ISMOCOL S.A, ORDEN | Sriermcnane 1 smut oem ape 91090122 | DEE | ein wim sown rk TSDABY CECA Jewneeell L | JEG UCARAMANGH 210310 | Wor -si0 eDeeI0 Roar Te ee pa | \ ee HOGoTA csssaaye (earn os =< (“inv Fenwanoo cancia pew ISMOCOL §.A.-_ Nir 690,200,174-4 __| ten THLGRAE TAO # UIA P7O, BOYAEA-®TO, UHRE ADELANTE GENTRO VAGACIONAL EL PALAAR PTO BDYACA 34987800 RA ELEGTRICAS E INSTRUMENTAGION CASETAS Y CAJAS) ee . ‘cian fain sib i ENVIAR GOPIA DE LA ORDEN DE COMPRA Y REMISION DEL MATERIA ENTE APTIC FAVOR SUAINISTRAR Lo: DEScRPCIONY VALVULAS DE ALIVIO. TERMICO LOOP | PUERTO ROMERO » VASCONIA CLV. _Sisazinesereonoe V]one” | 2] sees vain ata Fico envio | Sm Noazte “Oniriag nro. 0 c3 ease Went bebe be 4X 1 COMEXONES AM | x iupt, Rati 4000 (SEGUN ND, Dg, aATOS | oath acre : Mia tf mee” | fies] SUBTOTAL: | $ 1.086 USD! tm? sac ron |b a weed Lee] poe tee eeeENTRADA DE ALMIAGEN ‘rn de Compre No. TGIPRV.20191 200194 lbodega ‘Orden de Compra No, ‘Requisielén Wo: OOP 2 PTO ROMERO-VASCONIA BGAZOSI090122 PRV.201900661 [Proveedor ‘Ho, Remi: PUFFER COLOMBIA tas (Comprador JAVIER FERNANDO GARCIA BENITEZ Fecha impresién: Foche Revibido: owas, 12 De Diciembre De 2018 Domingo, 16 De Diciembre De 2019 Facts Remo: 10 Die 2019 tom | unided | coaige Desericisn ses-oAL Revieén Ho? Pee ii Fila 1 | UND | 41355 | VALVULA DE ALIVIO TERMICO CONVENCIONAL SEMI NOZZLE ORIFICIO TIPO DoS > ‘SA21G-WCB TRIM 3168S DE 34 IX 1 IN CONEXIONES MNPT X FNPT, RATING 3000 [Observacion: MATERIAL RECIBIOO EN BODEGA VERIFIGADO POR LEIDY CRISTINA OLARTE SANCHEZ yr 'RECIBIDO POR. VERIFICADO POR RAMIIRO JOSE VILL AZON CHACON {EIOY CRISTINA OLARTE SANCHEZ “GASTON GAIGEDO ARCE 'APROBADO POR solnogee rer Remrontne, [eee | xs i smcoirote EL Enka opto Hae Cn LAL. eaten = 246 CANTOR or se Rc bao RT [VENCIMMENTO: 1 de Btciermine de 7015, iit ear [Paaiia Gavia 8a 3558 iWiesina OF 38 TiREciON ne lonoen compra No. 2000122 ie eae i ‘S1S9RAOUAT RAMGIRO VILLAZON ‘DIRECCION KILOWETRO 2 iA PUERTO LOPEZ PUERTO LIGRE ADELANTE DEL. GENTRO VACACIONAL EL PALMAR PUERTO BOYACA DE ENTREGA: ew] canna | BEscaPcon af aa | sim geunPTc =NPT, Crean ae C5 SI C8 Boy ls Ml Set Serta 11111 2188, iorettasso0 | pnasoeszzsoa.-ro>soronnas | | | i Si a PESTS TAOS CREAR VE ee | ova FAVOR beveuvERsos COP FRGAGA VELLA BE COWFCRIDAD AL RESIS GEL MATERIAL POA | roronetaa.Quality Assurance Documentation Package eUFFtR COLOMBIA Customer P/O ts 296 aor enn az9s51 Functional Test Reports tem 1 Funetlonal Test Report ydrostatle Test Report ih 8 Valve Certification E Cerificate of Conformance Material Test Reports Item 5 Certified Material Tost Reports [CMTRs) BS EN 10204 - Standard CI stem 4 Certfiate of Origin co faecal Valve Certification a ea ASMECOfCaf RV Form WY A inspected By: Rene Gotierraz DEC @ 4 2019 ak, Aspects ateMIERSON Emerson Automation Solutions Final Control US LP 3950 Greenbriar Drive, Stafford, TX 77477, FUNCTIONAL TEST REPORT SAS oRDERNO: 40728, \VaLve MODELNO: gexs030F& Dave: 12/4/2019 UNE eM 0 = PRaDUCTION ORDER No: 11428951 custome: ——_rutren covoMIK eAUGEN: sranazee FOMUMBER: ase TEST PROCEDURE: 78576 Series 500 NAMEPLATE seecreo | uzaxresr | HAOCE SECONDARY RESEAT PRESSURE, mal | | Patan assure scuows | SNOT pe ; eummussven| mat sen ree | MMs | SSE | Sema resize) “ET cesigt | sic) | OUBRESPER) FAL | or ie rey | 2050 | warts saonaoia ase ASME | ase |B co ERs Yio |r Aon cui | eso ea 1i919213.735800| ASME av | WA | Bs ic Ao I | | I I "TRACSABLTYREQUIREMEMENTS -HEAT/CODE NUMBERS FOR TRACEABLE COMPONENTS SERN = Dieiner | | (ioaouasseso| ——nsoiz ‘(ava a6. [aosaeaz2sss00] _Hsuax—_|__a3v327 ast ‘ei raanet erounone ie nr To eae COMES pear ue cree “wotomsncrareonaro an ok a Fn ORE TS pes RE se “nuns prt Sate crue UO eno 6 x x we inspected By: Rene Gutien Form 450-2 Rev. 5/ DEC 04 2018 Take VERIFIED BY / DATELocation Performing Test 1erson Automation Solutions Final Control US LI 3950 Greenbriar Drive, Stafford, TX 77477 Standard Hydrostatic Test Repart STAFFORD TEXAS Purchase Order Wo. 14294 ‘Sales Order No. 407281 _ ‘Sales Order line: 10 7 Production Order No 11429951 Serial Number: 1101-1911-215899--5900 Part Description: 961 101MEA Adtional nfo: Test Procedure: Hold Time: AMIN, 1 Primary Pressure Zone PSIG Test Pressure with UOM Test Medium: 2250 PSIG Tost Result PASS ‘Secondary Pressure Zone PSIG ‘Test Pressure with UOM: 600 PSIG Test Medium: Water ‘Test Result: ‘COMPONENTS PSIG Test Pressure with UOM: ‘Test Medium: Test Result Veriton Hydro Stamp By: WYCLIFF 0, Verified Date: 121472019Q Emerson Automation Solutions Final Control US LP & 8850 Greerioriar Drive, Statford, Texas, 77477 EMERSON. ASHE Wanufacturer’s Certificate of Conformance for Pressure Relief Valves Form UV-4 (Section Vill) ie of Code symbol stamped! theme: veer [NB [ay Type Size Set [Capacity [Test Built [certs | (NPS) Pressure |SCFM AIR @ 60 |Fluid | psig |F [2in41971-216800 to 1407. 2o1e [16414 |2.000 2641 04MEA 0.75%4 1,384.00 [2,964.0 Air [Capacity dette unite. [Customer Specified Unit of Measure: | B Ciname GI Signature i ected Bu Rene Gutierer (Sales Order @ tem: [a0v2ni aonoia TT) cS: Sales Order &item: [407281 000010 DEC 6-4 2619 CERTIFICATE OF SHOP COMPLIANCE ‘sual (C1) noted above, we certify that the statements made in this report are correct and that all details for design, construction anc workmenship of the preesure relief devicee conform with the requirement of Section Vill Division 1 of the ASME Boiler and ‘eeeal Code, ication of Authorization No. 9733 Signed: (Ficeponsibie Representative) FORMANCE Page 1 of4 REV. 01/29/2018130 p e0eg 1d “peBpe|mouyoe seh! sz Jopio eszyoand siswoysna pus suoneoyloads 7 SN [o.qUOD [euL SuORNJOS ONeMCINy NOSIeWy yA eoUBpICODE UI 212 SAOGE PeqLOSSP suey PUe sfeLeyeW exp IeUR AINIe0 AqoIOY OFA GOGB LET BT-FOFy WARLOLTS6) O00r 010000) 3885 WARDOL TOG o0oF 040000) sec PUEGICHON DISS) "AD eur !uORBULLOJU] JeWOYsRO sezzor HOSUR JepIG JoNIUON Jeu SuORNIOS PeyeWOynY UOSIEW veer HeqUINN Japs eseyDINg 1oWIOYsNO 00 ‘W2Z0LL ‘vLosea 00 ‘}zzolL ‘vos08 NIDIYO 02/09 18 op WANS VOINIAW NIDISO O2/0S 26 Sy WeIMAWO VOINBAY AMIOIOO HSIN = “8 PICS VIGWOTOO Ha43nd — :or dius etoziso/zt 20 souaydwieg Y soueUIEjUDD IO SYeOYNIDD ALLL Xd, ‘PIO ‘ahlig Jeuguesig ose AISA jonued jeulz suoRnjog uoRewoyNY uCsseWy1 SETTER: Emerson Automation Soke Final Control US LP 80 Greenbar Stetora, Hx T1677 je sox PurFER coLomsla sao orien lnocarA, #1022, colombia PRODUCER OF eoone ‘Avaable pon Request cee Soormences, | WEGHTINTaLos yp _ T: - a) _ 4o.crose | 11..H0t _ aft Number | “Origin CERTIFICATE OF ORIGIN DATE ecernber 4, 2018 la So WUMBER 5, CUSTOMER PO OME ate UB TO W dora tan Sala Ve PUFFER COLOMBIA -AVERIDA CARRERA 4597 stv OF ICH BOGOTA, £10274, Colanbie 5. CRRIER or BLL OF LADIES vn 198 (Breraton Statarnent= Expats - These commode, technology or software wee expcrad om the United States in accordance [sth the Expo Adminstration Regulations. Dhorsion contrary 10 U.S. wi prohibited Domestic Destinations - The purchaser of ems shipeing fo USA destinations is solely responsible oe compying wih plicable U.S. expr laws and reqons Teor at “Ie information on ths docurentis tive and accurate othe best of my knowledge and I assume the respensibity fr proving such reprasenations. understand tha am bab for any fle lalements or melon omisions mace on oF in connection with hs document | wo to malts, and present upon request, documentation necessary to support his cattle, and onto, nwo, tarieate was sven of any ehangee hat ould affect ne sccuracy or vay of is cates persone to whom the Tricentedecenans of [Trost ag atts [5- AUIROReeD Sianatore: — Te Company: EF EnorsonAvtomatin Soitons Final Contos LP pinnae ‘Omer Domaine [oat acer 42019 ba GADATA SPECIALIST ee SA TEREE5 fook Beej snpoa oa, roe szomng2wea Sin { 3a paral ‘wompadse 3 Sassen oneodsoy 7 sea Bes “TAN pa THAND SENG ravine] { [ Fre le [mr tw [se] co | tee | 90 | cavo | nro | cxoo| woo | cove | sto | ovo | coo | oro | + ce | wt {| see | too | cero | evo | cavu | vevu | wooo | sao0 | ceo | ev | ro | = | es | we | sooo | seo | aro] too] 0 | avo | sioo| oro [ oo [reo [ + a [sso eve | oo | oso | oo | oso |swo [own | ove | ont | sco a Tr = => les =[e Z eat = ea a ‘99 | ones ox teH a sl[«|leislelsl=|«|*|* ase at |e [eee oo ole isle | at || |e Ta TOAATE NPI Seed Mor ODA SEEYS AWNSY:NOLLYOLEIOSAS TVRELLYN ‘quoasvisizswvOxsn3 zorgoss0eroN HENNE rage wOR>e050t 99005 955-98002NV HOSBEDS TIE 98N0" TEL “yuses nunoeanor wemeaoranta TOIso%d 2n¥ON0OA IER EV INONODA NOW OULINTIS SIVA GYOUNTALD SEXO ‘ULVOUIELWSD Fe AMAL ASML TYOINVHOGN ONY SISKIVNY TYOINAHD @LT09 TVOINVHOEWOULITTG ATTONIA LAHNV meeeBop oodsupnions, ioese Ames Sin ps0 0 pony 0 pve YODAMIDM 9TE¥S BASV)oMEME ze 9 powpo' sepa um ayods sy aoassapuen pa Tes ows e998 1 ompuey soa [ 29 ‘ona ‘woods, wououg] 30 SeuSson ‘onooaee ene i Te sea Bens “TaN PHEIHIND FeoesEoaG ravi (is Ps fu | | a | we | roo | ovo | sive | ovo | oo | amo | avo] wo | cov | oro | ss | somrm | am | recon e [oe] = or | oc | 5 | ee | cioo | seou | oro] ssoo| ovo] sooo] sino] sev | ero | ecu | 1 | oommur | a | to e[oets S | «| os | we | nov | avo [sivo “ovo | civo | oro | acu | wo] 1 ro @|o | & | © | os | oe | sow | weno | tore ooo | aivo | oro | tou | wo | 1 car | ovtat rc «| w _| #5 | oe | woo | 90 [amo wooo | civo [ cro | zou | oro | © car | irr Ls 2 vis use sooo | ovo | oar0 sooo [ sroo| ero | 960 | ocv | or aa | bso One Ea evo | eco | oso soo forme | oro | ont | seo L. a % > [> |> >|>f>|>]> ‘oa sip | evens oer Cr = pe pe ~]* * 5 |x] s [a 5 08 oxteop0059=0N~9 TIs-ONTo ee seurstaTEON-areagRID ‘yo ina waNo7 aNanesoTaNG TOWNE 1¢ONOOE NBII IWONODS TVOWIEA SULLA SAVAr EYOR NAALD ENA ALYOMLIUID FE SIAL ISGL TVOINVEDGIN ONY SISXTVNY TOUGH QLT09 TVOINVHOANOWLIATA AYIONIA INBNV“stu 1360 yg BMRYE neue eon oy nega gu Lone Be ea 3ded ay (Go mp: som SecuL “perme supe uoede ow ul avy ‘pean appa ont Cu TEPTSNOSS oeanade ou pus sons eih Uodh posse Joouos of uofoyues sig uo stadjeue eu tein segmaes Aad SYR ans U oq youyes yodss sun pur poia0) ae 5 oxstee ait wr sengona SGrguReoud TYOINVHOEK ascot efor rors 30 ecjeetet et ete a (os 12s e S See oy a i iisisa WemoAuneNo =GISATYNE TOTEM oat 3 eee sae oe sowteaa, €_zOLesessaeessraseo ar 7 . Lebo9 SIOUTTT RIOOMTAT LHOdse LEH, TEOIDUN TINIE aes eon ogoos001eforial Veet Gerttite € peminNonE Supplier: HC (Wuhan Uniied-Jenson Elecwomectionioal Gs.,16) se 206 3.4) Cerificate No.: Ht908068 Purchaser: Emerson Autoniation Solutions Fiat Controt Us 3950 Gi eee, 46008 12080-00070 ASHE SAATO-S168461. ere ‘tot: Tent | Feat WS. [a] Sia) Weight | —toleng Fommace Conan oF DANG we |e at | oes | me sae 2a ave |e | Furnace ‘| Cm Chemical Gomposition /Hi2 Tem | Heat Wo. ] C | Si | Win] P| S| MW] Gr] Wo] N %|% 1% 1% | % | % 1% | % | % wee | ee | tmx | nex | wax | ia | ata | 1000 | 1600 | 200 | minx ta | 00 | 200 | aos | aaa | t400 | 1200 | 200 | oro Heat aves oar fossa [oes] ome | vas | T6886 | 20] Guecnece’ [azo | oss | 122 | eee | onze | tore | sear | 2x nai +ava27 7 Moctanical Propertios/ sista : [tem | Heat Wo. | Yield Tensile ‘Elongation | Reduetion Hardness strength strength o ‘of Aree (HB or HRC) a ra) we] ops MN uN uN NIN wax 2 si 0 0 2 Heat analysis 330 385 48 WS 16.5HRC ‘Overeneck 390 520 45 8 +70 Analy avez _ _ ‘Compliance to NACE MRO103 - 2012 and I€RO175/ISO 15156 2nd Editon 2009 - 10 - 15; 44 NACE MRO{03 - 2042 and MROI7SISO 15156 2nd Edition 2009 - 10 - 15; Comply with ASTM A262 Practise E ‘Wo hereby certify that the material described above has been tested and complies with the terms of the order contract, HEM, LRM REC REIAA SHARE. Date 19 rameren 24] Signature 124 Factory Inspector ‘as ™"\loz /r/s es9T ws03 f + + L L | | | | 1 | | L | | | | | | | | iy. i | : t z | i | + Ea) | a L | f I | | | wsr8 ween oo | wer ween eo — =< aaa ae TS66ZPTT ‘NOWINGOUd v62bT 'Od OT-T8ZL0b 'UIQUO STTVS 6t0z/v/zt ‘WIGINO103 4343Nd ne = ., NOSUYaINa ay Syed 24 ye Sp sm poe 92 8 & vonaaop equim 38H y