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www.applus.

com

INSPECTION RELEASE CERTIFICATE


Client: China Petroleum Pipe Line Engineering
Vendor: BSS Technologies
Company
Project: EPC for the Replacement of Main Oil Lines,
Sub-Vendor: NA
MOL-1.2 & MOL-3.5 from MP-21 to Jabel Dhanna
Location: PO Box : 52455, National Industries Park,
PO No.: 04-MOL01-PR-01-0052
Jebel Ali, Dubai
Applus+ Assign. No.: // Vendor Contact: Mr.Ayat Sait
Vendor Ref.: // Vendor Tel. No.: +97148867015

Certificate No.: // Page 1 of 1 Date: 28/10/2022

P.O. Item Quantity Tag No., Serial No., Cast,


Material Description per Client PO
No. Released Batch No., Heat No.
1.16 02 Anode junction Box NA

1.17 01 Negative Junction Box NA

1.26 03 Foreign bond box(TYPE-D) NA

1.26 06 Foreign bond box(TYPE-A) NA

1.26 08 Foreign bond box(TYPE-C) NA

1.26 07 Foreign bond box(TYPE-E) NA

1.26 06 Foreign bond box(TYPE-B) NA

1.26 05 Equipotential bond box(TYPE-C) NA

1.26 02 Equipotential bond box(TYPE-D) NA

1.26 02 Equipotential bond box(TYPE-E) NA

1.26 02 Bond Box TYPE B NA

Above Items Constitute: Whole Purchase Order Partial PO Partial & Balance PO

Notes: Please Refer Comment Resolution sheet from Vendor.

All Inspections were completed and results were found satisfactory With Comments Refer inspection Report
for Comments

Certificates and documents were reviewed and signed off.

This Inspection release note does not relieve the supplier or manufacturer from any responsibility, or any contractual obligations or guarantees, nor shall
it be interpreted in any way so as to imply acceptance of the goods. Inspection is performed to the best of our ability, knowledge and belief but our
organisation shall not be held responsible in any way whatsoever for the content of or technical accuracy of the purchase order.

L5-FMT-045 Rev. 03
Authorised Stamp & Signature
Vendor / Sub-Vendor Applus+ Inspecting Engineer Same Day Distribution:
Original - Vendor
Vishnudas Sivadasan Copy to Applus+
Copy Main Vendor
Copy Client

Date: 28/10/2022
Date:

L5-FMT-045 Rev. 03

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