MATERIAL REQUEST FORM

M.R. Number: MR-XXXX Request Date: 14-May-24 Contract No. 6601000060

Project / Location Zuluf Requested by: SUHAIL SHAIKH BI / JO : 10-12321-002

Material Category : Others Position: INTERFACE MANAGER

To be filled in only by STORE
(Project / Tools / Manitenance / Consumable / Others)
Qty.
Req. Approved available in Qty to be
SR. Item Code Description Size/Model/Remarks Unit Purchased
Qty. Qty. store

1 - HYDROTEST FOR 4" GATE VALVE EA 1

Justification: Hydrotest needs to perform for 4" Gate valve which will be used at KM-22 for
vent gas connection.

Purpose to perform hydrotest for this valve is to avoid future cold cut in the existing line. This
Valve has been provided by SAPMT as a free issue material and the valve needs to be share with
interface contractor (Sinopac). The interaface contracot will install this valve as future
connection for our project connectivity.

************* Nothing follows *************

HO/CONTRACT/PROJECT MANAGEMENT DEPT. Issue & Process by: Verified by: Approved by:
Prepared by: Noted & Approved by: (WAREHOUSE)

Name MOHAMED WASIM

Name :
Empl ID. 220941
Empl ID.

Abdul Mannan Rolf Bakaitis

14-May-24 14-May-24 14-May-24
Signature & Date Dept.Manager / QA Manager Project Manager Signature & Date Store Supervisor Chief Operating Officer Chief Executive Officer