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ULTRASONIC THICKNESS GAUGE TESTING REPORT

Client Project Name Date of Inspection Acceptance Criteria Ultrasonic Unit Serial No. Couplant Used Probe Size Frequency Nature of Test Method of Testing Calibration Block Client Verification KRAUTKRAMER USM 35X DAC LEMO 7900 a Oil 6mm 5 Mhz Thickness Gauging Pulse Echo "A" Scan Direct IIW V1 Block / V2 Block / Step Block Sta Clara International Corporation Address Location / Site Sample Card No. Laboratory No. NDT Procedure No. Technique Sensitivity Setting Heat Treatment Material Specification Surface Condition Tested Item Drwng. Ref. No. XWELL-UTG-2009-01 Straight Beam Technique 80% Full Screen Height N/A Carbon Steel Ground Smooth Pipe As per Client Specified Wall Thickness Reduction Min mm % mm Max % Remarks 2nd floor highway 54 Plaza Mandaluyong City

Item Identification No.

Original Thickness mm

Gauge Reading Min (mm) Max (mm)

12 26

7 4

11 9

5 22

41.67 84.62

1 17

8.33 65.38

Performed / Evaluated By:

Witnessed By:

Authorized Signatory:

NDT Technician / QC Engr. NDT Inspector


XWELL Form Rev. 0

SCIC
Page 1 of 2

Laboratory Manager/NDT Level II For and On-Behalf of X'Well Testing Services Inc.

ULTRASONIC THICKNESS GAUGE TESTING REPORT


Sketch Detail / Part / Joint Location

Performed / Evaluated By:

Witnessed By:

Authorized Signatory:

Edison A. Walit
Qc Engr. / NDT Level II
XWELL Form Rev. 0

J. Salomon / A. Pajarillo
ATI / SCIC
Page 2 of 2

Thelma G. Mendoza
Laboratory Manager/NDT Level II For and On-Behalf of X'Well Testing Services Inc.

ONIC THICKNESS GAUGE TESTING REPORT


Sketch Detail / Part / Joint Location

Authorized Signatory:

Thelma G. Mendoza
Laboratory Manager/NDT Level II For and On-Behalf of X'Well Testing Services Inc.
XWELL Form Rev. 0 Page 2 of 2

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