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T/J INSPECTION, INC.

910 NW 139
th
Street Parkway
Edmond, OK 73013
405-285-2760
Fax 405-285-2793
Name (as it appears
on your resume)

Permanent Mailing
City, State, Zip
Cell Phone
Home Phone
Email Address
Fax
Todays Date

Are you currently working in pipeline? Yes No

City and State your project is located?
Have you ever worked as an inspector? Yes No

If so, how long?
What Inspection Companies you have
worked for? Please list:


Your estimated date of availability?


Are you willing to work for any oil and
gas company?
Yes No

If no, please state whom and why
Is there a specific company you prefer to
work for?
Yes No

If yes, please state the company
When working out of town you prefer Travel Trailer

Motel/Hotel





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Job Descriptions- Using a scale from 1-5

Please rate your experience: 5 being most experienced and 1 being minimally experienced. There are
two categories; Mainline and Well Connects that you need to rate your experience in each position held.
Mainline *(Please attach any certifications that may apply)
Project Manager
Chief
Construction Coordinator
Project Coordinator
Assistant Chief
Office Manager
Material / Expeditor
Welding Inspector * CWI, AWS/CWI Number:
Fabrication
Fire line
Cold Tie-In (New Construction)
Hot Tie-In
Stopples/Hot Tap
Utility Inspector
Right Of Way
Ditching
Sandblasting
Coating
Painting
Hydro Testing
Cement
Fence
Stringing
Bending
Lowering- In
Backfilling
Clean Up

Distribution
Poly Steel

Jurisdictional

DOT Were you responsible for the closing packet?
Yes No

Directional Bores
Conventional Bores
Safety Inspector
Metering Stations
Weld Maps
As Built Drawings
Drafter
Redlines
Other (Comments below)

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Please answer appropriately to better place you in the field

Well Connects *(Please attach any certifications that may apply)
Project Manager
Chief
Construction Coordinator
Project Coordinator
Assistant Chief
Office Manager
Material / Expeditor
Welding Inspector * CWI,AWS/CWI Number:
Fabrication
Fire line
Cold Tie-In (New Construction)
Hot Tie-In
Stopples/Hot Tap
Utility Inspector
Right Of Way
Ditching
Sandblasting
Coating
Painting
Hydro Testing
Cement
Fence
Stringing
Bending
Lowering- In
Backfilling
Clean Up

Distribution
Poly Steel


Jurisdictional

DOT Were you responsible for the closing packet?
Yes No

Directional Bores
Conventional Bores
Safety Inspector
Metering Stations
Weld Maps
As Built Drawings
Drafter
Redlines
Other (Comments below)


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Plant/Refinery
Chief
Civil Inspection
Sandblasting
Painting

Mechanical Inspection
Tanks / Vessels Truck Racks


Coating
Electrical (Plant/ Compression)
Other (Comments below)









Integrity / Multiple Dig Sites Program
Project Manager
Chief
Dig Site Inspector
Material / Expeditor
Documentation / Office Manager
Bending Inspector
Hydro Testing
Smart Pig Runs
Type of Integrity / Line Repairs
Cut- Outs
Clock Springs
Sleeves
Multi Dig Sites
Stopples
Other (Comments below)

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Global Positing System/ Geographical Information System
GPS (Points)
GIS (Mapping Skills)
Auto CAD
Survey (Details / List State and License)
Computer Skills

Other (Comments below)

Crane Operations/ Certifications *(Please attach any certifications that may apply)
Offshore/Onshore
Certifications*
Brief Description

Years of Experience

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_____________Dirt Work on Compressor Station or any other type


Please mark the types of products you are familiar working with

Ethanol
Liquids
Natural Gas
Methane
Ethane

Iso Butane Other
Asimac Butane Other
Propane Other
Gasoline Other
Diesel Liquid Spill





Please mark the category in which you feel you have the most experience and
the one you prefer
Mainline
Well Connects
Plant
Compression
R/W

Sandblasting & Coating - Painting
Distribution _______ Fabrication
Environmental _______ Measuring
Stations
Integrity _______ Meter Runs
GPS/Survey _______ Poly





Please mark the company(s) that your OQs are currently through
NCCER
MEA
EWebOQ
Veriforce
Others
In your estimation, when were your OQs last updated?

Social Security Number: For processing quickly, otherwise
we have to wait to process if you are considered for hire

Do you have a current drivers license?
Yes No

Do you have a current passport?
Yes No

Are eligible for passport? (Canadian work requires it)
Yes No

Certifications *(Please attach any certifications that may apply)
OSHA 30*
OSHA 8hr Excavation*
NACE Certified/Corrosion Inspector*
NDT Technician Level 1, 2, or 3 (please circle)*
Hazwoper *
Certified Ultrasonic Tester
API 510 Pressure Vessel Inspector
API 570 Piping Inspector
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In the box below, please mark the Inspector Field Tools that you have for personal use. All of our clients
require 1 or more of the tools listed below. If you do NOT have the tools that are required for the job,
then you will be responsible to purchase the tools that are required for that particular job. If you choose
NOT to purchase the required tools then you will NOT be able to work for that client.
API 653 Aboveground Storage Tank Inspector
ASME B31.1 Power Piping
ASME B31.3 Process Piping
AWS/CWI Cert No: *
Crane Certifications:
Other Certifications:
Inspectors Field Tools
Multi Gas Monitor - Purchase from grainger.com, discountsafetygear.com, or ebay.com
100 Foot Tape Measure- (read in 10ths of an inch)- Purchase Lowes or hardware store
25 Foot Tape Measure - any hardware store
Thorpe Pit Gauge - Purchase from mesaproducts.com
Digital Thermometer or Heat Gun - Lowes or any hardware store
Pocket Penetrometer - Purchase from labsafety.com, professionalequipment.com
FRC Clothes - Purchase from Frdepot.com
Hard Hat - Purchase from labsafety.com or discountsafetygear.com
Steel Toe Boots/Shoes
Safety Glasses w/ side shields
Reflective Vest (FRC)
Traffic Cones - Purchase from discountsafetygear.com
Welding Tools ( AWS Inspection Kit)
AMP/Volt Meter
Anemometer for wind speed
Coating thickness gauge - wet
Coating thickness gauge - dry
Level
Mirror (lighted)
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Please list any and all restrictions in order to help us successfully place you in the position that
fits you best.

Please list all states that you have worked in, include any terrain, climate/altitude:

Thank you for the completion of this self evaluation.
All of this is to better serve you. Please make sure this matches your resume.
Calipers
Gauss Meter
Stop Watch
Flashlight
Paints pens
Orange Ribbon
Redbook for Daily Logs - Purchase from Office Supply Store
Other (Comments below)


Restrictions
Locations
Climate
Length of Assignment
Type of work
Other Restrictions/Medical Release: