FORM RP-2 FABRICATOR’S PARTIAL DATA REPORT (CLASS I)

A Part of a Fiber-Reinforced Plastic Pressure Vessel Fabricated by One Manufacturer for Another Manufacturer

(Revision D — 2017) As Required by the Provisions of the ASME Boiler and Pressure Vessel Code

1. (a) Fabricated and certified by(name and address of Fabricator of part)

(a)

(b) If bolted, bolts used

(Material, Spec. no., T. S., size, number)

(1)

(2)

Location

(Top, Bottom, Ends)

Nominal

Thickness

Barcol

Hardness

Nominal

Weight

Shape or Contour

(Describe, giving radii, angle, ratios,

where appropriate)

(07/17)

2. Identification—Fabricator’s serial no. of part

4. Part fabricated in accordance with Procedure Specification no. Date

5. ASME Section X

6. SHELL: Type Nominal thickness

7. HEADS: Type

3. (a) Constructed according to Drawing no. Dwg. prepared by

(b) Fabricated for(name and address of Purchaser of vessel)

(Edition and Addenda (if applicable) Date) (Code Case No.)

(molded, centrifugally cast, filament wound)

9. SAFETY VALVE OUTLETS: Number Location Size

8. Fabricated for

(bag molded, centrifugally cast, filament wound)

(integral, adhesive bonding, bolted, quick opening, etc.)

Nominal weight Diameter

Attachment

Length Barcol hardness

(b) Description of part fabricated and inspected

(1)

(2)

(c) If quick opening or other

(Describe or attach sketch)

(1)

(2)

(d) If filament wound, describe pole pieces or head fittings

(1)

(2)

Maximum allowable working pressure

10. NOZZLES

Purpose (Inlet,

Outlet, Drain)

Diameter

or Size

Reinforcement

Material Number Type Material Thickness How Attached

at maximum allowable temperature

Minimum allowable temperature [when less than �20�F (�29�C)]

FORM RP-2 (Back) (Revision D — 2017)

CERTIFICATE OF COMPLIANCE

CERTIFICATE OF SHOP INSPECTION

11. INSPECTION OPENINGS

12. SUPPORTS: Skirt Lugs Legs Other

13. REMARKS

Date

Commission (Authorized Inspector’s signature) (National Board Authorized Inspector Number)

(Fabricator) (representative) Date Signed

of

have inspected the part of a pressure vessel described in this Fabricator’s Partial Data Report on and state that,

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by

Certificate of Authorization no. Expires

by

(describe) (number)

(where and how)

(number) (yes or no)

Attached

Manholes: No. Size Location

Handholes: No. Size Location

Threaded: No. Size Location

to the best of my knowledge and belief, the Fabricator has constructed this part in accordance with the applicable Sections of the ASME BOILER

AND PRESSURE VESSEL CODE.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the part described in this

Fabricator's Partial Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or

property damage or loss of any kind arising from or connected with this inspection.

We certify that the statements in this Fabricator's Partial Data Report are correct and that all details of materials, construction, and workmanship

of this vessel conform to Section X of the ASME BOILER AND PRESSURE VESSEL CODE, Fiber-Reinforced Plastic Pressure Vessels.

(date)

(07/17)

1 a Fabricated and certified by: b Fabricated for: 2 IdentificationFabricators serial no of part: 3 a Constructed according to Drawing no: Dwg prepared by: b Description of part fabricated and inspected: 4 Part fabricated in accordance with Procedure Specification no: Date: 5 ASME Section X: Code Case No: 6 SHELL Type: Nominal thickness: Nominal weight: Diameter: Length: Barcol hardness: 7 HEADS Type: Attachment: 1: 2: Thickness 1: Thickness 2: Hardness 1: Hardness 2: Weight 1: Weight 2: where appropriate 1: where appropriate 2: 1_2: 1_3: 2_2: 2_3: 1_4: 2_4: Maximum allowable working pressure: at maximum allowable temperature: Minimum allowable temperature when less than 20cF 29cC: 9 SAFETY VALVE OUTLETS Number: Size: Location: Outlet Drain 1: Outlet Drain 2: Outlet Drain 3: Number 1: Number 2: Number 3: or Size 1: or Size 2: or Size 3: Type 1: Type 2: Type 3: Material 1: Material 2: Material 3: Thickness 1_2: Thickness 2_2: Thickness 3: Material 1_2: Material 2_2: Material 3_2: How Attached 1: How Attached 2: How Attached 3: No: Size_2: Location_2: No_2: Size_3: Location_3: No_3: Size_4: Location_4: Lugs: Legs: Other: Attached: Date_2: by: Certificate of Authorization no: Expires: of: undefined: have inspected the part of a pressure vessel described in this Fabricators Partial Data Report on: Date_3: Commission: Text1: Text2: