PETROVIETNAM FERTILIZER AND CHEMICALS CORPORATION (PVFCCo)

AMMONIA PLANT REVAMP PROJECT

The present document or drawing is property of TECHNIP ITALY S.p.A. and shall not, under any circumstances, be totally or partially, directly or indirectly, transferred, reproduced, copied, disclosed or used, without its prior written consent, for any purpose and in any way other than that for which it is
specifically furnished or outside the extent of the agreed upon right of use.

EQUIPMENT/BULK MATERIAL:

Project N

Unit

Document Code

Serial N

Rev.

Page

2539

00

DL 1656

01

1/1

MEDIUM VOLTAGE (6.6kV) POWER CAPACITOR PCA2-5

DEVIATION LIST

The offer will not be taken into consideration if this form is not completed by the Vendor.

YES

There are deviations in Vendor offer?

NOT

(check pertinent answer)

List of deviations (exception and addition requested by the Vendor) from Specifications Standards and/or
drawings.

No.

Spec. No.
and Para No.

VENDOR NAME:

Specification
Requirement

Vendor Proposed Clarification,

Exception & Deviation

Reason

VENDOR SIGNATURE:

DATE:

TECHNIP ITALY S.p.A. - 00148 ROMA - Viale Castello della Magliana, 68