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ULTRASONIC EXAMINATION REPORT <br />Acuren Inspection, Inc. <br />5208 South Lawton Avenue <br />Tulsa, Oklahoma 74107 <br />Phone: 918.998.0870 <br />www.acuren.com <br />NDT, Inspection and Engineering <br />TU L775059 <br />Page 1 of 1 <br />CUSTOMER: <br />Owens Brockway <br />ACUREN SERVICE CALL #: <br />537093 <br />DATE: <br />12/16/2016 <br />LOCATION/ADDRESS: <br />Tracy California <br />CUSTOMER CONTACT. <br />Bill Boscacci <br />PART M / DRAWING d: <br />STI Tank Inspections <br />CUSTOMER PO p: <br />CUSTOMER WO N: <br />ITEM DESCRIPTION: <br />Horizontal Cylinder and Flat, Box Tanks <br />STAGE OF MANUFACTURE. <br />Final <br />SURFACE CONDITION. <br />As Welded <br />SURFACE PREPARATION: <br />Scraped <br />COM6IENT <br />PARTS INSPECTED <br />1 <br />ACCEPTED: <br />NA <br />REJECTED: <br />NA <br />NDE PROCEDURE REV. <br />UT -2A 4 <br />SPECIFICATION/CODE <br />ASME Sec. VIII <br />REV.IEDITION <br />ACCEPTANCE STANDARD <br />API 653 <br />MATERIAL: <br />Carbon Steel <br />THICKNESS-, <br />varies in, <br />QUANTITY: <br />6 <br />ITEM TEMP.: 50 OF <br />CAL. BLK TEMP.: 50 OF <br />TECHNIQUE: Longitudinal <br />❑ Other <br />❑ Shearwave <br />TYPE OF EXAM: <br />Thickness <br />COUPLANT <br />Ultragel <br />TYPE: <br />BATCH NO.: <br />NA <br />INSTRUMENT MANUFACTURER: <br />Olympus <br />MODEL: <br />38 DL Plus <br />SERIAL NO.: <br />15221212 <br />ANNUAL CAL. DUE DATE: <br />1/6/2017 <br />TRANSDUCER: <br />❑ Single ❑✓ Dual <br />FREQUENCY: <br />2.5 <br />WEDGE AN <br />0 <br />MANUFACTURER: <br />Olympus <br />SERIAL NO. <br />1014392 <br />SIZE: <br />.250" <br />MEASURED ANGLE: <br />0 <br />DELAY: <br />0 <br />CALIBRATION BLOCK: <br />❑ Curved ❑✓ Flat <br />TYPE: <br />4 step, .250" <br />- 1.00" <br />MATERIAL: <br />Carbon Steel <br />MANUFACTURER: <br />Olympus <br />S/N: <br />356514 <br />Items <br />Quantity <br />Comments <br />Accept/Reject <br />1 <br />1 <br />See <br />attached UT Data Sheets for thickness <br />and locations <br />Info. Only <br />Sensitivity Level: + <br />60dB <br />Calibration Time Check: <br />1200 Calibration Time Initial: 0700 <br />Calibration Time Final: 1530 <br />E]High Temp <br />Wre Wheel: <br />Other. <br />Customer Contact. <br />Bill Boscacci <br />Per Diem: <br />Unit #: <br />No. on Job. <br />1 <br />Travel <br />Hours. <br />it Applicable: <br />Miles Total: <br />Hours Worked: <br />to <br />and to <br />Total Hours: <br />8 <br />CLIENT REPRESENTATIVE <br />rint Name I Signature Dale <br />I <br />The Client Representative who receives Ihis report is responsible for veritying that the <br />acceptance standard listed in the report is correct and promptly nolitying Acuren of any issues <br />with this report and/or the work summarized herein. The owner is responsible for the final <br />disposition of all items inspected. <br />ACUREN INSPECTOR <br />Gregory Fann <br />Print Name I Signature <br />PEER REVIEW (IF APPLICABLE): <br />Print Name !Signature <br />ae <br />nspection Level <br />This document and all services and/or products provided In connection with this document and oil future soles are subject to and shall be governed by lhe'Acuren Standard Servlee Terms' In effect <br />when the services andlor products are ordered. THOSE TERMS ARE AVAILABLE AT WWW.ACUREN.COMISERVICETERMS, ARE EXPRESSLY INCORPORATED BY REFERENCE INTO THIS <br />DOCUMENT AND SHALL SUPERSEDE ANY CONFLICTING TERMS IN ANY OTHER DOCUMENT (EXCEPT WHERE EXPRESSLY AGREED OTHERNASE IN THAT OTHER DOCUMENTJ. <br />UT 100.1 a Rev. 10-16 <br />