TGI_3819P51206A01_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.: 80964K HVAC LOAD CTR 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 80964K, ACCOMPLISH LCC 19 ESLP AIR CONDITIONING LOAD CENTER 1-4

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

YUUJI MATSUYAMA 231B. 315-243-4476 28-FEB-2025

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 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:

Title of reference of 2.4 is incorrect.

Paragraphs 5.13.3 have typo.

CHANGE INSTRUCTIONS:

CH1: Correct title of reference of 2.4. (03/05/2025) CH2: correct typo in paragraphs 5.13.3. (03/11/2025)

SPECIAL REQUIREMENTS:

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

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II and III.

CLASS P-2 and P-3B PIPING.

WORK CERTIFICATION SIGNATURES

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

ACCEPTANCE OF COMPLETED WORK

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

REQUIRED:☐YES ☒NO

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

TGI NO.: 80964K HVAC LOAD CTR AY A 0

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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.

1-13 QA28

(1-2)

J 1-3 QA28

(1-10)

M 1-12 Sketch (1-3)

1. SCOPE/PURPOSE

1.1 Title: S/A 80964K, Accomplish Air Conditioning Load Center 1-4; accomplish

1.2 Location of Work:

1.2.1 Passage (03-67-01-L)

1.2.2 Passage (2-40-0-L)

1.2.3 Flag Executme Assistant SR (2-46-2-L)

1.2.4 Flag Mess Office (2-49-2-Q)

1.2.5 Fan Room (2-52-6-Q)

1.2.6 Officers WR, WC SH & Decontamination Station (2-54-2-L)

1.2.7 Passage (3-18-0-L)

1.2.8 S-5 Office (3-30-0-Q)

1.2.9 Passage (3-30-01-L)

1.2.10 DCRS 1F (3-32-2-Q)

1.2.11 Word Room Galley (3-34-0-Q)

1.2.12 Word Room Scullery (3-34-2-Q)

1.2.13 Passage (3-40-2-L)

1.2.14 Fan Room (3-48-2-Q)

1.2.15 Passage (3-52-0-L)

1.2.16 Fleet OPS (3-52-2-Q)

1.2.17 Fan Room (3-60-4-Q)

1.2.18 Passage (3-86-4-L)

1.2.19 Passage (3-108-2-L)

1.2.20 Passage (3-109-6-L)

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

1.2.21 Utility Room (3-112-6-Q)

1.2.22 Augmentee Living Space (4-25-1-L)

1.2.23 Crew and Troop Messroom and Forward Battle Dressing Station (4-30-0-L)

1.2.24 CPO Living Space (4-30-2-L)

1.2.25 Fan Room (4-30-3-Q)

1.2.25.1 Vent Plenum for HVAC Recirculating System (RS) 4-30-1

1.2.26 Fan Room (4-30-5-Q)

1.2.27 Forward Repair No. 2 (4-30-7-Q)

1.2.28 Crew Living Space (4-32-2-L)

1.2.29 Load Center No. 11 (4-34-1-Q)

1.2.30 Crew Scullery (4-36-0-Q)

1.2.30.1 Watertight Trunk for Exhaust System (ES) 1-37-2

1.2.31 Hot Water Heater Room (4-36-1-Q)

1.2.32 Cooling Gear Locker (4-36-2-A)

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

1.2.34 CPO Career Counseling Office (4-52-4-Q)

1.2.35 LPO Career Counseling Office (4-54-2-Q)

1.2.36 Load Center 21/22 (4-57-2-Q)

1.2.37 Passage (4-64-0-L)

1.2.38 CPO Messroom (4-70-0-L)

1.2.39 Load Center Switch Board Center No. 31 (4-76-1-Q)

1.2.40 Passage (4-76-3-L)

1.2.41 Passage (4-76-4-L)

1.2.42 Propulsion Repair No. 5 (4-79-1-Q)

1.2.43 Load Center 41/42 (4-106-4-Q)

1.2.44 Passage (4-109-01-L)

1.2.45 Load Center Switchboard Room No. 4 Annex (4-109-6-Q)

1.2.46 Passage (4-113-01-L)

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

1.2.47 Crew Living Space (5-30-01-L)

1.2.48 Crew Living Space (5-52-0-L)

1.2.49 Uptake Space (5-76-0-Q)

1.2.50 Crew WC (5-105-2-L)

1.3 Identification:

1.3.1 Quantity (One Lot), Structural, Sheet Metal, and Insulation Work for S/A 80964 K LCC19 ESLP Air Conditioner Load Center 1-4

Remarks: See 2.3 through 2.19 for materials and details and Sheet One of Sketch Enclosure-01 for location and detail.

1.3.1.1 Quantity (16 SF), Wallpaper in 4-70-0-L [Existing]

Color: White Remarks: See Sheet 2 of Sketch Enclosure-01 for location and detail.

1.3.1.2 Quantity (16 SF), Wallpaper in 4-70-0-L [Existing]

Color: Wood grain Remarks: See Sheet 2 of Sketch Enclosure-01 for location and detail.

1.3.1.3 Quantity (16 SF), Wallpaper in 4-70-0-L [New]

MFR: GOLDCREST WALLCOVERINGS & CONTRACT SALES

Parts No.: LB2-4063 Remarks: See Sheet 2 of Sketch Enclosure-01 for location and detail.

1.3.1.4 Quantity (16 SF), Laminated Plastic Sheet in 4-70-0-L [New]

MFR: WILSONART INTERNATIONAL

Parts No.: 4197-WM Remarks: See Sheet 2 of Sketch Enclosure-01 for location and detail.

1.3.1.5 Quantity (4 SF), Filler in 3-30-01-L [Existing]

Remarks: See Sheet 3 of Sketch Enclosure-01 for location and detail.

1.3.1.6 Quantity (4 SF), Bond Coat

Specification: MIL-PRF-3135, Type III

1.3.1.7 Quantity (4 SF), Light Weight Polymeric Underlayment

Specification: MIL-PRF-3135, Type III

1.3.1.8 Quantity (4 SF), Grout Coat

Specification: MIL-PRF-24613, Type I

1.3.1.9 Quantity (4 SF), Waterproof Membrane

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

Specification: ANSI A118.10

1.3.2 Quantity (One EA), Existing Chilled Water Flow Control Valve for Cooling Coil 4-30-3 Capacity: 40GPM Type: Union End Size: 1.50-Inch IPS Item No: R3 on 2.20

1.3.3 Quantity (One EA), New Chilled Water Flow Control Valve for Cooling Coil 4-30-3 Mfr: Romac Industries Inc.

Mfr Id: 2353-1352 Type: Union End Size: 1.50-Inch IPS Item No: V1 on 2.20

1.3.3.1 Quantity (One EA), Orifice Plate Assembly

Capacity: 31GPM Item No: R4 on 2.20

1.3.3.2 Quantity (One EA), Mesurflo Orifice Plate Repair Kit

Mfr: Romac Industries Inc.

Part Number: 5865-12SK Capacity: 29GPM Item No: F12 on 2.20

1.3.4 Quantity (One EA), New Service Steam Supply Cutout Valve for Heater 4-36-2 Mfr Id: 803-4384536-31A Type: Globe, In-Line Stop, Union End Size: 0.50-Inch IPS Item No: V1 on 2.21

1.3.5 Quantity (One EA), New Service Steam Drain Cutout Valve for Heater 4-36-2 Mfr Id: 803-4384536-32A Type: Globe, In-Line Stop Check, Union End Size: 0.50-Inch IPS Item No: V2 on 2.21

1.3.6 Quantity (One EA), New Service Steam Solenoid Valve for Heater 4-36-2 Mfr: Automatic Switch Company Mfr Id: AV174-565-12 Type: Union End Size: 0.50-Inch IPS Item No: V3 on 2.21

1.3.7 Quantity (One EA), New Service Steam Temperature Regulating Valve for Preheater 2-52-8 Type: D-24 with Model “W and L” Thermostat, Union End Size: 1.00-Inch IPS Temperature Range: 40-100 Degrees Fahrenheit for “L” Thermostat Item No: V4 on 2.21

APL: 882140019

1.3.8 Quantity (One EA), Power System

Remarks: See 2.29 for details.

1.3.8.1 Quantity (2 EA), Controller of Ventilation Fan S2-52-2 and E3-48-2 Mfr: General Electric

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

Mfr Id: 139B2810G1S2 Type: LVP Volts: 440VAC Frequency: 60Hz Phase: 3

APL: 151404650

1.3.8.2 Quantity (2 EA), Controller of Ventilation Fan R4-58-2 and Fan R4-30-3 Remarks: See 2.29 for guidance.

1.3.9 Quantity (One EA), Lighting System

Remarks: See 2.30 for details.

1.3.10 Quantity (One EA), Receptacle System

Remarks: See 2.31 for details.

1.3.11 Quantity (2 EA), Fan Coil Unit R4-78-1 and R4-108-2

Remarks: See 2.8 and 2.9 for guidance.

1.3.12 Quantity (One Lot), Piping Work for S/A 80964 K LCC19 ESLP Air Conditioner Load Center 1-4

1.3.12.1 Quantity (One Lot), Chilled Water Piping

Remarks: See 2.20 and 2.40 through 2.42 for material and detail

1.3.12.2 Quantity (One Lot), Condensate Drain Piping

Remarks: See 2.20 and 2.40 through 2.42 for material and detail

1.3.12.3 Quantity (One Lot), Waste Drain Piping

Remarks: See 2.14 and 2.43 for material and detail

1.3.12.4 Quantity (One Lot), Service Steam Piping

Remarks; See 2.21 for material and detail

1.4 Security Classification:

1.4.1 Space - 1.2.3, 1.2.4, 1.2.16, 1.2.34, and 1.2.35

1.5 Initial Condition:

1.5.1 Potential Asbestos Hazard

1.5.2 Potential Lead Hazard.

1.5.3 Potential PCB Hazard

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

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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

3 DWG 113-

8473148

FOUNDATION MODIFICATIONS

HVAC LOAD CENTER FAN ROOM

& LOAD CENTER

A Y AL

L

4 DWG 501-

8505496

HVAC REMOVAL R4-30-3 LOAD

CENTER #11 (4-34-1-Q) UPGR

4TH DK FR 30-40 P/S

A Y AL

L

5 DWG 501-

8505497

HVAC INSTALLATION R4-30-3

LOAD CENTER #11 (4-34-1-Q)

UPGR 4TH DK FR 30-40 P/S

A Y AL

L

6 DWG 501-

8505498

HVAC RMVL LOAD CENTER

#21/22 (4-57-2-Q) 2ND-4TH DK, FR

48-64 PORT

A Y AL

L

7 DWG 501-

8505499

HVAC UPGRADE FOR LOAD

CENTER #21/22 (4-57-2-Q) 2ND-

4TH DK FR 48-64 PORT

A Y AL

L

8 DWG 501-

8505500

HVAC MODS LOAD CENTER #31

(4-76-1-Q) 4TH DK, FR 76-78

STBD

A Y AL

L

9 DWG 501-

8505501

HVAC MODS LOAD CENTER

#41/42 4-106-4-Q

A Y AL

L

10 DWG 613-

8577998

AIR COND LOAD CENTER NO. 2

MISCELLANEOUS

ARRANGEMENT & DETAIL

MODIFICATIONS

- Y AL

L

11 DWG 605-

8893951

AIR CONDITIONING LOAD

CENTER NO. 1 PAINT,

INSULATION & DECK COVERING

MODIIFCATIO

- Y AL

L

12 LAR SRFY -

0258 - 24

MISSING REINFORCEMENT OF

FAN COIL UNIT FOUNDATION

- Y AL

L

13 LAR SRFY -

0241 - 24

MODIFICATION PLAN OF

FOUNDATION OF COOLING COIL

INSTL IN LOAD CTR 21/22(4-57-2-

Q

- Y AL

L

14 LAR SRFY -

0222 - 24

MODIFICATION PLAN OF

FOUNDATION OF FCU INSTL IN

LOAD CTR 41/42 (4-106-4-Q)

- Y AL

L

15 LAR SRFY -

0221 - 24

MODIFICATION PLAN OF

FOUNDATION OF VANEAXIAL

FAN

- Y AL

L

16 LAR SRFY -

0212 - 24

Discrepancy compartment number between the DWG and ship condition

- Y AL

L

17 LAR SRFY -

0211 - 24

Relocation of Cooling coil CC4-57-2 and Fan R4-58-2

- Y AL

L

18 LAR

PSNSIMF -

0117 - 25

BLUE RIDGE (LCC19) A2 Fan Foundation Shock Qualification

- Y AL

L

19 PDD 105-

ELM-250182

INSTL OF PATCH FOR REMOVAL

DUCT INCID TO SCD 10964

- Y AL

L

20 DWG 502-

8474276

CHILLED WATER &

CONDENSATE DRAIN

MODIFICATIONS INCID TO CC 4-

30-3 FAN ROOM (4-30

A Y AL

L

21 DWG 500-

8506390

SERVICE STEAM PP MODS INCID

LOAD CENTERS 2ND DK AND

BLW

A Y AL

L

22 LAR SRFY -

0228 - 24

Installation method about flow control valve replacement

- Y AL

L

23 DWG 1682-

B4

ASSEM. 1-1/2" UNION END x 1-1/4

BODY AUTO-MATIC BALANCING

VALVE W/UNION ENDS FOR

4 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

24 DWG 502-

7290820

A/C CHILLED WATER CIRC SYS

DIAG DETAILS & MATERIAL

SPECS

B N

25 TM S9086-

RK-STM-

010/CH-505

Piping System 6 N

26 TM 0948-LP-

012-5000

Standard Navy Valves 32 N

27 DWG 803-

4384536

Valves; Bronze; 1/4"-2" Union End;

Globe; In-Line & Angle; Stop Check & Needle

N N

28 MIL MIL-

STD-1627

Bending of Pipe or Tube for Ship Piping Systems

C N

29 DWG 302-

8506133

POWER SYSTEM

MODIFICATIONS LOAD CENTER

HVAC

A Y AL

L

30 DWG 303-

8505729

LIGHTING SYSTEM

MODIFICATIONS LOAD CENTERS

1-4 HVAC UPGRADE

A Y AL

L

31 DWG 303-

8786989

RECEPTACLE SYSTEM

MODIFICATIONS LOAD CENTERS

1-4 HVAC UPGRADE

- Y AL

L

32 DWG 345-

8786971

AIR CONDITIONING LOAD

CENTWR SWBD RM 31 ARR 4-76-

1-Q

- Y AL

L

33 PDD

302/303-

ELM-250075

SUPPL INFO FOR SCD 10964

PWR & LTG MODIFICATION

- Y AL

L

34 LAR

PSNSIMF -

0487 - 24

BLUE RIDGE (LCC19) Material Description and Material Specification Conflict in L

- Y AL

L

35 LAR SRFY -

0015 - 25

Correction to drawing discrepancies for SCD 10964

- Y AL

L

36 MIL MIL-

STD-2003

Electric Plant Installation Standard Methods for Surface Ships and Submarines

B N

37 TM S9AA0-

AB-GOS-

010/GSO

General Specifications for Overhaul of Surface Ships (GSO)

11 N

38 DWG

139B2810

Size 0 AC Magnetic Controller D Y AL L

39 DWG

1346D00

UNIT ASSEMBLY FCU-V6 A Y AL

L

40 DWG 502-

8474273

CHILLED WATER AND

CONDENSATE DRAIN

MODIFICATIONS FCU 4-108-2

LOAD CTR 41/42 (4-1

A Y AL

L

41 DWG 502-

8474274

CHILLED WATER AND

CONDENSATE DRAIN

MODIFICATIONS FCU 4-58-2 LD

CTR NO. 2

A Y AL

L

42 DWG 502-

8474275

CHILLED WATER AND

CONDENSATE DRAIN

MODIFICATIONS LOAD CTR

SWBD RM NO. 3

A Y AL

L

43 DWG 505-

8506389

WASTE DRAIN SYSTEM DECK

DRAIN INSTL INCID LOAD CNTRS

4TH DK AND BLW

A Y AL

L

44 TM S9086-

VH-STM-

010/CH-635

Thermal, Fire, and Acoustic Insulation

3 N

3. APPENDICES:

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

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 insulation work for SA 80964K listed in 1.3.1 in accordance with 2.3 through 2.19, and Enclosure-01.

5.1.1 Remove each existing wallpaper listed 1.3.1.1 and 1.3.1.2.

5.1.2 Install each new wallpaper and laminated plastic sheet listed 1.3.1.3 and 1.3.1.4,

5.1.3 Accomplish the requirements of 009-26 of 2.1 for removal of each existing equipment listed in 1.3.1.5 and installation of each new equipment listed in 1.3.1.6 through 1.3.1.9 in accordance with manufacture’s instruction.

5.1.3.1 Template detail from existing equipment for new installation.

5.1.3.2 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 6, Column(s) A, B, and D, for each area receiving new deck covering. Primer must conform to MIL-PRF-23236, Type V, VI, or VII.

5.1.3.3 Apply one top coat of dark blue, color No. 25044 (SAE-AMS-STD-595), conforming to MIL-DTL-24607 at 2 to 4 mils to the top and vertical surface of each equipment listed in 1.3.1.9.

5.1.4 Accomplish the requirements of 009-12 of Ref. No. One, including Table 2, Column(s) A, C, and D, Lines One through 7.

5.1.5 Accomplish the requirements of 009-11 of 2.1.

5.1.5.1 Accomplish the requirements of 009-12 of 2.1.

5.1.5.2 Accomplish the requirements of 009-32 of 2.1 for receiving surface and top surface where new insulation is installed.

5.1.6 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.

5.1.7 After installation of each new water tight closure 4-34-1, 4-35-1, 4-57-2, and 4-60-2, cycle each new water tight closure from fully closed to fully open to fully closed 3 times. Allowable binding: None.

(V) "VALVE CYCLING"

5.2 Accomplish a machinery work of S/A 80964K listed in 1.3.2 through 1.3.7 in accordance with 2.20 through 2.22.

5.2.1 Remove each orifice plate assembly listed in 1.3.3.1 from each new flow control valve listed in 1.3.3 and install each orifice plate repair kit listed in 1.3.3.2 to each new flow control valve listed in 1.3.3 in accordance with 2.22, using 2.23 for guidance.

5.2.1.1 Etch out existing "31 GPM" stamp on valve body of each new flow control valve and restamp "29 GPM" on valve body of each new flow control valve in accordance with 2.22, using 2.23 for guidance.

5.2.2 Accomplish a shop test of each new flow control valve listed in 1.3.3, using 2.23 through 2.25 for guidance.

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

5.2.2.1 Shop test equipment must conform to the requirements in Paragraph 505-11.1.3 of 2.25.

5.2.2.2 Accomplish a mechanical joint tightness test of each new flow control valve, using clean fresh water at 150 PSIG (not less than 150 PSIG and not more than 153 PSIG) for a minimum of 3 minutes. Allowable external leakage:

None.

(V) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.2.3 Document each shop test result on QA Form 28 Enclosure-02-1.

5.2.3 Accomplish a bonnet ring torque check and tighten each bonnet ring of each new globe valve listed in 1.3.4 and 1.3.5 in accordance with Table 4.3.5-10 of 2.26, using 2.21 and 2.27 for guidance.

5.2.3.1 Torque of each bonnet ring of each new globe valve is 32 to 35 foot pounds.

5.2.4 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using feed water at 101 PSIG, for each new valve listed in 1.3.4 through 1.3.7.

5.2.4.1 Document each shop test result on QA Form 28 Enclosure-02-2.

5.3 Accomplish electrical removals, modifications and installations of the system listed in 1.3.8 through 1.3.10 in accordance with 2.4, 2.5, 2.7 through 2.10 and 2.29 through 2.35.

5.3.1 Electrical installations must be in accordance with 2.36.

5.3.2 Submit one legible copy, in hard copy or approved transferrable media, of new motor name plate data of new ventilation fan R4-58-2 to the SUPERVISOR for evaluation of protective device.

5.3.3 Inspect each protective device of the equipment listed in 1.3.8.1, 1.3.8.2 and 1.3.11.

5.3.3.1 Verify that size and setting of each overload heater of the equipment listed in 1.3.8.1 and 1.3.8.2 are correctly used under the motor full load running current in accordance with Section 302g of 2.37 and 2.29, using 2.38 for guidance.

(V) "SIZE/SETTING"

5.3.3.2 Verify that each fuse of the equipment listed in 1.3.8.2 and 1.3.11 is correctly sized in accordance with Section 302g of 2.37 and 2.29, using 2.39 for guidance.

(V) "SIZE"

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

5.3.5 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of stuffing tube.

Allowable leakage: None.

5.4 Accomplish piping work for SCD 80964K listed in 1.3.12 in accordance with 2.14, 20, 21 and 40 through 2.43.

5.4.1 Bend each new pipe in accordance with 2.28.

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

5.4.2.1 Accomplish nondestructive testing in accordance with Line 13 for liquid penetrant testing accomplished to satisfy operational pressure test option.

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

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

5.4.4 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for new and disturbed chilled water system piping listed in 1.3.12.1.

5.4.4.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-1.

5.4.5 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 50 PSIG, for new and disturbed condensate drain system piping listed in 1.3.12.2.

5.4.5.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-2.

5.4.6 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 50 PSIG, for new and disturbed waste drain system piping listed in 1.3.12.3.

5.4.6.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-3.

5.4.7 Accomplish flow check of each new waste drain piping listed in 1.3.12.3, using clean, fresh water. Allowable external leakage: None.

(V) (G) “FLOW CHECK”

5.4.8 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 101 PSIG, for new and disturbed service steam system piping listed in 1.3.12.4.

5.4.8.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-4.

5.4.9 Accomplish the requirements of 009-25 of 2.1 for an air hose test of new weld on pipe pentation sleeve.

Allowable leakage: None.

5.4.10 Remove each existing insulation and lagging from the piping listed in 1.3.12.1 through 1.3.12.4 with associated fittings, using 2.44 for guidance.

5.4.11 Accomplish the requirements of 009-11 of 2.1 for installation each new insulation and lagging to the piping listed in 1.3.12.1 through 1.3.12.4 with associated fittings.

5.4.11.1 Apply vapor barrier conforming to MIL-PRF-19565 to the new lagging surface listed in 1.3.12.1.

5.4.12 Cycle each new valve from fully closed to fully open to fully closed 4 times. Allowable binding: None.

(V) "VALVE CYCLING”

5.5 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for each new colling coil (4-57-2).

5.5.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-5.

5.6 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for each new fan coil unit (4-78-1).

5.6.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-6.

5.7 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 225 PSIG, for each new fan coil unit (4-108-2).

FOUO

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

5.7.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-7.

5.8 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 101 PSIG, for each new preheater (2-52-8).

5.8.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-8.

5.9 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 101 PSIG, for each new reheater (4-33-2).

5.9.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-9.

5.10 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 101 PSIG, for each new reheater (4-36-2).

5.10.1 Document shop hydrostatic test results on QA Form 28 Enclosure-03-10.

5.11 Confirm that all personnel have exited the space prior to closure of the space listed in 1.2.25.1 and 1.2.30.1.

Designate one person to account for all personnel who may have entered the space.

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

5.13 Notes:

5.13.1 Planner: Code 231B Y. Matsuyama, 243-4476

Planner: Code 232 K. Nakamura, 243-0090 Planner: Code 233 Y. Shinohara, 080-9350-1451 Planner: Code 234 M. Motohashi, 243-2373 Planner: Code 234 T. Tsunoi, 070-7787-2058 Engineer: Code 250 A. Souma, 243-4332

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

5.13.3 Removal, fabrication and Installation, including 6XXX series aluminum welding of the following equipment will be covered by TGI No(s). 3819P51206U01, 3819P51206F01, 3819P51206R01, 3819P51206U02, 3819P51206F02 and 3819P51206R02 (SRF-JRMC TGI).

Supply System (SS) 01-77-3 Drip Proof and Non-Watertight Duct: Plan 10-A, 14-A, and 19-A of 2.8.

SS 3-105-2 Drip Proof and Non-Watertight Duct: Plan 11-A, 14-A, and 14-D of 2.9.

5.13.4 JCN EXSA-ZC04 is related to this TGI.

5.14 Government Furnished Material (GFM):

5.14.1 All installing activity furnished (IAF) material except hazardous material listed in each S/A drawing will be provided as kitted material by SRF-JRMC.

5.14.2 SRF-JRMC will provide material listed in Appendix “M”.

5.15 SRF-JRMC will provide the following service work: (TGI No. 3819P51206S02).

FOUO

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

5.15.1 [C740] Crane and crane rigging service.

5.15.2 [X99E] Utility service, electrical.

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

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

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

5.15.6 [C133] QA inspection for (G) symbol(s).

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

FOUO

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:

80964K HVAC LOAD CTR AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 80964K, ACCOMPLISH LCC 19 ESLP AIR CONDITIONING LOAD CENTER 1-4

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CW SPLY 4-106-4-Q PP CW RTN 3-109-6-L PP CW SPLY 3-109-6-L PP CW RTN 3-60-4-Q

PP CW SPLY 3-60-4-Q PP SS 4-30-0-L PP CNDS DR 4-76-1-Q IN CNDS DR 4-76-1-Q

PP PLMB DR 5-105-2-L PP FCU 4-78-1 CC RHR 4-36-2 HT (4-109-2)-1L-F2A RC(4-57-

2)-1L-D5B RC PDB 4-31-1 PA (3-29-7)-1P-G(CONT2) C- (3-29-7)-1P-G(OT1) C-(3-29-7)-1P- G(OT2) C- (3-29-7)-1P-G(SOL2) C- (3-29-7)-1P-G(SOL3) C- (3-29-7)-4P-C1 C- (3-29-7)-4P-C2

C- CONTACTOR 4-35-1 EM CONTACTOR 4-39-1 EM (2-40-1)-4P-A C- (2-40-1)-4P-C C-

(2-65-2)-1P-K4 C- (3-29-7)-1P-G(INTLK1 C- (3-29-7)-1P-G(TS1) C- (3-29-7)-1P-G(TS2) C- (3-29- 7)-1P-G(TS3) C- (3-29-7)-4P-G C- (3-29-7)-4P-G(INTLK2 C- (3-89-2)-4P-D2 C- (4-51-1)-1P-C

C- (4-51-1)-1P-C(INTLK) C- (4-51-1)-4P-C C- CW RTN 4-30-5-Q PP CW SPLY 4-30-5-Q

PP VNT SS 2-52-2 DT CMPT 4-106-4-Q MS CMPT 3-52-2-Q MS CMPT 4-76-1-Q

MS (3-29-7)-4P-C C- CW RTN 4-76-1-Q PP CW SPLY 4-76-1-Q PP CW RTN 4-106-4-Q

PP CW 3-112-6-Q IN CW 4-106-4-Q IN CW 4-30-5-Q IN CW 4-76-3-L IN VNT E3-48-2

DT CMPT 4-30-0-L MSCMPT 3-48-2-Q MS CMPT 4-79-1-Q MS CW RTN 4-76-3-L

PP CW SPLY 4-76-3-L PP CW RTN 3-112-6-Q PP CW SPLY 3-112-6-Q PP SS 4-30-2-L

PP PLMB DR 5-52-0-L PP (4-36-1)-1L-F1D LF CNDS DR 4-30-5-Q IN CNDS DR 4-30-5-Q

PP VNT S1-37-1 DT VNT E1-70-4 DT VS 3-48-2 FA CMPT 4-52-4-Q MS WTC 4-

34-1 V- CNDS DR 4-57-2-Q IN CNDS DR 4-57-2-Q PP CW RTN 4-109-01-L PP CW

SPLY 4-109-01-L PP CC 4-57-2 CC RHR 4-35-1 HT (4-51-1)-1P-C(TS) C- VNT R4-30-3 CT

(2-65-2)-1P-K4(SOL) C- (3-29-7)-1P-G(SOL1) C- (3-89-2)-4P-D2(SOL) C- (4-51-1)-1P- C(SOL) C- (4-78-1)-1L-K3B RC (4-109-2)-1L-A3D LF VNT R4-58-2 CT CC 4-30-3 CC CMPT

4-57-2-Q MS CMPT 2-52-6-Q MS CMPT 4-56-4-Q MS CMPT 4-36-0-Q MS

CMPT 3-40-2-L MS(4-57-2)-1L-D4A LF (4-57-2)-1L-D4C LF VNT R4-108-2 DT WTC 4-60-2

V- CC 4-30-3 FCONT V- CW 3-60-4-Q IN CW 4-57-2-Q IN SS 4-30-2-L IN CW 3-

109-6-L IN PHR 2-52-8 SPLY V4 V- VNT R4-30-3 DT PLMB DR 5-76-0-Q PP CNDS DR 4-

106-4-Q IN CNDS DR 4-106-4-Q PP CW 4-109-01-L IN SS 4-30-0-L IN SS 2-52-6-Q IN

WTC 4-35-3 V- DK DRN 4-106-4-Q PP DK DRN 4-57-2-Q PP DK DRN 4-76-1-Q

PP PLMB DR 4-106-4-Q PP PLMB DR 4-106-4-Q IN (4-36-1)-1L-F1B LF VNT R4-78-1 DT

(2-65-2)-4P-K4 C- CW 4-109-6-Q IN CW 4-30-0-L IN CW 4-76-1-Q IN PHR 2-52-8

HT WTC 4-35-1 V- VNT E1-37-2 DT VNT E2-99-2 DT VS 2-52-2 FA CMPT 4-30-5-Q

MS CMPT 4-34-1-Q MS CMPT 3-60-4-Q MS (4-36-1)-1L-C3A LF CW RTN 4-109-6-Q

PP CW SPLY 4-109-6-Q PP CW RTN 4-57-2-Q PP CW SPLY 4-57-2-Q PP SS 2-52-6-Q

PP FCU 4-108-2 CC VNT R4-58-2 DT VNT R4-58-2 FA RHR 4-33-2 HT HTR 4-33-2

HT RHR 4-33-1 HT WTC 4-57-2 V-

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P51206A01-Sketch.pdf) saved on 27-FEB-2025 0000.

2. ENCLOSURE-02 (3819P51206A01-QA28-01.docx) saved on 26-FEB-2025 0000.

3. ENCLOSURE-03 (3819P51206A01-QA28-02.docx) saved on 26-FEB-2025 0000.

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

TAKAHASHI ,YASUHIKO

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P51206 A01

TOTAL MAT’L COST TOTAL DURATION:

FOUO

J-2

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

CU PHASE DESCRIPTION:

The purpose of this TGI is to accomplish S/A 80964K, LCC 19 ESLP air conditioning load center 1-4.

Location of Work:

Passage (03-67-01-L) Passage (2-40-0-L) Flag Executme Assistant SR (2-46-2-L) Flag Mess Office (2-49-2-Q) Fan Room (2-52-6-Q) Officers WR, WC SH & Decontamination Station (2-54-2-L) Passage (3-18-0-L) S-5 Office (3-30-0-Q) Passage (3-30-01-L)

DCRS 1F (3-32-2-Q)

Word Room Galley (3-34-0-Q) Word Room Scullery (3-34-2-Q) Passage (3-40-2-L) Fan Room (3-48-2-Q) Passage (3-52-0-L) Fleet OPS (3-52-2-Q) Fan Room (3-60-4-Q) Passage (3-86-4-L) Passage (3-108-2-L) Passage (3-109-6-L) Utility Room (3-112-6-Q) Augmentee Living Space (4-25-1-L) Crew and Troop Messroom and Forward Battle Dressing Station (4-30-0-L) CPO Living Space (4-30-2-L) Fan Room (4-30-3-Q) Vent Plenum for HVAC Recirculating System (RS) 4-30-1 Fan Room (4-30-5-Q) Forward Repair No. 2 (4-30-7-Q) Crew Living Space (4-32-2-L) Load Center No. 11 (4-34-1-Q) Crew Scullery (4-36-0-Q) Watertight Trunk for Exhaust System (ES) 1-37-2 Hot Water Heater Room (4-36-1-Q) Cooling Gear Locker (4-36-2-A) Crew Messroom (4-40-0-L) CPO Career Counseling Office (4-52-4-Q) LPO Career Counseling Office (4-54-2-Q) Load Center 21/22 (4-57-2-Q) Passage (4-64-0-L) CPO Mess (4-70-0-L) Load Center Switch Board Center No. 31 (4-76-1-Q) Passage (4-76-3-L) Passage (4-76-4-L) Propulsion Repair No. 5 (4-79-1-Q) Load Center 41/42 (4-106-4-Q) Passage (4-109-01-L) Load Center Switchboard Room No. 4 Annex (4-109-6-Q) Passage (4-113-01-L) Crew Living Space (5-30-01-L) Crew Living Space (5-52-0-L) Uptake Space (5-76-0-Q) Crew WC (5-105-2-L)

FOUO

J-3

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

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

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

ELEC , PFTR , QA

22 KE PC

5.2 OMCH , IMCH , QA 22 KE PC

5.3 ELEC , INSL , PFTR SFTR , WELD , STML , CARP ,

PNTR

22 KE PC

5.4 PFTR , WELD , PNTR , INSL , CARP , OMCH , ELEC ,

QA

22 KE PC

5.5 PFTR , QA 22 KE PC

5.6 PFTR , QA 22 KE PC

5.7 PFTR , QA 22 KE PC

5.8 PFTR , QA 22 KE PC

5.9 PFTR , QA 22 KE PC

5.10 PFTR , QA 22 KE PC

5.11 SFTR 22 KE PC

5.12 PNTR , QA 22 KE PC

Structural, Sheet Metal, and Insulation Work: CFM: for all paint, grit, including disposal cost, thinner, fire watch cost, lead analysis and sampler cost, air compressor rental cost and fuel oil cost for air hose test, deck covering, tile, wear resistant deck tile, weld pin, --- continue to below ---

22 MQ CS

--- continued from above --- asbestos sampler cost and analysis cost for duct, compartment insulation, gasket for heater, and deck covering, adhesive for laminate, wallpaper, and insulation, misc such as electrodes, gases, fastener, covering materials, and other consumable.

22 MQ CS

Machinery Work CFM: for label plate (L1 of SH2 on DWG 8474276), label plate mount and Misc (plastic sheets/bags and other consumable).

22 MQ CS

Electrical Work CFM: for cable band, rubber, steel strapping, fastener, tape, cable strap, rubber strip, electrical tie down strap, air compressor rental cost, fuel oil cost, asbestos sample and analysis cost, plastic sheet/tape and other consumable.

22 MQ CS

Piping Work CFM: or electrode, brazing rod, flux for brazing, argon gas, nitrogen gas, acetylene gas, oxygen gas, plastic sheet, covering material, tape, plastic bag, disposable coverall, saw blade, paint --- continue to below ---

22 MQ CS

--- continued from above --- bulk sample cost for asbestos, analysis cost, sample cost for lead paint, NDT cost, air compressor rental cost, Fuel oil cost, asbestos disposal cost fire watch cost and other consumable material (MISC).

22 MQ CS

Lagging Work CFM: for asbestos sampler and analysis cost, wire, covering material, painting material and other consumable material (MISC).

22 MQ CS

Process Funding Document. 10 CT OM

Version-1: revised title of Ref. No. 4.

C231B R. Takagi, 03/05/2025 -/Y/N.

V-01

TGI NO.: 80964K HVAC LOAD

CTR

AY A 0

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:

80964K HVAC LOAD CTR AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 80964K, ACCOMPLISH LCC 19 ESLP AIR CONDITIONING LOAD CENTER 1-4

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 LAR SRFY-0221-24 -

2 LAR SRFY-0258-24 -

3 LAR SRFY-0212-24 -

4 LCC19-302/303-ELM-25007 -

5 509-8786566

6 LAR SRF-02222-24 -

JOB ORDER: KEY OP:

3819P51206 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

100 M INSULATI, ORDERED FOR KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9Q 5640 008096312 NA 4 N 20/EA

101 M SOUND CO, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9Q 5640 007565866 NA 4 N 20/SH

102 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 8315 002671632 NA 4 N 20/RO

NOTES:

CTR

AY A 0

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

103 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 8315 002671633 NA 4 N 20/RO

104 M SHEET,ME, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 9535 002326866 NA 4 N 10/SH

105 M SHEET,ME, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 9535 010931648 NA 4 N 3/SH

106 M SHEET,METAL, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 9515 002306675 NA 4 N 1/SH

107 M SHEET,METAL, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 9515 002306675 NA 4 N 1/SH

108 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 8040 008419773 NA 4 Y 5/PT

109 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 8040 002738708 NA 4 Y 5/GL

110 M SEALING, ORDERED FOR KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9B 8030 001742588 NA 4 Y 4/GL

111 M CARPET, DDD-C-95, TY,

CARPET, 100 PERCENT WOOL,

DDD-C-95 TYPE II (VELVET)

CLASS 1 (SINGLE CUT PILE),

COLOR: BLUE PLUSH, *

MAXIMUM WIDTH IS 12FT.

SIZE: 3'X5'

ORDERED FOR XKTR

ORIG: C231B, Y.MATSUYAMA,

PHONE: 243-4476

LL4580574 NA 4 N 15/SF

112 M WALLCOVERING, VINYL

FABRIC WALLCOVERING,

CCC-W-408 TYPE II

ROLL SIZE: LENGTH 30 YD

WIDTH 52"/54"

WEIGHT: 20 OZ

PATTERN LB2-4063

ORDERED FOR KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

NA 4 N 1/RO

CTR

AY A 0

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

113 M LAMINATED PLASTIC SH,

LAMINATED PLASTIC SHEET,

SIZE: 48"X96"X0.05"THK,

COLOR: TRADING WALNUT,

MIL-P-17171 PRODUCT

TYPE: 605,

PARTS NO.: 4197-WM

REQUIRED SPECIAL PACKAGE

FOR DAMAGE PROTECTION

ORDERED FOR KTR

ORIGINATOR: C231B Y.

MATSUYAMA 243-4476

NA 4 N 1/SH

114 M MATTING,, ORDERED FOR

KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9Q 7220 010249040 NA 4 N 1/RO

115 M WELDING, WELDING THREAD,

LONMAT XL NO.5XL, SIZE:

4MM DIA X 500FT, BLUE

COLOR (NO.5)

ORDERED FOR KTR

ORIG: C231B Y, MATSUYAMA

PHONE: 243-4476

9Z 5330 LL4612692 NA 4 N 1/RO

116 M ADHESIVE, CONSIST OF

SA5501 PART A EPOXY RESIN

AND SB5501 PART B EPOXY

HARDENER, ADHESIVE FOR A

PART OF WEAR RESISTANT

DECK TILE SYSTEM, MIL-PRF-

32170 CLASS I, 1 GALLON/KIT.

*GSA ADVANTAGE ITEM* SRF

AUL#: N0657, LSN: 8040-LL-

N05-2939 (OLD LSN: 8040-LL-

N04-8289)

ORDERED FOR KTR

ORIG: C231B Y, MATSUYAMA

PHONE:

LLN052939 NA 4 Y 2/KT

150 65 1 M PLATE,ME, SIZE: 2 FT X 2 FT-

6", ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9515 001533184 NA 4 N 50555199 5/SF

151 66 1 M BAR,METAL,FLAT, BAR,

METAL, FLAT,

SPEC: MIL-S-22698 GRADE A

(ASTM A36),

SIZE: 1" X 3/16"THK,

MATL: STEEL,

QTY: 10 FT (ONE

CONTINUOUS LENGTH

REQUIRED) X 1 EA,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

LL4658339 NA 4 N 10/FT

152 2 M ANGLE,STRUCTURAL, ORDER

FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9520 009545651 NA 4 N 50555175 20/FT

CTR

AY A 0

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

153 3 M LABEL PLATE, MANUFACTURE

LABEL PLATE IAW ATTACHED

DETAILS.

THE ORIGINATOR WILL

PROVIDE THE LABEL PLATE

DETAILS.

AVAILABLE LOCAL SOURCE:

MISATO TRADING CO LTD

(CAGE: JS799),

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9905 LL1111111 NA 4 N 50697499 5/EA

200 M VALVE,SOLENOID, ORIG: C232

K. NAKAMURA, 070-7787-1977

ORDERED FOR KTR

ITEM NO. V2 OF DWG 8474275

3B 4810 013137633 NA 4 N 50455464 1/EA

201 M GASKET, ORIG: C232 K.

NAKAMURA, 070-7787-1977

ORDERED FOR KTR

1/8” THK, MIL-DTL-24696 TY II

FOR CHW BUTTERFLY VLVS

9B 5330 013865379 NA 4 N 50455197 2/SH

300 M TAPE, PRES SENSITIV, ORIG:

C233 Y.SHINOHARA 080-9350-

ORDERED FOR KTR

9Q 7510 001325109 NA 4 N 1/RO

301 M CABLE,POWER,ELECTRI,

ORIG: C233 Y.SHINOHARA 080-

9350-1451

ORDERED FOR KTR

9B 6145 012019497 NA 4 N 50/FT

302 M STANDOFF, ORIG: C233

Y.SHINOHARA 080-9350-1451

ORDERED FOR KTR

9B 5340 002829526 NA 4 N 1/HD

303 M HEATER,THERMAL RELE,

ORIG: C233 Y.SHINOHARA 080-

9350-1451

ORDERED FOR KTR

9B 5999 005049162 NA 4 N 2/EA

350 1 4 M STANDOFF, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5340 002726544 NA 4 N 50555189 1/HD

351 2 4 M STANDOFF, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5340 002829526 NA 4 N 50555188 1/HD

352 3 4 M PAD, TAP, PAD, TAPPED

ROUND, 1/2"-13UNC-2B X 1"LG,

STEEL, CARBON, AISI-1020,

CENTERED, CONCENTRIC

INTERNAL THREAD THRU

HOLE 1" OD, FINISH: PLAIN.

BIW CATALOG NO.53204-082,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5315 LL9307892 NA 4 N 50557450 70/EA

353 4 4 M PAD, TAPPED ROUND, PAD,

TAPPED ROUND, 1/4"-20UNC-

2B X 2"LG, STEEL, CARBON,

AISI-1020, CENTERED,

CONCENTRIC INTERNAL

THREAD THRU HOLE 5/8" OD,

FINISH: PLAIN.

BIW CATALOG NO.53204-171,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9B 5340 LL9813197 NA 4 N 50697501 10/EA

CTR

AY A 0

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

354 5 4 M ANGLE,ST, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9520 002774913 NA 4 N 50555191 20/FT

355 6 4 M ANGLE,STRUCTURAL, ORDER

FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

3B 9520 009545666 NA 4 N 50555174 20/FT

356 7 4 M PIPE,METALLIC, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 4710 002785349 NA 4 N 50555177 20/FT

357 8 4 M BAR,METAL, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9510 001891557 NA 4 N 50555172 10/FT

358 8 4 M BAR,METAL, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9510 001891557 NA 4 N 50555173 10/FT

359 9 4 M SHEET,METAL, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9515 002044525 NA 4 N 50555176 1/SH

360 10 4 M PLATE,ME, SIZE: 1 FT X 1 FT,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9515 002375333 NA 4 N 50555197 1/SF

361 11 4 M ANGLE DOWNCOMER, ANGLE

DOWNCOMMER, NAVY TYPE,

WELD MOUNTING,

LENGTH: 20”,

MATL: STEEL,

REMARKS: PART NUMBER

EQUALS ONE PAIR.

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 LL9609237 NA 4 N 50697523 10/PR

362 12 4 M ANGLE DOWNCOMER, ANGLE

DOWNCOMMER, NAVY TYPE,

WELD MOUNTING,

LENGTH: 30”,

MATL: STEEL,

REMARKS: PART NUMBER

EQUALS ONE PAIR.

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

NA 4 N 10/PR

363 13 4 M WIREWAY,CROSSTIER,

WIREWAY, CROSSTIER,

LENGTH: 11",

MATL: STEEL,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 LL4948109 NA 4 N 50697522 10/EA

364 14 4 M HANGER,CABLE, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9B 5975 015069602 NA 4 N 50555178 10/EA

CTR

AY A 0

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

365 15 4 M STUFFING TUBE, STL, ,

STUFFING TUBE, SWAGE,

COMPLETE WITH GLAND NUT

& GLAND RING,

SPEC: MIL-S-24235/18,

SIZE B,

LENGTH: 6.75",

MATL: STEEL,

RT&D: 0B6SC,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 LL4723252 NA 4 N 50697521 1/EA

366 16 4 M STUFFING TUBE, STL, ,

STUFFING TUBE, SIZE-C,

11"LG, STEEL, COMPLETE

WITH GLAND NUT AND GLAND

RING, MIL-S-24235/18,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 LL4462801 NA 4 N 50697520 1/EA

367 17 4 M STUD,WELDING, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5307 013255380 NA 4 N 50555179 20/EA

368 18 4 M STUD,WELDING, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5307 012789668 NA 4 N 50555180 20/EA

369 19 4 M REDUCING ADAPTER,

REDUCING ADAPTER,

HOST TUBE: D,

EFFECTIVE REDUCTION SIZE:

C, MATL: STEEL,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

NA 4 N 10/EA

370 20 4 M REDUCING ADAPTER,

REDUCING ADAPTER,

HOST TUBE: E,

EFFECTIVE REDUCTION SIZE:

C, MATL: STEEL,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

NA 4 N 10/EA

371 21 4 M PLATE HANGER,BOTTOM,

PLATE HANGER, BOTTOM

LOADING,

LENGTH: 7",

MATL: STEEL,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

NA 4 N 10/EA

372 22 4 M STUFFING TUBE, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 010167079 NA 4 N 50555181 10/EA

373 23 4 M STUFFING TUBE, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5975 010167607 NA 4 N 50555182 10/EA

374 24 4 M STUFFING TUBE, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9B 5975 010167608 NA 4 N 50555183 10/EA

CTR

AY A 0

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

375 M LABEL PLATE, MANUFACTURE

LABEL PLATE IAW ATTACHED

DETAILS.

THE ORIGINATOR WILL

PROVIDE THE LABEL PLATE

DETAILS.

AVAILABLE LOCAL SOURCE:

MISATO TRADING CO LTD

(CAGE: JS799),

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 9905 LL1111111 NA 4 N 50697500 2/EA

400 M INSULATION PIPE,

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, 21EA/BOX.

**GSA ADVANTAGE ITEM*

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL4783092 NA 4 N 50457409 2/EA

401 M INSULATION, PIPE,

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**

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5640 LL9607842 NA 4 N 50457410 15/EA

402 M INSULATION, PIPE,

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,

**GSA ADVANTAGE ITEM**

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL4783096 NA 4 N 50457412 38/EA

403 M INSULATI, INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013, FOR SIZE: 1-1/4" IPS,

SIZE: 1-5/8" ID X 3/4" THK X 6FT

LG, UI: EA/6 FT(ONE

CONTINUOUS LENGTH

REQUIRED),

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5640 LL4783095 NA 4 N 50457414 2/EA

CTR

AY A 0

FOUO

M-8

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 INSULATION, PIPE,

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

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607843 NA 4 N 50457416 10/EA

405 M INSULATION PIPE,

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.

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607844 NA 4 N 50457417 10/EA

406 M INSULATION, PIPE,

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,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607845 NA 4 N 50457419 15/EA

407 M INSULATION, PIPE,

INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 3" IPS,

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

LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

5EA/BOX. *MUST BE ORDERED

IN MULTIPLES OF 5EA*

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

9B 5970 LL9607846 NA 4 N 50457421 4/EA

CTR

AY A 0

FOUO

M-9

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

408 M INSULATION PIPE,

INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 4-1/8" OD TUBE,

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

LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607847 NA 4 N 50457423 2/EA

409 M INSULATION, PIPE,

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,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607848 NA 4 N 50457425 2/EA

410 M INSULATION, PIPE,

INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 8" IPS,

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

FT LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5970 LL9607851 NA 4 N 50457430 4/EA

411 M INSULATION SHEET,

INSULATION, FLAT SHEET,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013, FOR SIZE: 36”W X

48”L X 3/4” THK, MATL: NON-

HALOGEN,

**GSA ADVANTAGE

AVAILABLE**

8SH/BOX.

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5640 LL9607854 NA 4 N 50457433 5/SH

412 M ADHESIVE, ADHESIVE FOR

CLOTH,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8040 002738708 NA 4 Y 50455113 6/GL

413 M ADHESIVE, ADHESHIVE

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

9B 8040 008419773 NA 4 Y 50455177 9/PT

CTR

AY A 0

FOUO

M-10

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

414 M SEALING COMPOUND, VAPOR

BARRIER COATING FOR

INSULATED REFRIGERANT

AND CHILLED WATER LINES

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8030 001742588 NA 4 Y 50455251 5/GL

415 M CLOTH,PLAIN WEAVE, CLOTH

WEIGHT: 8.50 OUNCES PER

SQUARE YARD PLUS OR

MINUS 0.10 (10%) OUNCES

PER SQUARE YARD; LENGTH:

50 YARDS PLUS OR MINUS 5

YARDS; WIDTH: 60 INCHES

PLUS OR MINUS 1 INCH

COLOR: NATURAL BOTH

SIDES

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8305 001487363 NA 4 N 50455371 1/RO

416 M INSULATI, INSULATION,

FIBROUS GLASS, THERMAL,

BLANKET WITHOUT BINDER,

UNFACED, SIZE: 5FT W X 45FT

L X 1"THK, MIL-DTL-32585,

TYPE I, FORM 3, NSN: 5640-00-

173-6591 (NSN MISTAKENLY

INDICATES FACING D, BUT

CORRECT ITEM IN THIS NSN

IS UNFACED.)

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9Q 5640 LL9607458 NA 4 N 50457435 1/RO

417 M CLOTH,PLAIN WEAVE, CLOTH,

PLAIN WEAVE, H/W,

(NATURAL)

GLASS CLOTH, 5’ X50YD, 17.5

OZ

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8305 001487364 NA 4 N 50455372 1/RO

418 M CEMENT,INSULATION,H,

CEMENT, 45LB/BG,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9Q 5640 002264540 NA 4 Y 50455375 3/BG

419 M KEICAL A, "KEICAL ACE SUP

SILICA, TOMBO, 1/2" X 1-

1/4"THK (30MM) X 2FT LENGTH

(610MM), 35EA/BOX. *MUST BE

ORDERED IN MULTIPLES OF

35EA** EQUAL TO INDUSTRIAL

INSL GROUP(DESIGNATED

MFR BY QPL-2781) MODEL#

THERMO-12 GOLD, BUT IT

DOES NOT HAVE

1/4""INCREMENTS THK

ORDERED FOR KTR

ORIG: C234 T. TSUNOI,070-

9Q 5640 LL4465715 NA 4 N 50457800 35/EA

CTR

AY A 0

FOUO

M-11

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

420 M INSULATI, INSULATION, FLAT

SHEET, BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013, FOR SIZE: 36”W X

48”L X 3/4” THK, MATL: NON-

HALOGEN,

**GSA ADVANTAGE

AVAILABLE**

8SH/BOX.

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5640 LL9607854 NA 4 N 50567435 3/SH

421 M INSULATI, INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 8" IPS,

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

FT LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 5640 LL9607851 NA 4 N 50567436 2/EA

422 M ADHESIVE, ADHESIVE FOR

CLOTH,

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8040 002738708 NA 4 Y 50555196 20/GL

423 M ADHESIVE, ADHESHIVE

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8040 008419773 NA 4 Y 50555195 10/PT

424 M SEALING COMPOUND, VAPOR

BARRIER COATING FOR

INSULATED REFRIGERANT

AND CHILLED WATER LINES

ORDERED FOR KTR

ORIG: C234 T. TSUNOI, 070-

7787-2058

9B 8030 001742588 NA 4 Y 50555194 15/GL

430 M PIPE, 8"IPS, PIPE, 8" IPS, CU-NI

90-10, MIL-T-16420, CL 200

9B 4710 006048050 NA 4 N 5/FT

431 M SLV, 8" IPS, SLEEVE, SIZE:

8"IPS, BUTT WELD, CNA 90-10,

200PSI, ASME B16.9

NSN 4730-00-722-5477

9C 4730 LL4462375 NA 4 N 8/EA

432 M BR, 8" IPS, BACKING RING, 8"

IPS, CU-NI 90-10

9C 4730 LL4558792 NA 4 N 8/EA

433 M SLV, 1" IPS, SLEEVE, BUTT

WELD, 1"IPS, CU-NI 90-10, 200

PSI, DWG 810-1385880

PREMIER COPPER P/N:

88008200

9C 4730 LL4742596 NA 4 N 2/EA

CTR

AY A 0

FOUO

M-12

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

434 F13 5 M PIPE HANGER, PIPE HANGER,

SIZE: 1"IPS X 24"LG, MATL:

STEEL, LINER: 1/8"THK

NEOPRENE RUBBER, 60

DUROMETER,

DWG: 810-4714432 TYPE 5,

PH435200 (W&O P/N

548437.200)

ORDER FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9B 4730 LL9100289 NA 4 N 10/EA

435 M PIPE HANGER, PIPE HANGER,

1"IPS X 15"LEG LG, TY 1,

STEEL,

LINED WITH RUBBER MIL-R-

6855 CLASS II 60

DUROMETER. DWG: 810-

4714432 TYPE I

ORDERED FOR KTR

ORIG: C234 M. MOTOHASHI,

243-2373

9C 4730 LL9002223 NA 4 N 10/EA

436 M SLV, 1" IPS, SLEEVE, BUTT

WELD, 1"IPS, CU-NI 90-10, 200

PSI, DWG 810-1385880

PREMIER COPPER P/N:

88008200

9C 4730 LL4742596 NA 4 N 2/EA

437 M BR, 1" IPS, BACKING RING,

1"IPS, CNA 90/10, 200PSIG

LL4558773 NA 4 N 2/EA

450 P1 6 M TUBE,METALLIC, ORDER FOR

KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 4710 002774624 NA 4 N 50555184 20/FT

451 F1 6 M ELBOW,PI, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 4730 005425226 NA 4 N 50555187 4/EA

452 F2 6 M INSULATI, 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,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 5640 LL9607843 NA 4 N 50557451 3/EA

453 F3 6 M PIPE HANGER, PIPE HANGER,

SIZE: 1-1/2"IPS X 15"LG. MATL:

STEEL, LINER WITH RUBBER

MIL-R-6855 CLASS II 60

DUROMETER. DWG: 810-

4714432 TYPE I,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

LL9301415 NA 4 N 2/EA

454 F4 6 M CLOTH,PL, ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9B 8305 001487363 NA 4 N 50555192 1/RO

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 80964K HVAC LOAD CTR AY A 0

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

3819P51206 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 80964K HVAC LOAD CTR AY A 0

SKETCH

3869A42301A01 ENCLOSURE-01 Sheet 1 of 3

Yuuji.Matsuyama.ja Line

Yuuji.Matsuyama.ja_1 Line

Yuuji.Matsuyama.ja_2 Line

Yuuji.Matsuyama.ja_3 Line

Yuuji.Matsuyama.ja_4 Text Box

INSTALLATION OF INSULATION

Yuuji.Matsuyama.ja_5 Text Box

INSTALLATION OF INSULATION

Yuuji.Matsuyama.ja_6 Text Box

INSTALLATION OF INSULATION

Yuuji.Matsuyama.ja_7 Text Box Location for Installation of Insulation 4-30-0-L Side of 4-36-0-Q

3819P51206A01 ENCLOSURE-01 Sheet 2 of 3

Yuuji.Matsuyama.ja_8 Polygon

Yuuji.Matsuyama.ja_9 Line

Yuuji.Matsuyama.ja_10 Line

Yuuji.Matsuyama.ja_11 Line

Yuuji.Matsuyama.ja_12 Line

Yuuji.Matsuyama.ja_13 Cross-Out

Yuuji.Matsuyama.ja_14 Text Box Location for Removal of Wallpaper and Installation of…