JOMAR MACHINE SHOP & ENG’G SERVICES

500 Boni Avenue, Bgy. Plainview, Mandaluyong City

Tel No.: (02) 535-0445 / 531-4443
E-mail Address: jomar_miraflor@yahoo.com

QUALITY ASSURANCE / QUALITY CONTROL

INSPECTION REQUEST

CLIENT: : S.L Harbor

PROJECT TITLE: : Interconnecting Pipelines
PROJECT LOCATION: : Harbor Center
REQUEST NO : JMSES-RN-2016-002
REQUESTED TO : Engr. Paul Cabrera
DATE OF INSPECTION :
TIME OF INSPECTION :
LOCATION : Near pier3 & pier 4

TYPE OF INSPECTION DESCRIPTION OF WORK / INSPECTION

Visual Inspection of 75mm lean concrete prior for 75mm sand bedding
(X) Visual
( ) Dimensional
( ) NDT
( ) Others

STRUCTURE IDENTIFICATION
( ) Civil ( ) Mechanical ( ) Piping
( ) Electrical ( ) Structural ( ) Others:

DISPOSITION ( ) ACCEPTED ( ) REJECTED ( ) OTHERS

REMARKS:

REQUESTED BY: CONFIRMED BY:

JMSES Client Representative

Date : Date :

*Steel Fabricator *Machining *Repair *Pumps Compressor *Machine Duplication *Auto Repair Painting