Document Control Revision History

TUL-ENF-05
TDW CLOSURE DATA APPLICATION FORM
Rev Reason for Change Page Reviewer Release Date
0 Initial Release from Austin Sung 06APR2015 1 Mike Kash 5/27/2015

Controlled copies located at:

InfoWorld/Health_Safety/Quality/Level IV/Manufacturing/Tulsa/Engineering Forms
 Closure Data Application Form - TUL-ENF-05
Customer Information

Company: Carlos Caballero industria metalurgica Date: 04/16/2016 Final Destination: Repsol E&P Bolivia
Address: Carretera Virgen de Cotoca 1 1/2 km City: Santa Cruz Province/Country: Bolivia
Contact: Ricardo Ayala Phone: 591 3 3492929 int. 106 Email: rayala@carloscaballerosrl.com

Unit of Length: Unit of Pressure: Unit of Temperature: Unit of Energy:

Required Information:
D2000 Clamp Ring (4" and
Application: Launcher/Receiver: ✘ Pressure Vessel: Closure Type: ✘ D500 Threaded (4' - 14") Quantity Required: 2
larger)
Nominal Closure Size: 14" Design Pressure: 2500 Corrosion Allowance: 0,125" Max. Design Temp: 250 ºF MDMT: 30 ºF

Right Left Nitrile

Hinge Location: ✘ ✘ Operation: Vertical ✘ Horizontal O-Ring Material: Fluorocarbo
Hand Hand (standard)
Other:
If vertical: ✘ n
Viton resistente a explocoón p
Specify:
Specifications:
Connecting Barrel Specifications: Hydro-Test:
Outside Diameter: 14" Wall Thickness: 0.688 Material: API 5L Gr 65 ✘ Yes Test Pressure: 3750
No
Connection Type: ✘ Beveled Flanged If flanged: Applicable Flange Spec:

Design Code Options: Design Factor (B31.4 / B31.8 / CSA Z662): CSA Location Factor: CSA ADF:

If Section VIII-1:

Special Requirements (Please note and provide all specs that may pertain): All items left blank will meet code requirements only
Closure interlock: Customer Specification: Provide MTRs to customer?

Max CE: 0.42 US (C+Mn/6+(Cr+Mo+V)/5+(Ni+Cu)/15) NACE: MR01 Charpy Impacts: Avg. Test Temp.
✘
IIW 75
MR01
Cana (C+F(Mn/6+Si/24+Cu/15+Ni/20+… Min.
da (Cr+Mo+V+Nb)/5+5B)) 03
Comments:
The document valid, to consider is the purchasing specification SA-105 (#3) Brida de cierre rapido rev. 2 are attached

(el documento valido a considerar es la especificación de compra SA-105(#3) Brida de cierre rapido rev. 2 el cual va adjunta)

Revision: 0 Issue Date: 05/27/2015 Form: TUL-ENF-05