MATERIAL ORDER LIST SD5-E-421

ACCOUNTING CODING REFERENCES GENERAL INFORMATION / INSTRUCTIONS

RIG # Rig SD-5 PURCHASE FROM: USA Area Anywhere

AFE #: MT#: SHIPPING: Hand Carry Urgent Air Regular Air X Ocean

SUBCODE: Motor Freight Hot Shot X Nhava Stock

DESCRIPTION: Freon PRIORITY: 1 to 7 Days x 7 to 14 Days 14 to 30 Days

(
x P
ASSET I.D. #: NEW (no I.D.#) DEPARTMENT: Rig Mechanic Electrician
L
E
SERIAL #: MATERIALS ARE FOR: X Warehouse Stock Immediate UseA
S
ASSIGNED PO#: MOL # E

LINE # QTY UNITS PART or MODEL # VENDOR / MANUFACTURER DESCRIPTION UNIT COST TOTAL COST
MAX MIN

1 3 ea 1177418 LOCAL FREON, REFRIGERANT, R410A, GAS, 30LB 0.00 4

Camlin COVER IT correction pen 7ml / box of 10

2 2 box Camlin only
for marking cables
1.50 3.00
S
P
E
C
I
F
Y
)
3 12 ea 1021834 Local TAPE, PACKAGING, BOX SEALING, CLEAR, 2" X 110 YARD ROLL 0.00

4 0.00

0.00

0.00

Total $ $3.00

MATERIAL CERTIFICATION AND DOCUMENTATION APPROVALS DATES

No YES, Attach For F1003 (Certification/Documentation Rqmt's)

MAINTENANCE / SERVICE / OPERATIONS MANUALS REQUIREMENTS:

MATERIAL TRANSFER #

No YES,
ORIGINATOR Prakash Sekar DATE: 6-Mar-20

RIG MANAGER Stegall Randy DATE: 6-Mar-20

SPECIAL CONDITIONS and / or OPERATIONAL REQUIREMENTS:

AREA MANAGER DATE:

CONTRACTOR INSURANCE COVERAGE FOR INTN'L SERVICE VERIFIED: (Please Initial)

F1001 (1) White/Original - Rig File Yellow/Copy - Area Office Pink/Copy - Originator