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　User Name*
　
　Company Name*
　
　Your e-mail*
　
　Purchase Order Number
　
　Date to start Service*
　 (dd-mm-yyyy)
　Date for Shipment*
　 (dd-mm-yyyy)
　Factory Name*
　
　Factory Address*
　
　Factory Contact Person Name*
　
　Factory e-mail*
　
　Factory phone*
　
　Factory Fax
　
　Inspection standard*
API598
API6D
 
MSS-SP-61
BS EN 12266-1
 
BS EN 12266-2
Others, see remarks
　Total Quantity of Valves in Order*
　
　Sampling rate*
　
 
of total quantity
per item
　Required Services*
Check prodcution Status
 
Casting Supervision
 
Machining & Assembly Supervison
 
Witness Pressure Tests
 
Dimension check
 
Paint Process Supervision
 
Final Paint Inspection
 
Packing/Shipment Supervision
 
Certificate check
 
Others, see remarks
　Remarks
　
General Condition
I have read and accept the General Condition
I do not accept
 
 
 

 
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