example of fill-up form for chemical injection package

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I = Comply / Confirm, O = No, H = Hold Page 1 of 3 REQUISITION : MATERIAL HANDLING EQUIPMENT MATERIAL REQ. NO. : BN-MLS-30-TECH-092003 TAG NUMBER : Description I/0/H EXCELLIFT SDN. BHD. I/0/H I/0/H 1.0 BIDDER INFORMATION Bid Reference Number : By Bidder Bidder Contacts : Contact Person By Bidder E-mail Address By Bidder Tel. Nos. By Bidder Bidder' Country of Origin By Bidder Location of design, manufacturing, final testing & assembly By Bidder ISO 9000 Certification By Bidder 2.0 GENERAL COMPLIANCE 2.1) TECHNICAL DOCUMENTS / PROJECT SPECIFICATION Compliance 3.0 REFERENCE EXPERIENCE LIST By Bidder 4.0 DESIGN LIFE 20 Years 5.0 SCOPE OF SUPPLY the following : Monorail Hoist Required Monorail Hoist Required Monorail Hoist Required Pump Suction strainer for each pump Required Calibration Pot Required Pressure Vacuum Safety Valve (for the tank) Required Pressure Safety Valve (at pump discharge) Required Pulsation Dampener Required Required Required Required Skid(s) edge junction boxes Earth bonding including earth bosses / lugs Emergency stop push button for each electric motor Required First fill of consumable Required Control panels (if required) Required 5.1 Structural Supply of all documentations as per Requisition SR Part II Required Painting and Coating as per specification Required Packing, preservation and preparation for shipment Required Spare parts & First Fill Required Required Required Per Diem Rates Required Supply of all documentations as per Requisition SR Part II Required Services Required Required Third party certifications Required 5.2 Material Certifications Required Codes and Standards Required 5.3 5.4 TECHNICAL DATA / REQUIREMENTS Ratcher Puller -With Pulling post (3 MT) Make 5.5 Service Quantity-nos Orientation Diameter (ID) / TL-TL, mm 6.0 Capacity-m3- working/Design Volume 1.0(between HLL and LLL) / 1.5 (BIDDER to confirm) Construction Type Cylinder shell with 2:1 Ellipsoidal Head 6.1 Weight BY BIDDER Material of Construction: Lifting lugs SA 516 Gr70 / A36 Weight data: Empty Weight in kg BY BIDDER Operating weight in kg BY BIDDER Test weight in kg BY BIDDER Technical Requirements Compliance to Material Requisition, Specification, Datasheets and all general specifications attached to this requisition. The Material Handling Equipment scope shall include but not Pressure Control Valves (at tank vent line and tank inlet All instrumentation and control necessary for safe and effective operation of the package, fittings for control, monitoring and protection All electrical cabling, cable trays and cables supports required within the package, wired to junction boxes, including trays for motor power cabling and motor control Terminations at the Package edge as per the respective All piping, valves, specialty items, support etc. within the package limit including all necessary drains and vents. All other items stipulated in Scope of Supply BN-MLS-30-TECH- 092011, datasheet and P&ID. Erection, pre-commissioning, commissioning and startup spare Special tools and spare parts for normal operation and

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Energizer-Oakwell

REQUISITION : MATERIAL HANDLING EQUIPMENT

MATERIAL REQ. NO. : BN-MLS-30-TECH-092003TAG NUMBER : DescriptionTechnical Requirements I/0/HEXCELLIFT SDN. BHD.I/0/HI/0/H

1.0BIDDER INFORMATION

Bid Reference Number :By BidderBidder Contacts : Contact PersonBy Bidder E-mail AddressBy Bidder Tel. Nos.By BidderBidder' Country of OriginBy BidderLocation of design, manufacturing, final testing & assemblyBy BidderISO 9000 CertificationBy Bidder 2.0GENERAL COMPLIANCE 2.1) TECHNICAL DOCUMENTS / PROJECT SPECIFICATION Compliance to Material Requisition, Specification, Datasheets and all general specifications attached to this requisition.Compliance

3.0REFERENCE EXPERIENCE LIST By Bidder

4.0DESIGN LIFE20 Years

5.0SCOPE OF SUPPLY

The Material Handling Equipment scope shall include but not limited to the following : Monorail HoistRequiredMonorail HoistRequiredMonorail HoistRequiredPump Suction strainer for each pumpRequiredCalibration PotRequiredPressure Vacuum Safety Valve (for the tank)RequiredPressure Safety Valve (at pump discharge)RequiredPulsation DampenerRequiredPressure Control Valves (at tank vent line and tank inlet line) RequiredAll instrumentation and control necessary for safe and effective operation of the package, fittings for control, monitoring and protectionRequiredAll electrical cabling, cable trays and cables supports required within the package, wired to junction boxes, including trays for motor power cabling and motor control station cabling.RequiredSkid(s) edge junction boxesEarth bonding including earth bosses / lugsEmergency stop push button for each electric motorTerminations at the Package edge as per the respective equipment P&IDAll piping, valves, specialty items, support etc. within the package limit including all necessary drains and vents.RequiredFirst fill of consumableRequiredControl panels (if required)All other items stipulated in Scope of Supply BN-MLS-30-TECH-092011, datasheet and P&ID.Required

5.1StructuralSupply of all documentations as per Requisition SR Part IIRequiredPainting and Coating as per specification RequiredPacking, preservation and preparation for shipmentRequiredSpare parts & First FillRequiredErection, pre-commissioning, commissioning and startup spare partsRequiredSpecial tools and spare parts for normal operation and maintenanceRequiredPer Diem RatesRequiredSupply of all documentations as per Requisition SR Part IIRequiredServicesRequiredRequiredThird party certificationsRequired5.2Material CertificationsRequiredCodes and StandardsRequired

5.3

5.4TECHNICAL DATA / REQUIREMENTS

Ratcher Puller -With Pulling post (3 MT)Make5.5ServiceQuantity-nosOrientation Diameter (ID) / TL-TL, mm6.0Capacity-m3- working/Design Volume1.0(between HLL and LLL) / 1.5 (BIDDER to confirm)Construction TypeCylinder shell with 2:1 Ellipsoidal Head6.1WeightBY BIDDERMaterial of Construction:Lifting lugsSA 516 Gr70 / A36Weight data:Empty Weight in kgBY BIDDEROperating weight in kgBY BIDDERTest weight in kgBY BIDDER

Tank AgitatorMakeBY BIDDERModel NumberBY BIDDERQuantity of mixer - Nos1Electricity supply415V / 50Hz / 3 PhaseAbsorbed Power - kWBY BIDDERName Plate rating - kWBY BIDDERAgitator speed dataBY BIDDERPropeller DiameterBY BIDDER

Material:PropellerSS316LShaftSS316LDimensionBY BIDDERWeightBY BIDDERDimentionBY BIDDER

Energizer Make-Up Diaphragm Metering PumpPump/ Motor makeBY BIDDERServiceEnergizer:HEPQuantity - Nos2 x 100%Pump type / Number of head - nosControl Volume / Metering Pump / BY BIDDERFluid Specific Gravity1.072Vapour Pressure at Tp bara0.019Operating/Design Temperature- Deg CAmb / 65 6.2Flow (Normal/Design) -L/h5-50/50Turndown Ratio %5-100Suction Pressure (Min/Max) - bargATMDischarge Pressure (Min-Max) - barg1Differential Head m10NPSHRBY BIDDERRelief Valve Set Pressure (Min / Max) - bargBY BIDDERTransmission TypeBY BIDDERArea Classificationnon hazardousPower Supply415V / 50Hz / 3 Phase6.3Motor Speed - RPMBY BIDDERAbsorbed Power -kWBY BIDDERMotor name plate rating - KWBY BIDDERType of MotorD-O-LIngress Protection IP 55Type of Stroke Controller (Pneumatic / Motor)BY BIDDERMaximum noise level 85 dBa6.4Pump Material:Liquid EndSS 316LDiaphragmBY BIDDERPlungerSS 316LPacking GlandBY BIDDERValveBY BIDDERValve SeatBY BIDDERValve GuideBY BIDDERPump / Motor Dimension - Length x Width x Height - mmBY BIDDERPump / Motor Weight - Empty / Operating - KgsBY BIDDER

INSPECTION, TESTING & CERTIFICATIONQA System as per ISO 9001RequiredPerformance / mechanical testing of equipmentRequiredPackage / Factory Acceptance Test (FAT)RequiredPressure testing (incl. all pipework)RequiredDimensional survey including all terminationsRequiredPMI test for high alloy steel materialsRequiredNon Destructive TestingRequiredLifting equipment test and certificationRequired

MISCELLANEOUS6.5Overall skid dimention (LxWxH) mmBY BIDDEROverall Skid weight (Operation/Dry/Test)BY BIDDERSub - Vendor List

DELIVERYBY BIDDER

EXCEPTIONS / DEVIATIONS LISTBY BIDDER

7.0

8.0

14.0

15.0

I = Comply / Confirm, O = No, H = Hold &K0000FFPage &P of &N