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Data / requisition sheet for Design of Cathodic Protection System for Offshore Pipeline 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 43 44 Pipeline Name/Code Pipeline Route

Product(s) Transported Year of Construction Design Life Pipeline Length Nominal Diameter Wall Thickness Pipeline Material Design Temperature External Corrosion Coating External Weight Coating Pipeline Burial : : : : : : : : : : Type Thickness Type Thickness : : : : PIPELINE DATA

Project Name: Project Number: Order/Enquirey No.:

Years m inches mm C mm mm Buried

Outside diameter

mm

Not buried

Design Scope Site Survey Electrical Isolation Type of System Anode Material End Installations Monitoring Facilities:

: : : : :

CATHODIC PROTECTION DATA Detailed By Contractor End Impressed Current Sacrificial Aluminium Zinc Beginning Impressed Current Sacrificial End Impressed Current Sacrificial Not Required Required Type : Conceptual Required Beginning ENVIRONMENT DATA

Both By Others Both None None

Geographical Area : Pipeline Depth : Sea Water Temperature Sea Wateer Salinity Sea Water Resistivity Sediment Resistivity Sea Water Lateral Flow / Turbulence

Value Source Value Source Value Source Value Source

m C Site Measurement g/l Site Measurement Ohm.cm Site Measurement Ohm.cm Site Measurement Low

Estimated Estimated Estimated Estimated Moderate

Other Project Other Project Other Project Other Project High

In shaded boxes, use 'Y', 'N', or a 'Check Mark' to indicate selection

INFORMATION TO BE SUBMITTED WITH THE TENDER 45 46 Complete data/requisition sheet DEP 30.10.73.93-Gen., (I.e. all data fields not already completed by the Principal). 47 48 49 50 51 REMARKS AND/OR DESCRIPTION OF REVISIONS 52 Cathodic protection system design shall comply with DEP 30.10.73.31-Gen. 53 54 Made by: Chk'd by: Appr'd by: Eng. by : Principal : DEP 30.10.73.94-Gen., sheet 1/2, dated 09/98 Date Date Date EQUIPMENT : PLANT : CONSIGNEE : Rev. letter Date Sign. Sheet No. 1 Equipm. No. Req. No. continued on sheet No. 2

Data / requisition sheet (continuation sheet) for Design of Cathodic Protection System for Offshore Pipeline 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 INFORMATION TO BE SUBMITTED WITH TENDER 45 Completed data/requisition sheet DEP 30.10.73.93-Gen., (I.e. all data fields not already completed by the Principal) 46 47 48 49 REMARKS AND/OR DESCRIPTION OF REVISIONS 50 Cathodic Protection system design shall comply with DEP 30.10.73.31-Gen. 51 52 53 54 Made by: Chk'd by: Appr'd by: Eng. by : Principal : DEP 30.10.73.94-Gen., sheet 2/2, dated 09/98 Date Date Date EQUIPMENT : PLANT : CONSIGNEE : ADDITIONAL DATA

Project Name: Project Number: Order/Enquiry No.:

Rev. letter Date Sign. Sheet No. 2 Equipm. No. Req. No. continued on sheet No.