FORMH3MANUFACTURERSDATAREPORTFORWATERTUBEBOILERSAsRequiredbytheProvis - PDF document

1 FORMH-3MANUFACTURER'SDATAREPORTFORWATERT
FORMH-3MANUFACTURER'SDATAREPORTFORWATERTUBEBOILERSAsRequiredbytheProvisionsoftheASMECodeRules,SectionIV1.Manufacturedandcertifiedbyl;;IANNUNIt-r- Nl;;쀀 Nl;;쀀tAt-AéroDôlecentre-29600Morlaix-FRANCE(nameandacldressofmanufacturer)2.ManufacturedforHeatTransferProducts.Inc.111BralevRoadP0Box429EastFreetoVtll1.MA02717nameandaddreS$ofpcfuiser3.Locationofinstallation2005-14-0001ta(nameandacldreos)4.UnitidentificationHaatingSoilar2005-14-0072T3760.47890TYN12224-0566408to664792008(completeboller.superheater.watelWan.etc.)(manufacturer'sseriaino.)(CRN)(drawlngno.)(NaUonalBel.no.)(yearbul~)5.ThechemicalandphysicalpropertiesofailpartsmeettherequirementsofmaterialspecificationsoftheASMEBOILERANDPRESSUREVESSELCODE.Thedesign,construction,andworkmanshipconformtoASMECode,SectionIV,20072571,2529&2568'!Yeiii'r-(addenda(dete)](COdeç_no.)N.A6.(b)Boilertubes:6.(c)Headersnoor(boxorslnuousorround,materialspec.no.,thlckness)6.(d)StayboltsN.A.HeadsorendsRectangular;SA-240304L.0.078"Hydro.test240psi(ohape,materialspec.no..thickneos)(materialspec.no.,diameter,sizeteillale,nelarea)PltchNetarea(supportedbyonebo~)Hydro.testDesignpressure_6.(e)Muddrumor(forseet.headerboiler.sfatesize,oh.pe,malenalspec.no.,thickneos)7.Waterwallheaders:N.A.Headsorends(ohape,matenalspec.no.,thic:kne..)6.(a)Otherparts(1)N.A.(2),(3)(b)Tubesforotherparts1239.Nozzles,inspection,andsafetyvalveopenings:(09/06)_.--.-...-.InsldeShenPlatesTubeSheetsTubeHoleLigamentNo.DiameterInsideLengthEfflCiency,%Longitu-Circum-MaterialSpec.GracieThicknessfnsideRadiusThicknessInsideRadiusdinalferential12LongitudinalCircum.HeadsJointsJointsHydra-No.statieNo.&Etn-No.&EIII-RadiusTestType.ciencyTypeciencyMaterialSpec.GradeThickne.sType-ofDish1121'IndlcateW(1)seamss.(2)fusionwelded."IndlcateW(1)nat.(2)dhed.(3)elllpsoldai.(4)hemlspherlcal.MaterialHowDiameterThicknessSpec.No.GradeNo.Attached0.71"0.04"SA-249TP316L5exœndedweldedMaterialThicknessShapeThicknessMaterialHydra.DiameterThicknessMaterialNoSizeandShapeSpec.No.Gr.Spec.No.TestSpec.No.Gr.1or23PurposeDiameterHowNom.Reinforcement(inlet,outlet.drain.etc.)No.orSizeTypeAttachedMaterialThicknessMaterialLocationinle!.11-femaleWeldedAaHW-7311-2SA-479304L0.162"NoneHeaderoutle!.11"femaleWeldedFiaHW-73t1-2SA-479304L0.162"NoneHeader'insoection1safetvvalveconnection FORMH-3(Back)10.OHeatingsurfacetabesfampe4ondrumhèads.HThisheatingsurfacenoftobeusedfordeterminingminimumsafetyvalvecapacity.12.Manufacturer'sPartialDataReportsproperlyidentifiedandsignedbyCommissionedInspectorshavebeenfurnishedforthefollowingitemsofthisreportNone11.FieldHydro.TestNA(nameofpart,Itemnumber,manufacturefsname,andldentifylngslamp)13.RemarksThesaletyvalves,instrumentsandcontrolsisnotinthescope01GIANNONIFRANCESAS.TheMAWPisestablishedbyaProolTestdated,February21,2007ConstructedundertheprovisionsofHG-515.4(b)Thefollowingitems1)to5)requiredi

2 nthecodecaseN"2568arenotinthescopeofGIAN
nthecodecaseN"2568arenotinthescopeofGIANNONIFRANCESASandaretobeproVidedbytheendmanufacturerCERTIFICATEOFSHOPCOMPUANCEWecertifythatthestatementsmadeinthisdatareportarecorrectandthataildetailsofdesign,material,construction,andworkmanshipofthisboilerconformtoSectionIVoftheASMEBOllERANDPRESSUREVESSElCODE."H"CertificateofAuthorizationNo.34,384expires0c27,2009Date/!?-/O~/l/)O,lSignedNameIANNONIFranceSAS(byrepresenlalive)(manufacturerthatconstructedandcertifledboller)CERTIFICATEOFSHOPINSPECTIONMri.at0alxl,theundersigned,holdingavalidcommissionissuedbytheNationalBoardofBallerandPressureVessellnspectorsand/orthestateorprovinceofGeorgiaandemployedbyonebeaconamericainsuranceco.ofBostonMAhaveinspectedpartsofthisbollerreferredtaasdataitemsBb,Be,9,10&13andhaveexaminedManufacturer'sPartialDataReportsforitemsnoneandstatethat,tothebestofmyknowledgeandbelief,themanufacturerhasconstructedthisbollerinaccordancewithSectionIVoftheASMEBOilERANDPRESSUREVESSElCODE.Bysigningthiscertificateneithertheinspectornorhlsemployermakesanywarranty,expressedorimplied,concerningthebollerdescribedinthisManufacturer'sDataReport.Furthermore,nelthertheInspectornorhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanyklndarlslngfromorconnectedwiththisinspection.Date1$/4/06Signed5,RoIlSYt-Av~Commissions(Au1horlzedIns~BallerconstructedbyGIANNONIFranceSASNg1Z84~A-~/Fi4o[NationalBd.(Incl.endorsemenls).slate.prov..andno.)CERTIFICATEOFFIELDASSEMBLyCOMPUANCEWecertifythatthefieldassemblyconstructionofailpartsofthisbollerconformswiththerequirementsofSectionIVoftheASMEBOllERANDPRESSUREVESSElCODE."H"CertificateofAuthorizationno.expiresDateSignedName(byrepresenlalive)(assemblerthatcertifledandconstructedftelassembly)CERTIFICATEOFFIELDASSEMBLyINSPECTIONl,theundersigned,holdingavalidcommissionissuedbytheNationalBoardofBollerandPressureVessellnspectorsand/orthestateorprovinceofandemployedbyhavecomparedthestatementsinthisManufacturer'sDataReportwiththedescribedbollerandstatethatthepartsreferredtoasdataitemsnotincludedinthecertificateofshopinspection,havebeeninspectedbymeandthattothebestofmyknowledgeandbellefthemanufacturerand/ortheassemblerhasconstructedandassembledthisballerinaccordancewithSectionIVoftheASMEBOllERANDPRESSUREVESSElCODE.ThedescribedbollerwasinspectedandsubjectedtoahydrostatictestofBysigningthlscertificateneithertheinspectarnorhisemployermakesanywarranty,expressedorimplled,concemingthebollerdescribedinthisManufacturer'sDataReport.Furthermore,neithertheInspectornorhisemployershallbelIableinanymannerforanypersonal.injuryorpropertydamageoralossofanykindarisingfromorconnectedwiththisinspection.DateSignedCommissions(Au1hortzedInspectar)[NationalBd.(Incl.endorsemenls).slate,prov..andno.](06106)MAWi'MaxilTKlmShopHydra.TestHeatingwatertempoSurfaceaBoiler160Dsi210°F240Dsi9.1safibWaterwallcSuperheaterdOtherpart