WORK ORDER REQUEST FORM

ON-CALL ENGINEERING SERVICE

WORK ORDER NO. ( JOB) NO.: DATE ISSUED: REVISION:
WORK TITLE :
PART I: SCOPE OF WORKS
I-1 JOB DESCRIPTIONS

I-2 ENGINEERING WORKS

 PRESSURE LOSS/ HYDRULIC CALCULATION  CIVIL STRUCTURE CALCULATION
 TEMPERATURE LOSS CALCULATION  EQUIPMENT SPECIFICATION SHEET (Loading arm)
 PIPE STRESS ANALYSIS  ETC. ( SPECIFIED)
INSTRUMENT WORK ________________________________________
 ELECTRICAL WORK  _______________________________________
I-3 ENGINEERING / DOCUMENT REQUIREMENTS  SEE ATTACHED DRAWING LIST
PRESSURE LOSS/HYDRAULIC CALCULATION  PLOT PLAN DWG
 TEMPERATURE LOSS CALCULATION  P&ID DWG
 PIPE FLEXIBILITY ANALYSIS  ISO.DWG
 PSV CALCULATION/DATA OR SPEC. SHEET  GA DWG
 EQUIPMENT CALCULATION/DATA OR SPEC. SHEET  TIE IN DETAIL DWG
 CIVIL/STRUCTURE CALCULATION SHEET  DEMOLISHED DWG
 CIVIL/STRUCTURE DWG  HOOK-UP TYPICAL DWG
 CIVIL/CONCRETE FOUNDATION  PIPE SCHEDULE SUMMARY SHEET
 BILL OF MATERIALS (BOM)  PIPE SUPPORT
 COST ESTIMATIMATION  ETC. (SPECIFIED)
 __________________________________________
 _________________________________________

REFERENCE DOCUMENTS

PART II : COMMERCIAL TERMS

PROPOSAL PRICE: BAHT Total Hour
Man-Hour
START DATE: DELIVERY DATE:

THIS WORK IS A PART OF CONTRACT NO.______________________ VENDOR REFERENCE NO. ___________________________

FOR AND ON BEHALF OF FOR AND ON BEHALF OF

GC MAINTAINANCE AND ENGINEERING CO.LTD CONTRACTORS COMPANY

Division Manager Authorized to sign

GC Maintenance and Engineering Co., Ltd

Remark: Please send signed & stamped form to GCME Contact Engineer