TGI_3819P31001A03_c0v0_redact.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.: S/A 79243 EDG1 STRCT 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:

(RE) F/O - S/A 79243K, ACCOMPLISH STRL, SH MET, & PSVTN WORK FOR EDG ONE UPGRADE

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TATSUYA OOSERA 231B 315-243-9935 17-FEB-2025

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 17-FEB-2025

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.: S/A 79243 EDG1 STRCT 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.

1-11 Engrg Inst (1- 2)

QA17

(1-2)

J1-3 Sketch (1-4)

M1-4 Map (1-2)

Engrg Inst (1- 3)

QA20

(1-9)

1. SCOPE/PURPOSE

1.1 Title: S/A 79243K, Structural, Sheet Metal, Preservation, Insulation, and Deck Covering Work for Emergency Diesel Generator (EDG) No. One Generator Set Upgrade; accomplish

1.2 Location of Work:

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

1.2.1.1 Vent Plenum for HVAC Exhaust System (ES) 1-37-2, Frames between 39 and 40, Port

1.2.2 01 Level Weather, Frames between 35 and 38, Port and Starboard (Stbd)

1.2.3 Fan Room (1-34-1-Q)

1.2.4 Fan Room (1-34-2-Q)

1.2.5 Fan Room (1-36-0-Q)

1.2.5.1 EDG No. One Combustion Air Trunk

1.2.6 Fan Room (1-36-2-Q)

1.2.6.1 Vent Plenum for HVAC Natural Supply System Frames between 36 and 37, Port

1.2.7 Fan Room (1-38-0-Q)

1.2.7.1 Vent Plenum for HVAC Supply Systems (SS) 1-39-1, Frames between 37 and 39, Stbd

1.2.8 Fan Room (1-38-2-Q)

1.2.9 Main Deck Weather, Frames between 35 and 41, Port and Stbd

1.2.10 N3 Office (2-30-1-Q)

1.2.10.1 EDG No. One Combustion Air Trunk

1.2.10.2 Vent Plenum for HVAC Natural Supply System Frames between 35 and 36, Stbd

1.2.11 N3 Acos Office (2-33-2-Q)

1.2.12 N3 Admin Office (2-33-4-Q)

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

1.2.13 N7 Office (2-36-0-Q)

1.2.13.1 Vent Plenum for HVAC Supply System (SS) 1-37-1, Frames between 39 and 40, Stbd

1.2.13.2 Vent Plenum for HVAC ES 1-37-2, Frames between 39 and 40, Port

1.2.14 Passage (2-40-0-L)

1.2.15 S-5 Office (3-30-0-Q)

1.2.15.1 EDG No. One Combustion Air Trunk

1.2.15.2 Vent Plenum for HVAC Natural Supply System Frames between 33 and 34, Stbd

1.2.16 Passage (3-30-01-L)

1.2.16.1 Vent Plenum for HVAC SS 1-37-1, Frames between 39 and 40, Stbd

1.2.16.2 Vent Plenum for HVAC ES 1-37-2, Frames between 39 and 40, Port

1.2.17 Diesel Exhaust Piping Space and Deck Gear Locker (3-31-3-Q)

1.2.18 Wardroom Galley (3-34-0-Q)

1.2.19 Wardroom Scullery (3-34-2-Q)

1.2.20 Wardroom Messroom (3-40-0-L)

1.2.21 Stbd Gear Locker (3-40-3-A)

1.2.22 Sponson, Third Deck Weather, Frames between 50 and 51, Stbd

1.2.23 Crew and Troop Messroom and Forward Battle Dressing Station (4-30-0-L)

1.2.24 Fan Room (4-30-3-Q)

1.2.25 Diesel Exhaust Piping Space (4-31-3-Q)

1.2.26 Crew Scullery (4-36-0-Q)

1.2.26.1 Vent Plenum for HVAC SS 1-37-1, Frames between 39 and 40, Stbd

1.2.26.2 Vent Plenum for HVAC ES 1-37-2, Frames between 39 and 40, Port

1.2.27 Batlle Dressing Storeroom (4-39-1-A)

1.2.28 Crew Messroom (4-40-0-L)

1.2.29 Void (4-40-1-V)

1.2.30 Crew Living Space (5-30-01-L)

1.2.30.1 Vent Plenum for HVAC SS 1-37-1, Frames between 39 and 40, Stbd

1.2.30.2 Vent Plenum for HVAC ES 1-37-2, Frames between 39 and 40, Port

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

1.2.31 Crew Lounge (5-35-2-L)

1.2.32 Passage (5-37-1-L)

1.2.33 Passage (5-37-2-L)

1.2.34 Crew Living Space (5-40-0-L)

1.2.34.1 Vent Trunk for HVAC Supply System (SS) 1-40-1

1.2.35 Crew Living Space (5-40-01-L)

1.2.36 N4 (C7F) Storeroom (6-30-1-A)

1.2.37 Emer Switchgear Room No. One (6-30-2-E)

1.2.38 UPC (6-30-4-Q)

1.2.39 Passage (6-36-1-L)

1.2.40 Passage (6-36-2-L)

1.2.41 Storeroom (6-36-3-A)

1.2.42 Main GSK/SD Storeroom (6-40-0-A)

1.2.43 LCPO Office (6-40-1-Q)

1.2.44 SD Storeroom (7-18-0-A)

1.2.45 Stores Conveyor Trunk No. One (7-29-1-T)

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

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

1.2.48 Auxiliary Fuel Service Tank (7-39-5-F)

1.2.49 Lube Oil Storage Tank (7-39-7-F)

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

1.2.51 Trunk (7-40-5-T)

1.2.52 Distillate Fuel Overflow or Ballast (9-24-0-F)

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

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

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

1.2.56 Distillate Fuel or Ballast (9-40-0-F)

1.2.57 Underwater Hull Weather, Frames between 36 and 40, Stbd

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

1.2.58 Freeboard Weather, Frames between 36 and 40, Stbd

1.3 Identification:

1.3.1 Quantity (One Lot), Structural, Sheet Metal, Preservation, Insulation, and Deck Covering Work for S/A 79243K EDG No. One Generator Set Upgrade

Remarks: See 2.3 through 2.34, Engrg Inst Enclosure-01, and Engrg Inst Enclosure-02 for material and detail

1.3.1.1 Quantity (400 SF), Foundation, including second platform plating where disturbed by hot work in 7-30-0-E, between Frames 32 and 38, and Longitudinals 2P and 7S, Port and Stbd

Remarks: See Sheets One and 2 of Sketch Enclosure-03 for location details

1.3.1.2 Quantity (160 SF), Foundation, including second platform plating where disturbed by hot work in 7-30-0-E, between Frames 30 and 33, and Longitudinals 3P and 7P, Port

Remarks: See Sheets One and 3 of Sketch Enclosure-03 for location details

1.3.1.3 Quantity (140 SF), Foundation, including second platform plating where disturbed by hot work in 7-30-0-E, between Frames 30 and 32, and Longitudinals 2P and 6S, Port and Stbd

Remarks:

See Sheets One and 4 of Sketch Enclosure-03 for location details.

The area includes vertical surface up to height of 6 inches from deck plating

1.3.1.4 Quantity (150 SF), Entire Interior Surface of Vent Plenum for HVAC SS 1-37-1 in 1-36-0-Q, Frames between 36 and 38, Port and Stbd

1.3.1.5 Quantity (360 SF), Entire Interior Surface of Vent Plenum for Combustion Air Trunk in 1-36-2-Q, Frames between 36 and 37, Port

1.3.2 Quantity (One Lot), Piping Work for S/A 79243K EDG No. One Generator Set Upgrade

Remarks: See 2.18 for material and detail

1.3.2.1 Quantity (One EA), Gate Valve

Remarks: See Item Number V1 of 2.18

1.3.2.2 Quantity (2 EA), Globe Valve

Remarks: See Item Number V2 of 2.18

1.4 Security Classification:

1.4.1 Spaces - 1.2.10 through 1.2.13

1.5 Initial Condition:

1.5.1 Potential Lead Hazard.

1.5.2 Potential Asbestos Hazard

1.5.3 Critical Coated Area: CCNY-LCC19-074-25 for the area listed in 1.3.1.1 through 1.3.1.5.

1.5.4 Dry Dock Work

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

1.6 Contractor work start date: 1/12/2026

1.7 Contractor work completion date: 8/5/2027

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 DWG 115-

8578016 Installation Cable Trunk Emergency Diesel Generator No. 1 EDG Room No. 1 (7-30-0

A Y AL

L

4 DWG 123-

8578017

ESLP SS/EDG Genset Upgrade Hatch, Scuttle, MH, AVHC & Ladder

EDG NO. 1

B Y AL

L

5 DWG 145-

8578018

Shipping Access EDG No. 1 (7-30- 0-E) SS/EDG Upgrade

A Y AL

L

6 DWG 145-

8578019

ESLP SS/EDG Genset Upgrade EDG1 Compartment & Access & Label Plate Modifications

A Y AL

L

7 DWG 104-

8578021

Structural Modifications EDG NO. 1 (7-30-0-E) SS/EDG Upgrade

A Y AL

L

8 DWG 113-

8578022

SSD/EDG Upgrade EDG NO. 1 (7- 30-0-E) Foundation Removals

A Y AL

L

9 DWG 113-

8578023

SS/EDG Genset Upgrade Foundation Instl & Prefab Emergency Diesel Generator Rm 1

B Y AL

L

10 DWG 210-

8578024

SS/EDG Upgrade Tank Modifications EDG No. 1 (7-30-0-E)

A Y AL

L

11 DWG 600-

8578025

Padeye Modifications EDG No. 1 (7-30-0-E) SS/EDG Upgrade

A Y AL

L

12 DWG 603-

8578026

SS/EDG Upgrade Grating Modifications EDG No. 1 (7-30-0-E)

B Y AL

L

13 DWG 114-

8578027

Deck House Modifications Main Deck Emergency Diesel Generator No. 1

A Y AL

L

14 DWG 114-

8578037

Ventilation Plenum Removal Forward Frame 40 Emergency Diesel Generator No. 1

A Y AL

L

15 DWG 114-

8578038

Ventilation Plenum Installation Forward FR 40 Emergency Diesel Generator No. 1

A Y AL

L

16 DWG 600-

8893448

Liferail Modifications Incidental to SS/EDG Genset Upgrade

- Y AL

L

17 DWG 113-

8974330

SS/EDG Upgrade HVAC Foundation Installation EDG 1

A Y AL

L

18 DWG 300-

8576340

Combustion Air Modifications - EDG No. 1 Generator Upgrade

B Y AL

L

19 DWG 300-

8621716

Combustion Air Intake Outside EDG No. 1 2nd THRU 5th Deck

A Y AL

L

20 DWG 501-

8620513

HVAC MODs EDG No. 1 Supply MN – 2nd PLATF FR 35-40 (P&S)

A Y AL

L

21 DWG 501-

8620514

HVAC Installation EDG 1 Exhaust MN DK – 2nd PLATF FR 35-40 (Port)

A Y AL

L

22 DWG 501-

8620515

HVAC MODs EDG 1 Natural Supply MN – 2nd PLATF FR 30-36 (P&S)

A Y AL

L

23 DWG 501-

8621698

HVAC Modifications EDG 1 Interference 2nd Deck & 4th Deck

A Y AL

L

24 DWG 501-

8620520

HVAC MODs EDG Cableway INTF 1st PLAT, FR 33-49 (P&S)

A Y AL

L

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

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

25 DWG 604-

8578028

Metal Joiner Bulkhead Modifications 3rd Deck Emergency Diesel Generator No. 1

A Y AL

L

26 DWG 607-

8578036

Sheathing Modification Ward Scullery 3-34-2-Q Emergency Diesel Generator No. 1

A Y AL

L

27 DWG 611-

8578030

Crew Scullery Arrangement Mods (4-36-0-Q) Emergency Diesel Generator No. 1

A Y AL

L

28 DWG 611-

8578032

Ward Galley & Scullery Arrangement Modification Emergency Diesel Generator No. 1

A Y AL

L

29 DWG 612-

8578034

Passage 4-30-01-L Arrangement Modifications Emergency Diesel Generator No. 1

A Y AL

L

30 DWG 612-

8578035

Living Space Modifications EDG No. 1 Upgrade Crew Living Space (5-30-01-L)

A Y AL

L

31 DWG 613-

8578031

Office Arrangement Modifications 2nd Deck EDG 1

A Y AL

L

32 DWG 605-

8578020

ESLP SS/EDG Genset Upgrade EDG 1 Paint, Insulation & Deck Covering Modifications

A Y AL

L

33 PDD 501-

ELM-250160

Patch for Removed STRL PEN INCID to EDG No. 1 Upgrade

- Y AL

L

34 PDD 103-

ELM-250166

Patch for Removed Hull Penetration Incid to SCD 9243

- Y AL

L

35 DWG 603-

2492591

STD DETS-FL FRAMING-MACHY

SP

F Y AL

L

36 DWG 804-

8436638

Fall Protection, Aloft Arrangement and Details

- N

37 DWG 805-

1624071

HATCH W.T. RAISED

INDIVIDUALLY DOGGED DOG,

HINGE, BRACE, & MISC DETAILS

D N

38 DWG 805-

1624072

HATCH W.T. RAISED

INDIVIDUALLY DOGGED MISC

DETAILS

C N

39 DWG

3303085

Air Vent Hose Connections A Y AL L

40 DWG 803-

1623056

Scuttle. WT. Flush Quick Acting. 21 Dia 17 PSI - Arrangement

K N

41 DWG 803-

1401891

SCUTTLE, WT, RAISED QUICK

ACTING, 21 DIA 30 & 18 PSI -

ARRANGEMENT

H N

42 DWG 805-

1360280

LADDERS, VERTICAL

ASSEMBLIES & DETAILS

(ALUMINUM)

H N

43 DWG 804-

1749113

INCLINED LADDERS, ALUMINUM

ASSEMBLIES & DETAILS

E N

44 DWG 805-

1624139

Hatch(Companion) W.T. Raised Individually Dogged 36X72 with Scuttle 15 PSI ARR

D N

45 PDD 167-

ELM-160649

SRF-JRMC STD ELM

REFERENCE DWG FOR

MANHOLE

- Y AL

L

46 DWG 805-

1480210

FLUSH DK. W.T & O.T BOLTED

PLATE MANHOLE 15" X 18"

K N

47 DWG 803-

8499809

MANHOLES, WATERTIGHT &

OILTIGHT

- N

48 DWG 804-

1927788

PSNS TYPE DRAWING LABELS

AND LABEL PLATES

Q N

49 DWG 803-

5184133

Padeye, Machinery Lifting B N

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

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

50 DWG 603-

2492595

HR & HANGER MCHRY SP DET C Y AL

51 DWG 803-

6397261

WATERTIGHT, INDIVIDUALLY

DOGGED ARRANGEMENT

B N

52 DWG 803-

6397262

WATERTIGHT, INDIVIDUALLY

DOGGED SUB-ASSY & DETAILS

B N

53 DWG 803-

2258314

Pins, Toggle B N

54 DWG 805-

1626726

FLUSH W.T. & O.T. BOLTED

PLATE MANHOLE 15" X 23" & 15"

X 18"

F N

55 DWG 107-

2491059

MN DK PLTG STEM - FR 51-1/2 G Y AL

56 DWG 106-

2491056

2ND DK PLTG STEM - FR 52 M Y AL

57 DWG 105-

2491053

3RD DK PLTG STEM - FR 52 M Y AL

58 DWG 104-

2491047

5TH DK PLTG STEM - FR 51 1/2 H Y AL

59 DWG 114-

2491155

TRANSV BHD FR 40, Pump RM BHD and Trunk BHD FR 44-45

K Y AL

60 DWG 104-

2491050

4TH DK PLTG STEM - FR 51 1/2 J Y AL

61 MIL MIL-

STD-1627

Bending of Pipe or Tube for Ship Piping Systems

C 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 structural, sheet metal, preservation, insulation, and deck covering work listed in 1.3.1 in accordance with 2.3 through 2.54, Enclosure-01, and Enclosure-02, using 2.55 through 2.60 for guidance.

5.1.1 Drill hole(s) on each existing stanchion located in 1.2.1 and 1.2.5 for gas free inspection.

5.1.2 Accomplish build up weld of remaining hole(s) on each stanchion.

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

5.1.3.1 Accomplish nondestructive testing in accordance with Line 9.

5.1.3.2 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-05-1 through Enclosure-05-

3. Each joint identification number must be in accordance with Mapping Plan Enclosure-04.

5.1.3.3 Accomplish the requirements of 009‐09 of 2.1 for welding procedure of each joint shown on Mapping Plan Enclosure‐04.

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

5.1.4 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the watertight/airtight structural boundary. Allowable leakage: None.

5.1.4.1 Document the local air hose test on QA Form 17 Enclosure-06-1.

5.1.5 Temporary access must be in accordance with 2.5 and Enclosure-02.

5.1.5.1 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-05-4 through Enclosure-05-

9. Each joint identification number must be in accordance with Mapping Plan Enclosure-04.

5.1.5.2 Accomplish the requirements of 009‐09 of 2.1 for welding procedure of each joint shown on Mapping Plan Enclosure‐04.

5.1.5.3 Document the local air hose test on QA Form 17 Enclosure-06-2.

5.1.6 Accomplish the requirements of 009-25 of 2.1 for a chalk test of each watertight door, watertight hatch, and watertight scuttle.

5.1.7 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of door/hatch/scuttle panel gasket and knife edge mating area of each watertight door, watertight hatch, and watertight scuttle. Allowable leakage: None.

5.1.8 Accomplish an operational test of each watertight door, watertight hatch, watertight scuttle, and louvered door to assure unobstructed operation. Allowable sticking or binding: None.

(V)(G) “OPERATION TEST”

5.1.9 Accomplish the requirements of 009-11 of 2.1 to install new duct and compartment insulation.

5.1.9.1 Accomplish the requirements of 009-12 of 2.1.

5.1.9.2 Accomplish the requirements of 009-32 of 2.1 for receiving surface and top surface where new insulation is installed.

5.1.10 Accomplish the requirements of 009-26 of 2.1.

5.1.10.1 Accomplish the requirements of 009-32 of 2.1.

5.1.11 Accomplish the requirements of 009-32 of 2.1.

5.1.12 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 13, for each area listed in 1.3.1.1 through 1.3.1.3.

5.1.13 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 15, for each area listed in 1.3.1.4.

5.1.14 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 18, for each area listed in 1.3.1.5.

5.2 Accomplish the piping work listed in 1.3.2 in accordance with 2.18.

5.2.1 Bend new pipe in accordance with 2.61.

5.2.2 Accomplish the requirements of 009-12 of 2.1, including Table One, Column(s) A, Lines One through 10.

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

5.2.4 Cycle each valve listed in 1.3.2.1 and 1.3.2.2 from full closed to full open to full closed 4 times. Allowable sticking or binding: None.

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

(V) “VALVE CYCLING”

5.3 Confirm that all personnel have exited the space prior to closure of the space listed in 1.2.1.1, 1.2.5.1, 1.2.6.1, 1.2.7.1, 1.2.10.1, 1.2.10.2, 1.2.13.1, 1.2.13.2, 1.2.15.1, 1.2.15.2, 1.2.16.1, 1.2.16.2, 1.2.26.1, 1.2.26.2, 1.2.30.1, 1.2.30.2, 1.2.34.1, and each new plenum drawn on 2.15. Designate one person to account for all personnel who may have entered the space.

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 231B T. Oosera, 243-9935

Planner: Code 231B Y. Arakawa, 243-4496 Planner: Code 231B M. Haga, 243-2513 Planner: Code 231B A. Suzuki, 243-0968 Planner: Code 233 K. Ono, 080-9350-1438 Planner: Code 234 O. Mitsui, 243-0976 Engineer: Code 250 D. Nagasato, 243-5301 Engineer: Code 250 I. Hayasaka, 243-4334

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

5.5.3 Opening, initial cleaning, and closing of each space listed in 1.2.29, 1.2.48, 1.2.49, and 1.2.52 through 1.2.56 will be covered by the following TGI No(s).

Void (4-40-1-V): 3819P12376A01 (KTR TGI) Auxiliary Fuel Service Tank (7-39-5-F): 3819P12327A01 (KTR TGI) Lube Oil Storage Tank (7-39-7-F): 3819P12327A01 (KTR TGI) Distillate Fuel Overflow or Ballast (9-24-0-F): 3819P12312A01 (KTR TGI) 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) Distillate Fuel or Ballast (9-40-0-F): 3819P12316A01 (KTR TGI)

5.5.4 Preservation work for disturbed exterior surfaces of underwater hull and freeboard will be covered by TGI No.

3819P11001A01 (KTR TGI).

5.5.5 Preservation work for new and disturbed surfaces of overhead plating, bulkhead plating, and structural stiffener of each space listed in 1.2.7.1 will be covered by TGI No. 3819P13102A01 (KTR TGI).

5.5.6 Preservation work for new and disturbed surfaces of each space listed 1.2.25, and 1.2.52 through 1.2.56 will be covered by the following TGI No(s).

Diesel Exhaust Piping Space (4-31-3-Q): 3819P13408A01 (KTR TGI) Distillate Fuel Overflow or Ballast (9-24-0-F): 3819P12312A01 (KTR TGI) 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) Distillate Fuel or Ballast (9-40-0-F): 3819P12316A01 (KTR TGI)

5.5.7 Replacement of electrical grade sheet deck covering system of each space listed in 1.2.37 will be covered by TGI No. 3819P14122A01 (KTR TGI).

5.5.8 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

FOUO

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

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.

5.5.9 JCN EE01-L106 is related to this TGI.

5.6 Government Furnished Material (GFM):

5.6.1 All installing activity furnished (IAF) material and manufactured item (MN) material except hazardous material listed in each S/A drawing will be provided as kitted material by SRF-JRMC.

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

5.7 SRF-JRMC will provide the following service work: (TGI No. 3819P31001S02).

5.7.1 [C740] Crane and crane rigging service.

5.7.2 [X99E] Utility service, electrical.

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

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) and review of coating application data.

5.7.7 [C135] QA inspection for (G) symbol(s).

FOUO

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:

S/A 79243 EDG1 STRCT AY A 0 0

CU PHASE TITLE:

(RE) F/O - S/A 79243K, ACCOMPLISH STRL, SH MET, & PSVTN WORK FOR EDG ONE UPGRADE

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CMPT 1-34-2-Q MS EM DOOR 1-36-1 HA FO/BLST 9-24-0-F TK VNT SS 1-39-1 DT

VNT S1-37-1 DT CMPT 7-30-0-E IN CMPT 6-36-2-L MSCMPT 6-30-2-E MSCMPT 6-30-2-E

IN CMPT 5-37-2-L DC CMPT 5-30-01-L MS CMPT 5-30-01-L IN CMPT 5-30-01-L DC

CMPT 4-36-0-Q MS CMPT 4-36-0-Q DCCMPT 4-36-0-Q IN VNT E1-37-2 DT CMPT

3-31-3-Q MS CMPT 3-30-0-Q MS #1 EDG INTAKE DUCT IT CMPT 3-30-01-L IN CMPT

3-30-01-L MS CMPT 2-36-0-Q MS CMPT 2-36-0-Q IN CMPT 1-38-0-Q MS CMPT

1-38-0-Q IN MAIN DECK WEA PORT MS MAIN DECK WEA STBD MS CMPT 1-36-2-Q MS

CMPT 1-36-2-Q IN CMPT 1-34-1-Q MS CMPT 1-34-1-Q IN 01 LVL WEA PORT MS

01 LVL WEA STBD MS COMPT 7-30-1-A MS UH FWD-FR40 STBD UH CMPT 4-30-0-L

MS AVHC CV 7-39-2 HA MANHOLE 7-37-2 HA VNT NAT 1-36-2-Q DT VNT NAT 2-30-

1-Q DT VNT NAT 2-33-2-Q DT VNT NAT 2-36-0-Q DT VNT NAT 3-30-0-Q DT VNT

NAT 3-34-0-Q DT VNT NAT 4-31-0-L DT VNT NAT 5-30-01-L DT VNT NAT 7-30-0-E DT

AUX FO SVC 7-39-5-F TK FO/BLST 9-30-0-F TK FO/BLST 9-30-2-F TK FO/BLST 9-40-

0-F TK CMPT 7-30-0-E MSCMPT 6-36-1-L MSMANHOLE 7-30-2 HA EM DOOR 1-36-2

HA LO STWG 7-39-7-F TK CMPT 1-36-0-Q MS HATCH 5-37-2 HA SCUTTLE 6-37-2

HA SCUTTLE 6-37-4 HA AVHC CV 6-38-1 HA AT/WT DOOR 1-38-1 HA AT/WT DOOR

1-38-2 HA FO/BLST 9-30-1-F TK

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P31001A03-Engrg Inst-01.pdf) saved on 15-FEB-2025 0000.

2. ENCLOSURE-02 (3819P31001A03-Engrg Inst-02.pdf) saved on 15-FEB-2025 0000.

3. ENCLOSURE-03 (3819P31001A03-Sketch.pdf) saved on 12-FEB-2025 0000.

4. ENCLOSURE-04 (3819P31001A03-Map.pdf) saved on 15-FEB-2025 0000.

5. ENCLOSURE-05 (3819P31001A03-QA20.docx) saved on 15-FEB-2025 0000.

6. ENCLOSURE-06 (3819P31001A03-QA17.docx) saved on 15-FEB-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P31001 A03

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to accomplish structural work, sheet metal work, preservation work, insulation work, and deck covering work for S/A 79243K emergency diesel generator (EDG) No. one generator set upgrade.

Location of Work:

Emergency Generator Room No. One (7-30-0-E) Vent Plenum for HVAC Exhaust System (ES) 1-37-2, Frames between 39 and 40, Port 01 Level Weather, Frames between 35 and 38, Port and Starboard (Stbd) Fan Room (1-34-1-Q) Fan Room (1-34-2-Q) Fan Room (1-36-0-Q) EDG No. One Combustion Air Trunk Fan Room (1-36-2-Q) Vent Plenum for HVAC Natural Supply System Frames between 36 and 37, Port

FOUO

J-2

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

CU PHASE DESCRIPTION:

Fan Room (1-38-0-Q) Vent Plenum for HVAC Supply Systems (SS) 1-39-1, Frames between 37 and 39, Stbd Fan Room (1-38-2-Q) Main Deck Weather, Frames between 35 and 41, Port and Stbd N3 Office (2-30-1-Q) Vent Plenum for HVAC Natural Supply System Frames between 35 and 36, Stbd N3 Acos Office (2-33-2-Q) N3 Admin Office (2-33-4-Q) N7 Office (2-36-0-Q) Vent Plenum for HVAC Supply System (SS) 1-37-1, Frames between 39 and 40, Stbd Passage (2-40-0-L) S-5 Office (3-30-0-Q) Vent Plenum for HVAC Natural Supply System Frames between 33 and 34, Stbd Passage (3-30-01-L) Diesel Exhaust Piping Space and Deck Gear Locker (3-31-3-Q) Wardroom Galley (3-34-0-Q) Wardroom Scullery (3-34-2-Q) Wardroom Messroom (3-40-0-L) Stbd Gear Locker (3-40-3-A) Sponson, Third Deck Weather, Frames between 50 and 51, Stbd Crew and Troop Messroom and Forward Battle Dressing Station (4-30-0-L) Fan Room (4-30-3-Q) Diesel Exhaust Piping Space (4-31-3-Q) Crew Scullery (4-36-0-Q) Batlle Dressing Storeroom (4-39-1-A) Crew Messroom (4-40-0-Q) Void (4-40-1-V) Crew Living Space (5-30-01-L) Crew Lounge (5-35-2-L) Passage (5-37-1-L) Passage (5-37-2-L) Crew Living Space (5-40-0-L) Vent Trunk for HVAC Supply System (SS) 1-40-1 Crew Living Space (5-40-01-L) N4 (C7F) Storeroom (6-30-1-A) Emer Switchgear Room No. One (6-30-2-E)

UPC (6-30-4-Q)

Passage (6-36-1-L) Passage (6-36-2-L) Storeroom (6-36-3-A) Main GSK/SD Storeroom (6-40-0-A) LCPO Office (6-40-1-Q) SD Storeroom (7-18-0-A) Stores Conveyor Trunk No. One (7-29-1-T) SD Storeroom (7-30-1-A) Crew Baggage Storeroom (7-30-2-A) Auxiliary Fuel Service Tank (7-39-5-F) Lube Oil Storage Tank (7-39-7-F) Air Conditioning Machinery Room No. One and Refrigeration Machinery Room (7-40-0-E) Trunk (7-40-5-T) Distillate Fuel Overflow or Ballast (9-24-0-F) 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) Distillate Fuel or Ballast (9-40-0-F)

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J-3

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

CU PHASE DESCRIPTION:

Underwater Hull Weather, Frames between 36 and 40, Stbd Freeboard Weather, Frames between 36 and 40, Stbd

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR , WELD, SMTL, INSL , CARP, PNTR, IMCH, RGRS

ELEC , PFTR , QA

22 KE PC

5.2 PFTR , WELD , QA , IMCH , OMCH 22 KE PC

5.3 SFTR 22 KE PC

5.4 PNTR , QA 22 KE PC

Structure Work CFM for fire watch, confined space watch, tank watch cost, marine chemist cost, UT inspection cost, deck covering material, 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, gasket, ---continue to below---

22 MQ CS

---continued from above---insulation pin, label plate, and MISC such as electrode, gases, temporary closure, and covering material, and other consumable.

22 MQ CS

Sheet Metal Work CFM or fire watch, UT inspection cost, asbestos sampler and analysis cost for compartment/duct insulation, air compressor rental cost and fuel oil cost for air hose test, lead sampling/analysis cost, deck coverings, fastener, gasket, insulation pin, wall paper, label plate, ---continue to below---

22 MQ CS

---continued from above---and MISC such as rivets, electrode, gases, temporary closure, and covering material, and etc.

22 MQ CS

Preservation Work CFM for all paints, thinner, and grit including disposal cost, deck covering material, lead sampling/analysis cost, asbestos sample and analyze cost for compartment insulation, deck tile, and underlayment, adhesive for pin, pin, tyvex suit, plastic bags, tank watch cost, ---continue to below---

22 MQ CS

---continued from above---and MISC such as covering material and other consumable.

22 MQ CS

Electrical Work CFM for miscellaneous material. 22 MQ CS

Piping Work CFM for fire watch cost and MISC such as pipe hanger, gases, label plate, electrode, saw blades, painting material, plastic bag/sheet and etc.

22 MQ CS

Process Funding Document. 10 CT OM

FOUO

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:

S/A 79243 EDG1 STRCT AY A 0 0

CU PHASE TITLE:

(RE) F/O - S/A 79243K, ACCOMPLISH STRL, SH MET, & PSVTN WORK FOR EDG ONE UPGRADE

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 605-8578020 A

JOB ORDER: KEY OP:

3819P31001 A03

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 INSULATI, ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9Q 5640 008096312 NA 4 N 50455475

400/EA

002 M INSULATI, ORDERED FOR KTR

ORIG: C231B, T. OOSERA 243-

9Q 5640 008096315 NA 4 N 50455274 50/EA

003 M SOUND CO, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9Q 5640 007565866 NA 4 N 50455473

190/SH

004 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8315 002671632 NA 4 N 50455276 80/RO

005 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8315 002671633 NA 4 N 50455279 80/RO

006 M CAP,SNAP, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 5325 007377648 NA 4 N 50455054

1800/E

A

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

007 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B, T. OOSERA 243-

9B 8040 002738708 NA 4 Y 50455041 84/GL

008 M SEALING, DWG: 115-8578016 A

PC.7 (1 KT),

DWG: 113-8578023 B PC.53 (2

KT),

DWG: 603-8578026 B PC.14 (1

KT),

DWG: 113-8974330 A PC.13 (1

KT),

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

9B 8030 007235343 NA 4 Y 50455241 5/KT

019 M SEALING, MATERIAL ORDER

FOR KTR

ORIG: C231B M.HAGA 243-2513

9B 8030 001742588 NA 4 Y 50455499

148/GL

020 27 1 M FLOOR COVERING, LONSEAL

FLOORING, UV SERIES,

FLOOR COVERING

INSULATION FOR HIGH

VOLTAGE APPLICATION,

SPEC: MIL-DTL-15562 TYPE 1,

SIZE: 6 FT W X 0.128"

OVERALL THK X 30 FT LG,

COLOR: BLUE MARBLE,

SURFACE CONDITION:

SMOOTH SURFACE,

ORDER FOR KTR

ORIG: C226 H.SHIMIZU, 080-

9350-1431

7220 NA 4 N 1/RO

021 M TAPE,CORR PROTECTION,

MATERIAL ORDER FOR KTR

ORIG: C231B M.HAGA 243-2513

9D 8305 LL4820191 NA 4 N 50457469 1/RO

022 M PLATE,ME, 5FT X 10FT

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 9515 001533236 NA 4 N 50455208 50/SF

023 M BAR,METAL, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 9530 005422585 NA 4 N 50455314 50/FT

024 M ANGLE,STRUCTURAL,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 9540 005422696 NA 4 N 50455345 50/FT

025 M EW,CAP,H, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 015294402 NA 4 N 50455056 10/PG

026 M SCREW,CAP,HEXAGON H,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 014519220 NA 4 N 50455347

1000/E

A

027 M NUT,SELF, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5310 013954695 NA 4 N 50455059

1500/E

A

FOUO

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

028 M WASHER,F, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5310 008238804 EY NA 4 N 50455060

2000/E

A

029 M SCREW,CAP,HEXAGON H,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 001159526 NA 4 N 50455313 10/HD

030 M SCREW,CA, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 002693211 NA 4 N 50455063

1000/E

A

031 M NUT,SELF, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5310 015050245 NA 4 N 50455066

1500/E

A

032 M WASHER,F, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5310 007737618 NA 4 N 50455069

2000/E

A

033 M STRIP,METAL, ORDERED FOR

KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 9515 002043974 NA 4 N 50455307 50/FT

034 M ANGLE,STRUCTURAL,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 9520 002774903 NA 4 N 50455303 70/FT

035 M SCREW, HEX CAP, , CREW,

HEX CAP, SIZE; 1/2"-13UNC-2A

X 4-1/4"LG, MATL: STEEL GR5

MIL-DTL-1222, TYPE I

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

NA 4 N 60/EA

036 M SCREW,CAP,HEXAGON H,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 013017852 NA 4 N 50455349 2/BX

037 M SCREW,CAP,HEXAGON H,

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

9B 5305 012834211 NA 4 N 50455519 54/EA

038 M SCREW, 3/8"-16UNC-2A,

SCREW, HEX CAP, 3/8"-16UNC-

2A X 4-1/4"L, STEEL,

MIL-DTL-1222, TY-1, GRADE-

5,QQ-Z-325, TY-II,

ELECTRODEPOSITED ZINC

COATING

ORDERED FOR KTR

ORIG: C231B, Y.ARAKAWA,

PHONE: 243-4496

LL9006748 NA 4 N 60/EA

FOUO

M-4

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

039 M SCREW, HEX CAP, 3/8",

SCREW,HEX CAP.3/8"-16UNC-

2A X 4"LG,CRES 316,MIL-DTL-

1222, TYPE I

LL9001440 NA 4 N 24/EA

400 M COUPLING,TUBE, 3/4" IPS, CU-

NI 90-10, SW

ORDERED FOR KTR

ORIG:C234 O. MITSUI 070-

7787-2048

9B 4730 014635878 NA 4 N 50455072 2/EA

401 M COUPLING,PIPE, 1-1/2" IPS,

CU-NI 70-30, SW

ORDERED FOR KTR

ORIG:C234 O. MITSUI 070-

7787-2048

9B 4730 014214722 NA 4 N 50455074 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 S/A 79243 EDG1 STRCT AY A 0

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

3819P31001 A03

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 S/A 79243 EDG1 STRCT AY A 0

SUBJECT: SUPPLEMENTAL INSTRUCTION FOR DWG NO.21O-8578O24 REV-A

ICN: 3819P31001

JCN: EE01-L106

ORIGINATOR: C250 D.NAGASATO

DATE: 01/31/2025

REFERENCES:

(a) LCC19-210-8578024 "A", SS/EDG UPGRADE TANK MOD EDG1 (7-30-0-E)

NOTES:

1. THE PURPOSE OF THIS ENGINEERING INSTRUCTION IS TO PROVIDE SUPPLEMENTAL INSTRUCTION FOR SCD DWG N0.210-8578024 REV-A (REF a) TO SUPPORT SHIALT 79243 ON USS BLUE

RIDGE (LCC 19).

2. THE DIMENSION FOR HOLE CUT ON SECTION 11-D AND NEW REINFORCED OPENING ON SECTION 22-A OF REF (a) SHALL BE PER SHEET N0.2 AND 3 OF THIS INSTRUCTION.

3. FOR ALL OTHER INFORMATION, SEE REF ( a).

ENGRG INST

SHEET 1 OF 3 ENCLOSURE-013819P31001A03

CUT LINE

<TYP>

<D 10. 2# PL

REF I

II El LONG. BHD II

<TYP>

L-7(S)

-i-

PORTION OF TANK BHD TANK OPENINGS RI

II

< 4> PLACES < TYP>

<D 14 X 8 X 43# 1-

/j

I I

I I 14½

HOLE CUT

15 1 2 x 23 1 2 F0 TYP

L-5(S)

=====-1-== ==r

- lST PLATF 23' -o• ABL

CD 12, 75# PL

REF 3

I

I

I

J

(E) 10 X 8 X 39# 1-T

CTYP)

�\ <DI0.2#PL

REF I

CUT LINE

3 DIA WEEP HOLE

(4) PLACES

I I

<D4X4X6,5#T

< FS> < 3) PLACES

(E) 3 X �6 FB

/J

I II

i (TYP)

(2) PLACES I

1 +- I m ,a« rn� ,_, 7I7----- �-A-

-;;..__,._(E) 4½ X ¾ FB

SECT ION 11-D

STBD LKG AFT

39 FWD FR 40

SCALE, !½'=!' -o• <10-Al

ENGRG INST

PORTION OF TANK BHD AIR AND DRAIN HOLES

(7) PLACES

SHEET 2 OF 3 3819P31001A03 ENCLOSURE-01

ENCLOSURE-013819P31001A03

3819P31001A01 ENCLOSURE-02 Sheet 1 of 2

AutoCAD SHX Text SUBJECT: SUPPLEMENTAL INFO FOR NDT INSPECTION FOR TEMP ACCESS HOLE SUPPLEMENTAL INFO FOR NDT INSPECTION FOR TEMP ACCESS HOLE INCID TO SCD 9243 ICN; 3819P31001 ; 3819P31001 3819P31001 JCN; EE01-L106 ; EE01-L106 EE01-L106 ORIGINATOR; C250 I.HAYASAKA GINATOR; C250 I.HAYASAKA INATOR; C250 I.HAYASAKA ; C250 I.HAYASAKA C250 I.HAYASAKA I.HAYASAKA DATE; 2/5/2025 2/5/2025 /5/2025 5/2025 /2025 2025 REFERENCE: (a) LCC19-145-8578018 "A", SCD 9243 SHIPPING ACCESS EDG NO.1 (7-30-0-E) LCC19-145-8578018 "A", SCD 9243 SHIPPING ACCESS EDG NO.1 (7-30-0-E) SCD 9243 SHIPPING ACCESS EDG NO.1 (7-30-0-E) - OQE IS REQUIRED (SEE NOTE NO. 3) - NOTES: 1. THE PURPOSE OF THIS ENGINEERING INSTRUCTION IS TO PROVIDE SUPPLEMENTAL INFORMAON FOR NDT THE PURPOSE OF THIS ENGINEERING INSTRUCTION IS TO PROVIDE SUPPLEMENTAL INFORMAON FOR NDT TO PROVIDE SUPPLEMENTAL INFORMAON FOR NDT INSPECTION FOR TEMPORARY ACCESS HOLE INCIDENTAL TO SCD 9243 OF USS BLUE RIDGE (LCC 19). . 2. ALL WELDING AND INSPECTION FOR STEEL MATERIALS SHALL BE CONDUCTED IN ACCORDANCE WITH ALL WELDING AND INSPECTION FOR STEEL MATERIALS SHALL BE CONDUCTED IN ACCORDANCE WITH SRF-JRMC PROCESS INSTRUCTION NO. 100-2 OR TABLE 2 OF NAVSEA STD ITEM NO. 009-12 RESPECTIVELY. VT INSPECTION SHALL BE REQUIRED IN ACCORDANCE WITH PARAGRAPH 6.4 OF IN ACCORDANCE WITH PARAGRAPH 6.4 OF MIL-STD-1689. . 3. FOR WELDS REFERENCED TO THIS NOTE, UT INSPECTION SHALL BE REQUIRED BY SECTION I.E.(2) OF FOR WELDS REFERENCED TO THIS NOTE, UT INSPECTION SHALL BE REQUIRED BY SECTION I.E.(2) OF E.(2) OF .(2) OF 2) OF ) OF TABLE-III OF MIL-STD-1689 AND PERFORMED IN ACCORDANCE WITH NOTE 2. QA FORM-20 SHALL BE 2. QA FORM-20 SHALL BE . QA FORM-20 SHALL BE REQUIRED FOR EACH WELD AND UT INSPECTION AS OBJECTIVE QUALITY EVIDENCE (OQE) RECORD RETENTION FOR PRIMARY HULL STRUCTURAL WELDING IN ACCORDANCE WITH COMUSFLTFORCOMINST 4790.3 (JFMM), VOLUME-V, PART I, PARAGRAPH 2.2.4.d.(3). ). 4. FOR INFORMATION OF HULL STRUCTURE NOT SHOWN ON THIS INSTRUCTION, SEE REF (a).FOR INFORMATION OF HULL STRUCTURE NOT SHOWN ON THIS INSTRUCTION, SEE REF (a). SHOWN ON THIS INSTRUCTION, SEE REF (a)., SEE REF (a).a).).

AutoCAD SHX Text_1

ENGRG INST

3819P31001A01 ENCLOSURE-02 Sheet 2 of 2

AutoCAD SHX Text_2

ENGRG INST

AutoCAD SHX Text_3 STGR-14 (S) 16 x 7 x 40# I-T MS

AutoCAD SHX Text_4 STGR-13 (S) 16 x 7 x 40# I-T MS

AutoCAD SHX Text_5

2ND PLATF 14'-0 ABL

AutoCAD SHX Text_6

1ST PLATF 23'-0 ABL

AutoCAD SHX Text_7

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AutoCAD SHX Text_10

AutoCAD SHX Text_11

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REF LINE

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TRANSV BHD FR 40

AutoCAD SHX Text_14

FWD

AutoCAD SHX Text_15

AutoCAD SHX Text_16

AutoCAD SHX Text_17 B

AutoCAD SHX Text_18 B

AutoCAD SHX Text_19 FAB & INSTL & INSTL INSTL SHELL PLTG (NOT EXPANDED) EXPANDED) ) STBD, LKG INBD FOR INFO NOT SHOWN, SEE REF (a)

AutoCAD SHX Text_20

EL 2-A 2-A2-A-AA

AutoCAD SHX Text_21 STGR-13 (S) & 14 (S) 16 x 7 x 40# I-T, MS

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REF LINE

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FWD

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FAB & INSTL & INSTL INSTL STGR-13 (S) & 14 (S)

AutoCAD SHX Text_29

PLAN 2-B 2-B2-B-BB

AutoCAD SHX Text_30

SHELL

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B2(S)V.2 (S)V.2 S)V.2 )V.2 V.2 2 NOTE 3 TYP

AutoCAD SHX Text_32

TEMP SHIPPING ACCESS REUSED

Sketch

3819P31001A03 ENCLOSURE-03 Sheet 1 of 4

PLAN VIEW

7-30-0-E, Frames Between 30 and 40

Identification 1.3.1.2

See Plan View 3-A

Identification 1.3.1.1

See Plan View 2-A

Identification 1.3.1.3

See Plan View 4-A

L#2 (P)

L#3 (P)

L#4 (P)

L#5 (P)

L#6 (P)

L#7 (P)

L#8 (P)

___CL

L#2 (S)

L#3 (S)

L#4 (S)

L#5 (S)

L#6 (S)

L#7 (S)

L#8 (S)

3819P31001A03 ENCLOSURE-03 Sheet 2 of 4

PLAN VIEW 2-A

Foundation and Second Platform Palting, between Frames 32 and 38, and Londitudinals 2P and 7S

__CL

L#2(P)

L#2(S)

L#3(S)

L#4(S)

L#5(S)

L#6(S)

L#7(S)

3819P31001A03 ENCLOSURE-03 Sheet 3 of 4

PLAN VIEW 3-A

between Frames 30 and 33, and Londitudinals 3P and 7P

L#5 (P)

3819P31001A03 ENCLOSURE-03 Sheet 4 of 4

PLAN VIEW 4-A

between Frames 30 and 32, and Londitudinals 2P and 6S

L4S

L5S lRANSV BHD FR37 1 /2 I lRANSV BHD FR36

-�-�r-----------<t--------------------

LONG BHD "===¼==---

L-2P r _ ----l>====II- ____ _

L -3s r

_ ----J)====II-

HJ-1-2

HJ-1-3

FWD_

l SHIP

37 36

HJ-1-1

MN DK PLTG

15.3#, MIL-S-22698 GR-A (TYP)

PLAN 1-A

MN DK

SCALE: NONE

MAPPING PLAN

----l>====U - - �

3819P31001A03 Sheet 1 of 2

ENCLOSURE-04

3819P31001A03 ENCLOSURE-04 Sheet 2 of 2

EL 2-A

AutoCAD SHX Text_33 STGR-14 (S) 16 x 7 x 40# I-T MS

AutoCAD SHX Text_34 STGR-13 (S) 16 x 7 x 40# I-T MS

AutoCAD SHX Text_35

2ND PLATF 14'-0 ABL

AutoCAD SHX Text_36

1ST PLATF 23'-0 ABL

AutoCAD SHX Text_37

AutoCAD SHX Text_38

AutoCAD SHX Text_39

AutoCAD SHX Text_40

AutoCAD SHX Text_41

AutoCAD SHX Text_42

REF LINE

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TRANSV BHD FR 40

AutoCAD SHX Text_44

FWD

AutoCAD SHX Text_45

FAB & INSTL & INSTL INSTL SHELL PLTG (NOT EXPANDED) EXPANDED) ) STBD, LKG INBD

AutoCAD SHX Text_46

EL 1-A 1-A1-A-AA

AutoCAD SHX Text_47

25.5# MS

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30.6# MS

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25.5# MS

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30.6# MS

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HJ-1-4

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HJ-1-5

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MAPPING PLAN

AutoCAD SHX Text_54

HJ-1-6

AutoCAD SHX Text_55

HJ-1-7

AutoCAD SHX Text_56

HJ-1-8

AutoCAD SHX Text_57

HJ-1-9

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P31001A03 ENCLOSURE-05-1 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

EE01-L106

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

15 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

MAIN DECK PLTG

9. DWG NO.

501-ELM-250160 REV. “-”

10. CWP STEP NO.

5.1.3.2

11. JOINT ID

HJ-1-1

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

THE ACTION HAS BEEN PERFORMED IN ACCORDANCE WITH THE SPECIFIED

REQUIREMENTS.

3819P31001A03 ENCLOSURE-05-1 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P31001A03 ENCLOSURE-05-2 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

EE01-L106

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

15 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

MAIN DECK PLTG

9. DWG NO.

501-ELM-250160 REV. “-”

10. CWP STEP NO.

5.1.3.2

11. JOINT ID

HJ-1-2

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P31001A03 ENCLOSURE-05-2 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P31001A03 ENCLOSURE-05-3 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

EE01-L106

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

15 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

MAIN DECK PLTG

9. DWG NO.

501-ELM-250160 REV. “-”

10. CWP STEP NO.

5.1.3.2

11. JOINT ID

HJ-1-3

12. JOINT DESIGN

B2V.1

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51. WELDER SIGNATURE 52. DATE

53. INSPECTION DATA CONTAINED ON REVERSE OF THIS PAGE

REMARKS:

94. FINAL DISPOSITION:

[ ] ACCEPT

[ ] REJECT

95. NDT SUPERVISOR DATE

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P31001A03 ENCLOSURE-05-3 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (BACK) PAGE 2 OF 2

NDT INSPECTION DATA

54. INSPECTION STANDARD 55. WELD CLASS 56. ACCEPTANCE STANDARD 57. ACCEPT CLASS

58. WELD PREP 59. INSP METHOD 60. ACCEPT/REJECT 61. NDT INSPECTOR SIGNATURE 62. DATE

COMPONENT A [ ] ACCEPT [ ] REJECT

COMPONENT B [ ] ACCEPT [ ] REJECT

63. JOINT FITUP [ ] ACCEPT [ ] REJECT

64. INSP LAYER 65. INSP METHOD 66. INSP PROC NO 67. ACCEPT/REJECT 68. NDT INSPECTOR SIGNATURE 69. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

70. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

71. Repair Method: Excavation: L W D

72. INSP LAYER 73. INSP METHOD 74. INSP PROC NO. 75. ACCEPT/REJECT 76. NDT INSPECTOR SIGNATURE 77. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

78. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

79. Repair Method: Excavation: L W D

80. INSP LAYER 81. INSP METHOD 82. INSP PROC NO. 83. ACCEPT/REJECT 84. NDT INSPECTOR SIGNATURE 85. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

86. NDT INSPECTION DATA REPAIR NO._____ Defect: L W D

87. Repair Method: Excavation: L W D

88. INSP LAYER 89. INSP METHOD 90. INSP PROC NO. 91. ACCEPT/REJECT 92. NDT INSPECTOR SIGNATURE 93. DATE

[ ] ACCEPT [ ] REJECT

[ ] ACCEPT [ ] REJECT

53. REMARKS (Continued):

THE PERSON DESIGNATED TO SIGN FOR AN ACTION VERIFIES, BASED ON PERSONAL

OBSERVATION OR CERTIFIED RECORDS, AND CERTIFIES BY THEIR SIGNATURE THAT

3819P31001A03 ENCLOSURE-05-4 TOTAL 9

WELDING IN PROCESS CONTROL/NONDESTRUCTIVE TEST RECORD

QA FORM 20 (FRONT)

When the form is used for production welding, the blocks marked with a must be completed by the planner. 1. PAGE 1 OF 2

2. SHIP USS BLUE RIDGE

HULL NO. LCC-19

3. JCN

EE01-L106

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

15 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

SHELL PLTG

9. DWG NO.

145-8578018 REV. A

10. CWP STEP NO.

5.1.5.1

11. JOINT ID

HJ-1-4

12. JOINT DESIGN

B2(S)V.2

13. INST LOCATION: [ ] STBD

COMPT: [ ] C/L

FR: [ ] PORT

14. WELDED LOCATION:

[ ] SHOP

[ ] FIELD

BASE MATERIAL DATA

15. COMP DATA 16. MATERIAL 17. SIZE 18. THICKNESS 19. MATL SPEC 20. MIC NO.

COMPONENT A:

COMPONENT B:

21. [ ] SEAL RING

[ ] BACK RING/STRIP

22. MATERIAL 23. SIZE 24. THICKNESS 25. MATL SPEC 26. MIC NO.

WELDING MATERIAL SPECIFICATIONS AND DATA

27. TYPE OF FILLER(S) 28. SIZE 29. MATL 30. MIL-SPEC 31. MIC NO.

WELD HISTORY

32. WELDING

STANDARD:

MIL-STD-1689A

33. WELDING

PROCEDURE:

34. DATA SHEET 35. POSITION: [ ] VERT [ ] FLAT [ ] FIXED [ ] 45 DEG

[ ] HORZ [ ] OVHD [ ] ROLLED

36. ACCESSIBILITY:

[ ] 12”OR LESS

[ ] UNRESTRICTED

37. PREHEAT TEMP 38. PREHEAT METHOD 39. POST HEAT. START TIME:

TEMP REQD: STOP TIME:

40. PURGE

GAS:

41. FLOW RATE 42. SHIELD GAS 43. FLOW RATE 44. CUP SIZE 45. TUNGSTEN SIZE

46. WELD LAYER 47. PROCESS 48. QUAL EXP DATE 49. AMPS 50. INTERPASS TEMP 51.