TGI_3819P22114T04_c0v0.pdf
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This document is a WebAIM Short Form Task Group Instruction (TGI) for the USS Blue Ridge (LCC-19) naval vessel, specifically focused on conducting a tightness and operational test for the 1A Boiler - KTR. The TGI is dated 05-MAY-2025 and includes details about the work to be performed, with tasks assigned to a contractor (22/KE), quality assurance (33/G1), and support/facilities work (EM02). The document references the technical procedure TP 22111-3-300KTR for accomplishing and documenting the boiler test, and includes preparation and approval information from personnel with codes 246.2, including Oosaka Tesshin (prepared) and Ohta Jason Y. (approved) on specific dates in April and May 2025. The instruction is marked FOUO (For Official Use Only) and is part of a two-page document with specific tracking numbers and metadata related to the naval maintenance activity.
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Text version
FOUO
WebAIM Short Form TASK GROUP INSTRUCTION
05-MAY-2025 0942
20.14.15.2.9020 (September 2024) ICN: 3819P22114 KeyOp: T04
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 22111-3-300KTR TT T 4 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P 22111
CU PHASE TITLE: 1A BOILER (T & OP) - KTR
WORK CERTIFICATION SIGNATURES: DLs
COMPLETION OF WORK REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
RECORDS REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
FOUO Pg 1 of 2
EM02L194
PREPARING ACTIVITY: STATUS: APP WORKING STATUS:
PREPARED BY: CODE: PHONE: DATE:
OOSAKA, TESSHIN 246.2 3152434109 17-APR-2025
APPROVED BY: CODE: PHONE: DATE:
OHTA, JASON Y. 246.2 3152435901 02-MAY-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:
TAKAHASHI, YASUHIKO U
JOB SUMMARY ID: TOT MAN HR.: TOT DUR: TOT JML COST: PLANNING ACCEPTANCE:
221A1114
Tightness & operational test for 1A BOILER - KTR.
TGI Short Form
FOUO
WebAIM Short Form TASK GROUP INSTRUCTION
05-MAY-2025 0942
20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P22114 KeyOp: T04
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 22111-3-300KTR TT T 4 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P 22111
CU PHASE TITLE: 1A BOILER (T & OP) - KTR
FOUO Pg 2 of 2
Ref.
No.
Document/Drawing Number DOCUMENT/DRAWING TITLE REV
CHG
NO.
CPY
REQ PARAGRAPH SECT PG CHPT
1 TP 22111-3-300KTR BOILER (T & OP) - KTR LAT Y
TASK NAME / TASK DESCRIPTION
SHOP/
TSD TS
SF
WC
CREW
# MHRS RWRK
(V) Contractor work:
Accomplish/document the tightness & operational test in accordance with reference, TP 22111-3-300KTR.
22/KE PC N
(G) QA work:
Accomplish/document the tightness & operational test in accordance with reference, TP 22111-3-300KTR.
33/G1 QA N
(S) S/F work:
Accomplish/document the tightness & operational test in accordance with reference, TP 22111-3-300KTR.
/ EM02 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
MATERIAL REFERENCES
REF
NO.
DOCUMENT/DRAWING NUMBER DOCUMENT/DRAWING TITLE
REV
ICN: 3819P22114 KEY OP: T04
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