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FORM U-1 MANUFACTURER’S DATA REPORT FOR PRESSURE VESSELS As Required by the Provisions of the ASME Boiler and Pressure

Vessel Code Rules, Section VIII, Division 1
1. Manufactured and certified by 2. Manufactured for 3. Location of installation 4. Type
(Horizontal, vertical, or sphere) (CRN) (Name and address of Manufacturer) (Name and address of Purchaser) (Name and address) (Tank, separator, jkt. vessel, heat exch., etc.)
(Drawing number)

(Manufacturer’s serial number) (Year built) [Special service per UG-120(d)]

(National Board number) (Code Case number)

5. ASME Code, Section VIII, Div. 1

[Edition and Addenda, if applicable (date)]

Items 6–11 incl. to be completed for single wall vessels, jackets of jacketed vessels, shell of heat exchangers, or chamber of multichamber vessels. 6. Shell:
No.

(a) Number of course(s)
Course(s) Material Length Spec./Grade or Type Thickness Nom.

(b) Overall length
Long. Joint (Cat. A) Type Full, Spot, None Eff. Circum. Joint (Cat. A, B & C) Type Full, Spot, None Eff. Heat Treatment Temp. Time Corr.

Diameter

Body Flanges on Shells Bolting No. Type ID OD Flange Thk Min Hub Thk Material How Attached Location Num & Size Bolting Material Washer (OD, ID, thk) Washer Material

7. Heads: (a)
Location (Top, Bottom, Ends)

(Material spec. number, grade or type) (H.T. — time and temp.)

(b)
Hemispherical Radius

(Material spec. number, grade or type) (H.T. — time and temp.)

Thickness Min. Corr.

Radius Crown Knuckle

Elliptical Ratio

Conical Apex Angle

Flat Diameter

Side to Pressure Convex Concave Type

Category A Full, Spot, None Eff.

(a) (b)
Body Flanges on Heads Bolting Location (a) (b) Type ID OD Flange Thk Min Hub Thk Material How Attached Num & Size Bolting Material Washer (OD, ID, thk) Washer Material

8. Type of jacket If bar, give dimensions 9. MAWP
(Internal) (External)

Jacket closure

(Describe as ogee and weld, bar, etc.)

If bolted, describe or sketch. at max. temp.
(Internal) (External)

Min. design metal temp. at test temperature of

at

. .

10. Impact test

[Indicate yes or no and the component(s) impact tested]

11. Hydro., pneu., or comb. test pressure Items 12 and 13 to be completed for tube sections. 12. Tubesheet
[Stationary (material spec. no.)] [Floating (material spec. no.)] [Diameter (subject to press.)] (Diameter) (O.D.)

Proof test

(Nominal thickness) (Nominal thickness) (Nominal thickness)

(Corr. allow.) (Corr. allow.) (Number)

[Attachment (welded or bolted)] (Attachment) [Type (straight or U)]

13. Tubes

(Material spec. no., grade or type)

(07/13)

) No. inspection./Grade or Type Nom. None Eff. to be completed for inner chambers of jacketed vessels or channels of heat exchangers. temp. 14. Type Long.. Spot. Heat Treatment Temp.) 20. Impact test [Indicate yes or no and the component(s) impact tested] 18. Diameter or Size Material Type Nozzle Proof test Nozzle Thickness Nom. ID. A. None Eff. Corr. Drain. MAWP (Internal) (External) at max.T. (a) (b) Body Flanges on Heads Bolting Location (a) (b) Type ID OD Flange Thk Min Hub Thk Material How Attached Num & Size Bolting Material Washer (OD. Remarks (07/13) . Attachment Details Nozzle Flange Flange Reinforcement Material Location (Insp. Nozzles. item number. None Eff. pneu. etc. Supports: Skirt (Yes or no) Lugs (Number) Legs (Number) Others (Describe) Attached (Where and how) 21. Diameter Length Material Spec. A) Full. Manufacturer’s name. number. at test temperature of at . Joint (Cat. design metal temp. Spot. Shell: (a) No. — time and temp. Type ID OD Flange Thk Min Hub Thk Material How Attached Location Num & Size Bolting Material Washer (OD.FORM U-1 (Cont’d) Items 14–18 incl. Manufacturer’s Partial Data Reports properly identified and signed by Commissioned Inspectors have been furnished for the following items of the report (list the name of part.T. (Internal) (External) Min.) (b) Hemispherical Radius (Material spec. B & C) Type Full. grade or type) (H. Circum. 17. Heads: (a) Location (Top. Hydro. thk) Washer Material 16. Time Body Flanges on Shells Bolting No. Bottom. . and safety valve openings: Purpose (Inlet. or comb. Ends) (Material spec. test pressure 19. (b) Overall length Thickness Corr. number. ID. Radius Crown Knuckle Elliptical Ratio Conical Apex Angle Flat Diameter Side to Pressure Convex Concave Type Category A Full. Open.) Thickness Min. — time and temp. Corr. Spot. thk) Washer Material 15. Joint (Cat.. and identifying number): 22. Outlet. of course(s) Course(s) No. grade or type) (H.

Furthermore. neither the Inspector nor his/her 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. have compared the statements in this Manufacturer’s Data Report with the described pressure vessel . U Certificate of Authorization Number Date Name (Assembler) Expires (Representative) . Division 1. expressed or implied. the undersigned. to the best of my knowledge and belief. endorsements)] CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE We certify that the statements in this report are correct and that the field assembly construction of all parts of this vessel conforms with the requirements of ASME BOILER AND PRESSURE VESSEL CODE. Section VIII. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by of . U Certificate of Authorization Number Date Name (Manufacturer) Expires Signed (Representative) CERTIFICATE OF SHOP INSPECTION I. By signing this certificate neither the Inspector nor his/her employer makes any warranty. material. endorsements)] . holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by of have inspected the pressure vessel described in this Manufacturer’s Data Report on . and workmanship of this vessel conform to the ASME BOILER AND PRESSURE VESSEL CODE. construction. the Manufacturer has constructed and assembled this pressure vessel in accordance with the ASME BOILER AND PRESSURE VESSEL CODE. By signing this certificate neither the Inspector nor his/her employer makes any warranty. Section VIII. Section VIII. neither the Inspector nor his/her 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 (07/13) Signed (Authorized Inspector) Commissions [National Board (incl. not included in the certificate of shop inspection. Date Signed (Authorized Inspector) Commissions [National Board (incl. the Manufacturer has constructed this pressure vessel in accordance with ASME BOILER AND PRESSURE VESSEL CODE. concerning the pressure vessel described in this Manufacturer's Data Report. Division 1.FORM U-1 (Cont’d) CERTIFICATE OF SHOP COMPLIANCE We certify that the statements in this report are correct and that all details of design. expressed or implied. Division 1. concerning the pressure vessel described in this Manufacturer's Data Report. Division 1. Signed CERTIFICATE OF FIELD ASSEMBLY INSPECTION I. and state that. Section VIII. The described vessel was inspected and subjected to a hydrostatic test of . Furthermore. have been and state that parts referred to as data items inspected by me and to the best of my knowledge and belief. the undersigned.