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FIELD DEVICES – QUALITY ASSURANCETechnical Information
TI 037-094
Quality Assurance Certificatesfor Non-Nuclear Parts and ProductsINTRODUCTION
Invensys/Foxboro offers certificates (and certifications) for non-nuclear parts and products to satisfy the sales order requirements of many customers. Quality assurance certificates offered by Invensys/Foxboro are as follows:
Certificate of Compliance
Certificate of Conformance
Material Certification (Non-specificBS EN 10204 2.1)
Material Certification (Certificates IncludedBS EN 10204 3.1)
Calibration Certificate
Certificate of Pressure Test
Certificate of Cleaning
Weight Certificate
SASO Certification (Saudi Arabia Standards Organization)
Electrical Agency Certificates
Certificate of Compliance to NACE Standards MR0175/ISO 15156-3 and NACE MR0103
SIL2 - System Integrity Level
Certificate of Positive Material Identification (PMI) of Process Wetted Material
Certificate of Positive Material Identification (PMI) of Pressure Containment Material
Russian Verification Certificate (GOST)
ASME Weld Certificate
ECEP Certificates
For certification not listed above, or certifications relating to nuclear products, contact Invensys/Foxboro.
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF COMPLIANCE/QUALITY STATEMENT
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items on this order comply with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is Certified by TUV SUD AMERICA INC. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
______________ Date: XXXXX XXXXX Quality EngineeringFORM COMPCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF COMPLIANCE/QUALITY STATEMENT
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items on this order comply with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is Certified by TUV SUD AMERICA INC. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
______________ Date: XXXXX XXXXX Quality EngineeringFORM COMPCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF CONFORMANCE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items listed on this certificate conform with the applicable Technical/Qualityrequirements of the Customer's Purchase Order.
We certify that the items on this order conform with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification Sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is certified by TUV SUD AMERICA INC.. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
___________________ Date: XXXXX XXXXXQuality EngineeringFORM CONFCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF CONFORMANCE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items listed on this certificate conform with the applicable Technical/Qualityrequirements of the Customer's Purchase Order.
We certify that the items on this order conform with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification Sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is certified by TUV SUD AMERICA INC.. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
___________________ Date: XXXXX XXXXXQuality EngineeringFORM CONFCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION (NON - SPECIFIC) (Conforms to BS EN 10204 2.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.: Model No.: Serial No.: Tag:
The process wetted materials, furnished under the above Purchase Order, were producedin compliance with applicable Invensys/Foxboro Specifications, from materials, for whichNon - Specific Certificates of Material Test Report Analysis are available for examination.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are freefrom external contamination by Lead, Asbestos, PCB's, Mercury or their compounds.
The materials of construction of the process-wetted parts for this order are as follows:
Description Material Part No.
Invensys/Foxboro
_________________ Date:XXXXX XXXXXQuality EngineeringFORM MATCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION (NON - SPECIFIC) (Conforms to BS EN 10204 2.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.: Model No.: Serial No.: Tag:
The process wetted materials, furnished under the above Purchase Order, were producedin compliance with applicable Invensys/Foxboro Specifications, from materials, for whichNon - Specific Certificates of Material Test Report Analysis are available for examination.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are freefrom external contamination by Lead, Asbestos, PCB's, Mercury or their compounds.
The materials of construction of the process-wetted parts for this order are as follows:
Description Material Part No.
Invensys/Foxboro
_________________ Date:XXXXX XXXXXQuality EngineeringFORM MATCERT (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION(Conforms to BS EN 10204 3.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.:Customer P.O. No.: Model No.: Serial No.: Tag:
This is to certify that the process wetted materials, furnished under the above Purchase Order, are in compliance with all applicable Invensys/Foxboro specifications. Specific Certificates of Material Test Report Analysis, for process wetted metal components, are attached.
Description Material Part No. Heat #
Where heat identification is not marked on the part, specific heat traceability exists and is assured by Quality System. Invensys/Foxboro manufacturing, assembling, and testing operations are covered by Invensys/Foxboro Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and conforms to ISO 9001:2008, which is certified by TUV SUD AMERICA INC. This program provides for the selection, evaluation, approval, maintenance, and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are free from external contamination by Lead, Asbestos, PCB’s or Mercury or their compounds.
Invensys/Foxboro_________________ Date: XXXXX XXXXXQuality EngineeringFORM MATCERT2 (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION(Conforms to BS EN 10204 3.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.:Customer P.O. No.: Model No.: Serial No.: Tag:
This is to certify that the process wetted materials, furnished under the above Purchase Order, are in compliance with all applicable Invensys/Foxboro specifications. Specific Certificates of Material Test Report Analysis, for process wetted metal components, are attached.
Description Material Part No. Heat #
Where heat identification is not marked on the part, specific heat traceability exists and is assured by Quality System. Invensys/Foxboro manufacturing, assembling, and testing operations are covered by Invensys/Foxboro Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and conforms to ISO 9001:2008, which is certified by TUV SUD AMERICA INC. This program provides for the selection, evaluation, approval, maintenance, and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are free from external contamination by Lead, Asbestos, PCB’s or Mercury or their compounds.
Invensys/Foxboro_________________ Date: XXXXX XXXXXQuality EngineeringFORM MATCERT2 (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CALIBRATION CERTIFICATE
CUSTOMER DATE
CUSTOMER PURCHASE ORDER NO. CUSTOMER TAG
INSTRUMENT MODEL SERIAL NUMBER
SAP Item PRODUCTION NO. CALIBRATED BY DEPT.
CALIBRATION DATA
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIRED
ACTUAL % ERRORDESIRED
ACTUAL % ERRORINC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ALL MEASUREMENT STANDARDS ARE CALIBRATED AT SCHEDULED INTERVALS BY THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY (NIST) , OR AGAINST CERTIFIED STANDARDS WHICH ARE TRACEABLE TO THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY FORMERLY NATIONAL BUREAU OF STANDARDS (NBS).
COMMENTS: APPROVED BY
DATE
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTFICATE OFHYDROSTATIC / PRESSURE TEST
INSTRUMENT MODEL REFERENCE NUMBER CUSTOMER TAG
APPROVED BY DATE
Form: Hydrocert (07/13)
CUSTOMER DATE
CUSTOMER ORDER # SAP S.O. #
INVENSYS ORDER # ITEM #
TEST MEDIUM TEST PRESSURE
TEST DURATION TESTED BY: DEPT.
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
WEIGHT CERTFICATE
INSTRUMENT MODEL
REFERENCE NUMBER
CUSTOMER TAG
WEIGHT IN KG
APPROVED BY DATE
Form: Weight Cert (07/13)
CUSTOMER DATE
CUSTOMER ORDER #
SAP S.O. # ITEM # TESTED BY: DEPT.
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTFICATE OFHYDROSTATIC / PRESSURE TEST
INSTRUMENT MODEL REFERENCE NUMBER CUSTOMER TAG
APPROVED BY DATE
Form: Hydrocert (07/13)
CUSTOMER DATE
CUSTOMER ORDER # SAP S.O. #
INVENSYS ORDER # ITEM #
TEST MEDIUM TEST PRESSURE
TEST DURATION TESTED BY: DEPT.
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTFICATE OF CLEANING
We certify that all process wetted parts, supplied on the order listed above, have been cleaned to meet the following requirements (check appropriate box).
NUCLEAR SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 264
OXYGEN SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 260
CHLORINE SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 260
SPECIAL CLEANING Cleaned in accordance with customer specifications
Form: cert cleaning (07/13)
CUSTOMER NAME DATE
CUSTOMER ORDER # CUSTOMER TAG#
INVENSYS MODEL # REFERENCE #
SAP ORDER # ITEM # CLEANED BY: DEPT.:
APPROVED BY DATE
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF CONFORMITY
Certificate of Conformity to Standard Specifications for ElectricalAppliances, Equipment, and Accessories issued by themanufacturing company in execution of SASO Board of Directors’Decision No. 58 dated 1405 (H) –09-17.
Name of Commodity: Quantity:
Type: Unique Designation:
Name of Manufacturer: Invensys/Foxboro Brand Name:
Country of Origin: United States of America
The principal technical information for this commodity is as follows:
Rated Voltage: Rated Frequency:
Rated Current: Rated Power:
Power Coefficient (if any): --
Rated period of operation:
Appliance capacity: -- Dimensions:
Mass (weight):
Other information: -
We certify that the supplied consignment of the above-mentioned commodity is produced by a factory of the above manufacturer and exported by us and conform to the following Saudi Standards and/or the following standards approved by SASO:
SASO SSA 16, 17, 18, 86Name and title of SASO Approval Chamber of Commerce responsible position person: & Industrial Approval
Signature and date:
Stamp of Factory:Not availableFORM SASO (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
ELECTRICAL AGENCY CERTIFICATE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description: Quantity:
Serial No. Tag Serial No. Tag
Attached: Electrical Agency Certificate
Invensys/Foxboro
_____________________ Date: XXXXX XXXXXQuality EngineeringFORM AGENCY (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
SIL DECLARATION OF CONFORMITY
We, Manufacturer:
Invensys Systems, Inc.33 Commercial StreetFoxboro, Massachusetts 02035U.S.A.
declare under our sole responsibility that the
RTT15-T Temperature Transmitter with Thermocouple (1)RTT15-T Temperature Transmitter with 4-wire RTD (2)
have been assessed to applicable IEC 61508 requirements in support of SIL2 applications and the following parameters:
Product RTT15-T Temperature Transmitter with Thermocouple (1)
RTT15-T Temperature Transmitter with 4-wire RTD
(2)SIL 2 2
Proof test interval 1 Year 1 YearDevice Type B B
HFT 0 0SFF 92.3% 92.3%
PFDavg 1.86 x 10 -3 8.54 x 10 -4
��� 425 FIT 195 FIT��� 4973 FIT 2203 FIT��� 142 FIT 142 FIT��� 0 FIT 0 FIT
MTTF 21 Years 45 YearsDCS 0% 0%DCD 92% 92%
I, the undersigned, hereby declare that the products specified above conform to the listed standard:Signature:
Name: Normand E. ProvostTitle: Manager Product QualificationDate: May 17, 2006
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF PMI TESTCustomer:SAP Sales Order No.: Item No.:Model Code:Customer P.O. No.:Serial Number(s):
PMI tests were performed on the process wetted material for the respective heat numbered parts for the above mentioned order, utilizing a BRUKER hand held XRF Analyzer S1 TurboSD, in accordance with the Quality Engineering Metallurgical Lab Process Instruction Manual for the S1 TurboSD
Attached are the results from the testing. Calibration checks were performed prior to and after completion of tests on the requested parts. The tested parts were found to be in conformance with the applicable ASTM standards. All results are within the measurement tolerance of the analyzer.
Attached: Test report(s)
Invensys/Foxboro
______________ Date: XXXXX XXXXXQuality EngineeringForm PMI process wetted (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF COMPLIANCE/QUALITY STATEMENT
(NACE)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model: Description: Quantity:
Serial No. Tag Serial No. Tag
We certify that the items on this order comply with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is certified by Det Norske Veritas. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
We certify that the above instruments meet NACE MR0175/ISO 15156-3 and NACE MR0103.
Invensys/Foxboro
___________________XXXXX XXXXX Date:Quality EngineeringFORM NACE (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF PMI TESTCustomer:SAP Sales Order No.: Item No.:Model Code:Customer P.O. No.:Serial Number(s):
PMI tests were performed on the process wetted material for the respective heat numbered parts for the above mentioned order, utilizing a BRUKER hand held XRF Analyzer S1 TurboSD, in accordance with the Quality Engineering Metallurgical Lab Process Instruction Manual for the S1 TurboSD
Attached are the results from the testing. Calibration checks were performed prior to and after completion of tests on the requested parts. The tested parts were found to be in conformance with the applicable ASTM standards. All results are within the measurement tolerance of the analyzer.
Attached: Test report(s)
Invensys/Foxboro
______________ Date: XXXXX XXXXXQuality EngineeringForm PMI process wetted (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF PMI TESTCustomer:SAP Sales Order No.: Item No.:Model Code:Customer P.O. No.:Serial Number(s):
PMI tests were performed on the pressure containment material for the above mentioned order utilizing a BRUKER hand held XRF Analyzer S1 TurboSD, in accordance with the Quality Engineering Metallurgical Lab Process Instruction Manual for the S1 TurboSD
Attached are the results from the testing. Calibration checks were performed prior to and after completion of tests on the requested parts. The tested parts were found to be in conformance with the applicable ASTM standards. All results are within the measurement tolerance of the analyzer.
Attached: Test report(s)
Invensys/Foxboro
______________ Date: XXXXX XXXXXQuality EngineeringForm PMI pressure containment (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
SYSTEM INTEGRITY LEVEL (SIL2)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description: Quantity:
Serial No. Tag Serial No. Tag
Attached: TUV Certificate 968/EZ 308.01/09IPS Functional Safety Datasheet
Invensys/Foxboro
_____________________ Date: XXXXX XXXXXQuality EngineeringFORM SIL-TUV (07/13)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
ASME WELD CERTIFICATE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items welded on this order produced by Invensys/Foxboro on the above referenced order have been inspected and satisfy all purchase order, drawing specifications, and all welding was performed in accordance with ASME Section IX of the Boiler Code.
Invensys/Foxboro
______________ Date:
FORM WELDCERT (07/13)
QA
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CALIBRATION CERTIFICATE
CUSTOMER DATE
CUSTOMER PURCHASE ORDER NO. CUSTOMER TAG
INSTRUMENT MODEL SERIAL NUMBER
SAP Item PRODUCTION NO. CALIBRATED BY DEPT.
CALIBRATION DATA
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIRED
ACTUAL % ERRORDESIRED
ACTUAL % ERRORINC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ALL MEASUREMENT STANDARDS ARE CALIBRATED AT SCHEDULED INTERVALS BY THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY (NIST) , OR AGAINST CERTIFIED STANDARDS WHICH ARE TRACEABLE TO THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY FORMERLY NATIONAL BUREAU OF STANDARDS (NBS).
COMMENTS: APPROVED BY
DATE
TI 037-094Page 2
AVAILABILITY AND SPECIFICATION OF CERTIFICATES
The certificates (certifications) listed above may not be applicable to all Invensys/Foxboro products developed and manufactured by the Invensys/Foxboro business unit of Invensys. Therefore, only certificates applicable to a particular product are offered. For example, a Weight Certificate or a Cleaning Certificate are not necessary where weight is not an issue, or cleaning is not required by the process. The certificates appropriate to a particular product will be identified within the Model Code (ordering code) of that product, or separately identified with an Invensys/Foxboro Auxiliary Specification (AS) Number. In either situation, the certificate identification for the customer is simplified, and as stated previously, the selection is optional.
Unless otherwise noted on the customer's Sales Order, the Certificate(s) will normally be packaged with the instrument in the shipping container(s).
The attached certificates are representative examples and include minimum fields. Actual certificates may vary slightly.
DESCRIPTION OF CERTIFICATES
CERT-A - Certificate of Compliance
The certificate states that the instrument is in compliance with Invensys/Foxboro published documentation.
CERT-A is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-B - Certificate of Conformance
(Only for Non-Project Orders)
NOTEFor “Project Orders” a Cert “A” should be ordered.
The certificate states that the technical/quality portion of the customer’s purchase order has been reviewed by Quality Engineering, and that the instrument is in conformance with the customer’s technical purchase order requirements, as well as Invensys/Foxboro documentation.
CERT-B is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-C - Material Certificate - Non-Specific - BS
EN 10204 2.1
The certificate lists the instrument process wetted metallic parts by material, part number, and description of piece part. It also states that Invensys/Foxboro can provide other evidence of conformance/compliance. Traceability to individual heat numbers is not available and the non-specific material certificates are not supplied. This certificate does not include resale options such as seals and bypass manifolds.
CERT-C is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-D - Material Certificate - BS EN 10204 3.1
Specific Certificates of Material Test Report Analysis, for process wetted metal components, are attached. This certificate does not include resale options such as seals and bypass manifolds.
CERT-D is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-E - Calibration Certificate
A certificate that shows calibration data or states that the units were tested and accepted to a specific test procedure(s), and when applicable includes a statement that the calibration test equipment used is traceable to the National Institute of Standards and Technology (NIST).
NOTES1. NIST statements, when supplied separately
from calibration test reports, must betraceable to the specific sales order.
2. Test/Calibration formats may vary per productline specifications.
CERT-E is signed and dated by the appropriate Manufacturing Supervisor or qualified personnel.
CERT-F - Certificate of Pressure Test
The certificate states that the instrument has been pressure tested at 1.5 times the maximum working pressure for a minimum of one minute, or as required per standard without leaks and for PED 10 minutes without leaks.
CERT-F is signed and dated by the appropriate Manufacturing Supervisor or qualified personnel.
TI 037-094Page 3
CERT-G - Certificate of Cleaning
The certificate states that the instrument has been specially degreased, cleaned for oxygen service, cleaned for chlorine service, etc., to minimize contaminants to the end user's process, with special tagging and packaging per Invensys/Foxboro Cleaning Standard CES 260.
NOTEThe cleaning option (Auxiliary Specification OS-W-2, OS-FC-2, CLS-2, etc.) must be added to the base instrument.
CERT-G is signed and dated by the appropriate Manufacturing Supervisor or qualified personnel.
CERT-H - Weight Certificate
The certificate lists the unpackaged weight, in kilograms, of each instrument, including the weight of any attached or attachable accessory shipped with the instrument.
CERT-H is signed and dated by the appropriate Manufacturing Supervisor or qualified personnel.
CERT-I - SASO Certificate
Certificate of conformity in execution of SASO (Saudi Arabia Standards Organization) Board of Directors' Decision No. 58, dated 1405 (H)-09-17 and SASO SSA 16, 17, 18 and 86.
CERT-I is stamped and notarized by the local Chamber of Commerce & Industrial Approval, and is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-J - Electrical Agency Certificate
Copy of approval paperwork received from the approving or certifying agency (FM, CSA, CENELEC, etc.) showing approval numbers and cover sheet.
CERT-J is issued by the appropriate Quality Engineer or other qualified personnel.
CERT-K - Certificate of Compliance with NACE
Standard MR0175/ISO 15156-3 and MR0103
The certificate states that the instrument meets NACE MR0175/ISO 15156-3 and MR0103.
CERT-K is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-L - System Integrity Level (SIL2) Declaration
of Conformity (Applies to RTT15-T Only)
This declaration of conformity states that the listed model has been assessed to applicable IEC 61508 requirements in support of SIL2 applications and lists the key SIL parameters.
CERT-L is issued by the appropriate Quality Engineer or other qualified personnel.
CERT-M - Positive Material Identification (PMI) for
Process Wetted Materials
This certification states that the process wetted material on this order is in conformance with the applicable ASTM standards.
Testing is provided in-house at the Invensys/Foxboro facility using a non-destructive x-ray reflective analysis (XRF) analyzer (Bruker S1 Turbo).
CERT-M is signed and dated by the appropriate Quality Engineer or other qualified personnel.
CERT-N - Positive Material Identification (PMI) for
Pressure Containment Materials
This certification states that the pressure containment material on this order is in conformance with the applicable ASTM standards.
Testing is provided in-house at the Invensys/Foxboro facility using a non-destructive x-ray reflective analysis (XRF) analyzer (Bruker S1 Turbo).
CERT-N is signed and dated by the appropriate Quality Engineer or other qualified personnel.
TI 037-094Page 4 SAMPLES OF CERTIFICATES
CERT-R - Russian Verification Certificate (GOST)
This certification is applicable for instruments shipped to Russia. The format is supplied by the Invensys/Russia sales office.
CERT-R is signed by the appropriate Area Supervisor.
CERT-S - TUV System Integrity Level (SIL2-TUV)
The certificate is applicable for the I/A Series Single Range HART Transmitters (IAP..-T, IDP..-T, and IGP..-T). Attached with the certificate are the TUV certificate, stating the transmitter is suitable for safety related applications up to SIL2 (IEC 61508:1998-2000), and the Invensys/Foxboro Functional Safety Datasheet.
CERT-S - TUV is issued by the appropriate Quality Engineer or other qualified personnel.
CERT-W - ASME Weld Certificate
This certificate states that all welds produced at Invensys/Foxboro on this order were performed in accordance with ASME Section IX of the boiler code.
CERT-W is signed and dated by the appropriate Section Leader, Supervisor, or Welding Engineer.
Custom Certifications
For modifications to existing certifications above and/or custom certification (ECEPs) not listed, contact Invensys Global Customer Support at one of the phone numbers listed on the last page of this document or at http://support.ips.invensys.com.
SAMPLES OF CERTIFICATES
Refer to Figures 1 through 17 for samples of the certificates described above.
SAMPLES OF CERTIFICATESTI 037-094
Page 5
Figure 1. CERT-A - Certificate of Compliance/Quality Statement
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF COMPLIANCE/QUALITY STATEMENT
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items on this order comply with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is Certified by TUV SUD AMERICA INC. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
______________ Date: XXXXX XXXXX Quality EngineeringFORM COMPCERT (07/13)
TI 037-094Page 6 SAMPLES OF CERTIFICATES
Figure 2. CERT-B - Certificate of Conformance
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF CONFORMANCE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items listed on this certificate conform with the applicable Technical/Qualityrequirements of the Customer's Purchase Order.
We certify that the items on this order conform with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification Sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is certified by TUV SUD AMERICA INC.. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
Invensys/Foxboro
___________________ Date: XXXXX XXXXXQuality EngineeringFORM CONFCERT (07/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 7
Figure 3. CERT-C - Material Certificate (Typical)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION (NON - SPECIFIC) (Conforms to BS EN 10204 2.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.: Model No.: Serial No.: Tag:
The process wetted materials, furnished under the above Purchase Order, were producedin compliance with applicable Invensys/Foxboro Specifications, from materials, for whichNon - Specific Certificates of Material Test Report Analysis are available for examination.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are freefrom external contamination by Lead, Asbestos, PCB's, Mercury or their compounds.
The materials of construction of the process-wetted parts for this order are as follows:
Description Material Part No.
Invensys/Foxboro
_________________ Date:XXXXX XXXXXQuality EngineeringFORM MATCERT (07/13)
TI 037-094Page 8 SAMPLES OF CERTIFICATES
Figure 4. CERT-D - Material Certificate
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
MATERIAL CERTIFICATION(Conforms to BS EN 10204 3.1)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.:Customer P.O. No.: Model No.: Serial No.: Tag:
This is to certify that the process wetted materials, furnished under the above Purchase Order, are in compliance with all applicable Invensys/Foxboro specifications. Specific Certificates of Material Test Report Analysis, for process wetted metal components, are attached.
Description Material Part No. Heat #
Where heat identification is not marked on the part, specific heat traceability exists and is assured by Quality System. Invensys/Foxboro manufacturing, assembling, and testing operations are covered by Invensys/Foxboro Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and conforms to ISO 9001:2008, which is certified by TUV SUD AMERICA INC. This program provides for the selection, evaluation, approval, maintenance, and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
We certify the materials supplied contain no Lead, Asbestos, PCB’s or Mercury and are free from external contamination by Lead, Asbestos, PCB’s or Mercury or their compounds.
Invensys/Foxboro_________________ Date: XXXXX XXXXXQuality EngineeringFORM MATCERT2 (07/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 9
Figure 5. CERT-E - Calibration Certificate
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CALIBRATION CERTIFICATE
CUSTOMER DATE
CUSTOMER PURCHASE ORDER NO. CUSTOMER TAG
INSTRUMENT MODEL SERIAL NUMBER
SAP Item PRODUCTION NO. CALIBRATED BY DEPT.
CALIBRATION DATA
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIRED
ACTUAL % ERRORDESIRED
ACTUAL % ERRORINC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ACTUALINPUT
SCALE OR CHART RANGE OUTPUT RANGE
DESIREACTUAL % ERROR
DESIREACTUAL % ERROR
INC DEC INC DEC INC DEC INC DEC
ALL MEASUREMENT STANDARDS ARE CALIBRATED AT SCHEDULED INTERVALS BY THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY (NIST) , OR AGAINST CERTIFIED STANDARDS WHICH ARE TRACEABLE TO THE NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY FORMERLY NATIONAL BUREAU OF STANDARDS (NBS).
COMMENTS: APPROVED BY
DATE
TI 037-094Page 10 SAMPLES OF CERTIFICATES
Figure 6. CERT-F - Certificate of Hydrostatic/Pressure Test
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTFICATE OFHYDROSTATIC / PRESSURE TEST
INSTRUMENT MODEL REFERENCE NUMBER CUSTOMER TAG
APPROVED BY DATE
Form: Hydrocert (07/13)
CUSTOMER DATE
CUSTOMER ORDER # SAP S.O. #
INVENSYS ORDER # ITEM #
TEST MEDIUM TEST PRESSURE
TEST DURATION TESTED BY: DEPT.
SAMPLES OF CERTIFICATESTI 037-094
Page 11
Figure 7. CERT-G - Certificate of Cleaning
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTFICATE OF CLEANING
We certify that all process wetted parts, supplied on the order listed above, have been cleaned to meet the following requirements (check appropriate box).
NUCLEAR SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 264
OXYGEN SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 260
CHLORINE SERVICE Cleaned in accordance with Invensys/Foxboro corporate engineering standard CES 260
SPECIAL CLEANING Cleaned in accordance with customer specifications
Form: cert cleaning (07/13)
CUSTOMER NAME DATE
CUSTOMER ORDER # CUSTOMER TAG#
INVENSYS MODEL # REFERENCE #
SAP ORDER # ITEM # CLEANED BY: DEPT.:
APPROVED BY DATE
TI 037-094Page 12 SAMPLES OF CERTIFICATES
Figure 8. CERT-H - Weight Certificate
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
WEIGHT CERTFICATE
INSTRUMENT MODEL
REFERENCE NUMBER
CUSTOMER TAG
WEIGHT IN KG
APPROVED BY DATE
Form: Weight Cert (07/13)
CUSTOMER DATE
CUSTOMER ORDER #
SAP S.O. # ITEM # TESTED BY: DEPT.
SAMPLES OF CERTIFICATESTI 037-094
Page 13
Figure 9. CERT-I - Certificate of Conformity (SASO)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF CONFORMITY
Certificate of Conformity to Standard Specifications for ElectricalAppliances, Equipment, and Accessories issued by themanufacturing company in execution of SASO Board of Directors’Decision No. 58 dated 1405 (H) –09-17.
Name of Commodity: Quantity:
Type: Unique Designation:
Name of Manufacturer: Invensys/Foxboro Brand Name:
Country of Origin: United States of America
The principal technical information for this commodity is as follows:
Rated Voltage: Rated Frequency:
Rated Current: Rated Power:
Power Coefficient (if any): --
Rated period of operation:
Appliance capacity: -- Dimensions:
Mass (weight):
Other information: -
We certify that the supplied consignment of the above-mentioned commodity is produced by a factory of the above manufacturer and exported by us and conform to the following Saudi Standards and/or the following standards approved by SASO:
SASO SSA 16, 17, 18, 86Name and title of SASO Approval Chamber of Commerce responsible position person: & Industrial Approval
Signature and date:
Stamp of Factory:Not availableFORM SASO (07/13)
TI 037-094Page 14 SAMPLES OF CERTIFICATES
Figure 10. CERT-J - Electrical Agency Certificate
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
ELECTRICAL AGENCY CERTIFICATE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description: Quantity:
Serial No. Tag Serial No. Tag
Attached: Electrical Agency Certificate
Invensys/Foxboro
_____________________ Date: XXXXX XXXXXQuality EngineeringFORM AGENCY (07/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 15
Figure 11. CERT-K - Certificate of Compliance/Quality Statement (NACE)
Invensys, 38 Neponset Ave., T +1 866 746 6477Foxboro, Ma. 02035 USA invensys.com
CERTIFICATE OF COMPLIANCE/QUALITY STATEMENT (NACE)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model: Description: Quantity:
Serial No. Tag Serial No. Tag
We certify that the items on this order comply with the requirements of Invensys/Foxboro standard inspection procedures and Commercial Quality Assurance Program; Invensys Operations Management-Q1 "QMS Requirements Manual" and are in agreement with the specifications as shown in Invensys/Foxboro Product Specification sheets and have been prepared for shipment in accordance with commercial standards for packing and shipping.
We certify Invensys/Foxboro Quality Assurance Program conforms to ISO 9001:2008 and is certified by TUV SUD AMERICA INC. This Program provides for the selection, evaluation, approval, maintenance and control of all measurement standards, gauges, measuring and test equipment necessary to determine compliance with specifications and drawings.
All measurement standards are calibrated at scheduled intervals by the National Institute of Standards and Technology (NIST), or against certified standards which are traceable to the National Institute of Standards and Technology, formerly National Bureau of Standards (NBS).
We certify that the above instruments meet NACE MR0175/ISO 15156-3 and NACE MR0103.
Invensys/Foxboro
___________________XXXXX XXXXX Date:Quality EngineeringFORM NACE (08/13)
TI 037-094Page 16 SAMPLES OF CERTIFICATES
Figure 12. CERT-L - System Integrity Level (SIL2) (Applies to RTT15-T Only)
Invensys, 38 Neponset Ave., T +1 866 746 6477Foxboro, Ma. 02035 USA invensys.com
SYSTEM INTEGRITY LEVEL (SIL2)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
Attached: SIL DECLARATION OF CONFORMITY
Invensys/Foxboro
_____________________XXXXX XXXXX Date: Quality EngineeringFORM SIL (08/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 17
Figure 13. CERT-M - Positive Material Identification (PMI) for Process Wetted Material
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF PMI TESTCustomer:SAP Sales Order No.: Item No.:Model Code:Customer P.O. No.:Serial Number(s):
PMI tests were performed on the process wetted material for the respective heat numbered parts for the above mentioned order, utilizing a BRUKER hand held XRF Analyzer S1 TurboSD, in accordance with the Quality Engineering Metallurgical Lab Process Instruction Manual for the S1 TurboSD
Attached are the results from the testing. Calibration checks were performed prior to and after completion of tests on the requested parts. The tested parts were found to be in conformance with the applicable ASTM standards. All results are within the measurement tolerance of the analyzer.
Attached: Test report(s)
Invensys/Foxboro
______________ Date: XXXXX XXXXXQuality EngineeringForm PMI process wetted (07/13)
TI 037-094Page 18 SAMPLES OF CERTIFICATES
Figure 14. CERT-N - Positive Material Identification (PMI) for Pressure Containment
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
CERTIFICATE OF PMI TESTCustomer:SAP Sales Order No.: Item No.:Model Code:Customer P.O. No.:Serial Number(s):
PMI tests were performed on the pressure containment material for the above mentioned order utilizing a BRUKER hand held XRF Analyzer S1 TurboSD, in accordance with the Quality Engineering Metallurgical Lab Process Instruction Manual for the S1 TurboSD
Attached are the results from the testing. Calibration checks were performed prior to and after completion of tests on the requested parts. The tested parts were found to be in conformance with the applicable ASTM standards. All results are within the measurement tolerance of the analyzer.
Attached: Test report(s)
Invensys/Foxboro
______________ Date: XXXXX XXXXXQuality EngineeringForm PMI pressure containment (07/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 19
Figure 15. CERT-R - Russian Verification Certificate (GOST)
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����!��$��*$�+!<�=��>?�@�J[!�\]^`]j]�{]<|}�$?~���������=����«Invensys Systems,Inc» («The Foxboro Company») Foxboro, the US
�����������������������
����������� ����VERIFICATION CERTIFICATE
�: _051413_2_���������� ��
Valid through
“14th”March,2016 ��
�������������� ��/Measuring instrument_RTT20-T1SNSED-L3M1_
���� �� ��=����/ name, type_______________________________________________________
_______________________________________________________
������� �/serial number_13161328_
��� �������� /owned by Invensys Systems,Inc» («The Foxboro Company») Foxboro, the US____Invensys Operations Management___
����� � � � �� �� ��������� ������ � ������ ���� � �� �� � ����� � ��/calibrated and based upon results of primary verifications is recognized to be valid for application
�������� ������/Verification label II
��
13___Temperature Supervisor____________
�� ���������������������� ��/position of department manager
_Stephen A Langevin_____
�������� / Verifier“___” _____________ 2013 ��
TI 037-094Page 20 SAMPLES OF CERTIFICATES
Figure 16. CERT-S - System Integrity Level (SIL2-TUV)
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
SYSTEM INTEGRITY LEVEL (SIL2)
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description: Quantity:
Serial No. Tag Serial No. Tag
Attached: TUV Certificate 968/EZ 308.01/09IPS Functional Safety Datasheet
Invensys/Foxboro
_____________________ Date: XXXXX XXXXXQuality EngineeringFORM SIL-TUV (07/13)
SAMPLES OF CERTIFICATESTI 037-094
Page 21
Figure 17. CERT-W - ASME Weld Certificate
Invensys, 38 Neponset Ave., Foxboro, Ma. 02035 USATel. +1 866 746 6477 invensys.com
ASME WELD CERTIFICATE
Customer: SAP Sales Order No.: Item No.: Invensys Production Order No.: Customer P.O. No.:
Model:Description:Quantity:
Serial No. Tag Serial No. Tag
We certify that the items welded on this order produced by Invensys/Foxboro on the above referenced order have been inspected and satisfy all purchase order, drawing specifications, and all welding was performed in accordance with ASME Section IX of the Boiler Code.
Invensys/Foxboro
______________ Date:
FORM WELDCERT (07/13)
TI 037-094Page 22
NOTES
Invensys10900 Equity DriveHouston, TX 77041United States of Americahttp://www.invensys.com
Global Customer SupportInside U.S.: 1-866-746-6477Outside U.S.: 1-508-549-2424 or contact your local Invensys representative.Website: http://support.ips.invensys.com
Invensys, Foxboro, and I/A Series are trademarks of Invensys plc, its subsidiaries, and affiliates.All other brand names may be trademarks of their respective owners.
Copyright 1983-2013 Invensys Systems, Inc.All rights reserved
MB 015 0913