FORM U-3A MANUFACTURER'S CERTIFICATE OF COMPLIANCE (ALTERNATIVE FORM) COVERING PRESSURE VESSELS TO BE STAMPED WITH THE UM DESIGNATOR [SEE U-1())] As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section Vill, Division 4 ed and corlied by _ Apache Stainless Equipmonl Gorporaton 200 WEST INDUSTRIAL DRIVE BEAVER DAM, WISCONSIN 53016 Thame ad adress of anulactrr) 7. Mana 2, Manufactured for Stock ‘a ard ares ot Pasay 3. Locallon of instalation Not Known Tana ad aS] 4. Type etc Tank 22060 ET 202169.1-4 Thu 2021604416 Ha VaR, oT Ta saan ET oy ‘Marsares el nab) : 00370 Rev, U 2018 CRT {Deane RBS Ton OAT Torbay 5. ASME Code, Sean Vill DN.1 2013 Edlvon - {ean ad ASG aE AT ‘Coie ase) 6. Shol: (a) Number ofcourse) 4 (0) Overalength 24 1182 Coussls Waitt Thisess | Long. Joa (Gat A) ‘ica. Joni (Gat A646) | HaslTreament ‘io, [Diamotoe| Lengih_| Spea/Grado or Type | Nom. | Cor Typo] Ful, Soot. None [EW |Typa| Full Spot, None | EWt | Temp. | Time: Tw (eans| saioste [10s - | 1 None __[7o%e | 1 None [70% |= |= Boay Flanges on Shale Botha ‘Washer No.| type | 10 | 00 [Flange Thk|MinHub Thk| Material _|Fow Atached| Location] Num & Size | Boltng Materia | (OD, 1D, thk)| Washor Mataral 7. Heads: (a) SA240 316. (e) ARID SOL Wate S566 Faber, ode or ype) FLT =e ap) (Usted or pa) T.— te and a) Location (Top, [Thishness, Radus— [Elipical] Conical [Herlephercal] Flat | Side to Pressure Category A Bottom, Ends) |Win. | Cor. [Grown [Knuske| Ratio |ApexAngle| Radius _| Diameter |Convax| Concave] Typs] Ful. Spot, None | Er £5 é : = [x [- None [este (ey) BorToM oem | =a to | 5 . an ex None [85% ‘Body Flanges on Fads Baring Viasher Location Type | 10 | oD |Fiange The] tin Hub Thk| Materia! [How Altached| Num & Size | Boling Matertl| (OD, 1D, thk)| Washer Material aj] = z : e E : és [a ji : : : 5 5 8. Type of dacket Teckel closure ‘Desabs as pee Ewald ba aS) Ifbar, give dimensions; ifboted, describe or sketch ©. MAWP 190 PSL atmax.temp, 100E_ = Min. design metal temp. 20. at 10PS1 ‘ral Ee) Goiema— Bena 41D, Impact test No, exempt by UHA 54(0) 8 (0) attest temperature of = Thalcate yo or to nd Ho componaa) peel eTa ‘1. _Hydko., pret oF oombs test pressure 247 PSL Prooftest See Remarks 412. Nozzles, inspection and safety valve openings! Purpose iametar Tasca Teaze THekess | Ranercament” [__ Atechrien bata in tie, Outlet Oran otc] No oF Sze Tae Fange_| Nom. _[_ Cor. Mora Neate | Flange | (sp. Open) wievOutet [4 | a Shares | amie zi Uwe] Top inlavOutet [S| a ‘SAAS STL are |= zi UW6.1) Top Hancholerowr [1 556" és 5 é 5 = 5 Top] = : 5 = 5 5 : : ama 7S, Soppors: Sa ae Toso Toso Other ‘Aiaohed Ballon Wale’ Weare TT Tey antay {Wher and Pow 14. Manufacturer's Partal Data Reports propery ientiied and signed by Commissioned Inspectors have been furnished forthe following Hams of the report (ist the name of par, tem number, Manufactures name and identifying number 15. Remarks __Bursl lest of top head with Mngs and boliom head on 6/17/04, accople Hancholo fomed in top head. Handhole cover matelal 120s. SA240 9161, PIN 100234 ‘Overoressure protection supolied by others, These vessels wore hydoed Inthe vertical poston @ USA - Revision 0 - FP 2014,7.0LO ETT | TF FORM U-3A (Back) CERTIFICATE OF SHOP COMPLIANCE ‘Wa cect thatthe statements made inthis report are correct and tht al detalls of design, material, construction, and workmanship of this vessel conform tothe ASME BOILER AND PRESSURE VESSEL CODE, Sestion Vil, Dision 1. UM Certicate of Authorization Number 24098, Ewes ona Date o2/itte Name Apache Stainless Eculpment Corporation Signed (Manure) Since Teoria ana