TGI_3819P31002A05_c2v0.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.: SA79243K MCHRY EDG-2 AY A 0 2

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

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

(RE) F/O S/A 79243K PREPARE NEW MACHINERY COMPONENTS, NO.2 EDG

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TAKASHI FUNAKI 232. 315-243-2494 17 FEB 2025

APPROVED BY: CODE PHONE DATE

HIDEMI SENDA 232 315-243-5615 17 FEB 2025

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:

Since the TGI of SSDG and EDGs are also written in the same way, the TGI of C232 will be unified.

CHANGE INSTRUCTIONS:

CH-1 Correct identification 1.3.34 (3/3/2025) CH-2: modify the paragraph 5.11.1 T. Funaki (7/2/2025)

SPECIAL REQUIREMENTS:

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT Level II and III

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.: SA79243K MCHRY EDG-2 AY A 0

FOUO

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

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 J-1 M-1

QA28

(1-12)

1. SCOPE/PURPOSE

1.1 Title: New Machinery Components for No.2 Emergency Diesel Generator (EDG2) for S/A 79243K; prepare

1.2 Location of Work:

1.2.1 KTR Shop

1.3 Identification:

1.3.1 Quantity (One EA), New EDG2 Generator Heat Exchanger ASW Inlet Cutout Valve (2-DGSW-V-8) Mfr Id: 803-4384536-81B1AF Type: Globe, In-Line Stop Valve Size: 2.00 Inch IPS

NSN: 4820-00-483-0698

Remarks: List of Material V5, Label Plate List L8 of 2.6

1.3.2 Quantity (One EA), New EDG2 Generator Heat Exchanger ASW Outlet Cutout Valve (2-DGSW-V-9) Mfr Id: 803-4384536-81B1AF Type: Globe, In-Line Stop Valve Size: 2.00 Inch IPS

NSN: 4820-00-483-0698

Remarks: List of Material V5, Label Plate List L9 of 2.6

1.3.3 Quantity (One EA), New EDG2 Jacket Water SCAC Generator Heat Exchanger Back Flush Supply Cutout Valve (2-DGSW-V-12) Mfr Id: 803-4384536-41B1AF Type: Globe, In-Line Stop Valve Size: 0.750 Inch IPS

NSN: 4820-01-162-6330

Remarks: List of Material V8, Label Plate List L12 of 2.6

1.3.4 Quantity (One EA), New EDG2 ASW Cooling Pump Continuous Vent Cutout Valve (2-DGSW-V-18) Mfr Id: 803-4384536-41B1AF Type: Globe, In-Line Stop Valve Size: 0.750 Inch IPS

NSN: 4820-01-162-6330

Remarks: List of Material V8, Label Plate List L18 of 2.6

1.3.5 Quantity (One EA), New EDG2 Jacket Water SCAC Generator Heat Exchanger Back Flush Overboard Isolation Valve (2-DGSW-V-14) Mfr Id: 803-4384536-62B1AF Type: Globe, In-Line Stop Valve Size: 1.250 Inch IPS

NSN: 4820-01-443-8647

Remarks: List of Material V10, Label Plate List L14 of 2.6

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

1.3.6 Quantity (One EA), New Service Steam EDG 2 Cutout Valve Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-01-330-9236

Remarks: List of Material V1 of 2.7

1.3.7 Quantity (One EA), New Service Steam EDG 2 Cutout Valve Mfr Id: 803-4384536-12A2AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-00-186-3824

Remarks: List of Material V2 of 2.7

1.3.8 Quantity (One EA), New Staring Air Bleed SOV Valve (6-116-39) Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

Remarks: List of Material V11, Label Plate List L5 of 2.8

1.3.9 Quantity (One EA), New Staring Air Bleed SOV Valve (6-116-37) Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

Remarks: List of Material V11, Label Plate List L6 of 2.8

1.3.10 Quantity (One EA), New Staring Air Bleed Gage ISLN Valve (6-116-19) Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

Remarks: List of Material V11, Label Plate List L10 of 2.8

1.3.11 Quantity (One EA), New Jacket Water Supply

Mfr Id: 803-4384536-71B1AF Type: Globe, In-Line Stop Valve Size: 1.500 Inch IPS

NSN: 4820-00-495-6263

Remarks: List of Material V4, Label Plate List L12 of 2.9

1.3.12 Quantity (One EA), New SCAC Water Supply

Mfr Id: 803-4384536-71B1AF Type: Globe, In-Line Stop Valve Size: 1.500 Inch IPS

NSN: 4820-00-495-6263

Remarks: List of Material V4, Label Plate List L13 of 2.9

1.3.13 Quantity (One EA), New Vital Air Cutout EDG2 Blow in Damper Valve (7-109-3) Mfr Id: 803-4384536-11B1AF Type: Globe, In-Line Stop Valve Size: 0.250 Inch IPS

NSN: 4820-01-085-3344

Remarks: List of Material V1, Label Plate List L1 of 2.10

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

1.3.14 Quantity (One EA), New Portable Water System Valve-1

Mfr Id: 803-4384536-23B1AF Type: Globe, In-Line Stop, Angle Valve Size: 0.375 Inch IPS

NSN: 4820-01-153-8307

Remarks: List of Material V1 of 2.11

1.3.15 Quantity (One EA), New Portable Water System Valve-2

Mfr Id: 803-4384536-23B1AF Type: Globe, In-Line Stop, Angle Valve Size: 0.375 Inch IPS

NSN: 4820-01-153-8307

Remarks: List of Material V1 of 2.11

1.3.16 Quantity (One EA), New Diesel Exhaust System Valve-1

Mfr Id: 803-2177525-S3A1AF Type: Socket Welding Valve Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: List of Material V1 of 2.12

1.3.17 Quantity (One EA), New Diesel Exhaust System Valve-2

Mfr Id: 803-2177525-S3A1AF Type: Socket Welding Valve Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: List of Material V1 of 2.12

1.3.18 Quantity (One EA), New Auxiliary Lube Oil EDG #2 Drain Pump Suction Cutout Valve Mfr Id: 803-2177525-C7C1AF Type: Socket Welding Valve Size: 1.500 Inch IPS

NSN: 4820-01-538-3563

Remarks: List of Material V1, Label Plate List L1 of 2.13

1.3.19 Quantity (One EA), New Auxiliary Lube Oil EDG #2 Fill Pump Suction Cutout Valve Mfr Id: 803-2177525-C7C1AF Type: Socket Welding Valve Size: 1.500 Inch IPS Remarks: List of Material V1, Label Plate List L2 of 2.13

1.3.20 Quantity (One EA), HP Air Reducing Station Outlet Isolation Valve (6-116-25) Mfr: Admiral Valve Mfr Id: PLC-13543 Type: Globe Stop with Micro Switch Size: 2.000 Inch IPS Remarks: Item Number V4, Label Plate List L6 of 2.8

1.3.21 Quantity (One EA), HP Air Supply SOV to #2EDG Valve (6-116-17) Mfr: Admiral Valve Mfr Id: PLC-13543 Type: Globe Stop with Micro Switch Size: 2.000 Inch IPS Remarks: Item Number V4, Label Plate List L6 of 2.8

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

1.3.22 Quantity (One EA), HP Air Reducing Station Inlet Isolation Valve (6-116-5) Mfr: Admiral Valve Mfr Id: D-8183(SE) Type: Globe Stop with Micro Switch Size: 1.000 Inch IPS

NSN: 4820-01-527-1073

Remarks: Item Number V6, Label Plate List L19 of 2.8

1.3.23 Quantity (One EA), HP Air Flask Isolation Valve (6-116-13) Mfr: Admiral Valve Mfr Id: PLC-13544 Type: Globe Stop with Micro Switch Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L12 of 2.8

1.3.24 Quantity (One EA), Normal HP Air Flask Isolation Valve (6-116-29) Mfr: Admiral Valve Mfr Id: PLC-13544 Type: Globe Stop with Micro Switch Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L14 of 2.8

1.3.25 Quantity (One EA), Standby HP Air Flask Isolation Valve (6-113-3) Mfr: Admiral Valve Mfr Id: PLC-13544 Type: Globe Stop with Micro Switch Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L21 of 2.8

1.3.26 Quantity (One EA), HP Air Reducing Station Bypass Valve (6-116-21) Mfr: Various Mfr Id: 803-6397247-5121 Type: Needle Size: 1.000 Inch IPS Remarks: Item Number V8, Label Plate List L9 of 2.8

1.3.27 Quantity (One EA), HP Air Inlet Check Valve

Mfr: Hydraserch Company Mfr Id; 6GC80-2-WNT PL-2820 Type: Inline Check Size: 0.375 Inch IPS

NSN: 4820-01-385-8985

Remarks: Item Number V10 of 2.8

1.3.28 Quantity (One EA), Normal HP Air Flask Drain Valve (6-116-35) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L15 of 2.8

1.3.29 Quantity (One EA), Normal HP Air Flask Drain Valve (6-116-33) Mfr: Various Specification: MIL-V-24109 Type: Globe

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

Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L13 of 2.8

1.3.30 Quantity (One EA), Normal HP Air Flask Press Gage Isolation Valve (6-116-27) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L16 of 2.8

1.3.31 Quantity (One EA), Standby HP Air Flask Drain Valve (6-116-11) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L20 of 2.8

1.3.32 Quantity (One EA), Standby HP Air Flask Drain Valve (6-116-9) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L22 of 2.8

1.3.33 Quantity (One EA), Standby HP Air Flask Press Gage Isolation Valve (6-116-1) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L23 of 2.8

1.3.34 Quantity (One EA), 2 EDG Starting Air Inlet Press Transmitter Isolation Valve (6-116-17) Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L28 of 2.8

1.3.35 Quantity (One EA), External Sensing Cutout Valve (6-116-23) Mfr: Various Mfr Id: 803-5001003-M111 Type: Ball, Straight Size: 0.250 Inch IPS

NSN: 4820-01-189-6552

Remarks: Item Number V13, Label Plate List L8 of 2.8

1.3.36 Quantity (One EA), HP Air Press Reducing Regulator (6-115-15) Mfr: Tescom Corp Mfr Id: 26F1261-1161-119 Type: Regulator, Pressure Reducing

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

Size: 1.000 Inch IPS

NSN: 4820-01-605-2639

Remarks: Item Number V1, Label Plate List L17 of 2.8

1.3.37 Quantity (One EA), Pilot Pressure Regulator (6-116-7)

Mfr: Tescom Corp Mfr Id: 26-1663-14 Type: Regulator, Pilot Pressure Size: 0.250 Inch IPS Remarks: Item Number V2, Label Plate List L18 of 2.8

1.3.38 Quantity (One EA), HP Air Relief Valve (6-116-31)

Mfr: Dante Valve Company Mfr Id: BCSJJ10SJJ Specification: MIL-V-22549 Type: Angle, Flanged Size: 2.500 Inch IPS Remarks: Item Number V3, Label Plate List L11 of 2.8

1.3.39 Quantity (One EA),Jacket Water Supply

Mfr: Danco Valve Company Specification: MIL-V-24332 Type: Angle, Flanged Size: 0.500 Inch IPS Remarks: Item Number V6, Label Plate List L12 of 2.9

1.3.40 Quantity (One EA), SCAC Water Supply

Mfr: Danco Valve Company Specification: MIL-V-24332 Type: Angle, Flanged Size: 0.500 Inch IPS Remarks: Item Number V6, Label Plate List L13 of 2.9

1.3.41 Quantity (One EA), Seawater Pump Assembly

Mfr: Carver Pump Co Remarks: Item Number V45 of 2.6 Rotation: Clock Wise

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Dry Dock Work.

1.6 Contractor work start date:

1.7 Contractor work completion date:

2. REFERENCES:

1/12/2026

8/5/2027

FOUO

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

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 FY25 Standard Items - ORG N 2 LI FY25 Local Standard Items - ORG N

3 TM 0948-LP-

012-5000 Standard Navy Valves 31 - N

4 DWG 803-

4384536

Valves, BRZ, 1/4" - 2" Union End Globe, In-Line & ANG, Stop, Stop Check & Needle

N - N

5 TM S9086-

RK-STM-

010/CH-505

Piping System 6 - N

6 DWG 209-

8576351

DG SEAWATER PIPING

INSTALLATION - EDG #2

GENERATOR UPGRADE

B - Y AL

L

7 DWG 514-

8620698

SERVICE STEAM

MODIFICATIONS INCIDENTAL TO

EDG 2 UPGRADE 1ST PLAT &

3RD DK, FR 10

A - Y AL

8 DWG 513-

8974782

STARTING AIR INSTALLATION

EDG 2 (7-109-1-E)

9 DWG 300-

8576353

JACKET WATER PIPING

INSTALLATION - EDG #2

GENERATOR UPGRADE

- - Y AL

10 DWG 513-

8620692

HP/LP AIR SYSTEM

MODIFICATIONS INCID EDG NO.2

UPGRADE 1ST & 2ND PLATF, FR

86-118

11 DWG 509-

8620700

POTABLE WATER SYSTEM

MODS INCID EDG 2 UPGRADE

3RD DECK & 2ND PLATFORM

12 DWG 300-

8574536

DISEL EXHAUST SYSTEM PIPING

MODS EMERGENCY DIESEL

GENERATOR NO. 2

13 DWG 300-

8576357

LUBE OIL FILL AND DRAIN MODS

EDG #2

B - Y AL

14 DWG 803-

2177525

1/4" - 2" BW & SW 900 LB ANSI

Valve

Y - N

15 DWG 998-

1107-F-28

PRELIMINA

RY

4 X 3 X 7 Seawater Pump B - Y AL

3. APPENDICES:

3.1. Appendix “J” TGI Job Summary Information Sheet

3.2. Appendix "M" TGI Material List

3.3. Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1 Not Applicable.

5. PROCEDURE:

5.1 Accomplish a bonnet ring torque check of each new valve listed in 1.3.1 through 1.3.15 in accordance with Paragraph 4.3.3.9, Step (7) of 2.3, using 2.4 for guidance.

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

(V) “TORQUE CHECK”

5.1.1 Tighten each bonnet ring of each new valve. Torque values must be in accordance with Table 4.3-10 of 2.3.

5.2 Accomplish a mechanical joint tightness test of each new valve listed in 1.3.1 through 1.3.15 in accordance with 2.5, using 2.6 through 2.11 for guidance.

5.2.1 For each new sea water system valve listed in 1.3.1 through 1.3.5 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 50 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.1.1 Document each shop test result on QA Form 28, Enclosure-01-1.

5.2.2 For each new low service steam system valve listed in 1.3.6 and 1.3.7 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 101 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.2.1 Document each shop test result on QA Form 28, Enclosure-01-2.

5.2.3 For each new low pressure air system valve listed in 1.3.8 through 1.3.10 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 350 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.3.1 Document each shop test result on QA Form 28, Enclosure-01-3.

5.2.4 For each new jacket water system valve listed in 1.3.11 and 1.3.12 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 52 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.4.1 Document each shop test result on QA Form 28, Enclosure-01-4.

5.2.5 For each new low pressure air system valve listed in 1.3.13 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 202 PSIG for a minimum of 3 minutes. Allowable external leakage:

None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.5.1 Document each shop test result on QA Form 28, Enclosure-01-5.

FOUO

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

5.2.6 For each new low pressure air system valve listed in 1.3.14 and 1.3.15 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 112.5 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.6.1 Document each shop test result on QA Form 28, Enclosure-01-6.

5.2.7 After satisfactory completion of each test, drain water and blow each valve to remove moisture.

5.3 Accomplish a visual inspection of each groove pin of each new valve listed in 1.3.16 through 1.3.19 in accordance with Paragraph 4 of NAVSEALOGCENDET PORTSMOUTH BULLETIN 4855 Ser 6231/B11-2 22Nov2011 of 2.14.

(V) "VISUAL INSPECTION"

5.4 Accomplish a strength test of each new valve listed in 1.3.16 through 1.3.19 with the valve half open position, using clean, fresh water at 50 PSIG for a minimum of 30 minutes in accordance with 2.5, using 2.12 and 2.13 for guidance. Allowable external leakage: None.

5.4.1 For each new diesel exhaust system valve listed in 1.3.16 and 1.3.17 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 50 PSIG for a minimum of 30 minutes. Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

5.4.1.1 Document each shop test result on QA Form 28, Enclosure-01-7.

5.4.2 For each new lube oil fill and drain system valve listed in 1.3.18 and 1.3.19 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 50 PSIG for a minimum of 30 minutes. Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

5.4.2.1 Document each shop test result on QA Form 28, Enclosure-01-8.

5.4.3 After satisfactory completion of each test, drain water and blow each valve to remove moisture.

5.5 Accomplish a strength test of each new valve listed in 1.3.20 through 1.3.35 with the valve half open position, using clean, fresh water at 4050 PSIG for a minimum of 30 minutes in accordance with 2.5, using 2.8 for guidance.

Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

5.5.1 Document each shop test result on QA Form 28, Enclosure-01-9.

5.5.2 After satisfactory completion of each test, drain water and blow each valve to remove moisture.

5.6 Accomplish a strength test of each new valve listed in 1.3.36 with the valve half open position, using clean, dry air at 4050 PSIG for a minimum of 30 minutes in accordance with 2.5, using 2.8 for guidance. Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

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

5.6.1 Document each shop test result on QA Form 28, Enclosure-01-10.

5.6.2 After satisfactory completion of each test, drain water and blow each valve to remove moisture.

5.7 Accomplish a performance check and pre-adjustment of each valve listed in 1.3.36 and 1.3.37, using clean, dry air, using 2.8 for guidance.

(V) “PRE-ADJUSTMENT”

5.7.1 Ensure the inlet pressure is 3000 PSIG and regulated pressure is 350 PSIG for each valve listed in 1.3.36.

5.7.2 Ensure the inlet pressure is 150 PSIG and regulated pressure is 35 PSIG for each valve listed in 1.3.37.

5.8 Accomplish a lifting test and reseating test of each valve listed in 1.3.38, 1.3.39 and 1.3.40 in accordance with 2.5, using 2.8 and 2.9 for guidance.

5.8.1 Ensure the test medium is clean, fresh water.

5.8.2 For each new valve listed in 1.3.38, ensure the lifting pressure is 361 PSIG. Ensure the reseating pressure is minimum 324 PSIG.

(I)(G) "SHOP TEST"

5.8.2.1 Document each shop test result on QA Form 28, Enclosure-01-11.

5.8.3 For each new valve listed in 1.3.39 and 1.3.40, ensure the lifting pressure is 5 PSIG. Ensure the reseating pressure is minimum 4 PSIG.

(I)(G) "SHOP TEST"

5.8.3.1 Document each shop test result on QA Form 28, Enclosure-01-12.

5.8.4 After satisfactory completion of each test, drain water and blow each valve to remove moisture.

5.8.5 Fabricate and attach a metal tag to each valve, stamped with the following information:

5.8.5.1 Ship name and hull number

5.8.5.2 Valve number or identification

5.8.5.3 Valve lifting pressure

5.8.5.4 Date valve tested and set

5.8.5.5 Name of repair facility

5.9 Ensure that the rotation direction of each new pump listed in 1.3.41 is correct, using 2.15 for guidance.

5.9.1 Rotate shaft by hand one complete revolution. Rubbing or binding of the rotating assembly is not allowed.

5.10 Notes:

5.10.1 Planner: Code 232 T. Funaki, 243-2494

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

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

5.10.3 JCN EE01-L105 is related to this TGI.

5.11 Government Furnished Material (GFM):

5.11.1 GFM and Installing Activity Furnished (IAF) materials except hazmat material listed in each S/A drawing will be provided as kitted material.

5.12 SRF-JRMC will provide the following service work: (TGI No. 3819P31002S02).

5.12.1 [C740] Crane and crane rigging service.

5.12.2 [X99E] Utility service, electrical.

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

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

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

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

5.12.7 [C134] Laboratory Analysis Service: provide for existing material.

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

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J-1

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

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

SA79243K MCHRY EDG-2 AY A 0 0

CU PHASE TITLE:

(RE) F/O S/A 79243K PREPARE NEW MACHINERY COMPONENTS, NO.2 EDG

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

#2 EDG SW CLG PUMP MO #2 EDG SW CLG PUMP PU VALVE TEST SHOP T-

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P31002A05-QA28.docx) saved on 17-FEB-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P31002 A05

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to prepare new machinery components of SA-79243K for No.2 Emergency Diesel Generator (EDG2)

Location of work: KTR Shop

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 IMCH:

5.2 MCH: , QA

5.3 IMCH

5.4 IMCH , QA

5.5 IMCH , QA

5.6 IMCH , QA

5.7 IMCH

5.8 IMCH QA

5.9 IMCH

CFM: for MISC such as rags, plastic bag/sheet, cleaner, lubricant, and etc Process Funding Document.

TGI NO.: SA79243K MCHRY EDG-

AY A 0

FOUO

M-1

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

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

SA79243K MCHRY EDG-2 AY A 0 0

CU PHASE TITLE:

(RE) F/O S/A 79243K PREPARE NEW MACHINERY COMPONENTS, NO.2 EDG

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P31002 A05

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

NOTES:

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR APPENDIX "D"

DEFICIENCY FORM

☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One)

2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

LCC-19 SA79243K MCHRY EDG-2 AY A 0

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

3819P31002 A05

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 SA79243K MCHRY EDG-2 AY A 0

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

SHOP TEST RECORD Page 1 of 2

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 SW SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 209-8576351 Rev “B”

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

TY

PE

(S

EE

K

EY

PARAGRAPH

DESCRIBING

VALVE POSITION

AND POINT OF

ENTRY

REF

LTR

GAGE

USED

(LTR

FROM

BLK 7)

REQUIRED

MEDIUM

USED

PRESSURE

ACTUAL

MINIMUM

DURATION

ALLOWED

LEAKAGE

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.1 Mechanical

Joint Tightness Test for 1.3.1

A, B Clean Fresh Water

50 PSIG 3 minutes None

J

5.2.1 Mechanical

Joint Tightness Test for 1.3.2

A, B Clean Fresh Water

50 PSIG 3 minutes None

J

5.2.1 Mechanical

Joint Tightness Test for 1.3.3

A, B Clean Fresh Water

50 PSIG 3 minutes None

J

5.2.1 Mechanical

Joint Tightness Test for 1.3.4

A, B Clean Fresh Water

50 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

DATE

3819P31002A05 ENCLOSURE-01-1 TOTAL12

SHOP TEST RECORD Page 2 of 2

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 SW SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 209-8576351 Rev “B“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T Y

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.1 Mechanical

Joint Tightness Test for 1.3.5

A, B Clean Fresh Water

50 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-1 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 SERVICE STEAM SYSTEM

VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 514-8620698 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.2 Mechanical

Joint Tightness Test for 1.3.6

A, B Clean Fresh Water

101 PSIG 3 minutes None

J

5.2.2 Mechanical

Joint Tightness Test for 1.3.7

A, B Clean Fresh Water

101 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-2 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 STARTING AIR SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.3 Mechanical

Joint Tightness Test for 1.3.8

A, B Clean Fresh Water

350 PSIG 3 minutes None

J

5.2.3 Mechanical

Joint Tightness Test for 1.3.9

A, B Clean Fresh Water

350 PSIG 3 minutes None

J

5.2.3 Mechanical

Joint Tightness Test for 1.3.10

A, B Clean Fresh Water

350 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-3 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 JACKET WATER SYSTEM

VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 300-8576353 Rev “-“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.4 Mechanical

Joint Tightness Test for 1.3.11

A, B Clean Fresh Water

52 PSIG 3 minutes None

J

5.2.4 Mechanical

Joint Tightness Test for 1.3.12

A, B Clean Fresh Water

52 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-4 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP/LP AIR SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8620692 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.5 Mechanical

Joint Tightness Test for 1.3.13

A, B Clean Fresh Water

202 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-5 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 PORTABLE WATER SYSTEM

VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 509-8620700 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J

5.2.6 Mechanical

Joint Tightness Test for 1.3.14

A, B Clean Fresh Water

112.5 PSIG 3 minutes None

J

5.2.6 Mechanical

Joint Tightness Test for 1.3.15

A, B Clean Fresh Water

112.5 PSIG 3 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-6 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 DIESEL EXHAUST SYSTEM

VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 300-8574536 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.4.1 Strength Test for 1.3.16 A, B

Clean Fresh Water

50 PSIG 30 minutes None

H 5.4.1 Strength Test for 1.3.17 A, B

Clean Fresh Water

50 PSIG 30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-7 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 Lube Oil Fill and Drain SYSTEM

VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 300-8576357 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.4.2 Strength Test for 1.3.18 A, B

Clean Fresh Water

50 PSIG 30 minutes None

H 5.4.2 Strength Test for 1.3.19 A, B

Clean Fresh Water

50 PSIG 30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-8 TOTAL 12

SHOP TEST RECORD Page 1 of 4

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 Strength Test for

1.3.20 A, B

Clean Fresh Water

4,050 PSIG 30 minutes None

H 5.5 Strength Test for 1.3.21

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.22

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.23

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-9 TOTAL 12

SHOP TEST RECORD Page 2 of 4

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 Strength Test for

1.3.24 A, B

Clean Fresh Water

4,050 PSIG 30 minutes None

H 5.5 Strength Test for 1.3.25

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.26

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.27

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 3 of 4

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 Strength Test for

1.3.28 A, B

Clean Fresh Water

4,050 PSIG 30 minutes None

H 5.5 Strength Test for 1.3.29

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.30

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.31

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 4 of 4

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 Strength Test for

1.3.32 A, B

Clean Fresh Water

4,050 PSIG 30 minutes None

H 5.5 Strength Test for 1.3.33

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.34

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

H 5.5 Strength Test for 1.3.35

A, B Clean Fresh Water

4,050 PSIG

30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP Air SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 513-8974782 Rev “A“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.6 Strength Test for

1.3.36 A, B Clean Dry

Air 4050 PSIG 30 minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-10 TOTAL 12

6SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 HP Air SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 300-8576353 Rev “-“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

OP 5.8.2 Lifting Test for

1.3.38 A, B

Clean Fresh Water

361 PSIG N/A N/A

OP 5.8.2 Reseating Test for 1.3.38 A, B

Clean Fresh Water

324 PSIG

Minimum N/A N/A

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-11 TOTAL 12

SHOP TEST RECORD Page 1 of 1

QA FORM 28 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L105 KTR N/A S/A 79243K, EDG #2 Jacket Water SYSTEM VALVE

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. DWG 300-8576353 Rev “-“

B. TM S9086-RK-STM-010/CH-505 Rev.”6”

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

OP 5.8.3 Lifting Test for

1.3.39 A, B

Clean Fresh Water

5 PSIG N/A N/A

OP 5.8.3 Lifting Test for

1.3.40 A, B

Clean Fresh Water

5 PSIG N/A

N/A

OP 5.8.3 Reseating Test for 1.3.39 A, B

Clean Fresh Water

4 PSIG

Minimum N/A

N/A

OP 5.8.3 Reseating Test for 1.3.40 A, B

Clean Fresh Water

4 PSIG

Minimum N/A

N/A

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31002A05 ENCLOSURE-01-12 TOTAL 12