INSPECTION IRN N° 17

RELEASE NOTE DATE October 6, 2021

FORM N° IRN 01 – ED. 2015 - REV.00

I herewith confirm that the following items and associated

quantities have been inspected in accordance with Customer’s
requirements and may be released for dispatch in accordance
with the Purchase Order’s instructions

PURCHASE ORDER DETAILS

ConocoPhillips Canada
278-00-14
CLIENT PROJECT

278-00-14 Rev 0 PURCHASE ORDER REV. N° 278-00-14 - 0001 Rev: 0

PURCHASE ORDER N°
CHANGE ORDER N°
PURCHASE ORDER TITLE OR 1-31 (Pad 5) Engineering Support/ Line Pipe
ITEM / MATERIAL DESCRIPTION

SUPPLIER / SUB-SUPPLIER DETAILS

Triumph Tubular & Supply Ltd.
SUPPLIER NAME SUPPLIER REF. 13-1111

SUB-SUPPLIER NAME Park Derochie SUB-SUPPLIER REF. P-6058-026, 027, 028

CONTACT NAME(S) &

Aaron Tiessen / Project Manager
POSITION (TITLE)

M ATERIAL / EQUIPMENT RELEASED THIS VISIT

(please add / delete lines as necessary)
QTY QTY
P.O. ITEM N° Load N° MATERIAL DESCRIPTION
REQ’D RELEASED
10 P-6058-026 Meters pipe 406.4mm X 9.53mm WT BE, CSA Z245.1 Gr.359 Cat II M45C 819.84m 819.84m
P-6058-027 HPPC External and Highland 74 (or Equivalent) internal coating 16 mils
P-6058-028 thickness. Note: Weld seam to be ground flush for a minimum distance of 100
mm from each pipe end.

TYPE OF RELEASE
(Double click to tick as appropriate – multiple ticking is allowed)
PARTIAL FINAL CONDITIONAL UNCONDITIONAL
(P.O. INCOMPLETE) (P.O. COMPLETE) (SEE COMMENTS)

COM M ENTS
(Please state, if any – Please state reason for “conditional” release)
Please note: There are no ITP hold points for inspections of internal or external applications for coatings conducted. A random visual
inspection has been completed during all stages of internal and external coating.

Note: this inspection release does not release supplier from guarantees and indemnities as to patents, materials, equipment, workmanship and
performance covered within purchaser’s order and attachments thereto.

INSPECTOR’S INSPECTOR’S SIGNATURE AND SUPPLIER’S REPRESENTATIVE

DATE
NAME STAMP SIGNATURE (if requested)

Melissa Kobitz October 6, 2021

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