Title Page
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Document No.
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Date/Time
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BANLAW JOB INFORMATION
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Prepared by
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Document Number, Job Number and Description
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CLIENT/SITE INFORMATION
- Rio Tinto Kennecott
- NGM Cortez
- NGM Goldstrike
- Kinross Round Mountain
- Kinross Black Gold
- Kinross Manh Choh
- Kinross Bald Mountain
- Oceana Gold Haile Gold
- Kiewit North Rasmussen
- Hermosa South 32
- Barrick PVDC
- Barrick Golden Sunlight
- SA Recycling
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Direct Site Contact for Appointment and Attendees
- Cortez - Kevin Stills
- Cortez - Kim Melton
- RTK - Russell Bogle
- RTK - Matt Stanley
- RTK - Matt Laird
- RTK - Eric Eatherton
- Goldstrike - Lorraine Jury
- Goldstrike - Adam Murray
- Haile Gold - Juan Lizarraga
- Haile Gold - Burton Jaillette
- Haile Gold Marty Geddings
- PVDC -
- KRM - Danny Buelna
- KRM - Bon Davidson
- Kiewit - Tyler Sather
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Location
- Cortez - #1 Mine Ops - Diesel Island Pipeline (South Gap)
- Cortez - #2 Mine Ops - Diesel Island, Pipeline Shop Area
- Cortez #3 - Mine Ops - Diesel Fuel Facility, Hills - CHOP CNTRL
- Cortez #4 - Diesel Dyed Fuel, Facility 2, Mill 1
- Cortez #5 - Diesel Fuel Facility, Pipeline (Shop Area) Operations
- Cortez #6 - Clear Diesel Fuel Facility, Mill 1
- Cortez #7 - Diesel Dyed Fuel System, GHUG Fuel Facility
- Cortez #8 - Diesel Fuel System, Corridor Fuel Facility
- Cortez #9 - Diesel Dyed Fuel System, CHUG 3910 Fuel Bay
- Cortez #10 - Gas Fuel System, CHUG Fuel Facility
- Cortez #11 - Gas Island, Pipeline Area
- Cortez #12 - Gas Island, Cortez Hills Area
- RTK - Smelter
- RTK - Smelter Anode
- RTK - Smelter Kress Hauler
- RTK - Smelter Unleaded
- RTK - Refinery
- RTK - Tailings North West
- RTK - Tailings North West Unleaded
- RTK - Tailings South East Fuel Bay
- RTK - KOS
- RTK - Rail
- RTK - Gate 66
- RTK - SAW (South Area Water)
- RTK - Concentrator
- RTK - Code 80 Clear Diesel
- RTK - Code 80 Tank Farm
- RTK - Code 80 South Wall
- RTK - Code 80 North Wall
- RTK - Code 80 Fuel Island
- RTK - Markham Unleaded
- RTK - Underground Fuel Bay
- RTK - 6880 East Wall
- RTK - 6880 West Wall
- RTK - 6880 Fuel Bay
- RTK - Lark Unleaded
- RTK - Lark Diesel
- Goldstrike - Meikle
- Goldstrike - Rodeo
- Goldstrike - SWE (South West Energy)
- Goldstrike - Crusher Bay #1
- Goldstrike - Crusher Bay #2
- Goldstrike - Crusher Bay #3
- Goldstrike - Crusher Bay #4
- Goldstrike - Crusher Delivery
- Goldstrike - Unleaded Fuel Bay #1
- Goldstrike - Unleaded Fuel Bay #2
- Goldstrike - Unleaded Fuel Bay Delivery
- Haile Gold - 601 Fuel Bay
- Haile Gold - FT01
- Haile Gold - FT02
- Haile Gold - FU01
- Haile Gold - DS01
- Haile Gold - DS02
- Haile Gold - LV Bay
- Haile Gold - TS1 Fuel Truck
- Haile Gold - TS2 Fuel Truck
- Haile Gold - TS4 Fuel Truck
- Haile Gold - 68 Fuel Truck
- KRM - Small Fuel Bay (Light Vehicle)
- KRM - Shop Lube room
- KRM - Large Fuel Bay #1
- KRM - Large Fuel Bay #2
- KRM - Mobile Fuel Skid #1
- KRM - Mobile fuel Skid #2
- KRM - Mobile Fuel Skid #3
- KRM - Mobile Fuel Skid #4
- KRM - Gold Hill
- KRM - 920 Fuel Truck
- KRM - 921 Fuel Truck
- KRM - 922 Fuel Truck
- KRM - 923 Fuel Truck
- KRM - 764 Fuel Truck
- PVDC - 1701 Fuel Truck
- PVDC - 733 Fuel Truck
- PVDC - 499 Fuel Truck
- PVDC - 1700 Fuel Truck
- PVDC - Cumba
- PVDC - Refinery
- PVDC - TSF
- PVDC - Mine Diesel
- PVDC - KILN
- PVDC - Process Plant Light Vehicle
- PVDC - HFO
- Kiewit - Fuel Truck
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Billing Types
- ESTMN
- ESTCTZLABOR
- ESTTRAV
- ESTTRAVCTZ
- General Sales Work
- Meetings - Internal | 3000
- Meetings - Clients | 3500
- Holiday
- Sick
- Annual Leave
- Office Proposals | 6000
- Monthly PM Inspection
- Monthly Facilities Maintenance Inspection
- Training | 9000
- Warranty | CT2023 Nozzle Spring Change Out
- Delay Weather | 81000
- Office CRM | 2500
- Leave without Pay
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Special Conditions
- PM
- Facility Maint
- Service
- Project
- Non-Utilized time
- Utilized Time
- Warranty Product
- Warranty - Project
- Warranty CT Nozzles
- Annual SLA
- Inspection
Scope of Work
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Enter a new Job Task for each entry in Scope of Works
Task
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Pre-work Checklist
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Site Access and Training all up to date to perform the Job Tasks
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Speak with site rep when entering property
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Proper PPE for job, site and conditions
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Tools in good condition to include computer
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Parts Required
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Part Requisition Form
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Parts Requisition completed and Submitted
Conducting Work
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Date of Work
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Vehicle Inspection Complete
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Complete Job Safety Paperwork(attach before work progresses)
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Attach Safety Paperwork
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Enter a new Line of information for each Job task in the Scope of Work
Line
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Task Line
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Description of work performed
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Attach Pictures (Optional)
Defects / Action Items
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For Each Defect/Action enter a new Action Item
Action
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Replace Filters - 8 each - PS0435 - Filter Elem Diesel DERT 4um, DBB8666
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Attach picture(Optional)
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1. Identify filter media, replace filters (8) 10004364 Filters, Fuel Dispenser (Donaldson DBB8666) <br>2. Operations shall be locked out and tagged out prior to commencing work. (No<br>receiving or dispensing) try out by closing and isolating valves.<br>3. Remove cover from top and remove filter elements. 4. Install new filter elements . 5. Install covers, remove locks and test. 6. Write on filter or tag the filter change date. 7. Dispose of old filters.
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comments
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Attach picture(Optional)
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Keyboard and Backlights operational (Xpress)
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comments
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Attach picture(Optional)
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Panel seals, screws, and locks
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comments
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Attach pictures (Optional)
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Display (Xpress)/Touchscreen (Advanced)
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comments
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Attach pictures (optional)
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Keyboard and Backlights operational (Xpress)
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comments
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Attach pictures (Optional)
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Digital inputs/Overfill protection/CPA/Level Switch
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comments
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attach picture (Optional)
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Key fob reader
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comments
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Attach picture (Optional)
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Communications to ResTrack server
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comments
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Attach picture (Optional)
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Communications to TLM
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comments
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Attach picture (Optional)
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Swipe Card Reader
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comments
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Attach picture (Optional)
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FMS overrides
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comments
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Attach picture (Optional)
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System UPS battery operational
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comments
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Attach picture (Optional)
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Panel heater(s) operational
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comments
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Attach picture (Optional)
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Secure-Fill dry-break swivel functionality and Auto-Id wire
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comments
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Attach picture (Optional)
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Auxiliary Panel Indicators
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comments
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Attach picture (Optional)
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SecureFill dry-break functionality and wiring condition
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comments
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Attach picture (Optional)
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Secure-Fill splash fill functionality
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comments
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Attach picture (Optional)
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Nozzle Holster(s)
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comments
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Attach pictures (Optional)
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Loading arm/hose arrangement
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comments
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Attach pictures (Optional)
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Breakaway valve / breakout point. *Specifically Only use Banlaw engineered studs in breakaway valves
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comments
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Attach pictures (Optional)
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Unloading flow meter, Unloading RTD temperature probe and wiring, Unloading Flow computer for temperature compensation
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comments
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Attach pictures (Optional)
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Dispensing flow meter, Dispensing RTD temperature probe and wiring, Dispensing Flow computer for temperature compensation
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comments
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Attach pictures (Optional)
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Control Actuated ball valve(s)/solenoid valve(s) and pump control, Pressure relief on control valves and one-way valves back to tank
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comments
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Attach pictures (Optional)
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Panel internal terminations are tight, Electrical conduits tight and sealed, Sensor cables, Panel earthing tight, Field terminations and junction boxes sealed tight
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comments
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Attach pictures (Optional)
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Accurate Electrical Drawing(s)
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comments
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Attach pictures (Optional)
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Remote fixed screen enclosure VGA, USB, Power Cable(do not unplug with the power turned on), Communication Device looks functional (ethernet lights on ports/Maestro/Moxa)
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comments
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Attach pictures (Optional)
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Tank level sensor(s), Tank level temperature transmitter
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comments
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Attach pictures (Optional)
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Des-Case Breathers - Do they need replaced?(Bulb indicator what color is it? Record the change out Date)
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comments
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Attach pictures (Optional)
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All Lights functioning properly?
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comments
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Attach pictures (Optional)
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Check for spills / leaks at fuel facility
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comments
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Attach pictures (Optional)
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Check Containment Area for leaks, standing water, fuel
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comments
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Attach pictures (Optional)
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Check Piping route for leaks, missing insulation, other issues?
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comments
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Attach pictures (Optional)
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Check with Area Technician for any other issues at the facility
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comments
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Attach pictures (Optional)
Job Completion
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Job Number
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Total Hours (This Sheet)
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Are there any action/defect items still required to complete job?
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BANLAW Representative
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CLIENT Authorized Representative
