FORM A-2 MANUFACTURERS PARTIAL DATA REPORT A Part of a Pressure Vessel Fabricated by One Manufacturer for Another Manufacturer

As Required by the Provisions of the ASME Code Rules, Section VIII, Division 2
1. Manufactured and certified by
(Name and address of manufacturer)

2. Manufactured for 3. Location of installation 4. Type

(Horizontal or Vertical Tank) (Manufacturers Serial No.) (CRN)

(Name and address of purchaser) (Name and address) (Drawing No.) (National Bd. No.) (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
Year Addenda date Code Case No. Drawing No. Drawing prepared by Service Description of part inspected

6. Constructed to

Items 7 to 12 incl. to be completed for single wall vessels, jackets of jacketed vessels, or shells of heat exchangers 7. Shell 8. Seams
Girth Material (Spec. No., Grade) Longitudinal Heat treatment Spec. No., Grade Nom. thk. Corr. allow. Inside diameter Heat treatment Radiographic treatment Length (overall) Radiographic treatment No. of courses Spec. No., Grade

9. Heads: (a) Material

Location (Top, Bottom, Ends) Minimum Thickness

(b) Material
Knuckle Radius Elliptical Ratio Conical Apex Angle Hemispherical Radius

Corrosion Allowance

Crown Radius

Flat Diameter

Side to Pressure (Convex or Concave)

(a) (b) 10. If removable, bolts used (describe other fastenings) 11. Jacket closure 12. Design press. at test temp. of
Describe as ogee and weld, bar, etc. (Internal) (External) Material, Spec. No., Grade, Size, Number

. If bar, give dimensions at max. temp.

(Internal) (External)

. If bolted, describe or sketch. . Charpy impact . Fatigue analysis required .

. Min. design metal temp. .

at

Pneu., hydro., or comb. test pressure Items 13 and 14 to be completed for tube sections 13. Tubesheets
Stationary material (Spec. No., Grade) Floating material (Spec. No., Grade)

Yes or no

Diameter (subject to pressure) Diameter O.D.

Nom. thk. Nom. thk. Nom. thk.

Corr. allow. Corr. allow. Number

Attach. (wld., bolted) Attach. (wld., bolted) Type (straight or U)

14. Tubes

Material (Spec. No., Grade)

Items 15 to 18 incl. to be completed for inner chambers of jacketed vessels or channels of heat exchangers 15. Shell 16. Seams
Girth Material (Spec. No., Grade) Longitudinal (wld., dbl., singl.) Heat treatment Spec. No., Grade Nom. thk. Corr. allow. Inside diameter Heat treatment (yes or no) Radiographic treatment Length (overall) Radiographic treatment No. of courses Spec. No., Grade

17. Heads: (a) Matl.

Location (Top, Bottom, Ends) Minimum Thickness

(b) Matl.
Knuckle Radius Elliptical Ratio Conical Apex Angle Hemispherical Radius

Corrosion Allowance

Crown Radius

Flat Diameter

Side to Pressure (Convex or Concave)

(a) (b) 18. If removable, bolts used (describe other fastenings) 19. Design press. at test temp. of test pressure .
(Internal) (External) Material, Spec. No., Grade, Size, Number

at max. temp.

(Internal)

(External)

. Charpy impact . Pneu., hydro., or comb.

Min. design metal temp.

at

(09/06)

FORM A-2 (Back)

Items below to be completed for all vessels where applicable 20. Nozzles, inspection and safety valve openings:
Purpose (Inlet, Outlet, Drain, etc.) No. Diameter or Size Type Material Nom. Thk. Reinforcement Material How Attached Location

21. Supports: Skirt 22. Remarks

Yes or no

Lugs

No.

Legs

No.

Other

Describe

Attached

Where and how

CERTIFICATION OF DESIGN Users Design Specification on file at Manufacturers Design Report on file at Users Design Specification certified by Manufacturers Design Report certified by PE State PE State CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that all details of material, construction, and workmanship of this vessel conform to the ASME Code for Pressure Vessels, Section VIII, Division 2. U2 Certificate of Authorization No. Date Co. name expires
Manufacturer

Reg. No. Reg. No.

. Signed
Representative

CERTIFICATE OF SHOP INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the State or Province of of , and employed by , have inspected the part of a pressure vessel described in this Manufacturers Data

Report on and state that, to the best of my knowledge and belief, the Manufacturer has constructed this part in accordance with the ASME Code, Section VIII, Division 2. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the part described in the Manufacturer's 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
(09/06)

Signed

Authorized Inspector

Commissions

National Board (incl. endorsements), State, Prov., and No.