QHSEF 004

Transmittal Note

Document Transmittal Note No.: To:

Item Title / Description Ref. No Copy No. Rev No. Code

The above listed document(s) are issued for the purposes identified by the follow codes:
A: For your information only D: For fabrication / manufacture
B: For your comment E: Manual update
C: For your final approval F: For action
PLEASE RETURN ALL SUPERSEDED ISSUES OF THE ABOVE [ ] Enter X if necessary
Received by: Issued by -
(Please sign and return signed copy of this note to acknowledge
receipt)
Date: Date:

Signature: Signature:

Name (Blocks): Name (Blocks)

QHSE MS. Doc. Info. Level 4 Revision No.: 4 Issue Date: 1st, Aug 2018 Page No.: 1 of 1