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    Individual Certification ProgramsABO UT I

    Employment Verification for Essam Eid Hammad

    Instructions

    Please make sure that all information is accurate and complete for the experience of the employee.Your feedback is very important to processing the application for one of our certification programs.You will not be able to make any changes to the form a fter y ou have clicked submit.

    Supervisors: Your Form will verify skills of either a current or previous employee. Please mark allthe boxes that apply and include relevant dates and positions. This information will be retained for

    further employment reference for any 510/570/653 applications applied for within the next calendaryear. Only include experience f or time when the applicant worked for you/your compan y.

    If inspection boxes are selected, be sure to specify type(s) of inspection in lower Inspectionarea.Your feedback is

    very i mportant to reviewing this application a nd determining qualification status of the applicant.When you are finished click submit.

    HR Manager or other Managing Director: Your form will verify employment dates andresponsibilities of either a current, or previous employee. Please take a minute to fi ll in theappropriate job title and provide a brief description of the activities, or scope of work employee

    performed with your company.

    When you are finished click submit.

    Ex perience Verification

    Experience From To Position Held

    General

    Engineering/Design/QCof Pressure Vessels/In-Service Piping

    MM

    YEAR

    MM

    YEAR

    Engineering/Design/QC

    of Aboveground StorageTanks

    MM

    YEAR

    MM

    YEAR

    Construction/Repair ofPressure Vessels/In-service Piping

    MM

    YEAR

    MM

    YEAR

    Construction/Repair of

    Aboveground StorageTanks

    MM

    YEAR

    MM

    YEAR

    Operation ofAboveground Storage

    Tanks

    MM

    YEAR

    MM

    YEAR

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    Experience From To Position Held

    Operation of PressureVessels/In-service Piping

    MM

    YEAR

    MM

    YEAR

    Inspection of Pres sure

    Vessels

    MM

    YEAR

    MM

    YEAR

    Inspection of In-servicePiping

    MM

    YEAR

    MM

    YEAR

    Inspection ofAboveground StorageTanks

    MM

    YEAR

    MM

    YEAR

    Inspection

    Turnaround Inspection

    MM

    YEAR

    MM

    YEAR

    Non-destructive

    Examination

    MM

    YEAR

    MM

    YEAR

    Welding inspection

    MM

    YEAR

    MM

    YEAR

    InspectionCalculations/Reports

    MM

    YEAR

    MM

    YEAR

    Visual inspection

    MM

    YEAR

    MM

    YEAR

    Pressure/Leak Testing

    MM

    YEAR

    MM

    YEAR

    Tank Entry Supervisor

    Permit Issuance

    MM

    YEAR

    MM

    YEAR

    Supervising Tank EntryActivitie s

    MM

    YEAR

    MM

    YEAR

    Tank Entry

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    Experience From To Position Held

    MM

    YEAR

    MM

    YEAR

    Tank Atmospheric

    Testing

    MM

    YEAR

    MM

    YEAR

    Tank Cleaning

    MM

    YEAR

    MM

    YEAR

    Tank Repair

    MM

    YEAR

    MM

    YEAR

    Tank Maintenance

    MM

    YEAR

    MM

    YEAR

    Additional Note s

    Confirmation

    I , husein al gendy, confirm thatEssam Eid Hammad worked forIntertek USA

    Inc. from* MM YEAR t o * MM YEAR in the capacity of

    Job Title / Description *

    Supervisor Information

    Your Name

    husein al gendy

    Your Pho ne Number * Your Title*

    Your Curr ent Employer*

    Submit

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    Connect With AP I

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    Page 4 of 4Employment Verification

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