bBo reba nara Sennen ed Reet ere) QUALIFICATION REVIEW REPORT FOR & R> THE NATIONAL BOARD “R” SYMBOL STAMP Ca Date(s) of Revie ees aeeS Application Type: DX) New — [7] renewal Certificate No.’ Certificate Expiration Date: allinformation on the originally submitted application verified as correct: [Ves athe information onthe apoiction verified as comect.indudng malig aes. scope and all puntation ios dashes, commas, etc.) & abbreviations within the company name and address [7 NO, some information on the originally submitted applicatin has changed or has been corrected. Attached isa revised pplication showing any changes/eorrections with the applicants initials next to each change/correction, 1. Organization’sname and physical address (as itis to appear on certificate): Petrolynx Industries and Projects LLC fae ‘sion when appicable ‘breton (when spp) Plot No 666, 82, UAG Industral Authory Area Umm A! Quwain United Arob Emirates ow Suelo county Festa Code 2. Does the applicant have all parts ofthe current edition of the NBIC? (ives a ene 3 [J repairs [1] shop Metalic J besign only [TJ aterations ] rield — [__] *Non-Metalli Both Both * J evspinte 5] ne 4. Activity (RENEWAL ONLY}: Has the applicant used its National Board Certificate of Authorization during the previous certification period? ves sips 5. Description of Implementation (scapes including ateretions or re-ating require a design package review). Describe Vessel, Boiler or Part: AirReceiver(HorizontalPV) Overall Dimensions: OD 610mm x W 1351 mm __ Original Code of Construction: Section Vill Div.1 Edition: 2021 __rapplicable, Addenda: _NONe _ Design Pressure: 12MPE pesigntemp: 80°C awe: 12MP2 @ 80°C youn; -28°C @ 1.2MPa ide of Construction Demonstrated: Section Vill Div. 1 Edition: 20217 if applicable, Addenda: _One “Component az cc Shell al _$A816 Gr. 70 om End cap : SA.234 Gr, WPB Schedule | Nozzles _s8-106 Gr. __Schedule CheckOne: [J] Repair] Alteration | Fabrication Comments: Mock up vessel with FV, CA=3mm, RT-3, no PWHT and impact testing exempted as per U20(f) and UCS-66ic), Prove Vout inctn 1065 Ciupnr tv Cohn. Oh aint Page Lof 3ID mses monte eaten erate, ws-202, Re. 17 (11/2020) Company Name: Pettolmx industries and Projects LLC {Please complete the following checklist) ‘Manual and Implementation Checkli Note: All manual deficiencies, whether left apen or MANUALREVIEW IMPLEMENTATION closed, must be noted on Attachment 1, All 2 B implementation deficiencies, whether left open or 4 Sey 2 2 Sep 8 closed, must be noted on Attachment 2. Corrective ceases mebeesags action taken to close these deficiencies must be Oe ona ec R bene ies No. 1, Authorization vi aaa 2. Control of “R" Stamp vA a i 3. Field Controls 7. 7, 4 Title Page 7, 5. Contents Page v z a 6. Scope of Work Y v 7 uthority and Responsibility es ae = 8. Manval Control va os 9. Organization vi uy 30. Drawings, Design and Specification c c 11. Repair Methods v KA 12. Alteration Methods v v 13, Materials c v 14, Method of Performing Work iy Y 15. Welding A c 16. NOE 7 aE 47, Heat Treatment 72 7 38 Examination and Test ¥. 7 18. Calibration eo oi 20, Acceptance and inspection fh Re 21. Inspections 7 anes 22, NBIC Report Farms Y, v 23. Exhibits Vv z 24. Construction Code v A 2S, Correction of Nonconformities 2 v 26. _Recdrds Retention v v Attachments must be noted by form name and quantity. For Example, Attachment 1, Page__of __ Please note attachments below. Attachments Submitted: Attachment 1 — MANUAL DEFICIENCIES & CORRECTIVE ACTION | | Attachment 2 — IMPLEMENTATION DEFICIENCIES & CORRECTIVE ACTION | | Attendance Sheet - see ASME form Fs he Natoed r eiea Pste V {088 Cape samen. Di 2118 Page 2 of 3GG Na one incehe teat eae ct eee paces nates re) Company Name: Petfolyn« Industries and Projects LLC 7. Manual presented to the team at the start of this revie1 Edition: __© Revision: _© ate: _May 26, 2022 8. Wes the manual accepted prior tothe exit meeting? WZ] ves > ection: © Revision: 1 —siates; Sune 94,2022 Ly a 9. Does the Team recommend issuance of the “R” Certificate of Authorization? I ves Yes, with 3 30 day AIA No, recommend re-review Follow-up on Form N8-232 10. List any further information which the team believes is important for the Accreditation Departments consideration, «cluding any additional discussions at the exit meeting, lack of team concurrence or instructions for completion of AIA Follow-up. IMPORTANT: THIS REPORT MUST BE SUBMITTED TO THE NATIONAL BOARD WITHIN 20 DAYS OF THE LAST DAY OF THE REVIEW. 11. Allattendees should be listed on the attendance sheet (NB-237) attached to this ORR. Teamleaderiprintrame) =. =~S«SgnatweSSSSSSS*~*«i SS ‘Team Leader No. Repair Inspector Supervisor? Signatare Date Endorsement Inspector {print name! Signature Date nat led Endorsement Team members and observers are prohibited from discussi review results contained in this report, with anyone other than the National Roard staff or Appeal Committee members wwithout the client's and the elient’s ATA’s approval. Information obtained by the Team, staf or committee members shall be held in strict confidence. A copy of this report may be left with the organization upon reauest, his organization’s information. propriets National Board provides for appeals by an sgzrieved party, Individuals may request information concerning this procedure by contacting the Accreditation Department, 1085 Crupper Avent. Columbus, Ohio 43229 or fay 614.847.1828, aa Page 3 of 3Gs 2 era cero rine veer eerie p-202, Rev. 17 (1/2020) Attachment 1 Company Name: MANUAL DEFICIENCIES & CORRECTIVE ACTION Page _1_of Petrolynx Industries and Projects LLC Code Reference] | No: cM Paragraph _| DESCRIPTION OF DEFICIENCY = | : {Drewings, Design Coleuations and Speciation Conk ate Wes ates Serb lef espera Charpola ercast Nina cea acare Weis rw esi pack | provided by others. | catieReference/ | No: 2 x ‘ aes a QCM Paragraph i | materit ‘App 10-6. ‘Manvel did not clearly desctibe the use of the Unique ID system and color codes applied in-house for material marking Code Reference/ |_gcm Paragraph Code Reference/ | No: _ cM Paragraph | Code Reference) | No: | ck erserash | | Prior to exit meeting along withthe discus **Use additional x ‘Signature of Team Leader Piotr Paluszkienicz Printed name of Team leader DESCRIPTION OF DEFICIENCY No | DESCRIPTION OF DEFICIENCY | DESCRIPTION OF DEFICIENCY _ DESCRIPTION OF DEFICIENCY pages as necessary** June 14, 2022psa renee eager b-202, Rew 17 (11/2020 Attachment 2 - IMPLEMENTATION DEFICIENCIES & CORRECTIVE ACTION Page_1_of Company Name: Peifolynk Industries and Projects LLG Code Reference/ | No: 1 QCM Paragraph _| DESCRIPTION OF DEFICIENCY u2(0¥4) | Draws. Design Calculations and Speciicaion Cont he Manutacture's Daia Report (Form UsiA) presented forthe demonstration lim dd not address the design methoos ] | [status | CORRECTIVE ACTION TAKEN ore i | | NGR hes been ssuee The subect Manufacture’ Data Report hes heen revised ore the missing di. NCR has | O open been closed | | | DD coses | I | Code Reference/ | No: QCM Paragraph _| DESCRIPTION OF DEFICIENCY ow-301.4 jing Contrary tothe requirement of the Cade the presented WPQ did not indicate the test result for Rasiography. Further. @ different NDE service provider wae mentoned onthe WPO than actually used | SYATUS | ConneCrive acTioN TAKEN lo NCR nas heen issued Based onthe available RT repor the subject WO has been amended 10 reflec! he correo dala, Open NCR nes peer cesacs D cross | Code Reference/ | 1 QCM Paragraph | DESCRIPTION OF DEFICIENCY | SYATUS | CORRECTIVE ACTION TAKEN (cree | 1) cores | “Use additional pages as necessary" xZ June 14, 2022 Signature of Team Leader Date Piotr Paluszkiewec2 ADD PAGE Printed name of Team Leader