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FORM RP-1 FABRICATOR’S DATA REPORT FOR FIBER-REINFORCED
PLASTIC PRESSURE VESSELS (CLASS I) (Revision D — 2017)
As Required by the Provisions of the ASME Boiler and Pressure Vessel Code
1. Fabricated and certified by(name and address of Fabricator)
2. Fabricated for(name and address of Purchaser)
3. Location of installation(name and address)
4. Type Vessel No. Year Built (dwg. no.)
[Edition and Addenda (if applicable) Date]
(National Bd. no.)
(Code Case No.)
(bag molded, centrif. cast, filament wound)
(molded, centrifugally cast, filament wound)
(integral, adhesive bonding, bolted, quick opening, etc.)
(CRN) (horiz. or vert. vessel)
5. Vessel fabricated in accordance with Design Specification no.
6. ASME Section X
7. Tests on prototype vessel conducted and certified by
8. Fabricated for
9. SHELL: Type Nominal thickness
Diameter Length Barcol hardness
(a)
(1)
(2)
(1)
(Material, Spec. no., T. S., size, number)
(2)
(1)
(2)
(b) If bolted, bolts used
(1)
(Describe or attach sketch)
(2)
(c) If quick opening or other
Location
(Top, Bottom, Ends)
Nominal
Thickness
Barcol
Hardness
Nominal
Weight
Shape or Contour
(Describe, giving radii, angle, ratios,
where appropriate)
(d) If filament wound, describe pole pieces or head fittings
Location
Attachment
10. HEADS: Type
11. SAFETY OR SAFETY RELIEF VALVE OUTLETS: Number Size
and Procedure Specification no.
Date
Date
Maximum allowable working pressure psi (kPa) at maximum allowable temperature
Minimum allowable temperature [when less than �20�F (�29�C)]
Hydrostatic,
Pneumatic, or Test pressure Total weight of completed vessel .
Combination
(Manufacturer’s serial)
(07/17)
FORM RP-1 (Back) (Revision D — 2017)
CERTIFICATE OF COMPLIANCE
CERTIFICATE OF SHOP INSPECTION
12. NOZZLES:
13. INSPECTION OPENINGS:
14. SUPPORTS: Skirt Lugs Legs Other
15. REMARKS
(Brief description of purpose of the vessel, such as air tank, water tank, LPG storage, etc. If description of the purpose of the vessel does not clearly indicate the contents of the vessel, state what the contents are to be. Describe any unusual features of design or construction not covered by items 3 to 14 inclusive.)
Date
Commission (Authorized Inspector’s signature) (National Board Authorized Inspector Number)
(Fabricator) (authorized representative)
(date)
Date
We certify the statements in this Data Report to be correct.
Signed by
of
have inspected the pressure vessel described in this Fabricator’s Data Report on and state that, to the best of
Vessel made by I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by
at
Our Certificate of Authorization No. to use the Certification Mark with RP Designator expires
(describe) (number)
(where and how)
(where and how)
(number) (yes or no)
Attached
Attached
Manholes: No.
Purpose (Inlet,Outlet, Drain)
Diameter or Size
Reinforcement Material Number Type Material Thickness How Attached
Size Location
Handholes: No. Size Location
Threaded: No. Size Location
my knowledge and belief, the Fabricator has constructed this pressure vessel in accordance with the applicable Sections of the ASME BOILER
AND PRESSURE VESSEL CODE.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the pressure vessel
described in this Fabricator's Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal
injury or property damage or loss of any kind arising from or connected with this inspection.
(07/17)
(date)