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WEST QURNA!~SECTION-2 IR - INSPECTION REQUEST Contractor No.: AWQ0109 =] 7 ~~ “** | Project Title: Beco Produced Water Treatment M109 7 LOCATION: 057 | IRNO:IR NoCE-C 0133 | IRISSUE DATE: 25 March 2017 DISCIPLINE: Civil SUBJECT: Inspection INSPECTION REQUIRED DATE:26 March 2017 | re:3:00 REF SPECIFICATION: 'QWA-FT-NSPDS-00-040201 REV.0 CONCRETE DESIGN AND CONSTRUCTION 1QWA-CE1091-COFND-D7-0003 REV.3 FOUNDATION FOR TANK 1QD7-ABI68I053 eee PLAN SECTION & DETAILS RFF. IT 'QW-CE1092-CPQAC-00-0001 REV.D CIVIL INSPECTION AND TEST PLAN OTHERS REF. [ATTACHMENT /CHECK LIST IF ANY: | NAME OF CONTRACTOR/SUBCONTRACTOR: [ cPecc/mco accordance with approved procedures, specifications, Our request the inspection of the following works for certficate/witness that all items has been properly executed in drawings and all items has been coordinated with future works. DISCRIPTION OF WORK TO BE INSPECTED: Inspection quality of the re-bars for the tank ( 1QD7-ABJ681083 ) in DST ‘COMMENTS: Qaccerteo PRecerte wits comments Ghresecteo ‘a4 Cworkis not ready Glunacceptable inspection result Osee comments CiTick THIS BOX IF “NO” EMIL / SOC and if it is 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: RINT NAME: | PRINT NAME PRINT NAME Khaleel wsederl] hj nog 702 | me Mbasen-| seus [sag ae aR Date: 26-2 - Qo 4 pare: Y= 3—%/) | ome 27 May JF | ome ‘West Quima | Form No. F71002Q Contract: AWQ0109 Rev. 0 Project Location: Basra, Iraq Serial No. QUALITY CHECKSHEET - CONCRETE INSPECTION RECORD | 725 Bescition _[TANK FOUNDATION (aBi681053) [Teg No DS7/Mi09 | Contraco. AWQOI09 System No : Contactor crece Sub System No. | _ [Brewing Reterence 1QWO-CEI091-CDFND-D7-0003 | Location [ps7 Location (coordinates) a “NOTE: Verify Delivery Ticket before unloading and attach to this form Description Contractor “Quaity Res, |. Verify form work, Construction and Control Joints 2. Verify rebar and covering, consolidation Siete Verify grounding/earthing, 34 4. Verify embedments in place ie. pipes, conduits 5. Verify 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 1. Patching/Pointing 12, Saw cut joints, Install joint sealant 13. Application if hardeners or dust proofing 14. Pour date 15. Formwork remove date: 16. Pour accepted Contraetor/Construction Rep. Contractor/Quality Rep. Company Rep. | Nane raic\ iaicke god [name Sh p09 Too rare: Signature \ nine Abs Alypue.—— | Signare dae KE

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