ForenTec Engineers Pvt.

Limited FM/T/24
4th& 5th Floor, SKYLINE, IssueNo.: 1 Rev.:1
Date: Date:
Near Kadru Overbridge, Kadru,
Ranchi - 834 002 (Jharkhand) 01/06/2021 03/03/2022
E-mail: forentecengineers@gmail.com Page: 1of 2
Contact No.: +91 8877665577

Title: SERVICE REQUEST FORM

SERVICE REQUEST FORM

(Tobeprepared in Duplicate)
Service Request No.: FEPL/T/SRN/ Date:092023
To be filled up by the Customer / Customer Service Cell

Name of the
Customer:
NTPC
Address: 3x660 M NKSTPP, NoTth Karapura
JH 82532)
PO- Tand wa Dist -Chatta, Routine Reason: Rush_ Event based
Customer ID.
Equipment ID:_ FEPL Order No.:
Contact Person: A MCudal Contact No.: 80084R22E-mail: km.AMd e biel.u
Equipment Details (As provided bycustomer) O Bushing Other: Ext. Taunk To3)
Oil Sampling: Transformer O OLTC Container
Transformer: O Network OFurnace O Generator Rectifier Other:ST
OLTC: Oprn. Count: Online Filtration: Yes ONo
Type:
Substation:3X600 M
NKSTPP
Location:7andAJO
Manufacturer:
Serial No.
BHEL Year of Mfg.: Primary Voltage: 460 KU MVA Rating: |20 MVA
Other:
Cooling Type: AN ONAN ONAF OFAF OFWF
Sealed DRubber Bag O N2- Other:
Breathing: Free
Breathing Blanket
Other:
Status: In Service New Oil DReclamation
Sampling Details (As provided by customer):
Sampled by: Date of Sampling:../.
Sample ID:
Top Oil Temp. Oil Qty. taken
oil Present in the O KL (°C): in Sampling [in
Equipment [in L]:
L]:_
Mineral Oil O Natural Ester O Synthetic Ester Silicone Other:
Oil Type:
Sampling Port O Middle O Top O Conservator eOther
Bottomn
Transformer:
Sampling Port Selector O Diverter O Column (A, B, C) O Conservator DOther
OLTC: O Plastic Bottle Other:
Samplin O Glass Syringe stainless Steel
Container: Bottle
Standards
Test(6) to Perform OASTM D3612:2017
O DGA Analysis OIS 9434:2019 DIEC 60567:2011
O IEC 61198:1993 ASTM D5837:2015
OFuran Analysis OIS 15668:2016
OIS 6792:2017 TEC 60156:2018 OASTM D877:2019
Disruptive/Breakdown Voltage DASTM Di816:2019
OIEC 60247:2004 OASTM D924:2015
Dissipation Factor (Tan 8) @90°C
O Dielectric I S 6262:2016
OIEC 60247:2004 OASTM Di169:2019
OSpecific Resistance (Resistivity) @90°C OIS 6103:2016
OIS 13567:2018 O IEC 60814:2013 ASTM D1533:2020
Moisture Content O ASTM D1298:2017
O Density a 29.5°C OIS 1448 (Part-16):2019 OIsO 3675:1998
OIS 1448 (Part-25):20o18 OISO 3104:2020 DASTM D7042:2021
Kinematic Viscosity @27'C
ASTM D2140:2017
O Carbon'Type Composition (PNA Analysis) I S 13155:1991
OIS 1448 (Part-21):2019 IEC61100:1992 OASTM D93:202o
O Flash Point
 ForenTec Engineers Pvt. Limited FM/T/24
4th &r 5th Floor, SKYLINE, | Issue No.: 1 Rev.:1
Date: Date:
Near Kadru Overbridge, Kadru,
Ranchi-834 002 (Jharkhand) 01/06/2021 03/03/2022
E-mail: forentecengineers@gmail.com Page: 2 0f 2
Contact No.: +91 8877665577

Whether Standard Procedure isfollowed for Testing Yes/No

IfNo, Please specify: Yes/No
Whether External Service Provideris nominated for Testing?
2.a) Yes, Please specify:
i)Name of External Service Provider:
ii) Address:

ii) | NABL Certificate No. of External Service Provider: Yes/No

iv) Whether written approvaltaken from Customer?
Physical Status ofthe Sample/DUT
Testing Frequency: Yes/No
Require Statement of Conformity
If No, then Statement of Conformityin not mentioned.
IfYes, Decision Rulewill be given by Customer Yes/No
4.C) If Yes, Please specify:

4.d) IfNo, Decision Rule will be:

Standard or a per Manufacturer's|
i)If the Result is well within the Recommended Limit as per Specific
Specification or as per Customer's Specification, it is considered OK i.e., NO Action need to be taken.
within the Recommended Limit per Specific as Standard or as per Manufacturer's
ii) If the Result oris asmarginally
Specification per Customer's Specification, it is considered OK but advised to take needful action.

If the Result is out of the Recommended Limit as per Specific Standard or as per Manufacturer's Specification
or
ii)
as per Customer's Specification, it is considered NOT OK and advised to take needful action to replace/reclaim
Additional Information (if any):

Note: Theactual conditionshall only be assessed during Testing

the General Conditions of
above DUT/Sample may please be carried out as per details given above. We accept
Testing of the and
Measurement Testing as applicable and hereby agree to abide by them. We also agree to pay the requisite charges levied

fortherequest.

Mauaiv
Date.. (Costumer's Signature) (Designatioh

The above test (6) has been reviewed and accepted

(Signature of Quality Manager/Technical Manager/Testing Executive)

(To be filled up by the Customer Service Cell)

(To befilled up by the Customer Service Cell)

* *********
The Charges for the above Test is Rupees *********************
* * * * * * * s 0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
..only.

(Signature of Customer Service Cell)|

Probable Date of Testing & Result along with Test Report Certificate(s):
Test Result shall be kept Confidential
The proprietary information of customer including
Customer Enquiry and Business Hours:
and 2:30 P.M. to 5:30 P.M.
Monday to Saturday: 10:00 A.M. to 1:30 P.M.
Sunday: Weekly Off