CRM #: RADIATION WORK PERMIT Permit #: NEW

Contact Information
From: NDT Corrosion Control Services Co. To: SAUDI ARAMCO/ID/ITSD/NDT TS UNIT
Address: Po. Box. 322, Dammam-32232 ID-RPO: Abdullah Zahrani B
RPO Name: Dhan Bahadur Tamang Email: abdullah.zahrani.32@aramco.com
Email: rso.ndtccs@ndtcorrosion.com Contact No.: 013 880-9749
Contact No.: 00966 504983291 0544203888
Prime Contractor: China Railway Construction Corporation SA PMT Contact Person: Mohammed Albedaiwi
Limited Email: mohamedsaid.bediwi@aramco.com
Contact Person: Nazeer Jani SA PID Contact Person: Moustafa Gadallah
Email: nazeer.jani@crcc.sa Email: Moustafa.Gadallah@aramco.com
Contact No.: 057-082-7462
Job Information
Project Title: Corporate Academy Dhahran Area/Region:
BI/JO No.: 10-02403-0002 ✘ Central Area Northern Area Southern Area
Southern Region Central Region
Duration: From: July 5, 2024 Northern Region Western Region
To: December 30, 2024 Location Type(s):
✘ Ground Level Elevated (e.g. Piperack)
Work Location: Dhahran Aramco ✘ Pipeline/Well Head Congested Area
GPS Coordinates: 26°19'18.2"N 50°08'10.3"E Plant Fabrication Yard
Minimum No. of Men per Crew: 3 Men ✘ 2 Men Others: Confined Space (e.g. Vessels, Tanks, …)
Specify…………. Offshore Others: Specify………….
Radiography Testing Work Information
Type of Sources: ✘ Ir-192 Co-60 Se-75 X-Ray, Sr. No ......................... Other Specify: .........................
Source Sr. No. 1) 75834M 2) 75831M 3) N/A 4) N/A 5) N/A 6) N/A
Projector Sr. No. 1) D-14604 2) D-14637 3) N/A 4) N/A 5) N/A 6) N/A
Highest Source Activity: 5.57 Ci As of: July 2, 2024
Source Storage: ✘ Permanent Bunker License No. 1-FC202131-141 Expiry Date October 5, 2024
Temporary Storage Pit NRRC Pit Permit No: ………. Expiry Date Click to enter a date
SA Pit Permit No. ………. Expiry Date Click to enter a date
Offshore: SA Permit No. ………. Expiry Date Click to enter a date

Storage Location: NDT CCS Facility Jubail. GPS Coordinates: 26.948563,49.661888 Distance to Work Location: 89 KM
Work Schedule: ✘ Fulltime (Daily) Other, Specify: .............
Disclaimer
-All information on this form shall be provided by the NDT service provider and verified by PMT.
-Each projector serial number shall match with the source serial number and its sequence.
-A copy of this Radiation Work Permit must be kept with each Radiographic Crew and presented on demand.
- Failure to submit accurate information and abide Saudi Aramco latest requirements may result in revoking this permit
and/or suspension against the company.
REMARKS:

Permit Issuer Name & Sign:

PERMIT VALID UNTIL: Click to enter a date ID-RPO Name & Sign: Abdullah Zahrani B
Issue Date: Click to enter a date

List of Supporting Documents:

Saudi Aramco: Company General Use
 Sr
Document Attached ? Y/N
.
1 Company NRRC practice License. Y
2 Radiation safety procedure Approval Y
3 Main and Back Up RPO NRRC certificates. Y
4 ID-RPO approval for company Main and Back Up RPOs. Y
Radiation site risk assessment report (attached) filled and signed by the assessor RPO,
5 concurred by Main RPO (in case he is not the assessor).
Y
6 Saudi Aramco temporary storage pit permit (in case of not using permanent storage facility). N/A
NRRC temporary storage pit permit regardless of the distance from the permanent storage
7 facility (in case of not using permanent storage facility)
N/A
8 Projector maintenance certificates. Y
9 Projector leak test certificates. Y
10 Decay charts of the assigned radiation sources Y
11 Copies of RPP cards (front and back) Y
12 Radiation survey meter and EPD calibration certificates. Y

Saudi Aramco: Company General Use