TGI_3819P31003A06_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.: SA79243K MCHRY SSDG 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 - SA 79243K PREPARE NEW MACHINERY COMPONENTS FOR SSDG

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

MASATAKA FUDO 232. 315-243-4512 15-FEB-2025

APPROVED BY: CODE PHONE DATE

HIDEMI SENDA 232. 315-243-5615 15-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 II & III

WORK CERTIFICATION SIGNATURES

COMPLETION OF WORK REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

ACCEPTANCE OF COMPLETED WORK

PHYSICAL INSPECTION PHYSICAL INSPECTION COMPLETED: BADGE NO.: SHOP/CODE: PHONE: DATE:

REQUIRED:☐YES ☒NO

RECORDS REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

TGI NO.: SA79243K MCHRY SSDG AY A 0

FOUO

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

LIST OF EFFECTIVE PAGES

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

1-12 J-1 M-1

QA28(1-

7)

1. SCOPE/PURPOSE

1.1 Title: New Machinery Components of Ship Service Diesel Generator (SSDG) for SA 79243K; prepare

1.2 Location of Work:

1.2.1 KTR Shop

1.3 Identification:

1.3.1 Quantity (One EA), SSDG Generator Heat Exchanger Auxiliary Sea Water Inlet Cutout Valve (COV), 3-DGSW-V-8

Mfr: Various Mfr Id: 803-4384536-81B1AF Type: Globe, In-Line Stop Size: 2.000 Inch IPS

NSN: 4820-00-483-0698

Remarks: Item number V5, Label Plate List L9 of 2.3

1.3.2 Quantity (One EA), SSDG Generator Heat Exchanger Auxiliary Sea Water Outlet COV, 3-DGSW-V-9

Mfr: Various Mfr Id: 803-4384536-81B1AF Type: Globe, In-Line Stop Size: 2.000 Inch IPS

NSN: 4820-00-483-0698

Remarks: Item number V5, Label Plate List L10 of 2.3

1.3.3 Quantity (One EA), SSDG Jacket Water (JW)/Separate Circuit Aftercooling (SCAC)/Generator (GEN) Heat Exchanger Back Flush Supply Cutout Valve, 3-DGSW-V-12

Mfr: Various Mfr Id: 803-4384536-41B1AF Type: Globe, In-Line Stop Size: 0.750 Inch IPS

NSN: 4820-01-162-6330

Remarks: Item number V7, Label Plate List L13 of 2.3

1.3.4 Quantity (One EA), SSDG Auxiliary Sea Water Pump Continuous Ventilation COV, 3-DGSW-V-18

Mfr: Various Mfr Id: 803-4384536-41B1AF Type: Globe, In-Line Stop Size: 0.750 Inch IPS

NSN: 4820-01-162-6330

Remarks: Item number V7, Label Plate List L21 of 2.3

1.3.5 Quantity (One EA), Low Pressure (LP) Vital Air - SSDG Damper Root COV, 6-121-1-W

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

Mfr: Various Mfr Id: 803-4384536-21B1AF Type: Globe, In-Line Stop Size: 0.375 Inch IPS

NSN: 4820-01-080-0062

Remarks: Item number V2, Label Plate List L2 of 2.4

1.3.6 Quantity (One EA), LP Vital Air Low Point Drain Valve (1)

Mfr: Various Mfr Id: 803-4384536-11B1AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-085-3344

Remarks: Item number V3 of 2.4

1.3.7 Quantity (One EA), LP Vital Air Low Point Drain Valve (2)

Mfr: Various Mfr Id: 803-4384536-11B1AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-085-3344

Remarks: Item number V3 of 2.4

1.3.8 Quantity (One EA), LP Vital Air Low Point Drain Valve (3)

Mfr: Various Mfr Id: 803-4384536-11B1AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-085-3344

Remarks: Item number V3 of 2.4

1.3.9 Quantity (One EA), LP Vital Air - SSDG Damper Regulator COV, 6-121-3-X

Mfr: Various Mfr Id: 803-4384536-31B1AF Type: Globe, In-Line Stop Size: 0.500 Inch IPS

NSN: 4820-00-483-0695

Remarks: Item number V5, Label Plate List L3 of 2.4

1.3.10 Quantity (One EA), Starting Air Bleed Shutoff Valve (SOV), 5-121-3

Mfr: Various Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

Remarks: Item number V11, Label Plate List L2 of 2.5

1.3.11 Quantity (One EA), Starting Air Bleed SOV, 5-121-5

Mfr: Various Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

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

Remarks: Item number V11, Label Plate List L3 of 2.5

1.3.12 Quantity (One EA), Starting Air Gage Isolation Valve, 5-121-11

Mfr: Various Mfr Id: 803-4384536-11A2AF Type: Globe, In-Line Stop Size: 0.250 Inch IPS

NSN: 4820-01-596-5650

Remarks: Item number V11, Label Plate List L6 of 2.5

1.3.13 Quantity (One EA), Silencer Drain Valve (1)

Mfr: Various Mfr Id: 803-2177525 Type: Globe, In-Line Stop Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: Item number V1, Label Plate List L1 of 2.6

1.3.14 Quantity (One EA), Silencer Drain Valve (2)

Mfr: Various Mfr Id: 803-2177525 Type: Globe, In-Line Stop Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: Item number V1, Label Plate List L1 of 2.6

1.3.15 Quantity (One EA), Low Point Drain Valve (1)

Mfr: Various Mfr Id: 803-2177525 Type: Globe, In-Line Stop Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: Item number V1, Label Plate List L3 of 2.6

1.3.16 Quantity (One EA), Low Point Drain Valve (2)

Mfr: Various Mfr Id: 803-2177525 Type: Globe, In-Line Stop Size: 0.500 Inch IPS

NSN: 4820-01-541-4658

Remarks: Item number V1, Label Plate List L3 of 2.6

1.3.17 Quantity (One EA), High Pressure (HP) Air Reducing Station Outlet Isolation Valve, 5-121-9

Mfr: ADMIRAL VALVE Mfr Id: PLC-13543 Type: Globe, Stop Size: 2.000 Inch IPS Remarks: Item Number V4, Label Plate List L5 of 2.5

1.3.18 Quantity (One EA), Air Supply SOV to SSDG, 5-121-15

Mfr: ADMIRAL VALVE Mfr Id: PLC-13543

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

Type: Globe, Stop Size: 2.000 Inch IPS Remarks: Item Number V4, Label Plate List L8 of 2.5

1.3.19 Quantity (One EA), HP Air 350 PSI Gage Root Valve

Mfr: ADMIRAL VALVE Mfr Id: M24578-A2A2 Specification: MIL -DTL -24578, TYI, CL2 Type: Globe Size: 0.250 Inch O.D.

Remarks: Item Number V5, Label Plate List L27 of 2.5

1.3.20 Quantity (One EA), HP Air Normal Flask Gage Root Valve

Mfr: ADMIRAL VALVE Mfr Id: M24578-A2A2 Specification: MIL -DTL -24578, TYI, CL2 Type: Globe Size: 0.250 Inch IPS Remarks: Item Number V5, Label Plate List L29 of 2.5

1.3.21 Quantity (One EA), HP Air Standby Flask Gage Root Valve

Mfr: ADMIRAL VALVE Mfr Id: M24578-A2A2 Specification: MIL -DTL -24578, TYI, CL2 Type: Globe Size: 0.250 Inch IPS Remarks: Item Number V5, Label Plate List L31 of 2.5

1.3.22 Quantity (One EA), HP Air Reducing Station Inlet Isolation Valve, 5-121-19

Mfr: ADMIRAL VALVE Mfr Id: D-8183(SE) Type: Globe, Stop with Micro Switch Size: 1.000 Inch IPS

NSN: 4820-01-527-1073

Remarks: Item Number V6, Label Plate List L10 of 2.5

1.3.23 Quantity (One EA), HP Air Flask Isolation Valve, 5-121-21

Mfr: ADMIRAL VALVE Mfr Id: PLC-13544 Type: Globe, Stop with Micro Switch Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L11 of 2.5

1.3.24 Quantity (One EA), Normal HP Air Flask Isolation Valve, 5-121-29

Mfr: ADMIRAL VALVE Mfr Id: PLC-13544 Type: Globe, Stop with Micro Switch Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L15 of 2.5

1.3.25 Quantity (One EA), Standby HP Air Flask Isolation Valve, 5-121-41

Mfr: ADMIRAL VALVE

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

Mfr Id: PLC-13544 Type: Globe, Stop with Micro Switch1 Size: 1.000 Inch IPS Remarks: Item Number V7, Label Plate List L21 of 2.5

1.3.26 Quantity (One EA), HP Air Reducing Station Bypass Valve, 5-121-7

Mfr: ADMIRAL VALVE Mfr Id: 803-6397247-5152 Type: Needle Size: 1.000 Inch IPS Remarks: Item Number V8, Label Plate List L4 of 2.5

1.3.27 Quantity (One EA), HP Air Inlet to SSDG SOV, 5-121-43

Mfr: Various Mfr Id: 803-6397247-211 Specification: MIL-V-24109 Type: Globe Size: 0.375 Inch IPS

NSN: 4820-01-184-9371

Remarks: Item Number V9, Label Plate List L22 of 2.5

1.3.28 Quantity (One EA), HP Air Inlet to SSDG Check Valve Bypass, 5-121-45

Mfr: Various Mfr Id: 803-6397247-211 Specification: MIL-V-24109 Type: Globe Size: 0.375 Inch IPS

NSN: 4820-01-184-9371

Remarks: Item Number V9, Label Plate List L23 of 2.5

1.3.29 Quantity (One EA), HP Air Inlet to SSDG Root Valve, 5-121-47

Mfr: Various Mfr Id: 803-6397247-211 Specification: MIL-V-24109 Type: Globe Size: 0.375 Inch IPS

NSN: 4820-01-184-9371

Remarks: Item Number V9, Label Plate List L24 of 2.5

1.3.30 Quantity (One EA), HP Air Vital Main SOV, 5-121-49

Mfr: Various Mfr Id: 803-6397247-211 Specification: MIL-V-24109 Type: Globe Size: 0.375 Inch IPS

NSN: 4820-01-184-9371

Remarks: Item Number V9, Label Plate List L25 of 2.5

1.3.31 Quantity (One EA), HP Air Inlet Check Valve

Mfr: Various Mfr Id: 6GC80-2-WNT PL-2820 Type: In-line Check Size: 0.375 Inch IPS

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

NSN: 4820-01-385-8985

Remarks: Item Number V10 of 2.5

1.3.32 Quantity (One EA), Normal HP Air Flask Pressure Gage Isolation Valve, 5-121-25

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L13 of 2.5

1.3.33 Quantity (One EA), Normal HP Air Flask Drain Valve, 5-121-27

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L14 of 2.5

1.3.34 Quantity (One EA), Normal HP Air Flask Drain Valve, 5-121-31

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L16 of 2.5

1.3.35 Quantity (One EA), Standby HP Air Flask Drain Valve, 5-121-33

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L17 of 2.5

1.3.36 Quantity (One EA), SSDG Starting Air Inlet Pressure Transmitter Isolation Valve, 5-121-35

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L18 of 2.5

1.3.37 Quantity (One EA), Standby HP Air Flask Pressure Gage Isolation Valve, 5-121-37

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V12, Label Plate List L19 of 2.5

1.3.38 Quantity (One EA), Standby HP Air Flask Drain Valve, 5-121-39

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

Mfr: Various Specification: MIL-V-24109 Type: Globe Size: 0.250 Inch IPS

NSN: 4820-00-070-6918

Remarks: Item Number V-12, Label Plate List L20 of 2.5

1.3.39 Quantity (One EA), External Sensing COV, 5-121-13

Mfr: Various Mfr Id: 803-5001003-M111 Type: Ball Size: 0.250 Inch IPS

NSN: 4820-01-189-6552

Remarks: Item Number V13, Label Plate List L7 of 2.5

1.3.40 Quantity (One EA), Pressure Reducing Station Assembly

Inlet Pressure: 3000 PSIG Regulating Pressure: 350 PSIG Remarks: See Detail 44-A of 2.5

1.3.40.1 Quantity (One EA), HP Air Pressure Reducing (RCD) Regulator 3000/350 PSIG, 5-121-17

Mfr: TESCOM CORP Mfr Id: 26F1261-1161-119 Type: Regulator, Pressure reducing Size: 1.000 Inch IPS

NSN: 4820-01-605-2639

Remarks: Item Number V1, Label Plate List L9 of 2.5

1.3.40.2 Quantity (One EA), Pilot Pressure Regulator, 5-121-23

Mfr: TESCOM CORP Mfr Id: 26-1663-14 Type: Regulator, Pilot Pressure Size: 0.250 Inch IPS Remarks: Item Number V2, Label Plate List L12 of 2.5

1.3.41 Quantity (One EA), LP Vital Air - SSDG Damper Regulator Valve

Mfr: NORGREN C A CO Mfr Id: R22-405-RNMA Type: Regulator, Pressure Size: 0.500 Inch IPS Set Pressure: 150PSI

NSN: 4820-01-270-9416

Remarks: Item Number V4 of 2.4

1.3.42 Quantity (One EA), Starting Air Relief, 5-121-1

Mfr: DANTE VALVE COMPANY Mfr Id: BCSJJ10SJJ Specification: MIL -V-22549 Type: Angle, Flanged Size: 2.500 Inch IPS Set Pressure: 361 PSI Remarks: Item Number V3 of 2.5

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

1.3.43 Quantity (One EA), SSDG Auxiliary Sea Water Cooling Pump

Rotation: CW Remarks: See Item Number F43 of 2.3 and 2.12

1.4 Security Classification: None.

1.5 Initial Condition: None.

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 209-

8576348

DG SEA WATER PIPING

INSTALLATION - SSDG

GENERATOR UPGRADE

B Y AL

L

4 DWG 513-

8620746

LP AIR SYSTEM MODIFICATIONS

INCIDENTAL TO SSDG UPGRADE

5TH DK & BLW FR 109-130 S

A Y AL

L

5 DWG 513-

8974783

STARTING AIR INSTALLATION

SSDG MACHY RM (5-121-1-E)

A Y AL

L

6 DWG 300-

8574533

DIESEL EXHAUST SYSTEM

PIPING MODS SHIP SERVICE

DIESEL GENERATOR

A Y AL

L

7 TM 0948-LP-

012-5000

Standard Navy Valves 31 N

8 DWG 803-

4384536

Valves; Bronze; 1/4"-2" Union End;

Globe; In-Line & Angle; Stop Check & Needle

N N

9 LAR SRFY-

0014-25

DWG DISCREPANCY FOR SW

COOLING PIPING SYSTEM

- Y AL

L

10 TM S9086-

RK-STM-

010/CH-505

Piping Systems 6 N

11 DWG 803-

2177525

1/4"-2" BW & SW 900 LB ASME

Valve

Y N

12 DWG 998-

1107-F-28

PRELIMINA

RY

4 X 3 X 7 Seawater Pump B Y AL L

3. APPENDICES:

3.1 Appendix “J” TGI Job Summary Information Sheet

3.2 Appendix "M" TGI Material List

3.3 Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1 Not Applicable.

5. PROCEDURE:

FOUO

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

5.1 Accomplish a bonnet ring torque check of each new valve listed in 1.3.1 through 1.3.12 in accordance with Paragraph 4.3.3.9, Step (7) of 2.7, using 2.8 for guidance.

(V) “TORQUE CHECK”

5.1.1 Tighten each bonnet ring of each new valve. Torque values must be in accordance with Table 4.3-10 of 2.7.

5.2 Accomplish a shop test of each new valve listed in 1.3.1 through 1.3.12 in accordance with 2.10, using 2.3 through 2.5 and 2.9 for guidance.

5.2.1 Accomplish a mechanical joint tightness test of each new sea water system valve listed in 1.3.1 through 1.3.4 for body-to-bonnet joint tightness with stem in the half open position, using clean fresh water at 50 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.1.1 Document each shop test result on QA Form 28, Enclosure-01-1.

5.2.2 Accomplish a mechanical joint tightness test of each new low pressure air system valve listed in 1.3.5 through

1.3.9 for body-to-bonnet joint tightness with stem in the half open position, using clean fresh water at 150 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.2.1 Document each shop test result on QA Form 28, Enclosure-01-2.

5.2.3 Accomplish a mechanical joint tightness test of each new starting air system valve listed in 1.3.10 through

1.3.12 for body-to-bonnet joint tightness with stem in the half open position, using clean fresh water at 350 PSIG for a minimum of 3 minutes. Allowable external leakage: None.

(I)(G) "MECHANICAL JOINT TIGHTNESS TEST"

5.2.3.1 Document each shop test result on QA Form 28, Enclosure-01-3.

5.2.4 After satisfactory completion of each shop test, drain water from each new valve and blow with clean dry air to remove moisture.

5.3 Accomplish a visual inspection of each groove pin of each new valve listed in 1.3.13 through 1.3.16 in accordance with Paragraph 4 of NAVSEALOGCENDET PORTSMOUTH BULLETIN 4855 Ser 6231/B11-2 22Nov2011 of 2.11.

(V) "VISUAL INSPECTION"

5.4 Accomplish a strength test of each new exhaust system valve listed in 1.3.13 through 1.3.16 with the valve half open position, using clean fresh water at 50 PSIG for a minimum of 30 minutes in accordance with 2.10, using 2.6 for guidance. Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

5.4.1 Document each shop test result on QA Form 28, Enclosure-01-4.

5.4.2 After satisfactory completion of the hydrostatic test, drain water and blow each new valve to remove moisture.

5.5 Accomplish a strength test of each new high pressure air system valve listed in 1.3.17 through 1.3.39 with the valve half open position, using clean fresh water at 4050 PSIG for a minimum of 30 minutes in accordance with 2.10, using 2.5 for guidance. Allowable external leakage: None.

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

(I)(G) "STRENGTH TEST"

5.5.1 Document each shop test result on QA Form 28, Enclosure-01-5.

5.5.2 After satisfactory completion of the hydrostatic test, drain water and blow each new valve to remove moisture.

5.6 Accomplish a strength test of each new high pressure air regulating valve listed in 1.3.40.1 and 1.3.40.2 with the valve half open position, using clean dry air at 4050 PSIG for a minimum of 30 minutes in accordance with 2.10, using 2.5 for guidance. Allowable external leakage: None.

(I)(G) "STRENGTH TEST"

5.6.1 Document each shop test result on QA Form 28, Enclosure-01-6.

5.7 Accomplish a performance check and pre-adjustment of each regulating valve listed in 1.3.40 and 1.3.41 with clean dry air, using 2.5 for guidance.

(V) “PRE-ADJUSTMENT”

5.7.1 Ensure the inlet pressure is 3000 PSIG and regulated pressure is 350 PSIG for each valve listed in 1.3.40.

5.7.2 Ensure the regulated pressure is 125 PSIG for each valve listed in 1.3.41.

5.8 Accomplish a shop test of each relief valve listed in 1.3.42 using clean fresh water in accordance with 2.10, using

2.5 for guidance.

5.8.1 Accomplish a lifting test of each valve.

(I)(G) "LIFTING TEST”

5.8.1.1 The lifting pressure is 361 PSIG.

5.8.2 Accomplish a reseating test of each valve.

(I)(G) "RESEATING TEST”

5.8.2.1 The reseating pressure is minimum 324 PSIG.

5.8.3 Document each shop test result on QA Form 28, Enclosure-01-7.

5.8.4 After satisfactory completion of each shop test, drain water and blow each valve to remove moisture.

5.8.5 Fabricate and attach a metal tag to each valve, stamped with the following information:

5.8.5.1 Ship name and hull number.

5.8.5.2 Valve number or identification.

5.8.5.3 Valve lifting pressure.

5.8.5.4 Date valve tested and set.

5.8.5.5 Name of repair facility.

5.9 Ensure that the rotation direction of each new pump listed in 1.3.43 is correct, using 2.12 for guidance.

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

5.9.1 Rotate shaft by hand one complete revolution. Rubbing or binding of the rotating assembly is not allowed.

5.10 Notes:

5.10.1 Planner: Code 232 M. Fudo, 243-4512

Engineer: Code 260 C. Fukumoto, 243-0960

5.10.2 Work Integration Manager (WIM): C333 T. Yaginuma, 080-5419-0598

5.10.3 JCN EE01-L107 is related to this TGI.

5.11 Government Furnished Material (GFM):

5.11.1 GFM and Installing Activity Furnished (IAF) materials except hazmat material listed in each S/A drawing will be provided as kitted material.

5.12 SRF-JRMC will provide the following service work: (TGI No. 3819P31003S02)

5.12.1 [C740] Crane and crane rigger service.

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

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

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

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J-1

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

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

SA79243K MCHRY SSDG AY A 0 0

CU PHASE TITLE:

(RE) F/O - SA 79243K PREPARE NEW MACHINERY COMPONENTS FOR SSDG

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

SSDG SW CLG PUMP PU SSDG SW CLG PUMP MO VALVE TEST SHOP T-

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P31003A06-QA28.docx) saved on 15-FEB-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P31003 A06

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to prepare new machinery components for SSDG Location of work: KTR Shop

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 IMCH 22 KE PC

5.2 IMCH , QA 22 KE PC

5.3 IMCH 22 KE PC

5.4 IMCH , QA 22 KE PC

5.5 IMCH , QA 22 KE PC

5.6 IMCH , QA 22 KE PC

5.7 IMCH 22 KE PC

5.8 IMCH , QA 22 KE PC

5.9 IMCH 22 KE PC

CFM for MISC e.g. rags, plastic bag/sheet, cleaner, lubricant, 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:

SA79243K MCHRY SSDG AY A 0 0

CU PHASE TITLE:

(RE) F/O - SA 79243K PREPARE NEW MACHINERY COMPONENTS FOR SSDG

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

3819P31003 A06

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

NOTES:

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 SA79243K MCHRY SSDG AY A 0

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

3819P31003 A06

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 SA79243K MCHRY SSDG AY A 0

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

SHOP TEST RECORD Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG SW SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 209-8576348, REV.B

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T Y

PE

(S

EE

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

AND POINT OF

ENTRY

REF

LTR

GAGE

USED

(LTR

FROM

BLK 7)

REQUIRED

MEDIUM

USED

PRESSURE

ACTUAL

MINIMUM

DURATION

ALLOWED

LEAKAGE

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J 5.2.1 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.1

A,B Clean Fresh Water

50 PSIG 3 Minutes None

J 5.2.1 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.2

A,B Clean Fresh Water

50 PSIG 3 Minutes None

J 5.2.1 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.3

A,B Clean Fresh Water

50 PSIG 3 Minutes None

J 5.2.1 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.4

A,B Clean Fresh Water

50 PSIG 3 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

DATE

3819P31103A06 ENCLOSURE-01-1 TOTAL 7

SHOP TEST RECORD Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG LP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8620746, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J 5.2.2 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.5

A,B Clean Fresh Water

150 PSIG 3 Minutes None

J 5.2.2 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.6

A,B Clean Fresh Water

150 PSIG 3 Minutes None

J 5.2.2 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.7

A,B Clean Fresh Water

150 PSIG 3 Minutes None

J 5.2.2 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.8

A,B Clean Fresh Water

150 PSIG 3 Minutes None

J 5.2.2 MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.9

A,B Clean Fresh Water

150 PSIG 3 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-2 TOTAL 7

G Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG STARTING AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

J 5.2.3

MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.10

A,B Clean Fresh Water

350 PSIG 3 Minutes None

J 5.2.3

MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.11

A,B Clean Fresh Water

350 PSIG 3 Minutes None

J 5.2.3

MECHANICAL

JOINT TIGHTNESS

TEST FOR 1.3.12

A,B Clean Fresh Water

350 PSIG 3 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-3 TOTAL 7

SHOP TEST RECORD Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG EXHAUST SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 300-8574533, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.4 STRENGTH

TEST FOR 1.3.13

A,B Clean Fresh Water

50 PSIG 30 Minutes None

H 5.4 STRENGTH

TEST FOR 1.3.14

A,B Clean Fresh Water

50 PSIG 30 Minutes None

H 5.4 STRENGTH

TEST FOR 1.3.15

A,B Clean Fresh Water

50 PSIG 30 Minutes None

H 5.4 STRENGTH

TEST FOR 1.3.16

A,B Clean Fresh Water

50 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-4 TOTAL 7

SHOP TEST RECORD Page 1 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.17

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.18

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.19

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.20

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-5 TOTAL 7

SHOP TEST RECORD Page 2 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.21

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.22

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.23

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.24

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 3 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.25

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.26

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.27

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.28

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 4 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.29

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.30

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.31

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.32

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 5 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.33

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.34

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.35

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.36

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 6 of 6 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 HP AIR SYSTEM VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5 STRENGTH

TEST FOR 1.3.37

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.38

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

H 5.5 STRENGTH

TEST FOR 1.3.39

A,B Clean Fresh Water

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

SHOP TEST RECORD Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG HP AIR SYSTEM REGULATING VALVES

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.6 STRENGTH

TEST FOR 1.3.40.1

A,B Clean Dry Air

4050 PSIG 30 Minutes None

H 5.6 STRENGTH

TEST FOR 1.3.40.2

A,B Clean Dry Air

4050 PSIG 30 Minutes None

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-6 TOTAL 7

SHOP TEST RECORD Page 1 of 1 QA FORM 28 (6/05) Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT/ROTATABLE POOL SER NO.

USS BLUE RIDGE LCC-19 EE01-L107 KTR N/A SCD 9243 SSDG STARTING AIR RELIEF

6. REFERENCES: TEST REF (E.G., MS, TECH MAN) & OTHER REFS (E.G., VLV DWG) 7. TEST GAGE RANGE /INSTRUMENT USED SERIAL NO. CAL DUE DATE 8. RELIEF VLV SET POINT

A. 513-8974783, REV.A

B. S9086-RK-STM-010/505, REV.06

C.

D.

9. TEST REQUIREMENTS & RESULTS

TEST TYPE KEY H = STRENGTH AND POROSITY/ELEVATED PRESSURE TEST J = MECHANICAL JOINT TIGHTNESS ST = SEAT TIGHTNESS OP = OPERATIONAL O = OTHER

(SPECIFY): ______________________

TE

ST

T

K

EY

) PARAGRAPH

DESCRIBING

VALVE POSITION

GAGE

USED

(LTR

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

OP 5.8.1 LIFTING TEST

FOR 1.3.42

A,B Clean Fresh Water

361 PSIG N/A N/A

OP 5.8.2 RESEATING

TEST FOR 1.3.42

A,B Clean Fresh Water

324 PSIG

Minimum

N/A N/A

10. REMARKS. (CRAFTSMAN/QAI SUBMIT A DF TO RESOLVE UNSAT DATA)

11. QA INSPECTOR/SHOP SUPERVISOR SIGNATURE/BADGE NO. (RECORD

REVIEWED FOR FINAL ACCEPTANCE)

DATE 12. QAS SIGNATURE/BADGE NO. (RECORD HAS BEEN REVIEWED FOR

COMPLETENESS)

3819P31103A06 ENCLOSURE-01-7 TOTAL 7