TGI_3819P14206A01_c0v2.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.: STRL MBR 8-40-0-E 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 - REPAIR & PRESERVE STRL MEMBER IN 8-40-0-E, 9-40-0-F, 9-40-1-W, & 9-40-2-W

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

YUUICHI YOSHIHARA 231B. 315-243-9984 25-MAY-2024

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B. 315-243-4502 25-MAY-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:

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

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II AND III.

CLASS P-2 PIPING.

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.: STRL MBR 8-40-0-E AY A 0

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SHIP: LCC-19 CHG/VER: 0/2

LIST OF EFFECTIVE PAGES

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

1-10 Map (1- 2)

J1-2 QA20

(1-9)

M1-3 QA17

(1)

Sketch (1-2)

QA28

(1-2)

1. SCOPE/PURPOSE

1.1 Title: Structural Member in 8-40-0-E, 9-40-0-F, 9-40-1-W, and 9-40-2-W; repair and preserve

1.2 Location of Work:

1.2.1 Pump Room No. One (8-40-0-E)

1.2.2 Underwater Log and Fathometer Trunk (9-44-0-Q)

1.2.3 Distillate Fuel Overflow or Ballast (9-30-0-F)

1.2.4 Distillate Fuel or Ballast (9-30-1-F)

1.2.5 Distillate Fuel or Ballast (9-30-2-F)

1.2.6 Distillate Fuel or Ballast (9-40-0-F)

1.2.7 Clean Salt Water Ballast (9-40-1-W)

1.2.8 Clean Salt Water Ballast (9-40-2-W)

1.2.9 Emergency Generator Room No. One (7-30-0-E)

1.2.10 SD Storeroom (7-30-1-A)

1.2.11 Crew Baggage Storeroom (7-30-2-A)

1.2.12 Air Conditioning Machinery Room No. One and Refrigeration Machinery Room (7-40-0-E)

1.2.13 CHT Tank No. One (8-48-0-W)

1.2.14 Distillate Fuel or Ballast (9-8-0-F)

1.2.15 Distillate Fuel or Ballast (9-18-0-F)

1.2.16 Distillate Fuel Overflow or Ballast (9-24-0-F)

1.2.17 SD Storeroom (7-48-0-A)

1.2.18 HAZMAT/Flammable Storeroom B (7-12-0-K)

1.2.19 SD Storeroom (7-18-0-A)

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SHIP: LCC-19 CHG/VER: 0/2

1.2.20 Auxiliary Fuel Service Tank (7-39-5-F)

1.2.21 Emergency Generator Room No. One (7-30-0-E)

1.3 Identification:

1.3.1 Quantity (2 EA), No.One and No.2 Collection, Holding and Transfer (CHT) Pump Unit

Mfr: Eddy Pump Corporation Mfr Id: CC-3000 Type: Motor Closed Coupling, Centrifugal Tornade Volute Capacity: 300 GPM Pressure: 39 PSI Speed: 1750 RPM

1.3.2 Quantity (Approx. 6 FT), Collection, Holding and Transfer (CHT) Piping including Bulkhead Penetration Sleeve, located in 1.2.1 and 1.2.6, from inlet flange of valve (8-43-1) to 1.2.6 side

Size: 4 Inch IPS (4.500 Inch OD X 0.109 Inch WT) Material: Cu-Ni 70-30 Specification: MIL-T-16420 Remarks: See Sheet 9 (Zone ID 68-C) of 2.7 and Sheet 3 of 2.8 for detail.

1.3.2.1 Quantity (One EA), Bulkhead Penetration Sleeve

Size: For 4 Inch IPS Material: Steel Specification: 803-1385866

1.3.3 Quantity (512 SF), Innerbottom Plating in 8-40-0-E, between Frames 40 and 44, and Longitudinals L9P and L9S

Base Material: MS, MIL-S-22698 GR-A, 25.5 LBs Plate Reading Point: 12 Inches x 12 Inches Grid Pattern Remarks: See 2.13 for detail

JCN: ES01-NPH3

1.3.4 Quantity (One Lot), Structural Member in 8-40-0-E, 9-40-0-F, 9-40-1-W, and 9-40-2-W

Remarks: See 2.10 for detail

1.3.4.1 Quantity (One EA), Innerbottom Plate in 8-40-0-E, 9-40-0-F, and 9-40-1-W, Frames between 42 and 45

Material: OS, MIL-S-22698 GR-A, 25.5 LBs Plate Remarks: See Sheet 4 Plan 4-A of 2.10 for detail

JCN: ES01-NPH6

1.3.4.2 Quantity (One EA), Innerbottom Plate in 8-40-0-E, 9-40-0-F, and 9-40-2-W, Frames between 42 and 45

Material: OS, MIL-S-22698 GR-A, 25.5 LBs Plate Remarks: See Sheet 4 Plan 4-A of 2.10 for detail

JCN: ES01-NPH5

1.3.4.3 Quantity (One EA), Innerbottom Plate in 8-40-0-E, Frames between 41 and 42, Port

Material: OS, MIL-S-22698 GR-A, 25.5 LBs Plate Remarks: See Sheet 6 Plan 6-A of 2.10, and Sheet 2 Plan 16-A and Detail 18-D of 2.14 for detail

JCN: ES01-NPH4

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SHIP: LCC-19 CHG/VER: 0/2

1.3.4.4 Quantity (One EA), Transverse Bulkhead Plate Frame 44 in 8-40-0-E, Longitudinals between L1 and L9S

Material: OS, MIL-S-22698 GR-A, 15.3 LBs Plate Remarks: See Sheet 5 Section 5-A of 2.10 for detail

JCN: ES01-NPH9

1.3.4.5 Quantity (2 EA), Vertical Stiffener L7S and L8S on Transverse Bulkhead Plate Frame 44 listed in 1.3.4.4

Material: OS, MIL-S-22698 GR-A, 6 Inches x 4 Inches x 7 LBs T Remarks: See Sheet 5 Section 5-A and Detail 5-C of 2.10 for detail

JCN: ES01-NPH9

1.3.4.6 Quantity (One EA), Transverse Bulkhead Plate Frame 44 in 8-40-0-E, Longitudinals between L5P and L9P

Material: OS, MIL-S-22698 GR-A, 15.3 LBs Plate Remarks: See Sheet 5 Section 5-B of 2.10 for detail

JCN: ES01-NPEY

1.3.4.7 Quantity (2 EA), Vertical Stiffener L7P and L8P on Transverse Bulkhead Plate Frame 44 listed in 1.3.4.6

Material: OS, MIL-S-22698 GR-A, 6 Inches x 4 Inches x 7 LBs T Remarks: See Sheet 5 Section 5-B and Detail 5-C of 2.10 for detail

JCN: ES01-NPEY

1.3.4.8 Quantity (One EA), Longitudinal Bulkhead Plate L9P in 8-40-0-E and 9-40-0-F, Frames between 42 and 45

Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet 4 Elevation 4-C of 2.10 for detail

JCN: ES01-NPH2

1.3.4.9 Quantity (One EA), Longitudinal Bulkhead Plate L9S in 8-40-0-E and 9-40-0-F, Frames between 42 and 45

Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet 4 Elevation 4-B of 2.10 for detail

JCN: ES01-NPH6

1.3.4.10 Quantity (One EA), Longitudinal Bulkhead Plate L9S in 8-40-0-E, Frames between 40 and 43

Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet 6 Elevation 6-B of 2.10 for detail

JCN: ES01-NPH7

1.3.4.11 Quantity (One EA), Web Plate of Web Frame 42 in 8-40-0-E, Starboard (Stbd)

Material: OS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet 6 Elevation 6-B and Detail 6-C of 2.10 for detail

JCN: ES01-NPH7

1.3.5 Quantity (One Lot), Transverse Bulkhead Plating Frame 40 in 8-40-0-E, Longitudinals between L2P and L3P

Base Material: MS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet One Figure-1 of Sketch Enclosure-01 for location detail

1.3.6 Quantity (One Lot), Transverse Bulkhead Plating Frame 40 in 8-40-0-E, Longitudinals between L8P and L9P

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SHIP: LCC-19 CHG/VER: 0/2

Base Material: MS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet One Figure-2 of Sketch Enclosure-01 for location detail

1.3.7 Quantity (One Lot), Longitudinal Bulkhead Plating L9P in 8-40-0-E, Frames between 40 and 41

Base Material: MS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet One Figure-2 of Sketch Enclosure-01 for location detail

1.3.8 Quantity (One Lot), Longitudinal Bulkhead Plating L9S in 8-40-0-E, Frames between 42 and 43

Base Material: MS, MIL-S-22698 GR-A, 17.85 LBs Plate Remarks: See Sheet 2 of Sketch Enclosure-01 for location detail

1.3.9 Quantity (Approx. 6 FT), JP-5 Piping including Penetration Sleeve, located in 1.2.1, from outlet flange of valve (8-43-5) to forward side

Size: 2 Inch IPS (2.375 Inch OD X 0.083 Inch WT) Material: Cu-Ni 90-10 Specification: MIL-T-16420 Remarks: See Sheet One (Plan Hold) of 2.17 for detail.

JCN: EM04-0899

1.3.9.1 Quantity (One EA), Penetration Sleeve

Size: For 2 Inch IPS Material: Steel Specification: 545-2492627, TYPE D

1.3.10 Quantity (739 SF), Interior Surfaces of 8-40-0-E

Remarks: See 2.13 and 2.10 for detail The area includes entire innerbottom plating, vertical surfaces up to height of 4 inches from innerbottom plating, and area where new material installed and disturbed by hot work JCNs: ES01-NPEY, ES01-NPH2, ES01-NPH3, ES01-NPH5, ES01-NPH6, ES01-NPH7, ES01-NPH8, and

ES01-NPH9

1.3.11 Quantity (64 SF), Interior Surfaces of 9-40-0-F, Hold, Stbd

Remarks: See Sheet 4 Plan 4-A and Elevation 4-B, and Sheet 5 Section 5-A and Detail 5-C of 2.10 for location detail

JCNs: ES01-NPH6 and ES01-NPH9

1.3.12 Quantity (53 SF), Interior Surfaces of 9-40-0-F, Innerbottom, Stbd

Remarks: See Sheet 4 Plan 4-A and Elevation 4-B, and Sheet 5 Section 5-A and Detail 5-C of 2.10 for location detail

JCNs: ES01-NPH6 and ES01-NPH9

1.3.13 Quantity (28 SF), Interior Surfaces of 9-40-0-F, Hold, Port

Remarks: See Sheet 4 Plan 4-A and Elevation 4-C, and Sheet 5 Section 5-B and Detail 5-C of 2.10 for location detail

JCNs: ES01-NPEY, ES01-NPH2, and ES01-NPH5

1.3.14 Quantity (43 SF), Interior Surfaces of 9-40-0-F, Innerbottom, Port

Remarks: See Sheet 4 Plan 4-A and Elevation 4-C, and Sheet 5 Section 5-B and Detail 5-C of 2.10 for location detail

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SHIP: LCC-19 CHG/VER: 0/2

JCNs: ES01-NPEY, ES01-NPH2, and ES01-NPH5

1.3.15 Quantity (18 SF), Interior Surfaces of 9-40-1-W, Aft Side

Remarks: See Sheet 4 Plan 4-A and Elevation 4-B, and Sheet 5 Section 5-A of 2.10 for location detail JCNs: ES01-NPH6, ES01-NPH8, and ES01-NPH9

1.3.16 Quantity (21 SF), Interior Surfaces of 9-40-1-W, Forward Side

Remarks: See Sheet 6 Elevation 6-B and Detail 6-C of 2.10 for location detail

JCN: ES01-NPH7

1.3.17 Quantity (18 SF), Interior Surfaces of 9-40-2-W

Remarks: See Sheet 4 Plan 4-A and Elevation 4-C, and Sheet 5 Section 5-B of 2.10 for location detail JCNs: ES01-NPEY, ES01-NPH2, and ES01-NPH5

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Dry Dock Work

1.5.2 Potential Asbestos Hazard

1.5.3 Potential Lead Hazard

1.5.4 Critical Coated Area: CCNY-LCC19-059-25 for the area listed in 1.3.10 through

1.3.17. 1.6 Contractor work start date: 7/21/2026

1.7 Contractor work completion date: 10/21/2027

2. REFERENCES:

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

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

3 DWG 545-

7292494

S/A LCC19-1309K

ARRANGEMENT MODIFICATION

INCIDENTAL TO CHT PUMP

REPLACEMENT

- Y 2

4 DWG 113-

7292499

S/A 1309K-2 FDN CHT SYSTEM

UPGRADE

- Y 3

5 DWG 505-

7292783

CHT PP MODS INCID PUMP REPL A Y 4,7

6 DWG 302-

7541366

Power System Modification CHT Eddy Pumps

A Y 4

7 DWG 505-

7544237

PLMB & CHT PIPING FWD CHT

EXPANSION

A Y 9

8 PDD 505-

DLM-041396

INSTALLATION OF (2) BALL

VALVES IN THE CHT SUCTION

PIPING INCIDENTAL TO S/A 1529

- Y

9 DWG 803-

1385866

PENETRATION BULKHEAD &

DECK

E N

10 PDD 102-

ELM-240301

REPAIR PLAN OF CORRODED

STRL MEMBERS IN PUMP RM

NO.1 (8-40-0-E)

- Y AL

L

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SHIP: LCC-19 CHG/VER: 0/2

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

11 TM T9074-

AS-GIB-

010/271

Requirements for Nondestructive Testing Methods

1 N

12 TM S9086-

DA-STM-

010/CH-100

Hull Structures 4 N

13 DWG 102-

2491030

INNER BOTTOM PLTG FR8-1/2 -

51-1/2

G Y AL

14 DWG 113-

5341770

INSTL COAMINGS & SUMPS -

CHT UPGRADE

C Y AL

15 DWG 114-

2491155

TRANSV BHD FR 40, Pump RM BHD and Trunk BHD FR 44-45

K Y AL

16 DWG 114-

2491161

DEEP TANK BHD FR 24, 48, 56, &

LONG BHD BEL 2ND PLATF FR

30-76

F Y AL

17 DWG 504-

2492246

JP-5 TRANSFER PIPING - EMERG

GEN & PUMP ROOM NO.1 - ARR

B Y AL

18 DWG 545-

2492627

WELDED BHD OR DK SLEEVES

FOR IPS PIPING

C N

19 DWG 103-

2491032

2ND PLTF PLATING FR 8-52 G Y AL

20 MIL MIL-

STD-1627

Bending of Pipe or Tube for Ship Piping Systems

C N

21 TM T-9630-

AB-MMD-

Corrosion Control Assessment and Maintenance Manual (CCAMM)

- N

22 TM NAVSEA

4790/14

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

- N

3. APPENDICES:

3.1 Appendix “J” TGI Job Summary Information Sheet

3.2 Appendix "M" TGI Material List

3.3 Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1 Not Applicable.

5. PROCEDURE:

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

5.2 Accomplish the following machinery work for the equipment listed in 1.3.1, using 2.3 through 2.6 for guidance.

5.2.1 Accomplish the requirements of 009-09 of 2.1.

5.2.2 Remove each equipment listed in 1.3.1, using 2.3 through 2.6 for guidance.

5.2.2.1 Clean each exposed part free of foreign matter, leaving no residue or injurious effects.

5.2.2.2 Remove each high spot, burr, abrasion, nick, corrosion, gasket material, and foreign matter from each exposed flange and mating surface.

5.2.2.3 Chase and tap each exposed threaded area.

5.2.3 Install each equipment listed in 1.3.1 after completion of structural repair, using 2.3 through 2.6 for guidance.

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SHIP: LCC-19 CHG/VER: 0/2

5.2.3.1 Install each new CHT piping joint gasket. Gasket must conform to HH-P-151, Class I, cloth inserted rubber, or MIL-PRF-1149, Type II, Class II, synthetic rubber.

5.3 Remove existing and reinstall each CHT piping listed in 1.3.2 for supporting of structural work, using 2.7 through 2.9, and 2.10 for guidance.

5.3.1 Accomplish the requirements of 009-09 of 2.1 for the certification process.

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

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

5.3.4 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of bulkhead penetration sleeve listed in 1.3.2.1. Allowable leakage: None.

5.4 Accomplish ultrasonic thickness measurement (UTM) on each innerbottom plating listed in 1.3.3 in accordance with Paragraph 6.7 of 2.11, and 2.12, using 2.13 for guidance.

5.4.1 Accomplish visual inspection of the innerbottom plating for structural integrity, deterioration, pitting, cracks, and area of damage or distortion, using 2.13 for guidance.

5.4.2 Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 5.4 to the SUPERVISOR.

5.5 Remove existing, fabricate, and install new each structural member listed in 1.3.4 in accordance with 2.10 and 2.14.

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

5.5.1.1 Accomplish nondestructive testing in accordance with Line 9.

5.5.1.2 Accomplish the requirements of 099‐911YO of 2.2, using QA Form 20 Enclosure-03-1 through Enclosure-03-

9. Each joint identification number must be in accordance with Mapping Plan Enclosure-02.

5.5.1.3 Accomplish the requirements of 009-09 of 2.1 for welding procedure of each joint shown on Mapping Plan Enclosure-02.

5.5.2 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of each innerbottom plate, transverse bulkhead plate, and longitudinal bulkhead plate listed in 1.3.4.1 through 1.3.4.4, 1.3.4.6, and 1.3.4.8 through 1.3.4.10. Allowable leakage: None.

5.5.2.1 Document the local air hose test on QA Form 17 Enclosure-04-1.

5.6 Accomplish weld repair of corrosion pit on each existing transverse bulkhead plating listed in 1.3.5, and general corrosions on each existing transverse bulkhead plating and longitudinal bulkhead plating listed in 1.3.6 through 1.3.8, using 2.15 and 2.16 for guidance. See 5.15.8.

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

5.7 Remove existing, fabricate and install each new JP-5 piping listed in 1.3.9, using 2.17 through 2.19 for guidance.

5.7.1 Bend each new pipe in accordance with 2.20.

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

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SHIP: LCC-19 CHG/VER: 0/2

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

5.7.4 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 68 PSIG, for new and disturbed JP-5 piping system.

5.7.4.1 Document shop hydrostatic test results on QA Form 28 Enclosure-05-1.

5.7.5 Accomplish the requirements of 009-71 of 2.1 for low pressure air tightness test, using compressed air at 50 PSIG, for each new and disturbed JP-5 piping system.

5.7.5.1 Document air tightness test results on QA Form 28 Enclosure-05-2.

5.7.6 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of penetration sleeve listed in 1.3.9.1. Allowable leakage: None.

5.8 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 13, for each area listed in 1.3.10.

5.9 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 11, for each area listed in 1.3.11 through 1.3.14.

5.9.1 Submit new coating data applied to the SUPERVISOR in accordance with 2.21 and 2.22.

5.10 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 17, for each area listed in 1.3.15 through 1.3.17.

5.10.1 Submit new coating data applied to the SUPERVISOR in accordance with 2.21 and 2.22.

5.11 Confirm that all personnel have exited the space prior to closure of the space listed in 1.2.2. Designate one person to account for all personnel who may have entered the space.

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

5.13 Notes:

5.13.1 Planner: Code 231B Y. Yoshihara, 243-9984

Planner: Code 232 M. Fudo, 243-4512 Planner: Code 233 T. Imamura, 080-9350-1434 Planner: Code 234 H. Ito, 243-4534 Engineer: Code 250 M. Orishimo, 243-4330

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

5.13.3 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.

5.13.4 Opening, initial cleaning, and closing of each space listed in 1.2.3 will be covered by TGI No.

3819P12313A01 (KTR TGI).

5.13.5 Opening, initial cleaning, and closing of each space listed in 1.2.4 will be covered by TGI No.

3819P12314A01 (KTR TGI).

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SHIP: LCC-19 CHG/VER: 0/2

5.13.6 Opening, initial cleaning, and closing of each space listed in 1.2.5 will be covered by TGI No.

3819P12315A01 (KTR TGI).

5.13.7 Opening, initial cleaning, and closing of each space listed in 1.2.6 and 1.2.7 will be covered by TGI No.

3819P12316A01 (KTR TGI).

5.13.8 Opening, initial cleaning, and closing of each space listed in 1.2.8 will be covered by TGI No.

3819P12337A01 (KTR TGI).

5.13.9 Opening, initial cleaning, and closing of each space listed in 1.2.13 will be covered by TGI No.

3819P12355A01 (KTR TGI).

5.13.10 Opening, initial cleaning, and closing of each space listed in 1.2.14 will be covered by TGI No.

3819P12310A01 (KTR TGI).

5.13.11 Opening, initial cleaning, and closing of each space listed in 1.2.15 will be covered by TGI No.

3819P12311A01 (KTR TGI).

5.13.12 Opening, initial cleaning, and closing of each space listed in 1.2.16 will be covered by TGI No.

3819P12312A01 (KTR TGI).

5.13.13 Opening, initial cleaning, and closing of each space listed in 1.2.20 will be covered by TGI No.

3819P12327A01 (KTR TGI).

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

5.13.15 This TGI clears DFS LCC-19-1057-2023 in its entirety.

5.13.16 JCNs EM04-0899, ES01-NPEY, ES01-NPGZ, ES01-NPH0, ES01-NPH1, ES01-NPH2, ES01-NPH3, ES01- NPH4, ES01-NPH5, ES01-NPH6, ES01-NPH7, ES01-NPH8, and ES01-NPH9 are related to this TGI.

5.14 Government Furnished Material (GFM):

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

5.15 SRF-JRMC will provide the following service work: (TGI No. 3819P14206S02).

5.15.1 [C740] Crane and crane rigging service.

5.15.2 [X99E] Utility service, electrical.

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

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

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

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

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

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

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J-1

SHIP: LCC-19 CHG/VER: 0/2

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

STRL MBR 8-40-0-E AY A 0 2

CU PHASE TITLE:

F/O - REPAIR & PRESERVE STRL MEMBER IN 8-40-0-E, 9-40-0-F, 9-40-1-W, & 9-40-2-W

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

JP5 8-40-0-E PP #1 CHT PUMP PU#2 CHT PUMP PUCMPT 8-40-0-E MSSEW 9-40-0-F PP

SEW 8-40-0-E PP

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P14206A01-Sketch.pdf) saved on 25-MAY-2024 0000.

2. ENCLOSURE-02 (3819P14206A01-Map.pdf) saved on 25-MAY-2024 0000.

3. ENCLOSURE-03 (3819P14206A01-QA20.docx) saved on 24-MAY-2024 0000.

4. ENCLOSURE-04 (3819P14206A01-QA17.docx) saved on 24-MAY-2024 0000.

5. ENCLOSURE-05 (3819P14206A01-QA28.docx) saved on 25-MAY-2024 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P14206 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to repair and preserve structural member in 8-40-0-E, 9-40-0-F, 9-40-1-W, and 9-40-2-W.

Location of Work:

Pump Room No. One (8-40-0-E) Underwater Log and Fathometer Trunk (9-44-0-Q) Distillate Fuel Overflow or Ballast (9-30-0-F) Distillate Fuel or Ballast (9-30-1-F) Distillate Fuel or Ballast (9-30-2-F) Distillate Fuel or Ballast (9-40-0-F) Clean Salt Water Ballast (9-40-1-W) Clean Salt Water Ballast (9-40-2-W) Emergency Generator Room No. One (7-30-0-E) SD Storeroom (7-30-1-A) Crew Baggage Storeroom (7-30-2-A) Air Conditioning Machinery Room No. One and Refrigeration Machinery Room (7-40-0-E) CHT Tank No. One (8-48-0-W) Distillate Fuel or Ballast (9-8-0-F) Distillate Fuel or Ballast (9-18-0-F) Distillate Fuel Overflow or Ballast (9-24-0-F) SD Storeroom (7-48-0-A) HAZMAT/Flammable Storeroom B (7-12-0-K) SD Storeroom (7-18-0-A) Auxiliary Fuel Service Tank (7-39-5-F) Emergency Generator Room No. One (7-30-0-E)

FOUO

J-2

SHIP: LCC-19 CHG/VER: 0/2

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR HRs, PNTR HRs, LBR HRs 22 KE PC

5.2 OMCH HRs, ELEC HRs, QA H 22 KE PC

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

5.4 SFTR HRs 22 KE PC

5.5 SFTR HRs, WELD HRs, OMCH HRs, ELEC HRs, PFTR

HRs, INSL HRs, CARP HRs, PNTR HRs, LBR HRs, QA HRs

22 KE PC

5.6 WELD HRs, INSL HRs, PNTR HRs, QA HRs 22 KE PC

5.7 PFTR HRs, RGRS HRs, WELD HRs, INSL HRs, PNTR

HRs, QA HRs

22 KE PC

5.8 SFTR HR, PFTR HRs, PNTR HRs, RGRS HRs, QA HRs 22 KE PC

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

5.10 CARP HRs, PNTR HRs, QA HRs 22 KE PC

5.11 SFTR HRs 22 KE PC

5.12 PNTR HRs, QA HRs 22 KE PC

Structure Work CFM for fire watch cost, tank watch cost, confined space watch cost, asbestos sampler/analysis cost, lead sampling/ analysis cost, UT inspection cost, paint removal cost, pin/ adhesive for compartment insulation, marine chemist cost, air compressor rental cost and fuel oil cost for air hose test, ---continue to below---

22 MQ CS

---continued to from above--- and misc such as electrode, gases, temporary closure/covering material, tybek suit, tape, and other consumable.

22 MQ CS

Machinery Work CFM for MISC 22 MQ CS

Electrical Work CFM for MISC 22 MQ CS

Piping Work CFM for bulk sample cost, analysis cost for asbestos, sample cost for lead paint, air compressor rental cost, fuel oil cost, fire watch and tank watch cost, welding rod, electrode, paint, thinner, gasket and MISC.

22 MQ CS

Preservation Work CFM for all paints, thinner, grits including disposal cost, tank watch cost, confined space watch cost, and misc such as temporary covering/enclosure material, and other consumable.

22 MQ CS

Process Funding Document 10 CT OM

Version-1: correct QA Form 28 Enclosure-05. C231B R. Takagi, 5/25/2023. -/-/N

V-01

Version-2: correct Document No. of Ref. No. One and Ref. No. 2.

C231B R. Takagi, 5/25/2023. -/-/N

V-02

FOUO

M-1

SHIP: LCC-19 CHG/VER: 0/2

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

STRL MBR 8-40-0-E AY A 0 2

CU PHASE TITLE:

F/O - REPAIR & PRESERVE STRL MEMBER IN 8-40-0-E, 9-40-0-F, 9-40-1-W, & 9-40-2-W

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P14206 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 PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

SIZE: 5 FT X 16 FT

9B 9515 001533248 NA 4 N 41425190 80/SF

002 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

SIZE: 5 FT X 6 FT

9B 9515 001533248 NA 4 N 41425189 30/SF

003 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

SIZE: 3 FT X 16 FT

9B 9515 001533223 NA 4 N 41425178 48/SF

004 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

SIZE: 2 FT X 8 FT

9B 9515 001533223 NA 4 N 41425179 16/SF

005 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

SIZE: 5 FT X 10 FT

9B 9515 001533230 NA 4 N 41425191 50/SF

NOTES:

FOUO

M-2

SHIP: LCC-19 CHG/VER: 0/2

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 BEAM,STRUCTURAL, ORIG:

C231B, Y.YOSHIHARA, 243-

ORDER FOR KTR

9B 9520 002780359 NA 4 N 41425155 10/FT

007 M INSULATI, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9Q 5640 008096312 NA 4 N 41425180 10/EA

008 M CAP,SNAP, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 5325 007377648 NA 4 N 41425181 50/EA

009 M TAPE,TEX, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 8315 002671632 NA 4 N 41425182 1/RO

010 M TAPE,TEX, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 8315 002671633 NA 4 N 41425183 1/RO

011 M ADHESIVE, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 8040 002738708 NA 4 Y 41425184 1/GL

400 M TUBE,METALLIC, ORDERED

FOR KTR, C234 H.ITO, 243-

3B 4710 002898006 NA 4 N 41445089 20/FT

401 M ELBOW,PIPE, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 014637044 NA 4 N 41445086 2/EA

402 M FLANGE,PIPE, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 014645353 NA 4 N 41445087 1/EA

403 M COUPLING,TUBE, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4730 005423290 NA 4 N 41445090 2/EA

404 M BACKING, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 LL4558779 NA 4 N 41467418 2/EA

405 M SLEEVE, WELDED BULKH,

SLEEVE, WELDED BULKHEAD

OR DECK SLLEVES, FOR

PIPING 2 INCH IPS, SIZE: 2.750

INCH OD X 0.182 INCH THK X

2.385 ICH ID, IAW: AGC19

WELDED BHD OR DK SLEEVES

FOR IPS PIPING 545-2492627,

TYPE D , ASTM A500, GRADE

A, CARBON STEEL.

ORDERED FOR KTR, C234

H,ITO , 243-4534

9B 4730 LL9309206 NA 4 N 41447438 1/EA

406 M SLEEVE,, ORDERED FOR KTR,

C234 H.ITO, 243-4534

9B 4730 LL4462305 NA 4 N 41467404 2/EA

407 M SLEEVE,BULKHEAD AND,

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 2040 002775787 NA 4 N 41445112 1/EA

408 M BACKING, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 LL4358122 NA 4 N 41467402 2/EA

FOUO

M-3

SHIP: LCC-19 CHG/VER: 0/2

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

409 M TUBE,METALLIC, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4710 006048328 NA 4 N 41445093 10/FT

410 M SLEEVE, WELDED BULKH,

SLEEVE, WELDED BULKHEAD

OR DECK SLLEVES, FOR

PIPING, 6.323"OD X 5.573"ID,

0.375"THICKNESS, FOR

NOMINAL 5"IPS, PIPE, IAW:

AGC19 WELDED BHD OR DK

SLEEVES FOR IPS PIPING 545-

2492627, TYPE D , ASTM A500,

GRADE A, STEEL.

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 4730 LL9308706 NA 4 N 41447437 1/EA

411 M TUBE,METALLIC, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4710 006047989 NA 4 N 41445088 5/FT

412 M COUPLING,TUBE, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4730 007225475 NA 4 N 41445095 2/EA

413 M BACKING, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 LL4558788 NA 4 N 41467424 2/EA

414 M BACKING RING, SIZE: ,

BACKING RING, SIZE: 8"IPS,

RING WIDTH 1", CARBON

STEEL, ASTM A109 TEMPER

4,SCH 20,TYPE "CCC"

ORDERED FOR KTR, C234

H,ITO , 243-4534

9B 4730 LL4739209 NA 4 N 41447439 2/EA

415 M COUPLING,TUBE, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4730 007225467 NA 4 N 41445098 1/FV

416 M BACKING, ORDERED FOR

KTR, C234 H.ITO, 243-4534

9B 4730 LL4558777 NA 4 N 41467408 2/EA

417 M COUPLING,TUBE, ORDERED

FOR KTR, C234 H.ITO, 243-

9B 4730 014645439 NA 4 N 41445099 2/EA

418 M SHIELD,SAFETY,PIPE,

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 4730 010100997 NA 4 N 41445101 1/EA

419 M SHIELD,SAFETY,PIPE,

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 4730 010100998 NA 4 N 41445102 1/EA

420 M SHIELD,SAFETY,PIPE,

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 4730 010100999 NA 4 N 41445103 1/EA

421 M SHIELD,SAFETY,PIPE,

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 4730 010101000 NA 4 N 41445104 1/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 STRL MBR 8-40-0-E AY A 0

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

3819P14206 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 STRL MBR 8-40-0-E AY A 0

LOCATION MAP OF WELD REPAIR IN 8-40-0-E

SKETCH

ENCLOSURE-01 SHEET 1 OF 23819P14206A01

TRANSV BHD

FR 40LONG BHD

L9P

20”

3” 3”

15”

General Corrosion

General Corrosion

Corrosion Pit

TRANSV BHD

FR 40

Figure-1

Figure-2

LOCATION MAP OF WELD REPAIR IN 8-40-0-E

SKETCH

ENCLOSURE-01 SHEET 2 OF 23819P14206A01

General Corrosion

” f ro m

IB

P

LT

G

” f ro m

IB

P

LT

G

LONG BHD

L9S

Figure-3

Yuuichi.Yoshihara.ja Text Box

ENCLOSURE-02

Yuuichi.Yoshihara.ja_1

3819P14206A01

Yuuichi.Yoshihara.ja_2

ENCLOSURE-02

Yuuichi.Yoshihara.ja_3 Text Box 3819P14206A01

Yuuichi.Yoshihara.ja_4

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P14206A01 ENCLOSURE-03-1 TOTAL 9

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-NPH6

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

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.

3819P14206A01 ENCLOSURE-03-1 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-2 TOTAL 9

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-NPH6

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

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

3819P14206A01 ENCLOSURE-03-2 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-3 TOTAL 9

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-NPH6

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING, WEB

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

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

3819P14206A01 ENCLOSURE-03-3 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-4 TOTAL 9

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-NPH5

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

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:

[ ] 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

3819P14206A01 ENCLOSURE-03-4 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-5 TOTAL 9

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-NPH5

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

11. JOINT ID

HJ-5

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

3819P14206A01 ENCLOSURE-03-5 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-6 TOTAL 9

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-NPH5

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING, WEB

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

11. JOINT ID

HJ-6

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

3819P14206A01 ENCLOSURE-03-6 TOTAL 9

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

3819P14206A01 ENCLOSURE-03-7 TOTAL 9

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-NPH4

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

24 MAY 2024

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

INNERBOTTOM PLATING

9. DWG NO.

102-ELM-240301 REV. “-”

10. CWP STEP NO.

5.5.1.2

11. JOINT ID

HJ-7

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

PRO…