FORM A-2 MANUFACTURERS PARTIAL DATA REPORT A Part of a Pressure Vessel Fabricated by One Manufacturer for Another Manufacturer

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)

4. Type
Horiz. or vert. tank Mfr.s Serial No. CRN Drawing No. Natl. Bd. No. Year built

5. The chemical and physical properties of all parts meet the requirements of material specifications of the ASME BOILER AND PRESSURE VESSEL CODE. The design, construction, and workmanship conform to ASME Code, Section VIII, Division 2
Year Addenda date Code Case No. Drawing No. Drawing prepared by Service Description of part inspected

6. Constructed to:

Items 7 to 12 incl. to be completed for single wall vessels, jackets of jacketed vessels, or shells of heat exchangers
7. Shell
Material (Spec. No., Grade) Nom. thk. (in.) Corr. allow. (in.) Inside diameter (ft & in.) Heat treatment Heat treatment Radiographic treatment Length (overall) (ft & in.) Radiographic treatment No. of courses Spec. No., Grade

8. Seams
Longitudinal Girth

9. Heads: (a) Matl.

Spec. No., Grade

(b) Matl.

Location (Top, Bottom, Ends)

Minimum Thickness

Corrosion Allowance

Crown Radius

Knuckle Radius

Elliptical Ratio

Conical Apex Angle

Hemispherical Radius

Flat Diameter

Side to Pressure (Convex or Concave)

(a) (b) 10. If removable, bolts used (describe other fastenings):

Matl., Spec. No., Grade, Size, Number

11. Jacket closure

Describe as ogee and weld, bar, etc.

If bar, give dimensions

If bolted, describe or sketch. F. Charpy impact psi. Fatigue analysis required ft-lb .
Yes or no

12. Design press. psi at max. temp. F. Min. design metal temp. at test temp. of Pneu., hydro., or comb. test pressure psi.

F at

Items 13 and 14 to be completed for tube sections

13. Tubesheets
Stationary matl. (Spec. No., Grade) Floating matl. (Spec. No., Grade) Diam. (in.) (subject to pressure) Diam. (in.) O.D. (in.) Nom. thk. (in.) Nom. thk. (in.) Nom. thk. (in. or gage) Corr. allow. (in.) Corr. allow. (in.) Number Attach. (wld., bolted) Attach. (wld., bolted) Type (straight or U)

14. Tubes
Matl. (Spec. No., Grade)

Items 15 to 18 incl. to be completed for inner chambers of jacketed vessels or channels of heat exchangers
15. Shell
Matl. (Spec. No., Grade) Nom. thk. (in.) Corr. allow. (in.) Inside diameter (ft & in.) Length (overall) (ft & in.) Radiographic treatment No. of courses Spec. No., Grade

16. Seams
Longitudinal (wld., dbl., singl.) Girth Heat treatment Heat treatment (yes or no) Radiographic treatment

17. Heads: (a) Matl.

Spec. No., Grade

(b) Matl.
Minimum Thickness Corrosion Allowance Crown Radius Knuckle Radius Elliptical Ratio Conical Apex Angle Hemispherical Radius Flat Diameter Side to Pressure (Convex or Concave)

Location (Top, Bottom, Ends)

(a) (b) 18. If removable, bolts used (describe other fastenings)

Matl., Spec. No., Grade, Size, Number

19. Design press. at test temp. of test pressure

(7/00)

psi at max. temp. F. Min. design metal temp. psi.

F. Charpy impact F at

ft-lb psi. Pneu., hydro., or comb.

This Form (E00114) may be obtained from ASME, Order Dept, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300

E00114

FORM A-2 (Back)

Items below to be completed for all vessels where applicable
20. Nozzles, inspection and safety valve openings:
Purpose (Inlet, Outlet, Drain, etc.) No. Diam. or Size Type Material Nom. Thk. Reinforcement Material How Attached Location

21. Supports: Skirt

Yes or no

Lugs
No.

Legs
No.

Other
Describe

Attached
Where and how

22. Remarks

CERTIFICATION OF DESIGN Users Design Specification on file at Manufacturers Design Report on file at Users Design Specification certified by Manufacturers Design Report certified by

PE State PE State CERTIFICATE OF SHOP COMPLIANCE

Reg. No. Reg. No.

We certify that the statements made in this report are correct and that all details of material, construction, and workmanship of this vessel conform to the ASME Code for Pressure Vessels, Section VIII, Division 2. U2 Certificate of Authorization No. expires Date Co. name
Manufacturer

. Signed
Representative

CERTIFICATE OF SHOP INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the State or Province of of Report on , and employed by , have inspected the part of a pressure vessel described in this Manufacturers Data and state that, to the best of my knowledge and belief, the Manufacturer has constructed this

part in accordance with the ASME Code, Section VIII, Division 2. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the part described in the Manufacturers Data Report. Furthermore, neither the Inspector nor his 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 Signed
Authorized Inspector

Commissions
Natl Board (incl. endorsements), State, Prov., and No.