TGI_3819P14204A01_c0v0.pdf

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.: STRUCT 7-30-0-E AY A 0 0

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

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

F/O - REPAIR STRUCTURAL MEMBER IN 7-30-0-E

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TATSUYA OOSERA 231B 315-243-9935 22-MAY-2024

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 22-MAY-2024

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

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.: STRUCT 7-30-0-E 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.

1-6 J1-2 M1-3 Sketch (1-2)

1. SCOPE/PURPOSE

1.1 Title: Structural Member in 7-30-0-E; repair

1.2 Location of Work:

1.2.1 Emergency Generator Room No. One (7-30-0-E)

1.2.2 SD Storeroom (7-30-1-A)

1.2.3 Crew Baggage Storeroom (7-30-2-A)

1.2.4 Lube Oil Drain Tank (7-39-1-F)

1.2.5 Used Lube Oil Tank (7-39-3-F)

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

1.2.7 Trunk (7-40-5-T)

1.2.8 Pump Room No. One (8-40-0-E)

1.2.9 Distillate Fuel Overflow or Ballast (9-30-0-F)

1.2.10 Distillate Fuel or Ballast (9-30-1-F)

1.2.11 Distillate Fuel or Ballast (9-30-2-F)

1.3 Identification:

1.3.1 Quantity (One EA), Lube Oil Drain Tank

Tank No. : 7-39-1-F

Capacity: 29 Gallons

1.3.2 Quantity (One EA), Used Lube Oil Tank

Tank No. : 7-39-3-F

Capacity: 157 Gallons

1.3.3 Quantity (One Lot), Structural Member in 7-30-0-E

Remarks: See 2.3 for detail

1.3.3.1 Quantity (3 Lot), Second Platform Plate, Frames between 36 and 39, Port Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate JCNs: ES01-NPGD, ES01-NPES, and ES01-NPET

1.3.3.2 Quantity (One Lot), Longitudinal Bulkhead, Frames between 36 and 40, Port Material: OS, MIL-S-22698 GR-A, 15.3 LBs Plate

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

JCN: ES01-NPGD

1.3.3.3 Quantity (5 EA), Vertical Stiffener on Transverse Bulkhead Frame 40, between Longitudinal Nos. 3S and 7S, Starboard (Stbd)

Material: OS, MIL-S-22698 GR-A, 6 Inches x 4 Inches x 7 LBs T JCNs: ES01-NPGG, ES01-NPGH, ES01-NPGJ, ES01-NPGK, and ES01-NPGL

1.3.3.4 Quantity (One EA), Doubler Plate on Vertical Stiffener No. 5S on Transverse Bulkhead Frame 40, Stbd Material: OS, MIL-S-22698 GR-A, 10.2 LBs Plate

JCN: ES01-NPGJ

1.3.4 Quantity (One Lot), Second Platform Plating in 7-30-0-E, between Frames 36 and 40, and Longitudinals Nos.

5S and 8S, Stbd

Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Sheet One of Sketch Enclosure-01 for location detail JCN: ES01-NPGE and ES01-MPGF

1.3.5 Quantity (116 SF in Total), Structural Member in 7-30-0-E Remarks: See Sheet 2 of Sketch Enclosure-01 for location detail

1.3.5.1 Quantity (36 SF), Second Platform Plating, between Frames 32 and 36, and from Existing Weld Seam 11 Feet 9 Inches Off from Ship’s Center, Stbd to Longitudinal Bulkhead 14 Feet 0 Inch Off from Ship’s Center, Stbd

1.3.5.2 Quantity (30 SF), Longitudinal Bulkhead, between Frames 30 and 40, and Second Platform and 9 Inches above Second Platform, Stbd

1.3.5.3 Quantity (50 SF), Longitudinal Bulkhead, between Frames 30 and 40, and 9 Inches above Second Platform and 24 Inches above Second Platform, Stbd

1.3.6 Quantity (131 SF in Total), Interior Surfaces of 7-30-0-E, where new material is installed and disturbed by the hot work Interior Surfaces

Remarks: See 2.3 for location detail

1.3.7 Quantity (56 SF in Total), Interior Surfaces of 9-30-0-F, where new material is installed and disturbed by the hot work Interior Surfaces

Remarks: See 2.3 for location detail

1.3.8 Quantity (49 SF in Total), Interior Surfaces of 9-30-1-F, where new material is installed and disturbed by the hot work Interior Surfaces

Remarks: See 2.3 for location detail

1.3.9 Quantity (47 SF in Total), Interior Surfaces of 9-30-2-F, where new material is installed and disturbed by the hot work Interior Surfaces

Remarks: See 2.3 for location detail

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Lead Hazard.

1.5.2 Potential Asbestos Hazard

1.5.3 Critical Coated Area: CCNY-LCC19-054-25 for the area listed in 1.3.5.1, 1.3.5.2, and 1.3.6 through 1.3.9

1.6 Contractor work start date: 1/12/2026

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

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 PDD 103-

ELM-240265

Repair Plan of Corroded Strl Members in Emer Gen Rm No. 1 (7- 30-0-E)

- Y AL

L

4 DWG 103-

2491032

2ND PLTF PLATING FR 8-52 G Y AL

L

5 TM T-9630-

AB-MMD-

Corrosion Control Assessment and Maintenance Manual (CCAMM)

3 N

6 TM NAVSEA

4790/14

Tank and Void Structural and Coating Condition Survey (MRC G1N5)

- N

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 requirements of 099-902YO of 2.2 for each tank listed in 1.3.1 and 1.3.2.

5.1.1 Accomplish the requirements of 009-107 of 2.1.

5.1.1.1 Ensure General Cleaning must be Level III.

5.2 Remove existing, fabricate and install new each structural member listed in 1.3.3 in accordance with 2.3.

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

5.2.2 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of each structural member listed in 1.3.3.1 and 1.3.3.2. Allowable leakage: None.

5.3 Accomplish weld repair of corroded areas on each existing second platform plating listed in 1.3.4, using 2.4 for guidance. See 5.9.7.

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

5.4 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 9, for each structural member and area listed in 1.3.5 and 1.3.6.

6/12/2027

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

5.5 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 11, for each area listed in 1.3.7 through 1.3.9.

5.5.1 Submit new coating data applied to the SUPERVISOR in accordance with 2.5 and 2.6.

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

5.7 Notes:

5.7.1 Planner: Code 231B T. Oosera, 243-9935

Planner: Code 232 T. Nonaka, 243-4507 Planner: Code 233 T. Imamura, 080-9350-1434 Planner: Code 234 O. Mitsui, 243-0976 Planner: Code 234 K. Furukawa, 243-2242 Engineer: Code 250 K. Ishiwata, 243-0092

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

5.7.3 Opening, initial cleaning, and closing of each space listed in 1.2.9 through 1.2.11 will be covered by the following TGI No(s).

Distillate Fuel Overflow or Ballast (9-30-0-F): 3819P12313A01 (KTR TGI) Distillate Fuel or Ballast (9-30-1-F): 3819P12314A01 (KTR TGI) Distillate Fuel or Ballast (9-30-2-F): 3819P12315A01 (KTR TGI)

5.7.4 This TGI clears DFS LCC-19-1055-2023 in its entirety.

5.7.5 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.

5.7.6 2.6 is available on P:\C200\C225\Enclosures\C231\Tank and Void Structural and Coating Condition Survey

(MRC G1N5).

5.7.7 JCNs ES01-NPES, ES01-NPGB, ES01-NPGC, ES01-NPGD, ES01-NPGE, ES01-NPGF, ES01-NPGG, ES01- NPGH, ES01-NPGJ, ES01-NPGK, ES01-NPGL, and ES01-NPET are related to this TGI.

5.8 Government Furnished Material (GFM):

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

5.9 SRF-JRMC will provide the following service work: (TGI No. 3819P14204S02).

5.9.1 [C740] Crane and crane rigging service.

5.9.2 [X99E] Utility service, electrical.

5.9.3 [X99M] Utilities service, including water supply, steam supply, and low pressure air supply except on-board blasting work.

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

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

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

5.9.6 [C133] QA inspection for (G) symbol(s), and review of coating application data.

5.9.7 [C250] On-site engineering support for weld repair.

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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:

STRUCT 7-30-0-E AY A 0 0

CU PHASE TITLE:

F/O - REPAIR STRUCTURAL MEMBER IN 7-30-0-E

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

1EDG 7-39-3-F TK 1EDG 7-39-1-F TK CMPT 7-30-2-A MSFO/BLST 9-30-0-F TK CMPT 7-30-0-E

MS FO/BLST 9-30-1-F TK FO/BLST 9-30-2-F TK

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P14204A01-Sketch.pdf) saved on 22-MAY-2024 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P14204 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to repair structural member in 7-30-0-E.

Location of Work:

Emergency Generator Room No. One (7-30-0-E) SD Storeroom (7-30-1-A) Crew Baggage Storeroom (7-30-2-A) Lube Oil Drain Tank (7-39-1-F) Used Lube Oil Tank (7-39-3-F) Air Conditioning Machinery Room No. One and Refrigeration Machinery Room (7-40-0-E) Trunk (7-40-5-T) Pump Room No. One (8-40-0-E) Distillate Fuel Overflow or Ballast (9-30-0-F) Distillate Fuel or Ballast (9-30-1-F) Distillate Fuel or Ballast (9-30-2-F)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 LBR HRs 22 KE PC

5.2 SFTR HRs, WELD HRs, RGRS HRs PNTR HRs, INSL

HRs, SMTL HRs, CARP HRs, OMCH HRs, QA HRs, ELEC HRs, PFTR HRs

22 KE PC

5.3 WELD HRs, SMTL HRs, PNTR HRs, QA HRs 22 KE PC

5.4 PNTR HRs, SFTR HRs, QA HRs, BLRM HRs, INSL HRs, PFTR H, QA HRs

22 KE PC

5.5 PNTR HRs, QA HRs 22 KE PC

5.6 PNTR HRs, QA HRs 22 KE PC

Dewatering and Cleaning Work CFM: $ for marine chemist cost, gaskets, fasteners, tank watch cost, and MISC.

22 MQ CS

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J-2

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

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

Structure Work CFM $ for fire watch and tank watch cost, asbestos sampler and analysis cost for compartment insulation, air compressor rental cost and fuel oil cost for air hose test, lead sampling/analysis cost, fastener, and MISC such as electrode, gases, temporary closure and covering material, and etc.

22 MQ CS

Preservation Work CFM $ for all paints, thinner, grit including waste disposal cost, tank watch cost,, and MISC such as temporary covering material, and etc.

22 MQ CS

Machinery Work CFM: $ for hold-down fasteners and misc.

materials such as plastic bag/sheet, rags, brushes, and other consumables.

22 MQ CS

Piping Work CFM $ for fire watch cost, tank watch cost, air compressor rental cost, fuel oil cost, sample cost for lead paint and MISC such as gasket, gases, electrode, saw blades, painting material, plastic bag/sheet etc.

22 MQ CS

Boiler Work CFM $ for asbestos sampler and analysis cost for insulation, paint, temporary closure and covering material and

MISC

22 MQ CS

Process Funding Document. 10 CT OM

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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:

STRUCT 7-30-0-E AY A 0 0

CU PHASE TITLE:

F/O - REPAIR STRUCTURAL MEMBER IN 7-30-0-E

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P14204 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 PLATE,ME, 5FT X 20FT X 1PM

AND 5FT X 12' X 1PM (TOTAL

2PM) REQUIRED.

ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9B 9515 001533217 NA 4 N 41345035

160/SF

002 M PLATE,ME, 1FT X 12FT X 1PM

REQUIRED

ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9B 9515 001533223 NA 4 N 41345036 12/SF

003 M BEAM,STRUCTURAL,

ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9B 9520 002780359 NA 4 N 41345028 10/FT

004 M PLATE,ME, 1FT X 2FT X 1PM

REQUIRED

ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9B 9515 001533184 NA 4 N 41345038 2/SF

005 M INSULATI, ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9Q 5640 008096312 NA 4 N 41345039 10/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 TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8315 002671632 NA 4 N 41345040 2/RO

007 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8315 002671633 NA 4 N 41345041 1/RO

008 M CAP,SNAP, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 5325 007377648 NA 4 N 41345042

100/EA

009 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8040 002738708 NA 4 Y 41345030 1/GL

200 M GASKET,SPIRAL WOUND,

ORIGINATOR: C232 T.NONAKA,

243-4507

ORDERED FOR KTR

FOR AUX LUBE OIL EDG#1

FILL PUMP

ITEM NO.F-17 OF 211-ELM-

111565B

9B 5330 013387929 NA 4 N 41345132 2/EA

201 M SCREW,CAP,HEXAGON H,

ORIGINATOR: C232 T.NONAKA,

243-4507

ORDERED FOR KTR

FOR AUX LUBE OIL EDG#1

FILL PUMP

ITEM NO.F-18 OF 211-ELM-

111565B

PG=(50)EA

9B 5305 009640589 NA 4 N 41345131 1/PG

202 M NUT,PLAI, ORIGINATOR: C232

T.NONAKA, 243-4507

ORDERED FOR KTR

FOR AUX LUBE OIL EDG#1

FILL PUMP

ITEM NO.F-19 OF 211-ELM-

111565B

9B 5310 006373628 NA 4 N 41345143 8/EA

400 M COUPLING,PIPE, COUPLING,

1-1/2” IPS, C-STEEL, SW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 011060796 NA 4 N 41325113 1/EA

401 M COUPLING,PIPE, COUPLING,

1-1/4” IPS, C-STEEL, SW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 008226537 NA 4 N 41325114 4/EA

402 M COUPLING,TUBE, COUPLING,

3/4” IPS, SW, 90-10

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 014635878 NA 4 N 41325115 3/EA

403 M COUPLING,TUBE, COUPLING,

2” IPS, BW, 90-10

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 005423290 NA 4 N 41325117 1/EA

404 M BACKING, 2" IPS, CU-NI 90-10,

200PSIG

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 LL4558779 NA 4 N 41327562 1/EA

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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

405 M COUPLING,PIPE, COUPLING,

1-1/2” IPS, C-STEEL, SW

ORDERED FOR KTR

ORIG:C234 O.MITSUI 243-0976

9B 4730 011060796 NA 4 N 41365051 1/EA

450 M ADHESIVE, ADHESIVE FOR

CLOTH,

C234 K.FURUKAWA, 243-2242

ORDERED FOR KTR

9B 8040 002738708 NA 4 Y 41325118 1/GL

451 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,

**GSA ADVANTAGE

AVAILABLE**

ORIG:K.FURUKAWA, 243-2242

ORDERED FOR KTR

9B 5640 LL9607848 NA 4 N 41347421 2/EA

452 M ADHESIVE, ADHESIVE FOR

PLASTIC TUBE

ORDERED FOR KTR

C234 K.FURUKAWA, 243-2242

9B 8040 008419773 NA 4 Y 41325119 1/PT

453 M GASKET, ELM-160689, PC NO.

C234 K.FURUKAWA, 243-2242

ORDER FOR KTR

9B 5330 014800884 NA 4 N 41325121 6/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 STRUCT 7-30-0-E AY A 0

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

3819P14204 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 STRUCT 7-30-0-E AY A 0

FWD

LONG BHD 14' ‐ 0 OFF CL (ABV)

L8S

CL

TRANSV BHDTRANSV BHD

12 feet‐10 inches forward of transverse bulkhead FR 40 and 68 inches inboard of starboard long bulkhead. (JCN ES01‐NPGE)

From 42 inches to 54 inches forward of transverse bulkhead FR 40, and from existing weld seam 11 feet 9 inches off from ship’s center, starboard to longitudinal bulkhead 14 feet 0 inch off from ship’s center line, starboard. (JCN ES01‐NPGF)

LOCATION DETAIL OF CORRODED AREA IN 7‐30‐0‐E

SKETCH

PLAN VIEW

2ND PLATF

7‐30‐0‐E FR 30 ‐ 40 STBD

ENCLOSURE‐013819P14204A01 SHEET 1 OF 2

L2S

L3S

L4S

L5S

L6S

L7S

EXISTING WELD SEAM

FWD

LONG BHD

14' ‐ 0 OFF CL (S)

CL

TRANSV BHDTRANSV BHD

For Para 1.3.5.2 Longitudinal Bulkhead, between Frames 30 and 40, and Second Platform and 9 Inches above Second Platform, Starboard.

For Para 1.3.5.3 Longitudinal Bulkhead, between Frames 30 and 40, and 9 Inches above Second Platform and 24 Inches above Second Platform, Starboard.

For Para 1.3.5.1 Second Platform Plating, between Frames 32 and 36, and from Existing Weld Seam 11 Feet 9 Inches Off from Ship’s Center, Starboard to Longitudinal Bulkhead 14 Feet 0 Inch Off from Ship’s Center, Starboard.

LOCATION DETAIL OF PRESERVATION AREA IN 7‐30‐0‐E

SKETCH

ENCLOSURE‐013819P14204A01 SHEET 2 OF 2

PLAN VIEW

2ND PLATF

7‐30‐0‐E FR 30 ‐ 40 STBD