosure-05-

14. Each joint identification number must be in accordance with Mapping Plan Enclosure-04.

5.3.1.3 Accomplish the requirements of 009-09 of 2.1 for welding procedure of each joint shown on Mapping Plan Enclosure-04.

5.3.2 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the flat keel, bulkhead plate, and collar plate listed in 1.3.2.1, 1.3.2.10, 1.3.2.12, 1.3.2.15, 1.3.2.18, 1.3.2.20, and 1.3.2.23.

Allowable leakage: None.

5.3.2.1 Document the local air hose test on QA Form 17 Enclosure-06-1.

5.4 Accomplish weld repair of corroded area on each existing structural member and foundation listed in 1.3.3 and

1.3.4 in accordance with 2.4, using 2.6 through 2.11 for guidance. See 5.14.8.

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

5.5 Remove existing and install new each pipe hanger listed in 1.3.5, using 2.12, 2.13 and Enclosure-02 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 the requirements of 009-32 of 2.1, including Table 3, Line(s) 13, for each area listed in 1.3.6.

5.7 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 24, for each area listed in 1.3.7, Table 4, Line(s) 17, for each area listed in 1.3.8 and 1.3.9, and Table 4, Line(s) 11, for each area listed in 1.3.10.

5.7.1 Submit new coating data applied to the SUPERVISOR in accordance with 2.14 and 2.15.

5.8 Accomplish a visual inspection of each area listed in 1.3.11 for structural integrity, deterioration, pitting, each crack, and area of damage or distortion, using 2.6 through 2.11, 2.16, and 2.17 for guidance.

5.8.1 Mark each corroded, damaged and/or deteriorated coating area.

5.8.2 Submit one legible copy, in hard copy or approved transferrable media, of a report with a sketch listing results of the requirements of 5.8 to the SUPERVISOR.

5.9 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line 13, for each area listed in 1.3.11, identified by visual inspection of 5.8, for a total of 472 square feet as designated by the SUPERVISOR.

5.9.1 Submit one legible copy, in hard copy or approved transferrable media, of a report identifying inaccessible area(s) with mapping plan and recommended preservation plan for the area to the SUPERVISOR within 3 working days ship check becomes possible after contracting.

5.9.2 Upon completion of surface preparation of each area, accomplish a visual inspection, including each deck plate and support, grating and support, foundation, piping, piping hanger and liner, and structural member for structural integrity, deterioration, pitting, each crack, and area of damage or distortion.

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

5.9.2.1 Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 5.9.2 to the SUPERVISOR.

5.10 Install each floor plate removed in 5.1 in accordance with 2.3.

5.10.1 Accomplish repair to floor plate using visual inspection in 5.9.2 when directed by SUPERVISOR. See 5.12.8 and 5.12.9.

5.10.2 Weld fill, drill and tap a total of 225 each floor plate support structure hole.

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

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

5.10.5 Chase and tap each exposed threaded area.

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

5.12 Notes:

5.12.1 Planner: Code 231B M. Haga, 243-2513

Planner: Code 231B S. Yamaoka, 243-9882 Planner: Code 232 K. Suzuki, 243-2490 Planner: Code 233 K. Uchimura, 080-9350-1432 Planner: Code 234 M. Motohashi, 243-2373 Planner: Code 234 K. Akase, 243-2372 Engineer: Code 250 M. Orishimo, 243-4330 Engineer: C260.1 K. Aihara, 243-2773

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

5.12.3 This TGI clears DFS LCC-19-1047-2019 in its entirety.

5.12.4 This TGI clears DFS LCC-19-1002-2024 in its entirety.

5.12.5 SRF-JRMC will review and approve a Contractor submitted drawing or sketch and will issue additional documents with QA Form(s) relating to actual location of temporary access(es) of replacement of flat keel listed in

1.3.2.2 for documentation of welding, nondestructive testing, and compartment testing when OQE(s) are required.

5.12.6 2.15 is available on P:\C200\C225\Enclosures\C231\Tank and Void Structural and Coating Condition Survey

(MRC G1N5).

5.12.7 This TGI meets the intent of LCC 19 CSWT File Nos. 631-006.

5.12.8 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.

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

5.12.10 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

FOUO

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

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.

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

5.12.12 Opening, initial cleaning, and closing of each space listed in 1.2.3 through 1.2.8 will be covered by the following TGI No(s).

Waste Oil Tank (9-94-0-F): 3819P12352A01 (KTR TGI) Clean Salt Water Ballast (9-98-1-W): 3819P12344A01 (KTR TGI) Clean Salt Water Ballast (9-98-2-W): 3819P12357A01 (KTR TGI) JP-5 Tank (9-109-1-J): 3819P12320A01 (KTR TGI) JP-5 Tank (9-109-4-J): 3819P12321A01 (KTR TGI) Void (9-118-0-V): 3819P12362A01 (KTR TGI)

5.12.13 Preservation work for disturbed exterior surfaces of underwater hull will be covered by ICN 3819P11001

(KTR TGI).

5.12.14 Steam cleaning and preservation of each space listed in 1.2.10 will be covered by TGI No. 3819P11001A01

(KTR TGI)

5.12.15 This TGI is in response to CCIMS report No. CCIMS-G1N6-LCC19-035-19 from TGI No. 3819I11005I02.

5.12.16 WPC will copy the following pages in reference.

REF. 2.17: Pages 5, 6, 7, 8, 9, 10, 11, and 12

5.12.17 JCNs ES01-NP5Y, ES01-NP5Z, EM01-L222, ES01-NPMU, ES01-NPMV, ES01-NPMW, ES01-NPMX, ES01-NPMY, ES01-NPMZ, ES01-NPN0, ES01-NPN1, ES01-NPN2, ES01-NPN3, ES01-NPN4, ES01-NPN5, ES01- NPN6, ES01-NPN7, ES01-NPN8, ES01-NPN9, ES01-NPNA, ES01-NPNB, ES01-NPNC, ES01-NPND, ES01-NPF8, ES01-NPF9, ES01-NPFA, and EM01-L252 are related to this TGI.

5.13 Government Furnished Material (GFM):

5.13.1 SRF-JRMC will provide GFM listed in Appendix "M".

5.14 SRF-JRMC will provide the following service work: (TGI No. 3819P12387S02)

5.14.1 [C740] Crane and crane rigging service.

5.14.2 [X99E] Utility service, electrical.

5.14.3 [X99M] Utility service, including water supply, steam supply, and low pressure air supply except onboard blasting work.

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

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

5.14.6 [C133] QA inspection for (G) symbol(s) and review of coating application data.

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

5.14.8 [C250] On-site engineering support for weld repair.

FOUO

J-1

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

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

CMPT 9-98-0-Q AY A 0 1

CU PHASE TITLE:

F/O - ACCOMPLISH REPAIR OF STRUCTURAL MEMBER AND PRVTN OF BILGE IN 9-98-0-Q

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CMPT 9-98-0-Q MS SKEG UH JP5 STOR 9-109-4-J TK JP5 STOR 9-109-1-J TK

VOID 9-118-0-V VD WO 9-94-0-F TK BLST 9-98-1-W TK BLST 9-98-2-W TK PIPE

HANGERS HG

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P12387A01-Sketch-01.pdf) saved on 25-JUL-2024 0000.

2. ENCLOSURE-02 (3819P12387A01-Sketch-02.pdf) saved on 26-JUL-2024 0000.

3. ENCLOSURE-03 (3819P12387A01-Sketch-03.pdf) saved on 26-JUL-2024 0000.

4. ENCLOSURE-04 (3819P12387A01-Map.pdf) saved on 25-JUL-2024 0000.

5. ENCLOSURE-05 (3819P12387A01-QA20.docx) saved on 25-JUL-2024 0000.

6. ENCLOSURE-06 (3819P12387A01-QA17.docx) saved on 25-JUL-2024 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P12387 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to accomplish repair of structural member and preservation of bilge in 9-98-0-Q.

Location of Work:

Shaft Alley (9-98-0-Q) Engine Room (8-86-0-E) Waste Oil Tank (9-94-0-F) Clean Salt Water Ballast (9-98-1-W) Clean Salt Water Ballast (9-98-2-W) JP-5 Tank (9-109-1-J) JP-5 Tank (9-109-4-J) Void (9-118-0-V) Underwater Hull Weather, Frames between 98 and 128, Port and Starboard (Stbd) Skeg, Frames between 115 and 121, Port and Stbd Trunk (6-117-0-T ) Intel Storeroom (7-102-1-A ) Passage (7-102-2-L ) Chemical Warfare Defense Equipment Storeroom (7-106-1-K ) Landing Force Equipment Store Room (7-106-2-A ) Emergency Generator Room No. 2 (7-109-1-E ) Pump Room No. 2 and Air Conditioning Machinery Room No. 2 (7-109-2-E ) Trunk (7-118-2-T ) “E” Division Storeroom (9-118-1-A ) Crew Living Space (6-98-0-L)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

FOUO

J-2

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

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR HRs 22 KE PC

5.2 LBR HRs, SFTR HRs 22 KE PC

5.3 SFTR HRs SMTL HRs, WELD HRs, CARP HRs, PNTR

HRs, RGRS HRs, QA HRs, PFTR HRs, OMCH HRs, ELEC HRs, BLRM HRs, INSL HRs

22 KE PC

5.4 WELD HRs, CARP HRs, PNTR HRs, RGRS HRs, QA HRs 22 KE PC

5.5 PFTR HRs, WELD HRs, PNTR HRs, QA HRs 22 KE PC

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

5.7 PNTR HRs, QA HRs, RGRS HRs, CARP HRs 22 KE PC

5.8 PNTR HRs, RGRS HRs 22 KE PC

5.9 PNTR HRs, QA HRs, INSL HRs, RGRS HRs 22 KE PC

5.10 SFTR HRs, WELD HRs, QA HRs, PNTR HRs, RGRS

HRs

22 KE PC

5.11 PNTR HRs, QA HRs 22 KE PC

Structural Work CFM for grits including disposal cost, fasteners, fire/tank/confined space watch cost, sampler/analysis cost for lead, air compressor rental cost and fuel oil cost for air hose test, UT inspection cost, and misc such as temporary closure, electrodes, gases, enclosing/covering materials, and other consumable.

22 MQ CS

Temporary Access Work CFM for grits, confined space/fire watch cost, sampler/analysis cost for lead, and misc such as electrodes, gases, enclosing/covering materials, and other consumable.

22 MQ CS 0 0 0

Electrical Work CFM for banding material, fasteners, insulation tape, plastic bags, rope, and other consumable.

22 MQ CS 0 0 0

Machinery Work CFM for misc such as plastic sheets/bags, paint and other consumable.

22 MQ CS 0 0 0

Piping Work CFM for each pipe hanger, electrode, argon gas, plastic sheet, covering material, tape, plastic bag, saw blade, sample cost for lead paint, air compressor rental cost, fuel oil cost, asbestos disposal cost and other consumable material

(MISC).

22 MQ CS 0 0 0

Boiler Work CFM for fasteners and MISC. 22 MQ CS 0 0 0

Preservation Work CFM for marine chemist, all paints, thinner, sampler/analyze lead, asbestos sampler cost and analysis cost for compartment insulation, tyvex suit, plastic bags, air conditioner, grits, compressor and fuel oil, dryer for compressor, tank watch cost, ---continue to below---

22 MQ CS 0 0 0

---continued from above---air conditioner, enclosure material, fasteners, and MISC such as covering material, and other consumable.

22 MQ CS 0 0 0

Process Funding Document. 10 CT OM 1 1 0

Version-01: correct other special requirements. C231B R.

Takagi, 07/26/2024, -/-/N

V-01 0 0 0

FOUO

M-1

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

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

CMPT 9-98-0-Q AY A 0 1

CU PHASE TITLE:

F/O - ACCOMPLISH REPAIR OF STRUCTURAL MEMBER AND PRVTN OF BILGE IN 9-98-0-Q

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 100-ELM-240355

2 ELM-240287

JOB ORDER: KEY OP:

3819P12387 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, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9Q 5640 008096312 NA 4 N 42085071 12/EA

002 M TAPE,TEX, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9B 8315 002671632 NA 4 N 42085072 1/RO

003 M TAPE,TEX, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9B 8315 002671633 NA 4 N 42085073 1/RO

004 M CAP,SNAP, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9B 5325 007377648 NA 4 N 42085074

100/EA

005 M ADHESIVE, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9B 8040 002738708 NA 4 Y 42085070 1/GL

NOTES:

FOUO

M-2

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

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

006 M SCREW,FLAT,SLOT,5/16,

MATERIAL ORDER FOR KTR

SCREW,FLAT,SLOT,5/16"-

18UNC-2AX1/2"L,ST

, LOW CARBON STEEL,

FF-S-85D, TYPE I, STYLE 2S,

GRADE 2,

SCREW, SLOTTED, FLAT

COUNTERSUNK HEAD, 82DEG

ORIG: C231B M.HAGA 243-2513

LL4946178 NA 4 N

200/EA

100 1 1 M PLATE,ME, SIZE: 5' X 8', 35.7#,

MTL: OS

ORDERED FOR KTR

ORIG: C231 S.YAMAOKA,

PHONE: 243-9882

9B 9515 001533260 NA 4 N 41815059 40/SF

101 2 1 M PLATE,ME, SIZE: 5' X 13', 25.5#,

MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 001533248 NA 4 N 41815060 65/SF

102 3 1 M PLATE,ME, SIZE: 5' X 20',

17.85#, 2PM, MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 001533230 NA 4 N 41815061

200/SF

103 4 1 M BEAM,STRUCTURAL, SIZE: 6"

X 4" X 11#, MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9520 002780359 NA 4 N 41815062 10/FT

104 5 1 M PLATE,ME, SIZE: 5' X 4', 20.4#,

MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 001533236 NA 4 N 41815063 20/SF

105 6 1 M PLATE,ME, SIZE: 5' X 4', 15.3#,

MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 001533223 NA 4 N 41815064 20/SF

106 7 1 M BEAM, STRUCTURAL I-T,

BEAM, STRUCTURAL I-T

SHAPE, 10" X 4" X 17LBS,

MATL: STEEL, OS, I-T BEAM,

*CUT FROM 10" X 4" X 17LBS, I-

BEAM, ABS GR-A, MIL-S-22698,

TWO SIDES OF ONE FLANGE

REMOVED

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9520 LL4601713 NA 4 N 41907511 20/FT

200 M SCREW,CAP,HEXAGON H,

ORIG: C232 K. SUZUKI 243-

ORDERED FOR KTR

9B 5305 002269197 NA 4 N 41225365 8/EA

201 M NUT,PLAIN,HEXAGON, ORIG:

C232 K. SUZUKI 243-2490

ORDERED FOR KTR

9B 5310 002725700 NA 4 N 41225332 8/EA

202 M RUBBER SHEET,SOLID, ORIG:

C232 K. SUZUKI 243-2490

ORDERED FOR KTR

9B 9320 002449276 NA 4 N 41225275 1/SY

203 M GASKET, ORIG: C232 K.

SUZUKI 243-2490

ORDERED FOR KTR

9B 5330 013865379 NA 4 N 41225331 1/SH

FOUO

M-3

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

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

204 M RUBBER SHEET,SOLID,, ORIG:

C232 K. SUZUKI 243-2490

ORDERED FOR KTR

9B 5330 014905035 NA 4 N 41225325 1/SH

205 M NON-ASBESTOS SHEET,,

ORIG: C232 K. SUZUKI 243-

ORDERED FOR KTR

9B 5330 015848392 NA 4 N 41225351 1/SE

400 M SLEEVE,, COUPLING, SLEEVE,

1-1/4" IPS, CNA90/10, 200PSI,

810-1385880

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL4903762 NA 4 N 42057407 2/EA

401 M BACKING, BACKING RING, 1-

1/4" IPS, CNA90/10, 200PSIG,

MIL-STD-22

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9C 4730 LL4558775 NA 4 N 42057405 2/EA

402 M COUPLING,TUBE, SLEEVE, 2-

1/2" IPS, CU-NI 90/10, BW

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 007225471 NA 4 N 42045168 6/EA

403 M BACKING RING, BACKING

RING, 2-1/2"IPS, CNA 90/10,

200PSIG, MIL-STD-22

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL4558781 NA 4 N 42057406 6/EA

404 M SLEEVE,BULKHEAD AND,

SLEEVE, PENETRATION, BHD

& DECK, 2-1/2 IPS, STEEL,

ASTM A106 GR B

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 2040 002775784 NA 4 N 42045169 3/EA

405 M TUBE,METALLIC, 2-1/2" IPS,

CU-NI 90-10, CL200

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

3B 4710 002898007 NA 4 N 42045167 20/FT

406 M PIPE, METAL, 2"IPS, , PIPE,

METAL, SIZE: 2"IPS, MATL:

STEEL GALV,SCH

80,SEAMLESS,ASTM-A106, GR-

B

USE FOR COUPLING

10FT / 1EA RQRD.

9B 4710 LL4903643 NA 4 N 42057419 10/FT

407 M COUPLING,PIPE, COUPLING,

1-1/2” IPS, C-STEEL, SW

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 011060796 NA 4 N 42045147 4/EA

FOUO

M-4

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

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

408 M COUPLING SLEEVE, SLEEVE

COUPLING, SLEEVE TYPE FOR

STEEL PIPE SCH 40, SIZE: 1-

1/2" IPS (2.375 OD X 1.932 ID X

0.222 THK X 1-1/2 LG)

MATERIAL: STEEL, ASTM-A-

106 GR B, BIW DWG#: 8100-

2400-0019 SHEET 4, CAT#:

13227-063

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9303891 NA 4 N 42057417 4/EA

409 M PIPE,METALLIC, SIZE: 1-1/2

INCH IPS SCH 40

MATERIAL: C-STEEL

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4710 008925914 NA 4 N 42045146 10/FT

410 M BACKING RING,, BACKING

RING, SIZE: 5"IPS, 1"WIDE,

CARBON STEEL, SCH 40, MIL-

STD-22D.

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9301791 NA 4 N 42057415 8/EA

411 M BACKING RING, SIZE; ,

BACKING RING, SIZE; 4"IPS,

1"WIDE, STEEL, SCH 40, MIL-

STD-22D.

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9301776 NA 4 N 42057420 8/EA

412 M BACKING RING, BACKING

RING, 3-1/2 INCH IPS, 1 INCH

WIDE, CARBON STEEL, SCH

40, MIL-STD-22D

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9301792 NA 4 N 42057414 8/EA

413 M COUPLING SLEEVE, SLEEVE

COUPLING, SLEEVE TYPE FOR

STEEL PIPE SCH 40, SIZE: 3-

1/2" IPS (4.625 OD X 4.070 ID X

0.278 THK X 2 LG)

MATERIAL: STEEL, ASTM-A-

519 MT 1015, BIW DWG#: 8100-

2400-0019 SHEET 4, CAT#:

13227-161

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9303894 NA 4 N 42057418 8/EA

414 M SLEEVE, BHD/DECK, 5",

SLEEVE, BHD/DECK, 5" IPS,

STEEL, ASTM A106, 810-

1385866

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

9B 4730 LL4777193 NA 4 N 42057416 2/EA

FOUO

M-5

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

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

415 M SLEEVE,BULKHEAD AND,

DECK/BULKHEAD

PENETRATION SLEEVE,

1385866, 4" IPS, C-STL, ASTM

A106

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 2040 002775787 NA 4 N 42045148 2/EA

416 M SLEEVE,BULKHEAD AND,

DECK SLEEVE, 3-1/2"IPS

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 2040 002775786 NA 4 N 42045145 2/EA

417 M PIPE, 5 INCH IPS, CS, PIPE, 5

INCH IPS, CS, SCH-40, ASTM-

A-106

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4710 008486181 NA 4 N 42045149 20/FT

418 1 2 M PIPE,METALLIC, 4" IPS, C-STL,

SCH40, ASTM A106

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4710 003475111 NA 4 N 42045144 20/FT

419 M PIPE,METALLIC, 3-1/2"IPS, C-

STEEL

ORDERED FOR KTR

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4710 010259582 NA 4 N 42045143 20/FT

420 M COUPLING,TUBE, 1" IPS, CU-NI

90-10, SW

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

9B 4730 014635857 NA 4 N 42045170 2/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 CMPT 9-98-0-Q AY A 0

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

3819P12387 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 CMPT 9-98-0-Q AY A 0

Sheet 1 of 3

SKETCH

ENCLOSURE-013819P12387A01

LEGEND

PLAN 1-A

-CORROSION AREA

FWD

CORROSION AREA

1 E

B

3 A

Shaft Alley 9-98-0-Q

CORROSION AREA

SEE SHEET 2

Detail 1-B Detail 1-C

Detail 1-D

FR 106

SEE DETAIL 1-C

and 1-D

FW

D

FR 105

Detail 1-E

FR 113-1/2

Port

BHD

C

Sheet 2 of 3

ENCLOSURE-013819P12387A01

DETAIL

PLAN 2-A

2-B

FR 109 to FR110

C

SECT 2-C

LKG AFT

FR110

2-C

2-D

DET 2-D

DET 2-E

DET 2-E

2-B

DET

LEGEND

-CORROSION AREA

Sheet 3 of 3

ENCLOSURE-013819P12387A01

LEGEND

-CORROSION AREA

Elevation 3-A

Detail 3-B

3 B

FR 107-1/2

FWD

Detail 3-C

3819P12387A01

ENCLOSURE-02 Sheet 1 of 1

Masanori.Motohash.ja Text Box

REPLACE RED MARKD PIPE HANGER

Masanori.Motohash.ja_1 Oval

Sketch

3819P12387A01 ENCLOSURE-03 Sheet 1 of 2

PLAN VEIW 1-A

SHAFT ALLEY (9-98-0-Q)

1.3.6.1 Quantity (166 SF), Shell Plating, between Frames 114 and 118, and Ship’s Center Line and Longitudinal Bulkhead, 4 Feet Off from Ship’s Center Line, Port and Stbd, including flat keel and vertical surface up to height of 6 inches from shell plating and flat keel Remarks: The area includes flat keel where new material listed in 1.3.2.1 is installed and disturbed by hot work

Sketch

3819P12387A01 ENCLOSURE-03 Sheet 2 of 2

1.3.6.8 Quantity (58 SF), Bulkhead

Plating, Longitudinal Bulkhead 4 Feet Off from Ship’s Center Line, Frames between 112 and 114, Stbd, including foundation of duplex strainer, and web plate of floor plate and flange plate of floor plate, where new material listed in

1.3.2.20 through 1.3.2.22 are installed and disturbed by hot work.

ELEVATION VEIW 2-A

SHAFT ALLEY (9-98-0-Q)

2-A

Shinji.Yamaoka.ja Text Box 3819P12387A01

Shinji.Yamaoka.ja_1

ENCLOSURE-04

Shinji.Yamaoka.ja_2

3819P12387A01

Shinji.Yamaoka.ja_3

Shinji.Yamaoka.ja_4

3819P12387A01

Shinji.Yamaoka.ja_5

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P12387A01 ENCLOSURE-05-1 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

ES01-NPNC

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

26 JUL 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

FLAT KEEL

9. DWG NO.

100-ELM-240355 REV. “-”

10. CWP STEP NO.

5.3.1.2

11. JOINT ID

HJ-1

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

THE ACTION HAS BEEN PERFORMED IN ACCORDANCE WITH THE SPECIFIED

REQUIREMENTS.

3819P12387A01 ENCLOSURE-05-1 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P12387A01 ENCLOSURE-05-2 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

ES01-NPNC

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

26 JUL 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

FLAT KEEL

9. DWG NO.

100-ELM-240355 REV. “-”

10. CWP STEP NO.

5.3.1.2

11. JOINT ID

HJ-2

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P12387A01 ENCLOSURE-05-2 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P12387A01 ENCLOSURE-05-3 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

ES01-NPNC

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

26 JUL 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

CVK WEB

9. DWG NO.

100-ELM-240355 REV. “-”

10. CWP STEP NO.

5.3.1.2

11. JOINT ID

HJ-3

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P12387A01 ENCLOSURE-05-3 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P12387A01 ENCLOSURE-05-4 TOTAL 14

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

ES01-NPNC

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

26 JUL 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

CVK FLG

9. DWG NO.

100-ELM-240355 REV. “-”

10. CWP STEP NO.

5.3.1.2

11. JOINT ID

HJ-4

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[…