Inspection Form

CLIENT:
EQUIPMENT ID:
Hydroblast Clean
OWNER/USER: For
QC INSPECTOR: Michael Petix “Process”

DATE:
EQUIPTMENT ARRIVAL: Schedule:

Equiptment Type: Tube Diameter (in):

Bundle Type: Tube Wall Thickness (in): .
Bundle Diameter (in): Tube Material:
Bundle Weight: SS Product:
Number of Holes: TS Product:
Tube Length (ft):

(UNIT #)
Inspection
Visual: 100% Client Inspection: Pending
Borescope: 5% Client Approved: Pending

Findings:

Visual inspection of Straight Tube revealed the following observations:

1:

Scope Of Work:

transportation, clean bundle for process

Contact:

Client POC:
Client Phone:
Client Email:

Photographs below are of Arrival at facility:

Bison Specialty Services, LLC - 9981 HWY 90 Beaumont, TX 77713 - (409)434-4500

 *Note: Orientaion of bundle is determined from facing Tube Sheet.*

(Bundle #)

1-Bundle ID 2-FRONT RIGHT VIEW

3-MIDDLE RIGHT VIEW 4-BACK RIGHT VIEW

5-FRONT LEFT VIEW 6-MIDDLE LEFT VIEW

7-BACK LEFT VIEW 8-FRONT BUNDLE

Photographs below are of Asset Post-clean at facility:

*Note: Orientaion of bundle is determined from facing Tube Sheet.*

(bundle #)

1-FRONT TUBE SHEET 2-RIGHT FRONT

3-RIGHT MIDDLE 4-RIGHT REAR

5-LEFT FRONT 6-LEFT REAR

7-Left REAR

Damages found during inspection

8-Damages

Bison Specialty Services, LLC - 9981 HWY 90 Beaumont, TX 77713 - (409)434-4500

QC Signature: Michael Petix Date:

Bison Specialty Services, LLC - 9981 HWY 90 Beaumont, TX 77713 - (409)434-4500