Material Traceability Report 124j6a

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MATERIAL TRACEABILITY REPORT

Project No.:

Customer:

Test Code:

Report No.:

Unit:

Date: Reference Code and Refer. of Inspection, Measuring and test Equipment. / or Specification

Isometric dwg.No.

INSPECTIONS HEAT NUMBER Spool No. or Fitting No.

Heat Number

Material Certification Number.

Material Specification

Heat Number Transferred and Checked

Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Note: Heat Numbers Transferred on pipes before cutting.

ETIMAAD QA&QC

PREPARED BY

CUSTOMER

NAME:

NAME:

NAME:

DATE:

DATE:

DATE:

SIGNATURE:

SIGNATURE:

SIGNATURE:

Date: May 22, 2007 Page: 1 of 1

This document is the intellectual property of ETIMAAD. Any unauthorized use, including modification and reproduction of the content is strictly prohibited. © Copyrights Ordinance 2006, All rights reserved.

Doc. No. QA&QC/FRM-58 Rev.: 00