National Board Number: Not Applicable

Mfr. Representative:

Date:

Authorized Inspector:

Date:

FORM A-3 MANUFACTURERS DATA REPORT SUPPLEMENTARY SHEET

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
(Name and address of Purchaser)

3.Location of installation
(Name and address)

Vertical, Tank

4. Type :

Z-14007-HPV-001

Horiz. or vert. tank

Data Report
Item Number

Not Applicable

Mfr.s serial no.

Z-14007-1-GAD1601, Rev.0

Form A-1
Item No. 19

Not Applicable

Drawing no.

CRN

2015

Nat'l. Bd. no.

Year built

Remarks

Purpose
(lnlet, Outlet, Drain, etc.)

No.

Diam. or Size

Type

Material

Nom. Thk.

Reinforcement Material

How Attached

Inlet (N1)

DN 400

CL 900, WNRF

SA-105

21.4

--

Table 4.2.10
Detail 6

Outlet (N2)

DN 400

CL 900, WNRF

SA-105

21.4

--

Drain (N3)

DN 200

CL 900, WNRF

SA-105

12.7

--

DN 200

CL 900, WNRF

SA-105

12.7

--

DN 200

CL 900, WNRF

SA-105

12.7

--

ID 547.68

CL 900, WNRF

SA-105

30.93

--

PRV Connection
(N4)
Spare Nozzle for
Connection (N5)
Manhole (M1)

Location

Table 4.2.10
Detail 6
Table 4.2.10
Detail 6
Table 4.2.10
Detail 6
Table 4.2.10
Detail 6
Table 4.2.10
Detail 6

Shell

Item Number Item No. 22

Remarks:
1. Plates, Forgings, Nozzle Flanges and Fastners are Exempted from Impact Test as per 3.11.2.3 , 3.11.2.4 (a) and table 3.4
2. Inspection opening (Nozzle M1) is provided as per Part 4.5.16.6 (c)
3. Pressure Relief devices are not in PRAJ scope of supply.
4. Manway is provided with Blind flange of 900# DN 600 as per ASME B16.5 & 2 1/2" UNC x 440 mm Lg 20 Nos. SA-193 Gr. B7 Stud & SA-194
Gr. 2H Heavy Hex Nut.
5. Compete vessel Post Weld Heated 610 10C and soaking time is 145 minutes.
6. Refer below table for Non Destructive Examination performed.
Joint
Type

Joint
Category

Joint Details

Joint
Efficiency

% RT

% UT

% PT

Longitudinal Joints in Shell

100

10

Hemispherical Head to Shell

100

10

Joints on Dished End

100

10

Circumferential Joints on Shell

100

10

With Full Penetration

Assembly of Flange with Nozzle Neck

100

10

With full penetration

d> 150 mm
or t> 16 mm

Assembly of Nozzle Neck with

Shell/Dished End

100

10

Fillet Welds

9,10

Partial penetration and fillet weld ,

Permanent Attachment Welds

10

Pressure retaining
areas after removal
of attachments

N.A.

N.A.

100

Type Of Weld

1
Full Penetration Butt
Weld

Date XX/XX/XXXX

1
1

Co. name

Signed
Manufacturer

Date

XX/XX/XXXX

Signed

Representative
Commissions

Authorized Inspector

NatI. Board (incl. Endorsements)