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Indicate If (1) Seamless (2) Fusion Welded. Indicate If (1) Flat (2) Dished (3) Ellipsoidal (4) Hemispherical

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FORM P-3 MANUFACTURERS DATA REPORT FOR WATERTUBE BOILERS, SUPERHEATERS, WATERWALLS, AND ECONOMIZERS As Required by the Provisions

of the ASME Code Rules, Section I MASTER DATA REPORT YES (Check one) NO
1. Manufactured by
(Name and address of manufacturer)

2. Manufactured for 3. Location of installation 4. Unit identification


(Complete boiler, superheater, waterwall, economizer, etc.) (Name and address of purchaser) (Name and address)

ID Nos.
(Manufacturers Serial No.) (CRN) (Drawing No.) (Natl. Board 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 conforms to Section I of the ASME BOILER AND PRESSURE VESSEL CODE ,

Addenda to
(Date)

(if applicable), and Code Cases

(Year)

.
(Numbers)

Supporting Manufacturers Data Reports properly identified and signed by Commissioned Inspectors are attached for the following items of this report:
(Name of part, item number, manufacturers name, and identifying Designator)

6(a). Drums Shell Plates No. 1 2 3 Longitudinal Joints No. 1 2 3 No. & type* Efficiency Circum. Joints No. & type Efficiency Material Spec. No., Grade Thickness Heads Type** Radius of Dish Manholes No. Size Inside Diameter Inside Length Material Spec. No., Grade Thickness Inside Radius Tubesheets Thickness Inside Radius Tube Hole Ligament Efficiency, % Longitudinal Circumferential

Hydrostatic Test

*Indicate if (1) Seamless; (2) Fusion welded.

**Indicate if (1) Flat; (2) Dished; (3) Ellipsoidal; (4) Hemispherical.

6(b). Boiler Tubes Diameter Thickness Material Spec. No., Grade

6(c). Headers No. Heads or Ends

or
(Box or sinuous or round; Material spec. no.; Thickness)

Hydro. Test
(Shape; Material spec. no.; Thickness)

6(d). Staybolts
(Material spec. no.; Diameter; Size telltale; Net area)

Pitch
(Horizonal and Vertical)

Net Area
(Supported by one bolt)

MAWP

6(e). Mud Drum

or
(For sect. header boilers. State Size; Shape; Material spec. no.; Thickness)

Heads or Ends
(Shape; Material spec. no.; Thickness)

Hydro. test

7(a). Waterwall Headers No. Size and Shape Material Spec. No. Thickness Shape

Heads or Ends Thickness Material Spec. No. Hydro. Test

7(b). Waterwall Tubes Diameter Thickness Material Spec. No.

8(a). Economizer Headers

8(b). Economizer Tubes

(07/13)

FORM P-3
Boiler No.
9(a). Superheater Headers
(Mfrs. Serial No.) (CRN) (Drawing No.) (Natl Board No.)

Heads or Ends Material Spec. No. Thickness Shape Thickness Material Spec. No.

9(b). Superheater Tubes

No.

Size and Shape

Hydro. Test

Diameter

Thickness

Material Spec. No.

10(a). Other Parts (1) 1 2 3 11. Openings (1) Steam (3) Blowoff

(2)

(3)

10(b). Tubes for Other Parts

(No., size, and type of nozzles or outlets) (No., size, and type of nozzles or outlets)

(2) Pressure Relief Valve


(No., size, and type of nozzles or outlets)

(4) Feed
(No., size, type, and location of connections)

12. a b c d e Boiler Waterwall Economizer Superheater Other Parts

Maximum Allowable Working Pressure

Code Par. and/or Formula on Which MAWP Is Based

Shop Hydro. Test

Heating Surface

Heating surface to be stamped on drum heads. This heating surface not to be used for determining minimum pressure relief valve capacity.

13. Field Hydro. Test

14. Maximum Designed Steaming Capacity 15. Remarks

CERTIFICATE OF SHOP COMPLIANCE


We certify that the statements made in this data report are correct and that all details of design, material, construction, and workmanship of this boiler conform to Section I of the ASME BOILER AND PRESSURE VESSEL CODE. Our Certificate of Authorization No. Date Signed
(Authorized Representative)

to use the (S)

Designator expires Name


(Manufacturer)

CERTIFICATE OF SHOP INSPECTION


Boiler made by at . I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by have inspected parts of this boiler referred to as data items and have examined Supporting Manufacturers Data Reports for items and state that, to the best of my knowledge and belief, the Manufacturer has constructed this boiler in accordance with Section I 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 boiler described in this 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)

Commission
[National Board Commission Number and Endorsement]

CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE


We certify that the field assembly of all parts of this boiler conforms with the requirements of Section I of the ASME BOILER AND PRESSURE VESSEL CODE. Our Certificate of Authorization No. Date
(07/11)

to use the (A) or (S)


(Authorized Representative)

Designator expires Name


(Assembler)

Signed

FORM P-3
Boiler No.
(Mfrs. Serial No.) (CRN) (Drawing No.) (Natl Board No.)

CERTIFICATE OF FIELD ASSEMBLY INSPECTION


I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by have compared statements in this Manufacturer's Data Report with the described boiler and state that the parts referred to as data items , not included in the Certificate of Shop Inspection, have been inspected by me and that, to the best of my knowledge and belief, the Manufacturer and/or the assembler has constructed and assembled this boiler in accordance with the applicable sections of the ASME psi. BOILER AND PRESSURE VESSEL CODE. The described boiler was inspected and subjected to a hydrostatic test of By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the boiler described in this 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)

Commission
[National Board Commission Number and Endorsement]

(07/11)

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