SAUDI ARAMCO ID/PID - REV 0- 18-May-05 (Standards Cutoff -June 2008) REV 3 30-Jun-08

SAUDI ARAMCO TEST REPORT SATR NUMBER DATE APPROVED QR NUMBER

Refrigerant Pipe Vacuum Test SATR-K-4004 15-Dec-09 HVAC

PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
TEST PROCEDURE ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-TEST DATE
No.

A. TEST PROCEDURE AND CHECKLIST

After Installation, dehydrate system by placing a vacuum of 1.7 kPa (0.5 SAES-K-001
A1
in. Hg) absolute pressure. Para 5.3.2.4

Hold vacuum for 24 hours or cycle vacuum and dry nitrogen purge SAES-K-001
A2
according to manufacturer's recommendations (Para 5.3.2.4) Para 5.3.2.4

Charge System / Lines with quantity and type of refrigerant as per SAES-K-001
A3
manufacture's requirement. Para 5.3.2.4

B. TEST EQUIPMENT AND MATERIALS CRITERIA

Vacuum pressure gauge range __________

Vacuum pressure gauge calibration date __________

C. TEST RESULTS

Vacuum pressure recorded at the start of the test __________

Vacuum pressure recorded at the end of the test __________

D. CONCLUSIONS
ITEM
TEST RESULTS ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-TEST DATE
No.
Test results are acceptable and in accordance with Saudi Aramco
D1 N/A
Engineering Standards and contractual requirements.

REMARKS:

REFERENCE DOCUMENTS:

1-SAES-K-001 -- Heating, Ventilating, and Air Conditioning (HVAC), 31 May, 2004

Contractor / Third-Party Saudi Aramco

Technician Performing Test*
Name, Title, Department,
Company, Initials and
Date:
QC Inspector
Name, Initials and Date:
PMT Representative
Test Performed Successfully and Results are Acceptable: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:
PID Representative
Witnessed Test Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Implementation of Test and Analysis of Results Y = YES N = NO F = FAILED

Page 1 of 1