FORM U-4 MANUFACTURER'S DATA REPORT SUPPLEMENTARY SHEET ‘As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section Vill, ion 1. Manufactured and certified by ESREMOAL SAS. Carrera 28 # 69 -79 Palmira, Valle del Cauca, Colombia 2. Manufactured for TISSOT INGENIERIA Carrera 34 # 10-120 Arrayohondo Yumbo (Colombia) Sociedad Poraria el Cayao S.A. ESP El Cayao, Km 35 Via Baru Corrogimiento Santa Ana, Bolivar (Colombia) 2. Locetion of instalation HORIZONTAL PIG TRAP Tiss 100225-2 4. Type Faraone raphe Tei paar han och eT Wanhiaarearaloan NA ‘Tiss 100325- 02-01 RB 2 Data Report hem Number Remarks TEM oman) Menor Baral 20,75 ID; Lang 67 2° -two Mayer Bavels 2075" 1D Leng TAB few 0 roman) Escorts reucbon of 1687 1D ané 20,78" Dard a length of 20% Tew 70 [ANGE LWNRF CLASS 7600 TEM 70 Pretsze Safely Valve Noi, NPS2, UNC), SA O5N, Nom, Thlenese #050", Cor Tlcess 0,125 Re intorement Malaria NONE, “Atachmant Detale Nozale UW a Flange INTEGRAL Tew 12 ‘OveroresevreProecton UG. 125 by omer, Certificate of Authorization: Type v No. a6,t78 Expires Neverbar€2, 2018 ate March 182017 ag ESREMCAL SAS, signed — Date Name mt commissions. toate)