TGI 38K6154101A01_c1v1.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.: FAS 02 LVL STBD AY A 0 1

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

DDG-115 USS RAFAEL PERALTA K61

CU PHASE TITLE:

F/O - REPLACE PANEL OF BLAST SHEILD & BNDG STRAP ASSY OF KINGPOST IN 02 LVL WEA

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

NORIYUKI TAKEUCHI 231B 315-243-9983 21-NOV-2025

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 21-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:

Paragraphs 1.3.4, 1.3.5, and 1.3.6 are incorrect.

CHANGE INSTRUCTIONS:

CH1: correct Paragraphs 1.3.4, 1.3.5, and 1.3.6. (11/28/2025)

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.: FAS 02 LVL STBD AY A 0

FOUO

SHIP: DDG-115 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

QA28

(1-2)

1. SCOPE/PURPOSE

1.1 Title: Panel of Blast Shield and Bonding Assembly of Kingpost for Fueling At Sea (FAS) Station No. 7 in 02 Level Weather, Starboard (Stbd); replace

1.2 Location of Work:

1.2.1 02 Level Weather, Frames between 320 and 340, Stbd

1.2.2 Passage (01-314-01-L)

1.2.3 Stateroom (01-320-1-L)

1.2.4 Pressure Lock (01-330-3-L)

1.3 Identification:

1.3.1 Quantity (3 EA), Panel of Blast Shield for FAS Station No. 7 in 02 Level Weather, Frames between 334 and 340, Stbd Remarks: See 2.4 for material and detail

1.3.2 Quantity (2 EA), Penetration Sleeve for Fuel Oil Gage Tubing and JP-5 Gage Tubing Tube Size: 1/4 Inch OD Material: Steel Specification: 8100-2400-0033

1.3.3 Quantity (2 EA), Tube Hanger for Fuel Oil Gage Tubing and JP-5 Gage Tubing Tube Size: 1/4 Inch OD Material: Steel Type: 35B Specification: 810-4714432

1.3.4 Quantity (One Lot), Fuel Oil Gage Tubing, from outlet side union joint of valve (FT-V-19) to inlet side union joint of gage valve Size: 1/4 Inch OD (0.250 OD X 0.065 WT) Material: CRES 304L Specification: MIL-P-24691/3 Gage No.: FT-GA-3 Note: Retain gage and gage valve until reinstallation for reuse Remarks: See Sheet 5E9 (Zone 3-B) of 2.7 and Sheet 8A (DETAIL 8A-5F) of 2.8 for details

1.3.5 Quantity (One Lot), JP-5 Gage Tubing, from outlet side union joint of valve (JPT-V-13) to inlet side union joint of gage valve Size: 1/4 Inch OD (0.250 OD X 0.058 WT) Material: Cu-Ni 70/30 Specification: MIL-T-16420 Gage No.: JPT-GA-3

FOUO

SHIP: DDG-115 CHG/VER: 1/1

Note: Retain gage and gage valve until reinstallation for reuse Remarks: See Sheet 5E9 (Zone 3-B) of 2.7 and Sheet 7A (DETAIL 7A-7B) of 2.9 for details

1.3.6 Quantity (5 AY), Bonding Strap Assembly of Kingpost for FAS Station No. 7 in 02 Level Weather, Frames between 320 and 335, Stbd Type I of MIL-STD-1310 Weld Joint Design: PT1S.1 of MIL-STD-22D Fillet Weld Size: 1/8 Inch Remarks: See 2.10 for material and detail

1.4 Security Classification: None.

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

3 DWG 600-

7026502

HULL OUTFIT INSTALL ZONE

4720 FR 317-338

K Y 4A 3A

4 DWG 611-

6221133

FAB OF MISC DK FTG - ZONE 4 AH Y SE

E N

OT

E

5 DWG 8100-

2400-0033

PENETRATION-BHD & DECK

CPRSN TYPE (INSUL) FOR

CPRSN TYPE FERR AND NON

IPS PIPE

P Y 6

6 DWG 810-

4714432

STD Pipe Hangers Fabrication

DETS & INSTL

L N

7 DWG 505-

7027235

GAGE PIPING & GAGE BOARD

INSTL-HOUSE AREA 01 TO 05

LVL FR 110-386

N Y 5E

8 DWG 541-

6567419

FUEL TRANSFER SYS DIAGRAM J Y 8A

9 DWG 542-

6567439

JP-5 FILL, XFR, SVCE & STR

SYSTEM DIAGRAM

J Y 7A

10 DWG 407-

8436526

TOPSIDE ELECTROMAGNETIC

CONTROL MEASURES DRAWING

(DDG-115)

2 Y SE

E N

11 MIL MIL-

STD-1310

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

H N

12 DWG 571-

6220741

DDG51 CLASS FAB OF RAS/FAS

FTS

AN Y SE

E N

Kouichi.Yoshida.ja Typewritten Text 7/27/2026

Kouichi.Yoshida.ja

9/4/2026

FOUO

SHIP: DDG-115 CHG/VER: 1/1

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 Remove each existing panel listed in 1.3.1, using 2.3 and 2.4 for guidance.

5.2 Fabricate each new panel listed in 1.3.1 in accordance with 2.4.

5.2.1 Install each new penetration sleeve listed in 1.3.2 to the new panel listed in 1.3.1, using 2.4 and 2.5 for guidance.

5.2.2 Install each new tube hanger listed in 1.3.3 to the new panel listed in 1.3.1, using 2.4 and 2.6 for guidance.

5.2.3 Accomplish the requirements of 009-012 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.3 Accomplish the requirements of 009-032 of 2.1, including Table 5, Line(s) 23, for each new panel listed in 1.3.1.

5.4 Install each new panel listed in 1.3.1 in accordance with 2.3 and 2.4.

5.5 Remove existing, fabricate and install new each fuel oil gage tubing listed in 1.3.4 and JP-5 gage tubing listed in 1.3.5, using 2.7 through 2.9 for guidance.

5.5.1 Accomplish the requirements of 009-012 of 2.1, including Table One, Column(s) A, Lines One through 10.

5.5.2 Accomplish the requirements of 009-071 of 2.1 for hydrostatic test, using clean, fresh water at 270 PSIG, for new and disturbed fuel oil gage tubing listed in 1.3.4.

5.5.2.1 Document shop hydro test results on QA Form 28 Enclosure-01-1.

5.5.3 Accomplish the requirements of 009-071 of 2.1 for hydrostatic test, using clean, fresh water at 88 PSIG, for new and disturbed JP-5 gage tubing listed in 1.3.5.

5.5.3.1 Document shop hydro test results on QA Form 28 Enclosure-01-2.

5.6 Remove existing and install new each bonding strap assembly listed in 1.3.6 in accordance with 2.10 and 2.11, using 2.12 for guidance.

5.6.1 Drill hole(s) on existing center support leg and side support legs of kingpost located in 1.2.1.

5.6.2 Accomplish build up weld of remaining hole(s) on the center support leg and side support legs.

5.6.3 Accomplish the requirements of 009-012 of 2.1, including Table 2, Column(s) A and D, Lines One through 7.

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

5.8 Notes:

Kouichi.Yoshida.ja Cross-Out

Kouichi.Yoshida.ja

1/27/2026 C1209.2 K. YOSHIDA

FOUO

SHIP: DDG-115 CHG/VER: 1/1

5.8.1 Planner: Code 231B N. Takeuchi, 243-9983

Planner: Code 233 M. Takemura, 090-9350-1458 Planner: Code 234 S. Yamashita, 070-7787-2035

5.8.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-6522-9560

5.8.3 WPC will copy the following pages in reference.

REF. 2.4: Pages 125A, 125B, 125D, and 125H REF. 2.10: Pages 5-16, 15-2, and B-2 REF. 2.12: Pages 14A, 14B, 14C, 14D, 14E, 14F, 14G, 14H, 14J, 15A, 15B, and 15C

5.8.4 JCNs EB14-L021 and CE03-L017 are related to this TGI.

5.9 Government Furnished Material (GFM):

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

5.10 SRF-JRMC will provide the following service work: (TGI No. 38K6154101S02).

5.10.1 [C740] Crane and crane rigging service.

5.10.2 [X99E] Utility service, electrical.

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

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

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

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

FOUO

M-1

SHIP: DDG-115 CHG/VER: 1/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

FAS 02 LVL STBD AY A 0 1

CU PHASE TITLE:

F/O - REPLACE PANEL OF BLAST SHEILD & BNDG STRAP ASSY OF KINGPOST IN 02 LVL WEA

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

38K6154101 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 PLATE,ME, 5FT X 6FT

ORIG: C231B N. TAKEUCHI

243-9983

ORDER FOR KTR

9B 9515 002243086 NA 4 N 53175818 30/SF

002 M STRIP,EL, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9B 5999 013438667 NA 4 N 53185044 5/EA

003 M SCREW,CA, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9B 5305 014535741 NA 4 N 53175182 10/EA

004 M NUT,SLEE, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9B 5310 014231667 NA 4 N 53185047 10/EA

005 M INSULATI, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9Q 5640 013713263 NA 4 N 53175119 3/SH

006 M INSULATI, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9Q 5640 013713262 NA 4 N 53175117 3/SH

007 M INSULATI, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9Q 5640 LL4823204 NA 4 N 53177517 1/SH

008 M TAPE,TEX, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9B 8315 002671632 NA 4 N 53185020 1/RO

NOTES:

FOUO

M-2

SHIP: DDG-115 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

009 M ADHESIVE, ORIG: C231B N.

TAKEUCHI 243-9983

ORDER FOR KTR

9B 8040 002738708 NA 4 Y 53185026 1/GL

400 M TUBE,METALLIC, OD 1/4" CU-

NI 70/30, 0.058THK FOR JP-5

GAGE

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

9B 4710 012344737 NA 4 N 53185048 15/FT

401 M TUBE,METALLIC, OD 1/4" CU-

NI 70/30, 0.058THK FOR JP-5

GAGE

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

9B 4710 012344737 NA 4 N 53185050 15/FT

402 M NUT,UNION, ORIG: C234 S.

YAMASHITA 070-7787-2035

ODERED FOR KTR

9B 4730 013148807 NA 4 N 53185053 2/EA

403 M UNION,TUBE, ORIG: C234 S.

YAMASHITA 070-7787-2035

ODERED FOR KTR

9B 4730 000610412 NA 4 N 53175815 10/EA

404 M TAILPIECE, UNION 1/4,

TAILPIECE, UNION, SIZE:

1/4"OD, SW, MATL: CRES316L,

6000 PSI, SAE-AMS-QQ-S-763,

NSN: 4730-01-175-6520 (NSN

MATERIAL: COPPER ALLOY

715), NSN: 4730-01-270-9812

(NSN MATERIAL: COPPER

ALLOY 706)

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

LL4903803 NA 4 N 1/EA

405 M TUBE,METAL, TUBE, METAL,

CRES 304L,MIL-P-24691/3,

TYPE 1 SEAMLESS, GRADE

TP304L, 0.250"OD X 0.065"

THICKNESS.

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

LL4805469 NA 4 N 15/FT

406 M TUBE,METAL, TUBE, METAL,

CRES 304L,MIL-P-24691/3,

TYPE 1 SEAMLESS, GRADE

TP304L, 0.250"OD X 0.065"

THICKNESS.

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

LL4805469 NA 4 N 15/FT

407 M TAILPIECE,UNION, OD1/4' CU-

NI 70/30 FOR JP-5 GAGE

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

9B 4730 011756520 NA 4 N 53175809 1/EA

408 M O-RING, ORIG: C234 S.

YAMASHITA 070-7787-2035

ODERED FOR KTR

9B 5331 001660980 NA 4 N 53175113 4/EA

FOUO

M-3

SHIP: DDG-115 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

409 M PIPE HANGER, PIPE HANGER,

SIZE: 1/4"OD, TY 35B,

MATL: STEEL, WITH 2"LG

WELDING STUD, NEOPRENE

LINED TUBE HANGER,

MODIFY: HANGER CLIP

INCLUDE 2"LG WELDING STUD

PREMIER COPPER P/N:

PH35B004 MOD

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

LL9302967 NA 4 N 2/EA

410 M PENETRATION END,

PENETRATION COMPRESSION

END, STEEL 1/4" OD X 5" LG,

WITH SLEEVES, NUTS,

NEOPRENE GASKET AND O-

RING 250 DEGREE F., MAX.

BIW DRAWING: 1313-0801-

0121.

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

LL9006154 NA 4 N 2/EA

411 M UNION,PIPE, 1/4" IPS SW CU-NI

70/30

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

9B 4730 014213430 NA 4 N 53175803 1/EA

412 M BUSHING, 1/4"IPS X 1/4"OD,

SW, CNA 70-30, 3000 PSI,

INSERT(BUSHING)

ORIG: C234 S. YAMASHITA

070-7787-2035

ODERED FOR KTR

9C 4730 LL4676524 NA 4 N 53177518 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-115 FAS 02 LVL STBD AY A 0

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

38K6154101 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 FAS 02 LVL STBD AY A 0

COMUSFLTFORCOMINST 4790.3 REV D CHG 5

13 JUN 2025

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 RAFAEL PERALTA DDG115 EB14-L021 KTR N/A Fuel Oil Gage Tubing

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. DWG 541-6567419 BK Rev. H

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

H 5.5.2 A,B Clean Fresh Water 270 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

38K6154101A01 ENCLOSURE-01-1 TOTAL 2

COMUSFLTFORCOMINST 4790.3 REV D CHG 5

13 JUN 2025

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 RAFAEL PERALTA DDG115 EB14-L021 KTR N/A JP-5 Gage Tubing

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. DWG 542-6567439 BK Rev. J

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)

USED

MINIMUM

ALLOWED

LEAKAGE

ACTUAL

LEAKAGE SAT/UNSAT SIGNATURE, BADGE NO. & DATE

H 5.5.3 A,B Clean Fresh Water 88 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

38K6154101A01 ENCLOSURE-01-2 TOTAL 2