無損檢測申請表模板

1、無損檢測報驗申請表 工程名稱: AT28井至S1071閥組間集輸管線建設工程 編號：AT28-07 致：濮陽市中原石化工程建設監(jiān)理有限公司 我單位已完成AT28井至S1071閥組間集輸管線建設工程的部分焊接工作，經(jīng)自檢合格現(xiàn)申請進行無損檢測，請予以審查和驗收。附件：1、無損檢測申請 1 份 2、焊口登記表 1 份 承包單位（章） 華 揚 油 建 項 目 經(jīng) 理 日 期 年 月 日 監(jiān)理單位審查意見： 項目監(jiān)理機構 濮陽市中原石化工程建設監(jiān)理有限公司 總/專業(yè)監(jiān)理工程師 日 期 年 月 日 無 損 檢 測 申 請工程名稱：AT28井至S1071閥組間集輸管線建設工程 編號：AT28-07 致：濮

2、陽市中原石化工程建設監(jiān)理有限公司下列焊口已外觀檢查合格，請于2015年03月23日安派檢測單位進行無損檢測。檢測方式UT RT MT PT施工單位 華揚油建檢測部位環(huán)焊縫 材質(zhì)/規(guī)格20#/114×7檢測方法/級別/比例RT15%坡口形式V焊接方法氬電聯(lián)焊焊口數(shù)(道口)260評定標準SY/T4103-2006檢測范圍：AT28-Q-14×7-380640 共260道口 RT 15% 施工單位： 年 月 日監(jiān)理單位： 年 月 日焊口登記表 共3頁：第1頁序號焊口編號焊工編號焊口編號焊工編號焊口編號焊工編號1 AT28-Q-114X7-3815/4 AT28-Q-114X7-4

3、114/3 AT28-Q-114X7-4414/32 AT28-Q-114X7-3825/4 AT28-Q-114X7-4124/3 AT28-Q-114X7-4424/33AT28-Q-114X7-3835/4 AT28-Q-114X7-4134/3 AT28-Q-114X7-4434/34 AT28-Q-114X7-3845/4 AT28-Q-114X7-4144/3 AT28-Q-114X7-4444/35 AT28-Q-114X7-3857/6 AT28-Q-114X7-4154/3 AT28-Q-114X7-4454/36 AT28-Q-114X7-3867/6 AT28-Q-114

4、X7-4164/3 AT28-Q-114X7-4464/37 AT28-Q-114X7-3877/6 AT28-Q-114X7-4174/3 AT28-Q-114X7-4474/38 AT28-Q-114X7-3885/4 AT28-Q-114X7-4184/3 AT28-Q-114X7-4484/39 AT28-Q-114X7-3895/4AT28-Q-114X7-4194/3 AT28-Q-114X7-4494/310 AT28-Q-114X7-3905/4 AT28-Q-114X7-4205/4 AT28-Q-114X7-4505/411 AT28-Q-114X7-3915/4 AT28

5、-Q-114X7-4215/4 AT28-Q-114X7-4515/412 AT28-Q-114X7-3929/8 AT28-Q-114X7-4225/4 AT28-Q-114X7-4525/413AT28-Q-114X7-3939/8AT28-Q-114X7-4235/4 AT28-Q-114X7-4535/414AT28-Q-114X7-3949/8 AT28-Q-114X7-4245/4 AT28-Q-114X7-4545/415 AT28-Q-114X7-3959/8 AT28-Q-114X7-4255/4 AT28-Q-114X7-4555/416 AT28-Q-114X7-3965

6、/4 AT28-Q-114X7-4264/3 AT28-Q-114X7-4564/317 AT28-Q-114X7-397 5/4 AT28-Q-114X7-4274/3 AT28-Q-114X7-4574/318 AT28-Q-114X7-3985/4 AT28-Q-114X7-4284/3 AT28-Q-114X7-4584/319 AT28-Q-114X7-3995/4 AT28-Q-114X7-4294/3 AT28-Q-114X7-4594/320 AT28-Q-114X7-4004/3 AT28-Q-114X7-4304/3 AT28-Q-114X7-4604/321 AT28-Q

7、-114X7-4014/3 AT28-Q-114X7-4314/3 AT28-Q-114X7-4614/322 AT28-Q-114X7-4024/3 AT28-Q-114X7-4324/3 AT28-Q-114X7-4624/323 AT28-Q-114X7-4034/3 AT28-Q-114X7-4334/3 AT28-Q-114X7-4634/324 AT28-Q-114X7-4045/4 AT28-Q-114X7-4344/3 AT28-Q-114X7-4644/325 AT28-Q-114X7-4055/4 AT28-Q-114X7-4355/4 AT28-Q-114X7-4655/

8、426 AT28-Q-114X7-4065/4 AT28-Q-114X7-4364/3 AT28-Q-114X7-4665/427 AT28-Q-114X7-4075/4 AT28-Q-114X7-4374/3 AT28-Q-114X7-4675/428 AT28-Q-114X7-4085/4 AT28-Q-114X7-4384/3 AT28-Q-114X7-4685/429 AT28-Q-114X7-4095/4 AT28-Q-114X7-4394/3 AT28-Q-114X7-4695/430 AT28-Q-114X7-4105/4 AT28-Q-114X7-4404/3 AT28-Q-1

9、14X7-4705/4焊口登記表 共3頁：第2頁序號焊口編號焊工編號焊口編號焊工編號焊口編號焊工編號1AT28-Q-114X7-4717/6AT28-Q-114X7-5017/6AT28-Q-114X7-5317/62AT28-Q-114X7-4727/6AT28-Q-114X7-5027/6AT28-Q-114X7-5327/63AT28-Q-114X7-4737/6AT28-Q-114X7-5037/6AT28-Q-114X7-5337/64AT28-Q-4114X7-4745/4AT28-Q-114X7-5045/4AT28-Q-114X7-53345/45AT28-Q-114X7-47

10、55/4AT28-Q-114X7-5055/4AT28-Q-114X7-5355/46AT28-Q-114X7-4765/4AT28-Q-114X7-5065/4AT28-Q-114X7-5365/47AT28-Q-114X7-4775/4AT28-Q-114X7-5075/4AT28-Q-114X7-5375/48AT28-Q-114X7-478 9/8AT28-Q-114X7-508 9/8AT28-Q-114X7-538 9/89AT28-Q-114X7-4799/8AT28-Q-114X7-5099/8AT28-Q-114X7-5399/810AT28-Q-114X7-4809/8AT

11、28-Q-114X7-5109/8AT28-Q-114X7-5409/811AT28-Q-114X7-4815/4AT28-Q-114X7-5117/6AT28-Q-114X7-5417/612AT28-Q-114X7-4825/4AT28-Q-114X7-5127/6AT28-Q-114X7-5427/613AT28-Q-114X7-4837/6AT28-Q-114X7-5137/6AT28-Q-114X7-5437/614AT28-Q-114X7-4845/4AT28-Q-114X7-5145/4AT28-Q-114X7-5445/415AT28-Q-114X7-4855/4AT28-Q-

12、114X7-5155/4AT28-Q-114X7-5455/416AT28-Q-114X7-4865/4AT28-Q-114X7-5165/4AT28-Q-114X7-5465/417AT28-Q-114X7-4875/4AT28-Q-114X7-5175/4AT28-Q-114X7-5475/418AT28-Q-114X7-488 9/8AT28-Q-114X7-518 9/8AT28-Q-114X7-5487/619AT28-Q-114X7-4899/8AT28-Q-114X7-5199/8AT28-Q-114X7-5497/620AT28-Q-114X7-4909/8AT28-Q-114

13、X7-5209/8AT28-Q-114X7-5505/421AT28-Q-114X7-4917/6AT28-Q-114X7-5217/6AT28-Q-114X7-5515/422AT28-Q-114X7-4927/6AT28-Q-114X7-5227/6AT28-Q-114X7-5525/423AT28-Q-114X7-4937/6AT28-Q-114X7-5237/6AT28-Q-114X7-5535/424AT28-Q-114X7-4945/4AT28-Q-114X7-5245/4AT28-Q-114X7-554 9/825AT28-Q-114X7-4955/4AT28-Q-114X7-5

14、255/4AT28-Q-114X7-5559/826AT28-Q-114X7-4965/4AT28-Q-114X7-5265/4AT28-Q-114X7-5569/827AT28-Q-114X7-4975/4AT28-Q-114X7-5275/4AT28-Q-114X7-5577/628AT28-Q-114X7-498 9/8AT28-Q-114X7-528 9/8AT28-Q-114X7-5487/629AT28-Q-114X7-4999/8AT28-Q-114X7-5299/8AT28-Q-114X7-5495/430AT28-Q-114X7-5009/8AT28-Q-114X7-5309

15、/8AT28-Q-114X7-5605/4 焊口登記表 共3頁：第3頁序號焊口編號焊工編號焊口編號焊工編號焊口編號焊工編號31AT28-Q-114X7-5614/3AT28-Q-114X7-5905/4AT28-Q-114X7-6199/832AT28-Q-114X7-5624/3AT28-Q-114X7-5915/4AT28-Q-114X7-6207/633AT28-Q-114X7-5634/3AT28-Q-114X7-5925/4AT28-Q-114X7-6217/634AT28-Q-114X7-5644/3AT28-Q-114X7-5935/4AT28-Q-114X7-6227/635A

16、T28-Q-114X7-5654/3AT28-Q-114X7-5945/4AT28-Q-114X7-6235/436AT28-Q-114X7-5664/3AT28-Q-114X7-5954/3AT28-Q-114X7-6245/437AT28-Q-114X7-5674/3AT28-Q-114X7-5964/3AT28-Q-114X7-6255/438AT28-Q-114X7-5684/3AT28-Q-114X7-5974/3AT28-Q-114X7-6265/439AT28-Q-114X7-5694/3AT28-Q-114X7-5984/3AT28-Q-114X7-627 9/840AT28-

17、Q-114X7-5704/3AT28-Q-114X7-5994/3AT28-Q-114X7-6289/841AT28-Q-114X7-5715/4AT28-Q-114X7-6004/3AT28-Q-114X7-6299/842AT28-Q-114X7-5725/4AT28-Q-114X7-6014/3AT28-Q-114X7-6307/643AT28-Q-114X7-5735/4AT28-Q-114X7-6024/3AT28-Q-114X7-6317/644AT28-Q-114X7-5745/4AT28-Q-114X7-6034/3AT28-Q-114X7-6327/645AT28-Q-114

18、X7-5755/4AT28-Q-114X7-6044/3AT28-Q-114X7-6335/446AT28-Q-114X7-5765/4AT28-Q-114X7-6054/3AT28-Q-114X7-6345/447AT28-Q-114X7-5775/4AT28-Q-114X7-6064/3AT28-Q-114X7-6359/848AT28-Q-114X7-5785/4AT28-Q-114X7-6074/3AT28-Q-114X7-6367/649AT28-Q-114X7-5795/4AT28-Q-114X7-6084/3AT28-Q-114X7-6377/650AT28-Q-114X7-5805/4AT28-Q-114X7-6095/4AT28-Q-114X7-6387/651AT28-Q-114X7-5815/4AT28-Q-114X7-6105/4AT28-Q-114X7-6395/452AT28-Q-114X7-5825/4AT28-Q-114X7-6115/4AT28-Q-