FO-GL-HAL-WPS-500

HALLIBURTON Certificate of Service Certificate of Service - Form

Reason for Certificate of Service (COS) Annual Recertification Other

Certificate number: 12775230-0323

Date: 3/3/2023 Expiration Date: 1-Mar-24

COC/COS History Certificate Number Issue Date

Current Certificate of Conformance (COC) 12775230-1218 3-Dec-18
Previous Certificate of Service (COS) 12775230 -0323 3-Mar-23

Original Equipment History

Equipment Type/Description LUBRICATOR ASSY 4.06" E12 L/W 10K H2S 10
Original Equipment Manufacturer Name NOV ASEP ELMAR
Original Date of Manufacturing 12/10/2013
OEM Part Number L-9701971846L100
OEM Serial Number AEUS13M052
Halliburton Equipment Number 12775230

Applicable Equipment Testing, Inspections and Equipment Rating

Pressure Test Pressure Functional Visual
Current High Duration Low Test Duration Pressure Recorder Serial Calibration Test Inspection
Certification (psi) (min) (psi) (min) (type) Number Date (Yes/No) (Yes/No)
15000 3
COC 300 3 Digital 300108647 November 22, 2018 YES YES
15000 15

10000 3
COS 300 3 Digital 399108647 May 2, 2022 YES YES
10000 15

Well Head Pressure Control Maintenance for details related to pressure testing and inspection of
Reference: WM-GL-HAL-WPS-1705
WPCE

Conformation:
This Certificate Of Service confirms that the equipment / parts listed on this certificate have been, inspected and maintained in accordance with
the OEM engineering specifications and complies with API6A Specification for Wellhead and Christmas Tree Equipment and NACE Standard MR-01-
75 / ISO 15156

Replaced Parts List

Part Description Part No: Serial No: Material Cert No:
N/A N/A N/A N/A
O-RING,348 90 DURO NITRILE 98954
BACK UP RING 348, ELMAR L-873720 98976

WPCE Maintenance Complete: WPCE maintenance and the

Documentation / Certification Pack has been completed, as per WM- QA QC Review Complete: Certification Pack has been verified.
GL-HAL-WPS-1705
Name: Daniel Alves Guimarães Name: Renato Couto de Souza
Employee #: 524698 Employee #: 512102
Renato Assinado de forma
Date: 3-Mar-23 Date: 3-Mar-23 Couto
digital por Renato
Couto de Souza
Dados: 2023.03.08
de Souza 09:24:06 -03'00'

Daniel Digitally signed by

Daniel Alves
Alves Guimaraes
Date: 2023.03.08
Owner: Technical Services Guimaraes 10:50:50 -03'00' Revision I
Approver: Technical Services Mgr Revised by: Richard Housden Page 1 of 2
 FO-GL-HAL-WPS-500
HALLIBURTON Certificate of Service Certificate of Service - Form

Name: Renato Couto de Souza

Employee #: 512102
Date: 3-Mar-23
Renato digital
Assinado de forma
por Renato
Couto de Couto de Souza
Dados: 2023.03.08
Souza 09:24:23 -03'00'

Owner: Technical Services Revision I

Approver: Technical Services Mgr Revised by: Richard Housden Page 2 of 2