BINH SON REFINERING & PETROCHEMICAL LIMITED COMPANY HEAT EXCHANGER CLEANING CENTER PROJECT REQUEST FOR INSPECTION PHIEU YEU CAU KIEM TRA TONG THE Cost code | Activity [Package SYSTEM NO: HEAT EXCHANGER CLEANING CENTER RFI BsR | 1101 INSPECTION DATE / LOCATION Date___ 9/6/2011 Time: BH30 Unit: 122 Precise Location: Heat exchanger cleaning center- Unit 122 Time Received 1S 307g ay Teer CONTRACTOR [OWNER(ESR) REVIEW SURV WITNESS. _HOLD han vik lk BSR/Client L Name: (Hera bar Gd ame: Contractor Signature {4 |Signature tem No DESCRIPTION OF INSPECTION / TEST ACTIVITIES }. Kiém tra hang muc: Phin xay dung & két cu thep 2. Kiém tra hang mye: xay lép duéng éng: (LP steam, fre water, oily water) 3, Kim tra hang myc: xy Ip hé théng dien (lighting system, power system) REMARKS ACKNOWLEDGEMENT (See remarks if any) RESULTS. CONTRACTOR OWNER(BSR) Acceptable Name: Phan van Can Name: Nguyén Quéc V7 Acceptable with Yelm, comments. Signature: Li = Signature: Not acceptable (see Date: B-Jun-11 Date: B-Jun-11 FIR, NCR or CRF) Page 1 of 1