IR- INSPECTION REQUEST WEST QURNA |~SECTION-1 Contractor No.: AWQ0109 ExonMobil Project Title: ce Produced Water Treatment M109 | LOCATION: 05-7 | IRNO:IR No CE-CO003 | IRISSUE DATE: 27 December 2016 DISCIPLINE: Civil | SUBIECT: Inspection INSPECTION REQUIRED DATE:28 December 2016 | TIME:14:00 REF.SPECIFICATION: IQWA-FT-NSPDS-00-080901 Rev.1 EARTHWORK REF. DRAWINGS: |QWQ-CE1091-LDPLT-D7-0001 REV. D DS7 PLOT PLAN RFF. TP: IQWQ-CE1092-CPQAC-00-0001 CIVIL REV. C INSPECTION AND TEST PLAN OTHERS REF. |QWQ-CE1092-KPNITH-00-0004_0 METHOD STATEMENT FOR BACKFILLING [ATTACHMENT /CHECK LIST IF ANY: | NAME OF CONTRACTOR/SUBCONTRACTOR: CCPECC/AL MADAR 1DS7 earthwork excavation has been properly executed in accordance with relative procedure/specification/drawings. Please EMIL check in site and verify that DS7 earthwork excavation Is qualified. DISCRIPTION OF WORK TO BE INSPECTED: ‘Survey and mark-out are conducted for the excavation area prior to commencement of the work. Ensure the excavation area is stable and securely shored if required, and the material stored along sides does not overload excavation. Check the bottom of excavation is free from water and all kinds of extraneous material. Check the size, depth of excavation aree, and confirm to the approved drawings. We have removed away the bad soil from pit according to relative specification and drawings. Please EMIL check in site and verify that DS7 earthwork excavation is qualified in order to start the next step. ‘COMMENTS: DS7 earthwork excavation is qualified. Please start the next step. Claccepreo ZiaccePTeD WITH COMMENTS Ontsecteo [he Seil now 16 OX bak | Clworkis not ready need Some. gfacles ens Clunacceptable inspection result Regrrngrthe Sans cre vill eX) Clee comments Ci Tex Tits 80x 1F “NO” EMIL / SOC andif itis @ “WITNESS” as per ITP, (by ticking this box means CPECC needs to produce all the related documents and sign / lose ths IR) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR PEC COMPANY OTHERS PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME — Ma bang — iosensbetec ‘SIGNATURE: 2 ‘SIGNATURE: men ES ‘SIGNATURE: B-12- 20/b fy 3% DATE: 27-12-2016, DATE: 2076.12.28 | DATE: 26-12. Qo/6 | Dare: