TGI_38K5249307A01_c1v1.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.: S/A 88260K STRL MOD AY A 0 1

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

DDG-114 USS RALPH JOHNSON K52

CU PHASE TITLE:

(RE) F/O - S/A 88260K, ACCOMP STRL, RGNG, PVTN, MACH, AND PP WK FOR ERM SYS MOD

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TAKUYA OOUCHI 231A. 315-243-6803 30-JAN-2025

APPROVED BY: CODE PHONE DATE

YUUJI NAKAMURA 231A. 315-243-6041 30-JAN-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:

Reference 2.12 and Procedure 5.7.8 was incorrectly.

CHANGE INSTRUCTIONS:

CH1: Revise Reference and Procedure 5.7.8 (1/31/2025)

SPECIAL REQUIREMENTS:

CLEANLINESS FOR PIPING SYSTEM/EQUIPMENT LEVEL II. 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.: S/A 88260K STRL MOD AY A 0

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SHIP: DDG-114 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.

1-7 QA 28

(1)

J1-2 M1-5 Engrg Inst (1-2)

1. SCOPE/PURPOSE

1.1 Title: S/A 88260K, Structural, Rigging, Preservation, Machine, and Piping Work for Enterprise Remote Monitor System on Ships Modification; accomplish

1.2 Location of Work:

1.2.1 Engine Room No. One (4-174-0-E)

1.2.2 IC and Gyro Room No. One (4-94-0-C)

1.2.3 Fuel Receiving Service Tank Group-1 (4-78-1-F)

1.2.4 Fuel Tank Group-1 (5-78-1-F)

1.2.5 Engine Room No. 2 (4-254-0-E)

1.2.6 Air Conditioning Machinery and Pump Room (5-300-01-E)

1.2.7 Crew Living Space No. 5 (3-310-2-L)

1.2.8 General Workshop (2-200-2-Q)

1.3 Identification:

1.3.1 Quantity (One AY), Potable Water Piping

Size: 3/4 Inch IPS (1.050 Inch OD x 0.065 Inch THK) Material: Cu-Ni 90-10 Specification: MIL-T-16420 Remarks: See 2.3 and Sheet 4A (Zone 7-E / 7-F) of 2.4 for details.

1.3.2 Quantity (2 EA), Chilled Water Supply and Return Valve

Size: 1/2 Inch IPS Material: Bronze Type: Gate, UE Valve No.: CWS-V-421 (CWX / V0591) and CWR-V-421 (CWZ / V0593) Remarks: See Sheet 4A5 (Zone 12-E) of 2.6 and Sheet 4 (Zone 6-E) of 2.7 for details.

1.3.3 Quantity (One Lot), Structural Work for S/A 88260K, Enterprise Remote Monitor (ERM) System on Ships Modification (MOD)

Remarks: See Engrg Inst Enclosure- 01, 2.8 through 2.13 for material and details.

1.3.3.1 Quantity (One Lot), Stud for Cable Way (Existing)

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SHIP: DDG-114 CHG/VER: 1/1

Size: 3/8-16UNC-2A Material: Steel Remarks: See 5.7.3.

1.3.3.2 Quantity (One Lot), Stud for Cable Way (New)

Size: 3/8-16UNC-2A Material: Steel Weld Joint Design: PT1S.1 of MIL-STD-22D Fillet Weld Size: 1/8 Inch Remarks: See 5.7.3.

1.3.3.3 Quantity (One EA), Foundation for Lighting Fixture in 4-174-0-E

Material:

Foundation Support; Steel, ASTM A106, 1-1/2 Inches IPS, Schedule 40, Pipe Mounting Plate; OS, MIL-S-22698 GR-A, 2 Inches x 1/4 Inch Thickness Flat Bar Remarks: See Microfilm Index Sheets 23 of 2.10 and 2.13 for details.

1.3.4 Quantity (3 EA), 1A, 1B, and 2A Line Shaft Bearing Assembly

Mfr: American Metal Bearing Company Mfr Id: 84116 Specification: MIL-B-18558B (CS) Bore Diameter: 20.152/20.157-inches Lube Oil Type: MIL-L-17331 (2190 TEP) Weight: 4,184 LBS (Dry) Remarks: See sheet 6 and 7 of 2.8 for location

1.3.5 Quantity (One Lot), Electrical/Electronics Equipment for S/A 88260K, ERM System on Ships MOD

Remarks: See 2.8, 2.9, 2.11, and 2.13 for details.

Location: Onboard Ship Shown on 2.8, 2.9, 2.11, and 2.13 to/from Pier Side, Dry Dock Side, and/or Shop.

1.4 Security Classification:

1.4.1 Spaces - 1.2.2

1.5 Initial Condition:

1.5.1 Potential Asbestos Hazard.

1.6 Contractor work start date:

1.7 Contractor work completion date:

2. REFERENCES:

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

1 NSI FY-25 NAVSEA Standard Items - 1 N 2 LI FY-25 Local Standard Items - ORG N

3 PDD 533-

ELM-250117

REROUTING OF POTW PP FOR

ERM HDW FDN INSTL IN ENG RM

NO. 1 (4-174-0-E)

- Y AL

L

Masato.Endo.ja Typewritten Text

14 JUL 2025

Masato.Endo.ja Typewritten Text

26 NOV 2025

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SHIP: DDG-114 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

4 DWG 533-

7061881

Fresh Water Systems, Zone 2230 - Y 4A

5 MIL MIL-

STD-1627

Bending of Pipe or Tube for Ship Piping Systems

C N

6 DWG 514-

7059969

AIR COND CHILLED WTR CRCLT

SYS & CNDS DRN DIAG

F Y 4A

7 DWG 514-

7061877

CHILLED WATER & AC

MACHINERY SYSTEMS, ZONE

- Y 4

8 DWG 180-

8941729

ERM HARDWARE FDN & ML A Y AL

L

9 DWG 438-

8941730

ERM HARDWARE CNSLD ELEC

DWG & ML

A Y AL

10 DWG 8100-

3513-0060

Standard Methods for Mounting ELEC. EQPT. Under 75 LBS.

AH Y SE

E N

OT

E

11 LAR

88260/DDG1

14/1223013

Incorporate Verif Ship Check for Ckt C-2CA and Make Correction to

ITEM NO.501

- Y AL

12 LAR

88260/DDG9

7/1224351

ADD MANUFACTURER PART

NUMBER INFORMATION FOR

ITEM NO 107 LSB DIPSTICK

RETROFIT K

13 PDD 331-

ELM-250132

Supplemental Info for Relocation of Lighting Fixture in Engine Room #1 (4-174-0-

14 DWG 100-

7063195

UNIT STRUCTURAL ARR DWG

ASSY UNIT 2220

- Y 3-6

15 DWG 100-

7063196

UNIT STRUCTURAL ARR DWG

ASSY UNIT 2230

- Y 3- 16, 4-

16 DWG 100-

7063185

UNIT STRUCTURAL ARR DWG

ASSY UNIT 1420

- Y 5A ,9, 3-

17 DWG 84116 BEARING ASSEMBLY,

PROPULSION LINE SHAFT 20.13

DIA X 25.50 LG

W Y AL

18 MIL MIL-

STD-2003

Electric Plant Installation Standard Methods for Surface Ships and Submarines

B N

19 MIL MIL-

STD-1310

Shipboard Bonding, Grounding, and Other Techniques for EMP Mitigation and Safety

H N

20 DWG

OD32382

Grounding and Bonding, Equipment Enclosures, Chassis and Cases, Design and Insta

F 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.

Masato.Endo.ja Cross-Out

Masato.Endo.ja Typewritten Text

2/14/2025 C-1209 M. ENDO 11030028

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SHIP: DDG-114 CHG/VER: 1/1

5. PROCEDURE:

5.1 Remove existing, fabricate and install each new potable water piping listed in 1.3.1 in accordance with 2.3, using

2.4 for guidance.

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

5.1.1.1 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.

5.1.1.2 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.

5.1.2 Bend each new pipe in accordance with 2.5.

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

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

5.1.5 Accomplish the requirements of 009-71 of 2.1 for hydrostatic test, using clean, fresh water at 122 PSIG, for each new and disturbed potable water piping systems.

5.1.5.1 Document shop hydrostatic test results on QA Form 28 Enclosure-02-1.

5.2 Accomplish to rotate the chilled water supply and return valve listed in 1.3.2 for structural work, using 2.6, 2.7 and 2.8 for guidance.

5.3 Accomplish structural work for S/A 88260K listed in 1.3.3 in accordance with Enclosure-01, 2.8 through 2.13, using 2.14 through 2.16 for guidance.

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

5.4 Accomplish dipstick retrofit work for S/A 88260K in accordance with 2.8, using 2.17 for guidance.

5.4.1 Remove each dipstick with cover and level indicator of each equipment listed in 1.3.4 in accordance with sheet 8 of 2.8, using 2.17 for guidance.

5.4.2 Install new each hand hole cover and dipstick relocation retro-fit to each equipment listed in 1.3.4 in accordance with sheet 8 of 2.8, using 2.17 for guidance.

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

5.5 Accomplish the requirements of removal and installation of the equipment listed in 1.3.5 in accordance with 2.8, 2.9, 2.11, and 2.13.

5.5.1 Equipment installation must be in accordance with 2.18 through 2.20.

5.5.2 Install each new label plate.

5.5.3 Request Code 292 via the SUPERVISOR to accomplish Visual TEMPEST Configuration Control Inspection (VTCCI) of each area affected by this S/A installation.

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

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SHIP: DDG-114 CHG/VER: 1/1

5.7 Notes:

5.7.1 Planner: Code 231A T. Oouchi, 243-6803

Planner: Code 232 K. Fukumoto, 243-4510 Planner: Code 233 T. Kurihara, 080-9350-1437 Planner: Code 233 T. Nakamura, 080-9350-1345 Planner: Code 234 Y. Inomata, 243-4536 Planner: Code 234 H. Takemoto, 243-4479 Engineer: Code 250 M. Kunugi, 243-7885 Engineer: Code 260 T. Kishimoto, 243-2189 Engineer: Code 270 S. Takahashi, 243-0986

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

5.7.3 SRF-JRMC Shops X67 and X51 will direct exact location for removal and installation of existing/new stud for cableway which is not designated in referenced drawing.

5.7.4 Removal and installation of electrical/electronics cable will be covered by TGI No(s). 38K5249307 U01, U02, R01, and R02 (SRF-JRMC TGI).

5.7.5 Opening, initial cleaning, and closing of each space listed in 1.2.3 and 1.2.4 will be covered by TGI No.

38K5212353A01 (KTR TGI).

5.7.6 Naval Surface Warfare Center Philadelphia Division (NSWCPD) will provide one person on-site to resolve any technical issues that may arise.

5.7.7 NSWCPD On-Site Representative (OSR):

Point of Contact: Mr. Raymond Wos E-mail Address: raymond.wos.civ@us.navy.mil

5.7.8 WPC will copy the following pages in reference.

REF. 2.10: Microfilm Index Sheets 23 and 148

5.7.9 JCN EXSA-ZBM2 is related to this TGI.

5.8 Government Furnished Material (GFM):

5.8.1 NSWCPD will provide all GFM and Hardware Systems Command (HSC) listed in LIST OF MATERIALS of each S/A drawing.

5.8.2 SRF-JRMC will provide material listed in Appendix "M".

5.9 SRF-JRMC will provide the following service work: (TGI No. 38K5249307S02).

5.9.1 [C740] Crane and crane rigging service.

5.9.2 [X99E] Utility service, electrical.

5.9.3 [X99M] Utility service, including low pressure air supply, water supply, and steam supply.

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

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

mailto:raymond.wos.civ@us.navy.mil

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SHIP: DDG-114 CHG/VER: 1/1

5.9.6 [C133] QA inspection for (G) symbol(s).

5.9.7 [C292] Visual TEMPEST Configuration Control Inspection (VTCCI).

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J-1

SHIP: DDG-114 CHG/VER: 1/1

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

S/A 88260K STRL MOD AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 88260K, ACCOMP STRL, RGNG, PVTN, MACH, AND PP WK FOR ERM SYS MOD

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

CMPT 4-94-0-C MSCMPT 4-174-0-E MS CMPT 5-300-01-E MS CMPT 4-254-0-E MS

FIREWALL HFS #3 EE #1A LSB BE #1B LSB BE #2A LSB BE ERM

EQPT 4-174-0-E ER (3-213-2)-1L-C3 LF (2-199-4)-1L-C C- POTW 4-174-0-E PP CWR-V-421

V- CWS-V-421 V-

ATTACHMENT LIST:

1. ENCLOSURE-01 (38K5249307-Engrg Inst.pdf) saved on 25-JAN-2025 0000.

2. ENCLOSURE-02 (38K5249307A01-QA28.docx) saved on 31-JAN-2025 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

38K5249307 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to accomplish structural, rigging, preservation, machine, and piping work of electronics equipment for S/A 88260K Enterprise Remote Monitor System on Ships Modification.

Location of Work:

Engine Room No. One (4-174-0-E) IC and Gyro Room No. One (4-94-0-C) Fuel Receiving Service Tank Group-1 (4-78-1-F) Engine Room No. 2 (4-254-0-E) Air Conditioning Machinery and Pump Room (5-300-01-E) Crew Living Space No. 5 (3-310-2-L) General Workshop (2-200-2-Q)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

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J-2

SHIP: DDG-114 CHG/VER: 1/1

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

Version-01: revise reference. C231A Y. Nakamura 1/31/2025 -/- /N

V-01 0 0 0

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M-1

SHIP: DDG-114 CHG/VER: 1/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

S/A 88260K STRL MOD AY A 0 1

CU PHASE TITLE:

(RE) F/O - S/A 88260K, ACCOMP STRL, RGNG, PVTN, MACH, AND PP WK FOR ERM SYS MOD

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 84116 W

2 LAR 1224351

3 ELM-250117

JOB ORDER: KEY OP:

38K5249307 A01

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

001 M INSULATI, ACOUSTIC

INSULATION, SPEC: MIL-DTL-

32585 TYPE II FORM 2 FACING

D (FORMER: MIL-I-22023 TYPE

3) THK: 2", SIZE: 24" X 36",

MATL: FIBER GLASS, FACING:

FACED WITH POLYESTER

FILM REINFORCED WITH

FIBROUS GLASS SCRIM,

TUFFSKIN STYLE: 1613

ORIGINATOR: C231A,

T,OOUCHI, PHONE 243-6803

ORDERED FOR KTR

9Q 5640 LL4808709 NA 4 N 5/SH

002 M INSULATI, ACOUSTIC

INSULATION, SPEC: MIL-DTL-

32585 TYPE 2 FORM 2 FACING

D (FORMER: MIL-I-22023 TYPE

3), THK: 1", SIZE: 24" X 36"

ORIGINATOR: C231A,

T,OOUCHI, PHONE 243-6803

ORDERED FOR KTR

9Q 5640 LL4808710 NA 4 N 4/SH

NOTES:

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M-2

SHIP: DDG-114 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

003 M ANGLE,ST, ORIGINATOR:

C231A, T,OOUCHI, PHONE 243-

ORDERED FOR KTR

9B 9520 002777310 NA 4 N 10/FT

004 M BAR,METAL, BAR, FLAT,

METAL, SPEC: MIL-S-22698

GRADE AH-36, SIZE: 3" W X

3/8" THK, MATL: HIGH TENSILE

STRENGTH STEEL,

ORIGINATOR: C231A,

T,OOUCHI, PHONE 243-6803

ORDERED FOR KTR

LL9004326 NA 4 N 10/FT

005 M BAR,METAL, ORIGINATOR:

C231A, T,OOUCHI, PHONE 243-

ORDERED FOR KTR

9B 9510 001891558 NA 4 N 10/FT

200 39 1 M GASKET, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 5330 004803885 NA 4 N 3/EA

201 41 1 M WIRE,NONELECTRICAL,

ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 9505 000768640 NA 4 N 1/LB

202 70 1 M O-RING, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 5331 008270326 NA 4 N 3/EA

203 19 1 M GASKET, GASKET, OIL SEAL

HOUSING

2EA PER SET (UPPER &

LOWER)

ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

LL9000370 NA 4 N 6/SE

204 12 1 M GASKET, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 5330 005052469 NA 4 N 30/EA

205 M SEALING, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 8030 002523391 NA 4 Y 15/TU

206 M GREASE,B, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 9150 011172928 NA 4 Y 1/CN

207 M LUBRICAT, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 9150 013702583 NA 4 Y 30/CN

208 M DRY CLEA, ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

9B 6850 002745421 NA 4 Y 3/CN

209 107 2 M RETROFIT KIT, LINE SHAFT

BEARING DIPSTICK

RELOCATION RETROFIT KIT,

BIW CATALOG NO. 98422-366,

ORDER FOR KTR

ORIG: C226 R.FUKUDA, 070-

7787-1968

NA 4 N 3/EA

300 M BAR,METAL, ORDER FOR KTR

ORIG: C233 T. KURIHARA, 080-

9350-1437

9B 9510 001891558 NA 4 N 10/FT

301 M PIPE,METALLIC, ORDER FOR

KTR

ORIG: C233 T. KURIHARA, 080-

9350-1437

9B 4710 008925914 NA 4 N 10/FT

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M-3

SHIP: DDG-114 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

302 M PLATE,ME, SIZE: 2’ X 2’

QTY: 1EA

ORDER FOR KTR

ORIG: C233 T. KURIHARA, 080-

9350-1437

9B 9515 002375333 NA 4 N 4/SF

303 M PLATE,ME, SIZE: 1’ X 1’

QTY: 1EA

ORDER FOR KTR

ORIG: C233 T. KURIHARA, 080-

9350-1437

9B 9515 001533184 NA 4 N 1/SF

400 M ADHESIVE, ADHESVIE FOR

INSULATION

C234 H.TAKEMOTO 243-4479

ORDER FOR KTR

9B 8040 008419773 NA 4 Y 2/PT

401 M ADHESIVE, ADHESIVE FOR

CLOTH

C234 H.TAKEMOTO 243-4479

ORDER FOR KTR

9B 8040 002738708 NA 4 Y 1/GL

402 M INSULATION PIPE,

INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 6" IPS,

SIZE: 6-5/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

ORDER FOR KTR

C234 H.TAKEMOTO 243-4479

9B 5970 LL9607850 NA 4 N 2/EA

403 M INSULATION PIPE,

INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 8" IPS,

SIZE: 8-5/8" ID X 3/4" THK X 6

FT LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

ORDER FOR KTR

C234 H.TAKEMOTO 243-4479

9B 5970 LL9607851 NA 4 N 2/EA

404 M INSULATION SHEET,

INSULATION, FLAT SHEET,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

SIZE: 36" W X 48" L X 3/4" THK,

MATL: NON-HALOGEN,

**GSA ADVANTAGE

AVAILABLE**

ORDER FOR KTR

C234 H.TAKEMOTO 243-4479

9B 5970 LL9607854 NA 4 N 4/SH

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M-4

SHIP: DDG-114 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

405 M INSULATI, INSULATION, PIPE,

BRAND: K-FLEX ECO,

SPECIFICATION COMPLIANCE:

EB 4013,

FOR SIZE: 1" IPS,

SIZE: 1-3/8" ID X 3/4" THK X 6FT

LG,

UI: EA/6 FT(ONE CONTINUOUS

LENGTH REQUIRED),

MATL: NON-HALOGEN,

**GSA ADVANTAGE ITEM**

*MUST BE ORDERED IN

MULTIPLES OF 13EA*

*MSM AVAILABLE*

9B 5640 LL4783096 NA 4 N 2/EA

406 M CLOTH,PLAIN WEAVE, L/W

GLASS CLOTH (NATURAL)

ORDER FOR KTR

C234 H.TAKEMOTO 243-4479

9B 8305 001487364 NA 4 N 1/RL

407 M SEALING COMPOUND,

ADHESIVE FOR INSULATION

SLEEVING

ORDER FOR KTR

C234 H.TAKEMOTO 243-4479

9B 8030 001742588 NA 4 Y 1/GL

410 P-1 3 M TUBE,MET, 3/4"IPS, 90-10, #200

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 4710 002774656 NA 4 N 10/FT

411 F-1 3 M ELBOW,PIPE, 3/4"IPS, 90-10,

SW

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 4730 014637053 NA 4 N 2/EA

412 F-2 3 M COUPLING, 3/4"IPS, 90-10, SW

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 4730 014635878 NA 4 N 2/EA

413 M INSULATION, PIPE,

INSULATION, PIPE,BRAND: K-

FLEX ECO,SPECIFICATION

COMPLIANCE: EB 4013,FOR

SIZE: 3/4" IPS,SIZE: 1-1/8" ID X

3/4" THK X 6FT LG,UI: EA/6

FT(ONE CONTINUOUS

LENGTH REQUIRED),MATL:

NON-HALOGEN,

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 5640 LL9607842 NA 4 N 2/EA

414 M INSULATION, PIPE,

INSULATION, PIPE,BRAND: K-

FLEX ECO,SPECIFICATION

COMPLIANCE: EB 4013,FOR

SIZE: 2" IPS,SIZE: 2-3/8" ID X

3/4" THK X 6 FT LG,UI: EA/6

FT(ONE CONTINUOUS

LENGTH REQUIRED),MATL:

NON-HALOGEN, 8 EA/BOX.

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 5640 LL9607844 NA 4 N 2/EA

FOUO

M-5

SHIP: DDG-114 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

415 M BACKING RING, 6"IPS,

BACKING RING,SIZE;

6"IPS,MATL: CU-NI

70/30,PRESSURE:

200PSIG,SPEC: MIL-STD-22D

PREMIER COPPER P/N:

BR710700

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

LL4456561 NA 4 N 1/EA

416 M BACKING RING, 4" IPS,

BACKING RING, 4" IPS, CU-NI

90/10, 200 PSIG, MIL-STD-22

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9C 4730 LL4558786 NA 4 N 1/EA

417 M COUPLING, 1-1/4"IPS, 1-

1/4"IPS, 70-30, SW

ORDERED FOR KTR

ORIG:C234 Y.INOMATA, 243-

9B 4730 014201174 NA 4 N 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-114 S/A 88260K STRL MOD AY A 0

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

38K5249307 A01

7. DESCRIPTION:

8. ORIGINATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

9. CORRECTIVE ACTION:

10. EVALUATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

FOR NON-NUCLEAR USE ONLY

11. RFD/RFW REQ’D ☐ LAR REQ'D ☐

ILS MOD REQ’D ☐

SRD/PLAN REV REQ'D ☐

DWG NO.: _____________________ S/A NO.: ___________________

12. ISOLATION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.:

SATISFACTORY:

13. SUBSAFE OQE RECORD? SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

YES ☐ NO ☐

14. CORRECTIVE ACTION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE:

15. INSPECTION REQ’D? INSPECTION COMPLETE/SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

_________:YES ☐ NO ☐

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

COMPLETE (DR ONLY)

DL’s ISSUED

(DR ONLY)

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

☐ NUCLEAR Deficiency Form Continuation Sheet ☐ NON-NUCLEAR

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

(Circle One) 2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

DDG-114 S/A 88260K STRL MOD AY A 0

38K5249307A01 ENCLOSURE-01 SHEET 1 OF 2

PLAN 5-6B

ENGINE ROOM NUMBER 1

2ND PLATF OVHD

SCALE:1-1/2"=1'-0"

FWD

BHD @

FR 220

L11(P)

L10(P)

L9(P)

L8(P)

FR

ENGINE ROOM NUMBER 1

4-174-0-E

DPCAA/FL210

CBR FILTER

DPCAA/FL210

CBR FILTER

ERM ASSY RACK

BELOW

OVHD BUS

PN 106 (4 PL)

5 3D

10°

8 1/4" 1'-5 7/8"

L11(P) L10(P) L9(P)

FR 212

ERM RACK

ASSY

ERM RACK

ASSY

2ND PLATF

2ND PLATF

L10 (P)

FR 212

1ST PLATF

L10 (P)

BHD @

FR 220

A001 ERM FDN RACK

OVHD BUS

1064PL

1ST PLATF

A001 ERM

FDN RACK

ELEVATION 5-3D

LKG TO STBD (INBOARD)

ENG RM NO.1 4-174-0-E

2ND PLATF

SCALE: 1"=1'-0"

(5-3A)

DPCAA/FL210

CBR FILTER

DPCAA/FL205

CBR FILTER

DPCAL/DH207

LP AIR DEHYDRATOR

(BEHIND)

8" CHILL WTR RTN

(BEHIND)

CWS/V0026

DPCAL/DH207

LP AIR

DEHYDRATOR

L11(P) L10(P) L9(P)

(4PL)

(4PL)

INBD LEGS

1072PL

OUTBD LEGS

2PL

SECTION 5-3A

LKG FWD

ENG RM NO.1 4-174-0-E

2ND PLATF

SCALE: 1"=1'-0"

(5-6B)

DRIP TRAY

SEE DETAIL 5-1D

TYP

3D

1'-6 7/16" 1'-6 7/16"

1'-5 15/16"

2'-2 3/4"

1 3/4"

2 PL

DETAIL 5-1D

DRIP TRAY

SCALE: 3"=1'-0"

(5-3A)

2 PL

2 PL

1/4" THK PL STL

BASE PLATE

1/8

TYP

1/8

LOCAL NOTES:

1. ALL WELDS TO BE 3/16" DOUBLE FILLET

UNLESS SHOWN OTHERWISE.

SCALE: SHEET

SIZE CAGE NO. WT GP NAVSEA DRAWING NO REV

F 53711

DDG - 51 - 88260

180 8941729 A

INSTALL-DRIP PAN MER-1

2ND PLATF OVHD

FR 212-220

AS SHOWN 5

SHIPALT

PYDDG_F5

8 7 6 5 4 3 2 1

F

E

D

C

B

A

8 7 6 5 4 3 2 1

A

E

D

C

B

F

8" FIRE MAIN

DISTRIBUTION

4" LP COMP

AIR SERVICE

DPCAL/DH207

LP AIR

DEHYDRATOR

3A

"CHANGED"

"CHANGED"

CWS/V0026

8" CHILL

WATER SUPPLY

1D

DPCAL/V2058

8" CHILL WATER

SUPPLY

"CHANGED"

38K5249307A01 ENCLOSURE-01 SHEET 2 OF 2

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

38K5249307A01 ENCLOSURE-02-1 TOTAL 1

SHOP TEST RECORD Page 1 of 1

QA FORM 28 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 RALPH JOHNSON DDG114 EXSA-ZBM2 KTR N/A POTABLE WATER PIPING

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. S9086-RK-STM-010/CH-505 Rev. 6

B. PDD 533-ELM-250117 Rev. “-“

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

MEDIUM

USED

REQUIRED

PRESSURE

ACTUAL

PRESSURE

MINIMUM

DURATION

ACTUAL

DURATION

ALLOWED

LEAKAGE

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.1.5 A,B Clean Fresh Water 122 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)

DATE