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AP_OPTIFLUX 6000__en_CRN_100105__
Am- �. 0 PTI FLUX 6000 'CRN ApprovaL ©KROHNE 08/2009 KR O H N E Alberra AB-41 2005-02 MUNICIPAL AFFAIRS In this space, show facsimile of manufacturer's logo or the pressure equipment safety authority trademark as it will appear STATUTORY DECLARATION on the fitting. Registration of Fittings �E:] I, Cor Schellaars,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 (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, LQRA 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 (M.dev.Cat.F)OPTIFLUX 6000 In support of this application,the following information,calculations and/or test data are attached: See page 2 "Statutory Declaration Registration of fittings OPTIFLUX 6000" DECLARED before me at Sliedrecht in t of this 12 th day of February �. Pape. (Month) (print) Af (Sign f Applicant) (sign) a (A issioner for Oaths) p For Office se Only ~%� �nuG te Shied To the best of my knowledge and belief,the application quirements e Safety Codes Act and CSA Standard 1351,Clause 4.2, and is accepted for registration in Category J r Registration Number: Q i 1 2 2 6 in V • 5 2 4 V4,d rej O ^ n` A` �mmistrator/Chief Inspector 02 erta) Date Registered: u Expiry Date: ��T 20 The information you provide is necessary only for the administration of the programs as required by the Alberta Safety Codes Act and Regulations in the Boiler Discipline. Statutory Declaration Registration of Fittings Optiflux 6000 Page 2 On behalf of KROHNE Altometer,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 6000 F Optiflux 6010 C Optiflux 6100 C,Optiflux 6100 F,Optiflux 6100 W Optiflux 6300 C,Optiflux 6300 F,Optiflux 6300 W For above listed models names,we are applying for sizes 1/10", 1/8", '/•",3/8", 1/219, 15 , } 1.5",2",2 %z", 3", 411,511,6". 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 6000,6010 6100 or 6300 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: W=Wall mount converter,signal converter remotely connected by electrode/coil cable to flow-tube;F=field,signal converter remotely connected by electrode/coil cable to flow-tube;C=Compact,signal converter attached directly to flow- tube. For each size a flow tube section can be used with several couplings. In this request for approval we have listed all possible couplings per size. The sizes DN 1/10", 1/8", '/a", 3/8",have the same flow tube and the deviation in internal diameter will be achieved by different inserts,which will not influence the strength of the pressurized parts. We have included the stress calculation for biggest size(3/8")only of this range. Attachments: 1. Optiflux 6000 DN 10-3/8" . 2. Optiflux 6000 DN 15 - 1/2" 3. Optiflux 6000 DN 25 - 1" 4. Optiflux 6000 DN 40 - 1 %Z" 5. Optiflux 6000 DN 50 -2" 6. Optiflux 6000 DN 65 -2 1/2" 7. Optiflux 6000 DN 80 -3" 8. Optiflux 6000 DN 100 -4" End of page 2. TECHNICAL STANDARDS & 1�``f gT^'�O7 SAFETY AUTHORITY ��� 14th Floor,Centre Tower T S S A 3300 Bloor Street West r�� Toronto, Ontario Canada M8X 2X4 J7�flY AUZ�Up` December 17, 2008 KROHNE AMERICA INC Contact :COR SCHELLAARS/ RICK LOISELLE 7 DEARBORN ROAD PEABODY, MA US 01960 Dear Sir/Madam: Re: CRN Number: OF12268.5 I am enclosing the original response from ALBERTA BOILERS SAFETY ASSOCIATION 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 fear Cv►- S�J��1�a�L^ Yours truly, Anna Sebastiampillai Fok ltv-p t T6 Administrative Support A,- A�'Sf� r(1 Tel. No.: (416) 734-3423 �p� N �x ��' Fax No.: (416) 231-6183 I/ asebastiampiIIai@tssa.org % /c-/A .� "To make people's lives better by enhanching public safety" Visit our web site.www.tssa.org 9410 - 20 Ave N.W. Edmonton, Alberta, Canada T6N OA4 the pressure equipment safety authority Tel: (780) 437-9100 / Fax: (780) 437-7787 October 02, 2008 Tanya Francis [&RECEIVED TECHNICAL STANDARDS & SAFETY AUTHORITY AIL ROOM 3300 BLOOR STREET WEST 1 7 2008 14 FLOOR CENTRE TOWER AL STANDARDS TORONTO, ON M8X 2X4 AUTHORITY Dear Tanya Francis, The drawings, specifications and/or information received on May 20, 2008 are accepted for registration as follows: CRN : OF12268.52 Accepted on: October 02, 2008 Tracking No. : 2008-03561 Expiry Date: October 02, 2018 Reg Type : New Design Drawing No. : CATALOG OPTIFLUX 6000 Fitting Desc: OPTIFLUX 6000 Registered under owner/ manufacturer name KROHNE-ALTOMETER The registration is conditional on your compliance with the following notes: This registration covers models:Optiflux 6000F,6010C. 6100C,6100F,610OW,6300C,6300F,630OW with sizes1110",1/8", 1/4"13/8",1/2", 1",1,5",2",2.5",3",4",5",6", temperature range 20 deg.0 at 150deg.0 and MAWP 4000{KPaj. An invoice covering survey and registration fees will be forwarded frorn our Revenue Accounts. Enclosed are stamped prints for your reference. Sincerely, DEDOVIC, BLAZO Design Surveyor A L C) PFir f, l69LfAPtIt�f�� May. 9. 2008 10 :04AM TSSA No. 3787 F. 2/3 TECHNICAL 6TANDARDS 8, Show facsimile of manufacturers logo or trademark,as 4 will a appear on the fitting,in the space below SAFETY AUTHORITY 1Z µ• 14th Floor,Centre Tower T' 330D Bloor Street West �y g Toronto,Oniaem Canada M8X 2X4 STATUTORY DECLARATION Registration of Fittings Gor Scheflaars, Chief engineer (Name and Poettlon,e.g,President,Plant manage,Chic/Engineer) of Krohne Alfometer (Name ofManuradurer) Located at Kerkeplaaf 12,Dordrecht,the Netherlands (Plant Addiess) (Telephone Na) (Fax No,) do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and SafeiyAct, Bollers and Pressure Vessels Regulation,comply with all of the requirements of (T/tie ofrecognlzed North Amedcan Slandard) which specifies the dimensions,materials of construction,pressure/temperature ratings,identification marking the fittings and servloe; or are not covered by the provisions of a recognized North American standard and are,therefore manufactured to comply with ASMEVilldiv-1/ASMEB31.3 as supported bytheallached data which identiries the dimenWons,material ofconstruction, 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 verifed by the following authority, Lloyds Register The items covered by this decaratton,for which I seek registration,are category meas.dev Cat F type Mngs. In support of this application,the folfcWn_q infonmation and/or fast data are attached as follows: See page 2"Statutory declaration Registration of Fittings OPTIFLUX 6000" (drawings,calculations,test reports,eta) Declared before me at Sliedrecht in the,. of the 12 th day of February AD 20 07 ' Commissioner for Oaths: (Prin(ed name) G Lit el Signature) A +� afore ofDeclarar) NLY 6chntcal Boilers and To the best of my knowledge and belief,the application ma ents of the Standar4s FtessUTe Vessels Technics(Standards and SafetyAct,boilers and pressure Vessels Regulation,and' and Safety Safety Program -GSA Standard B51 and Is accepted for registration in Category CRN. OA! L 6 REGISTERED Registered by: / C.R.N.;. . ....L., ... .. ........ ,.t- Dated, J � Signed:..... ... ...... ...... :............. NOTE: Thls registration expires On /`4 2�. �/� Date, .,,, .� ...9. 1'7^0� {1� PV 09553(06/04) 0 �C rr l �p Wax r �i May, 9. 2008 10 : 04AM . TSSA No. 3787 P. 3/3 i • a Statutory Declaration Registration of Fittings Optiflux 6000 Page 2 On behalf of KROHNE Altometer, 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 6000 F Optiflux 6010 C Optiflux 6100 C, Optiflux 6100 F,Optiflux 6100 W Optiflux 6300 C,Optiflux 6300 F, Optiflux 6300 W For above listed models names,we are applying for sizes 1/10", 1/8", %a", 3/8", 1/2", 111, 1.5",2",2/z",3", 4",5",6" Please note that all our product names listed above have exact same flow-tube therefore the same exact welding,design,etc.The,T.6son 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 6000,6010 6100 or 6300 have the same flow-tube bit different electronic h, signal converter mounted to the top of the flow-tube.Thus they have different product names and labels_ Ply 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:W=Wall mount converter,signal converter remotely connected by electrode/coil cable to flow-tube;F=field, signal converter remotely connected by electrode/coil cable to flow-tube; C=Coinpact,signal converter attached directly to flow- tube. For each size a flow tube section can be used with several couplings_In this request for approval we have listed all possible couplings per.size. +,. The sizes DN 1/10", 1/8", ''/a",3/8",have the same flow tube and the-deviation 41 internal diamet6 will be achieved by different inserts,which will not-influence the strength of the pressurized parts.We have included the stress calculation for biggest size(3/8")only of this range. Attachments: "� O� 1, Optiflux 6000'DN 10 -3/8" _ P 2. Optiflux 6000 DN 15 - 1/2" -C�1�� ��/��,t0�/' 1h0('M 3. Optiflux 6000 DN 25 - 1" �F.N Q' ds&Sa�9��Bsry 4. Optiflux 6000 DN 40 1 ''/Z" 1S1a�dat . use 5. Optiflux 6000 DN 50 -2" tec���~ba PceSs ogres 9 0$ 6. Optiflux 6000 DN 65 -2 1/2" 56W 5a{et`J 7. Optiflux 6000 DN 80 -3" 8. Optiflux 6000 DN 100 -4" End of page 2. TECHNICAL STANDARDS & a SAFETY AUTHORITY 14th Floor,Centre Tower 3300 Bloor Street West Toronto. Ontario Canada M8X 2X4 August 11, 2008 KROHNE AMERICA INC Contact :COR SCHELLAARS/ RICK LOISELLE 7 DEARBORN ROAD PEABODY, MA US 01960 Dear Sir/Madam: Re: CRN Number: 01712268.5 I am enclosing the original response from CSA INTERNATIONAL 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 A Yours truly, Anna Sebastiampillai un'C k,41 L r Administrative Support Tel. No.: (416) 734-3423 Q Fax No.: (416) 231-6183 asebastiampillai@tssa.org 6 ' s G "To make people's lives better by enhanching public safety" Visit our web site:www.tssa.org +�Gr sr�Na TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will SAFETY AUTHORITY appear on the fitting,in the space below T SS AA lath Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario KR O H N EE 7rY�vt�° Canada M8X 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 V I I I 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 following information and/or test data are attached as follows: See page 2"Statutory declaration Registration of Fittings OPTIFLUX 6000" (drawings,calculations,lost roports,otc.) Declared before me at Sliedrecht in the of the 12 th _day of February AD 20 07 Commissioner for Oaths: �Q Pan` �0 � �7p (Printed name) 1' C (Signature) Q :� r '4d ' ature of Declarer) ,M NLY Canadian Standards Association To the best of my knowledge and belief,the applicatioVme ([!gents0of the 178 Rcxdsale 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 CRN: C S/�r--IpP2 �, .�� REGISTERED Registered by: 5 C.R. •�•.• • Dated: Signed:. NOTE: This registration expires on A ,201r 8 .. ry o9ss3(o6to4) '*' MOTE:,, SF—E 'r+IE "�" VENT .... 'F(:)P- Tt-rE APE_ OF T+1E ReU fSTQ P T-(o N . T H L A-TA c+r I E N-r r�� c��► `'A F f2';�Gov, 5� Statutory Declaration Registration of Fittings Optiflux 6000 Page 2 On behalf of KROHNE Altometer,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 6000 F Optiflux 6010 C Optiflux 6100 C,Optiflux 6100 F,Optiflux 6100 W Optiflux 6300 C,Optiflux 6300 F,Optiflux 6300 W For above listed models names,we are applying for sizes 1/10", 1/8", ''/,",3/8", 1/2", 1", 1.511,2",2 %",3", 41),511,62) . 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 6000,6010 6100 or 6300 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: W=Wall mount converter,signal converter remotely connected by electrode/coil cable to flow-tube;F=field,signal converter remotely connected by electrode/coil cable to flow-tube; C=Compact,signal converter attached directly to flow- tube. For each size a flow tube section can be used with several couplings. In this request for approval we have listed all possible couplings per size. The sizes DN 1/10", 1/8", '/4",3/8",have the same flow tube and the deviation in internal diameter will be achieved by different inserts,which will not influence the strength of the pressurized parts.We have included the stress calculation for biggest size(3/8")only of this range. �a Attachments: QF 1. Optiflux 6000 DN 10-3/8" .2. Optiflux 6000 DN 15 - 1/2" �3. Optiflux 6000 DN 25 - 1" 1!0 4. Optiflux 6000 DN 40 - 1 y:" atet\lesse�s 5. Optiflux 6000 DN 50 -2" `�ce a6. Optiflux 6000 DN 65 -2 1/2" °gy7. Optiflux 6000 DN 80 -3" A-% 8. Optiflux 6000 DN 100 -4" End of page 2. ••—•• --••�-••�.•••�• —— v — rRv0 n .0 CUVVh1RU IOLJ1rvu iVCVvr VUwvIJ'vvv lllvu lJ-�orvluvn NUNAVUT YUKON v 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 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 631.3 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 ® WROUGHT 2 CAST 0 OTHER rJ JKROHNEJ DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: Drawings Stress-calculations Welding plans WPS/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 markings are,in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulated by P� 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 td nd knowing that it is of the same forc s if made under oath. Signature of Declarer: ( reckiS Declared before me at � � U E F O R T H E 12 th ,February 2007 �! F This day of AD rF C A k: E A L Commissioner of Oaths f,� % or Notary Public: (sign) / +1 (A Ix&7"Cial seal to the right) ' This space for Regulatory Authority use This registration must be revalidated after ten(10)years from t a e C14, nCe. BOILER&PRESSi.is�EE'':.c.:�- lri:.ACT CRN. O F 12 2 6 8 . 5 REGISTRATION t7 MLY FID* 2015 C:RN r a �(y�, �-7 Notes: 1. All fittings shall be registered in the name of the Manufacturer. EXAMINER: 2. Each category shall be supported with two Statutory Declaration for forms and one copy of supporting documentation. CHIEF BOILER INSPECTOR 3. The declaration shall be made by the person having full authority and responsibility for the quality of the end product. DATE: 4. Quality control programs shall be resubmitted for validation cc--�� at a maximum interval of five(5)years. 3LRs u Pvs FITTINGS COMPONENTS 1JCr" I Ur VUV JGfC ..vim v al Cb% CILi L�J JGf id: JG �G7�L7LCJ/1 rjo cc.56 rnuti-HLi �;t XliT AL INC 9025663133 T-183 P003l014 F-127 MANUF CTURE NAMEKfOhne-Altometer MA FACTu ERSAODREss; Kerkea last 12 Dordrecht, the Netherlands PLANTL57 AT1 s: See above CATEGORY 3F'r-ITTING9 TO BF Rom(;3T CtACLE ONE CATEGMY ONLY j7`` n OF ebNo A Pi fittl s,inCltA WWl •Pipe dg ng htg5,tees,elbows,Ys,plugs,unions,pipe Caps,or n?duCerS 13 Flanges: all flanges Proprietary standard supported C Valves: all lino valves by,ASME Vfll div.1/ASME D Eoanaion joints,flexible cornerdons.and hose assernblles: alttypes 831.3 calculations and/or proof E Strainers,Flters,separators,and 61"M traps tests_ Measuring devices,including pressure gauges,level gauges.sight glasses,levels,or pressure transmitters G Certified capacity4sted pressure relief devices aeeaptable =prm ary over pressure protection on bothers,presoure vessetc,piping and fusible plugs H Pressure retaining componenls that do not fall into one of the above c ategor es N Nuclear cornponents: Class 1 0 Class 2 O Class 3 0. (Meeting AEC8 or ASMP-volw rnents) 80OW—MIRUFACTURERS NAME,TRA*EjWARK6QR L066 AS IT MLL APPE ON THE PRO000 TY0S oc CON&YOLUCT134 FORE D wF oEo a wr:ouGwr m CAST O OTMIM ❑ KR C3HN 0000OF OTHER UST OF SUPPORTING DdCUMENTATION ANO(0E4 PtCA'TION OF THE ACTUAL 1T5MS TO^gF R£GI,TEREbt Drawings $tr�S-•CaICWations Welding plans W PSNJQP Technical datasheet DECLARATION: 1 John van der Graaf tsee rose 3�employed by KRONNE Attorneter 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 constrtretion,pressure temperature ratings,and idenliffoation markings a fin accordance with the herein named standards. I further declare that the manufacture of these Qtings is regutated by Zontroi Program wNa extends to each plant where fabrication occurs in whote or in part and has been verified by as being suitable for that purpose and I make this solemn deGaralion censcientiousiy believcng it d kne ng that it it of the sarne owgIlffeet s it made under oath. �Q P aPei'o� Signature of Declarer. 7 Declared before meat U E PC R T H E This 12_th_day of ebruary o AD 2001 1 E A L Commissioner of Oaths or Notary Public; (sign) (A l>t Ciat�9d1 the rl¢ht) �f' � This space for Regulatory Authority use GOVERNMENT OF This registration must be revalidated after ten (10)years from th a 0taMMY11FOUNCLMID AND t.ABRADOR CRN: OF 12 26 8 . 5 1QV Cr7ir tment of �enS Se�vlces FID#: 2015 Registercc! ( .( Cate 00 N Notes: GOVERNMENT S y' °@ 1. All fittings Shall be registered in the name of the Mantifacturer. Engineering and)n a ices 2. Each category shall be supported with T40 Stat=ry Declarati" forms and one Copy of supporting documentation_ ReQsSl ed 3. The declaration shall be node oy rho person naming fLW authority and UNDER THE AUT040RITY6 THE responsibility for the quality of the end product. PILMAX Sal Ery ACT AND 4. oualtty Control programs shalt be rosubmittad for validation T► SO&M PIWSSURE VESSEL 4= at a maximum interval of five(5)years. COMPRESM GAS REG,ULATIpNs V05-23- OSv09 40 vFROM-ACI CENTRAL INC �v 9025663133 �. v v1-1s4 ram�l�als r-icy A TURERB NAME: Krohne-Altometer neANUKACTUFA116 AODRE Kerk9 laat 12, Dordrecht,the Netherlands PLANT LOCATI N : See above F ITTILY A Pipe fittings,including GaWli tgs,leas,elbows,Y6,plupa,unions,pipe oapa,or reducarr valves: an U Proprietary standard suppeAed C a uveea all ranges a by ASME Vill div.1/ASME a yaAPeo 0 Expansion joints,Amble connection, WW hole issembllee: au tyoea 831.3 calculations and/or proof 0 Strainers,litters,separators,end slum traps t"ts. Q measurwo dsviceo.including pn asure gauges,level gaugoa,right gtflsm, levels,or pmauro transmitters o CertNied capacity-rated preesum rsllor devloes acceptable oo primary over pnouure prclsaon on pales,D►essum vessels.piping and fusible ptuge H Pressure manning components that do nol fan into one of the above cataporlsa N Nuclear component,, Class 1 ❑ Close 2 O Close 3❑. (Meeting AEC6 orASME repuiremenle) ll KWGW o wataso ® wRoum+T o chair a OMER ❑ KRIGHN� ossoais>y on+aA: Drawings Stress-calculations Welding plans WPS/WOP Technfcal datashesf DECLARATION: I John van der Graaf rus mw:n amployed by KRCHNE Altomekar�and being the person having full authority and rosponalbNlty for the quality of the end product do solemnly declare that the Infamfatim ountalned In thle form Io true and to the beat of my knowledge represents the product for which regietrWion is sought, Ths dimariakM5.rriaterlais of conttruction,pressure temperalure ratings,and identification markings,a k In accordance with the herein named standards.I fuller declare that the manufacture of ttuse fitiings is regulated by laontrol Program whO exhnnds to each plant whore tabrlcallon occurs In whole or In pert and has been verified by as bend 34111 In for that purpose and I make this solemn declaration eoneaianllouRly believing it kn ng that It Is of the same for s H made under oath. Q,P�Aato�i Signature of Decleror: Declared Defore me at i f U > E F O R T H E This 12 th day a ruAry AA 2007 * �; E A L Comrnlesloner of Oatha f r or Notary Public:(sign) !AX J( p z, lal ual to o d ht Thb space for Regulatory Aulho ar This regi"Ion must be rervalkiated after ten(10) s From lhn a a� c9, 4L CRN: 0F12268 .5 F100: 2015 1�E04STERED UNDER THE AUTHORITY OF Notes Tf-E 801LES AND PAF-SSf� 1. All Ottrngs shah be regl llemd In Ito name of the Manufecturar S EL„A T 2 Finh category shah be supportod with two Statutory Declaration of forms and ors copy of supponing docunwilatton, 3 The declaration shall es,made Dy the person having full authority end re000nAdity for the qualky of the snd product. T 4. Qualay control programs shah be r"vomittoa for Vandallon at a rnavlmum inlerval of five(8)years. I 05!23:'2008 10: 43 902-424-3239 DEL PUBLIC SAFETY PAGE 05/19 v.h=- vi7 4z) rMUN-MU1 LtPI MAL INN y065bEi;Ml l T-1S6 F0051i'019 F-125 MANUFACTURE NAME: Krohne-Altometer MANUFACTURERS Aooarss, Kerke leiat 12, Dordrecht, the Netherlands PLANT LOCATIONS: See above s.�TEGoRY OF FITTiNG T� TE REI UttE2-211C-I.E ON qZ6Zg2gRY ONLY TM 0- oAnn CW C(ftaT0JtDMQtL A Pipe fittings, intruding Couplings,terra,01116ws,Yr,pwgs,unlons,pipe Cap&,or reducers 8 Flanges, all flanges Proprietary standard supported C valves: all MR vahres by ASME VIII div.1/ASME b Exnprision joints,flexibia cony hone,and Mole assemblies: all typos 831.3 calculations and/or proof E Stralners, filters,separators,and steam traps tEStS. (DMooeurlrg devices,inciudaig pnaauro gaugrss,level gauges,sight gtelsses, levels,or pressure transmitters G Certitled CAPMltyfated pressure relief devices acceptable as primary over pressure protection on bolters,pressure vessels,piping and fus&,e plugs H Pressure"Iminp components that do not fall into one of the above categorlea N Nuclear oompohents: Class 1 C1 Class 2 0 Class 3 Q. (Meeting AEC2 or ASME requiremento) SHOW tYUF o URERS NAME T EMARK.d Go As IT tnn gry-Ti�t�aRooucT RIB. N "090 0 wCtoso It WROUGHT 2 �y OAOT O OTHER a DESCRIe!OTW Q: LIST OF SUPPORTING OQCUME(yTATIon AND IDENTIFICATfo1M_qF THE ACTUAL ITEMS P BE Ri:GI$TEREO Drawinpa Stress.calculatlons Welding plans WPSNVOP Tochnicoi datzn:pW DECLARATION: I Jahn van der_Graaf left ne*s)employed by KRONNE Altometer and being the parson MVing full authority and respwmlbility for the quaifty of the and prochrct 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®SouCht, The dimensions,materials of construction, pressure tomporature ratings,and identification markings ar in accordance with lute h&ein named standards, i further deciaro that the manufacture of these fittings is regulated by tHn I ontrol Program which a ds to each plant where fabAelation occurs in whole or in pars and has been veriftod by '� 09 being sukabte for that purpose and I make this solemn declaratlon conscientiously believing it d 'hg that R is of the same faVMWAs if made under oath. �QMpaip4 Signature of Declarer: Declared before me at r U E F O R T H E This 12 th day of February AD 2007 E A L Commissioner of Oaths or Notary Public:(sign) X7/ -L, 'Z K ivied healw Jt2 rignOffp� eyOG This space for Regulatory Authority use This registration must be revalidated after ten(10) years from the da a of acceptance. CRN: 0F12268 . 5 ` p R E S 5 F Flfht: 2015 Ndtn: 1. All fittings shall be m9latered in the name ofthe Manufacturer. C•R.ru. „Q�J , (Q$, 2. Each category shall be supported with two Statutory DeClnratioll i'" forms and Ono copy Of sucooTting documentation. 3. The decivpAon shall be made by the person having Full authority and Dw�'•�a=�- � �r�� -._..... responsfbitity for the quality of the end pfoducx. 4. QuaNty oentrol programs shag be roaubou0ed for validation Signed_ at a maximum Interval of five(5)yeam, 1NC G©iGGG3133 T 102 r©OG/011 P 12_'3 MANUFACTURERS NAME; Krohne-Altometer MANUFACTLIWOADDRESS: Kerke laat 12. Dordrecht, the Netherlands PLANT LOCATIONS- See above CATEGORY OF PtTTilli TO BE R_ l R99 2RGLE ONE CATGI`+r7HY ONLY TrEi OP THE SrAnQeqb OF=Ni=oN A Pipe fittings, Inoluding couplings,toes,elbows.Ys,plugs, unions. pica caps,or reducers rl a R Proprietary all flanges p etary standard supported �(elvec; all gee Volvo? by A:,mr' VIII rliv.1/AAMC E parislon joints,flexible connections,and hose assembliae: all types B31.3 calculations and/or proof E Strainers,fillers,separators, and steam trdos heels T'149aoyring dGl1 D,66100111 pIQSILIe YdUYli IeVel 29ugE5.91481 glissas, levels or pressure transmitters G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on bellors,pressure vessels,piping and fusible plugs I r f"c3b--B'Q!40iuh�u wVll W1 lWl'l%01111.Un nM M11 mM n 11 91 ins 299Vf 928090000 N Nuclear components: Class 1 ❑ Class 2 O Class 3 =, (Meeting AECS or ASM6 requirements) SHOW M UFACT NAME RK OR LDGo 1 *LL,APPE It ON THE PRODUCT TYPEQF_r MSTWAT,ON FORGED O WELOW ® WRDUGMT 91 DESCRIBE WNW KROH" ' r T 12E EWPPQnTJNG D13 MCr/7>tTlol a I13FENTIFILA I IUN U11- 1 ML AC I Drawings Stress-calculations Wolding plans WPSIWQP Technical datasllieut OF-CLARATIOW I John van der GrRaf cwave3i employed by KROHNE Altometer and being the person having full authority and rocponnihllhy rn.K,q-tvality 9f the and product du xJIL,n,lip ueuldic Uidt Ulu Inlerrllall5l"I CGrt1n111cJ It, this furs,is buts and to tills oast ur my knowledge represents the product for which registration is sought. The dimtanninns, materials of construction,preecure IemCerature rating$.4nd telmiliflrnahrin martrtrb>z,ter In accardanre with the herein nartwd standards-I further declare that the manufacture of those fittings is regulated by uafiF+sEontrol Program which avfanrk►n o 17h plant where fabrlpption owuro in whoic 6e In pert and has been verified by as being suitable for that purpose and I make this solemn $4:Iar on 691"16aionticuoly bCilCving ll 1 kllu 9 made under oath. Signature of Declarer: Q'PaPdr Declared before me at U �,� E F U R T H t Thl, 12 th day of .Xebruary AD 7nn7 , tg: C ^ L Commissioner of Oaths or Notary Public: (sign) _n�r...�! o (A tt�rntlal Seal_Co�h9 rlohq l� • I alb i This apace for Regulatory Authority use This registration must be revalidated after ten (10)y s tp ante. CRN: oF12268 . 5 NUNAVUT Flory 2015 '_,,�y� 6bllers and uua�i� Pressure Vessels Act Notes, ntt C� 1. All filings shalt be registered in the name or the Manufacturer, R-G i S T E R ED 2. Each category shell be supported with two Staturmy Declaration CRN forms and one COPY of supporting documentation. 3. The de t ration aholl bo made by the lmisun having Nu ItuttlGrlty And Date o resperslbillty ror the quality of the end product. 4. Quaipy control programs shad be resubmitted for validation Siqrle at a masimurn interval of five(5)youm. Chief!I rispect E8q-j 100/q00 d 989-1 91E551813E+ 17HSi7tN 3alj-wo d ulaig q0 EOOl-OE-,ielry I...... ,., .., .,. ..... ,� vvv„� rR11101a CUWWAMU IJU-NNU Ivcvvrvvlvuvyivv nl�u u�orvwvr� 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 B Flanges: all Flanges Proprietary ryStandard Supported 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. (Z)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 APPEAR ON THE PRODUCT TYPE OF CONSTRUCTION FORGED❑ WELDED ® WROUGHT m CAST ❑ OTHER ❑ IKROHN7E DESCRIBE OTHER: LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: Drawings Stress-calculations Welding plans WPS/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 markings are,in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulated by�.Q� 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 1 make this solemn declaration conscientiously believing it W' rid kno ing that it is of the same forc s if made under oath. Signature of Declarer: ' i��� - F eck)�� � Declared before me at U T r a E F O R T H E 12 th "February 2007 This day of AD A E A L Commissioner of Oaths 11�/ ./ or Notary Public: (sign) (A x&kial seal to the right) ' This space for Regulatory Authority use r This registration must be revalidated after ten (10)years from th 4t f CRN: O F 12 2 6 8 . 5 CP FI D#: 2015 Notes: 2 , 1. All fittings shall be registered in the name of the Manufacturer. t 2. Each category shall be supported with two Statutory Declaration ~ forms and one copy of supporting documentation. 3. The declaration shall be made b the person having full authority and ,yV '' Y 9 responsibility for the quality of the end product. 4. Quality control programs shall be resubmitted for i D S&Sq at a maximum interval of five(5)years. S(P� F fryq�r BRA?,"A10 ;l FI F JUN 2 6 2008 �A,MANAGER,ENGINEERIN.GtQQo�'QP pRFSSURC vGccc I S SAFG`' Jb/bl: zuud tl: :i Ot t5U1 Li)1iVb Bart I Y r,-,ur_ vl 1 05-30-'08 M 58 FA0M-ACI CFN7RAL INC 9025663123 T-155 P003/016 F-152 UNIEOIM STATUTO RY DEC RATION FORM FOR TKE,aPm18TRAT10N OF FITTING DL5IGNJ N9W BRUNSWICK NOVA SCOTIA PRINCE EOWARD Is3IAND IEWFOUNOLAND AND LABRADOA t4UNAVVT YVKCN NORTHWEST TEF RITORIeS MANUFACTURERS NAME: Rockwell Automation, inc, MANUFACTURERS ADDRESS: 1201 S Second St, Milwaukee, WI 53'.04 PLANT LOCATION& Milwaukee, VVI and Lad smith, UWI CA BE 18 LE DrV EGI R G hY D Rn ut.s08-Indw9trie4Contrel EquipmenC A pipe NifW,inoiuding couplings,t w3 elbows.Ys.plugs,Unions,pipe Caps or feciumirs, C5A C22,2 No.14-Industrial Control R Flanges: all flangoo Equipment C Vulvas: all I(ne.valves D Expen&Orl Oats,flexible canneaions,and hose assAn eIA& all types E Strainers,Wells.separators,and stow traps F Measuring devices,irwkrdk"pressure gauges,level gauges,slant g{arees,level:•or P"Ura transmitters 0 CwWed aape %wated pressure r@W devices acceptable as prhnsry over pressure protec m an Prel-M rela.h+ing components that do net fell tnto one of Nse above artagoritss N Nutdear compene s 1 Lj rWg—z To Class 3 0, (Meermq CNSC or ASIAE requiremettte) SHO C NAME T R I AnF%AS IT �1 ON THE pRt�T � a A11en.Br ey it an 3uthoriZed tfademVk o 0 ell Automation• tow4ea cf will n will 0 • OAST Ay 07MER O DESL'iMBR aTM6rL LI PORT N OC111111111i —TJG&LA H&ACT 1 O 8E RE Allan-9mdley 836/836T 5ertes industrlal prtsrufe controllers Enclosed auppoftlflg docurnentation includes dra-+nqs(of pres5ure•retalning bel lows and assemblies,crtalog pages,and Umderwrltsrs labwatoroes hydrostatic pressure teK report, DECLARATION: I Daniel L.Nachti all m employed by Rockwell Autornatian and being the parson ha Wng full authority and resplcm6bitlty for the quality of the end product do solemnly declare that the information contedned In this form is true and to th®hest of my knowledge represents the product for which reyislraGon i5 sought. The dimenslons,moterial6 of eonelni'ctton,pressure temperature ratings,and identification markings are In accordance with the llaroin named standards-t further declare that the manufacture of these fittings Is requletea by 8 Ouatffy Control Program which extertdo to each ricatiat aocurs in whoiQ or In part and hat basil vsrffied try Det Norske VeriUs a being suitable �•, make this solemn dachmillon consciertt s betisvin o Aend kn Vthatshe name forceff maer oath. Signature of Declarer,DAClared before me at 1V'A' S E �� S P X.�. t~ 'F Tf1i5 � cloyof AO rF(;�. Commissioner of Oattte �'o or Not Public:(sign) tl: �y �i'' " 1 6 This 6pa0a fpr Ragulli A. rtty use _ This reg(strat(on must be revalidated after ten(10'i years fromtz F CRN: O F 10 4 3 6 . 5 Fto# 2060 BYW zi-4' ...�a Notes: t AQ fittings shad ea g Do su p rt the name of the i Oadurer. A 2. Each category snaN tie supported with two Statutory Declaraddn DATc /l/i( !•f/u� I forms and one aapy of aupportAq dotwmentatlon- 3. Tha declaration shall be made Dy Ill poison having fu"authoriry ant) fatoonaiblthy for the avanty ortha end product. OTC G, a, Dual control programs shalt be tesubfNtted for verdet:en at a maximum irnetval of five(5)yeaiv. 1.0-Flthngs Rev. 1 O19 N3 TECHNICAL STANDARDS & ��`�pt 5 r4�,' c SAFETY AUTHORITY ��? 14th Floor, Centre Tower T S S A 3300 Bloor Street West r!�� Toronto,Ontario Canada MSX 2X4 .f7�ftY AVZN�P\ June 25, 2008 KROHNE AMERICA INC Contact :COR SCHELLAARS/ RICK LOISELLE 7 DEARBORN ROAD PEABODY, MA US 01960 Dear Sir/Madam: Re: CRN Number: OF12268.5 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.: Fax No.: asebastiampillai@tssa.org "To make people's lives better by enhanching public safety" Visit our web site www.tssa.org e.nen cowwn n 88 6th Street,Suite 400 QAfety New Westminster, BC VK 5B3 T H OR IT Y Phone:(604)660-6286 Toll Free: 1-866.566-SAFE Fax: (604)660-6215 www.s a fe tya u th on ty.ca Date: June 12, 2008 TECHNICAL STANDARDS & SAFETY AUTHORITY Account#: 35231 14TH FLOOR CENTRE TOWER-3300 BL,OOR STRP;) Journal M 44766 TORONTO ON M8X 2X4 Our File#: 3778514 Attn: TANYA FRANCIS Re: Application for Design Registration The design, as detailed in your, TSSA LOG #BPV-D-08-02478, for a Fitting is accepted for registration as follows: Registered To:KROHNE ALTOMETER CRN: OF12268.51 Drawing MCAT: 4000127001-TD Conditions Of Registration: This registration is for the Opliflux 6000 series of electromagnetic flow sensors. 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. EDWARD HURD (604) 660-6228 Ed.Hurd@safetyauthority.ca Design Engineer cc: (PROD)30400.20 GST W 87391 2802 RTD001