TGI_3819P31002A02_c1v1_redact.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.: SA 79243K STRL EDG#2 AY A 0 1

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 2 UPGRADE

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TAKAAKI ASHINA 231B 315-243-4370 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:

Missing task for Paragraphs 5.7 and 5.8.

CHANGE INSTRUCTIONS:

CH1: add task for Paragraphs 5.7 and 5.8. (2/27/2025)

SPECIAL REQUIREMENTS:

This work affects a fire zone boundary. Fabrication and/or staging of a non-flammable closure is required.

HOT WORK IN MAGAZINE AND ADJACENT SPACES IAW S6740-AA-SAF-010 AND NAVSEA OP 4.

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II AND III.

CLASS P-2 PIPING.

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.: SA 79243K STRL EDG#2 AY A 0

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SHIP: LCC-19 CHG/VER: 1/1

LIST OF EFFECTIVE PAGES

SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO.

1-13 Engrg Inst (1-2)

QA17

(1-2)

J1-3 Sketch (1-5)

Map (1)

M1-7 Map (1-4)

QA20

(1-8)

Engrg Inst (1-3)

QA20

(1-18)

QA28

(1-2)

1. SCOPE/PURPOSE

1.1 Title: S/A 79243K, Structural, Sheet Metal, Preservation, Insulation, and Deck Covering Work for Emergency Diesel Generator (EDG) No. 2 Generator Set Upgrade; accomplish

1.2 Location of Work:

1.2.1 Emergency Generator Room No. 2 (7-109-1-E)

1.2.2 Anchor and Line Handling Space (2-F-0-Q)

1.2.3 Passage (2-109-01-L)

1.2.4 Fan Room (2-109-3-Q)

1.2.5 Shore Power Room (2-109-5-Q)

1.2.6 Male Officer Washroom, Watercloset, Shower, and Decontaminate Station (2-111-3-L)

1.2.7 Stateroom (2-113-1-L)

1.2.7.1 Vent Plenum for Supply System 3-109-3

1.2.7.2 Vent Plenum for Natural Supply, Frames between 114 and 116, Starboard (Stbd)

1.2.8 Stateroom (2-113-3-L)

1.2.9 Stateroom (2-117-1-L)

1.2.10 Helicopter Detachment Admin Office (2-119-1-Q)

1.2.10.1 Vent Plenum for Exhaust System 3-120-3

1.2.11 Boatswain Storeroom (3-D-0-A)

1.2.12 Unassigned (3-5-0-Q)

1.2.13 Passage (3-98-1-L)

1.2.14 Passage (3-109-5-L)

1.2.15 Officer Washroom, Watercloset, Shower, and Decontaminate Station (Female) (3-109-7-L)

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SHIP: LCC-19 CHG/VER: 1/1

1.2.16 Pyrotechnic Magazine (3-109-9-M)

1.2.17 Gear Locker (3-109-11-A)

1.2.18 Stateroom (3-111-1-L)

1.2.19 Stateroom (3-113-3-L)

1.2.20 Stateroom (3-116-1-L)

1.2.21 Stateroom (3-118-1-L)

1.2.22 X1 Storeroom (3-120-1-A)

1.2.22.1 Vent Plenum for Exhaust System 3-120-3

1.2.23 Boatswain Storeroom (4-B-0-A)

1.2.24 Disbursing Office (4-79-2-Q)

1.2.25 Damage Control Central (4-81-1-Q)

1.2.26 Load Center No. 61 (4-107-3-Q)

1.2.27 Passage (4-109-01-L)

1.2.28 AC and R Shop (4-109-3-Q)

1.2.29 Diesel Exhaust Piping Space (4-109-7-Q)

1.2.30 Passage (4-113-01-L)

1.2.31 Mooring Station No. 7 (4-121-5-Q)

1.2.32 Crew Washroom, Watercloset, Shower, and Decontaminate Station (5-104-1-L)

1.2.33 Crew Living Space (5-109-0-L)

1.2.34 Trunk (5-109-1-T)

1.2.35 Self Service Storeroom (6-86-1-A)

1.2.36 Crew Living Space (6-98-0-L)

1.2.37 Crew Lounge (6-106-1-L)

1.2.38 Physical Fitness Room (6-109-0-L)

1.2.39 Emergency Switchgear Room No. 2 (6-109-1-E)

1.2.40 Trunk (6-117-0-T)

1.2.41 Deck Department Cleaning Gear Storeroom (6-118-1-A)

1.2.42 Chemical Warfare Defense Equipment Storeroom (7-106-1-K)

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SHIP: LCC-19 CHG/VER: 1/1

1.2.43 Used Lube Oil Tank (7-115-1-F)

1.2.44 Auxiliary Fuel Service Tank (7-116-1-F)

1.2.45 Lube Oil Storage Tank (7-117-3-F)

1.2.46 Engine Room (8-86-0-E)

1.2.47 Peak Tank (9-FP-0-W)

1.2.48 Fresh Water Ballast (9-86-5-W)

1.2.49 Shaft Alley (9-98-0-Q)

1.2.50 JP5 (9-109-1-J)

1.2.51 JP5 (9-109-4-J)

1.2.52 Cross Flooding Duct, Ninth Deck Frame 111

1.2.53 "E" Division Storeroom (9-118-1-A)

1.2.54 Distillate Fuel or Ballast (9-121-1-F)

1.2.55 Main Deck Weather, Frames between 110 and 123, Stbd

1.2.56 Freeboard Weather, Frames between 110 and 123, Stbd

1.2.57 Underwater Hull Weather, Frames between 106 and 123, Stbd

1.2.58 Sponson, Third Deck Weather, Frames between 110 and 113, Stbd

1.2.58.1 Vent Plenum for Supply System 3-109-3

1.2.58.2 Vent Plenum for Natural Supply, Frames between 114 and 116, Stbd

1.2.58.3 Vent Plenum for Exhaust System 3-120-3

1.3 Identification:

1.3.1 Quantity (One Lot), Structural, Sheet Metal, Preservation, Insulation, and Deck Covering Work for S/A 79243K EDG No. 2 Generator Set Upgrade

Remarks: See 2.3 through 2.36, Engrg Inst Enclosure-01, and Engrg Inst Enclosure-02 for material and detail

1.3.1.1 Quantity (380 SF), EDG No. 2 Foundation, including second platform plating in 7-109-0-E

Remarks: See Sheet 2 of Sketch Enclosure-03 for location and detail

1.3.1.2 Quantity (100 SF), Switch Board Foundation, including second platform plating in 7-109-0-E

Remarks: See Sheet 3 of Sketch Enclosure-03 for location and detail

1.3.1.3 Quantity (40 SF), Ship Service Disel Generator (SSDG) Seawater Pump and EDG Seawater Pump Foundation, including second platform plating in 7-109-0-E

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SHIP: LCC-19 CHG/VER: 1/1

Remarks: See Sheet 4 of Sketch Enclosure-03 for location and detail

1.3.1.4 Quantity (30 SF), Vidmar Cabinet Foundation, including second platform plating in 7-109-0-E

Remarks: See Sheet 5 of Sketch Enclosure-03 for location and detail

1.3.1.5 Quantity (170 SF) Entire Interior Surface of Vent Plenum for HVAC Supply System 3-111-1 on Freeboard Weather, Frames between 113 and 115, Stbd

1.3.2 Quantity (One Lot), Flask including High Pressure (HP) Piping, located in between frame 109 and 113 at starboard side in 1.2.1

Remarks: See Mapping Plan Enclosure-07 and following for location detail 2.65: Sheet 18 (Elevation 142-A) and Sheet 19 (Zone 146-B through 148-B and 146-C through 148-C of Plan

147-A)

1.3.2.1 Quantity (Approx. 60 FT), Pipe

Size: 3/8 Inch IPS (0.675 Inch OD X 0.126 Inch WT) Material: CRES 304 Specification: ASTM A312 Piping Class: Class P-1 Piping

1.3.2.2 Quantity (2 EA), Coupling

Size: 3/8 Inch IPS Material: CRES 304L Specification: ASTM A182 Piping Class: Class P-1 Piping Weld Joint No.: PJ-500 through PJ-503 of Mapping Plan Enclosure-07

1.3.3 Quantity (Approx. 5 FT), CHT Waste Drain Piping, located in between frame 109 and 112 at starboard side in 1.2.1

Size: 4 Inch IPS (4.500 Inch OD x 0.109 Inch WT) Material: Cu-Ni 90-10 Specification: MIL-P-16420 Remarks: See following for location detail 2.69: Sheet 3 (Zone 11-A)

1.3.4 Quantity (Approx. 5 FT), CHT Soil Drain Piping, located in between frame 109 and 112 at starboard side in 1.2.1

Size: 4 Inch IPS (4.500 Inch OD x 0.109 Inch WT) Material: Cu-Ni 90-10 Specification: MIL-P-16420 Remarks: See following for location detail 2.69: Sheet 3 (Zone 11-A)

1.3.5 Quantity (Approx. 5 FT), Hot Potable Water Piping, located in between frame 119 and 120 at starboard side in 1.2.21

Size: 1-1/4 Inch IPS (1.660 Inch OD x 0.065 Inch WT) Material: Copper Specification: WW-T-797

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SHIP: LCC-19 CHG/VER: 1/1

Remarks: See following for location detail 2.69: Sheet One (Zone 8-A and 9-A)

1.3.6 Quantity (One Lot), Piping Work for S/A 79243K EDG No. 2 Generator Set Upgrade

Remarks: See 2.25 for detail

1.3.6.1 Quantity (One EA), Gate Valve

Size: 1/2 Inch IPS Item No.: V1 (Label Plate No. L2) of 2.25

1.3.6.2 Quantity (2 EA), Globe Valve

Size: 1/4 Inch OD Item No.: V2 (Label Plate No. L3 and L4) of 2.25

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Dry Dock Work

1.5.2 Potential Lead Hazard.

1.5.3 Potential Asbestos Hazard.

1.5.4 Critical Coated Area: CCNY-LCC19-075-25 for the area listed in 1.3.1.1 through 1.3.1.5.

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 PDD 501-

ELM-250153

Patch For Removed Strl Pen Incid To EDG #2 Upgrade

- Y AL

L

4 PDD 103-

ELM-250166

Patch for Removed Hull Penetration Incid to SCD 9243

- Y AL

L

5 LAR SRFY-

0020-25

Clarification of NDT Inspection Requirement for Temporary Access Cut

- Y AL

L

6 DWG 145-

8578039

Shipping Access EDG No. 2 (7-109- 0-E) SS/EDG Upgrade

A Y AL

L

7 DWG 145-

8578040

ESLP SS/EDG Genset Upgrade EDG2 Compartment & Access and Label PL Modifications

A Y AL

L

8 DWG 104-

8578042

Structural Modifications EDG No. 2 (7-109-1-E) SS/EDG Upgrade

A Y AL

L

9 DWG 113-

8578043

SS/EDG Upgrade Foundation Removals EDG No. 2 (7-109-0-E)

B Y AL

L

10 DWG 113-

8578044

SS/EDG Genset UPGD FND Installation & Prefab Emergency Diesel Generator Rm 2

B Y AL

L

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SHIP: LCC-19 CHG/VER: 1/1

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

11 DWG 115-

8578045

INSTALLATION CABLE TRUNK

EDG NO. 2 EDG RM NO. 2 (7-109-

1-E)

A Y AL

L

12 DWG 113-

8578046

SS/EDG GENSET UPGD

FOUNDATION INSTALLATION

400HZ EQPT RM

A Y AL

L

13 DWG 210-

8578047

SS/EDG Upgrade Tank Modifications EDG No. 2 (7-109-1- E)

A Y AL

L

14 DWG 600-

8578048

Padeye Installation EDG No. 2 (7- 109-1-E) SS/EDG Upgrade

A Y AL

L

15 DWG 603-

8578049

Grating Modifications EDG NO. 2 (7-109-1-E) SS/EDG Upgrade

A Y AL

L

16 DWG 608-

8578054

Miscellaneous Removals Exhaust Piping Emergency Diesel Generator No. 2

A Y AL

L

17 DWG 114-

8578056

Ventilation Plenum Modifications 2nd, 3rd & 4th Deck EDG No. 2

A Y AL

L

18 DWG 604-

8578057

Non Structural Bulkhead Installation, 3rd Deck Emergency Diesel Generator No. 2

A Y AL

L

19 DWG 123-

8578059

Door Modification 3rd Deck Emergency Diesel Generator No. 2

A Y AL

L

20 DWG 123-

8974322

SS/EDG Genset Upgrade Hatches, Scuttles, Manholes, Ladder Mods EDG No.2

- Y AL

L

21 DWG 113-

8974331

SS/EDG Genset Upgrade HVAC Foundation Installation EDG 2

- Y AL

L

22 DWG 113-

8974333

SS/EDG Genset Upgrade HVAC Shipping Access

- Y AL

L

23 DWG 113-

8974276

SS/EDG Genset Upgrade Foundation Installation EDG 1 Engine Room (8-86-0-E)

- Y AL

L

24 DWG 605-

8578041

ESLP SS/EDG Genset Upgrdae EDG2 Paint, Insulation & Deck Covering Modifications

A Y AL

L

25 DWG 300-

8576364

Combustion Air Modifications - EDG #2 Upgrade

B Y AL

L

26 DWG 300-

8621717

Combustion Air Intake Outside of EDG No. 2 2nd - 1st Platf, Fr 109- 112 Stbd

A Y AL

L

27 DWG 501-

8620516

Hvac Modifications EDG2 Supply 2nd Dk-2nd Platf Fr 109-121 Stbd

A Y AL

L

28 DWG 501-

8620517

Hvac Modifications EDG2 Exhaust 3rd Dk - 1st Platf Fr 117-121 Stbd

A Y AL

L

29 DWG 501-

8620518

Hvac Mods EDG2 Natural Supply and Combustion Air

A Y AL

L

30 DWG 501-

8620519

Hvac Installation 400 Hz Eqpt Rm (6-118-1-Q)

A Y AL

L

31 DWG 501-

8621697

Hvac Modifications EDG 2 Interference 3rd - 5th Deck

A Y AL

L

32 DWG 604-

8578051

Mj Bhd, Non-Strl Bhd and Door Mods 3rd and 4th Deck EDG No. 2

A Y AL

L

33 DWG 604-

8578058

SANITARY SPACE 3-109-7-L

ARRANGEMENT MODS

EMERGENCY DIESEL

GENERATOR NO. 2

A Y AL

L

34 DWG 608-

8578050

Stowage Modification Emergency Disel Generator No. 2 4th Deck and 1st Platform

A Y AL

L

35 DWG 612-

8578052

Living Space Arrangement 3rd Dk 3-111-1-L and 3-113-3-L EDG No. 2

A Y AL

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SHIP: LCC-19 CHG/VER: 1/1

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

36 DWG 612-

8578053

Living Space Arrangement 5-109-0- L and 6-98-0-L Emergency Diesel Generator No. 2

A Y AL

L

37 DWG 1113-

5293062

FOUNDATIONS-MISC

ELECTRICAL EQUIPMENT FOR

GRADE A AND B SHOCK

D Y AL

L

38 DWG 603-

2492591

STD DETS-FL FRAMING-MACHY

SP

F Y AL

L

39 DWG 803-

1623056

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

K N

40 DWG 803-

1401892

Scuttle, WT, Raised Quick Acting, 21 DIA 16 PSI - Arrangement

J N

41 DWG 805-

1360280

LADDERS, VERTICAL

ASSEMBLIES & DETAILS

(ALUMINUM)

H N

42 DWG 804-

1749113

INCLINED LADDERS, ALUMINUM

ASSEMBLIES & DETAILS

E N

43 PDD 167-

ELM-160649

SRF-JRMC STD ELM

REFERENCE DWG FOR

MANHOLE

- Y AL

L

44 DWG 805-

1626726

FLUSH W.T. & O.T. BOLTED

PLATE MANHOLE 15" X 23" & 15"

X 18"

F N

45 DWG 803-

8499809

MANHOLES, WATERTIGHT &

OILTIGHT

- N

46 DWG 804-

1927788

PSNS TYPE DRAWING LABELS

AND LABEL PLATES

Q N

47 DWG 803-

5184133

Padeye, Machinery Lifting B N

48 DWG 603-

2492595

HR & HANGER MCHRY SP DET C N

49 DWG 803-

6397268

Doors Watertight, Quick Acting Arrangement

B N

50 DWG 803-

6397269

DOORS, WATERTIGHT, QUICK

ACTING SUB-ASSEMBLIES &

DETAILS

B N

51 DWG 604-

2491445

NON STRUCT & MET J BHD DET T Y AL

L

52 DWG 167-

7379842

PROC & WLDG SEQ FOR NON-

BAL, WTRTT & AT QA INDV DG

PERS DOORS

A Y AL

L

53 DWG 805-

1362325

REINFORCEMENT FOR W.T. AND

A.T. DOOR OPENINGS

C N

54 DWG 123-

6065384

STANDARD DRAWING

STRUCTURAL DOORS TYPICAL

INSTALLATON & DETAILS

C Y AL

L

55 DWG 105-

2491053

3RD DK PLTG STEM - FR 52 M Y AL

L

56 DWG 104-

2491050

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

L

57 DWG 114-

2491158

TRANSV BHD FR 98 &109 K Y AL

L

58 DWG 104-

2491049

5th Deck PLTG FR102-1/4 - Stern M Y AL L

59 DWG 103-

2491034

1ST & 2ND PLATF PLTG AFT

FR98

H Y AL

L

60 DWG 104-

2491048

5th Deck PLTG FR51-1/2 - FR102- 1/4

M Y AL

L

61 DWG 100-

2491003

SHELL PLTG & STGR FRAME 51

1/2 -102 1/4 CL TO 4 TH DECK

G Y AL

L

62 DWG 100-

2491005

SHELL PLTG & STGR FRAME 102

1/4 STERN CL TO 4 TH DECK

F Y AL

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SHIP: LCC-19 CHG/VER: 1/1

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

63 TM T9074-

AS-GIB-

010/271

Requirements for Nondestructive Testing Methods

1 N

64 MIL MIL-

STD-2035

Nondestructive Testing Acceptable Criteria

A N

65 DWG 513-

7644609

HP AIR PP MOD - SCBA SYSTEM

INSTL

B Y 18, 66 TM S9086-

RK-STM-

010/CH-505

Piping System 6 N

67 TM S9505-

AM-GYD-

Submarine Fastening Criteria (Non- Nuclear)

8 N

68 TM S9086-

H7-STM-

010/CH-262

Lubricating Oils, Greases, Specialty Lubricants, and Lubrication Systems

12 N

69 DWG 528-

4346217

COLLECTING HOLDING

TRANSFER SYSTEM PIPING

ARRANGEMENT FR98-121 1ST

PLATE & BELOW

B Y 3

70 DWG 509-

2492927

POTABLE WATER SYS FR98-121

2ND & 3RD DK-PLAN

A Y AL

L

71 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 Pump out, clean and dry the bilge area located in 1.2.1 and 1.2.46 free from oil, debris, and other foreign matter.

5.2 Accomplish the structural, sheet metal, insulation, deck covering, and preservation work listed in 1.3.1 in accordance with 2.3 through 2.54, and Enclosure-01, Enclosure-02, using 2.55 through 2.62 for guidance.

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

5.2.1.1 Accomplish nondestructive testing in accordance with Line 9.

5.2.1.2 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-05-1 and Enclosure-05-2.

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

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

5.2.2 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.

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

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SHIP: LCC-19 CHG/VER: 1/1

5.2.3 Temporary access must be in accordance with 2.5, 2.6, 2.22, Enclosure-01, and Enclosure-02.

5.2.3.1 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-05-3 through Enclosure-05-

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

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

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

5.2.3.4 Accomplish ultrasonic (UT) inspection of each new weld of each shell plate in accordance with Paragraph 6 of 2.63. The accept or reject criteria must be in accordance with Paragraph 8, Class One of 2.64.

(I)(G) “UT INSPECTION”

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

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

5.2.6 Accomplish an operational test of each watertight door and watertight scuttle to assure unobstructed operation.

Allowable sticking or binding: None.

(V)(G) “OPERATION TEST”

5.2.7 After installation of each new vent closure 6-118-1 and vent closure 6-119-3, cycle each new vent closure from fully closed to fully open to fully closed 3 times. Allowable binding: None.

(V) "VALVE CYCLING"

5.2.8 Accomplish the requirements of 009-26 of 2.1.

5.2.8.1 Accomplish the requirements of 009-32 of 2.1.

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

5.2.9.1 Accomplish the requirements of 009-12 of 2.1.

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

5.2.10 Accomplish the requirements of 009-32 of 2.1.

5.2.11 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 1.3.1.4.

5.2.12 Accomplish the requirements of 009-32 of 2.1, including Table 3, Line(s) 15, for each area listed in 1.3.1.5.

5.3 Remove existing and reinstall each HP air piping for accomplishment of structure work listed in 1.3.2, using 2.65 and Enclosure-07 for guidance.

5.3.1 Disassemble and reassemble unions, using 505-6.7.2 of 2.66 and Appendix D of 2.67 for guidance.

5.3.2 Thread lubricants and compounds must be in accordance with 262-2.2.5 and Table 262-10-1 of 2.68.

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SHIP: LCC-19 CHG/VER: 1/1

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

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

5.3.4.1 Accomplish the requirements of 009-09 of 2.1.

5.3.4.2 Accomplish nondestructive testing in accordance with Line 13.

5.3.4.3 Accomplish the requirements of 099-911YO of 2.2, using QA Form 20 Enclosure-08-1 through Enclosure-08-

4. Each joint identification number must be in accordance with Mapping Plan Enclosure-07.

5.4 Remove existing and reinstall each CHT piping for accomplishment of structure work listed in 1.3.3 and 1.3.4, using 2.69 for guidance.

5.4.1 Accomplish the requirements of 009-09 of 2.1 for the certification process.

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

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

5.5 Remove existing and reinstall each potable water piping for accomplishment of structure work listed in 1.3.5, using 2.70 for guidance.

5.5.1 Accomplish the requirements of 009-87 of 2.1 for each cold potable water piping.

5.5.1.1 Accomplish the requirements of 009-09 of 2.1 for chlorination and bacteriological tests. Analysis and testing conducted by a qualified Japanese laboratory (accredited by ISO 17025 or equal) are authorized by the

SUPERVISOR.

5.5.1.2 Record results of chlorination and bacteriological tests on a Laboratory Analysis Record(s) and DD Form 686, and submit one legible copy, in hard copy or approved transferrable media, of completed record(s) and form(s) to the SUPERVISOR.

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

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

5.6 Accomplish the piping work listed in 1.3.6 in accordance with 2.25.

5.6.1 Bend new pipe in accordance with 2.71.

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

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

5.6.4 Cycle each valve listed in 1.3.6.1 and 1.3.6.2 from fully closed to fully open to fully closed 4 times. Allowable binding: None.

(V) “VALVE CYCLING”

5.7 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 200 PSIG, for each new fan coil assembly (6-118-1).

5.7.1 Document shop hydrostatic test results on QA Form 28 Enclosure-09-1.

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SHIP: LCC-19 CHG/VER: 1/1

5.8 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 200 PSIG, for each new fan coil assembly (6-118-3).

5.8.1 Document shop hydrostatic test results on QA Form 28 Enclosure-09-2.

5.9 Confirm that all personnel have exited the space prior to closure of the space listed in 1.2.22.1 and each new plenum drawn on 2.17 Designate one person to account for all personnel who may have entered the space.

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

5.11 Notes:

5.11.1 Planner: Code 231B T. Ashina, 243-4370

Planner: Code 231B S. Yamaoka, 243-9882 Planner: Code 231B M. Maeda, 243-6101 Planner: Code 231B A. Suzuki, 243-0968 Planner: Code 233 K. Uchimura, 080-9350-1432 Planner: Code 234 H. Komoto, 243-0975 Engineer: Code 250 D. Nagasato, 243-5301 Engineer: Code 250 A. Souma, 243-4332

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

5.11.3 Preservation work for new and disturbed exterior surfaces of underwater hull and freeboard will be covered by TGI No. 3819P11001A01 (KTR TGI).

5.11.4 Preservation work for new and disturbed surfaces of each space listed 1.2.29, 1.2.47, 1.2.50, and 1.2.54 will be covered by the following TGI No(s).

Diesel Exhaust Piping Space (4-109-7-Q): 3819P13411A01 (KTR TGI) Peak Tank (9-FP-0-W): 3819P12336A01 (KTR TGI)

JP5 (9-109-1-J): 3819P12320A01 (KTR TGI)

Distillate Fuel or Ballast (9-121-1-F): 3819P12306A01 (KTR TGI) Distillate Fuel Overflow or Ballast (9-121-1-F): 3819P12306A01 (KTR TGI) Distillate Fuel or Ballast (9-127-1-F): 3819P12308A01 (KTR TGI)

5.11.5 Opening, initial cleaning, closing, and installation/removal of FMEs of the following spaces will be covered by the following TGI No(s).

Auxiliary Fuel Service Tank (7-116-1-F): 3819P12333A01 (KTR TGI) Lube Oil Storage Tank (7-117-3-F): 3819P12333A01 (KTR TGI)

JP5 (9-109-1-J): 3819P12320A01 (KTR TGI)

JP5 (9-109-4-J): 3819P12321 (KTR TGI)

Cross Flooding Duct, Ninth Deck Frame 111: 3819P12320A01 (KTR TGI) Peak Tank (9-FP-0-W): 3819P12336A01 (KTR TGI)

5.11.6 Opening, initial cleaning, and closing of the following spaces will be covered by the following TGI No(s).

Distillate Fuel or Ballast (9-121-1-F): 3819P12306A01 (KTR TGI) Used Lube Oil Tank (7-115-1-F): 3819P14205A01 (KTR TGI) Fresh Water Ballast (9-86-5-W): 3819P12343A01 (KTR TGI)

5.11.7 Provision of oily/chemical water barge will be coordinated by Project Team.

5.11.8 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

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SHIP: LCC-19 CHG/VER: 1/1

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.

5.11.9 JCN EE01-L105 is related to this TGI.

5.12 Government Furnished Material (GFM):

5.12.1 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.

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

5.13 SRF-JRMC will provide the following service work: (TGI No. 3819P31002S02)

5.13.1 [C740] Crane and crane rigging service.

5.13.2 [X99E] Utilities service, electrical.

5.13.3 [X99M] Utility service, including water supply, steam supply, and low pressure air supply except onboard blasting work.

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

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

5.13.6 [C133] QA Inspection for (G) symbol(s) and review of coating application data.

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

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SHIP: LCC-19 CHG/VER: 1/1

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

SA 79243K STRL EDG#2 AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 79243K, ACCOMPLISH STRL, SH MET, & PSVTN WORK FOR EDG 2 UPGRADE

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CMPT 3-111-1-Q IN VNT E3-120-3 DT FCA 6-118-3 CC VNT R6-118-3 DT VNT R4-113-1 DT

CMPT 3-118-1-L FNCMPT 2-111-3-L FNCMPT 5-109-0-L FNVNT NAT THRUOUT SHIP DT FCA 6-

118-1 CC VNT R6-118-1 DT VNT S2-109-1 DT CMPT 3-109-5-L FNMJ DOOR 3-119-5 HA

CMPT 6-118-1-A FN CMPT 3-113-3-L MS CMPT 4-107-3-Q MS CMPT 9-118-1-

A IN CMPT 6-118-1-Q DC CMPT 6-118-1-Q IN CMPT 3-120-1-Q IN #2 EDG INTAKE DUCT

IT VNT S3-109-3 DT VNT S3-109-3 FA PHR 3-112-1 HT VNT S3-111-1 FA VNT S3-111-1

DT VNT S2-109-3 DT CMPT 3-109-7-L FNCMPT 3-120-1-A FN CMPT 6-86-1-A FN CMPT

6-98-0-L FN CMPT 2-109-5-Q MS CMPT 2-116-1-L MS CMPT 3-109-9-M MS

CMPT 4-81-1-Q MS CMPT 4-113-01-L MS CMPT 6-86-1-A MSCMPT 6-109-1-E

MS FO/BLST 9-121-1-F TK CMPT 9-98-0-Q MS AUX FO SVC 7-116-1-F TK JP5 STOR 9-

109-1-J TK VNT E3-120-3 FA VNT R5-120-2 DT CMPT 3-111-1-L FNMJ DOOR 3-109-5 HA

CMPT 4-D-0-A FN CMPT 7-109-1-E MS CMPT 6-118-1-A MS PHR 3-109-3 HT

PHR 3-112-3 HT WTC 5-112-1 OP WTC 5-112-1 V- WTC 4-120-1 OP WTC 4-120-1

V- VNT R2-110-1 DT CMPT 3-113-3-L FNMJ DOOR 3-112-1 HA BLST 9-FP-0-W TKCMPT

4-109-3-Q MS MAIN DECK WEA STBD MS CMPT 2-113-3-L MS CMPT 3-109-7-L MS

CMPT 3-111-1-L MS CMPT 4-79-2-Q MS CMPT 4-109-01-L MS CMPT 4-109-7-

Q MS TRUNK 5-109-1-T MS CMPT 8-86-0-E MSCMPT 6-106-1-L MS CMPT 7-106-1-

K MS 2EDG 7-115-1-F TKLO STWG 7-117-3-F TK CMPT 3-120-1-A MS CMPT 2-119-1-

Q MS CMPT 2-109-3-Q MS CMPT 2-111-3-L MS CMPT 3-109-5-L MS CMPT

3-109-11-A MS CMPT 4-121-5-Q MS CMPT 5-109-0-L MS CMPT 6-98-0-L MSTRUNK

6-117-0-T MS CMPT 9-118-1-A MS FB FR 98-153 STBD FB CMPT 6-109-0-L MS

UH FR98-AFT STBD UH

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P31002A02-Engrg Inst-01.pdf) saved on 13-FEB-2025 0000.

2. ENCLOSURE-02 (3819P31002A02-Engrg Inst-02.pdf) saved on 13-FEB-2025 0000.

3. ENCLOSURE-03 (3819P31002A02-Sketch.pdf) saved on 13-FEB-2025 0000.

4. ENCLOSURE-04 (3819P31002A02-Map-01.pdf) saved on 15-FEB-2025 0000.

5. ENCLOSURE-05 (3819P31002A02-QA20-01.docx) saved on 17-FEB-2025 0000.

6. ENCLOSURE-06 (3819P31002A02-QA17.docx) saved on 17-FEB-2025 0000.

7. ENCLOSURE-07 (3819P31002A02-Map-02.pdf) saved on 17-FEB-2025 0000.

8. ENCLOSURE-08 (3819P31002A02-QA20-02.docx) saved on 17-FEB-2025 0000.

9. ENCLOSURE-09 (3819P31002A02-QA28.docx) saved on 15-FEB-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P31002 A02

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. 2 generator set upgrade.

Location of Work:

Emergency Generator Room No. 2 (7-109-1-E) Anchor and Line Handling Space (2-F-0-Q)

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J-2

SHIP: LCC-19 CHG/VER: 1/1

CU PHASE DESCRIPTION:

Passage (2-109-01-L) Fan Room (2-109-3-Q) Shore Power Room (2-109-5-Q) Male Officer Washroom, Watercloset, Shower, and Decontaminate Station (2-111-3-L) Stateroom (2-113-1-L) Vent Plenum for Supply System 3-109-3 Vent Plenum for Natural Supply, Frames between 114 and 116, Starboard (Stbd) Stateroom (2-113-3-L) Stateroom (2-117-1-L) Helicopter Detachment Admin Office (2-119-1-Q) Vent Plenum for Exhaust System 3-120-3 Boatswain Storeroom (3-D-0-A) Unassigned (3-5-0-Q) Passage (3-98-1-L) Passage (3-109-5-L) Officer Washroom, Watercloset, Shower, and Decontaminate Station (Female) (3-109-7-L) Pyrotechnic Magazine (3-109-9-M) Gear Locker (3-109-11-A) Stateroom (3-111-1-L) Stateroom (3-113-3-L) Stateroom (3-116-1-L) Stateroom (3-118-1-L) X1 Storeroom (3-120-1-A) Vent Plenum for Exhaust System 3-120-3 Boatswain Storeroom (4-B-0-A) Disbursing Office (4-79-2-Q) Damage Control Central (4-81-1-Q) Load Center No. 61 (4-107-3-Q) Passage (4-109-01-L) AC and R Shop (4-109-3-Q) Diesel Exhaust Piping Space (4-109-7-Q) Passage (4-113-01-L) Mooring Station No. 7 (4-121-5-Q) Crew Washroom, Watercloset, Shower, and Decontaminate Station (5-104-1-L) Crew Living Space (5-109-0-L) Trunk (5-109-1-T) Self Service Storeroom (6-86-1-A) Crew Living Space (6-98-0-L) Crew Lounge (6-106-1-L) Physical Fitness Room (6-109-0-L) Emergency Switchgear Room No. 2 (6-109-1-E) Trunk (6-117-0-T) Deck Department Cleaning Gear Storeroom (6-118-1-A) Chemical Warfare Defense Equipment Storeroom (7-106-1-K) Used Lube Oil Tank (7-115-1-F) Auxiliary Fuel Service Tank (7-116-1-F) Lube Oil Storage Tank (7-117-3-F) Engine Room (8-86-0-E) Peak Tank (9-FP-0-W) Fresh Water Ballast (9-86-5-W) Shaft Alley (9-98-0-Q)

JP5 (9-109-1-J)

JP5 (9-109-4-J)

Cross Flooding Duct, Ninth Deck Frame 111 "E" Division Storeroom (9-118-1-A)

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J-3

SHIP: LCC-19 CHG/VER: 1/1

CU PHASE DESCRIPTION:

Distillate Fuel or Ballast (9-121-1-F) Main Deck Weather, Frames between 110 and 123, Stbd Freeboard Weather, Frames between 110 and 123, Stbd Underwater Hull Weather, Frames between 106 and 123, Stbd Sponson, Third Deck Weather, Frames between 110 and 113, Stbd

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR , LBR . 22 KE PC

5.2 SFTR , WELD , SMTL , CARP , PNTR , ELEC , PFTR ,

INSL , IMCH , QA , RGRS

22 KE PC

5.3 PFTR , WELD , PNTR , SFTR , RGRS , QA 22 KE PC

5.4 PFTR , INSL , WELD , PNTR , RGRS , QA 22 KE PC

5.5 PFTR , INSL , WELD , PNTR , RGRS , QA 22 KE PC

5.6 PFTR , WELD , PNTR , QA 22 KE PC

5.7 PFTR , QA 22 KE PC

5.8 PFTR , QA 22 KE PC

5.9 SFTR 22 KE PC

5.10 PNTR , QA 22 KE PC

Structural Work CFM: for marine chemist, deck covering material, stud pin, adhesive for pin, fuel, dryer, fasteners, UT inspection cost, label plate cost, fire watch cost, confined space watch cost, tank watch cost ---continue to below---

22 MQ CS

---continued from above---, lead analysis cost, asbestos sampler cost and analysis cost for compartment insulation, fastener, gasket, air compressor rental cost and fuel oil cost for air hose test, and misc such as temporary closure, electrodes, gases, enclosing/covering materials, and other consumable.

22 MQ CS

Sheet Metal Work CFM for 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, ---continue to below-

22 MQ CS

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

22 MQ CS

Preservation Work CFM for all paint, thinner, deck covering material, stud pin, adhesive for pin, grit, compressor, fuel, dryer, covering and enclosing material, asbestos sample and analyze, fire watch cost, tank watch cost, and MISC such as other consumable.

22 MQ CS

Electrical Work CFM: for banding material, fasteners, insulation tape, plastic bags, rope, and other consumable.

22 MQ CS

Piping/Lagging Work CFM: for PT NDT cost, asbestos analysis, lagging bulk samples with sampler and analyze for asbestos, firewatch cost, welding rod, lead sample, gas cylinder, chlorination and bacteriological test, label plate, MISC such as saw blades, masking tape, plastic bag/sheet and etc.

22 MQ CS

Process Funding Document. 10 CT OM

Version-01: add task for Paragraphs 5.7 and 5.8. C231B R.

Takagi, 02/27/2025. -/-/N.

V-01

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M-1

SHIP: LCC-19 CHG/VER: 1/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

SA 79243K STRL EDG#2 AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 79243K, ACCOMPLISH STRL, SH MET, & PSVTN WORK FOR EDG 2 UPGRADE

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 612-8578053 A 2 604-8578058 A 3 605-8578041 A

JOB ORDER: KEY OP:

3819P31002 A02

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 SCREW,CA, SIZE: 3/8"-16, 1"L,

MTL: STL

ORDERED FOR KTR

ORIG: C231 S.YAMAOKA,

PHONE: 243-9882

9B 5305 002693211 NA 4 N 50455081 3/HD

002 M SCREW,CA, SIZE: 3/8"-16, 1-

1/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 000680511 NA 4 N 50455084 8/HD

003 M SCREW,CAP,HEXAGON H,

SIZE: 3/8"-16, 3"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 008465703 NA 4 N 50455392 1/HD

004 M NUT,SELF-LOCKING,HE, SIZE:

3/8"-16, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 000874652 NA 4 N 50455295 10/HD

NOTES:

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M-2

SHIP: LCC-19 CHG/VER: 1/1

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

005 M NUT,PLAI, SIZE: 3/8"-16, MTL:

STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 007320558 NA 4 N 50455086 10/HD

006 M WASHER,F, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 013897976 SX NA 4 N 50455088

2000/E

A

007 M PLATE,ME, SIZE: 5' X 20', 7.65#,

MTL: OS

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 002375333 NA 4 N 50455211

100/SD

008 M SHEET,METAL, SIZE: 3' X 8',

.1875"THK, MTL: CRES 316L

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 002044534 NA 4 N 50455394 1/SH

009 M SCREW,CA, SIZE: 1/4"-20, 1-

1/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 000680509 NA 4 N 50455091

500/EA

010 M SCREW,CA, SIZE: 1/4"-20, 1"L,

MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 002253843 EY NA 4 N 50455094

1000/E

A

011 M NUT,SELF, SIZE: 1/4"-20, MTL:

STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 013954695 NA 4 N 50455097

1000/E

A

012 M WASHER,F, MTL: CRES

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 005825677 NA 4 N 50455100

600/EA

013 M ANGLE,STRUCTURAL, SIZE: 1-

1/4" X 1-1/4" X 3/16" THK, MTL:

STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9520 002774900 NA 4 N 50455293 40/FT

014 M ANGLE,STRUCTURAL, SIZE: 1-

1/2" X 1-1/2" X 3/16" THK, MTL:

STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9520 002774903 NA 4 N 50455289 40/FT

015 M STRIP,METAL, SIZE: 1" X

1/8"THK, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 9515 002043974 NA 4 N 50455281 40/FT

016 M SCREW,CA, SIZE: 1/2"-13, 1-

1/2"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 012817813 NA 4 N 50455102

350/EA

017 M SCREW,CAP,HEXAGON H,

SIZE: 1/2"-13, 1-1/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 000712067 NA 4 N 50455277 1/HD

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M-3

SHIP: LCC-19 CHG/VER: 1/1

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

018 M SCREW,CA, SIZE: 1/2"-13, 1-

3/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 000712070 NA 4 N 50455107 3/HD

019 M SCREW,CAP,HEXAGON H,

SIZE: 1/2"-13, 4-1/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 011025514 NA 4 N 50455396 40/EA

020 M SCREW,CAP,HEXAGON H,

SIZE: 1/2"-13, 4-1/2"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 013017852 NA 4 N 50455399 1/BX

021 M SCREW,CAP,HEXAGON H,

SIZE: 1/2"-13, 5"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 000712083 NA 4 N 50455402 1/PG

022 M SCREW,CAP,HEXAGON H,

SIZE: 1/2"-13, 5-1/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 007329952 NA 4 N 50455416 24/EA

023 M WASHER,F, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 012671684 NA 4 N 50455108

700/EA

024 M NUT,SELF, SIZE: 1/2"-13, 3B,

MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 005957421 NA 4 N 50455110

350/EA

025 M SCREW,CAP,HEXAGON H,

SIZE: 5/8"-11, 1-3/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 007247221 NA 4 N 50455419 20/EA

026 M SCREW,CA, SIZE: 5/8"-11, 2"L,

MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 007247222 NA 4 N 50455115 20/EA

027 M NUT,SELF-LOCKING,HE, SIZE:

5/8"-11-3B, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 012867189 NA 4 N 50455228 20/EA

028 M WASHER,F, MTL: CRES

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 006143505 SY NA 4 N 50455161

100/EA

029 M SCREW,CAP,HEXAGON H,

SIZE: 3/4"-10, 3-3/4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 014404073 NA 4 N 50455420 10/EA

030 M SCREW,CAP,HEXAGON H,

SIZE: 3/4"-10, 4"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

9B 5305 009474358 NA 4 N 50455422 10/EA

FOUO

M-4

SHIP: LCC-19 CHG/VER: 1/1

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

031 M NUT,SELF-LOCKING,HE, SIZE:

3/4"-10-3B, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 013926488 NA 4 N 50455226 8/EA

032 M WASHER,F, MTL: CRES

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 007213682 NA 4 N 50455117 8/EA

033 M SCREW,CAP,HEXAGON H,

SIZE: 7/8"-9, 2-1/2"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 009052700 NA 4 N 50455275 10/EA

034 M SCREW,CAP,HEXAGON H,

SIZE: 7/8"-9, 2"L, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5305 009640508 NA 4 N 50455426 10/EA

035 M NUT,SELF, SIZE: 7/8"-9-3B,

MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 002119271 NA 4 N 50455121 10/EA

036 M WASHER,F, MTL: STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 001670844 NA 4 N 50455124 1/HD

037 M NUT,PLAI, SIZE: 1/2"-13, MTL:

STL

ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5310 007680318 NA 4 N 50455128 10/EA

038 M INSULATI, ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9Q 5640 008096312 NA 4 N 50455286 10/EA

039 M SOUND CO, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9Q 5640 013715238 NA 4 N 50455014 10/SH

040 M CAP,SNAP, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 5325 007377648 NA 4 N 50455135

100/EA

041 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 8315 002671632 NA 4 N 50455287 1/RO

042 M TAPE,TEX, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 8315 002671633 NA 4 N 50455288 1/RO

043 M ADHESIVE, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 8040 002738708 NA 4 Y 50455050 10/GL

044 M SEALING, ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 8030 001742588 NA 4 Y 50455242 10/GL

045 M INSULATI, ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9Q 5640 013713263 NA 4 N 50455290 10/SH

046 M INSULATI, ORDERED FOR KTR

ORIG: C231B S.YAMAOKA,

9Q 5640 013713264 NA 4 N 50455291 10/SH

FOUO

M-5

SHIP: LCC-19 CHG/VER: 1/1

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

047 M CLOTH,PL, ORDERED FOR

KTR

ORIG: C231B S.YAMAOKA,

PHONE: 243-9882

9B 8305 001487363 NA 4 N 50455292 1/RO

048 M SHEET,ME, SIZE: 4' X 8',

.125"THK, MTL: STL

ORDERED FOR KTR

ORIG: C231 S.YAMAOKA,

PHONE: 243-9882

9B 9515 002375409 NA 4 N 50455294 1/SH

049 5 1 M SUB BASE, 10"W X 22", SUB

BASE, SIZE: 10"WIDE X

22"DEPTH X 2" HEIGHT, MATL:

STEEL,SUB-BASE, TYPE-B,

FOR SFC B-2B-13, TYPE-9

LOCKER, 803-5959310, SHEET

5A, DETAIL 26A-A

ORDER FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

9B 2090 LL4664846 NA 4 N 50457612 3/EA

050 7 1 M SUB BASE, TYPE B, 10, SUB

BASE, TYPE B, SIZE: 10"W X

18"D X 2"H, MATL: STEEL,

DWG: 803-5959310, PC 501

ORDER FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

9B 2090 LL4920921 NA 4 N 50457615 1/EA

051 8 1 M SUB BASE, TYPE B, 20, SUB-

BASE, TYPE-B, SIZE: 20"WIDE

X 18"DEPTH X 2" HEIGHT,

MATL: STEEL

ORDER FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

9B 2090 LL9303477 NA 4 N 50457617 3/EA

052 11 1 M SUB BASE, TYPE B, 30,

SUBBASE, TYPE B,

DWG: 803-5959310 SHEET 5A

DETAIL 26A-A,

SIZE: 30"W X 18"D X 2"H,

MATL: STEEL,

COLOR: BLACK,

ORDER FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

NA 4 N 1/EA

053 19 2 M SCREW,MACHINE, ORDER

FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

9B 5305 000546670 NA 4 N 50455427 1/HD

054 20 2 M WASHER,L, ORDER FOR KTR

ORIG: C226 T. KATSUYA, 070-

7787-1996

9B 5310 009338119 NA 4 N 50455137 10/EA

101 M PLATE,ME, 5FT X 10FT X 1PM

ORIG: C231B T. ASHINA 243-

4370, ORDERED FOR KTR

9B 9515 001533184 NA 4 N 50455212 50/SF

102 M PLATE,ME, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 9515 001533217 NA 4 N 50455213 36/SF

103 M PLATE,ME, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 9515 001533236 NA 4 N 50455215 15/SF

104 M SHEET,METAL, ORIG: C231B T.

ASHINA 243-4370, ORDERED

FOR KTR

9B 9515 015087795 NA 4 N 50455428 1/SH

FOUO

M-6

SHIP: LCC-19 CHG/VER: 1/1

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

105 M BEAM,STRUCTURAL, ORIG:

C231B T. ASHINA 243-4370,

ORDERED FOR KTR

9B 9520 002780932 NA 4 N 50455430 1/FT

150 M INSULATI, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9Q 5640 008096312 NA 4 N 50455296 20/EA

151 M SOUND CO, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9Q 5640 007565866 NA 4 N 50455297 10/SH

152 M ADHESIVE, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9B 8040 002738708 NA 4 Y 50455053 35/GL

153 M SEALING, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9B 8030 001742588 NA 4 Y 50455497

193/GL

154 M TAPE,TEX, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9B 8315 002671632 NA 4 N 50455298 56/RO

155 M TAPE,TEX, ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9B 8315 002671633 NA 4 N 50455299 11/RO

156 M TAPE, 4", ORDER FOR KTR,

ORIG C231B M. MAEDA, 243-

9D 8305 LL4820191 NA 4 N 50457477 2/RO

157 22 3 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

9B 7220 LL9311206 NA 4 N 50457619 3/RO

400 M COUPLING, COUPLING, SIZE:

3/8"IPS, SOCKET WELDING,

MATL: CRES 304L, ASTM

A182,3000 PSIG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

NA 4 N 2/EA

401 M COUPLING,TUBE, SIZE: 4 INCH

IPS

MATERIAL: CU-NI 90-10, BW

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 4730 007225474 NA 4 N 50455144 6/EA

402 M BACKINGR, SIZE: 4 INCH IPS

MATERIAL: CU-NI 90-10

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9C 4730 LL4558786 NA 4 N 50457480 6/EA

403 M COUPLING,TUBE, SIZE: 1-1/4

INCH IPS

MATERIAL: CU-NI 90-10, SW

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 4730 014635863 NA 4 N 50455148 4/EA

FOUO

M-7

SHIP: LCC-19 CHG/VER: 1/1

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

404 M SLEEVE,, SLEEVE, BUTT

WELD, 1-1/4"IPS, CU-NI 90/10,

200 PSI, DWG 810-1385880

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9C 4730 LL4903762 NA 4 N 50457482 4/EA

405 M COUPLING,TUBE, SIZE: 8 INCH

IPS

MATERIAL: CU-NI 90-10, BW

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 4730 007225477 NA 4 N 50455150 4/EA

406 M INSULATI, SIZE: 1-5/8" ID X 3/4"

THK X 6FT LG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL4783096 NA 4 N 50457484 2/EA

407 M INSULATI, SIZE: 2-7/8" ID X 3/4"

THK X 6FT LG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL9607845 NA 4 N 50457486 1/EA

408 M INSULATI, SIZE: 4-1/2" ID X 3/4"

THK X 6 FT LG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL9607848 NA 4 N 50457488 4/EA

409 M INSULATI, SIZE: 6-5/8" ID X 3/4"

THK X 6FT LG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL9607850 NA 4 N 50457489 2/EA

410 M INSULATI, SIZE: 8-5/8" ID X 3/4"

THK X 6 FT LG

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL9607851 NA 4 N 50457490 3/EA

411 M INSULATI, SIZE: 36" W X 48" L

X 3/4" THK

ORDERED FOR: KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 5640 LL9607854 NA 4 N 50457491 1/SH

412 M SEALING COMPOUND,

ADHESIVE FOR INSULATION

SLEEVING

ORDERED FOR KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 8030 001742588 NA 4 Y 50455243 2/GL

413 M ADHESIVE, ADHESIVE FOR

CLOTH,

ORDERED FOR KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 8040 002738708 NA 4 Y 50455058 4/GL

414 M ADHESIVE, ADHESIVE FOR

PLASTIC TUBE

ORDERED FOR KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 8040 008419773 NA 4 Y 50455164 5/PT

414 M ADHESIVE, ADHESIVE FOR

PLASTIC TUBE

ORDERED FOR KTR

ORIG: C234 H. KOMOTO 070-

7787-2047

9B 8040 008419773 NA 4 Y 50515117 5/PT

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 SA 79243K STRL EDG#2 AY A 0

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

3819P31002 A02

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 SA 79243K STRL EDG#2 AY A 0

3819P31002A02 ENCLOSURE-01 Sheet 1 of 3

3819P31002A02 ENCLOSURE-01 Sheet 2 of 3

3819P31002A02 ENCLOSURE-01 Sheet 3 of 3

3819P31002A02 ENCLOSURE-02 Sheet 1 of 2

3819P31002A02 ENCLOSURE-02 Sheet 2 of 2

Location Map of Critical Coated area for Second Platform Plating and Foundations in 7-109-0-E

Sketch Enclosure-033819P31002A02 Sheet 1 of 5

PLAN

EDG No. 2 Foundation

Enclosure-033819P31002A02 Sheet 2 of 5

SWBD Foundation

Enclosure-033819P31002A02 Sheet 3 of 5

SSDG SW Pump and EDG 2 SW Pump Foundations

Enclosure-033819P31002A02 Sheet 4 of 5

Vidmar Cabinet Foundation

Enclosure-033819P31002A02 Sheet 5 of 5

3819P31002A02 ENCLOSURE-04 Sheet 1 of 4

3819P31002A02 ENCLOSURE-04 Sheet 2 of 4

3819P31002A02 ENCLOSURE-04 Sheet 3 of 4

3819P31002A02 ENCLOSURE-04 Sheet 4 of 4

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P31002A02 ENCLOSURE-05-1 TOTAL 18

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-L105

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

17 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

SHELL PLTG

9. DWG NO.

501-ELM-250153 REV. “-”

10. CWP STEP NO.

5.2.1.2

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.

3819P31002A02 ENCLOSURE-05-1 TOTAL 18

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

3819P31002A02 ENCLOSURE-05-2 TOTAL 18

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-L105

4. CWP/REC SER. NO.

N/A

5. LWC

KTR

6. DATE

17 FEB 2025

7. SYSTEM

PRIMARY STRUCTURE

8. COMPONENT

SHELL PLTG

9. DWG NO.

501-ELM-250153 REV. “-”

10. CWP STEP NO.

5.2.1.2

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.