FORM H-3 MANUFACTURER'S DATA REPORT FOR WATERTUBE BOILERSAs Required by the Provisions of the ASME Code Rules, Section IV

1. Manufactured and certified by GIANNUNI rt-(ANGE ~A~ -AéroDôle centre - 29600 Morlaix - FRANCE(name and address of manufacturer)

2. Manufacturedfor Heat Transfer Produets. Ine. 111 Bralev Road P 0 Box 429 East Freeto'Ml. MA 02717name and 8ddress-o'-pW'ctiaser

3. Location of installationM2.08.23.0001!o (nameand "ddr...)

4. Unit identification Heating Boiler M2.08.23.0124 U0911.2C 12188-10 70272 to 70395 2008

(complete boller. superheater. waterwall. etc.) (manutaeture(s seriai no.) (CRN) (drawlng no.) (National Bd no.) (yearbullt)

5. The chemical and physical properties of ail parts meet the requlrements of materlal specifications of the ASME BOILERAND PRESSUREVESSELCODE.The design, construction,andworkmanshipconformto ASMECode,SectionIV, 2007 2571,2529&2568

~ (addenda (date)] (COdel;aSeno.)N.A

6. (b) Boiler tubes: 6. (c) Headersno -2. or

(boxorslnuousorround,matenalspec.no.,thlckness)

6. (d) Staybolts N.A.

Heads or ends Rectangular; SA-240 316L .0.118" Hydro. test 240 psi(ohope, materialspec. no.,

thickn.so)

(matenalspec. no., diometer, siza telltala,nat arao)

Pitch Netarea Designpressure_(supportBdby one boit)

Hydro. test6. (e) Mud drum or(Ior seet.header boil s1atasiza,

shapa, matenalspac. no., thioknaso)

7. Waterwall headers: N.A.

Heads or ends

(ohapa,matarialspec. no.,thlckneso)

8. (a) Other parts (1) KI.A. (2), 13) (b) Tubes for other parts

1

2

3

9. Nozzles, inspection, and safety valve openings:

(09/06)

.- -----

Inslde Shell Plates Tube Sheets Tube Hale Ligament

No. Diameter Inside LengthEfflCiency. %

Longltu- Circurn-Material Spec. Grade Thickn...... Inside Radius Thickn...... Inside Radius dinal ferential

12

Longitudinal Circum. HeadsJoints Joints Hydra-No. static

No. & Em- No. & em- Radius TestType. ciency Type ciency Materia!Spec. Grade Thicknen Type- dDish

1 12 1

'Indlcate W(1) seam ss. (2) fusion welded. "Indlcate W(1) tfat. (2) d hed. (3) elllpsoldai. (4) hemlspherlcal.

Material HowDlamater Thickness Spec. No. Grade No. Altachad

0.71" 0.04" SA-249 TP316L 24 exoandedwelded

No Size and ShapeMaterial

Thickn...... Shape Thickness Material Hydre. Diameter ThicknessMaterial

Spec. No. Gr. Spec. No. Tes! Spec. No. Gr.1 or

2

3 ., .

Purpose Diameter How Nom. Reinforcement(inlat, outlat. drain, atc.) No. orSize Type Altachad Material Thickn...... Material Location

inlet' 1 1"1/2 female Welded Fi" HW-731 2 SA-479316L 0.269" None Header

oullet' 1 1"1/2Iemale Welded Fia HW-731 2 SA-479316L 0.269" None Header

'InsD8Cbon / satelv valve connection

FORMH-3(Back)

vi

Heating surfaceto be stampecJon drum hëads.This heatin

HSUrface noPtobe used fordelerminingminimum safetyvalve capacity.

12. Manufacturer's PartialData Reports properlyidentifiedand signed by Commissioned Inspectors have been furnished for the followingitemsof this report None

11. Field Hydro. Test

NA

(name of part, Item number, manufacturefs name, and ldentltylng stamp)

13. Remarks The safety valves, instruments and contrais is not in the scope of GIANNONIFRANCE SAS. The MAWP is established by a Proof Test dated, February 21,2007

Constructed under the provisions of HG-515.4 (b)

The following items 1) ta 5) required in the code case N'2568 are not in the scope of GIANNONIFRANCE SAS and are ta be provided by the end manufacturer

CERTIFICATE OF SHOP COMPUANCE

We certify that the statements made in this data report are correct and that ail details of design, material, construction, and workmanship of thisboiler conformto Section IV of the ASME BOILER AND PRESSURE VESSEL CODE.

"H" Certificate of Authorization No. 34,384 expires Qe~ 27, 2009Date ,4 ~I {J~/ '00-;:1 Signed Name

IANNONIFrance SAS(by representative)1 (manufacturer that constructed and certifled boller)

CERTIFICATE OF SHOP INSPECTION M r1 .at 0 alx

l, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessellnspectors and/or the state or provinceof Georgia and employed by one beacon america insurance co. of Lynn MA

have inspected parts of this boiler referred to as data items 6b, 6c, 9, 10 & 13 andhave examined Manufacturer's Partial Data Reportsfor items none

and state that, to the best of my knowledge and belief, the manufacturer has constructed this boiler in accordance with Section IV of the ASMEBOILERANDPRESSUREVESSELCODE.

By signing this certificate neither the inspector nor his employer makes any warrant y, expressed or implied, concerning the boiler describedin this Manufacturer's Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury

or property da mage ~ loss of any k' is'ng om or connected with this inspection.Date XJAe f.j.~O Signed ,/ Commissions\)1, -" U1horlzedInspectar)

Boiler constructed by GIANNONI France SAS

CERTIFICATE OF FIELD ASSEMBL y COMPUANCE

We certify thet the field assembly construction of ail parts of this boiler conforms with the requirements of Section IV of the ASME BOILERAND PRESSURE VESSEL CODE.

"H" Certificate of Authorization no. expiresDate Signed Name

(by representative) (assembler that certl1led and constructed field assembly)

CERTIFICA TE OF RELD ASSEMBL y INSPECTION

l, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessellnspectors and/or the state or province

of and employed by _

have compared the statements in this Manufacturer's Data Report with the described boiler and state that

the parts referred to as data items not included in the certificate of shop inspection, have been inspected by me

and that to the best of my knowledge and belief the manufacturer and/or the assembler has constructed and assembled this boiler in accordance

with Section IV of the ASME BOILER AND PRESSURE VESSEL CODE. The described boiler was inspected and subjected to a hydrostatic testof

By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, conceming the boiler described

in this Manufacturer's Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal .injury

or property damage or a loss of any kind arising from or connected with this inspection.

Date Signed Commissions(Authorlzed Inspectar) (National Bd. (Incl. endorsements), state, l'fOV,,and no.]

(09/06)

10.

MAWi'Maximum

Shop Hydro.Test Heatingwaler tempo Surface

a Bailer 160 Dsi 210 oF 240 Dsi 43.6 sa ftb Waterwallc Superheaterd Other parts