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BPVC_I_P-4A

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Sec VIII div-2
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  FORM A-3 MANUFACTURER’S DATA REPORT SUPPLEMENTARY SHEET 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. Nat'l.. Bd. No. Year built Data Report Item Number  Remarks DateCo. nameSigned Manufacturer Representative DateSignedCommissions  Authorized Inspector Nat’I. Board (incl. Endorsements) (07/13)  FORM A-3 MANUFACTURER’S DATA REPORT SUPPLEMENTARY SHEET  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. Nat'l. Bd. No. Year built Data Report Number Item 6 or 7(a) layered construction type: (Concentric, wrapped, spiral, coil wound, shrink fit, etc.) Nom. Layer (shell)LocationMat’l.Layer Thk.Nom. Thk.Tot.No. CoursesNDE(b) Inner Shell   (c) Dummy Layer (d) Layers:   (e) Overwraps:   Item 8 (a) Layered Construction Type: (Formed. Machined.. Segmental, etc.) (heads)(b) Inner Head   (c) Dummy Layer (d) Layers:   (a) Layered Construction Type: (1) Inner Head   (2) Dummy Layer    (3) Layers:   Item 21Diam HoleStaggered Layers Or Radial Through(Vent Holes in Layers)(a) Layered Shell(b) Layered Head   Item 24Gaps Have Been Controlled According to the Provisions of Paragraph:(Remarks) (See 4.13.12.1, 14.13.12.2 and 14.13.12.3)DateCo. nameSigned Manufacturer Representative DateSignedCommissions  Authorized Inspector Nat’I. Board (incl. Endorsements)   (07/13)
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