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Mfr. Representative:
Date:
Authorized Inspector:
Date:
2. Manufactured for
(Name and address of purchaser)
3. Location of installation
(Name and address)
Vertical, Tank
4. Type :
Not
Drawing no.
CRN
Year built
5. The chemical and physical properties of all parts meet the requirements of material specifications of the ASME BOILER AND PRESSURE VESSEL CODE. The
design, construction, and workmanship conform to ASME Code, Section VIII, Division 2.
2013
Not Applicable
Not Applicable
Year
Addenda date
Items 6 to 11 incl. to be completed for single wall vessels, jackets of jacketed vessels, or shells of heat exchangers
SA-516 Gr. 70
80 mm
3 mm (int)
2200 mm
4394 mm
Nom. thk.
Corr. allow.
Diameter
Length (overall)
6. Shell
7. Seams
Longitudinal
Nondestructive examination
Heat treatment
Girth
Nondestructive examination
Heat treatment
No. of courses
(b) Matl.
Location (Top,
Bottom, Ends)
Minimum
Thickness
Corrosion
Allowance
Crown
Radius
Knuckle
Radius
Elliptical
Ratio
Conical
Apex Angle
Hemispheric
al Radius
Flat
Diameter
Side to Pressure
(Convex or Concave)
Top
Bottom
38 mm
38 mm
3.0 mm (int)
3.0 mm (int)
---
---
---
---
1117.5 mm
1117.5 mm
---
Concave
Concave
(a)
(b)
Not Applicable
Not Applicable
Not Applicable
9 MPa(g)
Not Applicable
(Internal)
(External)
150C
at max. temp.
(Internal)
5C
at 9 MPa(g)
(External)
At test temperature of
--
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Nom. thk.
Corr. allow.
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Nom. thk.
Corr. allow.
12. Tubesheets
Not Applicable
Floating matl. (spec. no., grade)
Not Applicable
13. Tubes
Not Applicable
Not Applicable
O.D.
Not Applicable
Nom. thk.
Not Applicable
Number
Items 14 to 18 incl. to be completed for inner chambers of jacketed vessels, or channels of heat exchangers
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Nom. thk.
Corr. allow.
Diameter
14. Shell
Not Applicable
15. Seams
Girth
Not Applicable
Heat treatment
Nondestructive examination
Not Applicable
Not Applicable
Not Applicable
Heat treatment
Nondestructive examination
No. of courses
Not Applicable
Not Applicable
(b) Matl.
(a)
(b)
Length (overall)
Not Applicable
Longitudinal
Not Applicable
Not Applicable
Location (Top,
Bottom, Ends)
Minimum
Thickness
Corrosion
Allowance
Crown
Radius
Knuckle
Radius
Elliptical
Ratio
Conical
Apex Angle
Hemispheric
al Radius
Flat
Diameter
Side to Pressure
(Convex or Concave)
---
---
---
---
---
---
---
---
---
---
Not Applicable
Not Applicable
Date:
Authorized Inspector:
Date:
No.
Diam. or Size
Type
------
Material
Nom. Thk.
Reinforcement Material
How Attached
Location
Type
ID
OD
Flange Thk
Min Hub
Thk
Flange Thk
Min Hub
Thk
Material
How Attached
Location
Bolting Material
Washer
(OD, ID, Thk)
Bolting Material
Washer
(OD, ID, Thk)
Bolting Material
Type
ID
OD
Yes
--
Lugs
Yes or no
22. Service: Fatigue analysis required
Material
--
Legs
No.
How Attached
Location
--
Other
No.
Bolting Material
Attached
Describe
No
--
and
Yes or no
Remarks:
1.See details of Nozzles and Remarks in attached A-3 sheet.
CERTIFICATION OF DESIGN
Users Design Specification on file at
Manufacturers Design Report on file at
Users Design Specification certified by
XXX
PE State
PE State
XXX
XXX
Reg. No.
Reg. No.
XXX
XXX
Co. name
XXXX
expires XX/XX/XXXX
P Industries Limited, Pune
Signed
Manufacturer
Representative
,
have inspected the pressure vessel described in this Manufacturers Data Report on XX/XX/XXXX
,
and state that, to the best of my knowledge and belief, the Manufacturer has constructed this pressure vessel in accordance with ASME Code, Section VIII,
Division 2. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the pressure vessel
described in this Manufacturers Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or
property damage or a loss of any kind arising from or connected with this inspection.
Date
XX/XX/XXXX
Signed
Commissions
Authorized Inspector
Co. name
Signed
Assembler that certified and constructed field assembly
Representative
Signed
Commissions
Authorized Inspector