WeldFit “TABLE OF CONTENTS” CUSTOMER: Triber Nusantara Sukses PT. PURCHASE ORDER: 0018P-WFIC HT WELDFIT JOB: 532213-01 QUANTITY: 3 DESCRIPTION: Hot Tap Tee, 6° X 6" X 4° With 150# RF Flange DRAWING No: 7404X -0404 —WPB ~ A105 ~ 107620 TAG: P.O Line ltem-05 Certificate OF Compliance. Weldfit MTR on 6° X 6" X4" Spit Tee. Original MTR on 0.630 Material (HT — T'5835 08 - M5355.) Original MTR on 0.630 Material (HT — S 5835 —_08 - M.85355;) Original MTR on 4° 150: RF Material (HT — F 52550 —M.85365.) Original MTR on 4/8" X 0.50" Backing Stips (HT-L 4435.) WPS WE-1-1-005 Rev.3 & POR Approved Drawing ‘Approved Calculation Radiography Examination Report. Magnetic Particle Report Utrasonic Examination Report Final Inspection Reporta Severstal CERTIFICATE OF QUANTITY AND QUALITY Seller (exporter) JOINT STOCK COMPANY “SEVERSTAL* JSC *SEVERSTAL* Quality system was Certified For Compliance with ISO 9001-2008 85355 NPOMNOPT 27.847 EXPORT 10030054 INSPECTION CERTIFICATE EN 10204.3.1 ORDER No 98835 POZ 10 Consignee CONTRACT No 756/00186217-30217 SPECIFICATION No 98935 *SEVERSTAL EXPOR OMEN” Country of destination UNITED STATES OF AMERICA Subject License No. Subject Of License Freight CarNo 54302577 Sheet 1 Sheets 1 Description and code of goods WAY _ Standard ‘Type of pakage T ASTM A SS8/AGGOMSb HRC ASTM A $58/A568M-11b ASTM A $58/A668M-11b Coll Tem | yardness | piateno | Grade | Dimension mm (Inc) | Quantity | Max ke (tbs) No. Thickness min Gross [_Net 1 13753 53221301 SAE10i0 137 1219 7 18790 18780 (0.034) (48.000) 1 13753 $3221302 SAE1010 137 1219 1 18750 18740 (0.034) (48.000) a 13753 $3213.01 SAEI010 1.37 1219 1 18790 18780 (0.034) _ (48.000) 336330 56300 Cutting Group Of Surface Class Of Precision Hardness Edge “Steel Rolled in continuous mill un sd uncolled non-skin passed It is hereby certified that the quality of goods mentioned in this shipping document is in conformity with demands of specification to contra \d the goods my be exported Quality Characteristic of goo Chemical Composition CR] HR [wR | SK [PH Torx] wn | COX [ALR [MOK] VX [NON [Te | 100 *100_| +1000 | +2000 | » *100 | +109 | +200 | +100 | +100 | +100 10 3a_ {32 | aa 6 | 4 | oa |o2| 02 [02 | 1o | 1 | 3a | 32 | a4 [3 [6 [4] o«}o2}o2 |o2 ~ Mechanical Properties eee Tem | Cold Tensile Strength Yield Point Elggation Cold Bend Test ] No | Test | MPA MPA Z L 409 304 3 is _ Satisfactory 2 408, 303 \ Satisfactory Marking PO#21.397 Houston Signature“ acaayseis \, Controller Christyacova LV ‘will 2000 OXKC Boxtox Ine ‘Nevard 01.16 2017. 2:39:59 480405170WeldFit CERTIFIED MATERIAL TEST REPORT Sold To: Triber Nusantara Sukses PT. PO No: 01eP-WFIC-HT MTR No. 532213-01 Date: (08/08/2018 EEE WELDFIT S.0. 532213-01 HEAD NUMBER _ eM | TY DESCRIPTION MATERIAL MLL WELDFIT | Ot | 03 | SplTes 6x6" x4" 0.630" WT ‘A234-WPB S58 | 5835-08 M85355 Design Criteria, "ASME B31 4/8 285 Psig 100 F° | (04 Design Factor 0,00 Corrosion Allowance. — CEABSTRY, (Ladle (P) Product HEADNo | C [Wn [ P [| S | S | cr | Mo wo TV [CE] 85355) | 024 | 7.09 | 0076 | 0.009 | 0.33 | O07 | O01 0.01 | 0004 | 0.43 PHYSICAL PROPERTIES _{YIELD/TENSILE UNITS ARE KS!) a HARDNESS | Charpy V Notch Test Resulis I Sete sults | ] HEAD No | Yield | Tensie | %Eing | Sora. | TYPE | VAL | Temp | Fi Pounds | % shear | WiSlat | UT | a Ep. | OW 85355 | 45.0 | 79.0 | 37.0 | mir | nit | mir | -50°F | 20-18-22 nit air oe Heat Treatment: Hot form between 1,800°F and 1,50°F and cool in stl air | nereby certify this report to be in compliance to EN 10204 Type 3.1 and a true and concert representation of data resulting from test performed by the WELDFIT Corporation, Independent testing laboratories, Or the material manufacturer, to the best of my knowledge and belief WELDFIT Hadrca Gomeg Q. A. APPROVAL Andrea Gomez ‘Quality Assurance ManagerWeld Fit “TABLE OF CONTENTS” CUSTOMER: Triber Nusantara Sukses PT. PURCHASE ORDER: 0018? - WFIC -HT WELDFIT JOB: 532213-01 QUANTITY: 3 DESCRIPTION: Hot Tap Tee, 6” X 6" X 4" With 150#RF Flange DRAWING No: 7404X —0404 - WPB— A105 - 107620 TAG: P.O Line ltem-05 THIS IS TO CERTIFY THAT REFERENCED PRODUCTS ( Hot Tap Tee, 6” X 6” X 4" With 1508 RF Flange ) ARE IN COMPLIANCE WITH A 234 - WPB — S58 AND MEETS CUSTOMER PURCHASE ORDER ( 0018P — WFIC-HT) DRAWING No: 7404-0404 WPB - A 105 - 52550 TO THE BEST OF MY KNOWLEDGE AND BELIEF WELDFIT Hudnea Gooey Q. A. APPROVAL aisechieiies DATE:_8 /29/90/8 Quality Assurance ManagerFeneg 4 D. “wopweiodsog aypiom™, ‘SauldXB NOISSIWWOD AW SONVUNSSY A. 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HOUSTON, TEXAS 77073 USA Product Heavy Plate WONo 0000073617 Inspection WS Steel Grade and terms ofdelivery Grade70 MT LTV ASTM A5I6 -10, 20 - 13 ASME SECT.11 Part A ed2013 ASME SA 516, SA 20 Coasof [B= Thickness. x A= width. X E=Tengih. Delivery | Bin x Ain x Ein 0.63 X 221.000 X 270.000 0.63 X 221.000 X 275.000 0.63 X 921.000 X 337.000 0.63 X. 975.000 X 337.000 0.63 X 275.000 0.63 [or 5 532213 OL or} 3 | saza14 or 2] 4 582214 02 o] 4 SO2214 02 o | 2 | 532s or o ] 2 532215 0: | z2zzzzzzz| oa} 8 58216 O1 0.68 ot 1 532217 O1 0.63 X OL 5 Weight 150 -300Ths — ‘Normalized o | 3 180 ~ 300 Lbs 03 1 4 1 05 2 220 06 2 260 ~ 300 Lbs wi] 3 4150 - 08 1 150 - 100 Lbs ‘We here by certify thatthe delivered material completes wit the terms of the order ‘OM-Sys Certification As per ISO 9001 since 2s February 1990Code Tnspection Certificate 3.1 DINEN 10204 Nogin HOU~5379-TG Purchase Universal Steel America Page Date 03.07.2018 Nocac A ILSENBURGER: Jj) GROBBLECH 46 Noli 583508 05. 13. 2018 Customer Universal Steel America | ‘Trademark Steel grade / Heat-No Product-No / Inspector’s Stamp 409 HOUSTON INC (soc) HOUSTON INC. HOUSTON, TEXAS 77073 USA HOUSTON, TEXAS 77073 USA. Product Heavy Plate WONo 0000073617 Inspection WS Steel Grade and terms ofdelivery Grade70 MT LTV ASTM A516 - 10, 20 - 13 ASME SECT.11Part A ed 2013 _ASME SA 516, SA 20 ‘Marking of the product Ladle analysis (C70-C93) We here by certify thatthe delivered material completes wit the terms of the order OM-Sys Certification As per ISO 9001 since 23 February 1990 et OX» Mark Manufacture Standard HeatNo| C% | Si% | Maw N% | Al% | Gus | Gr% | Nis 035-150 | <0.025 0.0% | A epee 15 mm i. 4. 7 8 1153 BY 2. a 3. 187 RY Aio7 ey 5 ise ey 8 IMA HY ‘iat ey 8 iso Me oa isd ay 10197 BV 11 180 HY 12177 HY 13. 202 HV 1A 165 HV 15. 15 HV 16. 201 HY 17, tea HY 18. 177 BY 18: 187 ay a oe ae gues. tars a are lh exo uit spray. Ou eg apy ony to Eo siete agaia ar ly see re athe peti, Alieslepectin Signed: coum BAT pot sa a bs epkeed ein AS Page No:2 weidiitieseperageieins 2 page(s) QA DeparWeldFit :---=- CHER GE ERO UE. —_MoesionTen, 7092 [Pox waar Westmont frempcer cu bean S21: ent St 8C004SS2 Toe cubed og ued ‘ered Denia Gases Were Cex] on | Genre [ape spesion, re eT] rm a5 ers | os | ocr [= = ation ‘Sieoncen Seamer TRUE COPY Weldfit Corporation. QA Depart Date Page : 99 to(oceare Gaetan Reman essa ary Caer _ orn Tee ea patna! fission une Ynce| cng | gon | HOCotPobve and Specimen ober we sees | i Taominenen | ee | eae ame [eo |e |e | ee | foeanes2,Tonswse [ove [eax | oa] suo [| ruc [28 | 59 | octet f L i {ny Beets TET) we qT Rete Benen “aden sete Satsoaor Suto sstsaery Sees Ssioaory TooimessTess | specment | Spedmee? | Specins | Acne | Temperuce's | see Ta = = s @ Tatas | 7 = % = Tes a @ st s wes [Fst 2 = o. 7 0 | so2snm Tite ne | a = 2 A dene src adn: fwd [174 [waz — [7a HW Base —[ 152 Hew i Gran ea Tote me ae eters tone: err totes sonore. 2 ile Tet Contced by Sess Lbressconencedoy ——“FEBTeng teria Tet tepotnanber 250 ve cet at tb stents Dred cee nd at wl wee neh waded nee dace wh regurenens ef Seton the {ov sotrand ree eu Cae. a ‘hmoti-dcuneoe cnntea son tng nue soy ‘Cw! 10000001 QCHEXP. BHMZ018——Reisencethet sort has owe __soynposs Tretson te List of evsions Author Date 0 ina release Scot thompson — | TO31/2UTS T IG CoE pos n tense dat and FOAW aie Jared jonnson | 5/a/2015 z ‘Ad WS ony Tored Johnsen] 1972772038 Page 2 0f2% £533 0 pox sme OB To: WELOFIT CORP. Cust Acct: WEL22100 4193 Southerland HOUSTON, TX 77092 POH 60760 JWN42843-01(1) WELDER STENCIL D Meterat: A516 GR 70160 DUAL CERTIFIED 3@*THK PIN WPS# WF 492 IDiHeat: WELD POSITION 4G FLAT Job Info: PER ASME SEC IX ‘Tensile Test Results a Ce aaa (in) (in*2)__(ibs.) (pst) (pst) (%) (A) —— a ae ae ae ese en le, I OO Ba ou eet eyes ee re Eee eee Ee eae ones Ssctande__S_ nat i= nee mee ese vmvonnen de cami ve CHARPY SIZE = 394" X .295* (3/4 SIZE) Ta “Type of Test_ Results : Baie cosas —— i igeemense eam : Tear Soe So ee 3 music snesee ‘arias TRUE : See [eae sony gine gry Signed:_ ‘Pore Beene ee MIKE MASON at EXP. 7420 (ucapns ap ferth aco ure fer custo an cur are ny be use ily vy or witen zara. ep tothe asbe eetinpec Sd can ren geal sae ee ein sar OF megs app cy oth {seta cafes lo RSTM Acarwcitonenis tess bans Sted sar rebeceeeaey 2 ‘len spprval of P88 Teng bas Page No: 10. BOX 924469 HOUSTON, TX 7292 PHONE: (73) 290-8490 To: WELDFIT CORP. 4989 Southerland HOUSTON, TX 77092 PO#: 60760 JUN 42843-01(1) WELDER STENCIL D Meteriat: AS16 GR 70/80 DUAL CERTIFIED SB"THK PINWRSEWF 499 1DiHeat: WELD POSITION 16 FLAT sob Info: PER ASME SEC 1K WeLD: 174 HW HAZ: 174 KEW BASEMETAL: 152 HBW 6645 W. TIDWELL HOUSTON.TX 77092 AX: (713) 290-8627 Report Dato: 10/3013, Report No: 252023.0 Rev: A Cust Acct: WEL22100Ver1.6.1 Wi Proposal Drawing Weldfit Corporation eld Fi it 88358-01-A234WPB-A105-52553 Reference Number | 583508 DW,No7404x—0408 Design By | ML Date | 06/13/18 ‘eon unber fz - cheeky [Tw [bate | os/2s/a8 Customer | Tiber Nusantara Sukses PT ‘Approve By | te a Part Number '532213-1-A234WPB-A105-52550__| Revision Date Fitting meets design requirements PASS | soecial considerations - PASS ROME net een Fitting Type Hot Tap Tee Flange WNRF — Sch 80 Material eit Fitting Size & Class 6 NPS x4" x WN 4” 1508 Run ‘A234 Gr WPB 7 Fitting & Tee & Flange Type Extn Branch ‘A234 Gr.WPB +H Design Pressure Equal Tee it Design Temper Flange A105 Corrosion Allowance __ | LORPhug Fitting Deta | Nominal Thickness T tach inside Diameter D inch | inch | Tach Outside Diameter Inch tength L inch Material stress 5 Psi Material Stress Ratio S/SH Design Factor F Pa “Weld Joint Factor Te z Temperature Factor 1 a || Negative Thickness Tol. = = = = Inch [ corrosion atowance fe = [eo acking tip Size | L000 inch X0.138 neh XT0.000 inch Beveled ends 0375 tach at as" 8 31.8-841.1.1(a) Required Thickness Calculation Required Thickness t i | o.00610714 | 0.059375 | inch | 38% : | Thickness check 0.335 0335 5 6 31.8-831.6 Betruded Branch Calculation = Branch inside Diameter de 3.850 ‘inch | Upper Flange Area ‘A2t [0.056982 | inch*2 Half Width Of Reinforcing [ri 4530 ‘inch | Available Branch Are | A2 | 0.249019 | inch’? Corroded Finish OF Outlet | To | 0337 | Inch B 0 inch"? “Height OF Reinforcement | 017229008 | Inch ae > toch "2 Min atude OF Brusion 05625 | Inch m9 [0 | neh Evalue «_| 09018868 [a] oma96982 [neha ‘Available Header Area ‘Aa [1.97327 | tnch*2 | TotalAvailable Area | At | 2.2281811 | inch*2 Tower Branch Area ‘Az | 0.979196 | Inch"? | Area Check PASS | Radius Special Considerations [Run Brach_ | Flange | Min. Radius Of Outlet_ | rmin | 0.225 | Inch | Do/6 Ratio i 075 ‘Max Radius Of Outlet | rmax | 1.25 | inch | P/SERatio2 | \ | 0.079167 Radius OF Outlet ro | 0.0375 | inch | Ratio 1 Chee Fa [Radius Check [pass [ Ratio 2 Chea| ‘QC LABORATORIES, INC. Report No: | 123850 | 10810 Northwest Freeway Houston, Texas 77092 Date: ‘Augs 13 2018 | shone: 713-695-1133 Fax: 713-695-0808 _| Revision: _| 0 feb Site: wwrwqclabs.com_| E-mail: qclab@qcl.com_| Page i [lot a ciisiaunacniti RADIOGRHAPIC INSPECTION REPORT Costumer 'WELDFIT ENERGY GROUP P.O. Number | 5312 Contact Person Luis Guerra — Phone | 713-460-3700 Email Address | N/A a " Fax | N/A Part Description Hot Tap Tee 6” X 4” With 1508 RF Flange ‘W/O Number | JN: 532213-01 Part Number ‘A234-WPB S 58 -A 105-150 ~_SO Number | N/A Serial Number HI-F'52550 1 5835-08 M.85355 Heat Number | N/A Procedure Qc2003 Rev.0 [_Aeceptance Criteria | API i104 24st oe Exposure Technique Qu Cur Ok) [oat | bab ee) a) | Oalll | Oat ‘Source OF Radiation Source Curies [26.2 Kv/Ma [N/A Material Thickness (i) Film Type Film Size | 70mmxi" [No Film [6 ‘Source To Weld Distance » | Source Side of weld ‘Geomettic | in) 45° | tofimdistance (in) _| 978 Unharnessed | “0020” Penetrameter Penetrameter Penetrameter Group a "placement | 7S size [® | ote or wire | 22" Single Load Cassette Yes | Multiload N/A | Exposure time | 53s Pb.010" FRB LL Z Cassette Baa ae Source Film Arrangement || shimMaterial | N/a _| shimThickness | N/A Processing zu pete ‘Automatic (A) or Manual (M) M | Temperature (°C) [28 Developer Time (Min) | 2 Minutes _ — | [Wash Time (Min) | 2 Minutes Dry Time (Min) | 2 Minutes | Inspection Result 7 Code: Accept (A), Reject (R), Slag (S), Porosity (P), Crack (C), Lack of Penetration (LO), _ lack of Fusion (LF), Burn Thru (BT), Under Cut (UC), Surface (SI —Weidlio- ALR] Ss |e [cw lir| sr[uc| sl L a HI-F 52550 7 fe wel a By +} tt + 5835-08 £ | M.85355 f ae L a I Remark] ~ c nee Jacob Briones NDT level It NDT Technician deste Technician: Signature: |” —— ty oeeinee QC Laboratories See Representative: oa foam coven | Customer Signed Representative: 7 f “Tis report ropresents only the materi ested ands netindicative of resul that my be obtained fram slr materials This reper shell nt be repreducesexceptin entirely and nt shel wed ‘for commercial purpose without wetten permission of QC borates, c[QCIABORATORIES, INC Report No: | 123851 10810 Northwest Freeway Houston, Texas 77092 Date: 20018 Phone: 713-695-1133 Fax: 713-695-0808 Revi ee! Web Site: www.qelabs.com | E-mail: qclab@qc.com | Page i [Lo [2 —— | RADIOGRHAPIC INSPECTION REPORT Costumer ‘WELDFIT ENERGY GROUP P.O. Number | 5312 7 Contact Person Luis Guerra Phone | 713-460-3700 E-mail Address N/A Err ore ae | AZ Part Description | Hot Tap Tee 6” X4” With 1500 RF Flange W/O Number [J/N:532213-01__| art Number ‘A.234-WPB S 58 -A 105-150% i SO Number | N/A Serial Number HT-F52550 15835-08 M.85355 Heat Number | N/A I {0¢:2003 Rev. 0 ‘Receptance Criteria | APL 1104 24st — — - my | Ghh [ ld. OH) (Bb |e al | Osi | Source OF Radiation ir132 [Source Guries [262 — /tla q ‘Material Thickness (a) 0337" | iim Type Film size] 7ommxa0"_| No Fim ie ‘Source To Weld Distance so Source Side of weld Geometric as 2 apc tofilm distance (in) _| °78° __| untamessea | “2-20” Penetrameter Soniaomer tssential aaa 1 A 8 . Aeterna placement | */S Size Hole or wire | 920” Single Load Cassette Yes | Multi load Cassette |N/A | Exposuretime [53s | Pb.010"F&B Souree Fim Arrangement | 5 iT Ws ‘Automatic (A) or Manual (Mi) M | Temperature (°c) [28 | Developer Time (Min) Wash Time (Min) | 2 Minutes Dry Time (Min) Inspection Result Code: Accept (A), Reject (R), Slag (S), Porosity (P), Crack (C), Lack of Penetration (LC), Lack of Fusion (LF), Burn Thru (BT), Under Cut (UC), Surface (SF) Weld ID. View No. A R Ss Pp c | up | tr | Br | uc} oF 1-217 a HF 52550 2-37 a 7 aw ae 1 5835-08 ze L M.85355 as ptt 7 a3 I a —— Remark I es Not NOT Technician a Jacob Briones NDT level II e Technician: Signature : qa“ : AC Laboratories Representative: Customer Representative: ‘This report represents only he materi! tested and is ot indicative of real tat my be obtained from snr mates This report shell nat be reprodaces except ins enely and not shellbe used ‘or commercial purpose without written permission of (laboratories, ne(QC LABORATORIES, INC. Report No: | 123852 10810 Northwest Freeway Houston, Texas 77092__| Date: ‘Augs 252018 | Phone: 713-695-1133, Fax: 713-695-0808 | Revision: _| 0 ‘Web Site: www.qclabs.com | E-mail: clab@qcl.com | Page 1 [of [3 RADIOGRHAPIC INSPECTION REPORT Inspection Result zee ‘Code: Accept (A), Reject (R), Slag (S), Porosity (P), Crack (C), Lack of Penetration (LC), Lock of Fusion (U)Sur Tru (BT), Under Cut (UC), Surace (SF WeldiD. | ViewNo | a[R|s | P| c [uw] i] er] uc| SF] Comments L | te HEF 52553 ft ee if E [ i a = 1-2 i eee 1'5835-08 2-3 T f M.85355 31 7 ‘Remark Ett EEE NoT ‘Mike Johnson NDTIevell! | NDT Technician Technician: | Signature : QC Laboratories Nor Representative: i ee assistant: | 5 ctson a { oe Customer Representative:cbtained from sila materi This report shel at be rte pte caeteo Tor cammerdl purpose without QCTABORATORIES, INC. 123853 10810 Northwest Freeway Houston, Texas 77052 ~ | Augs 25 2038 Phone: 713-695-1133 Fax: 713-695-0808 | Revision: Web Site: www.gclabs.com | Email: aclab@gclcom | Page SRS MAGNETIC PARTICLE REPORT [eustomer | Weidit energy Group | 0. Number] S312 7 Contact Person | BilRushiow Phone 7] Email address NA = ec raf | Hot Tap Tee 6” x4” With 150# RF Flange w/0 | s/N: 532213-01 Part Number/Rev. ‘A.234-WPB S58-A 105-.150# 5/0 | N/A oI Serial Number HI-F 52550 T 5835-08 M.85355 ~__Heat Number | N/A NDE Procedure (QC 4002 Rev.4/E709 ‘Acceptance Criteria | ASME Vil Div.1App.6 Faia ae Latest Edition Scope Of Examination | 100% Accessible Bevel Areas ‘Welder Number | N/A | Traceability Code Welder Symbol | N/A Equipment —] Manufacture __| Calibration Date | March 07, 2018 ‘Temp. OF Material Current (AC/HWDC) | AC Longitudinal ampere (amperes x Turns) Leg Spacing (In.) | 4”-8" Wet / Dry il Particle Color | Yellow ‘Demagnetzed (Yes/No/N/A) N/A Particle Concentration | N/A Black Light Intensity White Light uw/cm/5q.@ 15" | N/A _| intensity @ Surface _| 110 FC Batch Number tem | Quantity Description _ ii 1 3__| Hot Tap Tee 6” Ka" With 150# RF Flange ee Remark = : roe 7 za Not Jacob Briones NDTIevll | NOT Technician fr d xp Technician: ‘Signature : i QC Laboratories ‘oT Representative: Assistant ike Johnson Customer Date: | Augs 25 2018 Representative: ‘Ths report eposents nly the materal estes nds ot indicative of rat that my be‘QC LABORATORIES, INC. 123854 10810 Northwest Freeway Houston, Texas 77092 ‘Augs 25 2018 Phone: 713-695-1133 ff 713-695-0808 0 a ‘Web Site: www.qclabs.com | E-mail: qclab@qc.com | Page 1 [Lo] s ULTRASONIC EXAMINATION REPORT | Customer Weldfit Energy Group P.O. Number | 5312 Contact Person Bill Rushlow a Phone | 713-460-3700 Email address N/A Fax Part Description Hot Tap Tee 6” X 4” With 150# RF Flange w/o Part Number/Rev. | A234-WPB § 58 A 105-.150H 5/0 Serial Number 550 T 5835-08 MB5355 Heat Number NDE Procedure Rev.4/E709 Acceptance Criteria Latest Edition ‘Scope Of Examination | 100% Accessible Bevel Areas ‘Welder Number | N/A Traceability Code __ Welder Symboi | N/A ‘Standard (5) ot SS ____TESTPARAMETER Pee Instrument | Olympus—Epoch 800 _| Serial Number | 120458112 _| Calibration Date | Longitudinal Frequency MHz | 225 | Size |0.50m_| Manufactures | Panametrics | _ Serial Number ‘Shear Wave Frequency MHz |N/A | Size | N/A | Manufactures | N/A Serial Number | N/A Coulpant ‘Water ‘Surface Finish | <250ms | Calibration [Reference Level | a0 FSH [Scanning tovel wave) | 6 es [ 0 Degrees (db’s) | 30 | 45 Degrees (db’s) [N/A [60 Degrees (db’s) [N/A | 70 Degrees (db’s) | N/A item | Quantity Description Result 1 3___| Hot Tap Tee 6” Xa” With 150# RF Flange z ‘Remark oe EEE Nor CW.Hayes ACCP level I NDT Technician Technician: Signature = “ QC Laboratories _ NOT Representative: ob. Assistant) ike Johnson Customer Date: | Augs 25 2018, Representative: This report represents only the materia tested and is ot indicative of result that my be obtained from sila materials This report shel ot be reproduces except ins entiely and nt sell be usedsieve, sovemnssy Aer otto ose Tangy oxpnge fe poyeedsuy ST _| Se T_T ST RR Serr Sag BODES ‘sae | oases | osgz3 oases Meh 09828 31H 86UBi 7 Bjaeldeasy | SigeiGecy | siaeidecsy | sqeideocy | eigeideosy | — aineidacsy Bucaieag “| 0-558 | s0-se6e | g0-seGa | e0-se0e BR 80-9683 | JOqUIN L LH 881 08, OE, «0 |e au 08, [oteg weds Bucy aigerdenoy | aiececoy | armerdenoy | aigedecoy | aigerdanoy YORHO. ool 0} OBE ‘aigerdeooy | aiqeideoay | alqeideosy | aqeidecy | ayqeidecoy wO3HO [88110 ue UY BUeL JO NET SHINSO | SMINEO _|SHINSO |” S4INEO aed V0 61,0 DUE OF eh BHIN3O | SHIN3O | ~S4IN3O_|~SYIN3O | S4IN30 eo 38] JO He 0-601 OF aS BS pS BS ps | 8 | 82 @A65Ig 6018 MO ews | oews | opus | Oews | pgs ae ‘ete )0 GL ‘Adig jenIoy | Sdig jemay | edig ienioy | ediq fenjoy | add jenoy | gz ‘aL yeH 10 GOL Gi gh | [sce #81 J0 401 GI gue | sae OL TOW o | au 5 JO WORE g GO} UsBIER GeH [eUIPHIDUOT | aigeideooyour ‘SEiigB aij ue 60) 64 UeeMog SGD 10, puB Yee aige\deooy aiqejdsooy | eiqejdecoy | alqeidsooy | aigeideooy | aigeideoay ‘yoayo 3g |. e6ine6 6 UO 9} 613 Jo sanj2y WIOg Jeg | ‘yqeydeaaynouy '}93)9p Bujoc}eygesoy0u aymeideooy | eperdeooy | ageidecoy | eieideooy | agerdecoy | “Sterdenay fue acy 02 jo tre 5 doy woaocou] oray, 8 + t z + STO STRUT PAULAA — eee Ses equim gor ee TEL Jequinn yeeH RSW BS GaN ELBE ¢ soquuny weg + 9uleN Auedwiog Tens, = wopuee! = ¥ ‘ayaidwog = 01 del joy ‘9 uowoadsul 40 ody 133HS VLVG NOISNAWIG "ANWeldfit Corporatior We Id F it Proposal Drawing 532213-01-A234WPB-A105-52550 Veri.6.4 Reference Number | 583508 DW,No740ax—0a04 | Design By [IML | Date | 06/13/18 Item Number | 2 Check By | HTM | Date | 06/23/18 Customer Tiber Nusantara Sukses PT. ‘Approve By Date Revision Date Part Number '532213-01-A234WPB-A105-52550 oe Fit ing meets design requirements PASS | special Considerations - PASS foe eete ee Fitting Type Hot Tap Tee Flange WN RF—Sch 80 _| Material: Fitting Size & Class 6” NPS x4” x WN 4” 1508 (A234 Gr.WPB Fitting & Tee & Flange Type _| Extruded —Hot Tap i ‘A234 Gr.WPB Design Pressure 285 Psi Equal Tee Design Temperature 100" F _ Flange ‘Ai05 Corrosion Allowance Oine __—*(| DF:04 LOR Plug Drawing Notes: a Sara 41.,100% MT Field Weld Bevel | ema HO Oughta [fas