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AP_OPTIFLUX 1000__en_CRN_110406__
OPTIFLUX 1000 CRN Approval ©KROHNE 09/2010 KROHNE `4µsrr� TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will o SAFETY AUTHORITY appear on the fitting,in the space below T S A 14th Floor,Centre Tower 3300 Bioor Street West Toronto,Ontario KR�HN 'ary0 Canada MSX 2X4 STATUTORY DECLARATION Registration of Fittings i Cor Schellaars,Chief engineer (Name and Position,e.g.President,Plant Manager,Chief Engineer) of Krohne Altometer (Name of Manufacturer) Located at Kerkeplaat 12, Dordrecht,the Netherlands, (Plant Address) (Telephone No.) (Fax No.) do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and SafetyAct, Boilers and Pressure Vessels Regulation,comply with all of the requirements of (Title of recognized North American Standard) which specifies the dimensions,materials of construction,pressure/temperature ratings,identification marking the fittings and service; or are not covered by the provisions of a recognized North American standard and are therefore manufactured to comply with ASM E Vil I div.1/ASME B31.3 as supported by the attached data which Identifies the dimensions,material of construction, pressure/temperature ratings and the basis for such ratings,the marking of the fitting for identification and service. I further declare that the manufacture of these fittings is controlled by a quality system meeting the requirements of ISO 9001 which has been verified by the following authority, Lloyds Register The items covered by this declaration,for which I seek registration,are category meal.dev Cat F type fittings. In support of this application,the following information and/or test data are attached as follows: See page 2"Statutory declaration Registration of Fittings OPTIFLUX 1000" (drawings,calculations,test reports,etc.) Declared before me at Sliedrecht In the of the 12 th day of February Commissioner for Oaths: �' 00 (Printed name) Sf net c��! (� (Signafur rer) FO 9.46 SE ONLY chnical -Boilers and To the best of my knowledge and belief,the application meets the requirements of the Standards Pressure Vessels Technical Standards and SafetyAct,Boilers and Pressure Vessels Regulation,and and Safety Safety Program CSA Standard B51 and is accepted for registration in Category T Authority CRN: OF 12. 11•e NOTE:5 9S 5 REGISTERED pAkr If4e Registered by: roE SL°%ilol(qxv CKN.:......F j : .................... Dated: A�tS'r.2,5', 20 0 _ L'f Signed:.C4*..._0Z. ...... col NOTE: This registration expires on PV 09553(06104) aa\c��srq yo' Show facsimile of manufacturer's logo or trademark,as it will appear on the BOILERS AND PRESSURE VESSELS fitting,in the space below T•S S A SAFETY DIVISION 3300 Bloor Street West 4th Floor,West Tower KRGHNE gut`'° Toronto,Ontario CANADA M8X2X4 STATUTORY DECLARATION Registration of Fittings I, Oingfeng Li Ouality Manager (Name&Position,e.g.President,Plant Manager,Chief Engineer) of KROHNE Measurement Technology (Shanghai) Co.,_ Ltd (Name of Manufacturer) Located at Minshen Road 555 Songiiang Industrial Zone Shanghai China 201612•Tel•+86-21-67600742 Fax:+86-21- 67600503 (Plant Address) (Telephone#) (Fax#) ❑ do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and Safety Act, 2000,and Regulations for Boilers and Pressure Vessels comply with all of the requirements of (Title of recognized North American Standard) which specifies the dimensions,materials of construction,pressure/temperature ratings,identification marking the fittings and service; ■ or are not covered by the provisions of a recognized North American standard and are therefore manufactured to comply with ASME VIII div.1/ASME B31.3 as supported by the attached data which identifies the dimensions,material of construction,pressure/temperature ratings and the basis for such ratings, the marking of the fitting for identification and service. I further declare that the manufacture of these fittings is controlled by a quality system meeting the requirements of DIN EN ISO 9001,2000 which has been verified by the following authority,TUV Industrie Service GmbH. The items covered by this declaration,for which I seek registration,are category meas.dev.Cat.F . In support of this application,the following information and/or test data are attached as follows: See page 2"Statutory Declaration Registration of fittings Optiflux 1000" Declared before me at Shanghai in the Country of China the 19t° day of AD 2007. Commissioner for Oaths: Huang La Soy J 1 a g e (Printed name) � 1� C� (Signature) , ( gnature of Declarer) ' 61 i P ant 1 Q .— OFFICE USE ONLY Standards pressure Vessels and Safety Safety Program To the best of my knowledge and belief,the application meets the requirements of luthorlty Technical Standards and Safety Act,2000,and Regulations for Boilers and Pressur Vessels and Q and is accepted for registration in Category F RE6l D Nnt�:s6� TH E sE GoN.� �F cRN: 2 511• • p,Anr cat L-FP rKE c.RN•. D�.12�.!.l:,��.................... Registered by: '(.-Co N-W//CX Dated: Am; 29, G 8 TSB � oj� NOTE: This registration expires on K 2n �' Dolmen ame: 7sS�1Srt�;4 >rt,•�4olr ,•ei�dx•• FM Page 10 of 10 Rev. 2 1 Statutory Declaration Registration of Fittings Optiflux 1000 Page 2 On behalf of KROHNE Altometer and KROHNE Measurement Technology(Shanghai)Co., Ltd., we are applying for an CRN Design Registration for our magnetic inductive flow meters as described within. Product model names to be registered include: Optiflux 1000 F Optiflux 1010 C Optiflux 1300 C For above listed models names,we are applying for Wafer type of fitting for sizes 3/8", 1/2", 1", 1.5",297, 3", 4", 611 . Please note that all our product names listed above have exact same flow-tube therefore the same exact welding, design, etc.The reason for multiple Product names is that the flow-tube can be configured with different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 1000, 1010 or 1300 have the same flow-tube but different electronic signal converter mounted to the top of the flow-tube.Thus they have different product names and labels. By including all product label names in our CRN,the local inspector will not be confused when inspecting a meter and the corresponding CRN document. Each letter of these product names are defined: F=field,signal converter remotely connected by electrode/coil cable to flow-tube; C=Compact,signal converter attached directly to flow-tube. Attachments: 1. set documents Optiflux 1300 C 3/8"Wafer type. 2. set documents Optiflux 1300 C 1/2"Wafer type. 3. set documents Optiflux 1300 C 1"Wafer type. 4. set documents Optiflux 1300 C 1.5"Wafer type. 5. set documents Optiflux 1000 F 2"Wafer type. 6. set documents Optiflux 1000 F 3"Wafer type. 7. set documents Optiflux 1000 F 4"Wafer type. 8. set documents Optiflux 1000 F 6"Wafer type. End of page 2. THIS IS PART OF CRIB OF12S II-Y ►echnical Standards&Safety A0,oO,, Boilers & Pressure Vessels Safety Division NOTE, Sce.?a I THE CRN rxpr)Z91 oil "0� Gx� I . - `���sr4,t, TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will '��+/ a SAFETY AUTHORITY appear on the fitting,in the space below T S S AA 14th Floor,Centro Tower Blo Street West Toro O KR 13 H N E ��' Toronto,Ontario ?tr Ayt.A° Canada M8X 2X4 STATUTORY DECLARATION Registration of Fittings � Cor Schellaars,Chief engineer (Name and Position,e.g.President,Plant Manager,Chief Engineer) of Krohne Altometer (Name of Manufacturer) Located at Kerkeplaat 12,Dordrecht,the Netherlands y (Pten(Address) (Telephone No.) (Fax No.) ❑ do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and Safety Act, Boiler and Pressure Vessels Regulation,comply with all of the requirements of (Title of recognized North American Standard) which specifies the dimensions,materials of construction,pressure/temperature ratings,identification marking the fittings and service; ✓❑ or are not covered by the provisions of a recognized North American standard and are therefore manufactured to comply with ASME VIII div.1/ASM E B31.3 as supported by the attached data which identifies the dimensions,material of construction, pressure/temperature ratings and the basis for such ratings,the marking of the fitting for identification and service. I further declare that the manufacture of these fittings is controlled by a quality system meeting the requirements of ISO 9001 which has been verified by the following authority, Lloyds Register The items covered by this declaration,for which I seek registration,are category meas.dev Cat F type fittings. In support of this application,the foollowinq information and/or test data are attached as follows: See page 2"Statutory declaration Registration of Fittings OPTIFLUX 1000" (drawings,calculations,test reports,etc.) Declared before me at Sliedrecht In the of the 12 th day of February Commissioner for Oaths: (Printed name) C� f /Srgnatur>it — q1r. N� (Si gnat ref n FO �FlCEtS"E ONLY Canadian Standards Assmiation To the best of my knowledge and belief,the application meets the requirements of the 178 Rexdale Blvd. Technical Standards and Safety Act,Boilers and Pressure Vessels Regulation,and Toronto. ON (416)747-4000 CSA Standard B51 and is accepted for registration in Category F CRN: C ^ OF/2511I5L REGISTERED Register ed ed by. Dated: NOEWBEk Signod:...,�. ........... ` ... .. .. NOTE: This registration expires on -A V '-V ST 5-/ '201 V c I2� ry 09553(06/04) -* N p-j-E ; SEE 7+T1—A C+fkE IV`'- F-o p— —rPE S Cam-£ . i Statutory Declaration Registration of Fittings Optiflux 1000 Page 2 On behalf of KROHNE Altometer and KROHNE Measurement Technology(Shanghai)Co., Ltd., we are applying for an CRN Design Registration for our magnetic inductive flow meters as described within. Product model names to be registered include: Optiflux 1000 F Optiflux 1010 C Optiflux 1300 C For above listed models names,we are applying for Wafer type of fitting for sizes 3/8", 1/2", 1", 1.51,2", 3", 4", 651. Please note that all our product names listed above have exact same flow-tube therefore the same exact welding,design,etc.The reason for multiple Product names is that the flow-tube can be configured with different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 1000, 1010 or 1300 have the same flow-tube but different electronic signal converter mounted to the top of the flow-tube.Thus they have different product names and labels. By including all product label names in our CRN,the local inspector will not be confused when inspecting a meter and the corresponding CRN document.Each letter of these product names are defined:F=field,signal converter remotely connected by electrode./coil cable to flow-tube; C=Compact,signal converter attached directly to flow-tube. Attachments: 1. set documents Optiflux 1300 C 3/8"Wafer type. 2. set documents Optiflux 1300 C 1/2"Wafer type. 3. set documents Optiflux 1300 C 1"Wafer type. 4. set documents Optiflux 1300 C 1.5"Wafer type. 5. set documents Optiflux 1000 F 2"Wafer type. 6. set documents Optiflux 1000 F 3"Wafer type. 7,set documents Optiflux 1000 F 4"Wafer type. 8.set documents Optiflux 1000 F 6"Wafer type. 0A%A61►M ltANOAlO! A!lOOIAiION End of page 2. ; ATTACHMENT TO THIS IS PART OF CRNC, �� � ' •r�� CRN OF12S H-S- Technical Standards&Safety Authority) SIGNED Boilers & Pressure Vessels InRaxdale60-AwW(LT-000.ON Canada MOW IR] Safety Div!s ion a N°TF- 0 SCOP' fl� cp>s d THE CR11 ;xprxi oil A CKV 5 �`Cr,L S744,o �� �� Show facsimile of manufacturer's logo or trademark,as it will appear on the ,'��t BOILERS AND PRESSURE VESSELS fitting,in the space below T'S S A SAFETY DIVISION 3300 Bloor Street West v�,��� 4th Floor,West Tower Toronto,Ontario CANADA M8X2X4 KROHNE STATUTORY DECLARATION Registration of Fittings I, Oingfeng,Li Qualfty Manager (Name&Position,e.g.President,Plant Manager,Chief Engineer) of KROHNE Measurement Technology (Shanghai) Co.. Ltd (Name of Manufacturer) Located at Minshen Road 555,Songiiana Industrial Zone. Shanghai China 201612•Tel:+86-21-67600742 Fax: +86-21- 67600503 (Plant Address) (Telephone#) (Fax#) ❑ do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and Safety Act, 2000,and Regulations for Boilers and Pressure Vessels comply with all of the requirements of (Title of recognized North American Standard) which specifies the dimensions,materials of construction,pressure/temperature ratings, identification marking the fittings and service; ■ or are not covered by the provisions of a recognized North American standard and are therefore manufactured to comply with ASME VIII div.1/ASME B31.3 as supported by the attached data which identifies the dimensions,material of construction,pressure/temperature ratings and the basis for such ratings, the marking of the fitting for identification and service. I further declare that the manufacture of these fittings is controlled by a quality system meeting the requirements of DIN EN ISO 9001,2000 which has been verified by the following authority,TUV Industrie Service GmbH. The items covered by this declaration,for which I seek registration,are category meas.dev.Cat.F . In support of this application,the following information and/or test data are attached as follows: See page 2"Statutory Declaration Registration of fittings Optiflux 1000" Declared before me at Shanghai in the -Country of China the 19`h day of r� AD 2007, Commissioner for Oaths: •�"r`" "°° Huang Lan (Printed name) s f I �' ��• It r (Signature) ( gnature of Declarer) OFFICE USE ONLY Canadian Standards Asswiation-i 178 Rexdale,Blvd. To the best of my knowledge and belief,the application meets the requirements o the Toronto, ON (416)747-4000 Technical Standards and Safety Act,2000,and Regulations for Boilers and Press re Vessels and CSA Standard B51 and is accepted for registration in Category F REGISTERED CRN: < ,5A.- o =1.2 115� - 0 l� 11 36 .. ..... - C.R.N.:.C.. .... .... .................... Registered by: &BAKNAES Dated: Nb�l -Mse� 542GGF Signori:..: ................ NOTE: This registration expires on l U S r��C/.Y]oodnAQh e: TSSA tatutory Declaration Form,Aug 24,2001,Rev. UG0l.doc Nv t , SEE T E tt7'f�tr+rMEN�` ,?� 1.—�H.E SCOPE Page 10 of 10 Rev. 2 f l r Statutory Declaration Registration of Fittings Optiflux 1000 Page 2 On behalf of KROHNE Altometer and KROHNE Measurement Technology(Shanghai)Co., Ltd., we are applying for an CRN Design Registration for our magnetic inductive flow meters as described within. Product model names to be registered include: Optiflux 1000 F Optiflux 1010 C Optiflux 1300 C For above listed models names,we are applying for Wafer type of fitting for sizes 3/8", 1/2", 1", 1.5",2",3", 4", 6". Please note that all our product names listed above have exact same flow-tube therefore the same exact welding, design,etc.The reason for multiple Product names is that the flow-tube can be configured with different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 1000, 1010 or 1300 have the same flow-tube but different electronic signal converter mounted to the top of the flow-tube.Thus they have different product names and labels. By including all product label names in our CRN,the local inspector will not be confused when inspecting a meter and the corresponding CRN document.Each letter of these product names are defined:F=field,signal converter remotely connected by electrode/coil cable to flow-tube; C=Compact,signal converter attached directly to flow-tube. Attachments: 1. set documents Optiflux 1300 C 3/8"Wafer type. 2. set documents Optiflux 1300 C 1/2"Wafer type. 3. set documents Optiflux 1300 C 1"Wafer type. 4. set documents Optiflux 1300 C 1.5"Wafer type. 5.set documents Optiflux 1000 F 2"Wafer type. pAN%DIAN sTANDA196 6. set documents Optiflux 1000 F 3"Wafer type. ASSOCIATIeN 7.set documents Optiflux 1000 F 4"Wafer type. 8.set documents Optiflux 1000 F 6"Wafer type. ATTAD*WTO CR } .5 End of page 2. 7j%Md$Wq0,AV" T EJ !S PART OF 1» Tolant0.ON Camds MSw IF13 i CRN QF12511•S Technical Standards&Safety Authority,( Boilers& Pressure Vessels Safety Division r 1JptE, '$cop& I 1HE GRN �xpt s o�i AL,�..2 cx0 09-12 88 09,54 FROM-ACI CENTRAL, INC 9025663133 T-581 P022/028 F-775 w�rn ry VnVrr NUK I"WENT TERRITORIES MANUFACTURERS NAME: Krohne-Altometer MAN cTvRERS AODRE98: KarkA 1a8t 12, Dordrecht, the Nel-herlands PLANT L TIONS: See above CA1t=�QfiV OF PITTi[3[;8 TQ BE RCGi3TCRFQ• CIRGLL'ONE 0�.JECORY ONLY "'` Ta A A Pepe Httingm,nciudrnrj couplings Was,elbows,Y9,plugs,unions,pipe raps,cr reducers proprlebry standard supportedB Ptanpan; a!I flanges C Valves: ail line vitves by ASME VIII div.1/ASME 0 ExpanelonjeintS,%Xlbie MrinOCtio,", and hose 00camblies: all"a B31.3 calculations VOW proof E Strainers,fitters,seporatora,and steam traps tests. (D Measuring devices,Incivaing presauns gauges,level gauges,sight glasses,to,rals,or presaufb'tronarnfilers G Certified captactN-rated pressure relief devices acceptable sA primary over pry ssure prolecliort on boilers,prMuro vessels,piping grid fusible ptugt H Pre3auna retaining components that do not fall into one of the aMv¢categorle,s N Nuclear Components: Ctaaa t O Class 2 D Glass 3 D, (Meeting AEC19 a)kSME requirements) SHOW MA NA MARK ?,-LOGO AS IT M.L.APPEAR ON THE PRO UCY T"Ve QF FOAM Q M60ED 50 WAOUGWr m OAST O OT14SR h K R OH�C oe8caro5 or+ER: 41ST OF 8UP'PORTING OOCUMENTATJON ANt7 IDENTiFICATfON Of=THE Af;,TUALITEMS TO QE REGISTERED; Orawlrrgs Stress-ca I ru I atiorls Welding plans WPSlWQP Technical datssheet 0 CLAFEATION: I John van tier Orsaf toes newsI employed by KROHNE Altometer and being the person having full authority and responsibility for the 4uaiily of the end product do solemnly declare that th 3 Information contained in this form its true and to the best of my knowledge represents the product for which registratlon is sought. The dimensions,materials of conatructton,presgUm temperature rat r1gs,and identification markln 6 its accordance with thiK herein nomad standards. I further declare that the manufacture of these fitlingg is reegulated Control Program which wdends to each plant where fabrloation occurs in whole or in pert and has been verified by r ! a s being i itable far that purpose and I make this Solemn declarallon conscientiously betlevl and knot trig that it is tN the 93me force a It as It made under oath, 14 papa�Q�� Signature of Declarer.- Declared before me at S u I F O R T H E This 12 th day of p6tlfuary AO 2007 E A L Commissioner of Oaths .� or Notary Public; (sign) — Or 'C reel 1.1 to the M1 h QG This Wpace tar Regulatory Authority use rj�1 This registration must be revOlidalted after ten (10) years from the ptance. CRN: 0F12511 .5 i�HT Cot B`�acv tt NoInA: 1. All ltttlnga shall be registered In the name of the Manursclurer. CRf'O,r,1 2_ F-2o category:hail be Supported with two Statutory OaCraratlon forms and one copy of supporting docun+antation. / 3, The decrarativn shall be mode by the person having full euthonry and CA,T F� jf,� responatitiry for the quality of ft and prodvat. 4. Quality control Drograme Will be reau"Med for validation O Cd at a meximurn interval of five(5)years, 09-1Z-' 08 09:54 FROM-ACI CENTRAL INC 9023663133 T-581 P024/028 F-775 a W RM STATUTORY f7jCl.4RATIaW FaRM_FS2R TNE REGISTRAMN.OF FITTWG 0"Ja S NQW BRUNSWICK NOVA SCOTIA PRINCE EOWARC ISLAND NE1^IFOUNDUINO AND cASKADCR NVNAVUI' YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: 1�AItS16Lr Tech 5 17 7MANUFACTUReRS ADDRES& r+ ' n /ANT LOCATIONS: GATE RV—OFFITTL411IIS To B S ERED. CLE ON AT 7B1Y r,r�t _, yi9QRA.�ECrs A Pipe f(thrigs,Including douplings,%0,elbows,Ys,plugs,unlon6,pipe caps,or r'9tlNCen 8 Flanpea: 01)Aar i; Proprre �f t C 1481ves: all fine valves C_l7 D Expanslon Jolnta,nexieie eottneellons,and hoes asssmblin alf types bN A.�V///aGN-//1We 6 Stainers,filters,separators,end steam traps Q Vkteasuring devioss,including pressure gauges,level gaugot,VgrA glasses.levels,or 1f, ONAVUre trentmittere G Cert ljed cepactlywailed prmesure raiW dwAm acceptable sa primary over pressurs protection on Dollars.pressure veaselo,piping and fusible plugs H Isf nsure retaining components that do not fail into one of the above oategofiea r N Nuclear components: Class I 0 Class 2 C) Class 3 0, (Mooling CNSC or ABivg requirements) W 6MANUFACTUR6 AI MA ARK OR LO00 Ai IT WfLL ePEAP t'N THE PRO Y TMPF Df coN avcrioN #!0AW00 WILDEO Q WROUGHT WT 0 OTttale 0 KR 13HN E 599crem OTWEA IIj4 I Lrsi of s PMMNNA t90f�T TA ION ghfp IDINTfPIGAjM OF THE ACTUA Qi5TEREL DrAwJk cc�Gcig��s Vf,V,vp� *5 WPS/YVP#4 7 dew DECLARAT N: l rtw tow rote employed by / i4T5 and being the person having foil authority and responslbtNty lbiliffle q Ilty of the and product do solemnly de are that the infofrnation Gontalnad In thte form is true and to the best of my knowledge represents the product for which registration is sought. The dirngnsione,materials of construction.pressure tierriperame,tstinp,and identification markings are In aCcoroance with the he"ein ranted standards.I futtiler declare that the mandacUue of time fittings Is regulated by a Quality Control Program WhiCh extends to ewh pliant where fab►icatlon aecurs in whole or in part and has been verified by as be Ing suitable far that pwpase and I maKe this solemn declaration consCiaMicustly barmving 4 tD be true,and knowing that it is of the same Torre and effect as if made under oath. Signature of Dealarer. Declared before we atTHIS SPACE FOR T H E This day of AO �c:.�. ' ' ;0 �':�C I A L S E A L Commtaoloner of Oaths %" or Notary Public:(sign) — ( GG;3l aegl to t Thb spate for A8gulglo?y{1Aoi'ly,.use'.' ,� This registration must be revatidsled after tan(1b}years.fhorhth p CRN: O F 12 511 .5 �Q,� OF y 2015 p/ 0 F IQ#: C4 8 ��; Notes: CRNQC115 i 1. All fittings shag be registered In the name of the Manufacturer c' Z, Each os ne co ahatl be supporao With tyro Stetumry(?ectaration forms and one aooy,of supporting tlooumsntatlon. 3. The derdwatfoit shag tee mails by the person having full authority and j responsibirdy for the quality of the end VOW. b, Quality co^7en1 programs shall tat rtssutxnMetl for vanoarion at a maximum interval of five(5)years. F�s h!ings Rou. t 05l200J 09-12-' 08 09:28 FROM-ACT CENTRAL INC 9025663133 T-57 P021/025 F-770 0 UNtfEQ9.111111 �TAIUJQRY OECLA6tATION FORM FOR THE R1rG19T TtUN OFF !NG DE5lGN5 NEW SRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LAHR400R NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: OHNF Ml ► 7r n eLhw MANUFACTURERS ADDRESS: PLANT LOCATIONS: p CATEGO how- OF FITTINGS 7b t3E REGIS;ERr D. CIRCLE ONE CAT G RY ONLY m nF man_ !3A�t2x TV noi A Pipe fittings,including couplings,tees,elbows,Y-3,plugs,unions, pipe caps,or reducers B Flanges: all flangess: aft Flo? � t �(` G Valve line vaMes r oD�r � D Expamian joints,fWAtAe connections,and hope aa5amlohe5- all lypels b�rr7 SME i✓a/66y.tlls ag E Strainers,fitters,separators.and sfeam traps (F�Maasuring cleAeas,including pressure gauges.level gauges.sight glasses.levels.or 2 pnabSurg trWamitters 8 3�' 3 �iDDJS � G Certified capacity-rated promore fellef dovicas acceptable as primary over pressure protection on v boilerc.pressure vessels,piping and fusible plugs , H Pressure retaining components Tat do not tall Into one of the above categaries N Nuclear connponeinm Cass 1 C Class 2 O Class 3 0, (Meeting C'NSC orASME reauirerrlentsl 3WOW MANc16A URER NAME TRAD MARK O � GS ITVN(LLAPPEAR ON THE PRODUCT TYPE. cW±Sr'ruCnoH Fogceco w56CEo CY WROVCHT 2 _ CAST C OTHEP, C t)EiCitJ820TNER'. I LIST OF SUPPORTING DOCUMENTATION AND l009"VIFICATtON OF THE ACTUAL ITEMS TO BE REW7ERED: i l� 1'✓c�Gf�h� �ll.�5 tNPS/t,UpP 7a�,6rn�rQf cicatas OECLARAT N: I (=note3)employed DV �C p N� ►w 1 S and being the person having full authority and responsibility fo t s q ity of the end product do satemnly de�dare that the information contained in this form is true and to the besl of my knovdedge represents the product for which registration is sought_ The dimensions,materials of construction, pressure temperature ratings,and identification markings are in accordance with the herein named standards.I further declare that the manufacture of theseIttings is regulated by a Quality Control Program which extends to each plant where fabrication occurs in whole or in part and has been verifred try as being suitable for that purpose and I M&9e this 5019mn declaration conscientiously believing it to be true, and /�knoMng that it is of the same force and effect as if made under oath. Signature of Declarer: Q11,1' _ Declared before me of U..S_'E T H IS SPACE FOR T H E This day of AD PP F`'G.C I A L SEA L Commissioner of Oaths or Notary Public: (sign) ( ><Ofrit7al seal tot rig of This space for Ragulaiory,0.utWity.use Nl:WFOUNDLA 0C This registration must be revalidated after ten(10)y6arsfrorn,t.k d f ladt11D LABRADOR ,5 Department of 0 F 12 511 CRN_ Government Services 2015 Registered 25�. SC7 FtD : Da 2.2 le Notes: GOVERNMENT SE D_i;TRF 1. All firking:;ohall bo ragictarod in the namo of the Manufscturer. Engineering and Ins Cbor 52rwees 2. Each category shall oo supported with two Statutory Dedarstion Registered cy Forms and one copy of supporting documentation. 3. The 0601arallon nnaN ne made Dy the person having full authonry and UNDER THE AUTHOR responsibility ror the quality of the and product PUSLIC SAFETY ACT AND 4, Quality control programs shall be resubmitted for varidation THE FOiLER.PRESSURE VESSEL AND 3t a Maximum intanr3l of rve(S)years_ COMPRE �Q EyA �r 4'�lnq?N i2D03 09-22-' 0a 09: 28 FBON-nCI CENTRAL INC 9025663133 T-577 P0221025 F-770 Statutory Declaration Registration of Fittings Optiflux 1000 Page 2 On behalf of KROHNE Altorneter and KROHNE Measur=ent Technology(Shanghai) Co_, Ltd., we are applying for an CRN Design Registration for our magnetic inductive flow meters as described within. Product model names to be registered include: Optiflux 1000 F Optiflux 1010 C Optiflux 1300 C For above listed models names, wa are applying for Wafer type of fitting for sizes 3/8", 1/2", 1", 1.5", 2", 3", 4", 6". Please note that all our product names listed above have exact same flow-tube therefore the same exact welding,design, etc.The reason for multiple Product names is that the flow-tube can be configured with different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 1000, 1010 or 1300 have the same flow-tube but different electronic signal converter mounted to the top of the flow-tube.Thus they have different product names and labels. By including all product label names in our CRN, the local inspector will not be confused when inspecting a meter and the corresponding CRN document. Each letter of these product names arc defined.:F=field,signal converter remotely connected by electrode/co it cable to flow-tube; C=Compact,signal converter attached directly to flow-tube. Attachments: 1. set documents Optiflux 1300 C 3/8"Wafer type. 2_ set documents Optiflux 1300 C 1/2"Wafer type. 3. set documents Optiflux 1300 C 1"Wafer type. 4. set documents Optiflux 1300 C 1.5"Wafer type. 5. set documents Optiflux 1000 F 2"Wafer type. 6. set documents Optiflux 1000 F 3"Wafer type- 7- set documents Optiflux 1000 F 4"Wafer type. 8.set documents Optiflux 1000 F 6"Wafer type. GOVERNMENT OF NEWFOUNDLAND l IRWMR AND LABRADOR l Dep.-4rtrnonL of Enid of page 2. ^rrlw,,nt Services Regisrerc i Date GOVE,�i,!VIENT Engineerinj are s Jr-11 3s Reg;stemd by UNDER THE AU71-iORi V OF THE PUBLIC SA ETY A(T AND TF!E BOILER. PRESSURE VESSEL AND COMPR5SSED GAS REGULa,71ONS I i } 09-12- 08 09:Z8 FROM-ACI CENTRAL INC 90256133133 T-577 F019;025 F-770 Ni1NA11UT YUKON NORTHWEST TERRITORIES MAUFACTIiRER NA04E: Krohne-Altometer nrlatvUFACTURERSAODFLEss: Kerkeplaat 12. Dordrecht, the Netherlands PLANT LOCATIONS: See above CAPE OF GS TO F_.1 T RE CtRC E ONE CAT GORY ON 1 .T171 F;gFTHF STANPAR0 �OfFBTRUCTIDN A Pipe fittings,including couDl;ngs,Eves,elbows,Ys,plugs,unions.pipe caps,or reducers 8 Flanges: all flanges Proprietary standard supported C valvas: all line valves by ASME Vlll div.1/ASME D Expansion joint.,flexible connections,and hose assemblies: all types 631.3 calculations and/or proof E strainers,1lfters,separatora,and steam traps tests. Measuring devices,Including pressure gauges,level gauges,sighl glasses,levels,or pressure transmitters G Cerllfled capacity rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels.piping and fusible plugs H Pressure retaining Components that do not fall into one of the above categories M Nucleer,eornponents: Class 1 O Class 2❑ Class 3 0, (Meeting AECE3 or ASME requirements) SHOW MANUFACT RERS NA TRADEMARK OR LOGO AS IT WILL ARRUiR ON THE PROOUCT TWE OF CO►rSTRIAM19 i FQ=Z0❑ 4QELOEb m WROUGHT fib OAST ❑ OTHER Cl KROH N E DESCRIBE OTN ER: r T OF SIJP TI 6 ENTATION AND 11JENTIFECAT10N OF THE ACTUAL IT TO BE REGISTERED: Drawings Stress calculations Welding Plans WPSJWQP Technical datasheet DECLARATION- 1 John van der Gr2af im.rab 31 employed by KROHNE Altorrieter and being the person having full authority and responsibility for the quality of the end product do solemnly declare that the information contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions. materials of construction,pressure temperature ratinge,and identification markin in accordance with tho herein named standards.I further declare that the manufacture of these fittings is regulated ay Control Program wNch extends to each plant where fabrication occurs in whole or in part and has been verlAed by / as being suitable for that purpose and I make this solemn declaration conscientiously b4sNevin t nd kn wing that it is of the same force 9tt IeC as if made under oath. Signature of Declarer: %—% PaPa;°a� Declared before me at S t U N t F O R T H E 12 th m vary 2007 This day of AD E A L Commissioner of Oaths or Notary Public:(sign) Of G Ell real to the nigh This space for ReQulaUory Authority I,s 1� VERNMENT Or This registration must be revalidated after ten (10)years Ith e0ftffQUNDLAND O F 12 511 .5 on AND LABRADOR CRN: Department of G vemmeni Services FIDO: 2015 17— t ll r) � L'atE_.► � Notes: CO'.EFt\19�tiTSERVIC ^1TRt; 1. All Risings shalt be registered In the name or the Manufacturer. Engine Hnry and 1 pe ti n; vieey 2. Each calegury shag be suppoRed with two Statutory Declaration forms and one copy of supporting documentation. Registered by T Tne declaration shall be made by(he person having full authority and: UNDER THE AUTMORIT OF THE responsibility for thw qualiEy of the and product. PUF;lic SAFETY FCC NO a. Quality wrurol programs shall be rasubmined for validation THE BOILER.PRESSURE VESSEL ANr-� at a maxlmum Interval of five(5)years. COMPRESSED CAS REGULATIONP 09-12-13 09: 2S FBOCI-ACI CENTRAL INC 9025663133 T-577 P020/025 F-770 Statutory Declaration Registration of Fittings Optiflux 1000 Page 2 On behalf of KROIdNE Altometer and KROHNE Measurement Technology(Shanghai)Co., Ltd_,we are applying for an CRN Design Registration for our magnetic inductive flow meters as described within- Product model names to be registered include: Optiflux 1000 F Optiflux 1010 C DrItiflux 1300 C For above listed models names,we are applying fbr Wafer type of fitting for sizes 318", 1/2", 1", 1.5", 2",3", 4", 6". Please note that all our product names listed above have exact same flow-tube therefore the same exact welding, design, etc. The reason for multiple Product names is that the flow-tube can be configured with different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 1000, 1010 or 1300 have the same flow-tube but different electronic signal convener mounted to the top of the flow-tube. Thus they have different product names and labels. By including all product label names in our CRN,the Local inspector will not be confused when inspecting a meter and the corresponding CRN document.Each letter of these product names are defined: F=field, signal coriverter remotely connected by elcetrode/coil cable to flow-tube; C=Compact, signal converter attached directly to$ow-tube, Attachments: 1. set documents Optiflux 1300 C 3/8"Wafer type- GOVERNMENT OF 2.set documents Optiflux 1300 C 1/2"Wafer type. NEWFOUNDLAND 3. set documents Opdflux 1300 C 1"Wafer type_ ANO LABRADOR 4, set documents Optiflux 1300 C 1.5"Wafer type. oeoar"enr of 5. set documents Optiflux 1000 F 2"Wafer type. -.;,., nr Sarvices 6. set documents Optiflux 1000>F 3"Wafer We. Rey;sr.,, D �2511 �5t� 7. set documents Optiflux 1000 F 4"Wafer type. Da'E - Z� - 8. set documents Optiflux 1000 F 6"Wafer type. G0VZ F,:::INT SEhv: : `TRE Bnyine�rir,4 anc I sp c on rt'ices Registered by Enid of page i. UNDERTHE SAFETY ACT OF THE PUBLIC THE MILER,PRESSURE VESSEL AND COMPRESSED GAS REGULATIONS NtW bKUNSWIL;K NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: Kroh ne-Altonneter MANUFACTURERS ADDRESS: Kerkeplaat 12, Dordrecht, the Netherlands PLANT LOCATIONS: See above CATEGORY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEGORY ONLY TITLE OF THE STANDARD OF CONSTRUCTION - A Pipe fittings, including couplings,tees,elbows,Ys,plugs, unions,pipe caps, or reducers Proprietary Standard supported B Flanges: all Flanges P rY pP C Valves: all line valves by ASME Vill div.I/ASME D Expansion joints,flexible connections,and hose assemblies: all types B31.3 calculations and/or proof E Strainers,filters,separators,and steam traps tests. OF Measuring devices, including pressure gauges,level gauges,sight glasses, levels, or pressure transmitters G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels,piping and fusible plugs H Pressure retaining components that do not fall into one of the above categories N Nuclear components: Class 1 0 Class 2❑ Class 3❑, (Meeting AECB or ASME requirements) SHOW MANUFACTURERS NAME TRADEMARK OR LOGO AS IT WILL APPE R ON THE PRODUCT TYPE OF CONSTRUCTION FORGED❑ WELDED 2 WROUGHT 33 CAST C OTHER ❑ R O H N E ' DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: Drawings Stress-calculations Welding plans W PS/WQP Technical datasheet DECLARATION: I John van der Graaf (see note 3)employed by KROHNE Altometer and being the person having full authority and responsibility for the quality of the end product do solemnly declare that the information contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions, materials of construction, pressure temperature ratings,and identification markin re in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulatedd y Control Program which extends to each plant where fabrication occurs in whole or in part and has been verified by /" as being suitable for that purpose and I make this solemn declaration conscientiously believing I ,fae tr and knowing that it is of the same farce an t as if made under oath. papu . Signature of Declarer: O�� Declared before me at Sae Kt U i I F O R T H E This 12 th day of February AD 2007 +- - E A L Commissioner of Oaths ,, C3) or Notary Public: (sign) : . f-: { �� F�j�� (A ¢ cial seal to the right This space for Regulatory Authority use This registration must be revalidated after ten(10)years frornl,tlhe CRN: 0 F 12 51 1 . 5 'A%Wl DEPT OF?UBLI?C SAFETY RD* 2015 BOILER &PRESSURE VESSEL ACT I PZGISTRA71ON ONLY j Notes 1. All fittings shall be registered in the name of the Manufacturer. �R w 2. Each category shall be supported with two Statutory Declaration 4 forms and one copy of supporting documentation. 3. The declaration shall be made by the person having full authority and EER. responsibility for the quality of the end product. 4. Quality control programs shall be resubmitted for validation for at a maximum Interval of five(5)years. flk F SO ER IwiPE'CTOR t� I OAT i a!_Rs L J p1s, a UNIFORM STATUTORY DECLARATION FORMA FOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: 'L'K0H1VZ NjQ0-514reme&t r Ina- (S ) Co. , zd IV V MANUFACTURERS ADDRESS: '" nL;2 Dt2J 555, SoNA i,'/O"o Opp PLANT LOCATIONS: 5;�—q O'ho CATEGORY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEGORY ONLY n-_oF`+E STaNGtRO OF_ONS- UC_ON i I i I 1 A Pipe fittings,including couplings,tees,elbows,Ys,plugs,unions,pipe caps,or reducers B Flanges: flanges C Valves: allll line valves �Pr4 r 57�zrr66rW 54�YMT ' D Expansion joints,flexible connections,and hose assemblies: all types I E Strainers,filters,separators,and steam traps if)measuring devices,including pressure gauges,level gauges,sight glasses,levels.or 0 // pressure transmitters Q 31. 3 CG� ' s RrXL{� G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels,piping and fusible plugs OY Pr J t s' H Pressure retaining components that do not fall into one of the above categories N Nuclear components: Class 1 C Class 2❑ Class 3[2, (Meeting CNSC or ASME requirements) j SHOW MANUFACTURERS NAME TRADEMARK OR LOGO AS IT WILL APPEAR ON THE PRODUCT TvaE OF CCNSTRuC T ICv FORGED WELDED 3 'WROUGHT 2 CAST C OTHER C DESCRIBE OTHER KRGHNE I LIST OF SUPPORTING DOCUMENTATION AiVD IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: ; I i 'A1P51wap 7ik'-1�Haca(c s DECLARAT N: /, _ 1 t'n t (see note 3)employed by K�QzimEbl�!S and being the person having full authority and responsibility fo t e q ality of the end product do solemnly ddeelare that the information contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions, materials of construction, pressure temperature ratings,and identification markings are in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Quality Control Program which extends to each plant where fabrication occurs in whole or in part and has been verified by as being suitable for that purpose and i make this solemn Jl declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath. JJ Signature of Declarer: Declared before me at U S.E T H i S S P A C E F O R T H E This J�74 dayof ADS OFFICIAL S = .AL Commissioner of Oaths or Notary Public; (sign) e .;.tee'�,I,, (A.Ix Official seal to th right) �e%!.���;-)1A taU This space for Regulatory Authority use This registration must be revalidated after ten (10)years from the date of a�&e�&Qk PUBLIC SAFETY BOILER& PRE SSURE VESSEL ACT CRN: O F 12 S 1 1 . sREr,�iS'Rr'•.+".__''i ONLY FID#: 2015 Notes: t. All fittings shall be registered in.he name of the Manufacturer. EXAMINE 2. Each categon',hall oe supported with:wo Statutory Declaration forms and one copy of supporting documentation. 3. The declaration shall be made by the person having fLll authority an., CHIPF 8i-,. ,E .;N.SPE TOR responsibility for the quality of the end orcduct. I 4. Quality control programs snail Oe resuCmittea for val;Ca,;or, DATE- at a maximum interval of five(5)years. S.zt. ? —tr s Rev 1 73 2C 3 ❑ l L;<; J PVS -'F"ITTfNGS ❑COMPONENT:S by:`11i LbdtJ 1 b: 1n dkJZ-414-j2,JJ Utl- F'UfiLi(- ::)At-L l v It).; 1 O by-1L-'idol idy;J� iNUi7-AU1 UEN1'HAL INC; 9025663133 T-572 P027ie33 F-?72 i�VM•V �vnvry nvrtl nwea I I cnHl rvmw MANUFACTURERS NAME: Krohne-Altometer MANUFACTURERS ADDRESS; Kerke last 12 Dordrecht, the Netherlands PLANT LOCATIONS: See above G R OF PI O CIRC NE CATEGORY + � pTHe _aNs FIx:TUN A Pipe fillings,including coup",tm.elb mra•Ys,plugs,unions•pipe caps,or reducers 9 Planges: all Ranges Proprietary standard supported c Verves: an tine vows Dy ASME VIII div.1/(ASME D Expansion jotnta,flexible eonnootionc,artd hone assemblies: all typea B31.3 calculations and/or proof E Strainers,fiRera,separetws,and steam traps Q Measuring devices,Including pnrasufe gouges•level gauges,sight glasses,levela,or t96t&. pressui tranarnkwrs E Certified capacity-rated pressure relief devices ocwtsbte as primary over pressure protection on bolters,pressure vassels,piping and fAbim phrgs H Pressure retairdng componGntA thM do not fall into one of the above catega►)," N Nuclear eomponarm CIPW 1 ❑ DIMS 2 O Class 3❑, (Meeting AECB or ASME nrquiremsnts) SHOW NUFACTUR t IZKrOR L0t30 AS IT"L ON TH PRODUCT TTPF OF r•.qN-rni mw FORGED O WELGM 0 WRGIIGHT E cecr a OTPWR a fy,LA�r `" dEscarae ortiea LIST OP SUPPORTING DOCUMENTATION AND lDr-NTIFtt:A71g7 0- THE ACTUAL rf 6M8 TA� EGf3TERED; Drawings Stress-calculatlons Welding plans WPS/WQP Toschriwl datasheet DECLARATION: I JQhnyan_dtir Graaf twic me*a)employed by KROHNE Al ameter and being the person having full authority and responsibility for the guaW of the anti product do solemnly deelam that the information contained in this form is true wd to the best of my knowledge represents the product for which registration is sought: The dimensions,materials of construction,pressure temperature ratings,end iden0 ication markin y�in accortlanw with the herein named s3tandards.I further declare that the manufacture of that@ fittirgs fs regulated 4 e i #I yr Control Program which extend4 to each plant where llabricafion occurs in whole or In hart and has been verified by / as bpJng suitable for that purpose and I make this solemn declaration emscientiousty belle nd knowHg that it is of the same frame an >h3 if made under oath. Signature of Decierer: �Q Papej, Declared before role at 3 t U I F O R T H E This 12 rh day offObfunry AO 2007 E .A L Commissioner of Oaths or Notary Public: feigr►) (A Clal seal to the►i h 2� This apace for Regulatory Authority use 1g ^jl1e This registration must be revalidated after ten(10)years from tlhe rrce- CRN: OT12 511 .5 P tiu��5 riA S FIDN: 2015 0 �ate.SePt.__Ia�szB. Notes: C.R.N._Q.F_l�5_l.l:.�$_____.-_--- 1.N All nrnnga Shan be ragisterad in the name or the Manufacturer, 2. Each category shall be supported with two Statutory Declaration forms and one Copy of supporting documentation. 3. The dael2fation Shall be mada by Ma parson having full authority and .respwsiGifity for the quality of tote end product. j �.r^o Ci 4. Quality contmi programs shall be mAubmitted for validation at a mexlmurm interval of Rve M Years. 9C O- __ •• �� r o p R F U a el'Ji I z 0 U t lb: L7 :1UZ-4/-4-JGJ7 UGL r JDLl L- Z--ra I T 09-12-'08 09: 33 FROM-ACI CENTRAL INC 9025663133 T•-573 F-772 'UNIFO T TO Q T O F WE Rf=Gt T YitDN 4 1 T iG S NEW SRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLANo NEwFOUNDLANO ANO LAERAOOR NUNAvU T YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: "I msizremexo, T.e,GAn ( ) Go_ L MANUFACTURERS AOOREBa: t'n g t1,► 1 PLANT LOCATIONS: CATEKi4TL OF FITTINGS TO BERFgISTERED glRCI E ONE CATECORY_ONLY jn.� F rtt!��fkN _, _Q MURVI-jQI+ I A Pipe rdtings,including eoupfings,teea,elbow,Vs,plugs,unions,pips oaps,or reducers a Plnngaw an R9nges Pi��rrj C valves: an Fne valves D ExpwMon 1olnto,flexible connections,and hose assemblies: all types b ��j� /v, /�pf� E Strainers,Fitars,ssparMfg,and etaam traps `� F)Measudng devices,Including pressure gouges,6evei gauges,sight glasses,levels,Ot `-,�- pa?saum trancrninare $3!-3 Qko 'i"?s G Certified capacity-rated pmseura reliof davioaa ac000ftlo oc primary over pr,onum ptatootlon on .cam boilers,pressure vessels,piping and fusible plugs 0-e Pr H Atamuro r¢telntng components that do not fall into one of the,above categories N Nudaer oomportents: Class 1 ❑ Gass 2❑ Class 3 ❑, Meeting CNSC orASME requirements) SHMN MANUFACTILLPARS NAME TRA0I2MA K Ot2 LOGO AS IT MLL APP AA ON THE.PROQLJC7 7FT or . rnuCFGN FORG900 tMorrl P WRouam-r 2 CAST ❑ OTHOR C ��:N7E OESCWe=_07N!<R l,LS7 QF�SLIPPI]FIC gQGUMENTATIOfd A(U0 BOFFICA710PI OF TNE.ACTUAL ITE�16 TC�ERi;GiSS1~$C4; w��pis tNPS'/c+t/©P DECLARAT fd: n I r'nr�d�,f sranon3)employed by A7 N�bin2f 5 and boing the person hatnng full authority andresponsibility fo t e the end product do solemnly do lave that the hlformatiorl contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions,mMlals of construction,pressure tamperature ratings,and ident�f imition mgrkingi9 are in accordance with the herein named standards.I further declare that the manufacture of these fittings is regulated by a Quality Comrol Program which extends to each plant where fabrication occurs in whole or in part and has been verified by all being suitable for that purpose and I make this solemn declaration conscientiously believing R to be true,and knowing thst it is of the same font¢and effect as If mode under oath. Signature of Declarer: 62r` Oeclered before me at 3 .Ey1' f+ S S P A C E F O R T H E This J day of AO t- 7- -:fib E F'r(, C I A 1 5 E A L Commissioner of Oaths or Notary Public: (sign) (A fflclal seal to th rIghq „ This spats toe Reguoo'ryAuthvrity This registration must be revaildated after let)(idj 0� a 1 CRN OF12511 .5 ----------- Notes: f ( I. All(hinge shall tre nagiatereo in the nama of tho Manu(aeturer. _..----•- 2. Each category shell 08 6vOPORBd t4th W Statutory Cdclaration - farms aril one Copy of supporting documentation. I (� 3. The declaration small he made by the person having full authority and S�gr+?d /L 711- - re.sponsiblky fe.r the quality Of the end product. d, Quality comCrol programs Allan 6P reaunmitteo for vali0ation at a m8>umum interval of five(5)years, P r F llirgy Rfo- 1 06,7CO3 NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: Krohne_Altorneter MANUFACTURERS ADDRESS. Kerkeplaat 12, Dordrecht, the Netherlands PLANT LOCATIONS: See above CATEGORY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEGORY ONLY TITLE OF THE STANDARD OF CONSTRUCTION A Pipe fittings,including couplings,tees,elbows,Ys,plugs, unions,pipe caps, or reducers Proprietary standard supported B Flanges: all flanges p rY pp C Valves: all line valves by ASME VIII div.1/ASME D Expansion joints,flexible connections,and hose assemblies: all types B31.3 calculations and/or proof E Strainers,filters,separators,and steam traps tests. @ Measuring devices,including pressure gauges,level gauges,sight glasses, levels, or pressure transmitters G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels,piping and fusible plugs H Pressure retaining components that do not fall into one of the above categories N Nuclear components: Class 1 ❑ Class 2❑ Class 3❑, (Meeting AECB or ASME requirements) SHOW MANUFACTURERS NAME TRADEMARK OR LOGO AS IT WILL APPE R ON THE PRODUCT TYPE OF CONSTRUCTION FORGED❑ WELDED ha WROUGHT 2 CAST ❑ OTHER ❑ KROH DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: Drawings Stress-calculations Welding plans WPS/WQP I Technical datasheet DECLARATION: I John van der Graaf (see note 3)employed by KROHNE Altometer and being the person having full authority and responsibility for the quality of the end product do solemnly declare that the information contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions, materials of construction, pressure temperature ratings,and identification markin re in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulatedty Control Program which extends to each plant where fabrication occurs in whole or in part and has been verified by as being suitable for that purpose and I make this solemn declaration conscientiously believin It e t and knowing that it is of the same force an t as if made under oath. Signature of Declarer: �Q•Papcl), Declared before me at S�ied t U I F O R T H E This 12 th day of / F6biruary AD 2007 � } G E A L Commissioner of Oaths or Notary Public: (sign) Q ?Wit Cl (A Iclal seal to the right f� This space for Regulatory Authority use to S�\Q+ This registration must be revalidated after ten(10)years from theme ceptance. CRN: 0F12511 . 5 FID#: 2015 I l Notes: Q 1. All fittings shall be registered in the name of the Manufacturer. 2. Each category shall be supported with two Statutory Declaration forms and one copy of supporting documentation. "' 1' 3. The declaration shall be made by the person having full authority and responsibility for the quality of the end product. 4. Quality control programs shall be resubmitted for validation F� / — at a maximum interval of five(5)years. G UNIFORM STATUTORY STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND ILABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES / MANUFACTURERS NAME: kXO)IN� NjeZz4temed T n 6: �) Co. LTA MANUFACTURERS ADDRESS n iL8 t a 5�5, So �c"' / is PLANT LOCATIONS: 5k i CATEGORY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEGORY ONLY T!TLE O THE.STANDARD-DF 0_oNs aU_Q A Pipe fittings,including couplings,tees,elbows,Ys,plugs,unions,pipe caps,or reducers B Flanges: all flanges aarj 57Cuc4lr�51p7f( C Valves: all line valves pro?rr d1 D Expansion joints,flexible connections,and hose assemblies: all types ; 45 E Strainers,filters,separators,and steam traps b l�'fFV/�� Measuring devices,including pressure gauges,level gauges,sight glasses,levels,or pressure transmitters a 3/. 3 cak 'ems � G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels,piping and fusible plugs H Pressure retaining components that do not fall into one of the above categories N Nuclear components: Class 1 O Class 2❑ Class 3 ❑, (Meeting CNSC or ASME requirements) I SHOUT MANUFACTURERS NAME TRADEMARK OR LOGO AS IT WILL APPEAR ON THE PRODUCT TYPE OF CONSTRuc TICN FORGED J WELDED 9 WROUGHT H CAST C OTHER C DESCRIBE OTHER KRUMNE I � I I LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: i ,�-chwJ 5 I vvPs/waP I DECLARATION- ' _ I I'n 1 (see note 3)employed by k 7r1 &LL4/S and being the person having full authority and responsibility fo t e q ality of the end product do solemnly de fare that the information contained in this form is true and to the best of my knowledge represents the product for which registration is sought. The dimensions,materials of construction, pressure temperature ratings,and identification markings are in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Quality Control Program which extends to each plant where fabrication occurs in whole or in part and has been verified by as being suitable for that purpose and I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath. Signature of Declarer: (te/�r/ - Declared before me at C U.S.E 7 H I S S P A C E F O R 7 H E This day of ADS OFF I, C I A L S E A L Commissioner of Oaths or Notary Public: (sign) AOfcial seal to th right) This space for Regulatory Authority use This registration must be revalidated after ten-(10)years from; t?�t °3 CRN: O F 1 2 51 1 . 5 F I D#: P �r 2015 Notes: ?. All fittings shall be registered in the name of the Manufacturer. 2. Each category:hall oe supported with two Statutory Declaration ; forms and one copy of supporting documentation. 3. The declaration shall be made by the person navfng full authority and responsibility for the quality of the and product. - ���---- '-�--- 4. Qualitycontrol programs snail be resubmitted for valldatior. d�> + k A , g "z to v 'Xf ZC0 at a maximum interval of five(5)years. ungstzv 3 Oct-01-2008 04:24pm From-FIRE MARSHAL +8679755315 T-019 P 001/001 F-302 MANUFACTURERS NAME: Krorine-Altometer MAIvuFAcrt1R sAooREss: Korko loot 1: Dordrooht, the Notlh0rlond0 PLAtu OCATIONS; See above CATEGQRY OF FITTING$TO ks tanyi,I Fkd . CIRCLE_NE CATEGORY ONLY T, T A FPipe lan fittings,ges-. all fInncluding Couplings,tees,elbows, Yc,plugs,url'am gigg mo, 4r redyi;m r Plut,lStbry t standard 3upper#od C Valves: all line valves by ASME VIO div.1/ASME D EVansion joints,flexible connections,and hose assl3nlblies: all types B31.3 calculations and/or proof E 5trainer3,filters,separators,and steam(raps tests. FO MmUring devices,including pressure gauges,level gauges.sight glasses,level&,or pressure transmitters t9 ac,IT.j uuwrdai to ea of Imrr y uvc, pluwau16 yeutV OW.wi bailers,presstim vrd56ls,plph%g d1rJ fuiieil+lt�plugs UTA 4-I-A(911 hdv yr4 vrO.-"Vine 1r91E'dvil" N N-.bo.. .,.r.,,p,.ie. Clow I e al.L❑ al.—g el, iMcolh..y A988 A4.aMc SHOW A UFACT RNAME TRA A K OR 1-0 Q 5 IT WILL APPEAR ON THE PRObUCT RUC mnGEo O WILDBO 0 VAOUGHT-2 CAST O OTHER ❑ DESCRIee OTMER: 1=1ST of SUPPORTING DOCUMENTATION A o IDENTiFlCAT1t t3F THE ACTUAL rrEMS TO eE RESIST eg: Drawings Stress-calculations Welding plans WPSMQP DECLARATION: I John vaf,der Graaf r..e rwla31 employed by KROHNE Altometer and being the person having full allthtrity and responsibility far the quality of the end product do solemnly aecla►e inat ine ernnrmatlon wtrla0liru he ulia rulM le t►we and to tho boot of my knowledge represents the product for which registration is®ought. The dimension, materials of construction,pressure temperature ratings,and Identification markin F_—, accordance with the herein named standards.I further declare that the ,ranu{ecturc of thcoo fittingo io rogulatvd nnrrnl Pmeram which extends to each pliant where fabrlcation occurs in whole or in part and has been verified by � -" as being suitable for that purpose and I make ibis sotamn declaration consdentiousty bolievM nd knayulny U at it fs OFth6 aamc force A ae if made under oath. Signature of Declarer: Q.PaAa% C�• rJ Declared before me at S 'e t U a l F O R T H E This 12 th day of AD AD 2007 E A L rr i. Commissioner of Oaths A or Notary Public:(sign) ( c(al seal to the ri h •Y� �� h TIe1a ayo..c for Rcguiotory Aurporiry uco w This registration must be revalldated after ten 00) CRN: OF12511 .5 6-Cilers and Flofr. 2013 �a�` Pressure Vessels Act � l�unavut liar : RE ..IS�� ED 1. AN R%lrlgc choll bo rogictored in the name of the Mlanntarhlrnr ' �/y� I 1 2- Mach category shall ba supported with two Statutory Daciaration form up s and ono copy of sporting documanta ion. CRN�S Q n�©� 3. The deolerWicen shall be made by the person having full authority and Date oLC� Q responsibility for the quarity of the end product. E'\ 4. Quality control progtems shall be resubmitted for variation Signed �r at a mail,.-n i.Kervai of fN6(G)years. -I t Chid? Inspe.,tor 0ct-01-2008 04:15prn Frum-FIRE MARSHAL +8679755315 T-018 P.002/011 F-901 e .I1IMIFOR STA,TLITOR DECI,ARAT1Qh FORM FOR TH R>`gWRATION OF FITTING DESIGNS NEW SPUNSWICK NOVA SCOTIA PRINCE EDWARO ISLAND NEWFOUNDLAND AND LABRADDR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME: Ql-/N� MANUFACTURERS ADDRESS: x 555. 50 PLANT LOCATIONS; CATEGORY OF FITTINGS TO aE REGISTER CICIRCLE ONE ATEGORV ONL r—` ' C 1Lo�Att4Tt'xGLaa A Pipe fittings,induding couplings,tees,emows,Ys,plugs•unions,pipe caps, or reducers 0 I'lerigeg: suit flangoo C Valvstu: eN linc valvac NDr, � �t/ J Strainm.fillers,separators,and steam[raps t7 Me880112 devlcas,including pressure gauges,level gauger,sight glasses,levels,or v preasura tfanaminoro G Cen10eC Capa6tyNalrnl ide"surc relief devices necopiabto oc pfirnaey over pressure protection nn boilers,prassure vessels,piping anti iraww a plugs L". pY H Pressure retaining cormponento that do rMt tell into one of the above categories N Nttclamr cumpumsulb. Cl.aa t ❑ elaba!❑ DIMS 3 O, (Meetirtg CNEC or A.>al i requiromartrs) I SHOWMAN SHOWMAN&A URERS NAM TRADEMAR OR ❑ IT JILL APPEARONTF1EP130DUCT ?Ype OF Cory6'rRuCTION FORGED O WELD91D 3 WUOWNT 3 SAIT G 4*"eg P N OEt;CR1BE OTNCw K^OH 1,1$,T OF SUPPORTING DOCUML3BITAT[ON AND IDENTIFICATION of THE gCT7A1 ITEMS TO BE REGISTERED S Ca��s ti✓ y pkes DEC ARAT)ON, t it AMR , L" .—toadmme9►employed by -)HAlk: C 15- and being the person having full authority and responeibilitV 10 e q ality of te and product do solemnly tie lava inat true intorntauur t:un►oir a.t in thin form is Iruo and to t6a bleat of my knowledge represents the preduat for wnion registrritton 13 sOUght. Tltn rlimPnslona, moterlola of cgn*ytAion,pressure tamparature ratings,and identification markings are In accordance with the herein named standards_I huther declare that the rrtirtMrifF4M+c of lluyaa flGr a,b�ulelalf No Ouulliy Control Progr>im tluhir_h etttPnris In RA r:h plant wll0rz fiwiwilpn or_t q s In whole .. .n part ano h-♦A-wn v riflr_rI by. M bmLta ouI6616 fir tlret purpose and I molto this t:olomn decl8fati0nLCQn3Giend0U91y believing it to be true,and IUIOW nrd t ill it is ur trre same torda eno efteet au if muue ul'Ve. watn. Signature of De;darer; tt 0eelerod were me a! _ I �+ 1 4T$; P H I S S P A C E F O R T H E '�t� , I This —�-f---day of AD � _r' " "' `0,A F' C I A L 5 E A L Commissioner or Liams or Notary Public; (sign) (A Official seal to th ng t) Thin Opt3oo for RBg,ulsit AlOr � This regiWation must be revalldawa after r x Use date of n c' F<:CRN: OF12511 , 5 � ,�, Bailers and c Fla#: 2015 r 1Fl t Pressure ales c Ac► FCC1:�TE�'�EC NAtes: �ls r � 1. AN fdtings shall be regnsterea in the name of chC 2. Each category shell oe supponed with two Statutory Decfarstion Forms and one copy or supporting doeumantatlon. I Date !� 3- The oauaration small De made by the person naving full authority and responeioilLty ki Me quAiy of the end produot i Signe 4. Quality control programs shall be resubmRtoo for valloation Chief 1n,.pe..tor at a ma■imurn interval of F,va(5)years- 09-12-'08 09:50 FROCI-ACI CENTRAL INC 9025663133 1-��� tIdLL/IdLS r-ire I vr.vn wore r nvvta r r trcrtt t urttte FWWUPACTUAEAS NAME Krohne-Altometer awNUFacrutteRs AooraES : Kerkeelaat 12, Dordrecht, the Netherlandt3 PLANT LOCAT See above FITI'iNdJS • A Pips fillings,including c4upllrtgs,tees,afbows,Ys,ptugs,unions,pipe cape.or fedueere Proprietary standard supported e Flanges: »II ttaftgea ' C Valves. all IktevaivCa by ASME VIM dlv.1/ASME 0 Expansion joints,narlblo connealona,and hoca assembll%; all types 1331.3 calculailon9 and/or procr E SUZIMQrs,AKers,separators,and steam trope tL'3t9. QMes3wina devices,including pressurt*"as,Oval gaugers,tight glasses,levels,or preeaure ft7namitlsre O Cani led oapaolty-nllvd preasura r"dwtcee acceptable as primary over pTv* um proiadbn on Dollars,pressure veassis.pipkg and fusible plugs H Proseuro totaining component;that do not fall Into one of the above ovtagones N Nualm,campanoM Class 1 O Class 2❑ Meas 3 O, (Meeting AEC13 of AaUE reAukementa) FOWED Q We6eeo 0 WROUGHT a ``,, pperrnrot++u: KROHN� O rUMENTA7 T N THF,ACTUAL MFIV1E TO fp(EREGISTHR11a: Drawings Stresa-celculallone Welding plans WPSMQP Technical dataanaet 011CLARATION: I Jahn van der Graaf _r,,",,1,3)employed by KROHNE Altcaniat6rr and being the person having fill authority and reeponelblNty for ttte quallty of the end product do solemnly declvra that the inforrpstion contained In this form Is true and to the best of my knowledge represents the product for which registration to eought. The dlmer►ylone,materiels of construction,pressure temporaturs renege,and Identiflc4on morkin fa in accordance with the WOO named atendrsrda_I further declare that the menuchrre,of t atedhese fittings is regul Donal Program which e"nds3 to each pleat where fabrication occurs In whole or In part Carta hos been verified ere being sullable for that purpose and I make this solemn declaration conscientiously belleul nit kin Uri®thlal It Is of the sante toree a as if mode under oath. Signature of Declarer: Declared Ketone me at S t 0 'a i �� F O R T H E This 12 th day of_p6bfuary AD_ 2007 E A L Commlaaloner of Ootha or Notary Putllc:(sign) ctal anal to the ri This souse for Regulatory Aut use This registration must be reveildated after ten 00) era VOM the ` �• O F 12 511 .5 Nprillweil GRN: _ Territories REC 1STERED FIRM; 2015 UPtIDER THE AUTHORITY Of THE BOILER AND PRESSURE NOW: VEEL 1. AA fitdngc snarl be registered in the name of the Manufacturer. LIC 2. Each category shall be eupportad with two Statutory Ceolerallom C,A.N forms and one copy of supporting documentation. 3. The declaration ahan be mace Dy the parson having tuil authority ano SI iGNE rooponaibllity for the Quality oft"and product. DjkT A. Quality control programs anal)De reaubminw for v2acauon at a maximum interval of rive(5)years. 09-12-'08 09:50 FROM-ACI CENTRAL INC 9025663133 T-580 F024/028 E-774 e 'AIFOF2M STATUTORY D91CLARATION FOM FOR THE ReOISTRAtQ- OF FITTiNrs OE910N� NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNOtAND ANO LA13RADOR NUMAYUT YUKON NORTHtVeST TPARITORIe& MANUFACTURERS NAME' k9DNN eA T L MANUFACTURERS ADDRt?6S; PLANT LOCATIONS: sm uttaI,eaJ'�aena A Plps Qtttrrye,inotudtng ooupringe,teYa,SMOws,t'e,plugs,u6urw OlOe Caps,or reducers B Ftangae;r. aft epAa C Vaivo fine VAIV valves D tP PWSIOn JOintt,flaWft connecdons,and hooa usembllac �:itf typac b'd f�. ��y�/v.r/ASME is &miner,futon,aeporatom,and etsam traps ®Weesudrq devim,Includtrfg preesun gauges,level gauges,slght planet,Invsls.or �� �&i�� prvasum transmitters aka, '°0iS 44/ 0 Certified capacity-rated pressure mfief devicm acceptable oa primary over pmosure protenion on boners.pressure vessels,piping and fusible plargs (JY P> / -5 H Presses temlaU9 aomponrMta that do not fail tMe aw Or the ahowl gtegottN N Nuclar eomporiaroa Clara t ❑ Class 2 0 Owl 3 0. (Maeft CNBC or ASME requirements SHOW MANU AIDElIARK-OR LOGO AS IT,WILL A l t+ i FO99FO O WE►06a 0 WROUONT 9 ��i Ga9T O 07MaR ❑ KR M n�r a68CWe6 OTMGR; rO gra RMSI&SED: S�►'eL%-Caa�S 7t/a�� p�aaS vl/p51�P lLt2( i OECLARAt N: i ' (0"noc.at Omployed by i _and being the person having full authority and reaponsibility foltil q ity of the and product do solemnly de ere that the ntormatlnn conialned in thla form Is true and to the best Of my knowledge reprewnto the product for whlch raglrtWon Is sought. The diimansioriv,malviale of conetruc6on,pressure temperature ratings,end Identiawflon marktnga ere in aeoordanoa with IN herein named itandardS,I fullner declffa that the manufacture of ttteae airings 19 regulated by a Quality Control Program which tstctasnds to a&&plant where fabrication occurs in whole or 0 part and has bean verified by as being Suitable for that purpoao and I make IN&solomn aclaratfon consdentbuety bokving It to be true,and knowing that 4 is of the same foist and effew as if made under oath. signature of Oeclara. a' Uectared before me at ,ll;S;E T HJS SPACE FOR THE Thle day of AO _`�\: ;;0,19 F'• G I A L S E A Commieclonsr or Oaths = or Notary Public'(sign) Oflkla eoel to IU This cp3Ce for Rigutiko, �o�y us1 Th16 registration must be ravafidated after te. 0)years.ftoth,lh Q epiance. 0712511 ,5 ;!llorthwitsll CRN: lernion rs " Flo# 2015 KiGISTERED i QND�R THE AUTHORITY O� Not": THE.aOII�ER AND PRESSURE t. All fieinge sh311 be registered In the nerve of the fvtanvfocturec. E EL ACTL 2- f ach Oet"Ory 2064100 Supported with two Statutory 4ecrarsUon /f,l / mime and one oopy or iuppo og decumenralton. C.R.N- 3. The deateretton shall de mada ny 0e pdroon Raving full 7utherhy and SIGNl=� resport Iffy for the quailly of the and product, a. QuOlfiy.1^ntral programs snarl by resuomkted roc vsliderion DATE ° gt a maximum Interval of ll(5)yeen, 90ci. Fillings Rav,1 0612003 v� TECHNICAL STANDARDS & Cp6L ST4,yo'4 SAFETY AUTHORITY 14th Floor,Centre Tower T SSA 3300 Bloor Street West Toronto,Ontario ,r��t�AujNoa. Canada M8X 2X4 October 6, 2008 KROHNE ALTOMETER Contact :COR SCHELLARS 1 CIKT 2008 KERKEPLAAT12 3313 LC DORDRECHT DORDRECHT, - 3BSteMd v0®lo NETHERLANDS - Dear Sir/Madam: Re: CRN Number: OF12511.5 I am enclosing the original response from BRITISH COLUMBIA SAFETY AUTHORITY registered under the above mentioned CRN Number. Please do not pay any jurisdictions directly as all jurisdictional fees are handled by TSSA. Once your design has been successfully registered in all of the requested jurisdictions you may receive an invoice from TSSA for any outstanding jurisdictional fees. If you have any questions or concerns please contact me. Notes Yours truly, Anna Sebastiampillai Administrative Support Tel. No.: (416) 734-3423 Fax No.: (416) 231-6183 asebastiampillai@tssa.org "To make people's lives better by enhanching public safety" Visit our web site:www.tssa.org 88 6th Street, Suite 400 Saie'BR s,, COIUMMA New Westminster,BC V3L 5B3 i V Phone:(604)660-6286 A U T 11 O R I TY✓ Toll Free: 1-866-566-SAFE Fax: (604)660-6215 www.safetyauthority,ca Date: September 18, 2008 TECHNICAL STANDARDS & SAFETY AUTHORITY Account#: 35231 14TH FLOOR CENTRE TOWER-3300 BLOOR STREE Journal#: 45483 TORONTO ON M8X 2X4 Our File#: 3867104 Attn: ANNA SEBASTIAMPILLAI Re: Application for Design Registration The design, as detailed in your, TSSA Log # BPV-D-08-04379, for a Fitting is accepted for registration as follows: Registered To: KROHNE ALTOMETER CRN: OF12511.51 Drawing #:VARIOUS DRAWINGS Conditions Of Registration: 1-This registration is for OPTIFLUX 1000 series electromagnetic flow sensors as listed on page 2 of the Statutory Declaration. Amount GST Total Fee for reviewing your design: $144.00 $7.20 $151.20 Total: $144.00 $7.20 $151.20 Less amount received with submission: $0.00 An invoice for$151.20 will follow. $151.20 Contact me if you have any questions. ALIREZA BONAKDAR (604) 660-6239 Alireza.Bonakdar@ safetyauthority.ca Design Engineer cc1 (PROD)30400.20 GST 0:87391 2802 RT0001