IR — INSPECTION REQUEST WEST QUANA I~ SECTION-1 Contractor No.: AWQ0109 fo ee eemeeeeeeeeceeeee — Project Title: ect Produced Water Treatment M109 sunecr | wapecton [msrecnonREQUREDOATEs arch 20:7 | THMEI30 REF.SPECIFICATIOI 1QWA-FT-NSPDS-00-040101 REV.0 CONCRETE DESIGN AND CONSTRUCTION 1QWQ-CE1091-CDFNO-D7-0013 REV.1 FOUNDATION FOR SHELTER IQD7- eeciestaeneeett Hie PBE6B1051A/B & IQD7-PBE6B1052A/8 PLAN SECTION & DETAILS, | ie [awe:ce1022-cP0nC00-001 RED CMILINSPECTION AND TEST FLAN amarere? ATTACHMENT PEEKS IFA NAME OF CONTRACTOR/SUBCONTRACTOR | CPECOIMRCD | Our request the inspection of the following works for certficate/witness that all tems has been properly executed in accordance with approved procedures, specifications, drawings and all tems has been coordinated with future works. DISCRIPTION OF WORK TO BE INSPECTED: Inspection quality of the re-bars for the foundation of the shelter (1D7-PBEG81051A/8 & IQD7-PBE681052A/8) in os7 COMMENTS: Claccepreo Ziaccerreo with COMMENTS Giresecteo - - und. works not ready wi) unacceptable inspection result | Cisee comments D1 Tick THIs 80x 1F “NO” EMIL / SOC and if tis a “WITNESS” as per ITP, (by ticking this box means CPECC needs to produce all the related documents and sign / close this IR) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR cPECC ‘COMPANY ] OTHERS | PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME Khalid wale ShHIRITHO | Abe Musa — se) sana | senaToRe gman: Cx ' Wi, 4 | AR vate: 26.2.7 F| oat: 16-3 20/F [pate 27 May /F | oar: |West Qurna | Contract: AWQ0109 Project .ocation: Basra, Iraq. Form No. F71002Q Rev. 0 Serial No. QUALITY CHECKSHEET - CONCRETE INSPECTION RECORD STELTERFOUNDATION 7 Mi (PBEESINSIA/B & PBEGS oszam_| TA NO. DS7/M109 7 Conwat AWQOI09 Stem No Contactor cvece Sub Sytem No Drawing Rater [GEO CBINDT Location [ps7 Location coordinates): NOTE: Verity Delivery Ticket before wnloadng and atach to this form Description Contractor hye l Veri'y form work, Construction and Control Joints Verily rebar and covering, consolidation MPN 3. Verily grounding/earthing 4. Verily embedments in place i. pipes, conduits 3. Verily anchor bolts fixed, measured and greased - taped off Material certificates checked, if applicable 6. Verify template (vessels, columns) 7. Verify weather protection 8. Verify curing duration and finish 9. Verify design mix 10. Verify test cube taken. Amount 11, Patching Pointing 12, Saw cut joints, Install joint sealant 13. Application if hardeners or dust proofing 14, Pourdate 15. Formwork remove date 16, Pouraccepted Contractor/Construetion Rep. Contractor/Quality Rep. Company Rep. wane Khalid yo ood W-3-Ww!} None ¢Ufzorgy Tao = Due: 2 ie [ Bae Date: a7 Aw *PL/1*ONnMODI dece ‘West Quima | Form No. F71001Q Contract: AWQ0109 Rev. 0 Project Location: Basra, Iraq Serial No. PRE-CONCRETE INSPECTION CHECKLIST. Tag Deserpton (rauatitsiame pabsbiosamy | TN se) Contract No. AWQ0109 ‘System No, Contactor crnce Sub-St No _ Oring Reference TO CETON COND. Locsion I Conse Sicscsn_DSTAIOD EqipmenSicl St Dein No. fete ins: _JQWG-CETOD-GDFND.O7SnOTIa 1G Herel aig No Cons Retr Em Ding No. LUG Mahar Dring No 1 Forms 3. Saf anatn SM, Savy Chcted ls — —oFimaon cammetian tous Lecwion(Cand)——__Cleminess swt Reged Sin any ing Ase rasa —ladig Layer perth Tem Antoied ean sere Specinen ane versa & Beet tr Wear Pracion sh Les Pb Eabments sons Adequate Brung _—_Anchr Bolts Diameter, Length, Typ) cil Placing Equip. Required (Tremies, Pumps, > Restle Anchor Bots (Location, Praection) Per Survey Book Form Vibrators Sere) Grate Anchor Bol Sleeves Leakage Systm In Poe Z Sine Aneto Holt Grounding nish Slope Zspless rin Poet Spacing ___Weld Pads Crane ae to Z2oranies aes TZrdegate suppor pes, cont Ground WiretEaching Water Stop ‘6. Onder Conerate To The Foloning Specteatons? Mix Dsign unis Deter Pe Hour Ma Asp Sie No OF Tet Cynder sun No Sets Reyes Adisues — ema ContractoriConstruetion Rep. Contractor/Quality Rep. Company Rep. hie Khelil wlabaed ane Sido Too ame oe: OK 2. Date rw! yal) [owe ZF) ne | “PL/i*