Certificate of Conformance |, the undersigned, authorized agend of GPT, do hereby certify that the Insulation Gasket and Kits supplied on the subject order was as described for and was manufactured in accordance with our specifications. Inspection information and certificates are on file at GPT office. This statement applies to materials manufactured for: MORKEN BOLIVIA SRL - NIT In reference to the purchase order number: MkB-0847 Pikotek Invoice/number. 121988 AUTHORIZED SIGNATURE 4990 Iris Street * Wheat Ridge, CO 80033-2244 USA Phone (303) 988-1242 + Fax (303) 988-1922 » Internet: www.pikotek.comB26 CERTIFICATE OF COMPLIANCE —Picklist: 139248 IL Noserex MICARTA PHONE (563) 864-7321 FAX (800) 350-9491 Sold To: 20417000 Ship To: A PIKOTEK PIKOTEK ph 303 988 1242 fax 303 988 1922 4990 IRIS STREET 4990 IRIS STREET WHEAT RIDGE, CO 80033 WHEAT RIDGE, CO 80033-2244 UNITED STATES UNITED STATES P.0.#: 24559 ©.0.#: 89343 Ln: 100 RI 1 Quantity: 80.000 EA DueDate: 8/26/16 Tol: 80 80 +00-00, Routing: SEE BELOW Soe Below Description Eaches Shipped Net Weight Loc 370654 30 3459.00 ant NPS10A/0.125/48.000/96.000 NA Theknets: 0.125 +01200120 Gross Wt: _ 3628.00 Skids: Z| Cartons: \ Comments: (CSR: Molnio Lanth H.R. (MATERIAL TEST REPORT ON THE STEEL) [MUST 8€ SENT WITH ALL STEEL SHIFMENTS SHEETS.USE ABP TUBES-USE FED X ECONOMY + p/g12 * FRA * MA2A789I27 © S14:610-0-0125-48-1273, MFG & SIUP 2XMONTH.-2ND & 4TH FRIDAYS CERTIFICATE OF COMPLIANCE It is hereby certified that all articles as cailed for in above Purchase Order are in conformance with the requirements, specifications and drawings listed above. Compliance Data to IuN 06236 Rev. 11/05 ECO Glo afifie warGorT INSPECTION CERTIFICATION 42004 seat, ‘Wheat Ridge Colorado 60033 USA Part Number: 5005006 i] pikotek Ph (308) 988-1242 Customer Name: MORKEN BOLIVIA SRL - NIT # 1026083023, F(t) e-tzz_Culoner Name: MORKEN Inspector: Joe Rojas. sae « Issue Date: 112016 uantiy: 400 Inve Numper, 121088 Une Description TS No. 220117 (Gok and maton ANSETRSTE BTGE, 5, Sy STO, 0,15) GASTETRMBSY Fg) 0,015 PTFE, SRE, B TSO SOATION lxmotonre cto, 2 68) Material Cae Tete D5Gi0 *onFle w 3-30018610-T/6 $40 * On File 4 Prec Tes, 10 sone a vases, 10 sonFie a Waster, 205 sonrte a 8 Teton sonfie ¥ Physical Characters ‘Sie (Engish) Sie (Metric) hezapted 125 G10 Menes 25 375 w 125 G10- Ouse Omer 570 146.05 a 125 G10- Ise Darter 3.068 nem a 125 610 Sea utsie Dameter 350 room g Prec Tbe, 10 09721 @ Washers, G-10 10W-.750 washers, 275 2.750106 u (Teton 300 g ‘Gasket Elocrcal Proportion Dielectric Strength - 750-800 vols Resistance (Ory) = >60 meg ohms. General ‘All gaskot materia re compliant io NACE MR 0175, G-3 is NEMA grade: Gloss-Phenolc Laminate G-10, G-OIFR4 and G-11 are NEMA grade: Giass-Reinforced Epoxy (GRE) ‘All tefion seals are Spring Energized ‘AIZPS washers are electroplated per ASTM-8633. All washer IO are 0.125 (3.175mnm) larger than normal to allow for ft * Getifeatons are on fle at our facity and ae avaiable for review = Consion &, 062"), D-48/50 50 9001, 2008 - Registered - Corticate Expry 31-an 2017 Form Gn 1008 EPGFT teorsma INSPECTION CERTIFICATION ‘Wheat Ridge Colorado 80033 USA Part Number: 5000643 (Si Bikgtek Ph: (909) 988-4242 customer Name: Fa: (908) 988-1922 PO Number: MkB0847 Inspector Joe Rojas Item Number: 8 laave Date: 11/12016 Quanity: 1.00 Invoice Number. 121088 Description RS No: 233119 ne MORKEN BOLIVIA SRL.- NIT # 1026083023 IIT(GIOZPS. G10, 2.825) [Gasket and iolaion Ka, FLANGETAGME BIG, 6, 180, STD, 40, 405) GASRET(UneBacker, F(R ‘G10, 0.125, PTFE, 6085, 8595) ISOLATION ‘Material Gert Ref No ‘Accepted 1256-10 On File wa G-ISOLBGI0-1/6 $40 * "On Fe a Precut Tubes, G-10 On Fite a ‘Washers, G-10 * On File 4 ‘Washers, 2PS On File 4 1B Teflon *OnFle w ‘Physical Characteristics ‘Size (English) Size (Metric) Accepted 125 G10 Tacks 25 3475 a 125 G-10 - Outside Diemeter 8.625 219.075 ca 125 G-10 - Inside Diameter 6.065 154.081 ¥ 1125 G-10 - Seal Outside Diameter 7.200 182.88 M Precut Tubes, G10 5008729 a Washers, 6-10 10W-750 Washers, PS 2P-750-106 w 1B Teflon 125, 4 Gasket Electrical Properties Drolet Strength - 750-800 voltsimi Resistance (On) = >60 meg ohms Conera ‘Allgasket materials are compliant to NACE MR 0175, ‘G-3is NEMA grade: Glass-Phenclc Laminate 6-10, G-OFR¢ and G-11 are NEMA grade: Gass-Roinforced Epoxy (GRE) Alltofon seals are Spring Energizec {AN ZPS washers are elactoplated per ASTM-BBS3 ‘Al washer IO are 0.125 (3.175mm) anger than nommal to allow fr ft * “Geriicatons are on feat ou lacy and are avaiable for view * Conaiten A, 082"), D-48/50, {SO o00T. 2008 Registered - Conca Expy 31-Jan-2007 Form GA-1000 EF