Instructions:
Is your object ASME code-stamped? Yes No Don't Know
NOTE: The primary contact is the person who can answer technical questions about the boiler or pressure vessel being installed.
The primary contact is at the: Location Owner Installing Company *First Name: A value is required. *Last Name: A value is required. *Contact Phone Number: A value is required.Invalid format. Alternate Phone Number: Invalid format. Format: (111) 111-1111 *Email Address: Invalid format.A value is required.
When completing this section, include the physical location address where the boiler or pressure vessel is being installed. The location contact is the person our inspector would work with at the time of inspection.
*Mail official correspondence to: Location Address Owner Address
The owner is the person who can answer questions about billing and certificate status. Owner information is required only if official correspondence should be mailed to some address other than the location entered above.
Check here if location and owner information is the same. First Name: Last Name: Contact Phone: Alternate Phone Number: Business Name: Address 1: Address 2: City: State: Zip Code: Email Address:
The object details section contains information about the actual boiler or pressure vessel being installed.
*Name of Manufacturer: A value is required.
High-pressure boilers may be sized by the heating surface as noted on the manufacturer’s nameplate. The letters HS followed by a number indicate the heating surface.
Low-pressure boilers may have their heat input calculated in BTU/hr on the manufacturer’s nameplate.
If the boiler is electric, 1kW is equal to 3,500 BTU/hr.
The NB Number will be displayed on the nameplate above the name of the manufacturer.
Describe exactly where this object will be installed in your plant or building—be very specific. This information is very important to help our inspector find the object for inspections—especially if you have a large plant with many installed objects.
Please give a brief history of the object.
Where was this object installed previously? What was the object used for?
Describe the object. Note: Helpful information includes: The type of object (high or low pressure boiler; air compressor, etc.)
What the object will be used for?
Any unusual conditions?