Worcester Ball TW Cask Manual Fill Valves TW-V-*021 and TW-V-*027 Page: 11 of 16
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CSNF-3935, Rev. I
ECN No. NA CGI No. CGI-SNF-D-47-P4-043 Page 7 of 12
Title: WORCESTER BALL TW CASK MANUAL FILL VALVES, TW-V-
Item Description: TW Manual Cask Fill Valves Equip #: TW-V-*021,*027
System #: 47 Procurement and/or Model #: 1 " K5966RTBW4
Manufacturer (Address/Phone): Supplier (A ddress/Phone):
Worcester Controls TBD
P.O. Box 538
33 Lock Dr.
Marborough, MA 01752
SECTION 2 CRITICAL CHARACTERISTICS TO BE VERIFIED BY METHOD 1.
Insp Test Post-
[*X I] 1 1. Nameplate - Manufacturer
I X ] 1] [ ] 2. Component Number-Procurement and/or Model Number
[ X ]I X ] [ ] 3. Body Material (Verification may be by either inspection or test)
[XI ] [ ] 4. Configuration/Mounting
[ X ] [ ] [ ] 5. Process Connection
[ ] [X1 ] [1 6. Pressure Boundary Integrity
[ ] [XI [ ] 7. Seat Leakage
 1 X ]  8. Seismic Condition A
SECTION 3 BY INSPECTION
* See Attachment G of Desk Instruction for Sampling Size
Characteristic: Nameplate - Manufacturer
Sample Size*: All Items
Acceptance Criteria: Worcester Controls
Receipt Inspection Plan / Report #:
References (see Section 7):
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NUXALL, T.A. Worcester Ball TW Cask Manual Fill Valves TW-V-*021 and TW-V-*027, report, May 6, 1999; United States. (https://digital.library.unt.edu/ark:/67531/metadc738832/m1/11/: accessed March 20, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.