TGI_38K6112305A01_c1v0.pdf
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- Attached to
- USS RAFAEL PERALTA (DDG-115) FY26 SIA BUNDLE #1
- Solicitation number
- N6264926RA036
About this file
This is a Task Group Instruction (TGI) document for federal shipyard maintenance work on the USS RAFAEL PERALTA (DDG-115), a Navy destroyer. The instruction details the overhaul of watertight hatch 02-324-3, located on the 02 Level Weather between frames 322 and 326 on the starboard side.
The work encompasses removal and replacement of rubber insulation (6 square feet of Form Rubber NH Armaflex, one inch thickness), a steel watertight hatch (30 inches x 30 inches, low profile ramped, quick acting with 6 dogs and spring balanced), longitudinal 5S steel plating, new gasket material conforming to A-A-59588 Class 3B Grade 30, and four label plates in various materials. The procedure requires near-white blast cleaning per SSPC-SP 10, welding of remaining holes with testing, chalk and air hose testing of gasket integrity with zero allowable leakage, operational testing of the hatch mechanism, installation of new compartment insulation (Anti-Sweat Polyimide per MIL-DTL-24688), and surface preservation per specification 009-032. A critical special requirement mandates fabrication and staging of a non-flammable closure due to the work affecting a fire zone boundary, per COMNAVSEASYSCOM MSG R 261400Z JUL 12. The contractor work period runs from July 27, 2026 to September 4, 2026. SRF-JRMC (Supervisor of Shipbuilding, Conversion and Repair) will provide government-furnished material and service work including crane rigging, utilities, safety and gas-free inspections, and QA inspection for government-symbol items. The instruction was prepared by Yuuji Koyama (Code 231B) and approved by Ryouta Takagi (Code 231B) on November 7, 2025, with change instruction CH1 revising paragraphs 5.10.1 and 5.11 effective November 8, 2025.
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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.: HATCH 02-324-3 HA A 0 1
SHIP/HULL NO.: SHIP/HULL NAME: SYSTEM: PROJ/WO NO: CASREP CAT:
DDG-115 USS RAFAEL PERALTA 16812 K61
CU PHASE TITLE:
*F/O - OVERHAUL WATERTIGHT HATCH 02-324-3
PREPARING ACTIVITY:
PREPARED BY: CODE PHONE DATE
YUUJI KOYAMA 231B 315-243-9937 07-NOV-2025
APPROVED BY: CODE PHONE DATE
RYOUTA TAKAGI 231B 315-243-4502 07-NOV-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:
Correction of Paragraphs 5.10.1 and 5.11 is required.
CHANGE INSTRUCTIONS:
CH1: Revise Paragraphs 5.10.1 and 5.11. (11/08/2025)
SPECIAL REQUIREMENTS:
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.: HATCH 02-324-3 HA A 0
FOUO
SHIP: DDG-115 CHG/VER: 1/0
LIST OF EFFECTIVE PAGES
SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO.
1-5 J1-2 M1-5 Sketch (1)
1. SCOPE/PURPOSE
1.1 Title: Watertight Hatch 02-324-3; overhaul
1.2 Location of Work:
1.2.1 02 Level Weather, Frames between 322 and 326, Starboard (Stbd)
1.2.2 Escape Trunk (2-322-1-T)
1.2.3 Stateroom (01-314-1-L)
1.3 Identification:
1.3.1 Quantity (6 SF), Rubber Insulation on Hatch Panel of Watertight Hatch 02-324-3, Interior
Material: Form Rubber, NH Armaflex, One inch thickness
1.3.2 Quantity (One EA), Hatch, Watertight
Hatch No. : 02-324-3 Size: 30 Inches x 30 Inches Material: Steel Type: Low Profile Ramped, Quick Acting, 6 Dogs, Spring Balanced
1.3.3 Quantity (One Lot), Longitudinal 5S on 02 Level Plating in 2-322-1-T and 01-314-1-L, Frames between 322 and 324, Stbd
Base Material: HTS, MIL-S-22698 GR-AH36, 16 Inches x 7 Inches x 50 LBs I-T Remarks: See Sheet 4-12 Detail 4-4A of 2.6 for detail
1.3.4 Quantity (4 EA), Label Plate, Watertight Hatch
1.3.4.1 Quantity (One EA), Label Plate, Exterior
Material: CRES, Type-II of 2.8 Inscription: 1st. Line: 02-324-3 2nd. Line: ESCAPE TRUNK 3rd. Line: 2-322-1-T
1.3.4.2 Quantity (One EA), Label Plate, Damage Control Closure Classification, Exterior
Material: CRES, Type-II of 2.8 Remarks: Figure-D of 2.8
1.3.4.3 Quantity (One EA), Label Plate, Interior
Material: Aluminum Alloy, Type-I of 2.8
FOUO
SHIP: DDG-115 CHG/VER: 1/0
Inscription: 1st. Line: 01-123-4 2nd. Line: WEATHER
1.3.4.4 Quantity (One EA), Label Plate, Damage Control Closure Classification, Interior
Material: Aluminum Alloy, Type-I of 2.8 Remarks: Figure-D of 2.8
1.3.5 Quantity (6 SF), Compartment Insulation on Hatch Panel of Watertight Hatch 02-324-3, Interior
Material: Anti-Sweat, Polyimide, One Inch Thickness, MIL-DTL-24688, Type II Remarks: See 2.9 for material and details
1.3.6 Quantity (One Lot), Insert Plate of Hatch 02-324-3, between Knife Edge and Rump
Material: Steel Remarks: See Sketch Enclosure-01 for location detail
1.4 Security Classification: None.
1.5 Initial Condition: None.
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-26 NAVSEA Standard Items - 1 N 2 LI FY-26 Local Standard Items - ORG N
3 DWG 167-
7027484
HATCH & SCUTTLE LIST N Y 7D
4 DWG 8100-
1252-0235
Hatches Structural (Steel) Arrangement
K Y 8,9
5 DWG 8100-
1252-0236
Hatches, Structural (Steel) Assemblies & Details
AH Y SE
E N
OT
E
6 DWG 150-
7026732
UNIT STRL ARR DWG ASSY UNIT
L Y 3- 12, 4-
7 TM
SYSTEMS &
SPECIFICAT
IONS
SSPC Painting Manual Volume 2 - N
8 PDD 602-
ELM-150531
SRF-JRMC STD ELM LABEL
PLATE FOR CLOSURE
A Y AL
L
9 PDD 635-
ELM-230114
SRF-JRMC Std ELM Sub Matl of Elastomeric Plstc Foam for Hull Insul
- Y AL
L
3. APPENDICES:
3.1 Appendix “J” TGI Job Summary Information Sheet
3.2 Appendix "M" TGI Material List
Kouichi.Yoshida.ja Typewritten Text 7/27/2026
Kouichi.Yoshida.ja Typewritten Text 9/4/2026
Kouichi.Yoshida.ja Cross-Out
Kouichi.Yoshida.ja Typewritten Text
1/24/2026 C1209.2 K. YOSHIDA
FOUO
SHIP: DDG-115 CHG/VER: 1/0
3.3 Appendix “D” Deficiency Form
4. GENERAL REQUIREMENTS:
4.1 Not Applicable.
5. PROCEDURE:
5.1 Remove each existing rubber insulation listed in 1.3.1.
5.2 Remove existing hatch panel of each hatch listed in 1.3.2, using 2.3 through 2.5 for guidance.
5.2.1 Drill One inch diameter hole on each existing longitudinal listed in 1.3.3 for removal and installation of hinge shaft of hatch panel, using 2.6 for guidance.
5.2.2 Disassemble dog assembly.
5.2.2.1 Clean each part free of dirt, grease and foreign matter.
5.2.3 Remove existing gasket and label plate(s) of each hatch.
5.3 Accomplish the requirements of 009-032 of 2.1, including Table 2, Line(s) 21, for exterior surfaces and Table 3, Line(s) 25, for interior surfaces of hatch panel of each hatch listed in 1.3.1.
5.3.1 Near-white blast clean for each hatch panel. Accomplish each requirement of Surface Preparation Specification SSPC-SP 10 of 2.7.
5.4 Prepare and align hatch panel of each hatch listed in 1.3.2 for reinstallation, using 2.3 through 2.5 for guidance.
5.4.1 Fabricate and install new gasket conforming to A-A-59588 Class 3B Grade 30.
5.5 Reinstall hatch panel of each hatch listed in 1.3.2, using 2.3 through 2.5 for guidance.
5.5.1 Reassemble dog assembly.
5.5.1.1 Lubricate each dogging mechanisms.
5.5.2 Adjust each dogging mechanism for unobstructed operation and to obtain 100 percent centered contact with the imprint of chalk in the center three-fifths of the gasket.
5.5.3 Accomplish build up weld of remaining hole(s) on each longitudinal listed in 1.3.3, using 2.6 for guidance.
5.5.3.1 Accomplish the requirements of 009-012 of 2.1, including Table 2, Column(s) A, Lines One through 7.
5.5.3.2 Accomplish the requirements of 009-025 of 2.1 for a local air hose test of each new weld of the longitudinal.
Allowable leakage: None.
5.6 Accomplish the requirements of 009-025 of 2.1 for a chalk test of each hatch listed in 1.3.2.
5.7 Accomplish the requirements of 009-025 of 2.1 for a local air hose test of hatch panel gasket and knife edge mating area of each hatch listed in 1.3.2. Allowable leakage: None.
5.8 Accomplish an operational test of each hatch listed in 1.3.2 to assure unobstructed operation. Allowable sticking or binding: None.
(V)(G) “OPERATION TEST”
FOUO
SHIP: DDG-115 CHG/VER: 1/0
5.9 Fabricate and install new each label plate listed in 1.3.4 in accordance with 2.8.
5.9.1 Accomplish the requirements of 009-012 of 2.1, including Table 2, Column(s) D, Lines One through 7.
5.10 Accomplish the requirements of 009-011 of 2.1 to install each new compartment insulation listed in 1.3.5 in accordance with 2.9.
5.10.1 Accomplish the requirements of 009-032 of 2.1 for top surface where new insulation is installed.
5.11 Accomplish the requirements of 009-032 of 2.1, including Table 2, Line(s) 21, for each insert plate listed in 1.3.6.
5.12 Accomplish the requirements of 009-032 of 2.1 for each new and disturbed surface.
5.13 Notes:
5.13.1 Planner: Code 231B Y. Koyama, 243-9937
Planner: Code 233 M. Takemura, 080-9350-1458 Engineer: Code 250 M. Sakanoue, 243-4139
5.13.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-6522-9560
5.13.3 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 non-flammable 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.
5.13.4 WPC will copy the following pages in reference.
REF. 2.5: Pages 10, 46, 54, 71, 72, and 81
5.13.5 JCN CE01-0945 is related to this TGI.
5.14 Government Furnished Material (GFM):
5.14.1 SRF-JRMC will provide GFM listed in Appendix “M”.
5.15 SRF-JRMC will provide the following service work: (TGI No. 38K6112305S02).
5.15.1 [C740] Crane and crane rigging service.
5.15.2 [X99E] Utility service, electrical.
5.15.3 [X99M] Utility service, including low pressure air supply, water supply, and steam supply.
5.15.4 [C106.1] Safety inspection for SRF-JRMC employees.
5.15.5 [C106.2] Gas free inspection for SRF-JRMC employees.
5.15.6 [C133] QA inspection for (G) symbol(s).
FOUO
M-1
SHIP: DDG-115 CHG/VER: 1/0
APPENDIX “M”
TGI MATERIAL LIST
SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH
VERSION:
CASREP
CAT:
16812 HATCH 02-324-3 HA A 0 0
CU PHASE TITLE:
*F/O - OVERHAUL WATERTIGHT HATCH 02-324-3
MATERIAL REFERENCES
REF
NO.
DOCUMENT/DRAWING
NUMBER
DOCUMENT/DRAWING TITLE REV
JOB ORDER: KEY OP:
38K6112305 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 RUBBER S, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5330 013717183 NA 4 N 20/FT
002 M PACKING PLUNGER ,
ORIG: C231B, Y. KOYAMA 070-
7787-2059
ORDERED FOR KTR
PACKING PLUNGER,
SIZE: 5/16" DIA X 3/4" LG,
BIW DWG: 8100-1252-0236
REV.AH, SHEET 38, DET-38-D,
MANUFACTURE FROM 5/16"
DIA, ROUND BAR (BIW
CATAOLOG NO. 43024-035
ROUND BAR) ,
MATERIAL: PHOSPHOR
BRONZE,
LL9307365 NA 4 N 1/EA
NOTES:
FOUO
M-2
SHIP: DDG-115 CHG/VER: 1/0
MATERIAL LIST
ITEM
NO.
PC
NO.
REF
NO.
M
C DESCRIPTION
STOCK
NUMBER
GENERIC
MATL
TYPE LVL QA
HAZ
MAT
DOC
NO.
QTY
REQD/
UNIT
QTY
USED/
UNIT
003 M SCREW SET , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
SCREW SET, CRES 316, 5/16"-
24UNC-3A X 3/8"LG, FF-S-
200A(2), TY-I, STY 4, CL 316,
CUP POINT, HEX SOCKET,
MS51021-70 CRES 316, BIW#
53954-081.
DO NOT CROSS NSN 5305-00-
682-5972 (VARIOUS TYPE OF
CRES ASSIGNED BUT CRES
316 REQUIRED).
LL9801913 NA 4 N 1/EA
004 M PACKING MATERIAL, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5330 002629437 NA 4 Y 1/YD
005 M PACKING, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5330 002629439 NA 4 Y 10/EA
006 M SHAFT,SHOULDERED, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 3040 014775051 NA 4 N 1/EA
007 M PIN,SHOULDER,HEADED,
ORIG: C231B, Y. KOYAMA 070-
7787-2059
ORDERED FOR KTR
9B 5315 014242383 NA 4 N 1/EA
008 M COLLAR,H, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 2040 014210078 NA 4 N 1/EA
009 M BUSHING,, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 3120 010892602 NA 4 N 1/EA
010 M BEARING,, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 3120 009577910 NA 4 N 1/EA
011 M PIN,STRAIGHT,HEADLE, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5315 014202169 NA 4 N 1/EA
012 M PIN,STRAIGHT,HEADLE, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5315 014202170 NA 4 N 1/EA
013 M BEARING,SLEEVE, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 3120 014222228 NA 4 N 3/EA
014 M PIN,COTTER, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5315 014196004 NA 4 N 1/HD
FOUO
M-3
SHIP: DDG-115 CHG/VER: 1/0
MATERIAL LIST
ITEM
NO.
PC
NO.
REF
NO.
M
C DESCRIPTION
STOCK
NUMBER
GENERIC
MATL
TYPE LVL QA
HAZ
MAT
DOC
NO.
QTY
REQD/
UNIT
QTY
USED/
UNIT
015 M NUT, SELF-LOCKING ,
ORIG: C231B, Y. KOYAMA 070-
7787-2059
ORDERED FOR KTR
NUT, SELF-LOCKING, HEX,
NON-METALLIC INSERT, 250
DEG F,
SPEC: NASM25027, MS16228-
12C316, SIZE: 3/4-10UNC-3B,
MATL: CRES 316,
DO NOT CROSS TO NSN 5310-
00-245-8827 (OTHER CRES
TYPES ARE ASSIGNED),
BIW CAT#:53882-064
LL9309271 NA 4 N 1/EA
016 M SPRING,HELICAL,COMP, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5360 014208789 NA 4 N 1/EA
017 M SPRING,LEAF, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5360 014214181 NA 4 N 1/EA
018 M SPRING,LEAF, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5360 014214182 NA 4 N 1/EA
019 M SCREW, HEX CAP , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
SCREW, HEX CAP,
SPEC: MIL-DTL-1222, TYPE-I,
SIZE: 3/8-16UNC-2A, LG=3/4",
MATL: MONEL GRADE 400,
LL9309059 NA 4 N 1/EA
020 M FLAT STRIP , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
FLAT STRIP, 1"W X 1/8"THK,
NAVAL BRASS, QQ-B-639,
C464, HALF HARD
U/I: FT
LL9801916 NA 4 N 1/FT
021 M BEARING,, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 3120 014222259 NA 4 N 2/EA
022 M PIN,SHOULDER,HEADLE,
ORIG: C231B, Y. KOYAMA 070-
7787-2059
ORDERED FOR KTR
9B 5315 014200098 NA 4 N 8/EA
023 M SCREW,MACHINE, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5305 016133097 NA 4 N 6/EA
024 M SPRING,S, ORIG: C231B, Y.
KOYAMA 070-7787-2059
9B 5360 014209907 NA 4 N 6/EA
FOUO
M-4
SHIP: DDG-115 CHG/VER: 1/0
MATERIAL LIST
ITEM
NO.
PC
NO.
REF
NO.
M
C DESCRIPTION
STOCK
NUMBER
GENERIC
MATL
TYPE LVL QA
HAZ
MAT
DOC
NO.
QTY
REQD/
UNIT
QTY
USED/
UNIT
025 M ROD BUMPER , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
ROD BUMPER,
MFR DWG: 8100-1252-0236
REV.AP PT NO. 350, DET 51-B,
SIZE: 5/16" X 1/2",
LENGTH: 1-1/2",
MATL: ASTM A588 STEEL,
LL9309089 NA 4 N 2/EA
026 M BUSHING,, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 3120 010893772 NA 4 N 2/EA
027 M NUT, JAM, HEX SELF L, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
SELF LOCKING NUT, JAM,
HEXAGON,
SPEC: MIL-DTL-1222 TYPE II,
SIZE 3/4-10UNC-2B,
MATL: CRES 316,
LL9309060 NA 4 N 2/EA
028 M PIN,TAPERED,PLAIN, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5315 014199958 NA 4 N 2/EA
029 M SCREW,CA, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9B 5305 013506757 NA 4 N 1/EA
030 M NUT,PLAIN,HEXAGON, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5310 013722665 NA 4 N 2/EA
031 M SPRING,HELICAL,TORS, ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
9B 5360 015364361 NA 4 N 2/EA
032 M BRACE PIN , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
BRACE PIN, USE FOR BRACE
LINK,
BIW DWG: 8100-1252-0236,
REV.AH, SH 83, DET 83-A, PT-
710, SIZE: 7/16" DIA X 1-1/2"
OVERALL LG, WITH 7/8” DIA X
3/16” LG FLG,
COTTER PIN HOLE: 9/64" DIA,
1/8" FROM END,
MATL: ASTM B21, C46400-H02,
NAVAL BRASS,
LL9000289 NA 4 N 1/EA
FOUO
M-5
SHIP: DDG-115 CHG/VER: 1/0
MATERIAL LIST
ITEM
NO.
PC
NO.
REF
NO.
M
C DESCRIPTION
STOCK
NUMBER
GENERIC
MATL
TYPE LVL QA
HAZ
MAT
DOC
NO.
QTY
REQD/
UNIT
QTY
USED/
UNIT
033 M SLIDE PLATE , ORIG:
C231B, Y. KOYAMA 070-7787-
ORDERED FOR KTR
DOG REST SLIDE PLATE,
BIW DWG: 8100-1252-0236,
REV.AH, DETAIL 43-E (SH 43),
SIZE: 3/4" WIDTH X 1" LG X 1/8"
THK,
MATL: NAVAL BRASS, ASTM
B21/B21M, C46400, H02, HALF-
HARD (OLD SPEC: QQ-B-637,
ALLOY 464, HALF-HARD),
LL9309280 NA 4 N 12/EA
050 M INSULATI, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9Q 5640 013713262 NA 4 N 1/SH
051 M INSULATI, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9Q 5640 013713263 NA 4 N 2/SH
052 M SOUND CO, ORIG: C231B, Y.
KOYAMA 070-7787-2059
ORDERED FOR KTR
9Q 5640 013715238 NA 4 N 1/SH
060 M SOUND CO, ORIG: C231B, Y.
KOYAMA 070-7787-2059
9B 5640 014548837 NA 4 N 3/SH
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-115 HATCH 02-324-3 HA A 0
4a. ICN: 4b. KEY OP: 5. LOC SPACE/LVL: FRAME: P/S/C: 6. CAUSED BY:
38K6112305 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-115 HATCH 02-324-3 HA A 0
38K6112305A01 SHEET 1 OF 1
SKETCH
ENCLOSURE-01
LOCATION DETAIL OF PRESERVATION AREA
LEGEND
- Preservation area
PLAN VIEW
Hatch 02-324-3
1-A Insert Plate, between Knife Edge and Rump
1-A
Rump
Insert Plate
Knife Edge clear opening
File details come from the government source that posted it. Updated .