884998 FORM U-1A MANUFACTURER'S DATA REPORT FOR PRESSURE VESSELS

(Alternative Form for Single Chamber, Completely Shop or Field Fabricated Vessels Only)
Shop Order Number

As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1 Page 1 of 2

1. Manufactured and certified by Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Plant, Calzada de Marisoles Lote 1, Ex-Hacienda
de Jalpa, Huehuetoca, Estado de Mexico, C.P. 54683, Mexico
(Name and address of Manufacturer)
2. Manufactured for Arcosa Industries de México S de RL de CV, Monte Pelvoux No. 111, 7° Piso, Lomas de Chapultepec, México, CDMX.
(Name and address of Purchaser)
3. Location of Installation NOT KNOWN
(Name and address)

Horizontal H2107352 thru H2107367 N/A 314885 REV 03 H2107352-H2107367 2021

(Horizontal or vertical, tank) (Manufacturer's serial number) (CRN) (Drawing number) (National Board number) (Year built)
4. Type

5. ASME Code, Section VIII, Division 1 2019/ N/A N/A N/A

[Edition and Addenda, if applicable (date)] (Code Case numbers) [Special service per UG-120(d)]

6. Shell: SA-455 0.218" 0" 37.42" (OD) 82.25"

(Material spec. number, grade) (Nominal thickness) (Corr. allow.) (Inner diameter) [Length (overall)]
Body Flanges on Shells
Bolting
Flange How
No. Type ID OD Min Hub Thk Material Location Bolting Washer (OD, ID, Washer
Thk Attached Num & Size
Material thk) Material
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
7. Seams: TYPE 1 FULL 100 N/A N/A TYPE 2 SPOT 80 1
[Long. (welded, dbl., sngl., lap, butt)] [R.T.(spot or full)] (Eff.,%) (H.T. temp) (Time, hr) [Girth. (welded, dbl., sngl., lap, butt)] [R.T. (spot or full)] (Eff., %) (No. of courses)
8. Heads: (a) Material (b) Material
SA-285 C
(Spec. no., grade) (Spec. no., grade)
SA-285 C

Location (Top, Bottom, Minimum Corrosion Crown Radius Knuckle Radius Elliptical Ratio Conical Apex Hemispherical Flat Side to Pressure (Convex or
Ends) Thickness Allowance Angle Radius Diameter Concave)
(a) LEFT 0.185" 0" N/A N/A N/A N/A 18.71" N/A Concave
(b) RIGTH 0.185" 0" N/A N/A N/A N/A 18.71" N/A Concave

Body Flanges on Heads

Min Hub
Type ID OD Flange Thk Material How Attached
Bolting

Thk
Location Num & Size Bolting Material
Washer (OD,
Washer Material
ID, thk)
(a) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
9. MAWP 250 psi - at max. temp. 125 °F -
(Internal) (External) (Internal) (External)
Min. design metal temp. -20 °F at 250 psi . Hydro, pneu., or comb. test pressure HYDRO. at 325 psi .

Proof test NA .

10. Nozzles, inspection and safety valve openings:

Purpose (Inlet, Outlet, Diameter Material Nozzle Thickness Reinforcement Attachment Details Location (Insp.
No. Type
Drain, etc.) or Size Nozzle Flange Nom. Corr. Material Nozzle Flange Open.)
MULTIVALVE (A) 1 3/4" COUPLING, FLANGED SA-105 - 0.4125 0 - UW-16.2 (c) --- SHELL
FLOAT GAUGE (B) 1 1" COUPLING, FLANGED SA-105 - 0.405 0 - UW-16.2 (c) --- SHELL
FILL (C) 1 1 1/4" COUPLING, FLANGED SA-105 - 0.3575 0 - UW-16.2 (c) --- SHELL
Additional Nozzles - See Attached U-4...

11. Supports: Skirt NO Lugs 2 Legs 4 Other NO Attached SHELL / HEAD,WELDED

(Yes or no) (Number) (Number) (Describe) (Where and how)
12. Remarks: Manufacturer's Partial Data Reports properly identified and signed by Commissioned Inspectors, have been furnished for the following items of the report:
N/A
(Name of part, item number, Manufacturer's name and identifying stamp)
HORIZONTAL PRESSURE VESSEL, 500 WG AGPT LPG DOMESTIC TANK TO BE USED FOR NON-CORROSIVE
SERVICE.CONSTRUCTED UNDER THE PROVISIONS OF UG-90 (C)(2) IMPACT TESTING EXEMPT PER UG-20(f)(SHELL,
HEADS)IMPACT TESTING EXEMPT PER UG-20 (f) FOR NOZZLE (A,B,C,D,E and F).OVER PRESSURE PROTECTION
PER UG-125 TROUGH UG-140. JOINT EFFICIENCY IS 0.80 BETWEEN HEADS/SHELL ACCORDING TO TABLE UW-12
FOR THE DESIGN CALCULATION. SPOT PER UW-11(b). BETWEEN HEADS/SHELL (LONG SEAM) RT4. JOINT
CONNECTING HEMISPHERICAL HEADS TO SHELL. ACCORDING TO FIG. UW-13(I).

SHOP ORDER: 884998

 FORM U-1A Page 2 of 2

Manufactured by Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Plant, Calzada de Marisoles Lote 1, Ex-Hacienda de Jalpa,
Huehuetoca, Estado de Mexico, C.P. 54683, Mexico
Manufacturer's Serial No. H2107352 thru H2107367 CRN N/A National Board No. H2107352-H2107367

CERTIFICATE OF SHOP/FIELD COMPLIANCE

We certify that the statements made in this report are correct and that all details of design, material, construction, and workmanship of this vessel
conform to the ASME BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1. "U" Certificate of Authorization Number 21957
expires September 13, 2022 .
Date 09/25/2021 Co. name Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Plant Signed
(Manufacturer) (Representative)

Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Calzada de Marisoles Lote 1, Ex-Hacienda de Jalpa, Huehuetoca, Estado
CERTIFICATE OF SHOP/FIELD INSPECTION

Vessel constructed by Plant at de Mexico, C.P. 54683, Mexico

I, the undersigned, holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and employed by
OneCIS Insurance Company, of Lynn, MA
have inspected the component described in this Manufacturer's Data Report on September 25, 2021 ,
and state that, to the best of my knowledge and belief, the Manufacturer has constructed this pressure vessel in accordance with ASME BOILER
AND PRESSURE VESSEL CODE, Section VIII, Division 1. By signing this certificate neither the Inspector nor his/her employer makes any
warranty, expressed or implied, concerning the pressure vessel described in this Manufacturer's Data Report. 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.

Date 09/25/2021 Signed Commissions 12334, OH1983

(Authorized Inspector) (National Board Authorized Inspector Commission number)

4019199 exe: v6.3.107 Form and version: U1A-19

 884998 FORM U-4 MANUFACTURER'S DATA REPORT SUPPLEMENTARY SHEET
Shop Order Number
As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1

1. Manufactured and certified by Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Plant, Calzada de Marisoles Lote 1, Ex-Hacienda
de Jalpa, Huehuetoca, Estado de Mexico, C.P. 54683, Mexico
(Name and address of Manufacturer)

2. Manufactured for Arcosa Industries de México S de RL de CV, Monte Pelvoux No. 111, 7° Piso, Lomas de Chapultepec, México, CDMX.
(Name and address of Purchaser)

3. Location of installation NOT KNOWN

(Name and address)

4. Type Horizontal N/A H2107352 thru H2107367

(Horizontal, vertical, or sphere) (Tank, separator, heat exch., etc.) (Manufacturer's serial number)

N/A 314885 REV 03 H2107352-H2107367 2021

(CRN) (Drawing number) (National Board number) (Year built)
Data Report
Item Number Remarks

Additional nozzles, inspection and safety valve openings:

Purpose (Inlet, Outlet, Diameter Material Nozzle Thickness Reinforcement Attachment Details Location (Insp.
No. Type
Drain, etc.) or Size Nozzle Flange Nom. Corr. Material Nozzle Flange Open.)
RELIEF VALVE (D) 1 1" COUPLING, FLANGED SA-105 - 0.4125 0 - UW-16.2 (c) --- SHELL
LIQUID (PLUGGED) (E) 1 1 1/4" COUPLING, FLANGED SA-105 - 0.3575 0 - UW-16.2 (c) --- SHELL
LIQUID OUT (F) 1 3/4" COUPLING, FLANGED SA-105 - 0.4125 0 - UW-16.2 (c) --- SHELL

Certificate of Authorization: Type "U" No. 21957 Expires September 13, 2022

Date 09/25/2021 Name Arcosa Industries de Mexico S. de R.L. de C.V. - Huehuetoca Plant
(Manufacturer) Signed
(Representative)

Date 09/25/2021 Signed Commissions 12334, OH1983

(Authorized Inspector) (National Board Authorized Inspector Commission number)