REPORT NO.

: CPM-COC-22-012

CERTIFICATE OF COMPLETION

Maintenance of the equipment mentioned below has been inspected, tested

and found to be conforming with the requirement in accordance with drawing,
procedure, specification and standard, and certify to be completely accepted.

PROJECT : EMS - ITMS

DESCRIPTION : P-3302 Installation of Bracket Shroud
(WO#: 84539513)

SHELL IMPORT FACILITIES TABANGAO CPM CONSTRUTION & GENERAL SERVICES, INC.

ACCEPTED BY :

MD. ARANAS 24-Sep-22

QA/QC INSPECTOR DATE

D. LASCUÑA 24-Sep-22
QA/QC LEAD DATE

ALEX CALANGI 24-Sep-22

CPM SUPERINTENDENT DATE

SHIFT REPRESENTATIVE DATE

 QUALITY CONTROL INSPECTION
REPORT (QCIR)

CLIENT : SHIFT WORK ORDER NO. : 84539513

PROJECT : EMS-ITMS REPORT NO. : CPM-QCIR-22-013
TAG NO : P-3302 SHEET NO. : 1OF 2
AREA/UNIT : Oil Movements DATE : September 24, 2022

ACTIVITY
FIT-UP ALLIGNMENT / PLUMBNESS

DIMENSIONAL BOLT TIGHTENING

VISUAL OTHERS:

DESCRIPTION

P-3302 Installation of Bracket Shroud

INSPECTION RESULT
ACCEPTED REJECTED

REMARKS
Welding of Bracket Shroud visually accepted.

CPM SHIFT
SIGNATURE
NAME MD. ARANAS / D. LASCUNA
POSITION QA/QC / QA/QC LEAD
DATE September 24, 2022
Form No. : ITRF-QCIR-01 (Rev. 0) CPM Construction and General Services, Inc.
 QUALITY CONTROL INSPECTION
REPORT (QCIR)

CLIENT : SHIFT WORK ORDER NO. : 84539513

PROJECT : EMS-ITMS REPORT NO. : CPM-QCIR-22-013
TAG NO : P-3302 SHEET NO. : 2 OF 2
AREA/UNIT : Oil Movements DATE : September 24, 2022

ATTACHMENT

Form No. : ITRF-QCIR-01 (Rev. 0) CPM Construction and General Services, Inc.