Issue Number: 1 Page 1 of 5 Client : Groth Corporation Subject : Pressure / Vacuum Relief Valves Model Series 1200, 1300, 1400, 1600, 1700 & 1800 Pressure Equipment Type : Safety Accessory PED Category : IV Module : B(P) + D 1. The documents listed below, have been examined for compliance with the design requirements of the ASME Section VIII Div.1 2015, EN12516-1- 2014, EN12516-3- 2002, and API 2000 2014 in support of the essential safety requirements of the Pressure Equipment Directive 2014/68/EU for the design conditions stated in the documentation and are assigned an appraisal status as shown. 2. Key Design Parameters 3. PS X DN is less than 3000 bar-mm at atmospheric temperature conditions for above ground tanks. The following point(s) are advised for information. 3.1. The design of valves are based experimental stress analysis as permitted in EN12516-3-2002 and it is to be ensured that all valves supplied are less than PS X DN - 3000 bar-mm. 3.2. The experimental analysis is done at atmospheric temperatures as per EN12516-3-2002 and the valves intended for application for above ground tanks in atmospheric conditions. 3.3. Reference Document: TECHNICAL CONSTRUCTION FILE CONTENTS The technical file for CE marking Section Contents Rev 1 Description of the Equipment (Assembly) 0 Groth-PED-TCF-1 2 PED Categorization Groth-PED-TCF-2 0 3 Design Calculations PED-TCF-3 1 4 EC Declaration of Conformity PED-TCF-6 0 5 Essential Safety Requirements PED-TCF-4 0 6 Risk Analysis PED-TCF-3 0 7 PMAs -
Page 2 of 5 4. PMA Approval Material Specification PMA Rev Notes P-USA-12-09-106-004 ASTM 351 -(CF8M) 1 P-USA-12-09-106-002 0 B 26 356 Gr T6 P-USA-12-09-106-003 ASTM 216 - (WCB) 0 P-USA-14-01-106-001 ASTM 351(CF8) 0 P-USA-14-01-106-002 ASTM 351-(CF3) 0 P-USA-14-01-106-003 ASTM 351- (CF3M) 0 P-USA-12-09-106-015 ASTM 352- (LCB) 0 4.1. The above is a complete list of PMAs approved by TUV NBV 0036 and has been accepted. 4.2. The following PMAs are approved as part of current approval PMA Material Specification Rev Notes Groth-F-PMA-G41400-A193-B7 SA 193 B7 A Groth-F-PMA-S30400-A194-8 SA 194 B8 A Groth-F-PMA-S30400-A320-B8 SA 320 B8 Class 1 A Groth-F-PMA-S31600-A193-B8M SA 193 B8M Class 1 A Groth-F-PMA-S31600-A194-8M SA 194 B8M A Groth-F-PMA-S31600-A320-B8M SA 320 B8M Class 1 A Groth-B-PMA-S31603-A240-316L ASTM-240 TP 316L A Groth-F-PMA-A194-2 ASTM-194 Gr 2 A Groth-F-PMA-A194-2HM ASTM 194-2HM A Groth-F-PMA-N04400-F467-400 ASTM F467-400 A Groth-F-PMA-N04400-F468-400 ASTM F468-400 A Groth-F-PMA-N10276-F467-C276 ASTM F476-C276 A Groth-F-PMA-N10276-F468-C276 ASTM F468-C276 A Groth-F-PMA-S30400-A193-B8-C2 ASTM-193 B8 Class 2 A Groth-F-PMA-S30400-A193-B8-C1 ASTM-193 B8 Class 1 A Groth-F-PMA-S31600-A193-B8M-C2 ASTM-193 B8M Class 2 A
Page 3 of 5 PMA Material Specification Rev Notes Groth-F-PMA-S31600-A320-B8M-C2 SA 320 B8M Class 2 A Groth-F-PMA-S30400-A320-B8 C2 SA 320 B8 Class 2 A Groth-B-PMA-K02600-A36 SA 36 AM Groth-B-PMA-K02700-A516-70 SA 516 Gr 70 AM 4.3. The following pointes are to be noted by the manufacturer of the valves: 4.3.1. Steam jacketed valves are excluded from scope of this appraisal and certification. 4.3.2. API 2000-2014, ISO 28300-2006, EN 14015-2004, evaluation of capacity against these specified standards to be complied by manufacturer for each application. 5. List of Documents: Status P-USA-12-11-1006-001 Material and Pressure / temperature combination approved by NB 0036 3 SI 27 July 2017 92525 Model 1200A D A 27 July 2017 84779 Model 1200A P A 27 July 2017 83844 Model 1201B R A 27 July 2017 84580 Model 1201B P A 27 July 2017 83845 Model 1202B G A 27 July 2017 83779 Model 1203A F A 27 July 2017 84367 Model 1220A P A 27 July 2017 87413 Model 1220A - A 27 July 2017 83771 Model 1221 B P A 27 July 2017 95885 Model 1221 B - A 27 July 2017 83778 Model 1222B P A 27 July 2017 83777 Model 1223 A G A 27 July 2017 84368 Model 1260A P A 27 July 2017 87363 Model 1223 A A A 27 July 2017 83702 Model 1261A G A 27 July 2017
Page 4 of 5 Status 92717 Model 1300 C A 27 July 2017 93155 Model 1300A - A 27 July 2017 83775 Model 1301A P A 27 July 2017 84370 Model 1360A P A 27 July 2017 85823 Model 1360A A A 27 July 2017 92297 Model 1361A B A 27 July 2017 91225 1401EV Vacuum Relief A A 27 July 2017 91729 1402 Pilot B A 27 July 2017 91905 1401E & 1401 EL Pilot A A 27 July 2017 87965 Model 1361A A A 27 July 2017 92139 Model 1400 ( &91905 Pilot) A A 27 July 2017 93152 Model 1400 (& 91729Pilot) - A 27 July 2017 92143 Model 1420 (& 91905 Pilot) - A 27 July 2017 92290 Model 1420 (& 91729Pilot) A A 27 July 2017 92141 Model 1430 (& 91905 Pilot) A A 27 July 2017 93151 Model 1430 (& 91729 Pilot) A A 27 July 2017 92003-1 Model 1460 (& 91905 Pilot) C A 27 July 2017 93966 Model 1460 - A 27 July 2017 91927 Model 1660A ( &91905 Pilot) D A 27 July 2017 92052 Model 1661A (& 91905 Pilot) B A 27 July 2017 92273 Model 1660A ( & 91729 Pilot) B A 27 July 2017 92027 Model 1662A ( & 91255 Pilot) C A 27 July 2017 97079 Model 1663A A A 27 July 2017 93729 Model 1720A B A 27 July 2017 93937 Model 1721B A A 27 July 2017 96012 Model 1772 B -- A 27 July 2017 96013 Model 1723A -- A 27 July 2017 93145 Model 1760A A A 27 July 2017 93744 Model 1761A - A 27 July 2017
Page 5 of 5 Status 95892 Model 1800A - A 27 July 2017 95895 Model 1810A - A 27 July 2017 95893 Model 1802A -- A 27 July 2017 95897 Model 1830A NR A 27 July 2017 95894 Model 1860A -- A 27 July 2017 95896 Model 1870A - A 27 July 2017 Growth PED TCF Test Results 4 A 27 July 2017 Appraisal Status Key A Approved AM Approved as Amended SI Retained as supporting documentation for information only All statuses that aren t applicable shall be removed from the table above Distribution Growth Corporation Lloyd s Register [Entity] Houston DAD (Electronic Original) DAD (Electronic Original) Marked in bold and italics have been dealt with in this submission. Gopal Nair Principal Specialist - MSIS Phone 281 649 2246 Phone - Cell -281 610 2695 Gopal.nair@lr.org Lloyd s Register Quality Assurance, Inc., Houston, Texas, 77077