Single Page SATRSAUDI ARAMCO ID/PID - 6/30/2008 - REV 3 (Standards Cutoff - June 2008)REV 330-Jun-08SAUDI ARAMCO TEST REPORTSATR NUMBERDATE APPROVEDQR NUMBEROn-site Built-up Shower Receptor Watertightness TestSATR-S-400615-Dec-09PlumbPROJECT TITLEWBS / BI / JO NUMBERCONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S)EQUIPMENT DESCRIPTIONEQPT CODESYSTEM ID.PLANT NO.

LAYOUT DRAWING NUMBERREV. NO.PURCHASE ORDER NUMBEREC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIMEACTUAL TEST DATE & TIMEQUANTITY INSP.MH's SPENTTRAVEL TIMESAUDI ARAMCO USE ONLYSAUDI ARAMCO TIP NUMBERSAUDI ARAMCO ACTIVITY NUMBERWORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVELCONTRACTOR INSPECTION LEVEL

ITEM No.TEST PROCEDURE ACCEPTANCE CRITERIAREFERENCEPASSFAILN/ARE-TEST DATE

A. TEST PROCEDURE AND CHECKLISTA1Shower receptor shall be tested for watertightness by filling with water to the level of the rough threshold. (UPC Para 412.8.1) SAES-S-060Para 1.1A2Place the test plug so that both upper and under sides of the sub-pan be subjected to the test at the point where it is clamped to the drain (UPC Para 412.8.1) SAES-S-060Para 1.1 B. CONCLUSIONSITEM No.TEST RESULTS ACCEPTANCE CRITERIAREFERENCEPASSFAILN/ARE-TEST DATE

B1Test results are acceptable (no leak detected) and in accordance with Saudi Aramco Engineering Standards and contractual requirements.N/A

REMARKS:

REFERENCE DOCUMENTS:1- SAES-S-060-- Saudi Aramco Plumbing Code, 28 January 20042- Uniform Plumbing Code (UPC), 2000

Contractor / Third-PartySaudi AramcoTechnician Performing Test* PMT Representative

Name, Title, Department,Company, Initials and Date:Test Performed Successfully and Results are Acceptable:Name, Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

QC InspectorPID RepresentativeName, Initials and Date:Witnessed TestWork / Rework May ProceedName, Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

QC SupervisorProponent and OthersName, Sign and Date: Quality Record Approved:Name, Organization,Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

*Person Responsible for Implementation of Test and Analysis of ResultsY = YES N = NO F = FAILED