SUPPLIER DATA COVERSHEET (SEPOC CALM BUOYS PROJECT # 12575)

SUPPLIER NAME SIGMA ENGINEERING WORKS LLC

DOCUMENT TITLE Inspection and Test Plan

SOFEC PURCHASE ORDER NUMBER 12575-023431 REV.0

SOFEC DOCUMENT NUMBER (TO BE

PROVIDED BY SOFEC DOCUMENT CONTROL)

SUPPLIER DOCUMENT NUMBER REV NO. DATE SUPPLIERS APPROVAL NAME AND SIGNATURE

ITP-158883-01 01 13.Sep.2015 JB

PART NUMBERS

6013-03601

TAG NUMBERS T-102

SDRL CODE(S) [provide all applicable]