QCTR NUMBER DATE APPROVED QR NUMBER

QUALITY CONTROL REPORT

Positive Material Identification (PMI) Log Sheet QCTR-A-2013 MECH-
PROJECT TITLE PACKAGE NUMBER CONTRACTOR / SUBCONTRACTOR

JER PACKAGE # 3 Aromatics unit 3

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SATORP USE ONLY
JERITP NUMBER COMPANY ACTIVITY NUMBER WORK PERMIT REQUIRED?

COMPANY INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

NOTES: Per JERES-A-206, Para. 12.1.2 - The log shall identify each component and weld corresponding to an individual equipment item or piping
spool and shall include the equipment or spool number and purchase order number. To supplement this log, where applicable (per JERES-A-206,
Para. 12.2.3), the field Fabricator shall prepare a detailed PMI map of the pressured equipment being fabricated. The map shall show the alloy
material specification of each alloy component and the extent of PMI required per this standard.

PMI Report No. &

Log No. Plant / P.O. # Equipment / Line # Item Description Remarks
Date

REMARKS:

REFERENCE DOCUMENTS:
1. JERES-A-206 (28 April 2008) - Positive Material Identification

Contractor / Third-Party Satorp

Technician Performing Test*
Name, Title, Department,
Company, Initials and
Date:
QC Inspector
Name, Initials and Date:
PMT Representative
Test Performed Successfully and Results are Acceptable: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:
CQT Representative
Witnessed Test Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:
 QCTR NUMBER DATE APPROVED QR NUMBER
QUALITY CONTROL REPORT
Positive Material Identification (PMI) Log Sheet QCTR-A-2013 MECH-
PROJECT TITLE PACKAGE NUMBER CONTRACTOR / SUBCONTRACTOR

JER PACKAGE # 3 Aromatics unit 3

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SATORP USE ONLY
JERITP NUMBER COMPANY ACTIVITY NUMBER WORK PERMIT REQUIRED?

COMPANY INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

NOTES: Per JERES-A-206, Para. 12.1.2 - The log shall identify each component and weld corresponding to an individual equipment item or piping
spool and shall include the equipment or spool number and purchase order number. To supplement this log, where applicable (per JERES-A-206,
Para. 12.2.3), the field Fabricator shall prepare a detailed PMI map of the pressured equipment being fabricated. The map shall show the alloy
material specification of each alloy component and the extent of PMI required per this standard.

PMI Report No. &

Log No. Plant / P.O. # Equipment / Line # Item Description Remarks
Date

REMARKS:

REFERENCE DOCUMENTS:
1. JERES-A-206 (28 April 2008) - Positive Material
Quality Record Identification
Approved:
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Implementation of Test and Analysis of Results Y = YES N = NO F = FAILED