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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) (Tank, separator, jkt. vessel, heat exch., etc.) (Drawing number) (CRN) (Manufacturer s serial number) (Year built) (National Board number) 5. ASME Code, Section VIII, Div. 1 Edition and Addenda, if applicable (date) Special service per UG-120(d) (Code Case number) Items 6 11 incl. to be completed for.

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