TGI_3819P52808A01_c0v0.pdf

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USS BLUE RIDGE 5C1 DSRA TYCOM 5
Solicitation number
N6264925RA054
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About this file

This document is a Task Group Instruction (TGI) for replacing Collection, Holding, and Transfer (CHT) system piping on the USS Blue Ridge (LCC-19), with work scheduled to occur between July 21, 2026, and November 21, 2027. The project involves replacing waste drain and soil drain piping in multiple ship locations including the SD Storeroom, CHT Tank, Cross Flooding Duct, Clean Salt Water Ballast areas, Distillate Fuel Marine Tanks, and Air Conditioning Machinery Room. The piping will be made of Cu-Ni 70-30/Steel materials, with 5-6 inch IPS sizes, and will require specific cleanliness standards (Level III) and non-flammable closure fabrication due to fire zone boundary considerations. The instruction includes detailed material requirements, with items like metallic tubes, elbows, flanges, and pipe insulation to be ordered, and specifies hydrostatic testing at 50 PSIG using clean fresh water.

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Exhibit (A) BLR_5C1_TYCOM5 CDRL_r.pdf PDF
N6264925RA0540003.pdf PDF
N6264925RA0540002.pdf PDF
TGI_3819P59301A01_c0v0.pdf PDF
BLR_5C1_TYCOM5 CDRL.pdf PDF
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N6264925RA054 Amendment 0001.pdf PDF
Attachment VIII Source of Repair Instruction.pdf PDF
2.01 N6264925RA054 Solicitation.pdf PDF
Attachment VI Quality Assurance Surveillance Plan (QASP).pdf PDF
Attachment III GFP_List_V3 TYCOM5.xlsx XLSX spreadsheet
Attachment VII Warranty Tracking Information.pdf PDF
Attachment V Contract data.pdf PDF
Attachment II Proposal Sheet Generator v1.2.xlsx XLSX spreadsheet
Attachment IV-3 Request for Information Form (SAMPLE).docx DOCX document
Exhibit (A) CDRL BLR_5C1_TYCOM5.pdf PDF
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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.: WASTE CHT 7-48-0-A AY A 0 0

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

LCC-19 USS BLUE RIDGE 19P 2

CU PHASE TITLE:

*F/O - REPLACE CHT SYSTEM PIPING IN 7-48-0-A

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

YOSHIYUKI INOMATA 234. 315-243-4536 05-MAR-2025

APPROVED BY: CODE PHONE DATE

HIDEKUNI SHINMEI 234. 315-243-2371 05-MAR-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:

CHANGE INSTRUCTIONS:

SPECIAL REQUIREMENTS:

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL III.

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.: WASTE CHT 7-48-0-A AY A 0

FOUO

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

LIST OF EFFECTIVE PAGES

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

1-5 QA28

(1)

J-1 M1-3 Sketch (1-2)

1. SCOPE/PURPOSE

1.1 Title: Collection, Holding and Transfer (CHT) System Piping; replace

1.2 Location of Work:

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

1.2.2 Collection, Holding and Transfer Tank No. One (8-48-0-W)

1.2.3 Cross Flooding Duct, Frame 48

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

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

1.2.6 Distillate Fuel Marine Tank (8-48-1-F)

1.2.7 Distillate Fuel Marine Tank (8-48-2-F)

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

1.3 Identification:

1.3.1 Quantity (One AY), Waste Drain Piping; runs to 1.2.2, port side Size: 5 Inch IPS (5.563 Inch OD X 0.125 Inch WT) and 6 Inch IPS Material: Cu-Ni 70-30 / Steel Specification: MIL-T-16420 Remarks: See Sheet 8 (Zone 64-C), Sheet 10 (Zone 77-C) of 2.3, Sheet 4 of 2.4 and Sketch Enclosure-01 for details.

1.3.1.1 Quantity (One EA), Sleeve (PC No. One of 2.4)

Size: 6 Inch IPS Material: Steel Specification: ASTM A36

1.3.2 Quantity (One AY), Soil Drain Piping; runs to 1.2.2, port side Size: 6 Inch IPS (6.625 Inch OD X 0.134 Inch WT) and 6 Inch IPS Material: Cu-Ni 70-30 / Steel Specification: MIL-T-16420 Remarks: See Sheet 8 (Zone 62-C), Sheet 10 (Zone 77-C) of 2.3, Sheet 3 of 2.4 and Sketch Enclosure-01 for details.

1.3.2.1 Quantity (One EA), Sleeve (PC No. One of 2.4)

Size: 6 Inch IPS Material: Steel

FOUO

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

Specification: ASTM A36

1.3.3 Quantity (One AY), Soil Drain Piping; runs to 1.2.2, starboard side Size: 6 Inch IPS (6.625 Inch OD X 0.134 Inch WT) and 6 Inch IPS Material: Cu-Ni 70-30 / Steel Specification: MIL-T-16420 Remarks: See Sheet 8 (Zone 58-E), Sheet 11 (Zone 84-C) of 2.3, Sheet 3 of 2.4 and Sketch Enclosure-01 for details.

1.3.3.1 Quantity (One EA), Sleeve (PC No. One of 2.4)

Size: 6 Inch IPS Material: Steel Specification: ASTM A36

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Asbestos Hazard.

1.5.2 Potential Lead Hazard.

1.6 Contractor work start date:

1.7 Contractor work completion date:

2. REFERENCES:

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

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

3 DWG 505-

7544237

PLMB & CHT PIPING FWD CHT

EXPANSION

A Y 1,8 ,10 ,11

4 PDD

513/506/505-

DLM-041106

CHT TANK PENETRATIONS - Y 1,2

,3,

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:

7/21/2026

11/21/2027

FOUO

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

5.1 Remove existing, fabricate and install each new CHT system piping listed in 1.3.1 through 1.3.3, using 2.3, 2.4 and Enclosure-01 for guidance.

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

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

5.1.3 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 50 PSIG, for new and disturbed CHT system piping systems listed in 1.3.1 through 1.3.3.

5.1.3.1 Document shop hydrostatic test results on QA Form 28 Enclosure-02-1.

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

5.1.5 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of each piping sleeve.

Allowable leakage: None.

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

5.3 Notes:

5.3.1 Planner: Code 234 Y. Inomata, 243-4536

Planner: Code 234 H. Ito, 243-4534 Planner: Code 231B K. Ishikawa, 243-2479 Engineer: Code 260.2 Y.Yonesu, 243-6805

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

5.3.3 Opening, initial cleaning, and closing of each space listed in 1.2.2 through 1.2.5 will be covered by the following TGI No.(s).

Cross Flooding Duct, Frame 48: 3819P14201A01 (KTR TGI) Clean Salt Water Ballast (9-40-1-W): 3819P12316A01 (KTR TGI) Clean Salt Water Ballast (9-40-2-W): 3819P12337A01 (KTR TGI) CHT Tank No. One (8-48-0-W): 3819P12355A01 (KTR TGI)

5.3.4 Opening, initial cleaning, closing, and installation/removal of FMEs of each space listed in 1.2.6 and 1.2.7 will be covered by the following TGI No.(s).

Distillate Fuel Marine Tank (8-48-1-F): 3819P12304A01 (KTR TGI) Distillate Fuel Marine Tank (8-48-2-F): 3819P12305A01 (KTR TGI)

5.3.5 Work per this instruction involves cutting an access (or removal of a door) through a fire zone bulkhead, through the hull of the ship above the turn of the bilge, through ventilation components (ducting, plenums, etc.), or through any air-tight, fume-tight or watertight bulkheads normally used to control air flow in the event of a shipboard fire. A nonflammable closure is required in accordance with COMNAVSEASYSCOM MSG R 261400Z JUL 12. The closure, if not continuously in use, shall be staged near the access, readily visible and accessible, so that any emergency responder can install the closure to affect proper air flow onboard the ship.

5.3.6 DLM-041106 as issued for the reference of Job Order No. 55181-59390, and the DLM is also authorized to apply to this TGI by Code C260.2.

5.3.6.1 Usage of alternate material (NSN No. 9510-00-188-1775) for 1.3.1.1, 1.3.2.1 and 1.3.3.1 is authorized by C260.2.

5.3.7 JCNs EM02-L203, ER01-3567 and ER01-3568 are related to this TGI.

FOUO

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

5.4 Government Furnished Material (GFM)

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

5.5 SRF-JRMC will provide the following service work: (TGI No. 3819P52808S02).

5.5.1 [C740] Crane and crane rigger service.

5.5.2 [X99E] Utility service, electrical.

5.5.3 [X99M] Utilities service, including low pressure air supply, water supply, and steam supply.

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

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

5.5.6 [C133] QA inspection for (G) Symbol(s).

FOUO

J-1

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

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

WASTE CHT 7-48-0-A AY A 0 0 2

CU PHASE TITLE:

*F/O - REPLACE CHT SYSTEM PIPING IN 7-48-0-A

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CHT 8-48-0-W TK SEW 7-48-0-A PP

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P52808A01-Sketch.pdf) saved on 04-MAR-2025 0000.

2. ENCLOSURE-02 (3819P52808A01-QA28.docx) saved on 04-MAR-2025 0000.

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

TAKAHASHI ,YASUHIKO

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P52808 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to replace CHT system piping.

Location of Work:

SD Storeroom (7-48-0-A) Collection, Holding and Transfer Tank No. One (8-48-0-W) Cross Flooding Duct, Frame 48 Clean Salt Water Ballast (9-40-1-W) Clean Salt Water Ballast (9-40-2-W) Distillate Fuel Marine Tank (8-48-1-F) Distillate Fuel Marine Tank (8-48-2-F) Air Conditioning Machinery Room No. One and Refrigeration Machinery Room (7-40-0-E)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 PFTR, RGRS, WELD, IMCH, PNTR, INSL, QA

5.2 PNTR, QA

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

Process Funding Document.

FOUO

M-1

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

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

WASTE CHT 7-48-0-A AY A 0 0 2

CU PHASE TITLE:

*F/O - REPLACE CHT SYSTEM PIPING IN 7-48-0-A

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P52808 A01

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

001 M TUBE,METALLIC, ORDER FOR

KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4710 006048366 NA 4 N 50495049 3/FT

002 M TUBE,METALLIC, ORDER FOR

KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4710 006048367 NA 4 N 50495044 5/FT

003 M ELBOW,PI, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4730 013271403 NA 4 N 50495071 1/EA

004 M RUBBER S, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 5330 014905071 NA 4 N 50495068 2/SH

005 M ELBOW 90, ELBOW, 90DEG,

BUTT WELD, SHORT RADIUS,

SIZE: 6"IPS,

MATL: CU-NI 70/30,

PRESSURE: 200PSI,

DWG: 810-1385880,

PREMIER COPPER P/N:

87101700, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9C 4730 LL4462312 NA 4 N 50497429 1/EA

NOTES:

FOUO

M-2

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

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

006 M REDUCER,, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4730 013275202 NA 4 N 50495067 1/EA

007 M FLANGE,P, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4730 014635649 NA 4 N 50495065 3/EA

008 M FLANGE,PIPE, ORDER FOR

KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4730 002568565 NA 4 N 50495050 3/EA

009 M BOLT,MACHINE, ORDER FOR

KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 5306 013765273 NA 4 N 50495052 40/EA

010 M NUT,PLAI, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 5310 014522899 NA 4 N 50495062 40/EA

011 M BACKING RING, BACKING

RING,

SIZE; 6"IPS,

MATL: CU-NI 70/30,

PRESSURE: 200PSIG,

SPEC: MIL-STD-22D

PREMIER COPPER P/N:

BR710700

ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 4730 LL4456561 NA 4 N 50517489 6/EA

012 M BACKING, BACKING RING,

5"IPS, CU-NI 70/30, 200PSIG,

MIL-STD-22

ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9C 4730 LL4480106 NA 4 N 50497430 2/EA

013 M BAR,METAL, ORDER FOR KTR

ORIG: C226 T.YAMAGUCHI,

070-7787-2060

9B 9510 001881775 NA 4 N 50495038 2/FT

400 M INSULATI, INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013, FOR SIZE: 6" IPS,

SIZE: 6-5/8" ID X 3/4" THK X 6FT

LG, UI: EA/6 FT(ONE

CONTINUOUS LENGTH

REQUIRED)

ORDERED FOR KTR, C234

H.ITO, 243-4534

9B 5640 LL9607850 NA 4 N 50567437 2/EA

401 M INSULATION, PIPE,

INSULATION, PIPE,BRAND: K-

FLEX ECO,SPECIFICATION

COMPLIANCE: EB 4013,FOR 5"

IPS,SIZE: 5-5/8" ID X 3/4" THK X

6 FT LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),MATL:

NON-HALOGEN,2EA/BOX.

*MUST BE ORDERED IN

MULTIPLES OF 2EA*

*MSM AVAILABLE*

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 5640 LL9607849 NA 4 N 50587410 2/EA

402 M ADHESIVE, ORDERED FOR

KTR

ORIG:C234 Y.INOMATA, 243-

9B 8040 002738708 NA 4 Y 50575027 1/GL

FOUO

M-3

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

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

403 M ADHESIVE, ORDERED FOR

KTR

ORIG:C234 Y.INOMATA, 243-

9B 8040 008419773 NA 4 Y 50575025 1/PT

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 WASTE CHT 7-48-0-A AY A 0

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

3819P52808 A01

7. DESCRIPTION:

8. ORIGINATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

9. CORRECTIVE ACTION:

10. EVALUATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

FOR NON-NUCLEAR USE ONLY

11. RFD/RFW REQ’D ☐ LAR REQ'D ☐

ILS MOD REQ’D ☐

SRD/PLAN REV REQ'D ☐

DWG NO.: _____________________ S/A NO.: ___________________

12. ISOLATION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.:

SATISFACTORY:

13. SUBSAFE OQE RECORD? SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

YES ☐ NO ☐

14. CORRECTIVE ACTION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE:

15. INSPECTION REQ’D? INSPECTION COMPLETE/SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

_________:YES ☐ NO ☐

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

COMPLETE (DR ONLY)

DL’s ISSUED

(DR ONLY)

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

☐ NUCLEAR Deficiency Form Continuation Sheet ☐ NON-NUCLEAR

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

(Circle One) 2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

LCC-19 WASTE CHT 7-48-0-A AY A 0

PLAN VIEW

SD STRM (7-48-0-A), Port

Replace each red marked Waste Drain Piping listed in 1.3.1

~ Work Detail ~

SECTION VIEW 2-A

A

*CHT Tank Penetration:

See DLM-041106, Sheet 4 for more detail.

Yoshiyuki.Inomata.ja Text Box

SKETCH

3819P52808A01 ENCLOSURE-01 SHEET 1 OF 2

SECTION VIEW 1-A

SECTION VIEW 1-B

A

B

PLAN VIEW

SD STRM (7-48-0-A)

Replace each red marked Soil Drain Piping listed in 1.3.2 and 1.3.3

~ Work Detail ~

*CHT Tank Penetration:

See DLM-041106, Sheet 3 for more detail.

FOR

1.3.2

FOR

1.3.3

Yoshiyuki.Inomata.ja_1 Text Box

SKETCH

3819P52808A01 ENCLOSURE-01 SHEET 2 OF 2

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P52808A01 ENCLOSURE-02-1 TOTAL 1

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 EM02-L203

ER01-3567

ER01-3568

KTR N/A CHT SYSTEM 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 505-7544237 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

MEDIUM

USED

REQUIRED

PRESSURE

ACTUAL

PRESSURE

MINIMUM

DURATION

ACTUAL

DURATION

ALLOWED

LEAKAGE

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.1.3 for 1.3.1 A,B Clean Fresh Water 50 PSIG 30 minutes None

H 5.1.3 for 1.3.2 A,B Clean Fresh Water 50 PSIG 30 minutes None

H 5.1.3 for 1.3.3 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

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