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SULT OF INSP} IN ‘CUSTOMER YOUR REFF DATE OF INSPECTION LOCATION ATTACHMENT + PT. BAKER HUGHES INDONESIA + Request by Mr. Hafidz Effendi VOC NO. 071/M3M/VOC-A/T/2020 +: February, 11° 2020 + MIM WORKSHOP - BALIKPAPAN, 1+ CERTIFICATE OF CONFORMANCE (CERTIFICATE HYDROTEST HYDROTEST CHART EIFIR HARDNESS TEST REPORT MAGNETIC PARTICLE EXAMINATION REPORT MILL CERTIFICATE MATERIAL TRACE RECORD MULIA JAYA MANDIRI P.T. OIL TOOLS FABRICATION and REPAIR FACILITIES (CNC MACHINE SHOP 2020 (CARTIFICATE NO. CUSTOMER © your REF, +: [028/coc-mam/n1/2020 + (February, 11" 2020 | [fr eareR HUGHES INDONESIA Page 1 of 2 , [Request by Mr. Hafde Efendi * | Voc no. o7ymamyvoc-A/1/2020 Tem Na. Description For 2° Weco FIG 1502 Female Welded For ASSY NO: 027, Construction size 5" Union Hammer FIG WELD We hereby certify that above mention rmadification/ recertification repair su in accordance to your requirements. CERTIFICATE No. : [028/COC-¥o/11/2020 Page 2 of 2 Dare : — Cusromer + [PT. BAKER HUGHES INDONESIA C . [Request by Mr. Hafidz Effendi eee ‘VOC NO, 071/MIM/VOC-A/I/2020 coop ” Union Hammer ion Hammer FIG 1502 Material Certificate No. As Per Material Trace Record Heat No. AS Per Material Trace Record “Type of Coating +: Mn.Phosphate & Painted We hereby certify that above mention goods has been febricated/ inspected threaded ‘madification/ recertification! repair/ supplied in accordance to your requirement. PT. Muy IRE (own) CERTIFICATES: owtrrc.sgjw2020 TESTEDBY —: Suhame are + Feb 108220 wmesseDey : Nia CUSTOMER + PI.BAKERHUGHESINDONISIATESTRLUD—: Water ue Reguet hy Mir aise es YowRet + ocNo.ennamuvocatrne __TESTRESULT : GOOD ee Description ty 1, | T-Piece Reducing Welded Construction size 5" Union Hammer | 1 Ea FIG 1002 Male with Wing x 5” Union Hammer FIG 1002 Female ‘Thread x 2” Union Hammer FIG 1502 Thread | Identification : For BODY TEE PIECE ASSY NO : T 027 P/N : T 027-5 S/N : GRX 1070 HIN : 322559 JOB NO : 428/1-2020/BH We hereby ceri that above mention goods hes been tested according tothe proce State ave and your requirements, € 4 END ITEM FINAL INSPECTION REPORT 408 No. SERIAL NO, “RKO ‘conTRAcT Ne GENERAL REQUIREMENT vesornow Wing 3" ron Hanmer FI 1002 Fale Twesd 2 coon ako Bock eat) ae Be Parkas] NARRATE /MARIONG La TESTINGREQUIREMENT NDE Testing -HydrotestUp to 15000 Psi @15 Minutes PACKAGING REQUIREMENTS; OO — Storage Grease EON FILM 300 it forthe minum inspection requirements tobe performed on each tm produc, and 3. Whee a define performance vais is required, record he value oblaned in the space provided. INSPECTION SYMBOLS () ACCEPTABLE (X) UNACCEPTABLE (0) NOTAPPLICABLE or Inspector's essigned stamp NSFECTON CHECKLIST INSPEC. STATUS] [TASK INSPEC. STATUS i a [oan SPECIAL NOTES: INSPECTED BY HARDNESS TEST REPORT eA ERT PT. BAKER HUGHES NOOWESA SLI [ay “Piece Reducing Welded Consracton with Wing x5" Union Hemmer FI 1002 Female Tree Ressing 2 He [NDR ho Fspectd by Foray adore @ [ae ae Fabra ORT awed By Win aha aay A Ci MULIA JAYA MANDIRI P.T. antec Cai ig hse Tir ngtseae Se a 3° . a cc FB ST ene. SOT cil no PATRIA Ma aeaen INSPECTION CERTIFICATE » Manufacture BROSTEEL BRANCH EAMEKUIDCRLATE 1005 44M 201800 "TONG J! ROAD SAOSHAN DISTRICT 201800 SHANGHAI P.A.CHINA TION Tic iboeees Past ysegoco > ag SEReaneerad a ~ ee ESE, 7 = - ‘TS a 2 a) -aanehee Geom ~ aa fa wRame - rua = ee ee [arr SRE STs - oy [scr- eee parr — fe ieee ee iseae ia ee a fe) ee - TT t kel tt 4 t 3 : | 2 2 \ i : | ; Ala i *Sos” > ea - ee ee Skin Sy _PesoSe an TT nad or Se a a Ae ae gy een ee Sank een 3 Ben GH Edlstah Siegen GmbH (1 MULIA JAYA MANDIRI P.T. Picture OF : T-Pieve Reducing Welded Construction size 5" Union Hammer FIG 1002 Male with Wing x 5” Union Hammer FIG 1002 Female Thread x 2” Union Hammer FIG 1502 Thread Identification : For BODY TEE PIECE ASSY NO : T 027 PIN : T.027-5 S/N : GRX 1070 HIN : 322559 308 NO : 428/1-2020/BH

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