REQUEST FOR INSPECTION

EPM RFI #: Contractor RFI No. CRCC-IUN-MIR-309

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

To: Projects Inspections Unit/Mr. Ahmed Basha Civil Mech. Plumb. x Comms. Elect. Other

Inspection / monitoring is required on (date) 23/Jan/21 at (time) prior to installation

For the following location / equipment Material Receiving Visual Inspection of OSP Ductbank accessories Base Spacers Qty 9152 AS
PER delivery note 11844

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 23-Jan-2021

This form received by the undersigned Inspection Unit employee:

Name Ahmed Basha Signature Date 01/ /2021 Time

Inspection Arrived on Site: Inspection Left Site:

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

Material Receiving Visual Inspection of OSP Ductbank accessories Base Spacers Qty 9152 AS PER delivery note
Work Description:
11844