Radiographic Work NotificationPermit Endorsement to Proceed

From: (Company name, address, Email)

Gulf Engineering HouseP.O. Box 3569 Dammam 31481.

ndt@daralkhalij.com

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

Email to: hamadak@aramco.comCc: scaleste@aramco.com

motairms@aramco.com

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

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