082-C33130024C-CNRL Horizon 2 Finned tubes---STE

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SUPPLIER QUALITY SURVEILLANCE Report No.: C33130024-037 Rev. A Page 1 of 15 Issue Date: Rev No. Eng.-Discipline: Logistics: Insp. Coord.: Czeslaw OPALSKI Vincent VAN HEININGEN

INSPECTION REPORT Notification Date: Inspection Date: Project Management: HSE-Q Mgmt: Purchasing:

2014-4-29 2014-5-8~9

2014-5-9 1 Expediting: Site Mgmt: Supplier: Stanislaw SZPARSKI Wu Ziyun

01 DISTRIBUTION (Original remains in the hand of Insp.& Exp. Department) Elzbieta KASZUBA Frank, ZHANG

02 PROJECT INFORMATION Project No.: Project Name: Item No.: Purchase Order No.: N°of days of Inspection (including travel) 69865 CNRL Horizon 2 49-SP-48; 49-SP-287 6500044033/13227 1.5 Supplier/Manufact.: Ref. No.: Sub-Supplier: Inspection place: Invitation Letter No.: STE

STE

03 BASIS OF INSPECTION Technical Specification(s) No.: 49-SPEC-PI-0013 Inspection& Test Plan No.: Sequence No.: Designation of test: Drawing(s) No.: 4605949-STE435-40-001; 4605949-STE435-40-002 Design Code DIN ASME API ANSI Item No. Unit Description of Equipment/Material 49-SP-48 Piece Finned tube/ASTM A312 TP321, SS 304 49-SP-287 Piece Finned tube/ASTM A312 TP321, SS 304

04

GB/JB Qty. 2 2

Additional Information DN=4”, length=4.85m DN=4”, length=5.15m

05 Final Inspection Interim Inspection 06 QUALITY INSPECTION RESULTS Approved Approved with condition Rejected Other

Re-Inspection

Other

Punch list issued NCR issued

Punch list issued if necessary

ATTACHMENTS Inspection/Test Certificates Material certificates Non-Destructive Exam. Report Inspection records Packing List CRN

07 OUTSTANDING ACTIONS Contractual Deliv. Date: Current Promised Date: Author estimated shipment date Next Inspection date Next Inspection reference INCOTERM No comments. NCR issued 2014-5-15 Delay to be foreseen Remarks: 1st fabrication was failed.

08 SAFETY OBSERVATIONS (Provide a brief summary of any safe or unsafe safety observations during your visit)

09 RESERVATION: The purpose of this report is to record the results of the above-referenced inspection(s) of the material and/or equipment to be delivered. The observations noted herein are based on spot tests and therefore do not represent an exhaustive examination. Moreover, notwithstanding any comment or preliminary conclusion recorded in this report, this report shall not be construed, nor does it constitute an acceptance in the legal sen se. Supplier is not released from any conditions or obligations of performance, delivery, and warranty included in the Purchase Order. All rights are reserved.

10 Inspector: Air Liquide representative Other participant, name Wen Xiao-wei Wu Zi-yun Company: STE Wen Xiao-wei 2014-5-9

Supplier: Name/Date/Signature

Client: Name/Date/Signature

Air Liquide: Name/Date/Signature

"Air Liquide", as used in this document, means the particular subsidiary of Air Liquide S.A., which has placed the underlying Purchase Order with Supplier.

Derived from G-FRM-21-0-3, Rev. A, issued 6-Dec-12

082-C33130024C-CNRL Horizon 2 Finned tubes---STE

082-C33130024C-CNRL Horizon 2 Finned tubes---STE

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