TGI_3819P51602A02_c2v1_redact.pdf

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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.: REFRIGERATION SYS AY A 1 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 83424K, INSTALL MRS IN REFRIGERATED SPACES

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TSUYOSHI YAMADA 232. 315-243-4213 28-FEB-2025

APPROVED BY: CODE PHONE DATE

HIDEMI SENDA 232. 315-243-5615 28-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:

Incorrect procedure 5.10.4.

CHANGE INSTRUCTIONS:

CH-1 Revise reference title 2.9. (03/07/2025) CH-2 Revise space of procedure 5.10.4 (03/12/2025)

SPECIAL REQUIREMENTS:

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II and III, CLASS P-3a PIPING, CLASS P-3b PIPING, CLASS P-2 PIPING.

This Work Affects a Fire Zone Boundary. Fabrication and/or Staging of a Non-Flammable Closure is required.

WORK CERTIFICATION SIGNATURES

COMPLETION OF WORK REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

ACCEPTANCE OF COMPLETED WORK

PHYSICAL INSPECTION PHYSICAL INSPECTION COMPLETED: BADGE NO.: SHOP/CODE: PHONE: DATE:

REQUIRED:☐YES ☒NO

RECORDS REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

TGI NO.: REFRIGERATION SYS AY A 1

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SHIP: LCC-19 CHG/VER: 2/1

LIST OF EFFECTIVE PAGES

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

1-10 Map (1)

J1-3 QA34A

(1)

M1-7 QA28

(1)

QA28

(1-4)

1. SCOPE/PURPOSE

1.1 Title: S/A 83424K, Modular Refrigeration System (MRS) in Refrigerated Spaces; install

1.2 Location of Work:

1.2.1 Air Conditioning Machinery Room No.One & Refrigeration Machinery Room (7-40-0-E)

1.2.2 Freeze Storeroom (6-52-2-A)

1.2.3 Chill STRM/VEG Box (6-52-1-A)

1.2.4 Chill STRM/DAIRY Box (6-52-3-A)

1.2.5 Passage (6-60-0-L)

1.2.6 AC & R CAGE (6-50-0-Q)

1.2.7 Passage (6-46-0-L)

1.2.8 Main GSK/SD Storeroom (6-40-0-A)

1.2.9 Crew Longe (5-46-1-L)

1.2.10 Crew Messroom (4-40-0-L)

1.2.11 Fan Room (3-48-1-Q)

1.2.12 Trank (7-60-1-L)

1.2.13 Crew WR, WC, SH & DECONTN Station (5-58-1-L)

1.2.14 Passage (4-52-1-L)

1.2.15 CPO Living Space (4-46-1-L)

1.2.16 Quarter Deck & Passage (3-64-0-L)

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

1.2.18 Underwater Hull Weather, Frames between 40 and 47, Stbd

1.2.19 Trunk (7-40-5-T)

1.2.20 Passage (6-61-2-L)

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SHIP: LCC-19 CHG/VER: 2/1

1.2.21 Passage (6-64-4-L)

1.2.22 Trunk (7-60-1-T)

1.2.23 Photo Lab Office (6-64-2-Q)

1.2.24 Studio (6-64-0-Q)

1.2.25 Divo/Pao Office(6-64-1-Q)

1.2.26 Supply (6-64-3-A)

1.2.27 Crew Living Space (Female) (5-52-0-L)

1.2.28 Crew Living Space (Female) (5-40-0-L)

1.2.29 FSO Office (4-58-3-Q)

1.2.30 Passage (4-64-0-L)

1.2.31 Passage (5-60-4-L)

1.2.32 CPO Staff WR, WC, SH & Decontn Sta (5-64-2-L)

1.2.33 Stores Conveyor Trunk No. 3 (7-62-1-T)

1.2.34 Bakery (4-59-0-Q)

1.2.35 Sponson, Third Deck Weather, between Frames 64 and 65, Starboard

1.2.36 CPO Living Space (4-64-1-L)

1.2.37 Contractor’s Shop

1.3 Identification:

1.3.1 Quantity (One Lot), Structural, Sheet Metal, and Preservation Work for S/A 83424K ESLP Modular Refrigeration System Remarks: See 2.3 through 2.12 for details.

1.3.2 Quantity (One LT), Ship Service Refrigeration System

1.3.2.1 Quantity (One AY), No.One Condensing Unit

Remarks: Consists of Item No.R44, R45, R46, R47, on 2.28 for detail

1.3.2.2 Quantity (One AY), No.2 Condensing Unit

Remarks: Consists of Item No.R44, R45, R46, R47, on 2.28 for detail

1.3.2.3 Quantity (One AY), Cooling Coil

Remarks: Item No. R1 through R22 on 2.28 for detail

1.3.3 Quantity (One LT), Modular Refrigeration System (MRS)

1.3.4 Quantity (18 EA), Condenser Chilled Water Valve

Mfr: Various

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SHIP: LCC-19 CHG/VER: 2/1

Mfr Id: 803-4384536-31B1AF Type: Globe, In-Line Stop Size: 0.50 Inch IPS Remarks: Item No. V4, Label Plate List L84 through L101 of 2.20 for detail

1.3.5 Quantity (18 EA), Condenser Outlet and Inlet Chilled Water Valve Mfr: Various Mfr Id: 803-4384536-11B1AF Type: Globe, In-Line Stop Size: 0.25 Inch IPS Remarks: Item No. V6, Label Plate List L30 through L47 of 2.20 for detail

1.3.6 Quantity (9 EA), Chilled Water Retan Isolation Valve

Mfr: Various Type: Globe, Stop Size: 0.75 Inc IPS Remarks: Item No. V8, Label Plate List L4, L7, L10, L13, L16, L19, L22, L25, and L28 of 2.20 for detail

1.3.7 Quantity (One Lot), Lagging, Existing Seawater System Piping

1.3.8 Quantity (One Lot), Lagging, Existing Refrigerant System Piping

1.3.9 Quantity (One Lot), Lagging, Existing Condensate Drain System Piping

1.3.10 Quantity (One Lot), Lagging, Existing Chilled Water System Piping

1.3.11 Quantity (One Lot), Lagging, New Condensate Drain System Piping

1.3.12 Quantity (One Lot), Lagging, New Refrigerant System Piping

1.3.13 Quantity (One Lot), Lagging, New Chilled Water System Piping

1.3.14 Quantity (One Lot), MRS Refrigerant Overboard System Piping, Chilled Water System Piping, Condensate Drain System Piping, Seawater System Piping, and Vital Air System Piping for S/A 83424K ESLP Modular Refrigeration System Upgrade

Remarks: See 2.17 through 2.23 for material and location details.

1.3.15 Quantity (One EA), Power System

Remarks: See 2.33 and 2.34 for details.

1.3.16 Quantity (One EA), Lighting System

Remarks: See 2.35 and 2.36 for details.

1.3.17 Quantity (One EA), Interior Communication System

Remarks: See 2.37 for details.

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Asbestos Hazard

1.5.2 Potential Lead Hazard

1.5.3 Dry Dock Work

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SHIP: LCC-19 CHG/VER: 2/1

1.6 Contractor work start date: 7/21/2026

1.7 Contractor work completion date: 11/21/2027

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

3 DWG 113-

8578006

MODULAR REFRIGERATION

SYSTEM FOUNDATION

INSTALLATION

A Y AL

L

4 DWG 123-

8787227

Modular Refrigeration Structural Doorstop Installation

- Y AL

L

5 DWG 145-

8573243

Compartment and Access and Label Plate MODs Modular Refrigeration System

- Y AL

L

6 DWG 503-

8573247

Modular Refrigeration System Sheathing, Insulation and Shipping Access Modificat

- Y AL

L

7 DWG 603-

8573246

Modular Refrigeration System Overhead Grating Modification

- Y AL

L

8 DWG 501-

8786651

HVAC Removal Modular Refrigeration SYS 1st PLATF, FR 52-63 P&S

- Y AL

L

9 DWG 113-

8577999

MODULAR REFRIGERATION

SYSTEM FAN FOUNDATION

REMOVAL

- Y AL

L

10 DWG 113-

8787228

Modular Refrigeration Foundation Removals A/C MACH RM No. One (7-40-0-E)

- Y AL

L

11 LAR SRFY-

0199-24

Correction of INSTL Patch for Seawater OVBD DISCH

- Y AL

L

12 LAR SRFY-

0016-25

Drawing Correction for Discrepancy of MRU FDN and Condenser BRKT

- Y AL

L

13 DWG 104-

2491048

5th Deck PLTG FR51-1/2 - FR102- 1/4

M Y AL

L

14 DWG 100-

2491004

SHELL PLATING & STRINGERS

STEM-FR51-1/2 - 102-1/4 ABV 4TH

DK

F Y AL

L

15 DWG 101-

2491020

WEBS FR 42, 44, 46, 48 & 50 J Y AL

L

16 TM S9086-

VH-STM-

010/CH-635

Thermal, Fire, and Acoustic Insulation

3 N

17 DWG 503-

8783159

MODULAR REFRIGERATION

SYSTEM PIPING & MACHY

INSTALLATION 3RD-6TH DK FR

52-65

A Y AL

L

18 DWG 505-

8787315

CONDENSATE DRAIN

MODIFICATION MODULAR

REFRIGERATION SYSTEM 1ST

PLATFORM, FRAME 5

A Y AL

L

19 DWG 503-

8783157

SHIP STORES REFRIGERATION

SYSTEM SEAWATER REMOVAL

A/C MACHY RM 1

- Y AL

L

20 DWG 502-

8787316

CHILLED WATER MOD MODULAR

REFRIGERATION SYS 4TH DK -

1ST PLATF, FR 63-65

B Y AL

L

21 DWG 513-

8787314

LOW PRESSURE AIR MODS

MODULAR REFRIGERATION

SYSTEM 1ST & 2ND PLTF, FR 40-

52, STB

- Y AL

L

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SHIP: LCC-19 CHG/VER: 2/1

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

22 LAR SRFY-

0198-24

SCD 83424 DWG DISCREPANCY

FOR VITAL AIR PP WORK

23 LAR

PSNSIMF-

0930-24

BLUE RIDGE (LCC19) Improper arrangement, COND DR PP CONN

WITH AE PP

24 MIL MIL-

STD-1627

Bending of Pipe or Tube for Ship Piping Systems

C N

25 TM 0948-LP-

012-5000

Standard Navy Valves 31 N

26 DWG 803-

4384536

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

N N

27 TM S9086-

RK-STM-

010/CH-505

Piping Systems 6 N

28 DWG 503-

8783158

SHIPS STORES RFGT SYSTEM

PIPING REMOVAL A/C MACHY

ROOM NO. 1

29 DWG 545-

8783156

SHIP STORE REFRIGERATION

SYSTEM ARRANGEMENT

REMOVAL ACMR NO. 1

30 TM S9516-

BM-MMA-

SHIP'S STORES REFRIGERATION

PLANT (R-134A), 4.8 TON

- N

31 TM S9516-

CN-MMO-

MODULAR REFRIGERATION

SYSTEM 1.5-TON (MODEL 1624-

0000)

1 N

32 TM S9073-

A2-HBK-010

Resilient Mount Handbook 2 N

33 DWG 301-

8786979

Load Center Modifications Modular Refrigeration System

34 DWG 302-

8786974

Power System Modifications Modular Refrigerator System Upgrade

35 DWG 303-

8786982

Lighting System Removals Heating Cables Chill 6-52-1-A Freeze 6-52- 2-A & Chill 6

36 DWG 303-

8786983

Lighting System Modifications Incidental to Modular Refrigeration System Install

37 DWG 401-

8787125

Circuit 5AV Mods Modular Refrigeration Unit

3. APPENDICES:

3.1. Appendix “J” TGI Job Summary Information Sheet

3.2. Appendix "M" TGI Material List

3.3. Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1. Not Applicable.

5. PROCEDURE:

5.1 Accomplish the structural, sheet metal, and preservation work listed in 1.3.1 in accordance with 2.3 through 2.12, using 2.13 through 2.15 for guidance.

5.1.1 Drill hole(s) on each existing stanchion located in 1.2.1 and for gas free inspection.

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SHIP: LCC-19 CHG/VER: 2/1

5.1.2 Accomplish build up weld for remaining hole(s) on each stanchion.

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

5.1.4 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the watertight/airtight structural boundary. Allowable leakage: None.

5.2 Remove each existing insulation and lagging listed in 1.3.7 through 1.3.10 from the piping with associated fittings, using 2.16 for guidance.

5.3 Accomplish the piping work listed in 1.3.14 in accordance with 2.17 through 2.23.

5.3.1 Bend each new piping in accordance with 2.24.

5.3.2 Accomplish the requirements of 009-12 of 2.1, including Table One, Column(s) A and B, 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 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 50 PSIG, for each new and disturbed MRS refrigerant overboard piping systems.

5.3.4.1 Document shop hydrostatic test results on QA Form 28 Enclosure-01-1.

5.3.5 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for each new and disturbed chilled water piping systems.

5.3.5.1 Document shop hydrostatic test results on QA Form 28 Enclosure-01-2.

5.3.6 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for each new and disturbed vital air piping systems.

5.3.6.1 Document shop hydrostatic test results on QA Form 28 Enclosure-01-3.

5.3.7 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 50 PSIG, for each new and disturbed condensate drain piping systems.

5.3.7.1 Document shop hydrostatic test results on QA Form 28 Enclosure-01-4.

5.3.8 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of watertight/airtight structural boundary. Allowable leakage: None.

5.3.9 Connect each union joint of MRS refrigerant overboard piping listed in 1.3.14 in accordance with 2.4 as controlled assembly.

5.3.9.1 Restore each mating surface exposed by removal. Repair by removing high spots, burrs, abrasions, and foreign matter, where removal can be accomplished by hand tools.

5.3.10 Connect each mechanical joint shown on Mapping Plan Enclosure-02.

5.3.10.1 Document the controlled assembly joints on QA Form 34A Enclosure-03-1.

(I) "CONTROLLED ASSEMBLY JOINT INSTALLATION"

5.3.11 Accomplish flow check of each new deck drain piping using clean, fresh water. Allowable external leakage:

None.

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SHIP: LCC-19 CHG/VER: 2/1

(V)(G) “FLOW CHECK”

5.3.12 Cycle the valve from fully closed to fully open to fully closed 4 times. Allowable binding: None.

(V) “VALVE CYCLING”

5.4 Accomplish a bonnet ring torque check of each new valve listed in 1.3.4 through 1.3.6 in accordance with Paragraph 4.3.3.9, Step (7) of Table 4.3-10 of 2.25, using 2.26 for guidance.

(V) “TORQUE CHECK”

5.4.1 Tighten each bonnet ring of each new valve. Torque values must be in accordance with Table 4.3-10 of 2.25.

5.5 Accomplish a mechanical joint tightness test of each new valve listed in 1.3.4 through 1.3.6 in accordance with 2.27, using 2.26 for guidance.

5.5.1 For each new chilled water modular refrigeration system valve listed in 1.3.4 through 1.3.6 for body-to-bonnet joint tightness with stem in the half open position, using clean, fresh water at 150 PSIG for a minimum of 3 minutes.

Allowable external leakage: None.

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

5.5.1.1 Document each shop test result on QA Form 28, Enclosure-04-1.

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

5.6 Accomplish the machinery work and refrigerant piping work listed in 1.3.2 and 1.3.3 in accordance with 2.17 and 2.28.

5.6.1 Disconnect and remove each condensing unit and cooling coil listed in 1.3.2.1 through 1.3.2.3 with associated refrigeration piping, valve, gage/thermometer, gageboard, switch, controller, and fitting in accordance with 2.28, using 2.29 and 2.30 for guidance.

5.6.1.1 Remove refrigerant HFC-134a from the refrigerant system, using Paragraph 6-3.4 of 2.30 for guidance.

5.6.1.2 Remove and dispose of lubricating oil from the lubrication system, using Paragraph 6-3.11 of 2.30 for guidance.

5.6.1.3 Evacuate the refrigerant system, using Paragraph 8-4 of 2.30 for guidance.

5.6.1.4 Ensure the density of refrigerant is below 100 ppm at the leak detector. If not, vacuum the refrigerant system until the leak detector reads 100 ppm or below.

5.6.2 Install new MRS listed in 1.3.3 in accordance with 2.17, using 2.31 for guidance.

5.6.2.1 Install, load, and adjust new resilient mount assemblies including load bolts, foundation bolts, nuts and snubbers in accordance with Paragraph 4.4.1.2 of 2.32, using Paragraph 8-5.2 of 2.31 for guidance. Stamp the installation date on each resilient mount flange adjacent to the identification date. The date must be visible and legible when the mount is installed with 1/8-inch minimum lettering size.

5.6.2.2 Submit one legible copy, in hard copy, or approved transferrable media, of a report listing results of the requirements of 5.6.2.1 to the SUPERVISOR. The report must include the following:

Identify of equipment Amount and designation of mounts installed

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SHIP: LCC-19 CHG/VER: 2/1

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

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

5.6.5 Accomplish the requirements of 009-25 of 2.1 for the local air hose test of each new weld for pipe penetration of watertight/airtight structural boundary. Allowable leakage: None.

5.6.6 Accomplish an unobstructed air flow test of each refrigerant system piping in accordance with Test Note T-4 of 2.3.

(I)(G) “UNOBSTRUCTED FLOW TEST”

5.6.7 Accomplish a leak check of the refrigerant system in accordance with Paragraph 6-2.2 of 2.31.

5.6.8 Evacuate and dehydrate the refrigerant system in accordance with Paragraph 6-2.3 of 2.31.

5.6.9 Accomplish a vacuum hold check of the refrigerant system in accordance with Paragraph 6-2.3 of 2.31.

(V)(G) “VACUUM HOLD CHECK”

5.6.10 Charge the refrigerant system with refrigerant HFC-407a in accordance with Paragraph 6-2.4 of 2.31.

5.7 Accomplish the requirements of removals, modifications and installations for the system listed in 1.3.15 through

1.3.17 in accordance with 2.33 through 2.37.

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

5.8 Accomplish the requirements of 009-11 of 2.1 for installation each new insulation and lagging listed in 1.3.11 through 1.3.13 to the piping with associated fittings.

5.9 Accomplish the requirements of 009-32 of 2.1 for top surface where new insulation and lagging are installed.

5.10 Notes:

5.10.1 Planner: Code 232 T. Yamada, 243-4213

Planner: Code 231B Y. Arakawa, 243-4496 Planner: Code 233 M. Takemura, 243-080-9350-1458 Planner: Code 234 O. Mitsui, 243-0976 Planner: Code 234 R. Kimura, 070-7603-8983

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

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

5.10.4 Opening, initial cleaning, and closing of each space listed in 1.2.17 will be covered by TGI No.

3819P12316A01 (KTR TGI).

5.10.5 Preservation work for disturbed exterior surfaces of underwater hull will be covered by TGI No.

3819P11001A01 (KTR TGI).

5.10.6 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

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SHIP: LCC-19 CHG/VER: 2/1

closure, if not continuously in use, shall be staged near the access, readily visible and accessible, so that any emergency responder can install the closure to affect proper air flow onboard the ship.

5.10.7 JCN EXSA-ZC54 is related to this TGI.

5.11 Government Furnished Material (GFM):

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

5.11.2 All GFM listed in each SCD drawing will be provided as kitted material by SRF-JRMC.

5.12 SRF-JRMC will provide the following service work: (TGI No. 3819P51602S03)

5.12.1 [C740] Crane and crane rigging service.

5.12.2 [X99E] Utility service, electrical.

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

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).

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J-1

SHIP: LCC-19 CHG/VER: 2/1

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

REFRIGERATION SYS AY A 1 1

CU PHASE TITLE:

(RE) F/O - S/A 83424K, INSTALL MRS IN REFRIGERATED SPACES

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

(6-61-1)-1L-C8 RC (6-61-1)-1L-B1 RC (6-61-1)-1L-C C- 21-1L-(6-61-1)(2) C- K-1SS1 C-

23-4P-(6-63-2) C- (6-63-2)-4P-C C- (6-63-2)-4P-B C- (6-63-2)-4P-D C- (6-61-1)-1L-A4 RC (6-61-1)-1L-A6 RC (6-61-1)-1L-A8 RC (6-61-1)-1L-A3 RC (6-61-1)-1L-B8 RC (6-61-1)-1L-C3

RC (6-61-1)-1L-C4 RC (6-61-1)-1L-C11 RC LDB 6-61-3 PA LDB 6-63-1 PA LDP 6-61-1

PA TF 6-61-1 XF CMPT 6-60-0-L MS(6-61-1)-1L-A C- (6-61-1)-1L-A2 RC (6-61-1)-1L-B5

RC (6-61-1)-1L-C9 RC 23-4P-N C- 23-1P-M(OP) C- 23-4P-M(LP) C- 23-4P-M(WF)

C- 23-1P-M(SOL) C- 23-1P-N(CCH) C- 23-1P-M(CCH) C- 23-4P-N(OCSOL) C- 23-4P-

M(OCSOL) C- 23-4P-N(LP) C- 23-4P-N(HP) C- K-2SS2 C- K-2SS3 C-

K-1SS3 C- K-1CHW1 C- K-1CHW2 C- (4-60-1)-4P-G2 C- (4-60-1)-4P-G3

C- 23-4P-(6-61-1) C- (4-57-2)-1L-D3A LF MRU DR 6-52-1-A PP MRU DR 6-52-2-A PP

MRU DR 6-52-3-A PP REFER 3-64-0-L PPREFER 4-64-1-L PPREFER 4-52-1-L PPREFER

5-58-1-L PPREFER 6-60-0-L PPREFER 7-60-1-L PPCW SPLY 6-60-0-L PP CW RTN 6-60-0-L

PP CW RTN 4-64-0-L PP CW SPLY 4-64-0-L PP LP AIR 7-40-0-E PP (4-57-2)-1L-D3 C-

(4-57-2)-1L-D2A7 C- (4-57-2)-1L-F3A LF LDB 6-61-1 PA EMER LB 4-58-2 PA (4-57-

2)-1L-F2C LF (4-57-2)-1L-F2 C- (4-57-2)-1L-F2D LF SW 7-40-0-E PP CW RTN 5-60-0-L

PP CW SPLY 5-60-0-L PP CW RTN 4-59-0-Q PP CW SPLY 4-59-0-Q PP LP AIR 6-46-1-

L PP (6-61-1)-1L-A1 RC (6-61-1)-1L-B C- (6-61-1)-1L-C1 RC 23-4P-M C- 23-4P-

M(XF) C- 23-1P-N(SOL) C- 23-4P-N(XF) C- K-2SS1 C- (6-63-2)-4P-A C- (6-61-

1)-4P-A C- (6-61-1)-4P-B C- (6-61-1)-4P-C C- (6-61-1)-4P-D C- (6-61-1)-4P-E C- 5AV

BEACON #1 EE 5AV BEACON #2 EE MRU 6-52-2 RQ MRU 6-53-1 RQ MRU 6-53-3

RQ MRU 6-55-2 RQ MRU 6-57-1 RQ MRU 6-57-3 RQ MRU 6-58-2 RQ MRU 6-61-2

RQ MRU 6-60-1 RQ VNT R6-56-1 DT VNT R6-57-1 DT VNT R6-57-2 DT CMPT 6-52-1-A

MS CMPT 6-52-2-A MSCMPT 6-52-3-A MSCKT 5AV IC (4-57-2)-1L-A1G CB (4-57-2)-1L-

D3D LF (4-57-2)-1L-D3B C- (4-57-2)-1L-D3C LF (4-57-2)-1L-F2B LF (4-57-2)-1L-D2A7 CB(4-78-

1)-1L-C4C LF (4-57-2)-1L-A1G C- (4-57-2)-1L-F2A LF LOAD CENTER 21 SB LOAD

CENTER 23 SB #1 REFR PLANT RQ #2 REFR PLANT RQ TRUNK 7-40-0-E MS

BLST 9-40-1-W TK (6-61-1)-1L-B2 RC (6-61-1)-1L-C2 RC 21-4L-(6-61-1)(2) C- 23-4P-M(HP)

C- 23-1P-N(OP) C- 23-4P-N(WF) C- K-1SS2 C- (4-60-1)-4P-G1 C- (6-61-1)-1L-B3

RC (6-61-1)-1L-B7 RC (6-61-1)-1L-B4 RC (6-61-1)-1L-C5 RC (6-61-1)-1L-C6 RC (6-61-1)-1L-C7

RC DK DRN 7-58-0-A PP

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P51602A02-QA28-01.docx) saved on 28-FEB-2025 0000.

2. ENCLOSURE-02 (3819P51602A02-Map.pdf) saved on 28-FEB-2025 0000.

3. ENCLOSURE-03 (3819P51602A02-QA34A.docx) saved on 28-FEB-2025 0000.

4. ENCLOSURE-04 (3819P51602A02-QA28-02.docx) saved on 28-FEB-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P51602 A02

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The Purpose of this TGI is to install MRS in refrigerated spaces for SA 83424K.

FOUO

J-2

SHIP: LCC-19 CHG/VER: 2/1

CU PHASE DESCRIPTION:

Location of work:

Air Conditioning Machinery Room No.1 & Refrigeration Machinery Room (7-40-0-E) Freeze Storeroom (6-52-2-A) Chill STRM/VEG Box (6-52-1-A) Chill STRM/DAIRY Box (6-52-3-A) Passage (6-60-0-L)

AC & R CAGE (6-50-0-Q)

Passage (6-46-0-L) Main GSK/SD Storeroom (6-40-0-A) Crew Longe (5-46-1-L) Crew Messroom (4-40-0-L) Fan Room (3-48-1-Q) Trank (7-60-1-L) Crew WR, WC, SH & DECONTN Station (5-58-1-L) Passage (4-52-1-L) CPO Living Space (4-46-1-L) Quarter Deck & Passage (3-64-0-L) Clean Salt Water Ballast (9-40-1-W) Underwater Hull Weather, Frames between 40 and 47, Stbd Trunk (7-40-5-T) Passage (6-61-2-L) Passage (6-64-4-L) Trunk (7-60-1-T) Photo Lab Office (6-64-2-Q) Studio (6-64-0-Q) Divo/Pao Office(6-64-1-Q) Supply (6-64-3-A) Crew Living Space (Female) (5-52-0-L) Crew Living Space (Female) (5-40-0-L) FSO Office (4-58-3-Q) Passage (4-64-0-L) Passage (5-60-4-L) CPO Staff WR, WC, SH & Decontn Sta (5-64-2-L) Stores Conveyor Trunk No. 3 (7-62-1-T) Bakery (4-59-0-Q) Sponson, Third Deck Weather, between Frames 64 and 65, Starboard CPO Living Space (4-64-1-L) Contractor’s Shop

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR, SMTL, WELD, INSL, CARP, PNTR, RGRS, QA,

ELEC

22 KE PC

5.2 INSL 22 KE PC

5.3 PFTR, WELD, IMCH, PNTR, RGRS, SMTL, INSL, CARP,

ELEC, OMCH, QA

22 KE PC

5.4 IMCH 24HRs 22 KE PC

5.5 IMCH, QA 22 KE PC

5.6 OMCH, RGRS, WELD, SMTL, SFTR, CARP, INSL,

PNTR, QA

22 KE PC

5.7 ELEC, RGRS, SFTR, WELD, INSL, SMTL, DMTL, CARP,

PNTR

22 KE PC

FOUO

J-3

SHIP: LCC-19 CHG/VER: 2/1

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.8 INSL, PNTR, QA 22 KE PC

5.9 PNTR, QA 22 KE PC

Structural Work CFM: for fire watch cost, marine chemist cost, asbestos sampling and analysis cost for compartment insulation, air compressor rental cost and fuel oil cost for air hose test, lead sampling/analysis cost, stud pins, electrodes, fasteners, gasket, ---continue to below---

22 MQ CS

---continued from above---gasket, label plate, plastic bags, covering material, and misc for other consumables.

22 MQ CS

Sheet Metal Work CFM: for fasteners, asbestos sampling and analysis cost for compartment/duct insulation, label plate, rivets, plastic bags, covering material, and misc for other consumables.

22 MQ CS

Preservation Work CFM: for all paints, grit, disposal cost, thinner, deck covering, asbestos sampling and analysis cost for deck covering, plastic bags, covering material, and misc for other consumables.

22 MQ CS

Piping Work CFM: for all paints, thinner, deck covering, asbestos sampling and analysis cost for compartment/duct insulation and deck covering, fire watch cost, air compressor rental cost, fuel oil cost, lead sampling/analysis cost, stud pins, electrodes, fasteners, gasket, plastic bags.

---continue to below---

22 MQ CS

---continued from above---covering material, and MISC such as gases, saw blades, flux, brazing rod, label plate, epoxy, painting material, and etc.

22 MQ CS

Lagging Work CFM: for asbestos sample and analyze cost, plastic bag, covering material, shrink tape, wire, tyvek suit, paint material and other consumable.

22 MQ CS

Machinery Work and Refrigerant Piping Work CFM, fire watch cost, label plate cost, fasteners, nut, brazing rod, epoxy, flux, nitrogen, leak test compound, lubricating oil, plastic bag/sheet, paint material and MISC

22 MQ CS

Electrical Work CFM: for air compressor rental and fuel oil cost, asbestos take and analysis cost, fastener, cable band, plastic bag, insulation tape, label plate fabrication, silver plating and other miscellaneous and consumable material

22 MQ CS

Process Funding Document. 10 CT OM

Version-01: revise references title 2.9.

Code 232 T. Kinoshita, 03/07/2025, -/Y/N

V-01

FOUO

M-1

SHIP: LCC-19 CHG/VER: 2/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

REFRIGERATION SYS AY A 1 1

CU PHASE TITLE:

(RE) F/O - S/A 83424K, INSTALL MRS IN REFRIGERATED SPACES

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 301-8786979 2 401-8787125 3 302-8786974 4 303-8786983

JOB ORDER: KEY OP:

3819P51602 A02

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

100 M INSULATI, ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9Q 5640 008096315 NA 4 N 20/EA

101 M SOUND CO, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9Q 5640 007565866 NA 4 N 20/SH

102 M INSULATI, ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9Q 5640 008096312 NA 4 N 12/EA

103 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 8315 002671632 NA 4 N 1/RO

NOTES:

FOUO

M-2

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

104 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 8315 002671633 NA 4 N 1/RO

105 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 8040 002738708 NA 4 Y 5/GL

106 M CAP,SNAP, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5325 007377648 NA 4 N

800/EA

107 M INSULATION, URETHANE,

INSULATION, URETHANE,

SHEET, 10"THK,

POLYURTHANE,MIL-PRF-24172

TYPE I CLASS 1

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

LL4889987 NA 4 N

1800/S

F

108 M INSULATION, SHEET,

INSULATION, SHEET, SIZE: 24"

X 36" X 6"THK, MIL-PRF-24172

TYPE I CLASS 1,

TYPE 1: PREFORMED, CLASS

1: 1.7 TO 2.5 POUNDS PER

CUBIC FOOT DENSITY

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

LL9303364 NA 4 N 20/SH

200 M R-407A REFRIGERANT,

ORDER FOR KTR

ORIG: C232, T.YAMADA 243-

9B 6830 016808427 NA 4 Y 12/CY

201 M CYLINDER,COMPRESSED,

ORDER FOR KTR

ORIG: C232, T.YAMADA 243-

9B 8120 013483119 NA 4 N 4/EA

300 5 1 M GREASE,UTILITY, ORDERED

FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 9150 013959135 NA 4 Y 1/PT

301 6 1 M CLEANING COMPOUND,S,

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 6850 013771811 NA 4 Y 1/PT

302 2 2 M ALARM-MONITOR GROUP,

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

1H 6665 015369312 NA 4 N 1/EA

303 SH

3 M TAPE,PRESSURE SENSI,

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9Q 7510 001325109 NA 4 N 3/RO

FOUO

M-3

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

304 SH

3 M WIRE, FERRULES ,

POLYPROPYLENE INSULATED

FERRULES SINGLE WIRE

WHITE DIN COLOR EXPANDED

END SLEEVE, #16 AWG

(1.5MM²) WIRE SIZE, 0.32

(8.0MM) PIN LENGTH.

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

NA 4 N 29/EA

305 SH

3 M WIRE, FERRULES ,

POLYPROPYLENE INSULATED

FERRULES SINGLE WIRE

WHITE DIN COLOR EXPANDED

END SLEEVE, #22 - 20 AWG

(0.5MM²) WIRE SIZE, 0.31

(8.0MM) PIN LENGTH.

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

NA 4 N 20/EA

306 SH

4 M TAPE,PRESSURE SENSI,

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9Q 7510 001325109 NA 4 N 2/RO

307 SH

4 M PIPE,METALLIC, ORDERED

FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 4710 009935037 NA 4 N 12/FT

308 SH

4 M BAR,METAL, ORDERED FOR

KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 9510 001891557 NA 4 N 4/FT

309 SH

4 M BAR,METAL, ORDERED FOR

KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 9510 001891556 NA 4 N 2/FT

310 SH

4 M ANGLE,STRUCTURAL,

ORDERED FOR KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 9520 012694197 NA 4 N 6/FT

311 SH4

&5

3 M PLATE,METAL, ORDERED FOR

KTR

ORIG: C233 M. TAKEMURA,

080-9350-1458

9B 9515 002375333 NA 4 N 1/PM

400 M COUPLING,TUBE, 2" IPS, CU-NI

90-10, BW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9B 4730 005423290 NA 4 N 10/EA

401 M SLEEVE,, 1" IPS, CU-NI 90-10,

BW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9C 4730 LL4742596 NA 4 N 4/EA

402 M SLEEVE, 1-1/2" IPS, CU-NI 70-

30, BW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9C 4730 LL4613824 NA 4 N 4/EA

403 M SLEEVE,, 3-1/2" IPS, CU-NI 90-

10, BW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9C 4730 LL4462371 NA 4 N 4/EA

FOUO

M-4

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

404 M COUPLING,TUBE, 1-1/2" IPS,

CU-NI 90-10, BW, FV=5EA

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9B 4730 007225467 NA 4 N 2/FV

405 M COUPLING,TUBE, 3/4" IPS, CU-

NI 90-10, BW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 070-7787-

9B 4730 007225466 NA 4 N 4/EA

406 M ELBOW,PIPE, ELBOW 90, 2"

IPS, CU-NI 90-10, SW, SR

ORDERED FOR KTR

ORIG:C234 O. MITSUI 070-

7787-2048

9B 4730 014637044 NA 4 N 4/EA

500 M ADHESIVE, ADHESIVE FOR

CLOTH

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 8040 002738708 NA 4 Y 74/GL

501 M ADHESIVE, ADHESIVE FOR

PLASTIC TUBE

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 8040 008419773 NA 4 Y 54/PT

502 M SEALING COMPOUND, VAPOR

BARRIER

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 8030 001742588 NA 4 Y

188/GL

503 M CEMENT,INSULATION,H,

CEMENT, 45LB/BG,

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9Q 5640 002264540 NA 4 Y 16/BG

504 M CLOTH,PLAIN WEAVE,

CLOTH,PLAIN WEAVE

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 8305 001487363 NA 4 N 2/RO

505 M CLOTH,PLAIN WEAVE, H/W

GLASS CLOTH, 5 FT X 150 FT

LONG PER ROLL, COLOR IS

NATURAL,

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 8305 001487364 NA 4 N 1/RO

506 M INSL, 1/4" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 1/4" IPS,

SIZE: 1/2" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

30EA/BOX. *MUST BE

ORDERED IN MULTIPLES OF

30EA*

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9B 5640 LL9607840 NA 4 N 12/EA

FOUO

M-5

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

507 M INSL, 1/2" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 1/2" IPS,

SIZE: 7/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE ITEM**

21EA/BOX. *MUST BE

ORDERED IN MULTIPLES OF

21EA*

*MSM AVAILABLE*

9B 5640 LL4783092 NA 4 N 22/EA

508 M INSL, 3/4" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 3/4" IPS,

SIZE: 1-1/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE ITEM**

15EA/BOX. *MUST BE

ORDERED IN MULTIPLES OF

15EA*

*MSM AVAILABLE*

9B 5640 LL9607842 NA 4 N 5/EA

509 M INSL, 1" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 1" IPS,

SIZE: 1-3/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN, 13

EA/BOX.

**GSA ADVANTAGE ITEM**

*MUST BE ORDERED IN

MULTIPLES OF 13EA*

*MSM AVAILABLE*

9B 5640 LL4783096 NA 4 N 3/EA

510 M INSL, 2-1/2" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 2-1/2" IPS,

SIZE: 2-7/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE ITEM**

7EA/BOX. *MUST BE ORDERED

IN MULTIPLES OF 7EA*

*MSM AVAILABLE*

9B 5640 LL9607845 NA 4 N 2/EA

FOUO

M-6

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

511 M INSL, 1-1/2" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 2-1/8" OD TUBE,

SIZE: 2-1/8" ID X 3/4" THK X 6

FT LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE ITEM**

10EA/BOX. *MUST BE

ORDERED IN MULTIPLES OF

10EA*

*MSM AVAILABLE*

9B 5640 LL9607843 NA 4 N 59/EA

512 M INSL, 2" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 2" IPS,

SIZE: 2-3/8" ID X 3/4" THK X 6

FT LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN, 8

EA/BOX.

**GSA ADVANTAGE ITEM**

*MUST BE ORDERED IN

MULTIPLES OF 8EA*

*MSM AVAILABLE*

9B 5640 LL9607844 NA 4 N 94/EA

513 M INSL, 3-1/2" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 3-1/2" IPS,

SIZE: 4-1/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

4EA/BOX. *MUST BE ORDERED

IN MULTIPLES OF 4EA*

*MSM AVAILABLE*

9B 5640 LL9607847 NA 4 N 16/EA

514 M INSULATION SLEEVING,

INSULATION COVER, SILICA,

MIL-DTL-2781, 3/4" IPS X 1-1/2"

THK, 3FT LG/EA, 18EA/BX

ORG: C234 R.KIMURA, 070-

7603-8983

ORDERED FOR KTR

9Q 5640 010420970 NA 4 N 1/BX

FOUO

M-7

SHIP: LCC-19 CHG/VER: 2/1

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

515 M INSL, 4" IPS, INSULATION,

PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 4" IPS,

SIZE: 4-1/2" ID X 3/4" THK X 6

FT LG,

UI: EA/6 FT (ONE

CONTINUOUS LENGTH

REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE

AVAILABLE**

3EA/BOX. *MUST BE ORDERED

IN MULTIPLES OF 3EA*

*MSM AVAILABLE*

9B 5640 LL9607848 NA 4 N 4/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 REFRIGERATION SYS AY A 1

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

3819P51602 A02

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 REFRIGERATION SYS AY A 1

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P51602A02 ENCLOSURE-01-1 TOTAL 4

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 LCC19 EXSA-ZC54 KTR N/A MRS REFRIGERANT OVERBOARD

PIPING

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. S9086-RK-STM-010/CH-505 Rev. 6

B. DWG 503-8783159 Rev. A

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

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

H 5.3.4 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)

DATE

3819P51602A02 ENCLOSURE-01-2 TOTAL 4

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 LCC19 EXSA-ZC54 KTR N/A CHILLED WATER PIPING

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. S9086-RK-STM-010/CH-505 Rev. 6

B. DWG 502-8787316 Rev. B

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 5.3.5 A,B Clean Fresh Water 225 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

3819P51602A02 ENCLOSURE-01-3 TOTAL 4

SHOP TEST RECORD

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 LCC19 EXSA-ZC54 KTR N/A VITAL AIR PIPING

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. S9086-RK-STM-010/CH-505 Rev. 6

B. DWG 513-8787314 Rev. -

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 5.3.6 A,B Clean Fresh Water 225 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

3819P51602A02 ENCLOSURE-01-4 TOTAL 4

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 LCC19 EXSA-ZC54 KTR N/A CONDENSATE DRAIN PIPING

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. S9086-RK-STM-010/CH-505 Rev. 6

B. DWG 505-8787315 Rev. A

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 5.3.7 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

3819P51602A02

MAPPING PLAN

ENCLOSURE-02 Sheet 1 of 1

CJ-2

Location: Passage (6-60-0-L)

CJ-1 CJ-4 CJ-5 CJ-6CJ-3 CJ-7 CJ-8 CJ-9

MRU

6-61-2

MRU

6-55-2

MRU

6-58-2

MRU

6-52-2

MRU

6-60-1

MRU

6-53-1

MRU

6-57-1

MRU

6-53-3

MRU

6-57-3

3819P51602A02 ENCLOSURE-03-1 TOTAL 1

JOINT/COMPONENT ASSEMBLY RECORD Planning must fill in blocks identified by a prior to issuing.

QA FORM 34A

(For Assemblies Not Requiring Torque Documentation)

1. SHIP HULL

NO.

2. JCN 3. LWC/SHOP 4. CWP/REC

NO.

5. SYSTEM/COMPONENT/ROTATABLE POOL

NO

USS BLUE RIDGE LCC19 EXSA-ZC54 KTR N/A MRS Refrigerant Overboard Piping

6. REFERENCES (Specify Assembly Number if applicable.)

A. 503-8783159 REV “A” B. MAPPING PLAN ENCLOSURE-01 C. 3819P51602A01

D. E. F.

7. NEW MATERIAL

PC

NO.

REF. JOINT

ID

DESCRIPTION

(Include thickness for shims; diameter and thread pitch for fasteners)

QTY LOE IDENT (E.G., MIC NO/NSN/ROTATABLE POOL

NO)

(FOR LEVEL I FASTENERS: Include Material Marking, Color Code, Heat/Lot Number, and

Manufacturer’s Symbol)

CRAFT

INT

8. JOINT DATA

FOR OTHER THAN JOINT MAKE-UP, DESCRIBE

THE SPECIFIC ATTRIBUTE AND LOCATION OF

THE ACCEPTANCE CRITERIA. IDENTIFY

JOINTS THAT REQUIRE CONTROLLED

ASSEMBLY PROCEDURES.

INSPECTOR (SHIPYARDS ONLY - FOR CONTROLLED ASSEMBLY JOINTS ONLY) & CRAFTSMAN

SIGNATURE CERTIFIES:

(1) JOINT SEALING SURFACES, ALIGNMENT, GAP AND PARALLELISM ARE SAT PER

SPECIFIED REQUIREMENTS AND STUDS HAVE BEEN CHECKED FOR ROTATION IF APPLICABLE, OR

ATTRIBUTE IS ACCEPTABLE PER SPECIFIED CRITERIA.

(2) ALL NEW MATERIAL ASSOCIATED WITH THIS JOINT MEETS SPECIFIED REQUIREMENTS, IS

INSTALLED & LISTED IN BLOCK 7; EXISTING MATERIAL ASSOCIATED WITH THIS JOINT IS

ACCEPTABLE AND CORRECTLY INSTALLED.

FOR FLEET ONLY: FOR NON-CONTROLLED ASSEMBLIES WHEN NO SPECIFIC ATTRIBUTE IS

SPECIFIED, INSPECTOR SIGNATURE CERTIFIES ACCEPTANCE OF LEVEL I MATERIAL ONLY.

JOINT ID & JOINT TYPE OR ATTRIBUTE

DESCRIPTION

JT.

REF

(C) FOR

CRAFTSMAN OR

(I) FOR

INSPECTOR

CRAFTSMAN SIGNATURE/BADGE/DATE (FOR EACH JOINT/ATTRIBUTE)

INSPECTOR SIGNATURE/BADGE/DATE (FOR EACH (I) JOINT/ATTRIBUTE)

(C)A. CJ-1 A,B,C

(I)

(C)B. CJ-2 A,B,C

(I)

(C)C. CJ-3 A,B,C

(I)

(C)D. CJ-4 A,B,C

(I)

(C)E. CJ-5 A,B,C

(I)

9. LOCKING DEVICE INSTALLED

OR REQD ACTION:

NA

MATL. DESCRIPTION/NSN/PC. NO. JT. ID. CRAFTSMAN SIGNATURE/BADGE/DATE SAT

10. REMARKS (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA) (FOR USE WHEN SIGNATURE DOES NOT ALREADY

APPEAR ON FORM)

INITIAL SIGNATURE/BADGE NO.

11. LWC SUPERVISOR/SHOP SUPERVISOR SIGNATURE/BADGE NO (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

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

3819P51602A02 ENCLOSURE-03-1 TOTAL 1

JOINT/COMPONENT ASSEMBLY RECORD Planning must fill in blocks identified by a prior to issuing.

QA FORM 34A

(For Assemblies Not Requiring Torque Documentation)

1. SHIP HULL

NO.

2. JCN 3. LWC/SHOP 4. CWP/REC

NO.

5. SYSTEM/COMPONENT/ROTATABLE POOL

NO

USS BLUE RIDGE LCC19 EXSA-ZC54 KTR N/A MRS Refrigerant Overboard Piping

6. REFERENCES (Specify Assembly Number if applicable.)

A. 503-8783159 REV “A” B. MAPPING PLAN ENCLOSURE-01 C. TGI No. 3819P51602A01

D. E. F.

7. NEW MATERIAL

PC

NO.

REF. JOINT

ID

DESCRIPTION

(Include thickness for shims; diameter and thread pitch for fasteners)

QTY LOE IDENT (E.G., MIC NO/NSN/ROTATABLE POOL

NO)

(FOR LEVEL I FASTENERS: Include Material Marking, Color Code, Heat/Lot Number, and

Manufacturer’s Symbol)

CRAFT

INT

8. JOINT DATA

FOR OTHER THAN JOINT MAKE-UP, DESCRIBE

THE SPECIFIC ATTRIBUTE AND LOCATION OF

THE ACCEPTANCE CRITERIA. IDENTIFY

JOINTS THAT REQUIRE CONTROLLED

ASSEMBLY PROCEDURES.

INSPECTOR (SHIPYARDS ONLY - FOR CONTROLLED ASSEMBLY JOINTS ONLY) & CRAFTSMAN

SIGNATURE CERTIFIES:

(1) JOINT SEALING SURFACES, ALIGNMENT, GAP AND PARALLELISM ARE SAT PER

SPECIFIED REQUIREMENTS AND STUDS HAVE BEEN CHECKED FOR ROTATION IF APPLICABLE, OR

ATTRIBUTE IS ACCEPTABLE PER SPECIFIED CRITERIA.

(2) ALL NEW MATERIAL ASSOCIATED WITH THIS JOINT MEETS SPECIFIED REQUIREMENTS, IS

INSTALLED & LISTED IN BLOCK 7; EXISTING MATERIAL ASSOCIATED WITH THIS JOINT IS

ACCEPTABLE AND CORRECTLY INSTALLED.

FOR FLEET ONLY: FOR NON-CONTROLLED ASSEMBLIES WHEN NO SPECIFIC ATTRIBUTE IS

SPECIFIED, INSPECTOR SIGNATURE CERTIFIES ACCEPTANCE OF LEVEL I MATERIAL ONLY.

JOINT ID & JOINT TYPE OR ATTRIBUTE

DESCRIPTION

JT.

REF

(C) FOR

CRAFTSMAN OR

(I) FOR

INSPECTOR

CRAFTSMAN SIGNATURE/BADGE/DATE (FOR EACH JOINT/ATTRIBUTE)

INSPECTOR SIGNATURE/BADGE/DATE (FOR EACH (I) JOINT/ATTRIBUTE)

(C)F. CJ-6 A,B,C

(I)

(C)G. CJ-7 A,B,C

(I)

(C)H. CJ-8 A,B,C

(I)

(C)I. CJ-9 A,B,C

(I)

J.

9. LOCKING DEVICE INSTALLED

OR REQD ACTION:

NA

MATL. DESCRIPTION/NSN/PC. NO. JT. ID. CRAFTSMAN SIGNATURE/BADGE/DATE SAT

10. REMARKS (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA) (FOR USE WHEN SIGNATURE DOES NOT ALREADY

APPEAR ON FORM)

INITIAL SIGNATURE/BADGE NO.

11. LWC SUPERVISOR/SHOP SUPERVISOR SIGNATURE/BADGE NO (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

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

3819P51602A02 ENCLOSURE-04-1 TOTAL 1

SHOP TEST RECORD Page 1 of 13

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 EXSA-ZC54 KTR N/A S/A 83424K Condenser Chilled Water Valve V4

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: 502-8787316 Rev “B”

B. T/M: 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

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L84

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L85

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L86

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L87

A, B Clean, Fresh Water

150 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

3819P51602A02 ENCLOSURE-04-1 TOTAL 1

SHOP TEST RECORD Page 2 of 13

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 EXSA-ZC54 KTR N/A S/A 83424K Condenser Chilled Water Valve V4

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: 502-8787316 Rev “B”

B. T/M: 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

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L88

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L89

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L90

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L91

A, B Clean, Fresh Water

150 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

3819P51602A02 ENCLOSURE-04-1 TOTAL 1

SHOP TEST RECORD Page 3 of 13

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 EXSA-ZC54 KTR N/A S/A 83424K Condenser Chilled Water Valve V4

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: 502-8787316 Rev “B”

B. T/M: 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

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L92

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L93

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L94

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L95

A, B Clean, Fresh Water

150 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

3819P51602A02 ENCLOSURE-04-1 TOTAL 1

SHOP TEST RECORD Page 4 of 13

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 EXSA-ZC54 KTR N/A S/A 83424K Condenser Chilled Water Valve V4

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: 502-8787316 Rev “B”

B. T/M: 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

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L96

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L97

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L98

A, B Clean, Fresh Water

150 PSIG 3 Minutes None

J

5.5.1

MECHANICAL

JOINT TIGHTNESS

TEST FOR LABEL

PLATE L99

A, B Clean, Fresh Water

150 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.