MDR

1. Manufacturedandcertifiedby
(NameandaddressofManufacturer)

2. Manufacturedfor
(NameandaddressofPurchaser)

3. Locationofinstallation
(Nameandaddress)

4. Type
(Horizontal,vertical,orsphere) (Tank,separator,jkt.vessel,heatexch.,etc.) (Manufacturer'sserialnumber)

(CRN) (Drawingnumber) (NationalBoardnumber) (Yearbuilt)

5. ASMECode,SectionVIII,Div.1
[EditionandAddenda,ifapplicable(date)] (CodeCasenumber) [SpecialserviceperUG120(d)]

Items611incl.tobecompletedforasinglewallvessels,jacketsofthejacketedvessels,shellofheatexchangers,orchamberofmultichambervessels
6. Shell: (a)Numberofcourse(s) (b)Overalllength

Course(s) Material Thickness Long.Joint(Cat.A) Circum.Joint(Cat.A,B&C) HeatTreatment

No. Diameter Length Spec./GradeorType Nom. Corr. Type Full,Spot,None Eff. Type Full,Spot,None Eff. Temp. Time

BodyFlangesonShells
Bolting
No. Type ID OD FlangeThk MinHubThk Material HowAttached Location Num&Size BoltingMatl Washer(OD,ID,thk) WasherMatl

7. Heads(a) (b)
(Materialspec.number,gradeortype)(H.T.timeandtemp) (Materialspec.number,gradeortype)(H.T.timeandtemp)

Location(Top, Thickness Radius Elliptical Conical Hemispherical Flat SidetoPressure CategoryA

Bottom,Ends) Min. Corr. Crown Knuckle Ratio ApexAngle Radius Diameter Convex Concave Type Full,Spot,None Eff.
(a)
(b)

BodyFlangesonHeads
Bolting
Location Type ID OD FlangeThk MinHubThk Material HowAttached Num&Size BoltingMatl Washer(OD,ID,thk) WasherMatl
(a)
(b)

8. Typeofjacket Jacketclosure
(Describeasogeeweld,bar,etc.)

Ifbar,givedimensions Ifbolted,describeorsketch.

9. MAWP atmax.temp. Min.designmetaltemp. at

(Internal) (External) (Internal) (External)

10. Impacttest attemperatureof

(Indicateyesornoandthecomponent(s)impacttested)
11. Hydro.,pneu.,orcomb.Testpressure Prooftest

Items12and13tobecompletedfortubesections.

12. Tubesheet
[Stationary(materialspec.no.)] [Diameter(subjecttopress.)] (Nominalthickness) (Corr.allow.) [Attachment(WeldedorBolted)]

[Floating(material,spec.,no.)] (Diameter) (Nominalthickness) (Corr.allow.) (Attachment)

13. Tubes
(Materialspec.,no.,gradeortype) (O.D.) (Nominalthickness) (Number) [Type(straightorU)]