1、FORM N-6 CER TIFICA TE HOLDERS DA T A REPOR T FOR STORAGE T ANKS*As Required by the Provisions of the ASME Code,Section III,Division 1Pg.1 o f1.Manufactured and certified by(name and address of N Certificate Holder)2.Manufactured for(name and address of purchaser)3.Location of installation(name and
2、address)4.T ype:(horiz.or vert.tank)(Cert.Holder s serial no.)(CRN)(drawing no.)(Natl.Bd.no.)(year built)5.ASME Code,Section III,Division 1:(edition)(addenda date)(class)(Code Case no.)6.Shell:matl.(spec.no.,grade)nom.thickness(in.)(design thk.)(min.tensile)dia.ID(ft&in.)length(overall)(ft&in.)7.Sea
3、ms:long.(welded,dbl.,R T(spot or full)eff.(%)H T1(yes)girth(welded,dbl.,(R T(spot,partial or(no.of courses)sngl.,lap.butt)sngl.,lap.butt)full)8.Heads:(a)T.S.(b)T.S.matl.(spec.no.,grade)matl(spec.no.,grade)Location(top,bottom,Minimum Desig n C rown Knuckle Elliptical Conical Hemispherical Flat Side t
4、o Pressure T ype of Join tends)Thickness Thickness Radius Radius Ratio Apex Angle R adius D iameter(convex or concave)(lap or butt)(a)(b)If removable,bolts used(describe other fastenings):(matl.,spec.no.,gr.,size.no.)9.Design Pressure2at max.temp.M in.pressure-test temp.Pneu.,hydro.,or comb.test pre
5、ssure(psi)(F)(F)(psi)10.Nozzles,inspection and safety valve openings:Purpose Dia.Nominal Reinforcement How(inlet,outlet,drain,etc.)No.or Size T ype Matl.Thickness Material Attached Locatio n11.Supports:Skirt Lugs Legs Other Attached(yes or no)(no.)(no.)(describe)(where&h ow)12.Remarks:1If postweld h
6、eat treated.2List other internal or external pressures with coincident temperature when a pplicable.*Supplemental informatio n in t he form of lists,sketches,or drawings may be u sed provided(1)size is 81/2x 11,(2)information in item s 1 through 4 on t his D ata Reportis included on each sheet,(3)ea
7、ch sheet is numbered and t he number of sheets is recorded at the top of this form.(11/05)FORM N-6(Back Pg.2 o f)Certificate Holder s Serial No.CER TIFICA TIO N OF D ESIG NDesign s pecifications certified by P.E.State Reg.no.Design i nformation on file atCER TIFICA T E O F SHOP COMPLIANC EW e certif
8、y that the statements made in this report are correct and that this storage tank conforms t o the rules for construction of the ASME Code,Section III,Division 1.N C ertificate of Authorizatio n N o.ExpiresDate Name Signed(N Certificate Holder)(authorized representative)CER TIFICA T E O F SHOP INSPEC
9、TIO NI,the u ndersigned,holding a valid commission issued by the National Board of Boiler and Pressure V essel Inspectors and the State or Provinceof and employed byof have inspected the storage tank described in this Data Report on,and state that to the best of my knowledge and belief,the Certifica
10、te Holder has constructed this storage tank in accor-dance w ith the ASME Code,S ection III,Division 1.By signing this certificate neither the inspector nor his employer makes any warranty,expressed or implied,concerning the storage tank describedin this Data Report.Furthermore,neither the inspector
11、 nor his employer shall be liable in any manner for any personal injury or property damageor a loss of any kind arising from or connected with this inspection.Date Signed Commissions(Authorized Nuclear Inspector)Natl.Bd.(incl.endorsements)and state or prov.and no.CER TIFICA T E O F FIELD ASSEMBL Y C
12、OMPLIANCEW e certify that the statements on this report are correct and that the field assembly construction of all parts of this storage tank conforms t o therules of construction of the ASME Code,Section III,Division 1.N C ertificate of Authorizatio n N o.ExpiresDate Name Signed(N Certificate Hold
13、er)(authorized representative)CER TIFICA T E O F FIELD ASSEMBLY I NSPECTIO NI,the u ndersigned,holding a valid commission issued by the National Board of Boiler and Pressure V essel Inspectors and the State or Provinceof and employed byof have compared the statements in this Data Report with the des
14、cribed storage tankand state that parts referred to as data item s,not included in the Certificate of ShopInspection,have been inspected by me on and that to the best of my knowledge and belief the Certificate Holder has constructedand assembled this storage tank in accordance with the ASME Code,Sec
15、tion III,Division 1.By signing this certificate,neither the inspector nor his employer makes any warranty,expressed or implied,concerning the installation describe din this Data Report.Furthermore,neither the inspector nor his employer shall be liable in any manner for any personal injury or property damageor a loss of any kind arising from or connected with this inspection.Date Signed Commissions(Authorized Nuclear Inspector)Natl.Bd.(incl.endorsements)and state or prov.and no.