DELIVERY ORDER FORM

Our reference: Date: 05.08.2020

To: XX
Attention: Mr Atwood
Project: TANK & RISER INSPECTION

Subject:

Item Picture Qty. Remarks

Gauge Model – Olympus 1 set
45MG / SN - 201584104

Transducer Model – 1 set

D7908 / SN1233276
USB Connector 1 unit

Step Wedge 2 units

Glue Paste 2 units

Olympus Couplant B (60ml) 1 unit

Battery AA 19 pieces
Olympus CD (for Olympus 1 unit
Gauge 45MG)

Certificate of Calibration 1 set

(Olympus Gauge 45MG)
Abseiling Equipment 2 sets
(harness, rope, carabiner,
stopper, pulley, id, first aid
kit)
Life Jackets – OMEGA 3 units
290N

Issued By: Received by:

Name Name:
Signature Signature

Date Date: