TGI_3819P22114A10_c0v0.pdf

FOUO

WebAIM Short Form TASK GROUP INSTRUCTION

04-MAR-2025 1043

20.14.15.2.9020 (September 2024) ICN: 3819P22114 KeyOp: A10

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1A BLR FO BNR LD PPG AY A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1A BLR FO BURNER LEAD PP IN 8-76-0-E

WORK CERTIFICATION SIGNATURES: DLs

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

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

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EM02L194

PREPARING ACTIVITY: STATUS: APP WORKING STATUS:

PREPARED BY: CODE: PHONE: DATE:

NAGASHIMA, TETSU 234 3152434527 14-FEB-2025

APPROVED BY: CODE: PHONE: DATE:

SHINMEI, HIDEKUNI 234 3152432371 14-FEB-2025

CONCURRED BY: CODE: PHONE: DATE:

REASON FOR WORK/NEED FOR CHANGE:

JCN:

EM02-L194

SPECIAL REQUIREMENTS:

CU PHASE DESCRIPTION:

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

YAGINUMA, TAKEHIDE

JOB SUMMARY ID: TOT MAN HR.: TOT DUR: TOT JML COST: PLANNING ACCEPTANCE:

221A1114

1. SCOPE/PURPOSE:

1.1 Title: Hydrostatic Test of 1A Boiler Fuel Oil (FO) Burner Lead Piping; accomplish

1.2 Location of Work:

1.2.1 Fire Room (8-76-0-E)

1.3 Identification:

1.3.1 Quantity (One AY), No. One FO Burner Lead Piping including FO Valve Actuator (1A-BIS-F-1) for 1A Boiler, from FO Manifold Root Valve No. 19 to No. One Burner

Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 9-A and Zone 9-B) of Ref. No. 3 for detail.

TGI Short Form

04-MAR-2025 1043

20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22114 KeyOp: A10

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1A BLR FO BNR LD PPG AY A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1A BLR FO BURNER LEAD PP IN 8-76-0-E

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CU PHASE DESCRIPTION (Cont.)

1.3.2 Quantity (One Lot), No. 2 FO Burner Lead Piping for 1A Boiler, from FO Manifold Root Valve No. 20 to No. 2 Burner

Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 9-A and Zone 9-B) of Ref. No. 3 for detail.

1.3.3 Quantity (One Lot), No. 3 FO Burner Lead Piping for 1A Boiler, from FO Manifold Root Valve No. 21 to No. 3 Burner

Size: 1/2 Inch IPS Material: Carbon Steel Specification: MIL-T-20157C, SCH 40 Remarks: See Sheet One (Zone 9-A and Zone 9-B) of Ref. No. 3 for detail.

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Lead Hazard.

1.6 Contractor work start date: 1/12/2026

1.7 Contractor work completion date: 5/15/2027

2. PROCEDURE:

2.1 Disconnect and reconnect each existing FO burner lead piping listed in 1.3.1 through 1.3.3 for accomplishment of hydrostatic test, using Ref. No. 3 for guidance.

2.1.1 Accomplish the requirements of 009-71 of Ref. No. One for hydrostatic test, using clean, fresh water at 605 PSIG, for each existing FO burner lead piping listed 1.3.1 through 1.3.3.

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

2.2 Accomplish the requirements of 009-32 of Ref. No. One for each new and disturbed surface.

2.3 Notes:

2.3.1 Planner: Code 234 T. Nagashima, 243-4527

Planner: Code 233 K. Uchimura, 080-9350-1432

2.3.2 This TGI is response to Boiler Inspection and Repair Management Information System (BIRMIS) for 1A Boiler report dated 17 OCT 2024, Line Item(s) K37A-02.

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

2.3.4 JCN EM02-L194 is related to this TGI.

2.4 Government Furnished Material (GFM):

04-MAR-2025 1043

20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22114 KeyOp: A10

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1A BLR FO BNR LD PPG AY A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1A BLR FO BURNER LEAD PP IN 8-76-0-E

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CU PHASE DESCRIPTION (Cont.)

2.4.1 SRF-JRMC will provide GFM listed in Material List.

2.5 SRF-JRMC will provide the following Service Work: (TGI No. 3819P22114S11).

2.5.1 [C740] Crane and crane rigging service.

2.5.2 [X99E] Utility Service, electrical.

2.5.3 [X99M] Utility Service, including low pressure air supply, water supply, and steam supply.

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

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

2.5.6 [C133] QA inspection for (G) symbols.

04-MAR-2025 1043

20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22114 KeyOp: A10

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 1A BLR FO BNR LD PPG AY A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE: *(K37A-02) F/O - ACCOMPLISH HYDRST TEST OF 1A BLR FO BURNER LEAD PP IN 8-76-0-E

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OTHER SPECIAL REQUIREMENTS:

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II.

Ref.

No.

Document/Drawing Number DOCUMENT/DRAWING TITLE REV

CHG

NO.

CPY

REQ PARAGRAPH SECT PG CHPT

1 NSI FY-25 NAVSEA Standard Items - ORG N 2 LI FY-25 Local Standard Items - ORG N 3 DWG 210-2492122 F.O SERV. DISCH. Piping -

ARR

G Y ALL

TASK NAME / TASK DESCRIPTION

SHOP/

TSD TS

SF

WC

CREW

# MHRS RWRK

2.1 PFTR HRs, RGRS HRs, INSL HRs, ELEC HRs, QA HRs 22/KE PC N

2.2 PNTR HRs, QA HRs 22/KE PC N

Piping Work CFM sample cost for lead paint, misc such as painting material, plastic bag and tapes.

22/MQ CS N

Electrical Work CFM for insulation tape, plastic bags, rope, and other consumable.

22/MQ CS N

Process Funding Document. 10/CT OM N

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 GASKET,SPIRAL WOUND,

GASKET, SPIRAL WOUND,

1/2"- 600

ORDERED FOR KTR, ORG:

C234, T. NAGASHIMA, TEL:

243-4527

9B 5330 013387849 NA 4 N 50435170 6/EA

002 M GASKET,SPIRAL WOUND,

GASKET, SPIRAL WOUND,

3/4"-600

ORDERED FOR KTR, ORG:

C234, T. NAGASHIMA, TEL:

243-4527

9B 5330 013387875 NA 4 N 50435167 6/EA

ATTACHMENT LIST

TITLE FILE NAME SAVED DATE

ENCLOSURE-01 3819P22114A10-QA28.docx 10-FEB-2025 0000

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING NUMBER DOCUMENT/DRAWING TITLE

REV

ICN: 3819P22114 KEY OP: A10

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P22114A10 ENCLOSURE-01-1 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-L194 KTR N/A FO BURNER LEAD 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 210-2492121 Rev. E

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 2.1.1 for 1.3.1 A,B Clean Fresh Water 605 PSIG 30 minutes None

H 2.1.1 for 1.3.2 A,B Clean Fresh Water 605 PSIG 30 minutes None

H 2.1.1 for 1.3.3 A,B Clean Fresh Water 605 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