3928 Lawnwood St
Fort Worth, Texas 76111-6539
Phone: 817.831.2626 Fax: 817.831.8258
www.solidiform.com
NDT
PURCHASE ORDER:086219
Service Date:
VENDOR
Central Texas Heat Treating & Testing, Inc.
5801 Denton Hwy
Ft.Worth , TX 76148-3758
ORDER DATE DATE REQUIRED
2/6/2025 2/20/2025
BUYER SHIPPING METHOD
SIMON COMPANY VAN
NDT
CERTIFICATIONS REQUIRED

All ink stamping applied by processor must not be on or immediately adjacent to any raised cast numbers unless specified by drawing.
LN QTY MATL SVC SPEC  REV OEM PART NUMBER/REV BP EO/ECN PL MPI WORK ORDER CTL # SOLN AGE PO: CUST/OEM
1 16 E357 Etch LMA-PG001  C NORGES 2CTH31027-8003/A1 A1 NA A1 NL: A3 11541/1.1 241733.1 29774 29795 5000520135 /
******DO NOT REMOVE TAG****** ***LEAVE ON FOR PART TRACE*** Process Code: LMA-PG001 (148) a) Use QCS-001 approved source b) Pre-Penetrant etch per LMA-PG001. *** DURABILITY CRITICAL-NONTRACEABLE***
2 16 E357 PEN LMA-PC201  G NORGES 2CTH31027-8003/A1 A1 NA A1 NL: A3 11541/1.1 241733.1 29774 29795 5000520135 /
    ZONE:
******DO NOT REMOVE TAG****** ***LEAVE ON FOR PART TRACE*** Process Code: LMA-PC201 (113) a) Use QCS-001 approved source b) Penetrant inspect per: LMA-PC201 c) Acceptance per: AMS 2175 Grade B d) Frequency 100% *** DURABILITY CRITICAL-NONTRACEABLE***
3 16 E357 X-Ray LMA-PC301  B NORGES 2CTH31027-8003/A1 A1 NA A1 NL: A3 11541/1.1 241733.1 29774 29795 5000520135 /
    CLASS:     GRADE:
******DO NOT REMOVE TAG****** ***LEAVE ON FOR PART TRACE*** Process code: LMA-PC301 (123) a) Use QCS-001 approved source b) Radiographic inspect per: LMA-PC301 c) Acceptance per: AMS 2175 Grade B d) Test Frequency per: LMA-PA090 "REV-B" Paragraph 4.5.2.1 SAMPLING FREQUENCY, Table III (for Lot sizes smaller than 6 all must be inspected) *** DURABILITY CRITICAL-NONTRACEABLE***

WORK MUST BE IN ACCORDANCE WITH REQUIREMENTS POSTED ON OUR SUPPLIER WEB SITE: http://www.solidiform.com/supplier/