TUV INDIA PVT. LTD.

#827 Anna Salai 2nd Floor Dhun Building Chennai 600002

INSPECTION RELEASE NOTE/CERTIFICATE NO. 8108577716-432-01 CUSTOMER : RELIANCE INDUSTRIES PROJECT : ---------VENDOR/SUB-VENDOR : L&T VALVES PURCHASE ORDER NO. : JM4/7472084
PO Item No. Item Code/ Material Description Carbon Steel Gate Valve Item Code : 2000317378 Size : 18 X 300 #, Flanged Ends, RF. Material : SA 216 Gr. WCB Valve Sr. No. : 1008

DATE: 17/01/2014 : CHENNAI : NIL : MANAPAKKAM : 17/08/2013

Is item QTY complete as per PO

PLACE OF ISSUE JOB NO. LOCATION DATED

P.O. Quantity (Unit) Quantity Offered

Quantity accepted

1 Nos.

1 Nos.

1 Nos.

Complete

REFERENCE DOCUMENTS 1. Approved Spec. No

2. 3. 1. 2. 3. 4. 5. Approved Drawing Nos. Approved QAP/ITP No.

: EPCMD-1-ENGG-DEP-PP-018 Rev.00 & EPCMD-1-ENGG-DEP-PP-04 Rev. 03 : JM4-7482059-000-B02-001 Rev.01 ( 110000891-LP-001 Rev.1) App. by RIL Code. 1 : QAP-CSGG-001 Rev.1 App. by RIL

Stages Witnessed

6. Documents/records reviewed: 1. Material test certificates reviewed for body, bonnet, stem, disc, seat ring, bonnet bush, fasteners, gasket and packing 2. 3. 4. 5. 6. 7.
material Found in order and attested. Reviewed Radiography report Found in order and attested for records. Reviewed hardness report for stellited surface Found acceptable and attested. Reviewed PT reports on weld deposit Surface Found in order and attested for records. Reviewed MPT reports for body and bonnet Found in order and attested for records.. Calibration validity of instruments and record verified Found in order . Reviewed welding documents (WPS / PQR) Found in order & endorsed.

Visual examination carried out on offered Valve No objection. Witnessed Shell Hydro, Back Seat Hydro, Seat Hydro and Seat Pneumatic Test on offered valve - Found Satisfactory.. Witnessed major dimensional check on the offered valve Found within acceptable limits. Witnessed Functional test (Open & Close) on the offered valve Found satisfactory. Witnessed PMI test as per specification on Stem, Seat ring overlay, disc overlay, Studs on the offered valve Test results found meeting the standard requirements. Identification Marks verified Found in order.

NCR/WAIVER(If Any) IDENTIFICATION ORDER STATUS DATE(s) OF INSPECTION CONCLUSION

: Nil : Inspected items identified with Hard stamp Test samples double stamped. : Complete Incomplete : 17/01/2014 : All items were inspected within the scope defined in appd. QAP /ITP & found to meet the requirements of purchase order & spec.
on the Body,

All measuring instruments/ equipment were verified for continued suitability for intended use, proper identification and maintenance and calibration status & found satisfactory. Disclaimer: The issue of this Inspection release note/certificate does not relieve the supplier / manufacturer from his/her responsibility towards the client to supply item(s) concerned, in full compliance with the requirements of the purchase order & project specifications.

P.Venkatamahalakshmaiah Surveyor to TUV India Private Limited Distribution list: Client, Vendor, TUV Mumbai, TUV Branch office (Chennai)
F/INSP/IRN/03A Rev 0 (Oct, 2012) - Copyright: This report shall not be reproduced in part or full without the consent of TUV India Pvt. Ltd