CLIENT : ALSTOM QCP N° :SGB003

PLANT LOCATION: Unit 2 Turbine Hall CODE QC RAPPORT n°

CF0050204 1
PROJECT TITLE : Construction of Masonry REFERENCE DE L’ITPL
walls Form 001

REPORT OF : Material Delivery

TAG/ITEM ENGINEERING DOC N° SUPPLIER DOC N° CODE/SPÉCIFICATION

SANS 1200
KUS/16/M/UMA—B638A/CF/005
SANS 10400-1990-2

IDENTIFICATION OF MONITORING AND MEASUREMENT DEVICES PAGE OF

Date : …………………………………………………………………………………………………………………..

Material :
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Manufacturer :
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See Attached certificate / report / brochure N° :

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NOTES
RÉF. NOTIFICATION

RFI No.
PREPARED BY : K. Chigwida ISSUE DATE :

SGB ENGINEERING
ALSTOM
SERVICES
NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date Date Date Date

Form reference : form001