SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0 (Standards Cutoff - June 2008) Rev 3 30-Jun-08

SATR NUMBER DATE APPROVED QR NUMBER

SAUDI ARAMCO TEST REPORT
Release Structure for Fireproofing SATR-B-2001 15-Dec-09 MECH-
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

Release Structure for Intumescent Fireproofing (FP)

Piping system/Equipment: Support Dwg No.

Plant Unit/System Location: Description of Specific FP area

Item Description Construction Inspection

# Initial/Date Initial/Date
N/A

1 APCS-1B Epoxy coating application (275-400 microns) is complete.

2 Epoxy coating is free of defects with all repairs & touch-up complete.

3 Structural steel work is complete, alignment & plumbness accepted.

4 Structural member bolt tightening/torquing is complete & accepted.

5 Structural foundation anchor bolts are boxed-out per drawings.

6 Structural reinforcement is installed per Project specs./dwgs.

7 Structural welded attachments are completed and accepted.

8 Structural bolted attachments are completed and accepted.

9 Auxilliary pipe supports (brace, channel, stanchion, etc) are installed

*API 2218 Figures 4 thru 11 (fireproofing examples) are listed on Excel Sheet # 2 (for reference)

REMARKS:
□ Structures listed above are released for fireproofing.
□ Structures listed above are not released for fireproofing.
List reasons not released:
______________________________________________________________________________

____________________________________________________________________________________________________

REFERENCE DOCUMENTS:
1- API Publication 2218 -- Fireproofing Practices in Petroleum & Petrochemical Process Plants, 1 August 2009
2- SAES-B-006 -- Fireproofing for Plants, 3 July 2006
3- SAES-H-100 -- Coating Materials & Application Requirements for Industrial Facilities, 31 July 2004

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Name, Title, Department, Test Performed Successfully and Results are Acceptable: T&I Witnessed QC Record Reviewed Work Verified
Company, Initials and Name, Initials and Date:
Date:
QC Inspector PID Representative
Witnessed Test Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Implementation of Test and Analysis of Results Y = YES N = NO F = FAILED

Page 1 of 1