147 - LTS Phone: (414) 332-3677

SERVICE CALL 3710 N. Richard St. Fax: (414) 332-3652

SC #: 784697 - Field Milwaukee, WI, 53212

CUSTOMER NAME: ELECTRON BEAM FUSION CORP 28 - 0000053 WORK SITE INFORMATION
BILLING ADDRESS: 6510 North 40th
Milwaukee, WI 53209 US ADDRESS: 6510 N 40th St, Milwaukee, WI 53209

TRAVEL DATE: CONTACT: Tim

START DATE: 5/26/2022 PHONE #: 414-353-2770
Ext:
JOB NAME: UT Ins. at Customers Facility 79 Heavy Lights Email: tim@ebfusion.com
PURCHASE ORDER: 2021-2022
DIRECTIONS:

TYPE OF WORK: 60-Conventional NDT

WORK PROCEDURE: Informational
CODE/SPEC MIL-STD-271 (SH)
CUSTOMER WO#
ACCEPTANCE CRITERIA: Client Information

SCOPE OF WORK & 79pcs: 6884312 BKEB

ADDITIONAL
INSTRUCTIONS

JOB MANAGER: Krueger, Drew A BILLING METHOD: N/A

ASSIGNED MEMBERS: Padron, Anthony M - Paris, Anna L - Mergenthaler, Angela L - Zerbe, Kirven C - Igielski, Ryan M - Torres, Adam L -
Krueger, Drew A - Dorn, Michael J - Meraz, Jose - Schmidt, Kyle J - Stojanovich, Peter A - Whitmore, Jefferson I
- Mergenthaler, Shane C - Latter, Nicholas S - Wilkinson, David J - Sigala, Andres R - Cazalas, Jessie R - Price,
James E - Nygaard, Lucas S - Mull, Timmy J -
Date Technician REG O.T. Double INCT LDS Per Diem SHIFT MILES
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EQUIPMENT

PT BlackLight: _____ day(s) IR 192: _____ day(s) UT Thickness Gauge: _____ day(s) Boroscope: _____ day(s) Air Monitor: _____ day(s)
MT Yoke: _____ day(s) CO 60: _____ day(s) Flaw Detector: _____ day(s) Rental Unit: _____ day(s) Hardness Tester: _____ day(s)
P-500: _____ day(s) CR System: _____ day(s) EC Unit Probes: _____ day(s) Generator: _____ day(s)
PMI Unit: _____ day(s)
CONSUMABLES
PT Visable Dye: _____ can(s) 5x7 _____ pcs UT Couplant: _____ qt(s) Paper Towels ______ ______ ______
Fluorescent: _____ qt(s) 4.5x10 _____ pcs RVI Video Tapes: _____ tapes Tyvek Suits ______ ______ ______
MT Aerosol Fluids: _____ cans 4.5x17 _____ pcs Floppy Disks ______ MISC ______ ______ ______
Dry Powder: _____ lb(s) 7x17 _____ pcs CD-ROMs ______ ______ ______ ______ ______
14x17 _____ pcs

Notes:

Customer:______________________________________ Date:____________ Printed Name:____________________________________

 Customer/Job Information Sheet

Acuren Office Location: 147 - LTS Taken By:

Job Site Name: ELECTRON BEAM FUSION Contact Phone

CORP
Job Site Address:

Purchase Order: 2021-2022

Job Start Date & Time: 5/26/2022

Travel Date & Time:

Work Type (UT, PT, MT etc.): 60-Conventional NDT

Procedure: Informational Acceptance Criteria: Client Information

Scope of Work: 79pcs: 6884312 BKEB

Size:__________________________________________

Quantity:______________________________________

Thickness______________________________________

Material :______________________________________

Scaffold/JLG Needed : YES NO (Circle One)

Additional Instructions: 79pcs: 6884312 BKEB

Technicians: Padron, Anthony M - Paris, Anna L - Mergenthaler, Angela L - Zerbe, Kirven C -

Igielski, Ryan M - Torres, Adam L - Krueger, Drew A - Dorn, Michael J - Meraz, Jose
- Schmidt, Kyle J - Stojanovich, Peter A - Whitmore, Jefferson I - Mergenthaler,
Shane C - Latter, Nicholas S - Wilkinson, David J - Sigala, Andres R - Cazalas,
Jessie R - Price, James E - Nygaard, Lucas S - Mull, Timmy J -

ALL SERVICES AND/OR PRODUCTS PROVIDED BY ACUREN IN CONNECTION WITH THIS ORDER ACKNOWLEDGMENT AND ALL
FUTURE SALES SHALL BE SUBJECT TO AND GOVERNED BY THE “ACUREN STANDARD SERVICE TERMS” IN EFFECT WHEN THE
SERVICES AND/OR PRODUCTS WERE ORDERED. THOSE TERMS ARE AVAILABLE AT WWW.ACUREN.COM/SERVICETERMS, ARE
EXPRESSLY INCORPORATED BY REFERENCE INTO THIS DOCUMENT AND SHALL SUPERSEDE ANY CONFLICTING TERMS IN ANY
OTHER DOCUMENT (EXCEPT WHERE EXPRESSLY AGREED OTHERWISE IN THAT OTHER DOCUMENT).