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Radiographic Work Notification Permit Endorsement to Proceed From: (Company name, address, Email) Gulf Engineering House P.O. Box 3569 Dammam 31481. [email protected] To: Saudi Aramco Inspection Department Operations Inspection Div., CNDT&PS Unit Email to: [email protected] Cc: [email protected] [email protected] Date: 24/7/2010 Project Data Title: Installation Saudi Aramco BI/JO Ref: Location: District: Central Area Northern Area Southern Area Central Region Western Region Scope of Work: Duration Estimate: From: To: Principal/Prime Contractor Company Name: Contact Name: Address: Phone: Fax: NDT Service Provider Company Name: Contact Name: Address: Phone: Fax: RSO/RPO: Phone: Job Data Rev 2010-06

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Page 1: Radiographic Work Notification New

Radiographic Work NotificationPermit Endorsement to Proceed

From: (Company name, address, Email)

Gulf Engineering HouseP.O. Box 3569 Dammam 31481.

[email protected]

To: Saudi AramcoInspection DepartmentOperations Inspection Div., CNDT&PS Unit

Email to: [email protected]: [email protected]

[email protected]

Date: 24/7/2010

Project Data

Title: Installation Saudi Aramco BI/JO Ref:

Location:

District: Central Area Northern Area Southern Area Central Region Western Region

Scope of Work:

Duration Estimate: From: To:

Principal/Prime Contractor

Company Name: Contact Name:

Address: Phone:

Fax:

NDT Service Provider

Company Name: Contact Name:

Address: Phone:

Fax:

RSO/RPO: Phone:

Job Data

Projector: Planned Quantity: Storage Location: Off-Site On-Site Permit:

Radiographic Crews: Planned Quantity: Supervisor(s):

Work Locations: Pipelines In-Plant Lay-Down Yard Fabrication Yard

Work Schedule: Call-Out (as needed) Call-Out Weekly/Monthly Full Time (or resident on site)

Endorsement / Permit to Proceed (Saudi Aramco Insp. Dept. / OID / CNDT&PSU) Reference:________________

NDT Service Provider Approved Radiation Safety Procedure Approved

Saudi Aramco RPO

Permit Valid Through: _______________ Signed

Rev 2010-06

Page 2: Radiographic Work Notification New

Name/Date:

Radiographic work shall not proceed without Permit by endorsement of the Radiographic Work Notification. A copy of this Permit Endorsement must be kept with each Radiographic Crew and presented on demand.

Rev 2010-06