valve tech laboratory,
TRANSCRIPT
580-256-7677 FAX 256-7677 Email: [email protected]
506 48TH P.O. BOX 746 WOODWARD, OK 73802
VALVE TECH LABORATORY,
DCP
VALVES TESTED
BY VALVE TECH LABORATORY, INC.
Forgan
580-256-7677
WOODWARD, OK 73801
October 06, 2021
JOB # 16725
Valve Tech Laboratory, Inc.
580-256-7677 Fax: 256-7677 Email: [email protected]
506 48TH P.O. BOX 746 WOODWARD, OK 73802
March 21, 2022
DCP
12260 Road R 15 miles East on HWY 54, 1.5 miles North
Liberal, KS 67901
Re: Valves tested in October
Dear Shannon Burk,
On October 6, 2021 we were asked to test and/or repair valves at the Clem. Eight (8) relief and vent valves were
inspected under Work Order “16725”.
The valves were tested and reset per your instructions. All tests were completed in accordance with the National
Board Inspection Code. Any valve failing to meet specific requirements set forth by the manufacturer, National Board
of Boiler and Pressure Vessel Inspectors or your company was considered in need of adjustment of repair .
Enclosed you will find the register of the valves that were tested and reset. The register will provide specific
information about each valve for quick reference. The column TEST NO., found on the register, is a number given to
each valve in the order in which it was brought to the mobile unit for testing. This number is a “unique identifier”
which is stamped on the last line of the repair nameplate and provides a means of identifying each valve.
Immediately following the register, you will find the actual field test reports. The field test reports contain some of the
same information found on the register. These reports will provide a more detailed account of the test and/or repair
information for each valve.
We appreciate the opportunity to help you in maintaining your relief valves and look forward to being of service to you
in the future. If you have any questions, please give me a call (580) 256-7677 or e-mail me at
Ranson Pierce
Sincerely,
Pressure Relief Valves Tested Job NumberDCPWednesday , Oct 6 , 2021 16725
Clem
Orifice Area Code3
Test No. PSV No. Set PressManufacturerStatus Valve Type Serial No.Equipment Size21
Capacity
1 CLM1 Adjust 1 1/2" G 0.503 Farris 26GA10-140 19689-A8 UV1421 ScfmUnit #1 Interstage 150
2 CLM7 Test 1/2" - 0.089 Farris 1890 4086-3-M UV239 ScfmUnit #1 Fuel Pot 125
3 CLM2 Adjust 1" -8 0.196 AGCO 83MC88-8 M91-07671 UV1333 ScfmUnit #1 Discharge 400
4 CLM6 Test 3/4" E 0.212 Mercer Valve 8114121111R 4899 UV557 ScfmUnit #1 Suction 150
5 CLM4 Test 1" - 0.292 Consolidated 1993C-1-CC-DA-31-SC-SC-GS TL65497 UV794 ScfmStarting Gas 150
6 CLM3 Test 3" K 2.138 Consolidated 1905Kc TB89325 None0 ScfmInlet Scrubber 20
8 CLM4 New 1" F 0.337 Mercer Valve 9123F51V09U1 1665948 UV908 ScfmStarting Gas 150
1. API Orifice Designation Page 1 of 1Monday, March 21, 2022
3. A.S.M.E. Code Status
2. Flow Area In Square Inches
Pressure Vent Valves Tested Job NumberWednesday , Oct 6 , 2021 16725
DCP
PSV No. Equipment Model Number Valve Style Size Inlet Type Vacuum Set PressManufacturerStatusTest No.
Clem
Flanged8"Thief HatchJT-8JaycoT1 THTestCLM5 7 0.40 4.00
Page 1 of 1Monday, March 21, 2022
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-1 CLM1
16725 - 1 - 1
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Unit #1 Interstage
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Farris
26GA10-170
19689-A8
88.00 P.S.I.G.
1020 Scfm
UV
1 1/2" G 2 1/2"
150 Ser. RF X 150
Ser. RF
Valve Tech Laboratory
16184-1-1
26GA10-140
No
Yes
Fair
¨ þ ¨þ þ
¨¨¨
¨
Original Nameplate Data
0.00 P.S.I.G.
150.00 P.S.I.G.
1421 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
150.00
150.00
158.00
150.00
Adjusted
DTG-8
10/15/2021
Nitrogen
150.00
150.00
Actual Blowdown
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
26GA10-140
AMB
CLM1 10/06/2021
16725 - 1 - 1
¨
10/06/2021
150.00
1421 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-2 CLM7
16725 - 1 - 2
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Unit #1 Fuel Pot
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Farris
1890
4086-3-M
125.00 P.S.I.G.
239 Scfm
UV
1/2" - 1"
MNPT X FNPT
Valve Tech Laboratory
16184-1-2
1890
Yes
Yes
Fair
¨ þ ¨þ ¨
¨¨¨
¨
Original Nameplate Data
125.00 P.S.I.G.
125.00 P.S.I.G.
239 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
125.00
124.00
124.00
124.00
DTG-8
10/15/2021
Nitrogen
125.00
124.00
Actual Blowdown
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
1890
AMB
CLM7 10/06/2021
16725 - 1 - 2
¨
10/06/2021
125.00
239 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-3 CLM2
16725 - 1 - 3
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Unit #1 Discharge
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
AGCO
83MC88-8
M91-07671
350.00 P.S.I.G.
1172 Scfm
UV
1" -8 1"
MNPT X FNPT
Valve Tech Laboratory
16184-1-3
83MC88-8
Yes
Yes
Fair
¨ þ ¨þ þ
¨¨¨
¨
Original Nameplate Data
0.00 P.S.I.G.
400.00 P.S.I.G.
1333 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
400.00
401.00
415.00
401.00
Adjusted
DTG-8
10/15/2021
Nitrogen
400.00
401.00
Actual Blowdown
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
83MC88-8
AMB
CLM2 10/06/2021
16725 - 1 - 3
¨
10/06/2021
400.00
1333 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-4 CLM6
16725 - 1 - 4
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Unit #1 Suction
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Mercer Valve
8114121111R
4899
250.00 P.S.I.G.
898 Scfm
UV
3/4" E 1"
MNPT X FNPT
Valve Tech Laboratory
16184-1-4
8114121111R
Yes
Yes
Fair
¨ þ ¨þ ¨
¨¨¨
¨
Original Nameplate Data
0.00 P.S.I.G.
150.00 P.S.I.G.
557 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
150.00
148.00
148.00
148.00
Spring needs
verified on the
pressure change.
DTG-8
10/15/2021
Nitrogen
150.00
148.00
Actual Blowdown
05-011 191-350
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
8114121111R
AMB
CLM6 10/06/2021
16725 - 1 - 4
¨
10/06/2021
150.00
557 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-5 CLM4
16725 - 1 - 5
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Starting Gas
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Consolidated
1993C-1-CC-DA-31-SC-SC-GS
TL65497
200.00 P.S.I.G.
1037 Scfm
UV
1" - 1 1/2"
MNPT X FNPT
Valve Tech Laboratory
16184-1-5
1993C-1-CC-DA-31-SC-SC-GS
Yes
Yes
Fair
¨ þ ¨þ ¨
¨¨¨
¨
Original Nameplate Data
200.00 P.S.I.G.
150.00 P.S.I.G.
794 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
150.00
146.00
146.00
146.00
Adjustment screw
is locked up and
egged. Valve needs
DTG-8
10/15/2021
Nitrogen
150.00
146.00
Actual Blowdown
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
1 Car Seal STK14998
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
1993C-1-CC-DA-31-SC-SC-GS
AMB
CLM4 10/06/2021
16725 - 1 - 5
¨
10/06/2021
150.00
794 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16184-1-7 CLM3
16725 - 1 - 6
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 10/06/2021 Gas
(580) 651-7557 AMB
Clem
Inlet Scrubber
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Consolidated
1905Kc
TB89325
20.00 P.S.I.G.
0 Scfm
None
3" K 4"
150 Ser. RF X 150
Ser. RF
Valve Tech Laboratory
16184-1-7
1905Kc
Yes
Yes
Fair
¨ þ ¨þ ¨
¨¨¨
¨
Original Nameplate Data
0.00 P.S.I.G.
20.00 P.S.I.G.
0 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
20.00
22.00
22.00
22.00
DTG-8
10/15/2021
Nitrogen
20.00
22.00
Actual Blowdown
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
RKP
RKP
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
10/06/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
1 Car Seal STK14996
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
1905Kc
AMB
CLM3 10/06/2021
16725 - 1 - 6
¨
10/06/2021
20.00
0 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.Woodward, Oklahoma (580) 256-7677
SAFETY/RELIEF VALVE INSPECTION/TEST REPORT Work Order No.
VTL Serial Number Traveler PSV Number16725-2-8 CLM4
16725 - 2 - 8
Customer Name
Contact Person
Phone Number
Location
Equipment
Customer P.O. NO.
Date Valve Received
Date Required
Customer Comments Back Pressure
Service Temp.
Service
DOT JurisdictionalDCP 10/06/2021
Shannon Burk 11/10/2021 Gas
(580) 651-7557
Clem
Starting Gas
¨
As Received Condition
Manufacturer
Model No.
Serial No.
Shop Number
Orig Set Pres.
CDTP
Original Capacity
Code Type
Size and Orifice
Inlet X Outlet
Prev Repair Co
Prev W.O No.
Prev Model No
Prev Set Pres.
Prev Capacity
Seal Intact
Man Tag Intact
Valve Cond.
Report Only Test and Report Recondition
Pre-Test Test and Adjust
New Valve
Not Worth Repair
Change Set Pres.
Replaces
Replaced With
New Set Pres
New Capacity
Conversion
New Model Numbe
Reason for Conversion
Previous Information Services Performed
Mercer Valve
9123F51V09U1
1665948
150.00 P.S.I.G.
908 Scfm
UV
1" F 1 1/2"
MNPT X FNPT
Valve Tech Laboratory
16725-2-8
9123F51V09U1
Yes
Yes
New
16725-1-5
¨ þ ¨¨ ¨
þ¨¨
¨
Original Nameplate Data
0.00 P.S.I.G.
150.00 P.S.I.G.
908 Scfm0.00 P.S.I.G.
Final Test Record
Pre-Test Gauge No.
Pre-Test Medium
Desired Set Pres.
As Found
Pre-Test 2nd Pop
Final Test Gauge No.
Calibration Due Date
Final Test Medium
As Left
Comments
Desired Set Pres.
As Left Pres.
CDTP
Disassembly, Inspection and Repair
Cap/Lever
Adj Screw
Spindle
Bonnet
Body
Disc Holder
Disc
Guide
Guide Ring
Nozzle
Nozzle Ring
Spring Number
Caliper Number
Ring Pins
Nuts/Bolts
Spring Washers
Gaskets
Seals
Bellows
Retainer
Retainer Screw
Liner
Piston
Tubing/Con.
Spring Range
Caliper Calibration Due Date
As Found As Left As Found As Left
Comments
DTG-8
Nitrogen
150.00
DTG-8
01/15/2022
Nitrogen
150.00
Actual Blowdown
05-009 101-180
Pre-Test Record
Customer and Service Information
0.00
Record of "VR" Sign-Offs
Original Nameplate
Customer Info.
Pre-Test
Inspection
Disassembly
Maching
Part Replacement
Lapping
Reassembly
Final Test
New Nameplate
Initials Date
RKP
RKP
RKP
RKP
11/10/2021
11/10/2021
11/10/2021
11/10/2021
List of Replacement Parts
Quantity Part Description P.O. No.Manuf Part No.
1 Car Seal STK14920
1 1F1 1/2 set @150's 1672591-23F51V09U1
Repaired By:Valve Tech Laboratory, Inc.
Woodward, Oklahoma
Type/Model
Set Pres.: Cold Set:
Cap: Temp:
PSV No: Repair Date:
Work Order No:
"VR" Stamp Applied
9123F51V09U1
CLM4 11/10/2021
16725 - 2 - 8
¨
11/10/2021
150.00
908 Scfm
No. 531,
Date:Signature:
¤ ¤
532
P.S.I.P.S.I.
F
¨¨
"TO" Stamp Applied
VALVE TECH LABORATORY, INC.
REPAIR AND TEST REPORT
WOODWARD, OKLAHOMA (580)-256-7677
THIEF HATCH
VENT VALVE
DISASSEMBLY, INSPECTION AND REPAIR
LID
BASE
PRESSURE SEAL
VACUUM SEAL
PRESSURE SPRING
BASE GASKET
VACUUM SPRING
HINGE PIN
HINGE SPRING
LATCH
FLANGE
PISTON
LIFT LEVER
LID SEAL
BODY - PLUG
WEIGHTS
NUTS / BOLTS
ITEMS AS FOUND AS LEFT REPLACED
¨
¨
¨
SIGN-OFF: Ranson Pierce
¨
¨
¨¨
¨
¨
¨
¨
¨
¨
¨
¨
¨
¨
COMMENTS:
SET PRESSURE: SET VACUUM: SIGN-OFF: 0.40 4.00 Ranson Pierce
TEST MEDIUM: DATE: STATUS:Nitrogen 10/06/2021 Test
TEST RECORD
SIGN-OFF: Ranson PierceSET PRESSURE: SET VACUUM: 4.00 0.40
MANUFACTURER: MODEL:Jayco JT-8
SIZE: INLET TYPE: 8.00 Flanged
VALVE STYLE:AS REC'D CONDITION: Fair Thief Hatch
EQUIP. CONDITION AND ORIGINAL DATA
Customer W/O NO: SIGN-OFF: Ranson Pierce
Phone No: (580) 651-7557 EQUIPMENT: T1 TH
Contact: Shannon Burk LOCATION: Clem
Customer: DCP EQUIP. ID NO: CLM5
WORK ORDER NO:Date: 10/06/2021
CUSTOMER INFORMATION
16725 - 1 - 7
SIGNATURE : 10/06/2021DATE:
Action Needed to be TakenTest Number Date Completed Sign-Off
Appendix
Spring needs verified on the pressure change.16725-1-4
Adjustment screw is locked up and egged. Valve needs
to be replaced.
16725-1-5
Please review the appendix for additional informaton concering problem areas or concerns noted during testing.