ENGINEERING MATERIAL PROCUREMENT REQUISITION

PROJECT NAME: PROJECT NO:

EXISTING SERVICE ORDER NO.: CHANGE ORDER REQUEST: NEW PURCHASE ORDER
(WHEN APPLICABLE) CHANGE ORDER NO: REQUEST:
REQUIRED FOR: REQUISITION NO: REV: 0

SOLE SOURCE: MSA OR IMA IN PLACE: CHEVRON DSC T&CS REQUIRED

SHOP Level 0 – None – Equipment may be shipped without Buyer inspection

INSPECTION:
Level 1 – Final Quality Surveillance Prior to Shipment
(Highlight or
circle the Level 2 – Limited Scope Quality Surveillance
appropriate Level 3 – Full Scope Quality Surveillance
inspection level)
Level 4 – Resident Quality Surveillance
MATERIAL REQUIRED AT JOB SITE NOT LATER THAN:

PREPARED BY: Srilatha Gollapalli DATE: 6/29/17

BIDDER 1 BIDDER 2
Company Name: Cameron Company Name:
535 GETTY COURT, SUITES A,
Mailing Address: Mailing Address:
BENICA CA 94510

Physical Address:
Physical Address:

Contact Name: PAUL RHODES Contact Name:

Phone Number: 707-752-8800 Phone Number:
Contact Title: Contact Title:
E-Mail Address: PRhodes@cameron.slb.com E-Mail Address:
BIDDER 3 BIDDER 4
Company Name: Company Name:
Mailing Address: Mailing Address:
Physical Address: Physical Address:
Contact Name: Contact Name:
Phone Number: Phone Number:
Contact Title: Contact Title:
E-Mail Address: E-Mail Address:
SOLE SOURCE IF REQUIRED
(Must complete and attach sole source justification form
REVIEW DESCRIPTION
if in excess of $100,000 and provide justification for this
action)
The following is the reason that multiple quotation
requirements for this item can be waived: Issued for Internal Review

Client requirement for equipment standardization. Issued for Client Review and Approval

Only vendor which supplies this equipment. Reissued for Client Review and Approval

Other (Must explain - in comments section) Issued to Procurement to Bid

Issued to Procurement for Purchase

Engineering Equipment_Material Procurement Req Rev 0 2017 0613

 ENGINEERING MATERIAL PROCUREMENT REQUISITION
ATTACHMENTS REQUISITION NO: REV:
1. STANDARDS AND SPECIFICATIONS
2. REQUISITIION PACKAGE ATTACHMENTS IN ADDITION TO THE STANDARDS SHEET 2 OF 3 SHEETS
AND SPECIFICATIONS, I.E., DRAWINGS, DATA SHEETS, AND CUT SHEETS, ETC.

COMMENTS:

SECTION 1 – ATTACHMENTS: STANDARDS AND SPECIFICATIONS

ISSUE
DATE ISSUE DESCRIPTION REVISION

9/12/17 Per Dave Tishler’s email on 9/12/17

9/11/17
Cameron’s quote US10/BC05/1538919 dated 9/11/17

SECTION 2 – ENGINEERING MATERIAL REQUISITION ATTACHMENTS

(INCLUDE DRAWINGS, DATA SHEETS, CUT SHEETS, ETC.) REVISION

 ENGINEERING MATERIAL PROCUREMENT REQUISITION
REQUISITION NO: REV:
ITEM DESCRIPTION
ITEM
DETAILED DESCRIPTION DESCRIPTION
OF THE EQUIPMENT AND/OR MATERIALS TO BE SHEET 3 3 SHEETS
ORDERED

ITEM UNIT OF EQUIPMENT

NO. QUANTITY MEASURE NO. DESCRIPTION