Serial No.

: xxx

Client Logo & Details IRC-xxxxx - xxxx - 001

INSPECTION RELEASE CERTIFICATE (Shop Fabricated Structural Steel)

JOB CODE : 0-6441-20

PROJECT : xxxxxxx
S.A. Dummy PO No. : xxxxxx
S.A. Inspection Lot No : xxxxxx
Client PO No. : xxxxxxxx
AMENDMENT NO. : 00
ORDERED ITEM : Shop Fabricated Structural Steel
VENDOR : xxxxx
MANUFACTURER : xxxxxx
INSPECTED ITEMS : Refer to the attached packing list and delivery note # 136022
Shipment number T-HDD-045
PO Item No Item Description Qty.
A10P03 210
GRATING

Inspection results were satisfactory and released.

The above item(s) is/are: TOTAL

✘ PARTIAL for Structure
BALANCE (Structure ID.: A10P03 )
Released by this IRC 12.184 Tons 5.62 % (Rough figure only)
Total released including this IRC 12.184 Tons 5.62 % (Rough figure only)

The above item(s) is/are: TOTAL the Purchase Order

✘ PARTIAL for the Sub-order
BALANCE
Released by this IRC 12.184 Tons 0.16 % (Rough figure only)
Total released including this IRC 780.330 Tons 9.95 % (Rough figure only)

Confirmation of Carry Over Work to Site

By Inspector By PQCM/QC Engineer Date :
✘ Nothing As Described Below ✘ Nothing As Described Below Signature :

Remarks :

This notice is a clearance for the inspection only and does not relieve the supplier of the
responsibility for rectifying any defects in the material / equipment found at later date.
Vendor / Manufacturer Client Name
Signed by Signed by
Date Date

Document control number