Final Inspection & Test Certificate Page 1 of 1

Work Order No. & Date Certificate No. & Date CERT/VS/15/977
Customer Name
Customer PO No. Customer PO Date.
Order Qty. 00 Nos. Ref. Drawing No. --
Valve Type GATE VALVE Valve Size & Class 15 MM 800#
QSL No. (API 6D) -- Temperature Class 800#
End Connection FLANGED END IBR / NONIBR
P.R.S.I. No. Item Code
OPERATION HANDWHEEL+LOCK OPEN Special Requirements
P.O. ITEM No. EIL SPEC SHEET No.
Manufacturing Std. Ins. & Testing Std.
Valve Sr. No. HEAT No. - BODY HEAT No.-BONNET

Material Traceability Material Heat/CT/Lot No. MTC No.

Body ASTM A105
Bonnet/Side-Piece/Cover ASTM A105
Wedge / Ball / Disc / Plug ASTM A276-T410+STELLITED
Seat Ring ASTM A276-T410
Stem ASTM A276-T410
Stud – Nut --
Gasket --
Actuator --
Dimensional Inspection
Parameters Face - Flange Bore Flange No. of Hole Stud RTJ No.
RF Dia. RF Thick. PCD
(mm) Face OD Dia. Thick. Holes Dia. Nut (If Applicable)

85 31 13
Required - -- -- 4 3/8” 3/8”X1” 55 ± 1.5 --
± 2.0 ± 0.3 ± 0.2

Observed

Pressure Test
Pressure=psi/kg/cm2 Back Seat Test Shell Test Seat Test Air Seat Test
Duration=Seconds Torque
Pressure Duration Pressure Duration Pressure Duration Pressure Duration
211 211 151
Observed 15 Sec. 15 Sec. 15 Sec. 7 Kg/cm² 15 Sec. --
Kg/cm² Kg/cm² Kg/cm²

Other Tests Applicable Method Ref. Inspection Report No. / Observation

Penetrant Examination (PT) Yes No W-P-21-06, Rev. 0
Radiographic Examination (RT) Yes No W-P-21-07, Rev. 0
Ultrasonic Examination (UT) Yes No W-P-21-08, Rev. 0
Magnetic Particle Examination (MT) Yes No W-P-21-09, Rev. 0
Anti-Static Device Test Yes No W-P-21-12, Rev. 0
Inter Granular Corrosion (IGC) Test Yes No
Helium Leak Examination Yes No
Fire Safe Test Yes No
Final Valves Visual Inspection, Shipment & Marking Verification
Company Logo Marking Yes No Flange Surface Finish Accept Reject
Size & Class Marking Yes No Valve End Covers Attach Not Attach
Material Grade Marking Yes No Valve Marking Plate API Non-API
Flow Direction Marking Yes No API Monogram Marking Applicable Not Appli.
This is to certify that the above valves are inspected and tested at our facility and certified that the valves are guaranteed for smooth and satisfactory
performance for a period of eighteen months from the date of dispatch of twelve months from the date of commissioning, whichever is earlier.

Name Designation Q.C.Engineer Initials

Name TPI Agency Sign