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Customer

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MATERIAL TRACEABILITY REPORT

Project No.:

Customer:

Test Code:

Report No.:

Unit:

Date:
Reference Code and Refer. of Inspection, Measuring
and test Equipment.
/ or Specification

Isometric dwg.No.

INSPECTIONS
HEAT NUMBER
Spool No. or Fitting No.

Heat Number

Material
Certification
Number.

Material
Specification

Heat Number Transferred and
Checked

Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable

Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Note: Heat Numbers Transferred on pipes before cutting.

ETIMAAD QA&QC

PREPARED BY

CUSTOMER

NAME:

NAME:

NAME:

DATE:

DATE:

DATE:

SIGNATURE:

SIGNATURE:

SIGNATURE:

Date: May 22, 2007
Page: 1 of 1

This document is the intellectual property of ETIMAAD. Any unauthorized use, including modification and reproduction
of the content is strictly prohibited. © Copyrights Ordinance 2006, All rights reserved.

Doc. No. QA&QC/FRM-58
Rev.: 00