Client : Contractor :

Report #:009
PAGE: 1 of 1
RELEASE FOR BACKFILLING CHECKLIST DATE : 8/1/2023
REV : 0

Project : Lube oil drain system

Condensate drain
Fuel gas skid
Underground Piping
Zubair II Turbo-pump Project Hot flare
✘ Air Line
Fire fighting

Line/System 2"-401-CA-150CG-012-N STATUS REMARKS

1 Check line for re instatment approval DONE ATTACHED

2 Check for finish coating on the pipes & fittings DONE ATTACHED COATING REPORTS

3 Check pipes bedding as per drawing. DONE

4 Check pipes cathodic protection system is OK. HOLD

5 Check the caution tape is placed. DONE

6 Others (mention if applicable)

FOR SUBCONTRACT / PETROJET FOR CONTRACTOR / ALMAHAM FOR CLIENT / BOC FOR SITE REPRESNTATIVE / BOC

NAME : NAME : ANWAR QAIS ISMAIEL NAME : NAME :

SIGN : SIGN : SIGN : SIGN :

DATE : DATE : DATE : DATE :

DSI-F-M-004.1