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AP_OPTIFLUX 6000__en_CRN_110406__
ti OPTIFLUX 6000 CRN Approval ©KROHNE 09/2010 JKROHNEJ Albala 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 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 p n this 12 th day of (Month) (print) Applicant) (sign) : (A issioner for Oaths) For Office se Only /j�, ��G �e Stied To the best of my knowledge and belief,the application quirements e Safety Codes Act and CSA Standard B51,Clause 4.2,and is accepted for registration in Category V Registration Number: 1 2 2 6in v • 5 2 T w 1 A l �ministrator/Chief Ins ector erta Date Registered: Expiry Date: 018 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. i 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 1 » � For above listed models names,we are applying for sizes 1/10», 1/8», /4 , 3/8 , 1/2", 1 , 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 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. r—•� The sizes DN 1/10", 1/8", 1/4", 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. 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 %2" 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. I may, 7, LUVO iv;utnivi 00h IVo. jl�l Y. L/j ��c►L.p?j TECHNICAL STANDARDS Showfacsimle of manufacturers logo or trademark,as it will A SAFETY AUTHORITY a appear on the fitting,In the space below tlK, 14ih Floor,Centre Tower 3300 Bloor Street West �y is lY P yr.. Toronto,Ontario w07�9a Canada M8X 2X4 STATUTORY DECLARATION Registration of Fittings 1, Cor Schellears,Chief engineer (Name andPostdon,e,g,Presidenr,Plant Manager,Chiel Engineer) of Krohne Altometer (Hama ofMenuracruror) Located at Kerkeplaat 12,Dordrecht,the Netherlands (PlantAddress) (Telephone No,) (Fax No,) do solemnly declare that the fittings listed hereunder,which are subject to the Technical Standards and SafefyAct, Boilers and Pressure Vessels Regulation,comply with all of the requirements of (7 fie of/acognhed North American Standard) which specifies the dimensions,materials of contraction,pressurallemperature ratings,identification marldng the fittings and servfoe, F/Ior are not covered by the provisions of a recognized North American standard and are'therefore manufactured to comply with ` ASME Vlll div.VASME 831.3 as supported bythe attached data which identifies the dimensions,material of construction, pressurellemperature ratings and the basis for such ratings,the marking of the fitting for identification and service. I further declare[hat 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, L loyds Register The items covered by this declaration,rorwhich I seek registration,are category mess.dev Cat F type ftttings. In support of this aWcatlon,the followlntl Information and/or test data are attached as follows: See page 2"Statutory declaration Reglslration of Fittings OPTIFLUX 6000" (drawings,calcula6one rest reports,ero,) Declared before me at Sliedreohi in the,. of the 12 th day of February ' AD 20 07 Commissioner for oaths: �Q Papal.. (Printed name) G Signature) O +. .fare ofDeclarer) NLY ethnical Boilers and To the best of my knowledge and belief,the application me ents of the Standame Pcessute Vessels Technical Standards and Safety Act Boilers and pressure Vessels Regulation,and' and SafatyAuthoritySafety Program -CSA Standard B51 and is accepted for registration in Category cRN; - -0��226f 5� REGISTERED Registered by: aRk' �kG/C/ ' 'E-J6- Dated, J � Signed ..... . 1� 9 ... . ......... NOTE: This registration ex tree on / Date' 9 �Og Pv09553(06iO4) O'r 164ix' V� May. 9. 2008 10:04AM . TSSA No. 3787 P. 3/3 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", K",3/8", 1/2", 1", 1.5",2",2'/z",3", 493,5"16" Pleasb note that all our product names listed above have exact same flow-tube therefore the same exact welding,design,etc.The�.eason for multiple Product names is that the flow-tube can be configured Arith different electronic signal converters mounted on top of the flow-tube. Therefore Optiflux 6000,6010 6100 or 6300 have the same flow-tube b74t different electronic h 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 root 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,4gnal converter remotely connected by electrode/coil cable to flow-tube; C=Coinpadt,signal converter attached directly to.flow- tube. For each size a flow tube section can be used with seve;al couplings.In this request for approval we havo listed all possible couplings per.size. The sizes DN 1/10", 1/8", %,",3/8",have the same flow tube and the-deviation in internal diamet6r 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: OF 1, Optiflux 6000'DN 10-3/8" 2. Optiflux 6000 DN 15 - 1/2" 3. Optiflux 6000 DN 25 - 1" N Safety pu 4. Optiflux 6b00DN 40 - 1 ''/z" �R \5lacid�tls& Njesse1s 5. Optiflux,6000 DN 50 -2" teAX 1N'4 �P tessute 6. Optiflux 6000 DN 65 .2 1/2" gpl�os Safety 7. Optiflux 6000 DN 80 -3" C.b• 8- Optiflux 6000 DN 100 -4" End of page 2. ?N'J'L sr ya, TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will r�ar,Lvi9M SAFETY AUTHORITY appear on the fitting,in the space below Tv� Aa 14th Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario R ON N E r Z., Canada M8X 2X4 STATUTORY DECLARATION Registration of Fittings � Cor Schellaars, Chief engineer , (Name and Position,e.g.President,Plant Manager,Chief Engineer) of Krohne Altometer (Name of Manufacturer) Located at Kerkeplaat 12, Dordrecht,the Netherlands (PlantAddress) (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,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, 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,test reports,etc.) Declared before me at Sliedrecht in the of the 12 th day of February AD 20 07 Commissioner for Oaths: 0 (Printed name) (Signature) ature of Declarer) -0M.IE NLY Canadian Standards Association To the best of my knowledge and belief,the application me _' en ts of the 178 Rexdale Blvd. Technical Standards and SafetyAct,Boilers and Pressure Vessels Regulation,and Toronto, ON (416)747-4000 CSA Standard B51 and is accepted for registration in Category CRN: Sir-pf 2Q• �[f REGISTERED Registered by: C.R. � 856 " • •:.•:•• Dated: a' %J� Signed:. ......... ' NOTE: This registration expires on 'MAY JMAY / ,2©1 S 1 PV 09553(06/04) I E AAF* [1 p�I 1 -CUE OF y 'F T+4 E TH E A i /A C;�--( N E N i Fob C12- N : C'sA -OF f 2,26�p, ,S 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", %4", 3/8", 1/2", 1", 1.5",2",2 1/2",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 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", 11/4",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. Attachments: Of + 1. Optiflux 6000 DN 10-3/8'� 2. Optiflux 6000 DN 15 - 1/2" 3. Optiflux 6000 DN 25 - 1" 2 t _ 1 „ � ,� � ds&Sate y 4. Optiflux 6000 DN 40 1 ` tSta�dar sine es�e,5 5. Optiflux 6000 DN 50 -2" 12�1�+��ea Pres ra ®� �yg 6. Optiflux 6000 DN 65 -2 1f2" p�oAeC'SeAe��1 ' /t 7. Optiflux 6000 DN 80 -3" 8. Optiflux 6000 DN 100 -4" I i End of page 2. i ilullnvu I T unvry NOR rHWEST TERRITORIES MANUFACTURERS NAME: Kroh ne-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 831.3 calculations and/or proof E Strainers,filters,separators,and steam traps tests. (E)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 ❑ OTHER ❑ H N E 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�� Control Program which extends to each plant where fabrication occurs in whole or in part and has been verified by / 'i/ as being suitable for that purpose and I make this solemn declaration conscientiously believing it td Ind knowing that it is of the same fort s if made under oath. Signature of Declarer: tJ ij� I rat' Declared before me at � � U �• T�I � E FOR T H E This 12 th day of -February 2007 AD E A L Commissioner of Oaths 1111�117..j1 or Notary Public: (sign) O � +.vN�tt (A Ix Official seal to the right) •� ' This space for Regulatory Authority use This registration must be revalidated after ten(10)years from t a e cL' Ita'nce"' BOILER&PRESSti;r..s 1:- .:• -Ei ACT CRN: 0F12268 .5 REGISTRATION ONLY FID#: 2015 CRN I 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: i 4. Quality control programs shall be resubmitted for validation at a maximum interval of five(5)years. 3LRs PVs 2 FITTINGS F1 COMPONENTS -- -_.__ ..._.. .. VY.1.IIVIA. LMo T-183 P003/014 F-127 MANUF CTURE NAM ' Krohne-Altometer MA FACYU ER5ApDRE55; Kerke last 12 Dordrecht, the Netherlands PLANT LI5CATl s: See above CATEGORY OF FIT ra E�Ro. C LT&GdtY ONLY A Pipe rlltlnps,ifhcluding W111110.teas,elbows.Ys,plugs,unions,pipe caps,or feducers 9 Flanges: all flanges Proprietary standard supported C valves: all lino valves by ASME Vill div.i/ASME D Firpartsion joints,Sett o connections,and nose asaembb6s; all types 631.3 calculations and/or proof E Strainers,Biters.separators,and steam traps tests_ Measuring devices,including pressure gauges,level gauges,sight glessw.jevels,or prossure transmihers O CerhTred capac"ted pressure relief devices acceptable as primary over pressure protection on boilers,prescure vessetm,piping and fusible plugs H Pressure retaining components that do not tall into one of the above oategories N Nuclear Components: Class 1 O Class 2 0 Class 3 O. (Meeting AECB or ASME requirements) 8"OWMANUFAFTURERS NAME TIUME AftK pR LdGO AS 1T WILL APP ON THE—PROOOOT TYAR or Cowzyltucnag FORM G WFLOEo a wltaucrrr 21 C"T ❑ o7•nett o NE 026cawUMEA LIST OF 1t1pPORT1NG DOCLIaeFarTAT10N ANO IDENYtFtCAT10N OF THE ACTUAL!TENS TO BE neoisx REUc Drawings Stnoss-Calculations Welding plans WPSIWQP Technical datasheet DECLARATION: I_ John van der Graof Ise*nose 3�employed by KRONNE Aftorneter and being[tie 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 IQ 1he best of fry knowledge represerft the product for which registration is sought. The dimensions.materials of emsbuction,pressure temperature ratings,and identification maW,nys ar in accordance with the herein named standards. I further declare that the manufacture of these fittings is regulated by Qontnol Program which extends to each plant where fabrication occurs in whate or in}tart and has been verified by `r� as being suitable for that purpose and I make this solemn declaration conscientiously believing it d k a ng that it is of the same s if made under oath. Signature of Declarer q. Declared before meat a U E Fa R T H E This 12 th day of ebruary a AD 2t)07 Vr E A L Commissioner of Oaths or Notary Public;(sign) X�Ief� (A cw seal he rl t This space for Regulatory Authority use GOVERNWNT OF This registration must be revalidated after ten(10)years*orn tPda 086111WIFOUNDLAND AND LABRADOR CRN: O F 12 2 6 8.5 V ❑r^ar►rrent of - . . -,-yen Services FiD#: 2-01 5 RegisterN Date � DO Notes: GOVERNMENT SEMCTUENTRE 1. Ali fdite Mail be reg4kred in the name of the Manufacturer. Engineerutg and Irt a ices 2. Each category shah be supported with aso Statutory Declaration forms and one copy of supporting documentation_ Registered 3. The declaraw shall be rt►ade by the person paving full authority and UNOM THE AuTmoRrry THE responsibifiry for the quatiry of Me end product, PtMM SAFETY ACT AND 4. Quality controi programs shslt he%submAW for validation TW1 GUA PRESSURE VESSEL A3C, at a maximum interval of five(5)years. COWIMSM GAS REGULATIONS V4 40- WO 1UJ.70 C11VIJ n7 A VIr1,1"U'U. +A— J6,4uuuJ1J,J . +va • •--- - --- A IJRERS NAME: Krohne-Altorneter mANtjKAr-'rUt*R6AOPREa' Karke last 12. Dordrecht,the Netherlands PLANT LOCH N = See above F Ownwis A Pipe Ofings,WcWdias ooaplktge,leer.elbows,ys,plus•,union.pipe ape,of r•ducsrr a Plaegee: all nongaa Proprietary standard supported C valves: an IMe vsMeo by ASME Vill div,1/ASME 0 Eapanaion joints,aesibie Connetdbns,Wild horse assembiles: all WM B31.3 calculations and/or proof a atrakim,fillers,separators,end Rsom traps tE3t5. QMoewrktg dsviceo.inoludmp pressure gauges,level gsugoo,r:lght glasses,lards,or press uo Iranunitf•rs O Certllled capsolty-rated pressure terser devises acoeptebte o3 primary ever pressure prcNctlon on balers,pressure vaeeels.piping and lusibls plugs H Plsesure Obtaining compenenb that do not file into aria of the above eSteporles N Nuckrar canpononW Ctise t 17 Clow 2 O Claw 3 0. (Meeting AEGe or ASME rc9u(re name) soncw 0 wcLaW ♦a WROWNT(3 ewer a oTRCR a fCR[�HNE awRIN pltlfiR: At AS—GLISTEAM, DrwAnge Streve-calculallons Welding plans WPS/WQP Technical datashest oeCUMATION. I John van der Graaf ,...,,,,.i)employed by grad bektg the person having full authority and responalblllty for the Quel ty of the end product do solemnly declare that the li f martlal contained In this k rm Is hm end to the beat of my knowledge repneente the product for which regilstration is sought. Tha diOwsions,naterlole of construction,pressure lemperoliure rating*,and Iden1flcatlon markingfi a In accordance with the herbNl nemed standards.I further declare that the menulbcture of these fttings is regulated by ?Cordrol Program which extends to each plant where fabrication occurs in whole or In pert and has been m1fled by as being auMW*for that purpose and I make this solemn declaraft�on conscientiously belleving b kit ng that R Is of the soft for s if made under oath. 12 apato,Signature of Declorm: Q Declared before me at l U E F O R T H E This 12 th dory of ruary AD 2007 rlc fir E A L ComnNaMoner of Onthe or Notary Public:(sign) pr !AffKall qal ro the et This speae for Regulatory Aut ss This registnetlon must be revelldatad after ten(10) a from the �a ce, 15VI CRN; OF12268.5 � Flo#: 2015 REGISTERED U"I*R THE AUTINOiit7Y Of Notes: THE SOiLER AND PR€S8t.1lAE 1. All athngc shag be reglalered In the name or the Manufacturer. S EL T 2. 6ech Category shall be supported with two Statutory Declaration p� forma snd one copy of supponing docWn•Matton. C',Iq.N. 3, The declaration anal oe mode by One person having TWl authority and re"onoibblty,for 0%quality of Wo and product. 1 a. dually control programs shall be resuDMItted for vaMUm at 0 MAXIMUM tntetVal of five(b)years. U:J: LJ: LUDO lU. '�J 7UL—'a L'^,-JLJJ DLL rVDLlt� JH 1—, �� via VJ7;4Z) rrsurl—MU1 LrVIrIAL 1NL yVGSbb;S13i T-186 P005/019 F-126 MANUFACTURE RS NAME: Krohne-Altometer MANUFACTURERS AOoaESS; Kerke last 12, Dordrecht, the Netherlands PLMT LOCATIONS: See above g&V—QORY OF FR7111133 M DIE REMAMRED CIRC R ONE t.�ATEGOA ONLY ITrr' mAan OF ry T Qft A Pipe fillings,including emalinga,two,elbows,vs,plugs,unions,pipe ceps,or reducers a Flanges: all Ranges Proprietary standard supported C valves: all into valves by ASME VIII div.11 ASME Q Expptx iorl joints,%xible conneelloras,and hose assemblies: all typos 631. E Stralrletrs,RltBrr,separator),9rtd steam traps 133 Calcul2ti0n5 anoiltx proof 31.. QMooe11012 devices,including pressure dlsu§*s,laver gauges,sighl plusses,levels,or pressu�transmrtte►s G certified COPaeity 2ted pressure relief davleos acceptable as l0drnery over pressure proteellon on boners,pressure vesaala,piping and fusole plugs H Pressure nrlalninp COMponents that do root fall into one of the above categories N Nueleanoomponents: Class 1 ❑ Class 2 0 Class 3 0, (Meeting AEC2 or ASME requirements) SHOW NUF o IIRERS NAME, DEMARK 10 GO AS IT Vw allot] rva. N Foaot a 0 WGILOW le WROUGHT m CAV O QTHee o uu OEECRae!OnK'A: Ia LOST_OF SUPPORT114G OOCUME(yWUN AND IOENTIFICATftafM�F ICE gCTUAL ITBMB TO Bt_RfsGL4TERF0 Drawings Stress-calculatlont; Welding plans WPs/wQp - TeChnical dataFheet DECLARATION: 1 JQhn van der Graaf rew+nea,.$)employed by KROHNE Altometer and being the person having full authority and responslbflity for the qualtyy of the end proctuct do seah nrily declare that the information contained in this form is tnte and to the best of my knowled§e represents the product for which regfstrelion is sought. The dimensions,materials of Construction,prrstturs temperature ratings,and identification markingsP fro accordance with the hdreln named standards.r further declare that the manufacture otihese flltings is regulated by Control Program which extends to each plant where fabrication occurs in whole or in part and has been verifled by / as being suitable for that purpose and I make this solemn declaration conscientiously believin�ffi_(WWCUI ten that ft is of the same fo if made under oath. Signature of Declarer. Papa%� Declared before me at U ' E F 0 R T N This 12 th day of ,,February A) 2007 as ty; E A L 1.. Commissioner of Oaths or(Votary Public_(sign). �Plt"71 L>3 Q x pal heal r1 . �a�r• �4 This Space for R,sgyiawry Author*use This registration must be revalidated after ten(10)years from the da a of acceptance. CRN: OF12268 ,5 �4 ` pRGSSU C ` FrI 2015 % �rrnas�abrtt� �'r 0 ..Nl -- '�� r Not": Date 1, All fittings shag be Bgulterod in the name ofthe Manufacturer. _-_ - 2. Each category shall bo supported with two Statutory Decinration S�......... forms and OM Copy Of suovorting documentation. L r 3. The declv*Wn shall be made by the parson having full aulhorfly and D w$'--a-5---� �r1?�J-...... responsibility for the quality of the and product 4. QUAIRY oastrof programs shag be moubnxtted for validation Si QML d ► R. /� at a maximum Interyel of rive(5)years, vixx1 HUl U-,14TUA1. LNG 3©%`"iGG3133 T 102 I' -5/fi11 r 123 MAN FACTURERS NAME; Krohne-Altomster MANUFACTURERS ADDRESS: Kerke laat 12. Dordrecht, the Netherlands PLANT LOCATIONS: $ee above GATFGORY OF PITTING.TO BE REc1211 Rio ORCLE DNE CATiCt7i7T ONLY WE F:THL11ftiftN A Pipe fittings,Including coupling$,toes,elbows.Vs,plugs. unions.pipe caps•or reducers proprietary standard Supported a Flanges: all flanges �r yelvec: all tine v%lvr+x by A:rMr VIII rliv.1/A3MC D Expansion soWs,flexible connections,and hose assembfies. all types 831.3 calcu►ations and/or proof E Strainers,filters,sepetators,and steam trans 10"e Q sAowwdns davim.inoluding pieesw a yauuub,vviti g8ug25,lent gll"or,levels, or pressure tranamillm G Certified rapacity-mtso pressure relief devices acceptable as prlmary over pressure protection on beffors,pressure vessels,plping and fusible plugs t t P.a*—a,pi/7nhnj WvroLMty/IL7 HIM an no.hi,Inv+-14)r rng weave Qa11ayarf03 N Nuclear comporlerits: Class t❑ Clavi a 0 Gass 3 tO, (Meeting AECI3 or ASMF-requirements) SHOW MArAPFACTURORS NAME_ ARK,IRA DCML OR LOGO APPEAR ON TPRODUCT F � FomEo O wElDm ei wxMGPT 21 CAsr O OTHER Q KRI2��� pE6C/UBE OTMFA; r F F.WPPORTING MCMUMEWAX11113M 409 lQffTIFII:A 11U I NE AC I Drawings Stress-Calculations Wolding plans WPS/WQP Technical datcsliteut DECLARATION: I John van der Graaf rsoo noun 31 employed by KROHNE Altometer and being the person having full authority and rocpannOhlthy r..�r.T Ivelity of the end produat do aulu11,11t ueulate tlldl Ulu Inlormatlorl C6rwmjj crl It,,Uiis rurrli is bus and tv jim Oast yr my knowledge represents the product for which mpistration is sought. The dimenrk+mr;,materials of construction,preccure temperature raunpS.4rld tdantiMatfon marhinos in accardence wllh the herein namgd standards_I furlhwr declare that the manufacture of these rittings is regulated by auaHXIrcontrol Program which rrvtpnwk rn--It plant where fabrloation aaauro in whole 6e to part and has bean veined by — as being suitable fa that purpose and I make thls solemn d en son6sioniiouoly bellciling tt I lulu lty 111g1 I!IG bl tfl&l;�It1�f81 s W made under oath. Signature of Declarer: PaAafoa' rJeclaren oefore me at �'�� /� V �'' E F U R T H t: Thin 12 th der W elirUaro AD 7nn7 e A L Cornmissioner of oaths .. or Notary Public:(sign) (A Y�1Gdal sell o the rlo►rt) O� a� This apace for Regulatory Aulhority use This registration must be revalidated after ten(10)y4 ata+gym ho of acr'a tar►co. CRN: OF12268 .5 NUNAVUT FICtf; BBC�rs and 1t111VU Pressure Vessels Act Notes: REGISTERED1. An fillings Shan be regl$lered in the name or the Manufacturer. 2. Each category shell the supported with two Statutory Declaration CRN 4�� forms and one copy of supporttrq documentation, 3. The deotorotion Shall be made by trio(mtsun having Nu auMerity And responslbillty for trio quality of the end product. Oats 4_ Quality control p(agmms shad be resubmitted for validation SiQrle at a maximum interval of five(S)yoons. Chief!nspect EBtr-9 100000 d 969-1 51E5918199+ lfHSiNrI 381d-w0'j wdlg:g0 900Z-0E-X8A NUN^VU I YUMUN NORTHWEST TERRITORIES MANUFACTURERS NAME: Kroh ne-Altonleter MANUFACTURERS ADDRESS: Kerkeplaat 12, Dordrecht, the Netherlands PLANT LOCATIONS: See above CATEGORY OF FITTINGS TO SE REGISTERED CIRCLE ONE CATEGORY ONLY TITS OF THE STANDARD OF CONSTR 1CT10N A Pipe fittings,including couplings,tees,elbows,Ys,plugs,unions•pipe caps,or reducers Proprietary standard supported B Flanges: all Ranges C Valves: all line valves by ASME V111 div.1!ASME D Expansion joints,flexible connections,and hose assemblies: all types B31.3 calculations and/or proof E Strainers,filters,separators,and steam traps tests. @ Measuring devices,including pressure gauges,level gauges,sight glasses,levels,or pressure transmitters G Certified capacity-rated pressure relief devices acceptable as primary over pressure protection on boilers,pressure vessels,piping and fusible plugs H Pressure retaining components that do not fall into one of the above categories N Nuclear components: Class 1 ❑ Class 2❑ Class 3❑, (Meeting AECB or ASME requirements) SHOW MANUFACTURERS NAME TRADEMAR&OR LOGO AS IT WILL APPEAR ON THE PRODUCT TYPE OF CONSTRUCTION FORGED❑ WELDED ® WROUGHT m CAST ❑ OTHER ❑ K H DESCRIBE OTHER: NEI 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 ogle 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 yQ, 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, '{r nd kno ing that it is of the same forc s if made under oath. Signature of Declarer: Declared before me atI eckl U T _ � E FOR T H E This 12 th day of %February AD 2007 E A L :'_ ,• Commissioner of Oaths . or Notary Public:(sign) : !' =�� ° v (A. x G�fficial seat to the right) ��' �� ' This space for Regulatory Authority use This registration must be revalidated after ten(10)years from th t f CRN: 0F12268 .5 ViCAZ F��'ME FMWM"a.7_ _ a. FID* 2015 PT OF�hN01ii Notes: " 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 co of supporting documentation. ` PY 9 3. The declaration shall be made by the person having full authority and responsibility for the quality of the end product. wt�aa � 4. Quality control programs shall be resubmitted for v S81S at a maximum interval of five(5)years. S(Ptl AFFTygUT OFFICE F ' tiff �< JUN 2 6 2008 MANAGER,ENGINEERING RESSURFIrcccFISSPF�`, 05-30-'08 09:58 FRM-ACI CENTRAL INC 9025663133 T-195 P003/016 F-152 tUfl_;�ORN STATUTORY DECLARATION FORM FOR THE,R OE I9T—Rl�tON OF FLTTlNG�91�aN� NEW BRUNSMCK NOVA SCOTIA PRINCE SOWARD laAND NEWFOUNDI.ANO AND LABRADOR NUNAVUT YUKON NORTHWEST TEF R[TOPIleS MANUFACTURERS NAME Rockwell Automation, Inc. MANUFACTURERS ADDRESS: 1201 S. Second St, Milwaukee.WI 53704 PLANT LOCATION& Milwaukee,WI and Lad smith.WI CA BE i8 LE ON BG RR GNI.Y TANu UL508-tndlotrialeontre quiprrrent A Pipe rMings,including coupfitg4.toes,elbows.Ys.plugs,unions,pipe aims,or fetlucers C5A C72.2 No.14-Industrial Control a Flanges: at flanges Equipment C V M . am one Volvos D Er<ponsion Onto,AeuArle connad ions,and hose asrrnmbllas.* aft types E Strainers,idlers.separators,and•team traps F Mess Ong dowkes,inokldiN pressure gauges.lave,gauges,slant Blesses,levels.or p"Mure transmitters G C80911 ttipaotpr raNd pressure reftf devices acceptable as primary over presstse piro"n on at Pmscvm rat intng oamponents that de net tall Into one of lire above arrtegories N "VOW dentpen• U 0 Class 3❑, (Meeting CN68 or ASIAE regrrrenlrnte) S NAME OAS IT ,x ON THE pRQ12itl�7o4z r. Allen-Bratmey is 8n auiMWwo trademark o ell Aummation,• ;;, =Ea D r M."o O WROUgNT 0 . e.ar X trntE+t a oescavtas onrlrta Lt OCI1WENTA T[PlGA THE A 7UBjE_jgMMLBM Allen-Bradley 636A336T Series indust4al pressure controllers Enclosed tuoport"docur•rentaftm inctudes drawings for pressure-retahrrng bellows and assambiles,catalog pests,and Underwrlton tabors-1- hydrostatrc pressure ien report. DECLARATION: I Daniel L.Nachtigall ,,., ,,,�ernpioyed by Rockwell Automation and being the parson having full aulhority and rasportalbiBty tot the quality of the and product do solemnly declare[hat the information contained In this form is true and to the best of my knowledge fWaaant•the product for which registration is WUght. The dimellslons,materials of ConeUuclton,pressure temperature rodirlgs,and identifi=bon me tugs are In accordance with the herein named standards.I hMar declare that the ItlaMufartture of these fittings Is regulated by a OualRy Control Program which extends 10 each ricatiat Oomrs in whoto Or In part and tm ow wMed by Det Norske VeriW s as being suilable i make this solemn dac[eratlon wnscieM ;Sbafiflvin o tr end kn ng that' a the Same folce ail ri f mei ° or oath.Signature of Dacia ►e /� '� Uedared befbre me at 11�Q`5 E J I 10-11� i . S P Ja.,�� E 'F This L, +�day of AD a Commissioner of OaMe or Notary Public,(sign) This apace ter riagw1811M A@01ky use _ f This registration must be revalidated aRer ten(101 Years from � Ce CRN: OF10436 . 5 J- Motes: CRNQFf t, All fittings ahea be regialerod in the name of the ManufUclurer. 2. Each category$now 04 supported wits two StatufW Oeclarmlon DATE foml•And one ddpy Of supporting ddoumeftWon- 3. The declaration shall be mad•Dy M parson having full•uthoOty ono , re+wons6ft for the quadty of-the end product G a. Cuakty control Ormama shalt be ratupmilted for validation ��F r�; ¢ at a meaimum interval of flue(t7 years. 1.0-Flutings Rev.1 0612003 TECHNICAL STANDARDS& `�?�`A`5''"�,P SAFETY AUTHORITY ,� 14th Floor,Centre Tower T S S A 3300 Bloor Street West Toronto,Ontario Canada M8X 2X4 s-fA-_ aut..Sp 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 fe' rcise CUWHflIA 88 6th Street,Suite 400 Z. AUTHORITYY New Westminster,BC V3L 5B3 Phone:(604)660-6286 Toll Free: 1-866-566-SAFE Fax: (604)660-6215 www.safetya uthority.ca Date: June 12, 2008 TECHNICAL STANDARDS & SAFETY AUTHORITY Account#: 35231 14TH FLOOR CENTRE TOWER-3300 BLOOR STREE Journal 44766 TORONTO ON M8X 2X4 Our File M 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 Optiflux 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.H urd@safetyauthority.ca Design Engineer cc: (PROD)30400-20 - GST#:87391 2802 RT0001