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  • 7/27/2019 SAIC-H-2005 Rev 0

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    ACTUAL INSPECTION DATE & TIME

    EC / PMCC / MCC NO.REV. NO. PURCHASE ORDER NUMBER

    SAUDI ARAMCO USE ONLYSAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER

    CONTRACTOR INSPECTION LEVELSAUDI ARAMCO INSPECTION LEVEL

    ITEM

    No.ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DA

    MH's SP ENT TRAVEL TIMQUANTITY INSP.

    WORK PERMIT REQUI

    SCHEDULED INSPECTION DATE & TIME

    LAYOUT DRAWING NUMBER

    PLANT NO.EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID.

    Pre-Application Inspection of Cement Lining SAIC-H-2005 25-May-05 MECH.

    A. General:

    A1

    A2

    SAUDI ARAMCO ID/PID - 2/19/05 - REV 0 (Standards Cutoff - August 2004)

    SAUDI ARAMCO INSPECTION CHECKLISSAIC NUMBER DATE APPROVED QR NUMBER

    PROJ ECT TITLE WBS / BI / J O NUMBER CONTRACTOR / SUBCONTRACTOR

    01-SAMSS-005,Sec. III

    References B

    The free water content of the cement-mortar lining mix does not exceed

    7'/2 gal (28.4L) per 94 lb (43 kg) of cement, (AWWA C205, Para. 4.4.1).

    NOTE: Only enough water to obtain proper placement characteristics of

    the batched cement mortar is used.

    01-SAMSS-005,

    Sec. III

    References BA8

    A9The cement mortar shall be mixed in batches,

    (AWWA C205, Para. 4.4.3.2).

    01-SAMSS-005,

    Sec. III

    References B

    A10The amount of cement and sand entering into each batch is measuredby weight, (AWWA C205, Para. 4.4.3.2).

    A7Cement mortar-lining consists of one part cement to not more than three

    parts fine aggregate by weight, (AWWA C205, Para. 4.4.1).

    01-SAMSS-005,

    Sec. III

    References B

    01-SAMSS-005,

    Para. 4.2.4

    Mixing water does not contain more than 500 ppm of total dissolved

    solids.

    All surfaces to be cement mortar lined shall be cleaned in accordancewith St2 of SIS-05-59-00 at the time of application of the cement mortar.

    01-SAMSS-005,Para. 4.3.1

    Surfaces to be cement-mortar lined or cement-mortar coated are cleaned

    to remove loose or other foreign matter that could interfere with the

    adherence of the cement mortar, AWWA C205, Para. 4.3.1.

    01-SAMSS-005,

    Sec. III

    References B

    A4

    The Portland Cement shall conform to the requirements of ASTM C150,

    Type V including the optional chemical requirements of Table 1A and the

    optional physical requirements of Table 2A, (se Attachment 1).

    01-SAMSS-005,

    Para. 4.2.2.1

    A5

    Sand shall be fine aggregate as defined in ASTM C136, (see

    REMARKS). Deleterious substances do not exceed the following limits:

    Clay Lumps and Friable Particles 3.00% by weight

    Acid Soluble Chlorides {Cl}0.06% by weight

    Acid Soluble Sulfates {SO3}0.40% by weight

    01-SAMSS-005,

    Para. 4.2.3

    A6

    A3

    Satisfactory facilities shall be provided for identifying, inspecting, and

    sampling cement at the mill, warehouse, and at the site of lining and

    coating, (AWWA C205, Para. 4.2.2.2).

    01-SAMSS-005,

    Sec. III

    References B

    A11

    The quantity of water entering the mixer is measured automatically by an

    adjustable device, or otherwise so, to ensure that the correct quantity of

    water is being added, (AWWA C205, Para.4.4.3.2).

    01-SAMSS-005,

    Sec. III

    References B

    Page 1 of 3

  • 7/27/2019 SAIC-H-2005 Rev 0

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    Work Verified

    *Person Responsible for Completion of Quality Work / Test Y =YES N =NO F =FA

    T&I Witnessed QC Record Reviewed

    Name, Sign and Date:

    Quality Record Approved:Name, Organization,

    Initials and Date:

    T&I Witnessed QC Record Reviewed

    SAUDI ARAMCO ID/PID - 2/19/0505 - REV 0 (Standards Cutoff - August 2004)

    SAUDI ARAMCO INSPECTION CHECKLISSAIC NUMBER DATE APPROVED QR NUMBER

    PROJ ECT TITLE WBS / BI / J O NUMBER CONTRACTOR / SUBCONTRACTOR

    Pre-Application Inspection of Cement Lining SAIC-H-2005 25-May-05 MECH-

    Work Verified

    PASS FAIL N/A RE-INSP DA

    1. 01-SAMSS-005, Shop Applied, Internal Cement Mortar Lining of Steel Pipe, (31 October, 2004)

    2. AWWA C205, Cement-Mortar Lining and Protective Coating for Steel Water Pipe, (May 1, 2001)

    QC Supervisor Proponent and Others

    Contractor / Third-Party

    ATTACHMENTS:

    1. ASTM C150, Table 1 & Table 2.

    Saudi Aramco

    ITEM

    No.ACCEPTANCE CRITERIA REFERENCE

    3. ASTM C150, Standard Specification for Portland Cement, (2004)

    REMARKS:sand, nfine aggregate resulting from natural disintegration and abrasion of rock or processing of completely friable

    sandstone, (ASTM 136/ASTM C125).

    REFERENCE DOCUMENTS:

    Construction Representative*

    Name, Initials and Date:

    Work is Complete and Ready for Inspection:

    Name, Initials and Date:

    PMT RepresentativeT&I Witnessed QC Record Reviewed

    Name, Initials and Date:

    Performed Inspection Work / Rework May Proceed

    Name, Initials and Date:

    QC Inspector PID Representative

    Work Verified

    Page 2 of 3

  • 7/27/2019 SAIC-H-2005 Rev 0

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    Attachment 1 - ASTM C150 Table 1 & Table 2

    Pre-Application Inspection of Cement Lining SAIC-H-2005 TESTING MECH.

    SAUDI ARAMCO ID/PID - 2/19/05 - REV 0 (Standards Cutoff - August 2004)

    SAUDI ARAMCO INSPECTION CHECKLISSAIC NUMBER DATE APPROVED QR NUMBER

    Page 3 of 3


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