TGI_3819P22103A01_c0v0.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.: 1A/1B BOILER ACM 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 - ACCOMPLISH ACM REMOVEL AND NEW LAGGING PAD INSTALLATION OF 1A AND 1B BLR

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

KEIICHI FURUKAWA 234. 315-243-2242 1 JUL 2024

APPROVED BY: CODE PHONE DATE

KOUICHI AKASE 234. 315-243-2372 1 JUL 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:

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.: 1A/1B BOILER ACM AY A 0

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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 J-1 M1-6

1. SCOPE/PURPOSE

1.1 Title: Asbestos Contain Material (ACM) Removal and New Lagging Pad Installation of 1A and 1B Boiler;

accomplish

1.2 Location of Work:

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

1.3 Identification:

1.3.1 Quantity (One EA), Boiler, Main Propulsion, 1A

Mfr: Foster Wheeler Corp Mfr ID: N/A Design Pressure: 705 PSIG Max Operating Pressure: 655 PSIG

APL: 021550096

1.3.2 Quantity (760 SF), Metal Plate, Outer Casing

Size: 3/16 Inch Thickness Material: Steel

P/N: ASTM A36

1.3.3 Quantity (140 SF), (Existing) ACM of 1A Boiler Generating Bank Outer Casing Inner Insulation

1.3.4 Quantity (230 SF), (Existing) ACM of 1A Boiler Rear Outer Casing Inner insulation

1.3.5 Quantity (130 SF), (Existing) ACM of 1A Boiler Outer Side Wall Casing Inner Insulation

1.3.6 Quantity (140 SF), (Existing) ACM of 1A Boiler Front Outer Casing Inner Insulation

1.3.7 Quantity (120 SF), (Existing) ACM of 1A Boiler Economizer Outer Casing Inner Insulation

1.3.8 Quantity (140 SF), (NEW) Lagging Pad, 1A Boiler Generating Bank Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.8.1 Quantity (140 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.8.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.9 Quantity (230 SF), (NEW) Lagging Pad, 1A Boiler Rear Outer Casing Inner insulation

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

Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.9.1 Quantity (230 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.9.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.10 Quantity (130 SF), (NEW) Lagging Pad, 1A Boiler Outer Side Wall Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.10.1 Quantity (130 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.11 Quantity (140 SF), (NEW) Lagging Pad, 1A Boiler Front Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.11.1 Quantity (140 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.11.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.12 Quantity (120 SF), (NEW) Lagging Pad, 1A Boiler Economizer Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.12.1 Quantity (120 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.13 Quantity (One EA), Boiler, Main Propulsion, 1B

Mfr: Foster Wheeler Corp Mfr ID: N/A Design Pressure: 705 PSIG Max Operating Pressure: 655 PSIG

APL: 021550096

1.3.14 Quantity (760 SF), Metal Plate, Outer Casing

Size: 3/16 Inch Thickness Material: Steel

P/N: ASTM A36

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

1.3.15 Quantity (140 SF), (Existing) ACM of 1B Boiler Generating Bank Outer Casing Inner Insulation

1.3.16 Quantity (230 SF), (Existing) ACM of 1B Boiler Rear Outer Casing Inner insulation

1.3.17 Quantity (130 SF), (Existing) ACM of 1B Boiler Outer Side Wall Casing Inner Insulation

1.3.18 Quantity (140 SF), (Existing) ACM of 1B Boiler Front Outer Casing Inner Insulation

1.3.19 Quantity (120 SF), (Existing) ACM of 1B Boiler Economizer Outer Casing Inner Insulation

1.3.20 Quantity (140 SF), (NEW) Lagging Pad, 1B Boiler Generating Bank Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.20.1 Quantity (140 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.20.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.21 Quantity (230 SF), (NEW) Lagging Pad, 1B Boiler Rear Outer Casing Inner insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.21.1 Quantity (230 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.21.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.22 Quantity (130 SF), (NEW) Lagging Pad, 1B Boiler Outer Side Wall Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.22.1 Quantity (130 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.3.23 Quantity (140 SF), (NEW) Lagging Pad, 1B Boiler Front Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.23.1 Quantity (140 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of Ref. No. 4

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

1.3.23.2 Quantity (One Lot), Round Bar

Material: Steel

P/N: ASTM A108

Remarks: PC# 3 of 2.4

1.3.24 Quantity (120 SF), (NEW) Lagging Pad, 1B Boiler Economizer Outer Casing Inner Insulation Insulation: MIL-DTL-32585, Type-I, form-3 Lagging: MIL-C-20079, Type I, Class 9

1.3.24.1 Quantity (120 SF), Metal, Expand

Material: Steel

P/N: ASTM 1267 TY-1, CL-2

Remarks: PC# One of 2.4

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Lead Hazard.

1.5.2 Potential Asbestos Hazard.

1.6 Contractor work start date:

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 FY25 Standard Items - ORG N 2 LI FY-25 Local Standard Items - ORG N

3 DWG 47-

360-665-2

GENERAL ARRANGEMENT MAIN

SECTIONS

R Y AL

L

4 PI

NAVSHIPRE

PFACPI 635-

Fabrication and Installation of Thermal Insulation for Piping and Machinery

B 2 N

5 PDD 200-

ELM-160115

INSULATION MATERIALS FOR 1A

& 1B BOILERS

- Y AL

L

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:

3/16/2026

7/14/2026

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

5.1 Remove each existing ACM listed in 1.3.3 through 1.3.7 and 1.3.15 through 1.3.19 from boiler outer casing, using 2.3 and 2.4 for guidance.

5.2 Accomplish the requirements of 009-32 of 2.1, including Table 5, Line(s) 7, outer casing listed in 1.3.2 and

1.3.14 of the boiler listed in 1.3.1 and 1.3.13.

5.3 Accomplish the requirements of 009-11 of 2.1 to install new lagging pad listed in 1.3.8 through 1.3.12 and 1.3.20 through 1.3.24 to outer casing in accordance with 2.5, using 2.3 for guidance.

5.3.1 Accomplish the requirements of 009-32 of 2.1 for receiving surface where new insulation and lagging are installed.

5.3.2 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column A, Lines One through 7 for installation of expand metal and round bar.

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

5.5 Notes;

5.5.1 Planner: Code: 234 K. FURUKAWA, 243-4572

Code: 234 H. SHINMEI, 243-2371 Engineer: 260 T. ITO, 243-4173

5.5.2 Work Integration Manager (WIM) Code 333 M. YAGINUMA, 080-5419-0598

5.5.3 ELM-160115 was issued for the reference of ICN No.3819G22107, and the ELM was also authorized to apply this TGI by Code 260.

5.5.4 Reinstall the boiler outer casing with the backing plate by welding joint “B1V.5” IAW MIL-STD-22D at the in applicable location per drawing.

5.5.5 Removal and installation boiler outer casing exterior lagging covered by TGI No. 3819P22101A01 and 3819P22102A01.

5.5.6 Removal and installation each man way cover covered by TGI No. 3819P22101A01 and 3819P22102A01.

5.5.7 JCNs EM02-8798, EM02-8800, EM02-8802, EM02-8803 and EM02-8805 are related to this TGI.

5.6 Government Furnished Material (GFM):

5.6.1 SRF-JRMC will provide GFM listed in the Material List.

5.7 SRF-JRMC will provide the following service work: (TGI No. 3819P22103S02)

5.7.1 [C740] Crane and crane rigging service.

5.7.2 [X99E] Utilities service, electrical.

5.7.3 [X99M] Utilities service, including low pressure air supply, water supply, and steam supply.

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

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

5.7.6 [C133] QA Inspection for (G) symbol(s).

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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:

1A/1B BOILER ACM AY A 0 0

CU PHASE TITLE:

*F/O - ACCOMPLISH ACM REMOVEL AND NEW LAGGING PAD INSTALLATION OF 1A AND 1B BLR

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

1A BOILER IN 1B BOILER IN

ATTACHMENT LIST:

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

IWASAKI ,TEPPEI

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P22103 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI to remove ACM and install new lagging pad to 1A and 1B Boiler casing.

Location of Work: Fire Room (8-76-0-E)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 INSL: HRs, BLR: HRs, WELD: HRs, PFTR HRs, QA HRs, PNTR HRs

22 KE PC

5.2 PNTR: HRs, QA HRs 22 KE PC

5.3 INSL: HRs, WELD: HRs, QA HRs 22 KE PC

5.4 PNTR: HRs, QA HRs 22 KE PC

CFM: $ for asbestos sampler and air sample cost, negative enclosure material, asbestos diposal bag, sampling of lead cost ,enclosing/covering materials, welding rod, gas, firewatch cost, pin for lagging, plate metal, grating angle, beam, fasteners, paint and other consumable material (MISC).

22 MQ CS

Process Funding Document 10 CT OM

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APPENDIX “M”

TGI MATERIAL LIST

SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH

VERSION:

CASREP

CAT:

1A/1B BOILER ACM AY A 0 0

CU PHASE TITLE:

*F/O - ACCOMPLISH ACM REMOVEL AND NEW LAGGING PAD INSTALLATION OF 1A AND 1B BLR

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P22103 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 CLOTH,PLAIN WEAVE, H/W

GLASS CLOTH,

ORIG: CODE 234 K.

FURUKAWA, 243-2242

ORDERED FOR CONTRACTOR

9B 8305 001487364 NA 4 N 41805022 6/RO

002 M WIRE FABRIC, KNITED MESH

ORIG: CODE 234

K.FURUKAWA, 243-2242

ORDERED FOR CONTRACTOR

9B 5335 005989404 NA 4 N 41805023 4/EA

003 M WIRE,NONELECTRICAL,

ROUND BAR

ORIG: CODE 234 K.

FURUKAWA, 243-2242

ORDERED FOR CONTRACTOR

9B 9505 002286209 NA 4 N 41805024 200/FT

NOTES:

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M-2

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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

004 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.)

ORIG: CODE 234 K.

FURUKAWA, 243-2242

ORDERED FOR KTR

9Q 5640 LL9607458 NA 4 N 41807400 18/RO

005 M SHEET,METAL, C-STEEL, 3/16

INCH THK, ASTM A36

ORIG: CODE 234 K.

FURUKAWA, 243-2242

ORDERED FOR KTR

9B 9515 012677569 NA 4 N 41805064 24/SH

006 M ANGLE,STRUCTURAL, C234

K.FURUKAWA, 243-2242

ORDER FOR KTR

MATERIAL: 4" X 4" X 1/2" THK,

ANGLE, ASTM A36

9B 9520 009545657 NA 4 N 41805025 100/FT

007 M CHANNEL,STRUCTURAL, C234

K.FURUKAWA, 243-2242

ORDER FOR KTR

MATERIAL: C-CHANNEL, A36,

4" X 5.4#

9B 9520 002774393 NA 4 N 41805021 100/FT

008 M STUD, WELDING, STUD,

WELDING, 3/16"DIA X 1-7/8"LG,

ANNULAR RING TYPE, STEEL,

FLASH COPPER PLATED, MIL-

S-24149, TYPE VI, CLASS 3,

STUD WITH GROOVES.

ORIG:CODE 234 K.FURUKAWA,

243-2242

ORDERED FOR KTR

9B 5307 LL4660726 NA 4 N 41807402

250/EA

009 M CAP, STUD, 3/16"DIA,, CAP,

STUD, MATL: CRES 304, USE

FOR 3/16"DIA STUD, USE FOR

NAVY ANNULAR RING STUDS,

3/16"DIA, USE FOR HULL

THERMAL INSULATION

ORIG:CODE 234 K.FURUKAWA,

243-2242

ORDERED FOR KTR

9B 5307 LL4945008 NA 4 N 41807401

250/EA

400 M BAR,METAL, C234 H.HARADA

243-5176

ORDER FOR X41B

ROUND BAR METAL 1-1/4" DIA,

ASTM-A36

9B 9510 001881744 NA 4 N 41185049 160/FT

401 M METAL,EXPANDED, C234

H.HARADA 243-5176

ORDER FOR X41B

EXPANDED METAL, ASTM

F1267 TY-1, CL-1

2" X 3/4" MESH WIDTH, 6' X 8'

PER SHEET

9Q 5680 002224011 NA 4 N 32455016 3/EA

402 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470132 15/FT

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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 CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470135 15/FT

404 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470139 15/FT

405 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470141 15/FT

406 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470145 15/FT

407 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51470147 15/FT

408 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51880087 15/FT

409 M CHANNEL,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

CHANNEL, STRUCTURAL,

ASTM A36

6"-8.2# 15FT

9B 9520 002774392 NA 4 N 51880095 15/FT

410 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470166 15/FT

411 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470173 15/FT

412 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470177 15/FT

413 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470187 15/FT

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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 ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470190 15/FT

415 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470192 15/FT

416 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470196 15/FT

417 M ANGLE,STRUCTURAL, C234

H.HARADA 243-5176

ORDER FOR X41B

ANGLE, STRUCTURAL, ASTM

A36

3'' X 3'' X 1/4" THK, 15FT

3B 9520 009545666 NA 4 N 51470197 15/FT

418 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0216 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627430 1/EA

419 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0219 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627432 1/EA

420 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0222 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627434 1/EA

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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

421 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0223 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627436 1/EA

422 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0224 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627437 1/EA

423 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0228 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627440 1/EA

424 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0229 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627442 2/EA

425 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0230 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627443 2/EA

FOUO

M-6

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

426 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0231 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627444 2/EA

427 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0232 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627445 2/EA

428 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0233 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627447 2/EA

429 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0234 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627448 2/EA

430 M METAL,EXPANDED, METAL,

EXPANDED, 6FT WIDE X 8FT

LENGTH, 0.920"MESH WIDTH X

2"MESH LENGTH, 0.143"

STRAND WIDTH, 0.090"

STRAND THICKNESS,

UNCOATED STEEL,

ASTM F1267, TYPE 1,CLASS 1,

STYLE 3/4-10, DO NOT CROSS

NSN: 5680-00-222-4011 "LLTM".

REORDER FOR N62758-6155-

0235 "BACKORDER".

9Q 5680 LL9304986 NA 4 N 61627449 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 1A/1B BOILER ACM AY A 0

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

3819P22103 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 1A/1B BOILER ACM AY A 0