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HomeMy WebLinkAboutAP_OPTIFLUX 7000__en_CRN_110406__ OPTIFLUX 7000 FL CRN Approval ©KROHNE 09/2010 KROHNE AB-41 2005-02 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 KROHNE 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,(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 (Meal 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 7000 FL" pap a >; A. Q DECLARED before me at Sliedrecht in the of this 30th day of December ,_2009 (Month) (Year) f� y.- ♦'\ (print) of pp (sign) (A Co sioner for Oaths) For Office Use Only To the best of my knowledge and belief,the application meets the requirements of the Safety Codes Act and CSA Standard 1351,Clause 4.2,and is accepted for registration in Category Registration Number: 0 F 1 3 7 3 2 - 5 2 /11 PO Y Fnh' 8 2� O (For the Administr or/Chie Inspector of Alberta) Date Registered: JUL Expiry Date: 7, ya 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 7300 FL Page 2 Revision 1 dated 29 march 2010 On behalf of KROHNE Altomete►•we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 7x00 FL series as described within. Product model name to be registered: OPTIFLUX 7x00FL/C For above listed model name, we are applying for Flanged type of fitting for sizes: 1", 2", 3" Full rating 150 LBS and 300 LBS. 1'/z"and 4" Full rating 150 LBS flanges 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 1" draw. 3315810013 2. Flow tube DN 1 ''/z" draw. 33158 10 1 B 3. Flow tube DN 2" draw. 33158I,0213 4. Flow tube DN 3" draw. 33158103B 5. Flow tube DN 4" draw. 33158104B 6. Flange DN 1" 150 LBS draw. 3315800]A 7. Flange DN 1 %2" 150 LBS draw. 33158002A 8. Flange DN 2" 150 LBS draw.33158003A 9. Flange DN 3" 150 LBS draw. 33158004A 10. Flange DN 4" 150 LBS draw. 33158005A 11. Housing DN 1" 150/300 LBS draw. 33158210A 12. Housing DN 1 ''/z" 150/ LBS draw. 3315821 lA 13. Housing DN 2" 150/300 LBS draw. 33158204A 14. Housing DN 3" 150/300 LBS draw. 33158212A 15. Housing DN 4" 150/ LBS draw. 33158206A 16. GA Draw. DN 1" 73097512. 17. GA Draw. DN 2" 73097513. ALBERTA 18. GA Draw. DN 4" 73097514. ASSU1i.':i i•,i! 19. ISO 9001 2008 KROHNE Altometer certifica e PRC)vI !CE OF 20. KROHNE Altometer Quality manual. SAFETY GUD1 fi.; i 21. CRN Witnessing report ceramic tubes. MQISTRAMO+N OF t=fffi' 4CS i End of page 2. F�41sTA�RiOti MO Q, ' �3.7..g.»'Z.,..�..'.r�...rt. TYPE OF FfTz ...... F�.,�;�7bov A JUL 0 8 .2010 �� H......140......DAY... -11TIAIS............ .......... r-o Y. ", P.ENO. DESK IIN SUnVEY EN31NEER 9410 - 20 Ave N.W. Edmonton, Alberta, Canada T6N OA4 the pressure equipment safety authority Tel: (780) 437-9100 / Fax: (780) 437-7787 July 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 2010-02047, originally received on April 09, 2010 was surveyed and accepted for registration as follows: CRN : OF13782.52 Accepted on: July 08, 2010 Reg Type : Addition to Acc. Fitting Expiry Date: April 07, 2020 Drawing No. : 33158100-33158104 Fitting Desc: OPTIFLUX 7000 FL Design registered in the name of : KROHNE-ALTOMETER The registration is conditional on your compliance with the following notes: 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, FOK, PO, P. Eng. Design Survey Engineer Page 1 of 1 ��sr� TECHNICAL STANDARDS& Show facsimile of manufacturer's logo or trademark,as it will rt `�9N SAFETY AUTHORITY appear on the fitting,in the space below T S S A 14th Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario Canada M8X 2X4 K R O H N E 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 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, 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 7000 FL (drawings,calculations,test reports,etc.) yh Declared before me at sliedrecht in the G 30th the day Of December AD 20 09 Commissioner for Oaths: (Printed name) / (Signature) a ure of Declarer) 171, FOR OFFICE USE ONLY R I niasl Boilers and To the best of my knowledge and belief,the application meets the requirements of the pressure Vessels Technical Standards and Safety Act,Boilers and Pressure Vessels Regulation,and ,� Safetyr Program Standard B51 and is a for registration in Category `F REC STERED CRN: Registered by: /4R� /TIC-CSC R�vc, CJLN•: Dated: Lam, L >/ ..Si 27 NOTE: This registration expires on . ............. ................ PV 09553(06/04) NQ/i—i� c���� ��/�/� � E gr OF C c: Y Statutory Declaration Registration of Fittings OPTIFLUX 7300 FL Page 2 Revision 1 dated 29 march 2010 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 7x00 FL series as described within. Product model name to be registered: OPTIFLUX 7XOOFUC For above listed model name,we are applying for Flanged type of fitting for sizes: 1", 2",3" Full rating 150 LBS and 300 LBS. 1'/z"and 4" Full rating 150 LBS flanges 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 1" draw. 33158100B 2. Flow tube DN 1 '/2"draw. 33158101B 3. Flow tube DN 2" draw. 33158102B 4. Flow tube DN 3" draw. 33158103B 5. Flow tube DN 4" draw. 33158104B 6. Flange DN 1" 150 LBS draw.33158001A 7. Flange DN 1 '/2" 150 LBS draw. 33158002A (JRN �yg 8. Flange DN 2" 150 LBS draw. 33158003A � 1q► sureVeB� 9. Flange DN 3" 150 LBS draw. 33158004A got1et8&PMS 10. Flange DN 4" 150 LBS draw. 33158005A G71 11. Housing DN 1" 150/300 LBS draw. 33158210A 12. Housing DN 1 ''/z" 150/ LBS draw. 33158211A ` 13. Housing DN 2" 150/300 LBS draw. 33158204A 14. Housing DN 3" 150/300 LBS draw. 33158212A 15.Housing DN 4" 150/ LBS draw. 33158206A 16. GA Draw.DN 1" 73097512. 17. GA Draw.DN 2" 73097513. 18. GA Draw.DN 4" 73097514. 19.ISO 9001 2008 KROHNE Altometer certificate 20.KROHNE Altometer Quality manual. 21.CRN Witnessing report ceramic tubes. End of page 2. TECHNICAL STANDARDS& Show facsimile of manufacturers logo or trademark,as it will SAFETY AUTHORITY appear on the fitting,in the space below T S S A 14th Floor,Centre Tower 3300 Bloor Street West Toronto,Ontario Q ry AuZN°01 Canada M3X 2X4 I 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 (PlantAddress) (Telephone No.) (F-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,pressureltemperature ratings,identification marling the fittings and service; or are not covered by the provisions of a recognized North American standard and are therefore manufactured to comply with AS ME VI11 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 meas.dev.Cat.F type fittings. In support of this application,the fallowing information and/or test data are attached as follows: See page 2 of Statutory Declaration Registration of Fittings Optiflux 7000 FL (drawings,calculations,lest reports,etc.) Declared before me at sliedrecht in the of,--ZF the 30th _day of December AD 20 09 ? y 9 Commissioner for Oaths: F d rCy'? rv.r +a' [d (Printed name) (Signature) f FOR OFFICE USE ONLY To the best of my knowledge and belief,the application meets the requirements of the COA f NTERMT10MAL Technical Standards and Safety Act,Boilers and Pressure Vessels Regulation,and � � CSA Standard B51 and is accepted for registration in Category F j STIEM CRN: CSA -oPi3792. C.R.N4SA-QE 13157,5 Registered by: TI krarn geoJLm 9 Stud:W-k ra k, `tP`� J Date: Ur r6 20 Dated: D Mat 1-� 178 Rudate sl+ro.,T %cat MOW iR3 NOTE: This registration expires on PADR4 L—.- ZQ'Zt7 PV 09553(06f04) ""N UTE:5 EE M"1mC.H► E'KAT 'FO2 S'C:OPE' OF 9&C1l 3T- IZA-Dck-). C 1 i Statutory Declaration Registration of Fittings OPTIFLUX 7300 FL Page 2 Revision 1 dated 29 march 2010 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 7x00 FL series as described within.Product model name to be registered: OPTIFLUX 7@OOFL/C i For above listed model name,we are applying for Flanged type of fitting for sizes: 1", 2",3" Full rating 150 LBS and 300 LBS. 1'/2"and 4" Full rating 150 LBS flanges The Ceramic flow tubes are hydrostatically tested(Third party TUV).The allowable working I, pressure is determined as 1/10 of the witnessed hydrostatical test pressure. Attachments 1. Flow tube DN 1" draw.33158100B 2. Flow tube DN 1 'L"draw.33158101B 3. Flow tube DN 2" draw.33158102B 4. Flow tube DN 3" draw.33158103B 5. Flow tube DN 4" draw.33158104B ' 6. Flange DN 1" 150 LBS draw.33158001A 7. Flange DN 1 %" 150 LBS draw.33158002A 8. Flange DN 2" 150 LBS draw.33158003A S6� tCd1 SsUte�91 9. Flange DN 3" 150 LBS draw.33158004A 6 `Bts&e ?ttsgt°`t l0 10.Flange DN 4" 150 LBS draw.33158005A S �L7 I 11.Housing DN 1" 150/300 LBS draw. 33158210A 12.Housing DN 1 '/2" 150/ LBS draw.3315821 IA ` 13.Housing DN 2" 150/300 LBS draw.33158204A 14.Housing DN 3" 150/300 LBS draw.33158212A 15.Housing DN 4" 150/ LBS draw.33158206A 16.GA Draw.DN 1" 73097512. • 17.GA Draw.DN 2" 73097513. q,�R��uN STAND ION os �q� 18.GA Draw.DN 4" 73097514. 19.ISO 9001 2008 KROHNE Altometer certificate l ►E 1 dF 1 20.KROHNE Altometer Quality manual. ATTPD M WTO 21.CRN Witnessing report ceramic tubes. CHN CGA.of 13-7 82..5b_ - End of page 2. — � SINNED 17lNexdeteBoulevard ommo,ON Comeds MOWt83 h i I I UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF OF FITTING DESIGNS AEW BRUNSWICK -'NOVA SCOTIA 'PRINCE EDWARD ISLAND / NEWFOUNDLAND AND LABRADOR jNUNAVUT UKON I-OORTHWEST TERRITORIES s MANUFACTURERS NAME:' Krohne Altometer MANUFACTURERS ADDRESS: Kerlceplaat 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. 1/ E Strainers,filters,separators,and steam traps hF Measuring devices,including pressure gauges,level gauges,sight glasses,levels,or ASME B31.3.calculations pressure transmitters and/or proof tests G Certlfied capacity-rated pressure relief devices acceptable as primary over pressure protection on ! boilers,pressure vessels,piping and fusible plugs i 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 ff WROUGHT GK CAST ❑ OTHER ❑ ' �' ��`` DESCRIBE OTHER: BONNE ,i LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: See page 2 "Statutory Declaration Registration of fittings OPTIFLUX 7000 FL" i i i DECLARATION: 1 John van der Graaf (:ea 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 registrvi.a�is sought. The dimensions,materials of construction, pressure temperature ratings,and identification markings are!t�_a6�dance with the herein named standards. I further declare that the manufacture of these fittings is regulated by a f 1 11tytrol Program which extends to each plant why,-abtcgi�ion occurs in whole or in part and has been verified by �RA� as being suitable for that ddipos6''a�n tjii��this solemn declaration conscientiously believing it t lie t ewing that it is of the same force and e �Eas�jf mada'44igr 5 th. Signature of Declarer: � Ilk�t� Declared before me at e� e U S E T H 1 Si- Al 'Y�(� R FI E This 30th day of D ember AD 2009 0 F I,,Ir- �� / Alt Commissioner of Oaths or Notary Public: (sign) (Affi O cial seal to the right) This space for Regulatory Authority use r This registration must be revalidated after ten(10)years from the date of pw ���`la" � CRN: 0 F 13 7 8 2 .5 DEPT OF PUBLIC SAFETY' MOILER&PRESSURE VESSEL ACT FID#: 7 n 1 5 REGISTRAWN ONLY R..(' Notes: 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. CA 3. The declaration shall be made by the person having full authority and t( responsibility for the quality of the end product. f BOUR NSPeOM 4. Quality control programs shall be resubmitted for validation C I �\ at a maximum interval of five(5)years. im () I � UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS � a ' `�JEW BRUNSWICK -'NOVA SCOTIA r��PfRINCE EDWARD ISLAND /r�EWFOUNDLAND AND IABRADOR � .^NAVUT XKON NORTHWEST TERRITORIES I MANUFACTURERS NAME:' xrohne Altometer MANUFACTURERS ADDRESS: Kerkeplaat 12, Dordrecht, the Netherlands I I PLANT LOCATIONS: see above CATEGORY OF FITTINGS TO BE REGISTERED. CIRCLE ONE CATEGORY ONLY A Pipe fittings,Including couplings;less,elbows,Ye,plugs,unions,pipe raps,or reducers Properitary standard , B Flanges: all ganger supported by j C Valves: all Ilne valves i D Expansion joints,flexible connections,and hose assemblies: all types ASME Vial div. 1/ i I trainers,filters,separators,and gleam traps ASME H31.3.calculations aasudng devices,Including pressure gauges,level gauges,sight glasses,levels,or I j FN prousufa—fransmlllefs and/or proof testsCerttfied capactly-rated pressure relief devices acceptable as primary over pressure protectlDn onboilers,pressure vessels,piping and fusible plugs Pressure retaining components[hat do not tall Into one of the above categories Nuclaar•components: Class 1❑ Class 2 O Class 3❑, (Meeting AECB or ASME requirements) SHOW MANUEACTURER3 NA ME,TRADEMARK, AS IT WILL APP OM E PRODUCT TYPE OF N FORDED❑ WELDED IN WROUGHT Ear CAST ❑ OTHER ❑ pzt i Y.,,,N DESCRI9E OTHER: f©'l aY.J7 I Q1 LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: see page 2 I 'Statutory Declaration Registration of fittings OPTIFLUX 7000 FL° DECLARATION: I John van der Graaf ltoo note 3)employed by KROHNE 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 best of i my knowledge represents the product for which registra i Is sought, The dimensions,materials of construction,pressure temperature ratings,and Identification markings are is bpdance with the herein named standards.I further declare that the i manufacture of these fittings is regulated by a OUR rogram which extends to each plant w fa.j tion occurs In whole Ilty or In part and has been verified by Ri of P as being suitable for that U�rqq"os e this solemn i declaration conscientiously believing II t e e ing that It Is of the same force and e kas�f m r th. �O Signature of Declarer: Declared before me at U S E T H I S' f ;Y t H E ( fl This 3011 day of D cembe AD 2009 0 F FCC r ; �f a Commissioner-of Oaths or Notary Public:(sign) :?4% ��y"t'� (A O cial seal to the right) r✓ f This space for Regulatory Authod f This registration must be revalidated after ten(10)year from the. ate of aco4*V6d%'NMILNT Of= I )INt{)j0tttj NFWFOUNDLAND @t0 CRN: OF13782.5 AND LAI.t#1l DOR I I F1D#: 2Q1 5 G_,,,,-rmleri`ervires Re istefed S-)- 2,.�� Notes: D'e 1 1, All fillings shall be registered In tho name of the Manufacturer. .i.t: :, :t 2. Each category shall be supported with two Statutory Declaration GQVE:I(.J,v1, r; :. I i?i_ forms and one copy of supporting documentation, rtujill eraitle� ++ 1 fit.I; -r't( t f.;cert�itlCs I 3. The declaration shell be made by the person having full authority and responsibility for the quality of the end product. - 4. Quallly control programs shelf be resubmitted for validation UNFJCIt T IrL/+!)I I li !'((JI I I IL• at a maximum Interval of five(5)years. PUBI K:Sits't I`(-THFROII FL? + :<,. 1?'= I-`'aFLANI.)I rt)rnl�arssl=l')!;ASi{I:(;111it'ItON5 j APR/16/20I0/FR1 06: 16 AM ACl CENTRAL FAX No. SO,;-bbb31j3 r, uiziiuiu STATUTORYUNIFOgM G TON IIS T(ONOF 9 TTING D— SAS e AE1N BRUNSWiCK /Novq sot)TW RINCR BAWARd ISLAND i npWFOWNOLAND AND LABIRADOR ,^NAVUT j5doxON CRTHWO TERRITORIE5 9 M " Krohne AltomdCer MANUFACTupi5R5ADARE3 : KerxAplaat. 12, T:oX acht, the Nekhe:clende w PLANT CA t0 9_ ,Pea W-CMe 1�66 To BE R A Riga fi trgs,including couplinge,tooa,elbows,Ye,pIu9G,unto I ,PIPo copy,or red000ra kroperii tuy standard B FlAnosar oI NeAusa mumparted ky C Valves: all line VaivV3 D Expenslon lvinu,llexlblo aanneellona,and bode ascambNas: ryW ABOE V3:11 diW, 1/ E Strainers,More,separolora,and atsamtrape pig )g�x,3,ealt,ulaeiorre tF Measuring dovlum,Including Praaaure gaup■a,level UPPONA, I ht Oturaa,tevele,or pnossuiTtranamibma and/or proof tents p Cerliflad a+pncllyrMlea pressure rallAdevioaa aco�ptadfq ei (mary ever prowuro prolecilon do twllers,prsauts vassals,piping and fuslbis plugs H Preaaure retaining componontt that do notfoll Into one of the eve oalegotiae N Nuowar,eomponarim Clare 10 Clara 2❑ Class 5 d, (M no ABCB orASM5 requirements} FOIM [i WaRnao is entautior z ass 0 "apt ❑ deeoeree 07Nat I 0MON� t u s To Bee page 2 "Statutory DeCl4xation Ragrio"ation of fit nqa OPTSFLVX 70DO AL, t DECLARATION! l arohri van der arnax n..rot.2)employed by_ ° °OmOtar and being the person having full authorlW and rerponalhilify for the quslHy of the and product do solemnly eclaro thatlhe information contalnod in thla form Is true and to the beat of my knowledge hepreaents the producl for which raglet a sought, "rho dlmenuione,matertala of construction,pressure temperature rndngs,and Idenitfcallon markingc G ance with tho harm named otandardc.I further declare that the manufacture of these flttlntar Is.regulated by a G li I Program which extends 10 each plant w a ion secure In whole I or In pact and has been veriflod by as being suitable forthdt ad, thlo soiamn deoleretion ranadenfloualy bellovip8 if t e g that It la of the settle force and o 3'.ma�nyy r th, Signature of Deawar, Declared before me AI U 8, I: T H 1 Sr R hl E Thia 301h day of D o a AP 200 O F Cornmisalanorof Olathe or Notary Public(sign) ed (A a at seat to the d h This spa or gegulataryAulnority u This rag*na8en must be revelidal after lon(10)you iomthedatacrfa L$ 0 C/ CRN: O F 13 78 2.5 Plprfnwttti iQrrltoriet , REGISTERED Flbrr, ?(L 5 UNDER THE AUTHORITY OF Notes; THE BOILER AND PRESSL44E 1. All nttinga shall be reglalerad In the name of the Manufacture, L 2, Eaoh category shaft be euppoded With two Statutory Declare n tortes and one ropy orsupporting do❑urtuniedon. C.R.N. 3, The dsolaratian aholl bs made by Ate person having full auth lty and SIGNL tsaponblbility for the quality of the end product. Q d. Quo Illy control pmgrame ahan be res0mlaed for Vandstlon AT& st 0 maximum interval or five(5)y*sn, I I I 1 I UNIFORM STATUTORY 13ECLARAT>ION FORM FOR THE RFGIST]RATIgN-Q�F FITTING DESIGN$. ICW SRUNSWIct( /110Va SGOTIA rPRINCE EDWARD ISLAND i NFWF0UN[)AND AND U. SRAUOR ,'NUNAVUT XUKON PWORTHWESTTr_RRiTORies w r Krohne Alt:ometer [M:UFACCTURERS ATUREFSAADR $ : �Czr)�eplaat12, taoYrlrechb, >lac Nather�ands PT O ATIONS; see above A Y F g r2RGISTERED. ONE CAT Y Properitary Stanclaxd A Pipe fittings,including coupilnev,toms,elbows,Ys,plugs,unions,pipe caps,or reducers + e Plvinge5; all flanges Oupported by C Valves! all line valvv6 b Expflnalon Joints,flexible connections,and hose au9emblles: oil"or, AgM Vxxx div. y/ Strainers,filters,separators.and ahem traps ABBE B31.3.ca,l.culat;ions Mcmuring deviyua,IgGludln9 pressure gau©ba,level gauges,sight glausua,ION1015,or presauWiransmWors dAGi/ax pxoof t;eotla d Certified capacity-rated pressure relief devices acceptable as primary over pressure protection an hollers,pressure vessels,piping and fusible plugs H Prejuure retaining components that do not fall Into tine of the above categories nl Nualeer-components: C120 I 0 Class 2 O Class 3❑, (Meedng AECI5 orASME rmquiremants) G W NIA UFACT FA E TRADEMARK, L G AS IT WILL P T E RRODt1C7 FCONST U FORGED Cl wELOEo of WROUGHT Mc p�SCAIBE O7H9H: '. KIR LIST OF P614TING DOCUMEWATION AND InEWHIFICAY10N OFT14t-ACTUAL ITEMA Yb BE REGISTERED: See pagm 2. °statutory Dorjaration of £it:tiAg8 OFTIFLUX 7000 p'L` 'OF-aI.ARATIO : 1 John van ftr G-raaf twolotesl employed by KRoHNE Al,tunleCeZ and being the person having full authority and responsibility for the quality of the and product do solemnly declare that the information contained in Ols form is true and to the beat of my knowledge represents the product forwhich regle Is sought, The dlmsnsions,materialC of construction,pressure temperature ratings,and identification markings& C gdance with the herein named standard&, I further declana that the manufacture of these t9ttings is regulated by e,0 -111 Wol Progrwm which extends to each plant wh s•a tort occurs in whole be In part and has been verified by RA as being aultable for That oe J;this solemn declaration conscientiously believing it e t e ing that it is of the soma force and a rnad- f( r` th. Signature of Declarer: G Declared baforo me at i U S E T H t 9i: ;i �,' H E This 30th day of n Ceatba AD z005 0 F I „ nr+0� Commissionar of Oaths �f+. � or Notary Public, (slgn) (Affi O cial seal to thn right This 6paco for R+iqulatvey Authority use ' This registrmllon must bs revalidated After ten (110)years from t CRN, O F 13 7 8 2 .5 ti�L Novas �Ilp%P RIL1#' 7n1 I � pate-- r�l.11o�.l Notes; CRN..aF� a. �.-_.._..._ 1. All fittingo 6heil be registered In the name of the Manufacturer. �1�SG.r.t�z ----------- 2 Each category shall by supported wlth two Statutory Declaration pvr g'- �" forma and one copy of supporting document-•etlon. S. The declaration mholl be made by thepercon having full authority and Signedvmetra_J. .. - responsibility for into quality of the end product. 4. Quality control programs shell be resubmlltod for validation 9C - -• ,- 0 at a maximum interval of 8uo(6)years, d P Gr P c u�- i i UNIFORM STATUTORY DECLARATION FORM FOP THE REGISTRATION OF FITTING DESIGNS I 1 I `-f46W QRUNSWIGK "NOVA BCOTIA r-PRINCE EDWARD ISLAND —KIEWFOUNDLAND AND LAYRADOR .^' NAVUT %XUKON ✓f 0RTHWESTTERRITORIES MANU ACT R 1U'.r,1,1,e Altometer MANUFACTURER5ADDRE55: KrrkeP-1aat 12, llorflrocht, the Netherlands PLANT LOCATIONS: Bee above A Pipe fittings.Including voupllngs,loon,olbowo,Yc,plugs,unlonn,plpe calm,oaredueara PropPri Cary Standard ti I 0 Flanges: all flanges muppoi bed by i C Velum: all line valves 0 Expanalon)oink,nexlble connectlons,and hose assemblleS: all typos ASME VIII div., 1/ E Stralnorc,filtoro,ceporalote,and steam traps r>F Measuring dovloac,Including preccuro gouges,level gauges,eight glaesse,levels,or AStd1 831.3.calculationo pressure-transmitters clods vz- yzuvL G Cerllfled capseltyrated pressure relief devices scccp►ablc as primary over pmmic proteellon on bottom,pressurs vessels,piping and fusible plugs H Pressure retaining components that do not fall Into one of the above categories i N Nuclear oomponenta: Class 1 D Class 2 O Class 3❑, (Meeting AEC6 orASMG requlremenle) NAMg,TRADgMA AA IT ELL APP R ON THE PROI)UCT TYPE OF CORBTF(UrnoN FDROBa 0 welded (H WRC1raHT rt,c OAST 0 oylleR 0 KR OH N 1 tlemCRleF oTHeR• C� t,a-1-qE SUPPORT)NG DOCUMENT TION AND 1DHNTIFICATION OP THE ACTUALy UMA TO Ila agt-iLR_TERPD, I 5Cee page 'Statutory t)aclarmtion Registration of C i l l i ngr. OPTTFr,1TX 7000 FL' PECLARATIDN: I John van seer Graaf (unno1n9)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 fur which regirrgtia{�is Bought. The dimenslonc,materials of construction,proasure temperature ratings,and Identification markings ofe•if�a br ante with the herein named standards.I further declare that the manufacture of thssba fittings is regulated by tigII of Program which extends to each plant whpJphiQ Uon occurs In whole or In part and has been verified by xR' as being suitable for that pd$osdrar,5 J film a this solemn deGeration consciantiouely bell0ving Il 1 e Ing that it is of the mama force and a f<6GY'f rnada,.- th. Signature of Doclaror. G _ Declared before me at ri pe. oU U 5 E T H 15'ir H F. Thio —1 Oth day" n tm . AO 2009 - r of f ,1 _ U F Commissioner of Oaths or Notary Public:(sign) nG (Af0 0 elsl Semi to the ri ht This apeco for Repulotory A _.._.__...r. .. ....- -• This registration must be revalldated after tan(10) as date of accept@rtgt3 �4 /t 4 C f 8 T ORN: OF13782 .5 N t"rV 1 1 Y fjoilr;s and FIDix; 7 Q 1 Ulla Ut Pressuro Vmi;15 Act Nolen: REGISTERED 1, All Iluingc shall bo registered IM110 name of the Manufacturer. Osn y r1 *t� 2. Each calagory;hall be supported v/lth two Statutory Declarolion CAN 11 J _ forms and Brie copy of Supporting documentation. 3. Tho declaration shall be mode by the person having full aulhorily and Date— K `C�) f `O roeponelblllty for the quality of tho and product. .may 4, Quallty oontral programs shot[be resubmlHed for validation Signed 11 at a maximum Interval of Ova(5)years. ief Inspector -- ---- wnnrcrfr--` UNIFORM STATUTORY DECLARATION FORM FOR THE REGISTRATION OF FITTING DESIGNS 44EW BRUNSWICK ,--NOVA SCOTIA 'PRINCE EDWARD ISLAND --NEWFOUNDLAND AND LABRADOR dUNAVU7 J(UKON k--iGORTHWEST TERRITORIES t 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 j C Valves: all line valves 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 s31.3.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 Nu clear.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 Iff WROUGHT CAST ❑ OTHER ❑ DESCRIBE OTHER: C ) LIST OF SUPPORTING DOCUMENTATION AND IDENTIFICATION OF THE ACTUAL ITEMS TO BE REGISTERED: See page 2 "Statutory Declaration Registration of fittings OPTIFLUX 7000 FL" DECLARATION: John van der Oraaf (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 registratIcT is sought, The dimensions,materials of construction, pressure temperature ratings,and identification markings area�brdance with the herein named standards. I further declare that the manufacture of these fittings is regulated by a Q0 lity o t of Program which extends to each plant wherejahLicption occurs in whole or in part and has been verified by RAC as being suitable for that�pla posan l,igia�Ce this solemn declaration conscientiously believing it to be a ing that it is of the same force and eff'ct asYjf.made tffcr' th. Signature of Declarer: �.: � 1't 0 Declared before me at ILI,e� a USE T H I ISi jy)CAcy �I J� R H E This 30th day of D cembei AD 2009 O F p-C• Commissioner of Oaths or Notary Public: (sign) (Affi O dal seal to the right) ••—, a: '' This space for Regulatory Authority use This registration must be revalidated after ten(10)years from the date of acceptance. m v tip y ld� CRN: O F 13 7 8 2 .5 FID#: 9 n 1 5 ~'°� 'ti-';'v i_ 01 PRINCE INCE EDWARD IS AND DEFT OF PR011i10 MAL AFFAIRS Notes: Q 1. All fittings shall be registered In the name of the Manufacturer. C.R.N. / p e5C 2. Each category shall be supported with two Statutory Declaration forms and one copy of supporting documentation. DATE-, 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 �ti rJ y }p t t-� �^ at a maximum interval of five(5)years. �i't 8 t✓ It`d c P i V a`•',_, e...� [}I,•f41 l 801LEMPRE S SURE VESSEL BRANCH j a UNIFORM 8TATLiT0RY DECLARATION FORM FOR THE RECISTRATIDN OF FITTING DESIGNS `'dEV1f DRUNSWICK /NOVA SCOTIA "'PRINCE EDWARD ISLAND 1<E WFOUNlDLAND AND LABRADOR ^NAVVT Pf-UKON v0OR wm-E -TERRITORIES MANUFACTURERS NAME: Icrohne Rltomete>= MANUFACTURERS ADDRESS: Korkeplaat: 12, Dordrecht, t1ke Netherlands PLANT LOCATIONS; see above ,Q616GORY OF FITTINt36 TO HE RJ:615T R D CIR4L-E ONE Gf.THpORY-Q.NLY. TITLE OF THfi 1TANDApD OF G0N6TRUCfIDN A Plpo 0dings,Including coupllnpe,less,chows,Ye,plugs,unions,pipe caps,or radvicers Properi tary Standard I S Flanges: all eyppoTted by flanA ea i C Valves, All line valves D Expanelon Joints,flexible connactlono,and hose assemblies: all types ASMP vx22 div, 1/ F Strolners,filters,saparatoro,and slesm traps tF Moasuring davlcee,Including pressure gauges,lovel gauges,sight glasaee,lovela,or ASME B31.3.calculations proosufe transmitters and/or proof toots 0 Certified eapaeltyrated pressure relief devices occeplable as primary over prassure protection on boilers,pressure vsaaala,piping and fuaible plugs H Pressure ratalning compenante that do not fall Into ono of tho above colegoriry N Nucleaf.componenie; Clews 1 M Class 2❑ Clans 3©, (Meeting AECB orASMF raqutremanla) ll AC U 0 9 LAP O D C ll DF f�DNBTRDDTIDN FOR9E017 WELDED 9 WROUGHT EV -r CAST ❑ OTHER ❑ ����` � DE4CIIIe60THHRt ■M G18TgF6uPPIggTtD�1C IRA ENTATtONA MIN IDeNTIF(cATIONOt r►teAA1�17 �TSrBEFctEGISTERED Son gage 2 "Statutory Declaration Registration of fittings OPTIFLVX 7000 FX., i I DECLARATION: I i Jobn van der dzaaf immlea)employed by LR E 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 best of my knowledge represents the product forwhieh regletr Is sought, The dimensions,materials of construction,pressure temperature ratings,end identification markings n�' �2PA nca with the herein named standards.I further declare that the manufacture of thane fltlings Is regulated by a RGalfty Program Witch wMands to each plant w a —Mon occurs in whole or In pert and has been verified by RAC as being sultebte for that 6 1h this solemn declaration conscientiously believing It 1 e Ing that It Is of the same force and a a mad r th, Signature of Declarer: Declared before me at ° U S E T H 15R H E This 30th day of Dec a AD 2009 0 F 1•x Commissioner of oathe or Notary Public:(sign) °QA �JS PCa SIIO���C (Afll o real seal to the right This space for Ragulatory Authority use This registration must be revalidated after tan(10)years from the date of acceptance, CRN: O F 13 7 8 2.5 4i1�--N r�O.,� FIoP- gnt A � Gr lZ Notes: t ti 1. All fittings shell be registered In the name of the Manufacturer, CRN Q ,1 ►- - 2 Each calsgory shall be supported with two Statutory Declaration forms end one copy of supportlnp documenlallon. 3. The dooleratlon shell be made by the person having full authority and DATE,���� responelblllty for the quality of the and product. 4. Quality control program shall be resubmitted for validation 40 at a maximum Interval of flvo(6)years, FRS Bp -f;,,srANa 14th Floor,Centre Tower f 3300 Bioor Street West T SSSS�A Toronto,Ontario Canada M8X 2X4 Tel.: 416.734.3300 s��fTY AUK�o�` Fax:416.231.1626 Toll Free:1,877,682.8772 www.tssa.org June 22, 2010 RICK LOISELLE KROHNE AMERICA INC 7 DEARBORN ROAD PEABODY MA 01960 US Service Request Type.: BPV-National BC Service Request No.: 360204 Your Reference No.: CAT F FITTING-OPTIFLUX 7000 FL-NAT'L SERV. Dear RICK LOISELLE, Please find enclosed the original response from BC, registered under the CRN No.: OF13782.51. 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 customerservices(atssa.orq. 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 - - fl""t oimaeie 505 6th Street,Suite 200 Sa New Westminster,BC V3L OE1 AUTHORITY Toll Free:1-866-566-SAFE Fax:(778)396—2064 www.safetyauthority.ca Date: May 25,2010 TECHNICAL STANDARDS & SAFETY AUTHORITY Account#: 35231 14TH FLOOR CENTRE TOWER-3300 BLOOR STREE Journal#: 48996 TORONTO ON M8x 2x4 Our File#: 4345586 Attn:TANYA FRANCIS Re:Application for Design Registration The design, as detailed in your,TSSA Service Request No:360204,for a Fitting is accepted for registration as follows: Registered To: KROHNE ALTOMETER CRN: OF13782.51 Drawing M 33158100/33158102/33158104 Drawing Revision: B/B/B Conditions of Registration: 1.This CRN covers various sizes of magnetic inductive flow meters model OPTIFLUX 7000L series. 2. See attachment for CRN scope. Amount GST Total Fee for reviewing your design: $216.00 $10.80 $226.80 Total: $216.00 $10.80 $226.80 Less amount received with submission: $0.00 $226.80 An invoice for$226.80 will follow. Contact me if you have any questions. ROMEO TUAZON (778)396-2031 Romeo.Tuazon@safetyauthority.ca Design Engineer CC: (PROD)30400-20 GST M 87391 2802 RT0001 505-6t'Street,Suite 200 New Westminster,B.C..V31-0E1 uRn s w auxin THIS IS PART OF t CRN OF13782.51 Toll Free: 1 866 566-SAFE Fax: (778)396-2064 AUTHORITY Journal #48996 www.safetyauthority.ca BCSA Statutory Declaration Registration of Fittings 4PTIFLUX 7300 FL Page 2 Revision 1 dated 29 march 2010 On behalf of KROHNE Altometer we are applying for an CRN Design Registration for our magnetic inductive flow meters OPTIFLUX 7x00 FL series as described within. Product model name to be registered: OPTIFLUX 7XOOFL/C For above listed model name, we are applying for Flanged type of fitting for sizes: 1", 2", 3" Full rating 150 LBS and 300 LBS. 1'V2" and 4" Full rating 150 LBS flanges 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 1" draw. 331581 OOB 2. Flow tube DN 1 '/a"draw. 33158101 B 3. Flow tube DN 2" draw. 33158102B 4. Flow tube DN 3" draw. 33158103B 5. Flow tube DN 4" draw. 33158104B 6. Flange DN 1" 150 LBS draw. 33158001A 7. Flange DN 1 %2" 150 LBS draw. 33158002A 8. Flange DN 2" 150 LBS draw. 33158003A 9. Flange DN 3" 150 LBS draw. 33158004A 10. Flange DN 4" 150 LBS draw. 33158005A H. Housing DN 1" 150/300 LBS draw. 33158210A 12. Housing DN 1 V" 150/ LBS draw. 3315821 1A 13. Housing DN 2" 150/300 LBS draw. 33158204A 14. Housing DN 3" 150/300 LBS draw. 33158212A 15. Housing DN 4" 150/ LBS draw. 33158206A 16. GA Draw. DN 1" 73097512. 17. GA Draw. DN 2" 73097513. 18, GA Draw. DN 4" 73097514, 19. ISO 9001 2008 KROI-INE Altometer certificate 20. KROHNE Altometer Quality manual. 21. CRN Witnessing report ceramic tubes. End of page 2.