TGI_3819P14205A01_c2v2.pdf
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- N6264925RA024
About this file
This document is a Task Group Instruction (TGI) for structural member inspection, repair, and preservation work on the USS BLUE RIDGE (LCC-19), specifically focusing on areas in Emergency Generator Room No. 2 and Chemical Warfare Defense Equipment Storeroom. The work involves detailed structural assessments and repairs on various deck platings, bulkhead plates, and structural members located between Frames 108 and 118 on the starboard side, with key locations including tanks, storerooms, and hull sections.
The TGI specifies a comprehensive scope of work including ultrasonic thickness measurements, visual inspections for structural integrity, removal and replacement of corroded or damaged structural components, weld repairs, and preservation treatments. The project is scheduled to begin on 1/12/2026 and complete by 6/12/2027, with critical requirements including non-flammable closure fabrication, Level III cleanliness standards, and potential hazard mitigations for asbestos and lead. The work will be performed at Commander, Fleet Activities Yokosuka (CFAY) Naval Base in Japan, with multiple technical departments and personnel involved in planning and execution.
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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.: STRL MBR 7-109-1-E 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:
F/O - INSPECT, REPAIR, & PRESERVE STRUCTURAL MEMBER IN 7-109-1-E & 7-106-1-K
PREPARING ACTIVITY:
PREPARED BY: CODE PHONE DATE
TAKAAKI ASHINA 231B 315-243-4370 24-JUN-2024
APPROVED BY: CODE PHONE DATE
RYOUTA TAKAGI 231B 315-243-4502 24-JUN-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:
Removal of HPAC work is required by project team.
CHANGE INSTRUCTIONS:
CH1: Correct Paragraph 5.6. (6/28/2024) CH2: Overwrite TGI to delete HPAC work. (7/13/2024)
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 III
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.: STRL MBR 7-109-1-E AY A 0
FOUO
SHIP: LCC-19 CHG/VER: 2/2
LIST OF EFFECTIVE PAGES
SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO.
1-8 Sketch (1-2)
J1-2 Sketch (1-4)
M1-8 Engrg Inst (1)
1. SCOPE/PURPOSE
1.1 Title: Structural Member in 7-109-1-E and 7-106-1-K; inspect, repair, and preserve
1.2 Location of Work:
1.2.1 Emergency Generator Room No. 2 (7-109-1-E)
1.2.2 Chemical Warfare Defense Equipment Storeroom (7-106-1-K)
1.2.3 "E" Division Storeroom (9-118-1-A)
1.2.4 Used Lube Oil Tank (7-115-1-F)
1.2.5 Lube Oil Drain Tank (7-115-3-F)
1.2.6 Oily Water Drain Tank (7-114-1-F)
1.2.7 JP5 (9-109-1-J)
1.2.8 Underwater Hull Weather, Frames between 108 and 111, Starboard (Stbd)
1.2.9 Clean Salt Water Ballast (9-98-1-W)
1.3 Identification:
1.3.1 Quantity (One EA), Used Lube Oil Tank
Tank No.: 7-115-1-F Capacity: 158 Gallons
1.3.2 Quantity (One EA), Lube Oil Drain Tank
Tank No.: 7-115-3-F Capacity: 29 Gallons
1.3.3 Quantity (One EA), Oily Water Drain Tank
Tank No.: 7-114-1-F Capacity: 29 Gallons
1.3.4 Quantity (11 SF), Deck Plating, Second Platform in 7-109-1-E and 9-109-1-J, between Frames 114 and 115, and Shaft Alley Bulkhead and Longitudinal 5(S), Stbd
FOUO
SHIP: LCC-19 CHG/VER: 2/2
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Reading Point: 3 Inches x 3 Inches Grid Pattern Remarks: See Engrg Inst Enclosure-01 for location detail
JCN: ES01-NPNM
1.3.5 Quantity (One Lot), Structural Member in 7-109-1-E and 7-106-1-K, Stbd
1.3.5.1 Quantity (One Lot), Deck Plate, Second Platform in 7-109-1-E and 7-106-1-K, Frames between 108 and 111
Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 4-A of 2.5 for detail
JCN: ES01-NPFB
1.3.5.2 Quantity (One Lot), Bulkhead Plate, Transverse Bulkhead Frame 109 in 7-109-1-E
Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Section 4-B of 2.5 for detail
JCN: ES01-NPFB
1.3.5.3 Quantity (2 EA), Vertical Stiffener on Transverse Bulkhead and Second Platform in 7-109-1-E, Frame 109
Material: OS, MIL-S-22698 GR-A, 6 Inches x 4 Inches x 11 LBs T Remarks: See Plan 4-A and Section 4-B of 2.5 for detail
JCN: ES01-NPFB
1.3.5.4 Quantity (One Lot), Deck Plate, Second Platform in 7-109-1-E, Frames between 114 and 118
Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 5-A of 2.5 for detail JCNs: ES01-NPNP, ES01-NPNQ, ES01-NPNR, ES01-NPNS, and ES01-NPFD
1.3.5.5 Quantity (One EA), Vertical Stiffener on Transverse Bulkhead and Second Platform, Frame 118
Material: OS, MIL-S-22698 GR-A, 6 Inches x 4 Inches x 11 LBs T Remarks: See Elevation 6-A of 2.5 for detail
JCN: ES01-NPNT
1.3.5.6 Quantity (One Lot), Deck Plate, Second Platform in 7-109-1-E, Frames between 116 and 118
Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 6-B of 2.5 for detail
JCN: ES01-NPFE
1.3.6 Quantity (One Lot), Deck Plating, Second Platform in 7-109-1-E, Frames between 109 and 110 Stbd
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 1-A of Sketch Enclosure-02 for location detail
JCN: ES01-NPFC
1.3.7 Quantity (One Lot), Deck Plating, Second Platform in 7-109-1-E, Frames between 113 and 114 Stbd
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 1-A of Sketch Enclosure-02 for location detail
JCN: ES01-NPNK
1.3.8 Quantity (One Lot), Deck Plating, Second Platform in 7-109-1-E, Frames between 113 and 115 Stbd
FOUO
SHIP: LCC-19 CHG/VER: 2/2
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 1-A of Sketch Enclosure-02 for location detail
JCN: ES01-NPNL
1.3.9 Quantity (One Lot), Deck Plating, Second Platform in 7-109-1-E, Frames between 114 and 115 Stbd
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Plan 1-A of Sketch Enclosure-02 for location detail
JCN: ES01-NPNN
1.3.10 Quantity (One Lot), Bulkhead Plating, Transverse Bulkhead Frame 109 in 7-109-1-E, Stbd
Base Material: OS, MIL-S-22698 GR-A, 15.3 LBs Plate Remarks: See Section 2-A of Sketch Enclosure-02 for location detail
JCN: ES01-NPNH
1.3.11 Quantity (One Lot), Bulkhead Plating, Transverse Bulkhead Frame 118 in 7-109-1-E, Stbd
Base Material: OS, MIL-S-22698 GR-A, 12.75 LBs Plate Remarks: See Section 2-B of Sketch Enclosure-02 for location detail
JCN: ES01-NPNV
1.3.12 Quantity (42 SF), Structural Member in 7-109-1-E, Frames between 109 and 112, Stbd, including new material is installed and disturbed by the hot work
Remarks: See Plan 1-A and Detail 1-B of Sketch Enclosure-03 for location detail JCNs: ES01-NP1F and ES01-NPFB
1.3.13 Quantity (128 SF), Deck Plating, Second Platform in 7-109-1-E, Frames between 111 and 116, Stbd
Remarks: See Plan 1-A of Sketch Enclosure-03 for location detail
JCN: ES01-NPNJ
1.3.14 Quantity (89 SF), Deck Plating, Second Platform in 7-109-1-E, Frames between 112 and 117, including vertical surface up to height of 4 inches from deck, Stbd
Remarks: See Plan 2-A and 2-B of Sketch Enclosure-03 for location detail JCNs: ES01-NP1E and ES01-NNNS
1.3.15 Quantity (12 SF), Structural Member in 7-109-1-E, between Frames 216 and 218, and Longitudinal Bulkhead and Longitudinal 5S, including transverse bulkhead, shaft alley bulkhead, stiffeners, and coaming, Stbd
Remarks:
The area vertical surface up to height of 12 inches from deck See Plan 2-A and Detail 3-A of Sketch Enclosure-03 for location detail
JCN: ES01-NP1G
1.3.16 Quantity (69 SF), Structural Member in 7-109-1-E, between Frames 216 and 218, and Longitudinal Bulkhead and Longitudinal 5S, including transverse bulkhead, shaft alley bulkhead, stiffeners, coaming, and tank bottom plating, Stbd
Remarks:
The area excludes vertical surface up to height of 12 inches from deck listed in 1.3.15 See Plan 2-A and Detail 3-A of Sketch Enclosure-03 for location detail
JCN: ES01-NP1G
FOUO
SHIP: LCC-19 CHG/VER: 2/2
1.3.17 Quantity (2 SF), Bulkhead Plating, Transverse Bulkhead Frame 118 in 7-109-1-E, Stbd
Remarks: See Section 4-A of Sketch Enclosure-03 for location detail
JCN: ES01-NPNU
1.3.18 Quantity (76 SF), Deck Plating, Second Platform in 7-109-1-E, Frames between 114 and 118, Stbd, where new material is installed and disturbed by the hot work
Remarks: See Plan 5-A of 2.5 for location detail JCNs: ES01-NPNP, ES01-NPNQ, ES01-NPNR, ES01-NPNS, and ES01-NPFD
1.3.19 Quantity (19 SF), Structural Member in 9-109-1-J, Frames between 109 and 111, Stbd, where new material is installed and disturbed by the hot work
Remarks: See Plan 4-A of 2.5 for location detail
JCN: ES01-NPFB
1.3.20 Quantity (106 SF), Deck Plating, Second Platform in 9-109-1-J, Frames between 114 and 118, Stbd, where new material is installed and disturbed by the hot work
Remarks: See Plan 5-A of 2.5 for location detail JCNs: ES01-NPNP, ES01-NPNQ, ES01-NPNR, ES01-NPNS, and ES01-NPFD
1.4 Security Classification: None.
1.5 Initial Condition:
1.5.1 Dry Dock Work.
1.5.2 Potential Asbestos Hazard
1.5.3 Potential Lead Hazard
1.5.4 Critical Coated Area: CCNY-LCC19-048-25 for the area listed in 1.3.12 through 1.3.15, and 1.3.18 through 1.3.20.
1.6 Contractor work start date: 1/12/2026
1.7 Contractor work completion date: 6/12/2027
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
3 TM T9074-
AS-GIB-
010/271
Requirements for Nondestructive Testing Methods
1 N
4 TM S9086-
DA-STM-
010/CH-100
Hull Structures 4 N
5 PDD 103-
ELM-240153
REPAIR PLAN OF CORRODED
2ND PLATF IN EMER GEN RM
NO. 2 (7-109-1-E)
- Y AL
L
FOUO
SHIP: LCC-19 CHG/VER: 2/2
REF.
NO.
DOCUMENT
/DRAWING
NUMBER
DOCUMENT/DRAWING TITLE REV CHG
NO.
COPY
REQ’D
(Y/N)
SOURCE
DOC
(Y/N)
PARA SEC PG CHP
6 DWG 103-
2491034
1ST & 2ND PLATF PLTG AFT
FR98
H Y AL
7 DWG 114-
2491158
TRANSV BHD FR 98 &109 K Y AL
8 DWG 114-
2491167
MISC STRUCT BHD BELOW 1ST
PLATF FR 98-121
J Y 5
9 NSI T-9630-
AB-MMD-
Corrosion Control Assessment and Maintenance Manual (CCAMM)
3 N
10 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 through 1.3.3.
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 Pump out, clean and dry the bilge area located in 1.2.1 free from oil, debris, and other foreign matter.
5.3 Accomplish ultrasonic thickness measurement (UTM) on each deck plating listed in 1.3.4 in accordance with Paragraph 6.7 of 2.3, 2.4, and Enclosure-01.
5.3.1 Accomplish visual inspection of the deck plating for structural integrity, deterioration, pitting, cracks, and area of damage or distortion, using Enclosure-01 for guidance.
5.3.2 Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 5.3 to the SUPERVISOR.
5.4 Remove existing, fabricate and install new each structural member listed in 1.3.5 in accordance with 2.5.
5.4.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.
5.4.2 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of each deck plate and bulkhead plate listed in 1.3.5.1, 1.3.5.2, 1.3.5.4, and 1.3.5.5. Allowable leakage: None.
5.5 Accomplish weld repair of corrosion areas and mechanical damage on each existing deck plating and bulkhead plating listed in 1.3.6 through 1.3.11, using 2.6 through 2.8 for guidance. See 5.11.8.
5.5.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.
FOUO
SHIP: LCC-19 CHG/VER: 2/2
5.6 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 13, for each area listed in 1.3.12 through 1.3.18.
5.7 Accomplish the requirements of 009-32 of 2.1, including Table 4, Line(s) 12, for each area listed in 1.3.19 and 1.3.20.
5.7.1 Submit new coating data applied to the SUPERVISOR in accordance with 2.9 and 2.10.
5.8 Accomplish the requirements of 009-32 of 2.1 for each new and disturbed surface.
5.9 Notes:
5.9.1 Planner: Code 231B T. Ashina, 243-4370
Planner: Code 232 A. Ozawa, 243-2493 Planner: Code 233 M. Hosono, 080-9350-1455 Planner: Code 234 N. Aoki, 243-4306 Planner: Code 234 M. Eguchi, 243-0978 Engineer: Code 250 K. Ishiwata, 243-0092
5.9.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-5419-0598
5.9.3 Opening, initial cleaning, closing, and installation/removal of FMEs of each space listed in 1.2.7 will be covered by TGI No. 3819P12320A01 (KTR TGI).
5.9.4 Opening, initial cleaning, and closing of each space listed in 1.2.9 will be covered by TGI No. 3819P12344A01
(KTR TGI).
5.9.5 Preservation work for disturbed exterior surfaces of underwater hull will be covered by ICN 3819P11001 (KTR
TGI).
5.9.6 Removal and reinstallation of No. 2 high pressure air compressor unit located in 1.2.1 will be covered by ICN
3819P55103 (SRF-JRMC TGI).
5.9.7 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 bulkhead normally used to control air flow in the event of a shipboard fire. A non- flammable closure is required in accordance with COMNAVDEASYSCOM 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.
5.9.8 This TGI clears DFS LCC-19-1004-2024 in its entirety.
5.9.9 This TGI is in response to inspection report No. CCIMS-G1N6-LCC19-026-19 from TGI No. 3819I11004I02.
5.9.10 Provision of oily/chemical water barge will be coordinated by Project Team.
5.9.11 JCNs ES01-NP1E, ES01-NP1F, ES01-NP1G, ES01-NPNH, ES01-NPNJ, ES01-NPNK, ES01-NPNL, ES01- NPNM, ES01-NPNN, ES01-NPNP, ES01-NPNQ, ES01-NPNR, ES01-NPNS, ES01-NPNT, ES01-NPNU, ES01- NPNV, ES01-NPFB, ES01-NPFC, ES01-NPFD, ES01-NPFE, and ES01-NNNS are related to this TGI.
5.10 Government Furnished Material (GFM):
5.10.1 SRF-JRMC will provide GFM listed in Appendix ”M”.
5.11 SRF-JRMC will provide the following service work: (TGI No. 3819P14205S02).
FOUO
SHIP: LCC-19 CHG/VER: 2/2
5.11.1 [C740] Crane and crane rigging service.
5.11.2 [X99E] Utility service, electrical.
5.11.3 [X99M] Utility service, including water supply, steam supply, and low pressure air supply except onboard blasting work.
5.11.4 [C106.1] Safety inspection for SRF-JRMC employees.
5.11.5 [C106.2] Gas free inspection for SRF-JRMC employees.
5.11.6 [C133] QA inspection for (G) symbol(s), review of coating application data.
5.11.7 [C135] QA inspection for (G) symbol(s).
5.11.8 [C250] On-site engineering support for weld repair.
FOUO
J-1
SHIP: LCC-19 CHG/VER: 2/2
APPENDIX "J"
TGI JOB SUMMARY INFORMATION SHEET
SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH
VERSION:
CASREP
CAT:
STRL MBR 7-109-1-E AY A 0 2
CU PHASE TITLE:
F/O - INSPECT, REPAIR, & PRESERVE STRUCTURAL MEMBER IN 7-109-1-E & 7-106-1-K
PRIMARY COMPONENT:
COMPONENT UNIT LIST (FOR ASSEMBLIES):
JP5 STOR 9-109-1-J TK 2EDG 7-114-1-F TK2EDG 7-115-3-F TK2EDG 7-115-1-F TKCMPT 7-109-1-
E MS
ATTACHMENT LIST:
1. ENCLOSURE-01 (3819P14205A01-Engrg Inst.pdf) saved on 24-JUN-2024 0000.
2. ENCLOSURE-02 (3819P14205A01-Sketch-01.pdf) saved on 22-JUN-2024 0000.
3. ENCLOSURE-03 (3819P14205A01-Sketch-02.pdf) saved on 22-JUN-2024 0000.
ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:
YAGINUMA ,TAKEHIDE
JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:
3819P14205 A01
TOTAL MAT’L COST TOTAL DURATION:
CU PHASE DESCRIPTION:
The purpose of this TGI is to inspect, repair, and preserve structural member in 7-109-1-E and 7-106-1-K.
Location of Work:
Emergency Generator Room No. 2 (7-109-1-E) Chemical Warfare Defense Equipment Storeroom (7-106-1-K) "E" Division Storeroom (9-118-1-A) Used Lube Oil Tank (7-115-1-F) Lube Oil Drain Tank (7-115-3-F) Oily Water Drain Tank (7-114-1-F)
JP5 (9-109-1-J)
Underwater Hull Weather, Frames between 108 and 111, Starboard Clean Salt Water Ballast (9-98-1-W)
TASK NAME
SHOP TSD/WC TS CREW# MHRS
HIGH RAD
HOURS
RC
GRID#
5.1 LBR HRs. 22 KE PC
5.2 LBR HRs. 22 KE PC
5.3 SFTR HRs. 22 KE PC
5.4 SFTR HRs, WELD HRs, INSL HRs, SMTL HRs, CARP
HRs, PNTR HRs, RGRS HRs, QA HRs, ELEC HRs, BLRM HRs, OMCH HRs, PFTR HRs.
22 KE PC
5.5 WELD HRs, INSL HRs, SMTL HRs, PNTR HRs, RGRS
HRs, QA HRs.
22 KE PC
5.6 PNTR HRs, QA HRs, BLRM HRs. 22 KE PC
5.7 PNTR HRs, QA HRs, RGRS HRs. 22 KE PC
FOUO
J-2
SHIP: LCC-19 CHG/VER: 2/2
TASK NAME
SHOP TSD/WC TS CREW# MHRS
HIGH RAD
HOURS
RC
GRID#
5.8 PNTR HRs, QA HRs. 22 KE PC
Dewatering and Cleaning Work CFM: $ for marine chemist, gaskets, fasteners, tank watch cost, and MISC.
22 MQ CS
Structure Work CFM: $ for firewatch cost, asbestos sampler cost and analysis cost for compartment insulation, UT inspection cost,---continue to below---
22 MQ CS
---continued from above--- air compressor rental cost, and fuel oil cost for air hose test and misc such as electrode, gases, temporary covering and closure material, and other consumable.
22 MQ CS
Preservation Work CFM: $ for all paints, thinners, grit, including disposal cost, lead analysis cost, slip-resistant self adhesive tread, and misc such as covering material, temporary closure, and other consumable.
22 MQ CS
Piping Work CFM $ for firewatch cost, material for test equipments, analysis cost for asbestos, welding rod and gas, pipe hanger, plastic sheet/cover, paint, bag, disposal coverall, saw blade, tape, air compressor rental cost, fuel oil cost, and MISC.
22 MQ CS
Boiler, and lagging Work CFM: $ for asbestos sample and analyze cost, electrode, gases, fastener, nut, gasket, fire watch, paints, plastic bag/sheet, tyvck suit and MISC.
22 MQ CS
Electrical Work CFM: $ for fastener and misc such as covering material and other consumable.
22 MQ CS
Machinery Work CFM: $ for MISC material. 22 MQ CS
Process Funding Document. 10 CT OM
Version-01: add reference 2.14. C231B R. Takagi, 6/28/2024, -/- /N.
V-01
Version-02: delete unnecessary references and add Ref No. 9, Ref No. 10, re-estimate man-hours and CFM for HPAC. C231B R. Takagi, 07/12/2024. -/-/N.
V-02
FOUO
M-1
SHIP: LCC-19 CHG/VER: 2/2
APPENDIX “M”
TGI MATERIAL LIST
SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH
VERSION:
CASREP
CAT:
STRL MBR 7-109-1-E AY A 0 2
CU PHASE TITLE:
F/O - INSPECT, REPAIR, & PRESERVE STRUCTURAL MEMBER IN 7-109-1-E & 7-106-1-K
MATERIAL REFERENCES
REF
NO.
DOCUMENT/DRAWING
NUMBER
DOCUMENT/DRAWING TITLE REV
1 DL021
JOB ORDER: KEY OP:
3819P14205 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, ORIG: C231B T.
ASHINA 243-4370, ORDERED
FOR KTR
9B 9515 001533217 NA 4 N 41775153
105/SF
002 M PLATE,ME, 1FT X 4FT =1EA
ORIG: C231B T. ASHINA 243-
4370, ORDERED FOR KTR
9B 9515 001533223 NA 4 N 41775154 4/SF
004 M INSULATI, ORIG: C231B T.
ASHINA 243-4370, ORDERED
FOR KTR
9Q 5640 008096312 NA 4 N 41775155 3/EA
005 M TAPE,TEX, ORIG: C231B T.
ASHINA 243-4370, ORDERED
FOR KTR
9B 8315 002671632 NA 4 N 41775156 1/RO
006 M TAPE,TEX, ORIG: C231B T.
ASHINA 243-4370, ORDERED
FOR KTR
9B 8315 002671633 NA 4 N 41775157 1/RO
007 M ADHESIVE, ORIG: C231B T.
ASHINA 243-4370, ORDERED
FOR KTR
9B 8040 002738708 NA 4 Y 41775158 1/GL
008 M BEAM,STRUCTURAL, ORIG:
C231B T. ASHINA 243-4370,
ORDERED FOR KTR
9B 9520 002780359 NA 4 N 6/FT
NOTES:
FOUO
M-2
SHIP: LCC-19 CHG/VER: 2/2
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
201 M SCREW, HEX CAP, 1"-8,
SCREW, HEX CAP, 1"-8UNC-2A
X 8-3/4"LG, ALLOY STEEL,
SCREW, HEX, CAP, MIL-DTL-
1222, TYPE-1, GR-5
C232 A.OZAWA, 243-2493
ORDER FOR KTR. FOR HPAC
UNIT
GN 17 OF DWG 7644542
9B 5305 LL9310776 NA 4 N 41777446 6/EA
204 M RUBBER S, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
F-16 OF DWG 7645049, F-5 OF
DWG 8273921
9B 5330 014905044 NA 4 N 41705164 1/SH
205 M NUT,PLAI, C232 A.OZAWA, 243-
ORDER FOR KTR.
F-18 OF DWG 7645049
9B 5310 002725700 NA 4 N 41705166 8/EA
207 M BOLT,HEAVY HEX,1/2"-, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
F-3 OF DWG 8273921
9B 5306 LL4945298 NA 4 N 41707483 16/EA
208 M NUT, NUT, JAM, HEXAGON,
SIZE: 1/2"-13UNC-2B,
MATERIAL: NICKEL ALLOY 400
C232 A.OZAWA, 243-2493
ORDER FOR KTR.
F-4 OF DWG 8273921
9B 5310 LL9310777 NA 4 N 41777447 16/EA
209 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
FIGURE 7-14 (1ST RELIEF),
FIGURE 7-15 (2ND RELIEF),
FIGURE 7-52 (SW RELIEF) OF
TM S6220-BH-MMA-010
9B 5330 014369287 NA 4 N 41705168 6/EA
210 M O-RING, C232 A.OZAWA, 243-
ORDER FOR KTR.
FIGURE 7-16 (3RD RELIEF),
FIGURE 7-17 (4TH RELIEF),
FIGURE 7-18 (5TH RELIEF) OF
TM S6220-BH-MMA-010
9B 5331 001651940 NA 4 N 41705171 6/EA
211 M PACKING,, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
FIGURE 7-13-44 OF TM S6220-
BH-MMA-010
9B 5330 003649791 NA 4 N 41705174 1/EA
212 M SCREW,CA, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
V12 OF DWG 2492368
9B 5305 002269209 NA 4 N 41705175 12/EA
213 M SCREW,CA, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
V10 SUC SIDE OF DWG
2492368
9B 5305 002269210 NA 4 N 41705176 6/EA
214 M SCREW,CA, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
V11 OF DWG 2492368
9B 5305 002269207 NA 4 N 41705177 12/EA
FOUO
M-3
SHIP: LCC-19 CHG/VER: 2/2
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
215 M RUBBER SHEET SOLID, C232
A.OZAWA, 243-2493
ORDER FOR KTR. 1/16 THK
V10, V11, V12 OF DWG
2492368
9B 5330 014905051 NA 4 N 41705119 2/SH
216 M RUBBER S, C232 A.OZAWA,
243-2493
ORDER FOR KTR. 1/8 THK
V10, V11, V12 OF DWG
2492368
9B 5330 014905071 NA 4 N 41705178 2/SH
217 M SCREW,CAP,HEXAGON H,
C232 A.OZAWA, 243-2493
ORDER FOR KTR. FOR LO FILL
PUMP
GN 16 OF DWG 8428956
9B 5305 000712509 NA 4 N 41705127 1/HD
218 M HEX NUT, C232 A.OZAWA, 243-
ORDER FOR KTR. FOR LO FILL
PUMP
GN 16 OF DWG 8428956
9B 5310 LL9310778 NA 4 N 41777448 4/EA
219 M WASHER,FLAT, C232
A.OZAWA, 243-2493
ORDER FOR KTR. FOR LO FILL
PUMP
GN 16 OF DWG 8428956
9B 5310 007270858 NA 4 N 41705129 8/EA
220 M CORK AND RUBBER SHE,
C232 A.OZAWA, 243-2493
ORDER FOR KTR. 1/16 THK
FOR LO FILL PUMP & V20 OF
DWG 2492248
9B 5330 002919597 NA 4 N 41705117 1/SH
221 M CORK AND, C232 A.OZAWA,
243-2493
ORDER FOR KTR. 1/8 THK
FOR LO FILL PUMP & V20 OF
DWG 2492248
9B 5330 002919598 NA 4 N 41705180 1/SH
222 M SCREW,CAP,HEXAGON H,
C232 A.OZAWA, 243-2493
ORDER FOR KTR.
18 OF DWG 7543736
9B 5305 001744033 NA 4 N 41705130 4/EA
223 M NUT,SELF-LOCKING,HE, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
19 OF DWG 7543736
9B 5310 014419209 NA 4 N 41705116 4/EA
224 M WASHER,FLAT, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
20 OF DWG 7543736
9B 5310 006166750 NA 4 N 41705112 8/EA
225 M RUBBER SHEET,SOLID,, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
F-8 OF DWG 7543956
9B 5330 014905088 NA 4 N 41705114 2/SH
226 M SCREW,CA, C232 A.OZAWA,
243-2493
ORDER FOR KTR. FOR OILY
WASTE TRANSFER PUMP
F-9 OF DWG 7543956
9B 5305 001744057 NA 4 N 41705182 8/EA
227 M NUT,PLAI, C232 A.OZAWA, 243-
ORDER FOR KTR.
F-10 OF DWG 7543956 & 5 OF
DWG 7542713
9B 5310 002725700 NA 4 N 41705183 12/EA
228 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
V-3 OF DWG 7543956
9B 5330 013773268 NA 4 N 41705110 4/EA
FOUO
M-4
SHIP: LCC-19 CHG/VER: 2/2
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
229 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
V-4 OF DWG 7543956
9B 5330 013596970 NA 4 N 41705184 2/EA
230 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
FOR 1-1/2 UNION
9B 5330 013773268 NA 4 N 41705104 20/EA
231 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
FOR 3/4 UNION
9B 5330 013773267 NA 4 N 41705187 2/EA
232 M WASHER,FLAT, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
9 OF DWG 7543736
9B 5310 012472760 NA 4 N 41705133 4/EA
233 M SCREW,CAP,HEXAGON H,
C232 A.OZAWA, 243-2493
ORDER FOR KTR.
28 OF DWG 7543736
9B 5305 002269233 NA 4 N 41705134 4/EA
234 M NUT,SELF-LOCKING,HE, C232
A.OZAWA, 243-2493
ORDER FOR KTR.
29 OF DWG 7543736
9B 5310 013855986 NA 4 N 41705136 4/EA
235 M RUBBER S, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
F-31 OF DWG 7543949
9B 5330 014905071 NA 4 N 41705188 1/SH
236 M GASKET, C232 A.OZAWA, 243-
ORDER FOR KTR.
GARLOCK3200 1/8 THK
FOR BUTTERFLY VALVE
9B 5330 015446752 NA 4 N 41705137 3/SH
237 M SCREW,CA, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
4 OF DWG 7542713
9B 5305 001744058 NA 4 N 41705190 6/EA
238 M WASHER,F, C232 A.OZAWA,
243-2493
ORDER FOR KTR.
6 OF DWG 7542713
9B 5310 011799482 NA 4 N 41705191 6/EA
239 M RUBBER S, C232 A.OZAWA,
243-2493
ORDER FOR KTR
V26 OF DWG 2492153, F-68 OF
DWG 7542661, VALVE 26-VS2
(7-110-1) OF 2492153
9B 5330 014905044 NA 4 N 41705193 3/SH
240 M NUT,PLAI, C232 A.OZAWA, 243-
ORDER FOR KTR.
V10, V11, V12 OF DWG
2492368
9B 5310 002725701 NA 4 N 41705195 30/EA
401 M SLEEVE, SLEEVE, 5 INCH IPS,
BUTT WELD, CU-NI 70-30,
200PSI, 810-1385880
ORDERED FOR KTR
C234 N.AOKI 243-4306
9B 4730 LL4462306 NA 4 N 41567422 5/EA
402 M BACKING, BACKING RING,
SIZE: 5"IPS,CNA 70/30,
200PSIG
ORDERED FOR KTR
C234 N.AOKI 243-4306
9B 4730 LL4480106 NA 4 N 41567421 5/EA
FOUO
M-5
SHIP: LCC-19 CHG/VER: 2/2
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 SLEEVE, SLEEVE, 6"IPS, BUTT
WELD, CU-NI 70-30, 200PSI,
810-1385880
ORDERED FOR KTR
C234 N.AOKI 243-4306
9B 4730 LL4462307 NA 4 N 41567423 5/EA
404 M BACKING RING, BACKING
RING, SIZE; 6"IPS, MATL: CNA
70/30, 200PSIG,
W&O P/N: 549992.700, ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4456561 NA 4 N 41567424 5/EA
405 M COUPLING,TUBE, COUPLING,
1-1/2, CN 90-10, SW
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014645439 NA 4 N 41565196 5/EA
406 M BACKING, BACKING RING, 1-
1/2"IPS, CNA 90/10, 200PSIG
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4558777 NA 4 N 41567419 5/EA
407 M COUPLING, 1"IPS, 90-10, SW
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014635857 NA 4 N 41565255 3/EA
408 M COUPLING, 2"IPS, 90-10, SW
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014645442 NA 4 N 41565259 2/EA
409 M BACKING, BACKING RING, CU-
NI 90-10
2"IPS
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4558779 NA 4 N 41567418 2/EA
410 M COUPLING,TUBE, COUPLING,
1-1/2, CN 90-10, SW
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014645439 NA 4 N 41565197 3/EA
411 M COUPLING,TUBE, COUPLING,
1-1/2"IPS, SW, CUNI-90/10
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014645439 NA 4 N 41565199 3/EA
412 M BACKING, 1-1/2"IPS, CNA
90/10, 200PSIG
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4558777 NA 4 N 41567420 3/EA
413 M COUPLING,PIPE, COUPLING,
1-1/2"IPS, SW, 400#, 803-
6397430, CUNI 70/30
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014214722 NA 4 N 41565169 1/EA
414 M BACKING RING, BACKING
RING.1-1/2"IPS. CNA 70/30,
200PSIG
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4558816 NA 4 N 41567416 1/EA
415 M COUPLING,PIPE, COUPLING,
1-1/2"IPS, SW, 400#, 803-
6397430, CUNI 70/30
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014214722 NA 4 N 41565174 2/EA
416 M COUPLING,PIPE, 2”IPS, SW
400PSI, CU-NI 70-30
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014221986 NA 4 N 41565200 2/EA
417 M BACKING, BACKING RING,
2"IPS, CNA 70/30, 200PSIG
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9C 4730 LL4558817 NA 4 N 41567415 2/EA
FOUO
M-6
SHIP: LCC-19 CHG/VER: 2/2
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
418 M COUPLING,PIPE, COUPLING,
C-STL, S/W
1/2"IPS
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 008227657 NA 4 N 41565184 2/EA
419 1 M COUPLING,PIPE, SIZE: 2 INCH
IPS
MATERIAL: C-STEEL
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 008226539 NA 4 N 41565167 2/EA
420 M TUBE,METALLIC, TUBE,
METALLIC
2"
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4710 002777246 NA 4 N 41565166 5/FT
421 M COUPLING,TUBE, COPLING
SLEEVE, 5" IPS, CUNI, 90-
10,CL200
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 007225475 NA 4 N 41565201 2/EA
422 M BACKING, BACKING RING,
SIZE: 5"IPS, MATL: CNA 90/10,
200PSIG
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 LL4558788 NA 4 N 41567417 2/EA
423 M COUPLING, 3/4"IPS, CU-NI
90/10, SW, 400PSI
ORDER FOR KTR
ORIG: C234 N.AOKI 243-4306
9B 4730 014635878 NA 4 N 41565258 5/EA
424 M COUPLING,TUBE, COUPLING,
1-1/2, CN 90-10, SW
ORDERED FOR KTR, ORG:
C234,T. SHIBANO, TEL: 243-
9B 4730 014645439 NA 4 N 41565202 5/EA
425 M COUPLING,TUBE, COUPLING,
SW, CU-NI 90-10, 400, 1/4" IPS
ORDERED FOR KTR, ORG:
C234 N.AOKI 243-4306
9B 4730 014635868 NA 4 N 41585298 8/PG
450 M SHEET,NONMETALLIC,P,
SHIELD, 4" WIDE, 30 FT PER
ROLL,
C234 M. EGUCHI, 243-0978
ORDERED FOR KTR
9B 9390 013753347 NA 4 N 41535159 1/RO
451 C SHIELD,SAFETY,PIPE,
FLANGE SHIELD, 5 IN, 30
FT/EA
C234 M. EGUCHI, 243-0978
ORDERED FOR KTR
9B 4730 010100997 NA 4 N 41535160 1/EA
452 M SHIELD,SAFETY,PIPE, SHIELD,
6" WIDE, 30 FT PER ROLL,
ORIG:CODE 234 M. EGUCHI,
243-0978
ORDERED FOR KTR
9B 4730 010100998 NA 4 N 41535161 1/EA
FOUO
M-7
SHIP: LCC-19 CHG/VER: 2/2
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
453 M INSULATI, NSULATION, 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 M. EGUCHI, 243-
9B 5970 LL9607848 NA 4 N 41537516 6/EA
454 M INSULATI,
INSULATION, PIPE,
BRAND: K-FLEX ECO,
SPECIFICATION COMPLIANCE:
EB 4013,
FOR 5" IPS,
SIZE: 5-1/2" 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*
ORIG: C234, M. EGUCHI 243-
ORDERED FOR KTR
9B 5640 LL9607849 NA 4 N 41537517 12/EA
455 M INSULATI, P/T 6.775" ID X 3/4"T,
6FT/LG
ORDER FOR KTR
C234 M. EGUCHI, 243-0978
9B 5970 LL9607850 NA 4 N 41537518 12/EA
456 M CLOTH,PLAIN WEAVE, GLASS
CLORH LOW WEIGHT
ORDERED FOR KTR, C234 M.
EGUCHI, 243-0978
9B 8305 001487363 NA 4 N 41535162 1/RO
457 M ADHESIVE, ADHESHIVE FOR P
ORIG: C234 M. EGUCHI,243-
ORDERED FOR KTR
9B 8040 008419773 NA 4 Y 41535163 4/PT
458 M ADHESIVE, ADHESIVE FOR
CLOTH,
ORDERED FOR KTR
ORIG: C234 M. EGUCHI, 243-
9B 8040 002738708 NA 4 Y 41535164 6/GL
459 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 M. EGUCHI, 243-
9B 5640 LL9607842 NA 4 N 41557424 2/EA
460 M INSULATI, ORDERED FOR KTR
ORIG: C234 M. EGUCHI, 243-
9B 5970 LL4783095 NA 4 N 41537519 2/EA
FOUO
M-8
SHIP: LCC-19 CHG/VER: 2/2
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
461 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, 243-
9B 5970 LL9607843 NA 4 N 41557425 2/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 STRL MBR 7-109-1-E AY A 0
4a. ICN: 4b. KEY OP: 5. LOC SPACE/LVL: FRAME: P/S/C: 6. CAUSED BY:
3819P14205 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 STRL MBR 7-109-1-E AY A 0
Takaaki.Ashina.ja Text Box 3819P14205A01
Takaaki.Ashina.ja_1
PLAN 1-A
2ND PLATF FR 109 - 118, STBD
EMERGENCY GENERATOR ROOM NO. 2
Takaaki.Ashina.ja_2 Line
Takaaki.Ashina.ja_3 Text Box
LOCATION DETAIL FOR WELD REPAIR
Takaaki.Ashina.ja_4 Line
Takaaki.Ashina.ja_5 Text Box
Takaaki.Ashina.ja_6 Text Box
Takaaki.Ashina.ja_7 Text Box
Takaaki.Ashina.ja_8 Text Box
Takaaki.Ashina.ja_9 Text Box
Takaaki.Ashina.ja_10 Line
Takaaki.Ashina.ja_11 Text Box
FR 109
Takaaki.Ashina.ja_12 Text Box
FR 118
Takaaki.Ashina.ja_13 Text Box
Takaaki.Ashina.ja_14 Text Box
FR 110
Takaaki.Ashina.ja_15 Text Box
FR 111
Takaaki.Ashina.ja_16 Text Box
FR 112
Takaaki.Ashina.ja_17 Text Box
FR 113
Takaaki.Ashina.ja_18 Text Box
FR 114
Takaaki.Ashina.ja_19 Text Box
FR 115
Takaaki.Ashina.ja_20 Text Box
FR 116
Takaaki.Ashina.ja_21 Text Box
FR 117
Takaaki.Ashina.ja_22 Text Box 18' 5"
Takaaki.Ashina.ja_23 Text Box 11' 3"
Takaaki.Ashina.ja_24 Line
Takaaki.Ashina.ja_25 Text Box
CORROSION AREA
ES01-NPNK
Takaaki.Ashina.ja_26 Oval
Takaaki.Ashina.ja_27 Line
Takaaki.Ashina.ja_28 Oval
Takaaki.Ashina.ja_29 Text Box
CORROSION AREA
ES01-NPNL
Takaaki.Ashina.ja_30 Text Box 8' 10"
Takaaki.Ashina.ja_31 Text Box 16' 2"
Takaaki.Ashina.ja_32 Line
Takaaki.Ashina.ja_33 Line
Takaaki.Ashina.ja_34 Oval
Takaaki.Ashina.ja_35 Line
Takaaki.Ashina.ja_36 Line
Takaaki.Ashina.ja_37 Text Box 6' 10"
Takaaki.Ashina.ja_38 Text Box 13' 7"
Takaaki.Ashina.ja_39 Line
Takaaki.Ashina.ja_40 Text Box
CORROSION AREA
ES01-NPNN
Takaaki.Ashina.ja_41 Line
Takaaki.Ashina.ja_42 Line
Takaaki.Ashina.ja_43 Line
Takaaki.Ashina.ja_44 Line
Takaaki.Ashina.ja_45 Text Box
SECTION 2-A
Takaaki.Ashina.ja_46 Line
Takaaki.Ashina.ja_47 Line
Takaaki.Ashina.ja_48 Line
Takaaki.Ashina.ja_49 Line
Takaaki.Ashina.ja_50 Line
Takaaki.Ashina.ja_51 Text Box
SECTION 2-B
Takaaki.Ashina.ja_52 Line
Takaaki.Ashina.ja_53 Line
Takaaki.Ashina.ja_54 Text Box
FWD
Takaaki.Ashina.ja_55 Text Box 3819P14205A01
Takaaki.Ashina.ja_56 Text Box
SKETCH
ENCLOSURE-02
Takaaki.Ashina.ja_57 Line
Takaaki.Ashina.ja_58 Text Box Sheet 1 of 2
Takaaki.Ashina.ja_59 Rectangle
Takaaki.Ashina.ja_60 Line
Takaaki.Ashina.ja_61 Text Box
TRANSV BHD
Takaaki.Ashina.ja_62 Line
Takaaki.Ashina.ja_63 Text Box
TRANSV BHD
Takaaki.Ashina.ja_64 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_65 Text Box Emergency Generator Room No. 2 (7-109-1-E)
Takaaki.Ashina.ja_66 Text Box
SHAFT ALLEY (9-98-0-Q)
Takaaki.Ashina.ja_67 Line
Takaaki.Ashina.ja_68 Text Box
SHELL
Takaaki.Ashina.ja_69 Line
Takaaki.Ashina.ja_70 Text Box 22"
Takaaki.Ashina.ja_71 Line
Takaaki.Ashina.ja_72 Line
Takaaki.Ashina.ja_73 Text Box 32"
Takaaki.Ashina.ja_74 Line
Takaaki.Ashina.ja_75 Text Box
CORROSION AREA
ES01-NPFC
Takaaki.Ashina.ja_76 Line
Takaaki.Ashina.ja_77 Oval
Takaaki.Ashina.ja_78
SECTION 2-A
TRANSVERSE BULKHEAD FR 109, STBD
LKG AFT
Takaaki.Ashina.ja_79 Oval
Takaaki.Ashina.ja_80 Line
Takaaki.Ashina.ja_81 Text Box 8' 11"
Takaaki.Ashina.ja_82 Line
Takaaki.Ashina.ja_83 Text Box 17"-1/2
Takaaki.Ashina.ja_84 Text Box
SHELL
Takaaki.Ashina.ja_85 Line
Takaaki.Ashina.ja_86 Text Box
1 ST
PLATF
Takaaki.Ashina.ja_87 Text Box
2ND
PLATF
Takaaki.Ashina.ja_88 Text Box 3819P14205A01
Takaaki.Ashina.ja_89 Text Box
SKETCH
ENCLOSURE-02
Takaaki.Ashina.ja_90 Line
Takaaki.Ashina.ja_91 Text Box Sheet 2 of 2
Takaaki.Ashina.ja_92 Text Box
SECTION 2-B
TRANSVERSE BULKHEAD FR 118, STBD
LKG AFT
Takaaki.Ashina.ja_93 Text Box
MECHANICAL DAMAGE
ES01-NPNH
Takaaki.Ashina.ja_94 Line
Takaaki.Ashina.ja_95 Oval
Takaaki.Ashina.ja_96 Line
Takaaki.Ashina.ja_97 Line
Takaaki.Ashina.ja_98 Text Box 29"
Takaaki.Ashina.ja_99 Text Box
CORROSION AREA
ES01-NPNV
Takaaki.Ashina.ja_100 Line
Takaaki.Ashina.ja_101 Text Box
2ND PLATF
Takaaki.Ashina.ja_102 Text Box
1ST PLATF
Takaaki.Ashina.ja_103 Text Box
SHELL
Takaaki.Ashina.ja_104 Line
Takaaki.Ashina.ja_105 Line
Takaaki.Ashina.ja_106 Line
Takaaki.Ashina.ja_107 Rectangle
Takaaki.Ashina.ja_108 Rectangle
Takaaki.Ashina.ja_109 Oval
Takaaki.Ashina.ja_110 Text Box
:MECHANICAL DAMAGE
Takaaki.Ashina.ja_111 Oval
Takaaki.Ashina.ja_112
:CORROSION AREA
Takaaki.Ashina.ja_113
LOCATION DETAIL FOR PRESERVATION AREA
Takaaki.Ashina.ja_114 Text Box
PLAN 1-A
2ND PLATF FR 109 - 118, STBD
EMERGENCY GENERATOR ROOM NO. 2
Takaaki.Ashina.ja_115 Line
Takaaki.Ashina.ja_116 Text Box 3819P14205A01
Takaaki.Ashina.ja_117 Text Box
SKETCH
ENCLOSURE-03
Takaaki.Ashina.ja_118 Line
Takaaki.Ashina.ja_119 Text Box Sheet 1 of 4
Takaaki.Ashina.ja_120 Line
Takaaki.Ashina.ja_121 Text Box
FR 109
Takaaki.Ashina.ja_122 Text Box
FR 110
Takaaki.Ashina.ja_123 Text Box
Takaaki.Ashina.ja_124 Text Box
FR 111
Takaaki.Ashina.ja_125 Text Box
FR 112
Takaaki.Ashina.ja_126 Text Box
Takaaki.Ashina.ja_127 Text Box
FR 113
Takaaki.Ashina.ja_128 Text Box
FR 114
Takaaki.Ashina.ja_129 Text Box
Takaaki.Ashina.ja_130 Text Box
Takaaki.Ashina.ja_131 Text Box
FR 115
Takaaki.Ashina.ja_132 Text Box
FR 116
Takaaki.Ashina.ja_133 Text Box
FR 117
Takaaki.Ashina.ja_134 Text Box
FR 118
Takaaki.Ashina.ja_135 Text Box
Takaaki.Ashina.ja_136 Text Box
Takaaki.Ashina.ja_137 Line
Takaaki.Ashina.ja_138 Polygonal Line
Takaaki.Ashina.ja_139 Line
Takaaki.Ashina.ja_140 Line
Takaaki.Ashina.ja_141 Line
Takaaki.Ashina.ja_142 Line
Takaaki.Ashina.ja_143 Line
Takaaki.Ashina.ja_144 Line
Takaaki.Ashina.ja_145 Line
Takaaki.Ashina.ja_146 Line
Takaaki.Ashina.ja_147 Line
Takaaki.Ashina.ja_148 Line
Takaaki.Ashina.ja_149 Line
Takaaki.Ashina.ja_150 Line
Takaaki.Ashina.ja_151 Text Box 114"
Takaaki.Ashina.ja_152 Line
Takaaki.Ashina.ja_153 Text Box 48"
Takaaki.Ashina.ja_154 Line
Takaaki.Ashina.ja_155 Line
Takaaki.Ashina.ja_156 Line
Takaaki.Ashina.ja_157 Text Box Structural Member (PARA 1.3.13)
Takaaki.Ashina.ja_158 Rectangle
Takaaki.Ashina.ja_159 Line
Takaaki.Ashina.ja_160 Text Box 16'
Takaaki.Ashina.ja_161 Text Box 12'
Takaaki.Ashina.ja_162 Line
Takaaki.Ashina.ja_163 Line
Takaaki.Ashina.ja_164 Line
Takaaki.Ashina.ja_165 Text Box 8'
Takaaki.Ashina.ja_166 Line
Takaaki.Ashina.ja_167 Line
Takaaki.Ashina.ja_168 Line
Takaaki.Ashina.ja_169 Line
Takaaki.Ashina.ja_170 Text Box 10'
Takaaki.Ashina.ja_171 Text Box
DECK PLATING (PARA 1.3.14)
Takaaki.Ashina.ja_172 Line
Takaaki.Ashina.ja_173 Line
Takaaki.Ashina.ja_174 Line
Takaaki.Ashina.ja_175 Line
Takaaki.Ashina.ja_176 Line
Takaaki.Ashina.ja_177 Line
Takaaki.Ashina.ja_178 Line
Takaaki.Ashina.ja_179 Line
Takaaki.Ashina.ja_180 Line
Takaaki.Ashina.ja_181 Line
Takaaki.Ashina.ja_182 Line
Takaaki.Ashina.ja_183 Line
Takaaki.Ashina.ja_184 Line
Takaaki.Ashina.ja_185 Line
Takaaki.Ashina.ja_186 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_187 Line
Takaaki.Ashina.ja_188 Line
Takaaki.Ashina.ja_189 Text Box
Takaaki.Ashina.ja_190 Text Box
SHELL
Takaaki.Ashina.ja_191 Line
Takaaki.Ashina.ja_192 Rectangle
Takaaki.Ashina.ja_193 Text Box
FWD
Takaaki.Ashina.ja_194 Line
Takaaki.Ashina.ja_195 Text Box Emergency Generator Room No. 2 (7-109-1-E)
Takaaki.Ashina.ja_196 Text Box
TRANSV BHD
Takaaki.Ashina.ja_197 Line
Takaaki.Ashina.ja_198 Text Box
TRANSV BHD
Takaaki.Ashina.ja_199 Line
Takaaki.Ashina.ja_200 Text Box
CL
Takaaki.Ashina.ja_201 Text Box
SHAFT ALLEY (9-98-0-Q)
Takaaki.Ashina.ja_202 Rectangle
Takaaki.Ashina.ja_203 Line
Takaaki.Ashina.ja_204 Line
Takaaki.Ashina.ja_205 Line
Takaaki.Ashina.ja_206 Line
Takaaki.Ashina.ja_207 Line
Takaaki.Ashina.ja_208 Text Box
: PRESERVATION AREA
Takaaki.Ashina.ja_209 Text Box
SECT 4-A
Takaaki.Ashina.ja_210 Line
Takaaki.Ashina.ja_211 Line
Takaaki.Ashina.ja_212 Line
Takaaki.Ashina.ja_213 Line
Takaaki.Ashina.ja_214 Line
Takaaki.Ashina.ja_215 Text Box 48"
Takaaki.Ashina.ja_216 Line
Takaaki.Ashina.ja_217 Line
Takaaki.Ashina.ja_218 Text Box
Takaaki.Ashina.ja_219 Line
Takaaki.Ashina.ja_220 Line
Takaaki.Ashina.ja_221 Text Box 41"
Takaaki.Ashina.ja_222 Text Box
DETAIL 1-B
TRANSV BHD 109, STBD
LKG FWD
Takaaki.Ashina.ja_223 Rectangle
Takaaki.Ashina.ja_224 Line
Takaaki.Ashina.ja_225 Line
Takaaki.Ashina.ja_226 Text Box 12"
Takaaki.Ashina.ja_227 Line
Takaaki.Ashina.ja_228 Line
Takaaki.Ashina.ja_229 Line
Takaaki.Ashina.ja_230 Line
Takaaki.Ashina.ja_231 Line
Takaaki.Ashina.ja_232 Line
Takaaki.Ashina.ja_233 Line
Takaaki.Ashina.ja_234 Line
Takaaki.Ashina.ja_235 Line
Takaaki.Ashina.ja_236 Line
Takaaki.Ashina.ja_237 Line
Takaaki.Ashina.ja_238 Line
Takaaki.Ashina.ja_239 Line
Takaaki.Ashina.ja_240 Line
Takaaki.Ashina.ja_241 Line
Takaaki.Ashina.ja_242 Line
Takaaki.Ashina.ja_243 Line
Takaaki.Ashina.ja_244 Line
Takaaki.Ashina.ja_245 Line
Takaaki.Ashina.ja_246 Line
Takaaki.Ashina.ja_247 Text Box
:PRESEVATION AREA
Takaaki.Ashina.ja_248 Line
Takaaki.Ashina.ja_249 Text Box
DETAIL 1-B
Takaaki.Ashina.ja_250 Line
Takaaki.Ashina.ja_251 Line
Takaaki.Ashina.ja_252 Rectangle
Takaaki.Ashina.ja_253 Line
Takaaki.Ashina.ja_254 Line
Takaaki.Ashina.ja_255 Line
Takaaki.Ashina.ja_256 Line
Takaaki.Ashina.ja_257 Line
Takaaki.Ashina.ja_258 Line
Takaaki.Ashina.ja_259 Text Box Structural Member(PARA 1.3.13)
Takaaki.Ashina.ja_260 Line
Takaaki.Ashina.ja_261 Line
Takaaki.Ashina.ja_262 Line
Takaaki.Ashina.ja_263
PLAN 2-A
2ND PLATF FR 109 - 118, STBD
EMERGENCY GENERATOR ROOM NO. 2
Takaaki.Ashina.ja_264 Line
Takaaki.Ashina.ja_265 Line
Takaaki.Ashina.ja_266 Text Box
PLAN 2-B
Takaaki.Ashina.ja_267 Line
Takaaki.Ashina.ja_268 Text Box
DETAIL 3-A
Takaaki.Ashina.ja_269 Text Box
PLAN 2-B
2ND PLATF FR 109 - 118, STBD
Takaaki.Ashina.ja_270 Text Box Deck Plating FR 112 - 117, including vertical surface up to height of 4" from deck (PARA 1.3.15)
Takaaki.Ashina.ja_271 Line
Takaaki.Ashina.ja_272 Text Box
Takaaki.Ashina.ja_273 Text Box
: PRESERVATION AREA
Takaaki.Ashina.ja_274 Text Box
TRANSV BHD
Takaaki.Ashina.ja_275 Line
Takaaki.Ashina.ja_276 Text Box
TRANSV BHD
Takaaki.Ashina.ja_277 Line
Takaaki.Ashina.ja_278 Text Box
LONG BHD
Takaaki.Ashina.ja_279 Text Box 3819P14205A01
Takaaki.Ashina.ja_280 Line
Takaaki.Ashina.ja_281 Text Box
SKETCH
ENCLOSURE-03
Takaaki.Ashina.ja_282 Text Box Sheet 2 of 4
Takaaki.Ashina.ja_283 Text Box
TRANSV BHD
Takaaki.Ashina.ja_284 Line
Takaaki.Ashina.ja_285 Line
Takaaki.Ashina.ja_286 Text Box
TRANSV BHD
Takaaki.Ashina.ja_287 Text Box
LONG BHD
Takaaki.Ashina.ja_288 Text Box
SHELL
Takaaki.Ashina.ja_289 Line
Takaaki.Ashina.ja_290 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_291 Line
Takaaki.Ashina.ja_292 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_293
LOCALIZED CORROSION AREA BELOW FO STORAGE
TANK (7-117-3-F).
A
B
C
48"
48"
FR 118
A, B and C..... 39" height.
D..... 39" above 2ND PLATF.
ALL..... INCLUDES STIFFENERS.
A
B
C
B
D D
D
B
B
FWD
D BACK SIDE OF FO STORAGE TANK.
FWD
FWD
FWD
FWD
FWD
FWD
A
Takaaki.Ashina.ja_294 Text Box
DETAIL 3-A
BELOW FO STORAGE TANK (7-117-3-F)
STBD
Takaaki.Ashina.ja_295 Inserted Text
(PARA 1.3.14)
Takaaki.Ashina.ja_296 Cross-Out
Takaaki.Ashina.ja_297 Text Box
Structural Member (PARA 1.3.16 & 1.3.17)
Takaaki.Ashina.ja_298 Text Box
LONG BHD
Takaaki.Ashina.ja_299 Text Box
TRANSV BHD
Takaaki.Ashina.ja_300 Line
Takaaki.Ashina.ja_301 Text Box 3819P14205A01
Takaaki.Ashina.ja_302 Text Box
SKETCH
ENCLOSURE-03
Takaaki.Ashina.ja_303 Text Box Sheet 3 of 4
Takaaki.Ashina.ja_304 Line
Takaaki.Ashina.ja_305 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_306
SHAFT ALLEY BHD
Takaaki.Ashina.ja_307 Rectangle
Takaaki.Ashina.ja_308 Line
Takaaki.Ashina.ja_309 Line
Takaaki.Ashina.ja_310 Text Box 16"
Takaaki.Ashina.ja_311 Line
Takaaki.Ashina.ja_312 Text Box 32"
Takaaki.Ashina.ja_313 Line
Takaaki.Ashina.ja_314 Line
Takaaki.Ashina.ja_315 Text Box 12"
Takaaki.Ashina.ja_316 Text Box
SECTION 4-A
TRANSVERSE BULKHEAD FR 118, STBD
LKG AFT
Takaaki.Ashina.ja_317 Rectangle
Takaaki.Ashina.ja_318 Line
Takaaki.Ashina.ja_319 Line
Takaaki.Ashina.ja_320 Line
Takaaki.Ashina.ja_321 Line
Takaaki.Ashina.ja_322 Line
Takaaki.Ashina.ja_323 Text Box
: PRESERVATION AREA
Takaaki.Ashina.ja_324 Text Box 3819P14205A01
Takaaki.Ashina.ja_325 Text Box
SKETCH
ENCLOSURE-03
Takaaki.Ashina.ja_326 Text Box Sheet 4 of 4
Takaaki.Ashina.ja_327 Text Box
BULKHEAD PLATING FR 118 (PARA 1.3.18)
Takaaki.Ashina.ja_328 Line
Takaaki.Ashina.ja_329 Line
Takaaki.Ashina.ja_330 Line
Takaaki.Ashina.ja_331 Line
Takaaki.Ashina.ja_332 Line
Takaaki.Ashina.ja_333 Text Box
SHELL
Takaaki.Ashina.ja_334 Line
Takaaki.Ashina.ja_335 Text Box
2ND PLATF
Takaaki.Ashina.ja_336 Line
Takaaki.Ashina.ja_337 Text Box
1ST PLATF
Takaaki.Ashina.ja_338 Line
Takaaki.Ashina.ja_339 Text Box
SHAFT ALLEY BHD
Takaaki.Ashina.ja_340 Line
Takaaki.Ashina.ja_341
File details come from the government source that posted it. Updated .