Inspection Certificate Manufacturer

Emerson Process Management ( Tianjin ) Valves Co.

Ltd.
EN 10204 3.1 No 15 Xingwang Road
WuQing Development Area, Tianjin
CHINA

Customer STAR CONTROLS ENGINEERING SHANGHAI CO LTD Sales Order/IPO 6038969

Customer PO 2301249 Line Number 2

Tag Number HV-75201 Unit Serial Number F002204617

Valve Type EZ Actuator Type 667 Positioner DVC6200

Valve Size 1 Actuator Size 30i

Valve Rating CL300/720 PSI CWP

We hereby certify, that the material described above has been tested and complies with the terms of the contract.
Dimension, visual check & functional test: Satisfactory

Final Assembly Tests

Results Allowable Actual
Medium Pressure Duration Conform To Leakage Leakage
Hydrostatic Test WATER 1125 psi 1 min ASME B16.34 / EN12266-1 / FGS 4L1 No Leak Conform
Seat Leak Test AIR 50 psi 1 min ANSI FCI 70-2-2006 / EN1349 / FGS 4L5 Class 1.15 scfh 1 scfh
IV
Air Test AIR 80 psi 1 min EN 12266-1 No Leak Conform

Comments / Customer Notes: N/A

Works Inspection : Name Fengna Li Date 22 Apr 2019

Position / Job Title QA Documentation Tech

Signature

Page 1 of 2

F002204617
 Declaration of Compliance Manufacturer
Emerson Process Management ( Tianjin ) Valves Co.
Ltd.
EN 10204 2.1 No 15 Xingwang Road
WuQing Development Area, Tianjin
CHINA

Customer STAR CONTROLS ENGINEERING SHANGHAI CO LTD Sales Order/IPO 6038969

Customer PO 2301249 Line Number 2

Tag Number HV-75201 Unit Serial Number F002204617

Valve Type EZ Actuator Type 667 Positioner DVC6200

Valve Size 1 Actuator Size 30i

Valve Rating CL300/720 PSI CWP

We hereby certify, that the material described above complies with the requirement of the order.

The following parts were made from materials complying with ASTM, ASME, EN or other standard specifications.
Description Material Grade **substitution**
VALVE BODY ASME SA351 CF8M
BONNET,BELLOWS SEAL ASME SA351 CF3M
SEAT RING RETAINER TYPE 316 SST ANNEALED,
PLUG,M-FORM 316 ANNEALED,, COCR-A
SEAT RING 316 ANNEALED,, COCR-A
STEM/BELLOWS ASSY S31603/N06625

Authorized Person for the Manufacturer: Name Fengna Li Date 22 Apr 2019

Position / Job Title QA Documentation Tech

Signature

Page 2 of 2

F002204617