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AP_OPTIFLUX 5000__en_CRN_110406__
OPTIFLUX 5000 FL CRN Approval ©KROHNE 09/2010 KROHNE JD IV-,-.,LRooM 9410 - 20 Ave N.W. SLR ? 4 Edmonton, Alberta, Canada T6N OA4 the pressure equipment safety authority TECHNICAL STANDARDS Tel: (780) 437-9100 / Fax: (780) 437-7787 &SAFETY AUTHORITY September 08, 2010 Tanya Francis TECHNICAL STANDARDS & SAFETY AUTHORITY 3300 BLOOR STREET WEST 14 FLOOR CENTRE TOWER TORONTO, ON M8X 2X4 Dear Tanya Francis, The design submission, tracking number 2010-04827, originally received on August 11, 2010 was surveyed and accepted for registration as follows: CRN : OF13998.52 Accepted on: September 08, 2010 Reg Type : New Design Expiry Date: August 04, 2020 Drawing No. : 33158110,113,115 /20599602,702,802 As Noted Fitting Desc: MAGNETIC INDUCTIVE FLOW METERS Design registered in the name of : KROHNE ALTOMETER The registration is conditional on your compliance with the following notes: Per TSSA's note: "Flange material:size 6", 8"and 10"-P235GH(equivalent to SA285 grade A). The rest. 1.4408 per EN10213 (equivalent to A351 Gr.CF8M). Housing material: 1.4408 per EN10213 (equivalent to A351 Gr. CF8M). Ceramic flow tube: FZM Cermet. This registration is valid until the indicated expiry date only if the Manufacturer maintains a valid quality management system approved by an acceptable third-party agency until that date. Should the approval of the quality management system lapse before the expiry date indicated above, this registration shall become void. An invoice covering survey and registration fees will be forwarded from our Revenue Accounts. Enclosed are stamped prints for your reference. Sincerely, -(C FOK, PO, P. Eng. Design Survey Engineer Page 1 of 1 ro-•ri GVViJ-VG Alberta MUNICIPAL AFFAIRS In this space,show facsimile of manufacturer's logo or the pressure equipment safety authority trademark as it will appear on STATUTORY DECLARATION the fitting. Registration of Fittings Honeywell I, Cor Schellaars KR13HNE chief engineer (company title,e.g.vice president,plant manager,chief engineer)(must be in a position of authority) of Krohne Altometer (name of manufacturer) located at Kerkeplaat 12 Dordrecht,The Netherlands,(PO box 110 zip code 3300AC Dordrecht (plant address) do solemnly declare that the fittings listed hereunder,which are subject to the Safety Codes Act (check one) ❑ comply with the requirements of which specifies the dimensions, (title of recognized North American Standard) materials of construction,pressure/temperature ratings and identification marking of the fittings,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, materials of construction,pressure/temperature ratings and the basis for such ratings,and the marking of the fittings for identification. I further declare that the manufacture of these fittings is controlled by a quality control program which has been verified by the following authority, LRQA as being suitable for the manufacture of these fittings to the stated standard. The fittings covered by this declaration,for which I seek registration,are (Meas dev.cat.F) In support of this application,the following information,calculations and/or test data are attached: See page 2 "Statutory Declaration Registration of fittings OPTIFLUX 5000 FL&VersaFlow Mag 2000 FL C/F Papa,, cy x � DECLARED before me at Sliedrecht in the Of r, ;Y O this 30' day of December 2009 (Month) (Year) •� X� ``' i � (print) (Signature of d� (sign) > t sj�e (A issioner for Oaths For Offi l6se Only To the best of my knowledge and belief,the application meets the requirements of the Safety Codes Act and CSA Standard B51,Clause 4.2,and is accepted for registration in Category Registration Number: O F 1 '3 `4 4 8 ' 5 2 PO Y. FOK S E d O p 20 1 n (For the Administrator/C f Inspector of Alberta) Date Registered: ! Ct Y 'Expiry Date: cot 2,o2-,j The information you provide is necessary only for the administration of the programs as required by the Alberta Safety Codes Act and Regulait#in the Boiler Discipline. { I rt � Statutory Declaration Registration.of Fittings OPTIFLUX 5000 FL and VersaFlow Mag 2000 FL Page 2 Revision 3 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 5x00 FL series as well as for Honeywell's VersaFlow Mag 2000 FL series as described within. The OPTIFLUX flow meters will be equipped with the KROHNE Logo, the VersaFlow Mag flow meters will be equipped with the Honeywell Logo. Product model names to be registered include: OPTIFLUX 5300FL/C=TWM 9000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5300FL/F =TWM 9000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5100FL/C=TWM 1000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5100FL/F =TWM 1000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5000FL/F =VersaFlow Mag 2000 FL/F For above listed models names,we are applying for Flanged type of fitting for sizes: 1/2 1", 251, 355, Full rating 300 LBS. 1" 1.51,2", 39', 4", Full rating 150 LBS flanges 6", 8" 150 L13S flanges,MWP 10 bar 10" 150 LBS flanges,MWP 6 Bar. Design standard, stress calculation and all materials for all parts including Tube,wall thickness etc.used to manufacture VersaFlow Mag 2000 FL are identical to the OPTIFLUX 5300 FL, OPTIFLUX 5100 FL and OPTIFLUX 5000 FL. Maximum Working pressures/Temperatures/Sizes/Class are also identical between these two models. The only difference between the VersaFlow and the OPTIFLUX are as follows: 1 Model name number on the name plate will be VersaFlow Mag 2000FL. 2. Paint scheme 3. The trade name will be Honeywell on the VersaFlow Mag product name plate. Both Product model series are manufactured by the same KROHNE manufacturing facility. 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. _ 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. The Ceramic flow tubes are hydrostatically tested (Third p �•�1lealalerl�ing pressure is determined as 1/10 of the witnessed hydrostatic ltest+LBERTA Attachments 1. Flow tube DN 15 draw. 33158110C 2. Flow tube DN 25 draw. 33158111E PROVINCE OF �.t_��=?"�`, SAFETY CODS,.: r.t:T 3. Flow tube DN 40 draw. 33158112D RE04STRATION OF FI-MitGS 4. Flow tube DN 50 draw. 33158113D 5. Flow tube DN 80 draw.FZ 3315811400E REUSXAA�I N ►`�• ..Q..'.. .. ..2.g... ..'...5.. 6. Flow tube DN 100 draw. 33158115D 4- 7. Flow tube DN 150 draw.20599602H DWG. Na (x • ••• •••- -�-•• •• ••--•• ••• 8. Flow tube DN 200 draw.20599702H .� rrll 9. Flow tube DN 250 draw.20599802I TYPE OF FITTING /!* _`. 10. GA Draw. DN 1/2" 150 lbs 73097516 SEP 0 8 2010 11. GA Draw. DN 1" 1501bs 73097510YR 410 ^ CIALS r— .............................. 12. GA Draw. DN 1,5" 150 lbs 73097511 �� Y. ;E� 13. GA Draw. DN 2" 150 lbs 73097509 DC3310N SUr;�. IY EiMCIt�:.EA 14. GA Draw. DN 3" 150 lbs 73097508 15. GA Draw. DN 4" 150 lbs 73097505 16. GA Draw. DN 6" 150 lbs 73030463A . y 17. GA Draw.DN 8" 150 lbs 73030461A 18. GA Draw. DN 10" 1501bs 73 03 0466. 19. GA Draw. DN 1/2" 300 lbs 73097516 20. GA Draw. DN 1" 300 lbs 73097524 21. GA Draw. DN 2" 300 lbs 73097525 22. GA Draw. DN 3" 300 lbs 73097526 23.Flange DN 1" 150 lbs 33158001A 24.Flange DN 1,5" 150 lbs 33158002A. 25.Flange DN 2" 150 lbs 33158003A 26.Flange DN 3" 150 lbs 33158004A 27.Flange DN 4" 150 lbs 33158005A 28.Flange DN 6" 150 lbs 30705000T 29.Flange DN 8" 150 lbs 30705100T 30.Flange DN 10" 150 lbs.30705201T 31.Flange DN %2" 300 lbs 33158010 32.Flange DN 1" 300 lbs 33158011 33.Flange DN 2" 300 lbs 33158013 34.Flange DN 3" 300 lbs 33158014 35.Housing DN 15 draw. 33158201 36.Housing DN 25 draw. 33158210A 37.Housing DN 40 draw. 33158211A 38.Housing DN 50 draw. 33158204A 39.Housing DN 80 draw. 33158212A 40.Housing DN 100 draw. 33158206A 41.Housing DN 150 draw. 3071220095K 42.Housing DN 200 draw. 3071220095K 43.Housing DN 250 draw. 3071220095 K 44. ISO 9001 2008 KROHNE Altometer certificate 45.KROHNE Altometer Quality manual. 46. CRN Witnessing report ceramic tubes. End of page 3. 4 -FI3998 , 52 SEP082010 `,kL s7.4y TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will SAFETY AUTHORITY appear on the fitting,in the space below T rJ $ A 14th Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario ~Ffty AU*t Canada M8X 2X4 KR O H N E Honeywell 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 0031 78 630 6354 (Plant Address) (Telephone No.) (Fax No.) ❑ do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and Safety Act, 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,identffication 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 VI II div.1 /ASME B31.3 as supported bythe 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 ver'rfied by the following authority, LQRA 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 followinq information and/or test data are attached as follows: See page 2 of Statutory Declaration Registration of Fittings Optiflux 5000 FL/VersaFlow Mag 2000 FL C/F (drawings,calculations,test reports,etc.) , sc: $% Declared before me at Sliedrecht in the of Y O` the 30th day of December AD 20 09 Y. y '� Commissioner for Oaths: +�;, ` \C;_ccL'Aµp 1 r" ed name) "'�, SI-ke — ature) (Sign of Declarer) FOR OFFICE USE ONLY Boilers and To the best of my knowledge and belief,the application meets the requirements of the Standards Pressure Vessels and 50Yety Safe Pro Technical Standards and Safety Act,Boilers and Pressure Vessels_Regulation,and Authority gram. CSA Standard B51 and is accepted for registration in Category r CRN: O F 1 3C?qst• �3 REGISTERED Registered by: 'V d MA K N!�?A 1 F 13 �1 O•13 C.R.N.:................�....?............... Dated: . 4, '1010 NOTE: This registration expires on PV 09553(06/04) N o T G =-I V-N 4 Ma c 2�aL= 5 I Z C �� 8'�r cGv D I c� P�3 S 6H(G&t,I VA Lt=N T i d SAZFS 4 ak&* A),THF- F-Me-Tc I.4.40E PEQ 2—N toZt3 (E&uIVALC--&i N. N . Co A351 6iP-. GFBM). NoUSINE M4Tr--L"A.L= (.44og � � toZ(S Qat�. 4,zvto (6<utVA1-GNT To A3S1 6R. C 8M 'FzM CE1ZM�� F )• GE�t�.lrC. PLOWTuB� = &"0 5[rC PAL- 2- :W d 3 A-rrA LfIED. Statutory Declaration Registration of Fittings OPTIFLUX 5000 FL and VersaFlow Mag 2000 FL Page 2 Revision 3 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 5x00 FL series as well as for Honeywell's VersaFlow Mag 2000 FL series as described within. The OPTIFLUX flow meters will be equipped with the KROHNE Logo, the VersaFlow Mag flow meters will be equipped with the Honeywell Logo. Product model names to be registered include: OPTIFLUX 5300FL/C =TWM 9000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5300FL/F=TWM 9000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5100FL/C=TWM 1000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5100FL/F =TWM 1000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5000FL/F =VersaFlow Mag 2000 FL/F For above listed models names,we are applying for Flanged type of fitting for sizes: 1/2 1", 2", 3", Full rating 300 LBS. 1" 1.5",2", 3", 4", Full rating 150 LBS flanges 6", 8" 150 LBS flanges, MWP 10 bar 10" 150 LBS flanges,MWP 6 Bar. Design standard, stress calculation and all materials for all parts including Tube, wall thickness etc.used to manufacture VersaFlow Mag 2000 FL are identical to the OPTIFLUX 5300 FL, OPTIFLUX 5100 FL and OPTIFLUX 5000 FL. Maximum Working pressures/Temperatures/Sizes/Class are also identical between these two models. The only difference between the VersaFlow and the OPTIFLUX are as follows: 1 Model name number on the name plate will be VersaFlow Mag 2000FL. 2. Paint scheme 3. The trade name will be Honeywell on the VersaFlow Mag product name plate. Both Product model series are manufactured by the same KROHNE manufacturing facility. 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. 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. The Ceramic flow tubes are hydrostatically tested(Third party TUV). The allowable working pressure is determined as 1/10 of the witnessed hydrostatical test pressure. Attachments 1. Flow tube DN 15 draw. 33158110C 2. Flow tube DN 25 draw. 33158111E 3. Flow tube DN 40 draw. 33158112D 4. Flow tube DN 50 draw. 33158113D THIS IS PART OF 5. Flow tube DN 80 draw. FZ 3315811400E C R N or- 6. Flow tube DN 100 draw. 33158115D 7. Flow tube DN 150 draw.20599602H Technical Standards&Safety Authorily 8. Flow tube DN 200 draw. 20599702H Boilers & Pressure Vessels 9. Flow tube DN 250 draw. 20599802I Safety" 4 10. GA Draw. DN 1/2" 150 lbs 73097516 11. GA Draw. DN 1" 150 lbs 73097510 12. GA Draw. DN 1,5" 150 lbs 73097511 13. GA Draw. DN 2" 150 lbs 73097509 14. GA Draw. DN 3" 150 lbs 73097508 15. GA Draw. DN 4" 150 lbs 73097505 16. GA Draw. DN 6" 150 lbs 73030463A s 17. GA Draw. DN 8" 150 lbs 73030461A 18. GA Draw. DN 10" 150 lbs 73030466. 19. GA Draw. DN%2"300 lbs 73097516 20. GA Draw. DN 1" 300 lbs 73097524 21. GA Draw. DN 2" 300 lbs 73097525 22. GA Draw. DN 3" 300 lbs 73097526 23.Flange DN 1" 150 lbs 33158001A 24. Flange DN 1,5" 150 lbs 33158002A. 25. Flange DN 2" 150 lbs 33158003A 26.Flange DN 3" 150 lbs 33158004A 27.Flange DN 4" 150 lbs 33158005A 28.Flange DN 6" 150 lbs 30705000T 29.Flange DN 8" 150 lbs 30705100T 30.Flange DN 10" 1501bs.30705201T 31.Flange DN %2" 300 lbs 33158010 32. Flange DN 1" 300 lbs 33158011 33. Flange DN 2" 300 lbs 33158013 34. Flange DN 3" 300 lbs 33158014 35. Housing DN 15 draw. 33158201 36.Housing DN 25 draw. 33158210A 37.Housing DN 40 draw. 33158211A 38.Housing DN 50 draw. 33158204A 39.Housing DN 80 draw. 33158212A 40.Housing DN 100 draw. 33158206A 41.Housing DN 150 draw. 3071220095K 42.Housing DN 200 draw. 3071220095K 43.Housing DN 250 draw. 3071220095 K 44. ISO 9001 2008 KROHNE Altometer certificate 45. KROHNE Altometer Quality manual. 46. CRN Witnessing report ceramic tubes. End of page 3. THIS IS PART OF C R N dF 139?e. 5 Technical StU-nduids&61nAiwy huthorit, Boilers & Pressure Vessels TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will �j�'�"'� appear on the fitting,in the space below SAFETY AUTHORITY .� S A 14th Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario Honeywell �Ffry AutN°� Canada M8X 2X4 [KR::O:HNE I 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 0031 78 630 6354 (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 ASME VI II 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, LQRA The items covered by this declaration,for which I seek registration,are category m eas.dev.Cat.F type fittings. In support of this application,the followinq information and/or test data are attached as follows: See page 2 of Statutory Declaration Registration of Fittings Optiflux 5000 FL/VersaFlow Mag 2000 FL C/F (drawings,calculations,testreports,etc.) / �y Sliedrecht f �. cc Declared before me at in the F Z of rr 'r,. ), V% Vo the_ 30th day of December AD 20 09 Commissioner for Oaths: ;a / � r; fired name) yyy,,, w` vtit0 V Signature) (Signature of Declarer) FOR OFFICE USE ONL Y To the best of my knowledge"and belief,the application meets the requirements of the Technical Standards and Safety Act,Boilers and Pressure Vessels Regulation,and • CSA INTERNATIONAL CSA Standard B51 and is accepted for registration in Category C /� / REGISTERED /� CRN: (_�5A -�E 1390 S 1! C.R.N.:LSA— F 13 2 5 fo Registered by: - ►�G1�I,u.�(l'rr� Vu} JJ -d- Signed: 1k1"Gl►"` Dated: 27 .. qpj Q Date: 2 O NOTE: This registration expires on 178 Rexdale Blvd.,Toronto,ON M9W 1R3 PV 09553(06/04) �,O - Aa— e W+e•t14 S,` f p�' ,A 10 c� P 2-3 �•r / r1 2.1 i �� / O / �(..� � 1. �� cl0 SA 2SS-�tr fl) �e tr�� >•�1(I ra�,ecy- F7i�►o 2t 3 C�cjju�� �•t'f- ,to r- cr`dM). l cw+S; r�c� a 1 t,'kL4C ca, CT � �ujv�e,�%�- o �'�S C �, C��J''�� C t2�Al tC �]�� Ug� Statutory Declaration Registration.of Fittings OPTIFLUX 5000 FL and VersaFlow Mag 2000 FL Page 2 Revision 3 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 5x00 FL series as well as for Honeywell's VersaFlow Mag 2000 FL series as described within. The OPTIFLUX flow meters will be equipped with the KROHNE Logo,the VersaFlow Mag flow meters will be equipped with the Honeywell Logo. Product model names to be registered include: OPTIFLUX 5300FL/C=TWM 9000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5300FL/F=TWM 9000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5100FL/C=TWM 1000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5100FL/F=TWM 1000 F +VersaFlow Mag 2000 FL/F �i OPTIFLUX 5000FL/F=VersaFlow Mag 2000 FL/F For above listed models names,we are applying for Flanged type of fitting for sizes: %2 155, 2"5 3", Full rating 300 LBS. l" 1.5",2", 3", 4", Full rating 150 LBS flanges 6", 8" 150 LBS flanges,MWP 10 bar 10" 150 LBS flanges,MWP 6 Bar. Design standard, stress calculation and all materials for all parts including Tube,wall thickness etc. used to manufacture VersaFlow Mag 2000 FL are identical to the OPTIFLUX 5300 FL, OPTIFLUX 5100 FL and OPTIFLUX 5000 FL. Maximum Working pressures/Temperatures/Sizes/Class are also identical between these two models. The only difference between the VersaFlow and the OPTIFLUX are as follows: 1 Model name number on the name plate will be VersaFlow Mag 2000FL. 2.Paint scheme 3. The trade name will be Honeywell on the VersaFlow Mag product name plate. Both Product model series are manufactured by the same KROHNE manufacturing facility. 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. 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. The Ceramic flow tubes are hydrostatically tested(Third party TUV). The allowable working pressure is determined as 1/10 of the witnessed hydrostatical test pressure. Attachments 1. Flow tube-DN 15 draw. 33158110C 2. Flow tube DN 25 draw. 33158111E- 3. Flow tube DN 40 draw. 33158112D 4. Flow tube DN 50 draw. 33158113D 5. Flow tube DN 80 draw.FZ 3315811400E QANAm" STAIDARN• 6. Flow tube DN 100 draw. 33158115D Alf0Q1Ai1NN 7. Flow tube DN 150 draw.20599602H 8. Flow tube DN 200 draw.20599702H ATTAGIM WM 9. Flow tube DN 250 draw.20599802I 10. GA Draw.DN Y2" 150 lbs 73097516 CRN _C SA 0- 13 29 g .5L- 11. GA Draw. DN 1" 150 lbs 73097510 12. GA Draw. DN 1,5" 150 lbs 73097511 SIGNED '- 13. GA Draw. DN 2" 150 lbs 73097509 IMS%X;.ieeow.,,,,dia cu,ON Cmwds M W1Rs 14. GA Draw. DN 3" 150 lbs 73097508 15. GA Draw. DN 4" 150 lbs 73097505 16. GA Draw. DN 6" 150 lbs 73030463A 17. GA Draw.DN 8" 150 lbs 73030461A 18. GA Draw.DN 10" 150lbs 73030466. 19. GA Draw.DN 1/2"300 lbs 73097516 20. GA Draw. DN 1" 300 lbs 73097524 21. GA Draw.DN 2" 300 lbs 73097525 22. GA Draw.DN 3" 300 lbs 73097526 23.Flange DN 1" 150 lbs 33158001A 24.Flange DN 1,5" 150 lbs 33158002A. 25.Flange DN 2" 150 lbs 33158003A 26.Flange DN 3" 150 lbs 33158004A 27.Flange DN 4" 150 lbs 33158005A 28.Flange DN' 6" 150 lbs 30705000T 29.Flange DN 8" 150 lbs 30705100T 30.Flange DN 10" 150 lbs.30705201T 31.Flange DN V2"300 lbs 33158010 32.Flange DN 1" 300 lbs 33158011 33.Flange DN 2" 300 lbs 33158013 34.Flange DN 3" 300 lbs 33158014 35.Housing DN 15 draw. 33158201 36.Housing DN 25 draw. 33158210A 37.Housing DN 40 draw. 33158211A 38.Housing DN 50 draw. 33158204A 39.Housing DN 80 draw. 33158212A 40.Housing DN 100 draw.33158206A 41.Housing DN 150 draw. 3071220095K 42.Housing DN 200 draw.3071220095K 43.Housing DN 250 draw.3071220095 K 44.ISO 9001 2008 KROHNE Altometer certificate 45.KROHNE Altometer Quality manual. 46. CRN Witnessing report ceramic tubes. End of page 3. UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME:, Krohne Altometer MANUFACTURERS ADDRESS: Kerkeplaat 12, Dordrecht, the Netherlands i PLANT LOCATIONS: See above j 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 Properitary Standard B Flanges: all flanges supported by C Valves: all line valves I D Expansion joints,flexible connections,and hose assemblies: all types ASME VIII div. 1/ E Strainers,filters,separators,and steam traps rF Measuring devices,including pressure gauges,level gauges,sight glasses,levels,or ASME B31.3.calculations pressufF transmitters and/or proof tests 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 AECB or ASME requirements) SHOW MANUFACTURERS NAME TRADEMARK OR LOGO AS IT WILL APPE R ON THE PRODUCT TYPE OF CONSTRUCTION I FORGED❑ WELDED � WROUGHT iT, CAST ID OTHER O DESCRIBE OTHER: 7R03 N El Hone wuell j r LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: See page 2 i "Statutory Declaration Registration of fittings OPTIFLUX 5000 FL r versaFlow Mag 2000 FL C/F " i i DECLARATION: John van der Graaf (seanoie3)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 iissought. The dimensions, materials of construction, pressure temperature ratings,and identification markings are in ae rd nc with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Quality's tr Program which extends to each plant where fabrication occurs in whole or in part and has been verified b as being suitable fo£r tt tpuf.p a anted I make this solemn declaration conscientiously believing it to be tru -' Howl that it is of the same force anajeffecfW�s_�frfnadd0;wnder oath. Signature of Declarer: Declared before me at S1' reg2i U S E F,H I k�' .r•�= •A;:;,�,�E'} i R T H E This 30th dayof Deceryher AD 2009 fl"Y F'&. `1 IL 0_'. Commissioner of Oaths /f�/ i , �;:. •G i/� or Notary Public: (sign) iys , ff Official seal to the right) x`:«~ This space for Regulatory Authority use w-r' 1 t-" ' "'` ' g ( )Y c r t �tACT .0 ��`I tP'IP;p.=, This registration must be revalidated after ten 10 ears fr ti tWTbe. CRN: O F 13 9 9 8 .5 REGiSTRMON OMLY FID#: 2015 R © i3y9Z,5'1 Notes: EXMINER: 1. All fittings shall be registered in the name of the Manufacturer. *Or 2. Each category shall be supported with two Statutory Declaration CHEF BoiLER wSPEMR forms and one copy of supporting documentation. ,ate�'/ IG� D 3. The declaration shall be made by the person having full authority and h�143E: V responsibility for the quality of the end product. A. Quality control programs shall be resubmitted for validation 13L93 El Pft at a maximum interval of five(5)years. UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDL.AND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME:' xrohne Altometer MANUFACTURERS ADDRESS: Rerkeplaat 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 Properitary Standard 8 Flanges: all flanges supported by C Valves: all line valves D Expansion joints,flexible connections,and hose assemblies: all types ASME viii div. 1/ E Strainers,fitters,separators,and steam traps 7easuring devices,including pressure gauges,level gauges,sight glasses,levels,or ASME B31.3.calculations pressufi-transmitters and/or proof tests G Certified capacity-rated pressure relief devices acceptable as primary over pressure prolaction 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) 5 OW ANUFACTIJRERS NAME TRADEMARK OR LOGO AS 1T WfLL APPE R ON THE PRODUCT TYPE OF CONSTRUCTION FORGED❑ WELDED df WROUGHT E3- {� © ■■ CAST ❑ OTHER ❑ RO NE �fou�eywel DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED• See page 2 ,,statutory Declaration Registration of fittings OFTIFLUX 5000 FL VersaFlow Mag 2000 FL C/F DECLARATION: I John van der Graaf (see riots 3)employed by XROHNE 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 i��yght, The dimensions, materials of construction, pressure temperature ratings,and identification markings are in ae 5Iian�with the herein named standards. I further declare that the uall manufacture of these fittings is regulated by a Qty' it Program which extends to each plant w Iere fabrication occurs in whole or in part and has been verified by L RA as being suitable foofa P e" a• d I make this solemn declaration conscientiously believing it to be tr�a gnaw) that)t is of the same force a6d"'eeffect 'fi�a nder oath. nSignature of Declarer: ) Y� '•' , �� 'C' 1,;"b r Declared before me of s1' re USE HIS. SE ;F R T H E 30th Dec er 2009 1 � t` z' '} This day of AD b'1= FLe �I; =�L 1 L ,.. Commissioner of Oaths or Notary Public:(sign) Official seal to the right) �& This space for Regulatory Authority us el GOVERNMENT OF This registration must be revalidated after ten(10)years fro �ttlet$rbf;acc?ptOp(AND ecc+ 1f dC1C AND LABtRADOR CRN: O F 13 9 9 8.5 Lafwactor rt nent of 2015 Go�m m meM Saosa F1D#: Registered Date 1 Z Notes: GOVERNMENT SE. ES CENTRE 1. All fittings shall be registered In the name of the Manufacturer, E ngineerinq a d l on Services 2. Each category shall be supported Wth two Statutory Declaration forms and one copy of supporting documentation. Registered by 3. The declaration shall be made by the person having full authority and UNDER THf_=AOT iC ?f3Y C)F THE responsibility for the quality of the end product. fill C SAFE TY AC T/\Nta 4. Quality control programs shall be resubmitted for validation lri*430II 1:'t�, t'fti <;ty a(s maximum interval of five(5)years, L'co"Y#'i fs EQ-1,-�H;4TQN k Statutory Declaration Registration.of Fittings FTD: 2015 998.6PTIFLUX 5000 FL and VersaFlow Mag-.2000 .FL Page 2 Revision 3 On behalf ofKROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 5x00 FL series as well as forHoneywell's VersaFlow Mag 2000 FL series as described within, The OPTIFLUX flow meters will be equipped with the KROHNE Logo,the VersaFlow Mag flow meters will be equipped with the Honeywell Logo. Product model names to be registered include: OPTIFLUX 5300FL/C=TWM 9000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5300FLT=TWM 9000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5100FL/C=TWM 1000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5100FLT=TWM 1000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5000FL✓F=VersaFlow Mag 2000 FL/F r` For above listed Models names, we are applying for Flanged type of frttu)g for sizes: 1", 2",3", Full rating 300 LBS. 1"1.5",2",3",4", Full rating 150 LBS flanges 6", 8" 150 LBS flanges,MWP 10 bar 10" 150 LBS flanges,MWP 6 Bar. Design standard, stress calculation and all materials for all parts including Tube, wall thickness etc. used to manufacture VersaFlow Mag 2000 FL are identical to the O.PTTFLUX 5300 FL, OPTIFLUX 5100 FL and-OPTIFLUX 5000 FL. - Maximum Working pxessures/Temperatures/Sizes/Class are also identical between these two models. The only difference between the VersaFlow and the OPTIFLUX are as follows: I Model name number on the name plate will be VersaFlow Mag 2000FL. 2.Paint scheme 3.The trade mane will be Honeywell on the VersaFlow Mag product name plate. Both Product model series are manufactured by the same KROHNE manufacturing facility. 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. 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. Bach letter of these product names are defined:F=field, signal converter rem6tely connected by electrode/coil cable to flow-tube; C=Compact, signal converter attacheddirectly to flow-tube. The Ceramic flow tubes are hydrostatically tested(Third party TUV). The allowable working pressure is determined as 1/10 of the witnessed hydrostatical test pressure. Attachments I. Flow tube-DN 15 draw. 33158110C GOVERNMENT OF 2. Flow tube DN 25 draw. 33158111E- NEWFOUNDLAND 3. Flow tube DN 40 draw. 33158112D actor CA�ND LABRADOR at 4, Flow tube DN 50 draw, 33158113D Govemrrmnit Nw+ 5. Flow tube DN 60 draw.FZ 3315811400E Registered Q 5 L 6. Flow tube DN 100 draw. 33158115D Wto 2C;IQ I 1A 124 ...._._ 7. Flow tube DN 150 draw. 20599602H GOVERNMENT SERKESCENTRE S. Flow tube DN 200 draw. 20599702H Engineering a T an Services 9, Flow tube DN 250 draw,205998021 Registered by 10, GA Draw. DN " 150 lbs 73097516 UNDER i t-+E auTH ITY of THE 11, GA Draw. DN 1" 1501bs 73097510 PLJBI iC SAFE rY crAND 12, GA Draw. DN 1,5" 150 lbs 73097511 TfIE BOIL r=F?•°'�'F °'IRE VESSEL AND COMPRESSED r,Jia N.FG01 ATIONS 13, GA Draw. DN 2" 150 lbs 73097509 �- 14. GA Draw, DN 3" 150 lbs 73097508 15. GA Draw. DN 4" 150 lbs 73097505 16. GA Draw. DN 6" 150 lbs 73 03 04 63A 17. GA Draw, DN 8" 150 lbs 73 03 046 1A 18. GA Draw,DN 10" 150 lbs 73 03 046 6. 19. GA Draw,DN'/2" 300 lbs 73097516 20. GADraw.DN. 1" 300 lbs 73097524 21. GA Draw,DN 2"300 lbs_73097525 22. G.A.Draw.DN 3"300 lbs 73097526 23,Flange DN 1" 150 Ibs 33158001A 24.Flange DN 1,5" 150 lbs 33158002A. 25.Flange DN 2" 150 lbs 33158003A 26.Flange DN 3"150 lbs 33158004A 27,Flange DN 4"150 lbs 33158005A 28.Flange DN 6"1501bs 30705000T 29.Flange DN 8"150 lbs 30705100T 30.Flange DN 10" 150 lbs.30705201T 31.Flange DN%"300 lbs 33158010 32.Flange DN 1" 300 lbs 33158011 33.Flange DN 2"300 lbs 33158013 34.Flange DN 3"300 lbs 33158014 35.Housing DN 15 draw, 33158201 .36.Housing DN 25 draw. 33158210A 37.Housing DN 40 draw. 3315821IA 38.Housing DN 50 draw. 33158204A 39.Housing DN 80 draw. 33158212A 40,Housing DN 100 draw.33158206A 41.Housing DN 150 draw-3071220095K 42.Housing DN200 draw. 3071220095K 43.Housing DN 250 draw.3071220095 K 44.ISO 9001 200 8 K.ROHNE Altoineter certificate 45.KROHNB Altometer Quality manual. 46. CRN Witnessing report ceramic tubes. End of page 3. CRN : OF13998.5 covf_fzN�nF_N r OF FID : 2015 x/�! NEWT 1? N,N,'), MD E'W�Ulli)4�{c111(� AND tlsE,F;F,E.)OFt � QQ� � wiCP.S 60 Req Da!P Fngiru.eiinyWRegls!cred byUNI)1:1? 1 F Y Of 1 HE f'UF?! 14I AN[� THE BOIL-1,R. VFSSEI AND F?f Cj(JLAIIONS Huu—C�—Cu i u wnu u4.u l rl1 C.LCU/11L.Vrl rWJ rnn rru, uv i u i iu i t i r , v i nuv/ 10/Zulu/ Inu u[:j4 rm 81,1 I✓t1V1XRL, FAX N,)• 902-5663133 P. 017 UNIFORM STATl,1TORY 12EC RATION FORM FOR TME1REGtSTRATION OF FITTINO—REVON13 NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOIJNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES UFACTURERS �;' Krotuap Ali:emeter MANU ACTURERS ADo S; X.erkap�.&at 12, Dordrecht, the Nethwelandes PLANT OCATIONS: Sae above TO B TEOOIrY QJ�,x N A Pipe fdUnga,Including oouplln9a,loos,elbows,Ya,plugs,unions,pipe caps,or►adwxrs Yroneritnry Standard 13 rlanpa;: all flanp■a Supported by C Valves: all Ilna valves 0 Expansion Joints,fexible connnrtlona,and hose:auombliea: All types ASME Vx11 div, 1/ E Stralnern,fillers,evperatom,and oteam traps ASME 1191.3.calculations rF Maeruring dovlast,Including preeou►a Dauges,level peugos,tight glasses,levals,or pnasurc Iranemltte►s and/or proor tests O Certlf1ed capacity-rased presoure relief devless acceptable as prlmery over preGsury protection an bolla►e,p►e"M veeaalo,piping and fusible plugs H Presawe n telnlnp components that do not fall Into one of the above oategories N Nuolaer oompohents: Class 10 CIaw 2 n Clam 3 0, (Meeling AP-CB or ASME►equlr■monts) 7—P&96 r S LO o P bu R31JULD O WELoob IN WROUGHT[3- C AY O OY11rin D NE Hong � ell UC3careeoTN�R IF o 1 � CMS ,Statutory Aoclatrmtion RagiSrration of fittings OFT1FLUX 5000 rL i ver&&Vlow nag 2000 rL VF " D6CLA ION: John van der oraaf bear,,,.,)employed by XRO Altaanetax and being the person having full allthodty and r¢sponsiblllty for the quality of the end productt do solemnly declare that the infonTTation contained In lhla form Is true and to the beat of my knowledge raprMnts the product for which registMODn 1Is ught. The dlmellelmns,Mat0n816 of Constr4d1011, prea5ure: tompersturs ratings,and idantiftration Morkings are In a Itwith the herein named standards. I further declare that the mpnutectum of those flftlnDe is regulated by ad Qua rogram which extends to each plantV11pre imbrication acCurs in whole or In parl and nas been vertAed by LOAA ao being suilable fa > 3 d I make this eoletnn declaration consalentlously believing It to be t rowi that It Is of the same forme leffE18 tit . der oath, Signature of Dadarer l t 08014red before me at sl a U S E H I „ .;r,• 1 IF R T H E Thle 30th day of Deoe er AD 3009 Fraj?; r J� L Commleaionor of Oaths or Notary Public: (sign) OflMolal Zeal to the right) a apace for Radulatory AuthD u so This registration must be revalldated after ten(10) sm from the ptan CRN: OF13998.5 meet"�$t / y FID#: 2015 REGISTERED UNDER THE AUTMORITY OF Noter THE BOILER AND PRESSUM 1, All 11filnpa shell be reMatered in thanama of the Monuleotufer. VE$ AtL`r' 2. Each category sholl be Supposed With two Statutory Dodarellon lbrrm and one oopy of suppofting dccumenlmllon. 3. The doolersdan shall be made by the person hevinp full authodly and SK114E ruponelbllity for the quality of the end product. 4, Quality Control prooroma shall be reaubmitlert for validetlon ATE at a maximum Interval of five(5)yeere• 08/26/201b Lb: 4b ----- --, — -- UNIFORM STATUTDRY DECLARATION FORM-FOR lCORM-FOR THE REGISTRATION DF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR N UNAVUT YUKON NORTHWEST TERRITORIES F NUFACTURERS NAME.' Erohne Alcomot:ar NUFACTURERS ADDRESS: nerke171aat 12, Dordrecht, the Netherlands NT LOCATIONS: See above CATEGgRY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEOORY ONE Y 'oZzff sr&NPAl3IL.ECON9TRUGTIUj9 A Pipe fillings,including couplings,Ibes,elbows,Ys,plugs,unions,pipe caps,or reducers F'roperitaa.7 stnradttrd S Flanges: all flanges supported bar C Valves all line valves A Expansion Joints,flexible connections,and hose essemblles: all types ASM£ VxxS div. 1/ G Stralnem,filters,soparstors, and steam traps r Measuring devices,Including pressure gauges,level gauges,sight glasses,levels,or ASME 831.3_ce]eulations I pressure tranamltters and/oz proof, tests i G Csrlified eapacl(y-rated pressure relief devices acceptable as primary over pressure protection on boilers,prassuro vessels,piping end fusible plupa i H Pressure retaining components Ihet do not fall Into one of the above celegorle3 N Nucieanoomponents: Class 1 O Class 2 C) Clew 3 O, (Meeting AECB or ASME requirements) SHD CTtJ•�ME T DEMARK OR LOG QS IT_kV l-APPE R ON THE PRODUCT r ucTioN FORGED❑ WELOEn LK WROUGHT ❑AST ❑ OTHER ❑ OESCRIaE OTHER: KRUH-3NE Holing,/well i LIST DF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL.ITEMS 70 BE_I36GI5TERED: Sac pragc 2 "Statutory Declaration Fetlistration of fittings OPT-TFLUX 5000 FL I versap1ow Ma.g 2,000 FL C/r " DECLARATION; John van der Graaf (m ncir 3)employed by T(Romz Al ttomat er 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 reglatratlon Is light. The dimensions,materials of construction, pressure temperature ratings,and Identification markings are In p� I'�n with the herein named standards. I further declare that the manufacture of those fittings Is regulated by a Quell) G I Program which extends to each plant wb,era fabrication occurs in whole or in pars and has boon verified by z RA as being suitable fo .. .F ind I make this solemn declaration conscientiously believing i�be trw, rI'crowl that II Is of the same force tSdteffect t fner��,wrider oath, Signature of Declarer; Declared before me at p aJr, i sl,i,et�reGti USE H I S�.�����%� � ,IF R T H E This 3Dth day of D110073'5ar AD 2009 )F (� i' ''ji�'��� /�� � L Commissioner of Oaths �/, •- X ,� ��,,, { , a� or Notary Public:(sign) f Ofriclef semi to the right) Tnis space for Regulatory Authority use p R 5 S U p This roglstration must be rovalidgled after ten(10)year.; qm ateacce CRN; OF13998 .5 0�' FIL* 2015 '� Date--�����`-�>t�--• � C,R.N. ._ 8............. Notes: LL 1, All fillings shall be raglslored In tho name of tho Manufacturer, DW d ---------- 2, Each category shall be;upporled with two Statutory Declaration forms:Ind one copy of supporting documentation. Signed Pi 3. The declaration chill be made by the parson having full nulhorlty and - -- - responslblltly for the quality of the end product. qC - �`7 4. Quality control programs shell be resubmitted for validation j --- - 0 f '-1'-' p at a maximum interval of five(6)years, B Part S REGU � P ,UNIFORM STATUTQRY DECLARATION FORM rOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND tABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFAC U ERSNAME:' lcrohns Altometer MANUFACTURERS ADDRESS: xo )ceplaac 12, nordreehr, r_he Netherland& PLANT LOCATIONS; see above ram]EGOf3Y QF FITTINO�TQ B6 REGISTER��ClRGLE QyF_rrATEGORY ONLY A Plpo fittings,Including couplings,tees,elbows,Ys,plug; unions,pipe caps,or roducera Pzopexitasy Standard 9 Flanges: $11Il9ngeS suDpvzted by C valves: all line valves D Expansion)olnte,flexible connections,and hose assemblies: all types A6MS V111 div, 2/ E Stralnera,fillers,separalore.and steam traps rF Measuring devices.Including pressure gauges,level gauges,Sigh(glas&a6,levels,or ASME B31.3.calculations pressuWirensmltlers and/or, proof teztn G certmod c2DDcltyraled pressure relief devices acceptable a$primary over pressure protection on bollers,pressure vessels,piping and fusible plug H Preeauro rotaining components that do not fall Into one of tho above r:ategode& N Nucluarcomponann: Glass 1 0 Class 2 0 Class 3 D, (Meeting AECB or ASME requirements) S FACTupERS_NAME.TFtADEMARK,OR_L GO AS IT WILL APPE FLON THE PROQUCT 7rVP or MYNA FORaro o wLLDLD vviiOUCHT far. ! CAST D OTHeR O KROH _E Honeywell 1:11CSCRIoeo7HER LIST OF SUPPORTING DOCUMENTAL 11:1,Np T 'I>i.GATIQN QE THE ACjUA�EN►a IQ PE REG157.E see page 2 "Statutory vocl..nration Registration of fittings OPTZFLUX 15*000 PL k vernarlow Maq p000 FL C/F I DECLARATION: I Joh:r van der greaf f...,,.si employed by KROKNt Altometer and being the person having full authority and responsibility for the quality of the and product do solemnly declare that the information contained in this form Is true and to the beat of my knowledge i epresents the product for which regletralion i,-,,,'pght, The dimensions, materials of construction, pressure temperature ratings,and Identtfirallon markings ore Ina/ id/" with the herein named standards. I further declare that tho manufacture of these fittings is regulated by a Quall tral Program which extends to each plant vlapre fabrication occurs in whole or in parl and has been verified by L RR/ as being suitable fowfEfJj 5,y—y poS�c~a d I make this solemn declaration conscientiously believing it to be trN owl that it is o/the same force od/effa0f wfna nder oath, Signature of Declarer: /' ��'/ ;,, G ,u Declared before rrie at sl re 1.) S E H 1 .SE aF R T H E 30th Dec or zD09 �:=w This day of AD F r �I`i -L r L Commissioner of Oaths �C� yyr or Notary Public:(sign) Official seal to(he right) /,s f,1i h s space for Regulatory A Thls regi6tralion must be revalidaled oftorton(10) a date ofaccAlk �.�®���" CPN: OF13996 5 sv�B Boilers 1 8dilers and FID* 2015 li t Pressure Vessels Act Noles: OP �, ` 1. All fillings shall be registered in the name or the Manufacturer- GRN QF ����8 •S,V t Each calogory&hall ba vvpporise with two Statutory Declaration forms and one copy of auppurting documentation. Date 3. Tho doderatlon&hall be made by tho person having full authority and respons0flly for the quality of the end product. 4, Qualily control progrom&&hell be resubmitted for validation Sighed 2t a maximum interval of five(5)years, tiAf In6pector 6T/9T 'd ZET299S 206:01 ;wood ?�-ST 0T06-bZ-eJfld UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME:' Krohne Altometer 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 Properitary Standard B Flanges: all flanges supported by C Valves: all line valves D Expansion joints,flexible connections,and hose assemblies: all types ASME VIII div. l/ E Strainers,filters,separators,and steam traps ,F Measuring devices,including pressure gauges, level gauges,sight glasses,levels,or ASME B31.3.calculations pressure transmitters and/or proof tests 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 ff WROUGHT C3, ( CAST ❑ OTHER ❑ KROHNE Honnk,%lweli DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: See page 2 "Statutory Declaration Registration of fittings OPTIFLUX 5000 FL VersaFlow Mag 2000 FL C/F " DECLARATION: I John van der Graaf (seenote3)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 iissought, The dimensions, materials of construction, pressure temperature ratings,and identification markings are in a r with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Quality' tr Program which extends to each plant where fabrication occurs in whole or in part and has been verified by LQRA % as being suitable for,.ttaf V;p pose and I make this solemn declaration conscientiously believing it to be tru• ' nowi that it is of the same force pntl,effect�7F'fitadnder oath. Signature of Declarer: j a S1 ' recli Declared before me at USE H�I 4�, :•=S •P A`�C.",El� ;;F r R T H E This 30th day of Decery�er AD 2009 F tF A L S;'t fjj L r F.Y Commissioner of Oaths or Notary Public: (sign) /_ w /1ff Official seal to the right) This space for Regulatory Authority use " This registration must be revalidated after ten(10)years from the date of acceptance: t. CRN: OF13998 . 5 ;v.., r Rr til- sty, rr }�+ FI D#: 2015 "�t'`,NCe`!°L A i si,a ..r I•' { Notes: i :, 1 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. '"""" m 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 at a maximum interval of five(5)years. 867 393 6249 Building Safety 09:08:32 a.m. 10-2S-2010 3/24 I UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS i NEW BRUNSWICK NOVA SCOTIA PRINCE EDWARD ISLAND NEWFOUNDLAND AND LABRADOR NUNAVUT YUKON NORTHWEST TERRITORIES MANUFACTURERS NAME:' Krohne Altometer I 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 CONsTR cnotJ A Pipe flttings,Including couplings,lees,elbows,Ys,plugs,unions,pipe caps,or reducers Properitary Standard I 8 Flanges: all flanges C Valves: all line valves supported by D Expansion Joints,flexible connections,and hose assemblies: all types ASME VIll div. 1/ E Strainers,filters,separators,and steam traps r,F Measuring devices,including pressure gauges,level gauges,eight glasses,levels,or ASDSE 831.3.calculations pressufF Iransmitlers and/or proof tests I 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 7RADEMARK OR LOGO AS IT WILL APPEAR ON THE PRODUCT I TYPE OF CONSTRUCTION FORGED O WELDED f WROUGHT Er- CAST D OTHER D KR©H_ `E Honeywell DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: See page 2 'Statutory Declaration Registration of fittings OPTIFLUX 5000 FL VersaFlow Mag 2000 FL C/F DECLARATION: I John van der Graaf (,.., s3)employed by XROH10 Altometer and being the person having full authority and I 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 ught, The dimensions,maleriais of construction,pressure temperature ratings,and identification markings are in ae with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Quali tr rogram which extends to each plant w ere fabrication occurs in whole or in part and has been verified by L RA as being suitable fo ls$���u pose d I make this solemn declaration conscientiously believing I�to e tr owi that it is of the same force apd�effec 4irlrtaa nder oath. Signature of Declarer: Declared before me at Sl' reryh U S E H I S y j,P.. rr' I�E ;iF � R T H E 30th Dece er 2009 t ?'" r� This day of AD b"F F"I.' st%+�5� _ . L Commissioner of Oaths or Notary Public:(sign) official seal to the right) ����,:/� This space for Regulatory Authority use This registration must be revalidated after ten(10)years from the date of acceptance. CRN: OF13998.5 ��NMENrQ,c FI Dff: 2015 OJ j- � BY O Notes: CRNiJF 3c�CJ�� Z 1. All fittings shall be registered in the name of the Manufacturer, 2, Each category shall be supported with two Statutory Declaration DATE forms and one copy of supporting documentation. ���� 3. The declaration shall be made by the person having full authorlly and responsibility for the quality of the and product 4. Oualily control programs shall be resubmitted for validation S BRANG� at a maximum interval of five(5)years. ( I �°N sTA yb 14th Floor,Centre Tower �°�� s�� 3300 Bloor Street West Toronto,Ontario T S S A Canada M8X 2X4 s Tel.: 416.734.3300 9FF7'r AVI`'o� Fax:416.231.1626 Toll Free:1.877.682.8772 www.tssa.org October 15, 2010 RICK LOISELLE KROHNE ALTOMETER 7 DEARBORN ROAD PEABODY MA 01960 US Service Request Type.: BPV-National BC Service Request No.: 432508 Your Reference No.: CAT F FITTING- OPTIFLUX 5000 Dear RICK LOISELLE, Please find enclosed the original response from BC, registered under the CRN No.: OF13998.51. As all jurisdictional fees are handled by the Technical Standards and Safety Authority (TSSA), you do not pay any jurisdictions directly. However, 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. Should you have any questions or require further assistance, I will be happy to assist you. For general enquiries, please contact a Customer Service Advisor at 1.877.682.TSSA(8772) or e-mail custom erservices(o-)tssa.o rq. When contacting TSSA regarding this file, please refer to the Service Request number provided above. Yours truly, Tanya Francis Administrative Assistant_ BPV Engineering Tel. : 416-734-3423 Fax : 416-231-6183 Email :tfrancis@tssa.org Putting Public Safety First ........ THIS IS PART OF • ` 1 5 98. Statutory Declaration Registration of Fittings CRN OF139 Journal #49863 OPTIFLUX 5000 FL and VersaFlow Mag 2000 FL BCSA Page 2 Revision 3 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLLX 5x00 FL series as well as for Honeywell's VersaFlow Mag 2000 FL series as described within.The OPTIFLUX flow meters will be equipped with the KROHNE Logo, the VersaFlow Mag flow meters will be equipped with the Honeywell Logo. Product model names to be registered include: OPTIFLUX 5300.FL/C=TWM 9000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5300FL/F=TWM 9000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5100FL/C=TWM 1000 C +VersaFlow Mag 2000 FL/C OPTIFLUX 5100FL/F=TWM 1000 F +VersaFlow Mag 2000 FL/F OPTIFLUX 5000FL/F=VersaFlow Mag 2000 FL/F For above listed models names, we are applying for Flanged type of fitting for sizes: 'h 137, 2", 371, Full rating 300 LBS. 1" L5",2", 3", 4", Full rating 150 LBS flanges 6", Q" 150 LBS flanges,MWP 10 bar 10" 150 LBS flanges,MWP 6 Bar. Design standard, stress calculation and all materials for all parts including Tube, wall thickness etc. used to manufacture VersaFlow Mag 2000 FL are identical to the OPTIFLUX 5300 FL, OPTIFLUX 5100 FL and OPTIFLUX 5000 FL. Maximum Working pressures/Temperatures/Sizes/Class are also identical between these two models. The only difference between the VersaFlow and the OPTIFLUX are as follows: I Model name number on the name plate will be VersaFlow Mag 2004FL. 2.Paint scheme 3. The trade name will be Honeywell on the VersaFlow Mag product name plate. Both Product model series are manufactured by the same KROHNE manufacturing facility. 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. 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. The Ceramic flow tubes are hydrostatically tested(Third party TUV). The allowable working pressure is determined as IA 0 of the witnessed hydrostatical test pressure. Attachments 1. Flow tube DN 15 draw. 33158110C 2. Flow tube DN 25 draw. 33158111E 3. Flow tube DN 40 draw. 33158112D 4. Flow tube DN 50 draw. 33158113D 5. Flow tube DN 80 draw.FZ 33.15811400E 6. :Flow tube DN 100 draw.33158115D 7. Flow tube DN 150 draw.20599602H 8. Flow tube DN 200 draw.20599702H 9. Flow tube DN 250 draw.205998021 10. GA Draw.DN%" 150 lbs 73097516 11. GA Draw.DN 1" 150 lbs 73097510 12. GA Draw,DN 1,5" 150 lbs 73097511 13.GA Draw.DN 2" 150 lbs 73097509 14.GA Draw. DN 3" 150 lbs 73097508 15. GA Draw. DN 4" 150 lbs 73097505 16.GA Draw.DN 6" 150 lbs 73030463A 17.GA Draw.DN 8" 150 Ibs 73030461A 31 18.GA Draw.DN 10" 150 lbs 73030466. 19. GA Draw. DN %" 300 lbs 73097516 20. GA Draw.DN 1" 300 lbs 73097524 21.GA Draw.DN 2" 300 lbs 73097525 THIS IS PART OF 22.GA Draw.DN 3"300 lbs 73097526 CRN OF13998.51 23.Flange DN 1" 150 lbs 33158001A 24. Flange DN 1.,5" 150 Ibs 33158002A. Journal # 49863 25.Flange DN 2" 150 lbs 33158003A BCSA 26.Flange DN 3" 150 lbs 33158004A 27. Flange DN 4" 150 lbs 33158005A 28.Flange DN' 6" 150 lbs 30705000T 29.Flange DN 8" 150 lbs 30705100T 30.Flange DN 10" 150 lbs.30705201T 3I.Flange DN %" 300 lbs 33158010 32. Flange DN 1" 300 lbs 33158011 33.Flange DN 2" 300 lbs 33158013 34.Flange DN 3" 300 lbs 33158014 35.Housing DN 15 draw.33158201 .36.Housing DN 25 draw. 33158210A 37.-Housing DN 40 draw. 33158211A 38.Housing DN 50 draw.33158204A 39.Housing DN 80 draw. 33158212A 40.Housing DN 100 draw. 33158206A 41.Housing DN 150 draw.3071220095K 42.Housing DN 200 draw. 3071220095K 43.Housing DN 250 draw. 3071220095 K 44.ISO 9001 2008 KROHNE Altometer certificate 45.KROHNE Altometer Quality manual. 46. CRN Witnessing report ceramic tubes. End of page 3. Safet 505 b Street,Suite 200 New Westminster,BC V3L OE1 Authorit Toll Free: 1-866-566-SAFE Fax:(778)396-2064 www.safetya uth ority.ca Date: September 16, 2010 TECHNICAL STANDARDS & SAFETY AUTHORITY Account 35231 14TH FLOOR CENTRE TOWER-3300 BLOOR STREE Journal#: 49863 TORONTO ON M8X 2X4 Our File#: 4482761 Attn:TANYA FRANCIS Re:Application for Design Registration The design, as detailed in your, TSSA Service Request No:432508, for a Fitting is accepted for registration as follows: Registered To: KROHNE ALTOMETER CRN: OF13998.51 Drawing#: Various Drawings Conditions of Registration: 1. See attachment for CRN scope. Amount HST Total Fee for reviewing your design: $180.00 $21.60 $201.60 Total: $180.00 $21.60 $201.60 Less amount received with submission: $0.00 $201.60 An invoice for$201.60 will follow. Contact me if you have any questions. ROMEO TUAZON (778)396-2031 Romeo.Tuazon@safetyauth ority.ca Design Engineer CC: (PROD)30400-20 GST#:87391 2802 RT0001