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FORM U-5 MANUFACTURER’S DATA REPORT SUPPLEMENTARY SHEET SHELL-AND-TUBE HEAT EXCHANGERS As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1

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FORM U-5 MANUFACTURER’S DATA REPORT SUPPLEMENTARY SHEET SHELL-AND-TUBE HEAT EXCHANGERS

As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1

1. Manufactured and certified by

(Name and address of Manufacturer)

2. Manufactured for

(Name and address of Purchaser)

3. Location of installation

(Name and address)

4. Type

(Horizontal, vertical, or sphere) (Manufacturer’s serial number) (CRN)

(Drawing number) (National Board number) (Year built)

Date Name

(Authorized Inspector)

Commissions

Date Name

(Manufacturer)

Signed

(Representative)

Certificate of Authorization: Type No. Expires

Data Report

Item Number Remarks

(07/17)

FIXED TUBESHEET HEAT EXCHANGERS

Allowable Axial Differential Thermal

Expansion Range

units: units:

Design/Operating Pressure

Ranges Design/Operating Metal Temperatures

Shell Side

units: units:

Name of Condition Tube Side

Design

Shell Channel Tubes Tubesheet

units: units:

Min. Max.

units: units:

Min. Max.

units: units:

Min. Max.

(National Board Authorized Inspector Commission number)

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