TGI_38K4212359A02_c1v1.pdf

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USS DEWEY (DDG-105) FY26 6C1 CNO SRA(d) BUNDLE #2, Chief of Naval Operation Availability Yokosuka Japan
Solicitation number
N6264926RA004
Issued by

About this file

This document is a Task Group Instruction (TGI) for the USS Dewey (DDG-105) detailing an inspection, repair, and preservation task for the Ships Service Gas Turbine Generator (SSGTG) No. 2 Exhaust Trunk. The task involves a comprehensive inspection and repair process including visual assessment, power tool cleaning to bare metal, ultrasonic thickness measurements, and multiple repair activities such as base metal weld build-up (264 square inches), plate replacement (170 square feet), stiffener replacement (75 linear feet), and weld repairs (25 linear feet).

The work will be conducted in the SSGTG Exhaust Trunk and Supply Department Office, with specific attention to potential asbestos hazards and fire zone boundary considerations. The instruction requires fabrication of a non-flammable closure and includes detailed requirements for documentation, surface preparation, structural integrity assessment, and repair methodologies. The task is associated with Job Order 38K4212359 and involves multiple departments and personnel, with specific materials and services to be provided by SRF-JRMC, including crane services, utility services, safety inspections, and quality assurance reviews.

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Other files

File Type Posted
Attachment II Proposal Breakdown Form (Contractor Response Required).xlsx XLSX spreadsheet
Attachment IV Request for Information Form Q2A2.rtf RTF text file
Solicitation Amendment N6264926RA0040002 SF 30.pdf PDF
Solicitation Amendment N6264926RA0040001 SF 30.pdf PDF
Attachment IV Request for Information Form Q1A1.rtf RTF text file
TGI_38K4265405A01_c0v0.pdf PDF
38K4212387A01_c0v0.pdf PDF
Attachment VII QASP 26RA004 Bun2.pdf PDF
Solicitation - N6264926RA004.pdf PDF
TGI_38K4286504A01_c1v1.pdf PDF
Attachment VI Warranty Tracking Information.pdf PDF
TGI_38K4212357A01_c1v1.pdf PDF
38K4212301A01_c0v0.pdf PDF
TGI_38K4262204A01_c0v0.pdf PDF
TGI_38K4212354A01_c0v0.pdf PDF
Attachment IV Request for Information Form.rtf RTF text file
Attachment V Source of Repair Instruction.pdf PDF
Attachment III N6264926RA004 Government Furnished Property (GFP-GFM listings).xlsx XLSX spreadsheet
TGI_38K4212301T01_c0v0.pdf PDF
38K4212361A01_c0v0.pdf PDF
Attachment IX POP List.xlsx XLSX spreadsheet
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TGI_38K4212344A01_c1v1.pdf PDF
Attachment II Proposal Breakdown Form (Contractor Response Required).xlsx XLSX spreadsheet
Attachment VIII Contract Data Sheet 26RA004.pdf PDF
38K42123ACA01.pdf PDF
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FOUO

FOUO: Public availability to be determined under 5 USC 552

TASK GROUP INSTRUCTION

AIM REV 20.11.4.0 (OCTOBER 2020)

TGI COMPONENT NAME: TYPE: PHASE: REPEAT: CHANGE:

NO.: SSGTG NO.2 EXH TRK AY A 0 1

SHIP/HULL NO.: SHIP/HULL NAME: SYSTEM: PROJ/WO NO: CASREP CAT:

DDG-105 USS DEWEY K42

CU PHASE TITLE:

F/O - INSPECT, REPAIR, AND PRESERVE IN SSGTG NO.2 EXHAUST TRUNK

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TETSUYA UEMATSU 231A. 315-243-9943 05-AUG-2025

APPROVED BY: CODE PHONE DATE

YUUJI NAKAMURA 231A 315-243-6041 05-AUG-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:

Need to delete unnecessary reference.

CHANGE INSTRUCTIONS:

CH-1: Delete unnecessary reference.(08/25/2025).

SPECIAL REQUIREMENTS:

SURFMEPP

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

WORK CERTIFICATION SIGNATURES

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

ACCEPTANCE OF COMPLETED WORK

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

REQUIRED:☐YES ☒NO

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

TGI NO.: SSGTG NO.2 EXH TRK AY A 0

FOUO

SHIP: DDG-105 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.

1-5 J1-2 M1-3

1. SCOPE/PURPOSE

1.1 Title: Inspection, Repair, and Preservation of Ships Service Gas Turbine Generator (SSGTG) No. 2 Exhaust Trunk; accomplish

1.2 Location of Work:

1.2.1 SSGTG Exhaust Trunk (1-254-1-Q)

1.2.2 Supply Department Office (1-254-0-Q)

1.3 Identification:

1.3.1 Quantity (One EA), 02 Level, Engine Room No. 2 Ships Service Gas Turbine Deck Foundation and Bolting Ring

1.3.2 Quantity (One EA), SSGTRB Number 2 Exhaust Duct

1.3.3 Quantity (375 SF), Entire Structural Surface of 1-254-1-Q

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Critical Coated Area: CCNY-DDG105-013-26 for the area listed in 1.3.3.

1.5.2 Potential Asbestos Hazard.

1.6 Contractor work start date: See attached POP list.

1.7 Contractor work completion date: See attached POP list.

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-26 NAVSEA Standard Items - 1 N 2 LI FY-26 Local Standard Items - ORG N

3 DWG 259-

7060869

FAB & INSTL OF SSGTG UPTAKE

ENG ROOM NO.2 & ABOVE

B N

4 DWG 100-

7060401

UNIT STRUCTURAL ARR DWG

ASSY UNIT 2440

C Y 3-6

5 DWG 100-

7060397

UNIT STRUCTURAL ARR DWG

ASSY UNIT 2340

D Y 3-

FOUO

SHIP: DDG-105 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

6 DWG 100-

7060398

UNIT STRUCTURAL ARR DWG

UNIT 2350

D Y SE

E N

OT

E

7 DWG 100-

7060402

UNIT STRL ARR DWG ASSY UNIT

F Y SE

E N

OT

E

8 TM

SYSTEMS &

SPECIFICAT

IONS

SSPC Painting Manual Volume 2 - N

9 TM T9074-

AS-GIB-

010/271

Requirements for Nondestructive Testing Methods

1 N

10 TM S9086-

DA-STM-

010/CH-100

Hull Structures 4 N

11 MIL MIL-

STD-2035

Nondestructive Testing Acceptable Criteria

A N

3. APPENDICES:

3.1 Appendix “J” TGI Job Summary Information Sheet

3.2 Appendix "M" TGI Material List

3.3 Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1 Not Applicable.

5. PROCEDURE:

5.1 Accomplish a visual inspection of the current ship condition, listed in 1.3.1 and 1.3.2, located in 1.2.1, using 2.3 through 2.7 for guidance, and as designated by the SUPERVISOR.

5.1.1 Ensure to inspect each anchor foundation, overhead, bulkhead, deck, restraint, steel channel, penetration, deck spool, ladder foundation, bolting ring, and pipe hanger.

5.1.2 Mark each identified and designated area requiring repair.

5.1.3 Submit one legible copy, in hard copy or approved transferrable media, of a report with a sketch listing results of the requirements of 5.1 to the SUPERVISOR.

5.2 Power tool clean to bare metal for each location reported in 5.1.3, listed in 1.3.1 and 1.3.2, located in 1.2.1, to include each exposed longitudinal, vertical, and traverse stiffener. Accomplish each requirement of Surface Preparation Specification SSPC-SP 11 of 2.8, as designated by the SUPERVISOR.

5.3 Accomplish a visual inspection in each location for coating removed in 5.2, listed in 1.3.1 and 1.3.2, located in

1.2.1 for structural integrity, deterioration, pitting, each crack, and area of damage or distortion, using 2.3 through 2.7 for guidance.

5.3.1 Mark each corroded, damaged and/or deteriorated area.

FOUO

SHIP: DDG-105 CHG/VER: 1/1

5.3.2 Submit one legible copy, in hard copy or approved transferable media, of a report with a sketch listing results of the requirements of 5.3 to the SUPERVISOR.

5.4 Accomplish each ultrasonic thickness measurement (UTM) in up to 100 locations in each location reported in 5.3.2, listed in 1.3.1 and 1.3.2, located in 1.2.1 in accordance with Paragraph 6.7 of 2.9 and 2.10, as designated by the SUPERVISOR, using 2.3 through 2.7 for guidance. The acceptance criteria must be in accordance with 2.11.

5.4.1 Submit one legible copy, in hard copy or approved transferable media, of a report listing results of the requirements of 5.4 to the SUPERVISOR.

5.4.2 Ensure a sketch showing each location of each UTM reading, original material thickness, existing material thickness, and percentage of material thickness reduction.

5.5 Accomplish the following repairs reported in 5.1.3, 5.3.2, and 5.4.1, listed in 1.3.1 and 1.3.2, located in 1.2.1, using 2.3 through 2.7 for guidance, as designated by the SUPERVISOR. See 5.9.4 and 5.9.5.

5.5.1 Base metal weld build-up a total of 264 square inches.

5.5.1.1 Ensure each base metal buildup area does not exceed 2 inches in diameter.

5.5.1.2 Estimate the base metal buildup repair to be one quarter inch thick for pricing purposes.

5.5.1.3 Fill each local pit and groove with weld metal prior to the application of each principle build-up layer.

5.5.1.4 Ensure each surface is ground smooth to metal.

5.5.2 Remove existing and install new a total of 170 square feet of plate for each bulkhead, overhead, and deck plate.

5.5.3 Remove existing and install new a total of 75 linear feet of longitudinal, vertical, and traverse stiffener.

5.5.4 Remove existing and install new a total of 10 square feet of anchor foundation and flange joint.

5.5.5 Remove existing and install new each deck spool, gasket and bolting ring.

5.5.6 Vee out and weld a total of 25 linear feet of cracked, split, broken or damaged weld.

5.5.7 Chip and grind each surface flush in way of each repair.

5.5.8 Template exact size, configuration, and location from each existing shipboard condition, in way of each repair.

5.5.9 Accomplish the requirements of 009-012 of 2.1, including Table 2, Columns A and D, Lines One through 7.

5.5.10 Accomplish the requirements of 009-025 of 2.1 for a local air hose test of each new weld seam. Allowable leakage: None.

5.6 Accomplish the requirements of 009-032 of 2.1, including Table 3, Line 22A for each area listed in 1.3.3.

5.7 Confirm that all personnel have exited the space prior to closure of the space listed in 1.2.1. Designate one person to account for all personnel who may have entered the space.

5.8 Accomplish the requirements of 009-032 of 2.1 for each new and disturbed surface.

5.9 Notes:

5.9.1 Planner: Code 231A T. Uematsu, 243-9943

FOUO

SHIP: DDG-105 CHG/VER: 1/1

Planner: Code 231A H. Ishikawa, 243-6152 Planner: Code 234 K. Akase, 243-2372

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

5.9.3 This TGI meets the intent of DDG CSWT File No. 259-088.

5.9.4 Removal and installation of interferences, and gas free operation, preservation of boundary spaces relating to front loading structure repair in 5.5 are not included in this TGI. They will be covered by a DL in the future based on Contractor submitted condition report.

5.9.5 Materials for structural members relating to front loading repair will be provided in the future as a DL based on Contractor submitted condition report.

5.9.6 Work per this instruction involves cutting an access (or removal of a door) through a fire zone bulkhead, through the hull of the ship above the turn of the bilge, through ventilation components (ducting, plenums, etc.), or through any air-tight, fume-tight or watertight 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.

5.9.7 WPC will copy the following pages in reference.

REF. 2.6: Pages 5B-12, and 3-12.

REF. 2.7: Pages 7D, 7-12, 5A-12, and 3-12.

5.9.8 JCN EM02-ZB60 is related to this TGI.

5.10 Government Furnished Material (GFM):

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

5.11 SRF-JRMC will provide the following service work: (TGI No. 38K4212359S02).

5.11.1 [C740] Crane and crane rigging service.

5.11.2 [X99E] Utility service, electrical.

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

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

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

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

FOUO

J-1

SHIP: DDG-105 CHG/VER: 1/1

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

SSGTG NO.2 EXH TRK AY A 0 1

CU PHASE TITLE:

F/O - INSPECT, REPAIR, AND PRESERVE IN SSGTG NO.2 EXHAUST TRUNK

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

#2 SSGTG UPTAKE UT CMPT 1-254-1-Q MS

ATTACHMENT LIST:

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: TOTAL DURATION: PLANNING ACCEPTANCE:

38K4212359 A02

TOTAL MAT’L COST

CU PHASE DESCRIPTION:

The purpose of this TGI is to inspect, repair, and preserve in Ships Service Gas Turbine Generator No. 2 Exhaust Trunk.

Location of Work:

Ships Service Gas Turbine Generator (SSGTG) Exhaust Trunk (1-254-1-Q) Supply Department Office (1-254-0-Q)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 SFTR , RGRS 22 KE PC 0

5.2 PNTR 22 KE PC 0

5.3 SFTR 22 KE PC 0

5.4 SFTR 22 KE PC 0

5.5 SFTR , WELD , BLRM , PNTR , QA 22 KE PC 0

5.6 PNTR , QA , CARP , INSL 22 KE PC 0

5.7 SFTR 22 KE PC 0

5.8 PNTR , QA 22 KE PC 0

Structure and Preservation Work CFM: for all paints, thinner, grits, disposal cost, UT inspection cost, air compressor and fuel cost, marine chemist cost, strong back material, firewatch cost, confined space watch cost, fastener, gasket, compressor, dryer, fuel, (continues to below)

22 MQ CS 0 0 0

(continues from above) and misc such as electrode, gases, covering material, enclosing material, closure material, and other consumable.

22 MQ CS 0 0 0

Boiler Work CFM: for asbestos sample and analyze cost, anti-seize compound, hook, metal band, buckle, wire, paint, covering material and other consumable material (MISC).

22 MQ CS 0 0 0

FOUO

J-2

SHIP: DDG-105 CHG/VER: 1/1

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

Process Funding Document 10 CT OM 1 1 0

Version-1: delete unused reference. C231A Y. Nakamura, 08/25/2025, Y/Y/N

V-01 0 0 0

FOUO

M-1

SHIP: DDG-105 CHG/VER: 1/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

SSGTG NO.2 EXH TRK AY A 0 1

CU PHASE TITLE:

F/O - INSPECT, REPAIR, AND PRESERVE IN SSGTG NO.2 EXHAUST TRUNK

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

38K4212359 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

100 M ACOUSTIC, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9Q 5640 LL4558975 NA 4 N 52007428 10/SH

101 M INSULATI, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9Q 5640 LL4558976 NA 4 N 52007429 50/SH

102 M INSULATI, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9Q 5640 LL4823204 NA 4 N 52007430 3/SH

103 M INSULATI, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9Q 5640 LL4823203 NA 4 N 52007431 8/SH

104 M INSULATION,THERMAL,

ORDERED FOR KTR. ORIG:

C231A H. ISHIKAWA, 243-6152

9B 5640 016493959 NA 4 N 52005048 5/SH

105 M STUD,CAP, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9Z 5340 LL4945008 NA 4 N 52007432

360/EA

106 M TAPE,TEX, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9B 8315 002671632 NA 4 N 52005049 5/RO

107 M TAPE,TEX, ORDERED FOR

KTR. ORIG: C231A H.

ISHIKAWA, 243-6152

9B 8315 002671633 NA 4 N 52005050 2/RO

NOTES:

FOUO

M-2

SHIP: DDG-105 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

400 M GASKET, FIBROUS GLAS,

GASKET, FIBROUS GLASS,

WIRE-REINFORCED PLAIN,

CLOTH,

SPEC: HH-P-31, TYPE I, CLASS

1, SIZE: 53-11/16"OD X 48-7/16"ID

X 3/8"THK,

BOLT CIRCLE DIA: 51-11/16",

24 BOLT HOLES, 25/32" DIA

HOLES, HOLES EQUALLY

SPACED,

REMARKS: NON-ASBESTOS

REQUIRED,

BIW CAT NO. 52248-434

C234 K.AKASE, 243-2372

ORDER FOR KT

9B FY26 LL9604082 NA 4 N 1/EA

401 M FERRULE, FERRULE, FIBROUS

GLASS, WIRE-REINFORCED

PLAIN, CLOTH, SPEC: HH-P-31,

TYPE I, CLASS 1,

SIZE: 31/32"OD X 21/32"ID X

1/2" THK, REMARKS: NON-

ASBESTOS REQUIRED,

BIW CAT NO. 54638-027,

ORIG: C234 K.AKASE, 243-237

ORDERED FOR KTR

9B 5340 LL4941032 NA 4 N 52077801 30/EA

402 M GASKET, FIBERGLASS,

GASKET, FIBROUS GLASS,

WIRE-REINFORCED PLAIN,

TAPE,

SPEC: HH-P-31, TYPE I, CLASS

2, SIZE: 1/2"W X 1/8"THK X 20FT

L, REMARKS: NON-ASBESTOS

REQUIRED

ORIG: C234 K.AKASE, 243-2372

ORDER FOR KTR

9B 5330 LL4924382 NA 4 N 52067453 1/RO

403 M WASHER,2, WASHER,

FIBROUS GLASS, WIRE-

REINFORCED PLAIN, CLOTH,

SPEC: HH-P-31, TYPE I, CLASS

1 SIZE: 2" OD X 21/32" ID, 3/8"

THK. BIW CAT#: 52419-026

*DARCO SOUTHERN P/N:

ZFL0HHP-000-017

ORIG: C234 K.AKASE, 243-2372

ORDERED FOR KTR

9Z 5310 LL4917124 NA 4 N 52007433 30/EA

404 M INSULATION FELT,THE, ORIG:

C-234 K.AKASE 243-2372

ORDERED FOR KTR

9B 5640 001736591 NA 4 Y 52005051 1/RO

405 M CLOTH,PLAIN WEAVE, ORIG:

C234 K.AKASE, 243-2372

ORDER FOR KTR

9B 8305 001487364 NA 4 N 52005052 1/RO

406 M CEMENT,INSULATION,H, ORIG:

C234 K.AKASE, 243-2372

ORDER FOR KTR

9Q 5640 002264540 NA 4 Y 52005054 1/BG

FOUO

M-3

SHIP: DDG-105 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

407 M INSULATI, INSULATION,

THERMAL, MINERAL WOOL,

BLANKET, 24" X 48" X 2"THK,

OMIT MTLC SPRT MBRS FROM

BOTH SIDES, DENS: 8

LBS/CU FT, MIL-I-2818.

ORIG: C234 K.AKASE, 243-2372

ORDER FOR KTR

9B 5640 LL9606678 NA 4 N 52007525 8/SH

408 M WIRE MES, WIRE, MESH,

CHICKEN NET, #20 X 16 MESH

NO.20G, HEXAGONAL WIRE

NETTING,

GALVANIZED STEEL,

1RLL=30METER

ORIG: C234 K.AKASE, 243-2372

ORDER FOR KTR

9Z 5340 LL4651079 NA 4 N 52007810 1/RL

409 M WIRE FAB, WIRE

FABRIC,KNITTED WIRE MESH,

CRES, 400SF/EA,

ORIG: C234 K.AKASE, 243-2372

ORDER FOR KTR

9B 5335 005989404 NA 4 N 52005057 1/EA

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR APPENDIX "D"

DEFICIENCY FORM

☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One)

2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

DDG-105 SSGTG NO.2 EXH TRK AY A 0

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

38K4212359 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:

DDG-105 SSGTG NO.2 EXH TRK AY A 0

File details come from the government source that posted it. Updated .