REQUEST FOR INSPECTION

EPM RFI #: Contractor RFI No. CRCC-IUN-T-169

BI: 25-00040 W/O: 0007 Title: INFRASTRUCTURE & UTILITIES North

To: Projects Inspections Unit/Mr. Alaa Abu Areesh Civil Mech. Plumb. x Comms. Elect. Other

Inspection / monitoring is required on (date) 21/Jan/21 at (time) prior to installation

Visual inspection for accessories installation of Telecom Manhole type A (ladder - cable racks -
For the following location / equipment
pulling In iron with identification tag inside mainhole for the MH SP -090-091-389-439-441-443-
445-457-075-076

Work Permit required: Yes X No Inspection Test Plan: Hold Point x Witness Point

SAPMT representative has verified that the work is ready for CONTRACTOR has verified that the work to be inspected is complete
inspection and conforms to the project requirements. and in compliance with the following specifications.

SAES/SAMS/Other #: (IUNIC-T -108

Representative Name: JoJu Zachariah
Contractor/Company: China Railway Construction Co.
Signature: 01/ /2021
Date
QC Inspector Name: Quaid jan
Telephone: Fax QC Insp. Signature: Date 21-Jan-2021

This form received by the undersigned Inspection Unit employee:

Name Alaa Abu Areesh Signature Date 01/ /2021 Time

Inspection Arrived on Site: Inspection Left Site:

Concurrence S.A. Proponent: N/A Badge #:

Visual inspection for accessories installation of Telecom Manhole type A (ladder - cable racks - pulling In iron with
Work Description:
identification tag inside mainhole for the MH SP -090-091-389-439-441-443-445-457-075-076