MATERIAL APPROVAL FORM

PROJECT NAME: QATAR - 4000 MAN IWAC PROJECT IN UMM SLAL, PLOT 5 Submission Date: 09.07.2018
Submittal No.: ARC-XXX-XXX
☐ Civil ☒ Arch. ☐ Electrical ☐ HVAC ☐ Plumbing
TO: Engineer / Consulting FROM: DORÇE
MATERIAL SUBMISSION DESCRIPTION (One Item only on form): CERAMIC TILES (NABINA
Size Location WET FLOOR AREAS Drawing Reference -
QCS / Section 24-05 (CERAMIC
Specs, Reference TILES) BOQ Reference -
Standards, BS, ASTM… Sample MOCK UP TO BE PREPARED

☒ Submitted for review and approval ☐ Substitution involved – Substitution request attached

☐ Complied with contract requirements ☐ Substitution involved, submission included fill point
 Attached all relevant technical literature marked to identify relevant descriptions, current Test Certificates, samples, on
appropriate
 Material submitted for approval has been checked for conformance with drawings and specifications for this project.
 Any Deviation from plans and specifications have been noted on the material or listed in the transmittal letter.
Manufacturer/Supplier:
Name of Manufacturer Country of Manufacturing CHINA
Local Agent NABINA CERAMIC Address CHINA

Program:
Availability YES
Total Delivery Time from Date of Order Date Material Required on Site
Last Date of Order Estimated Date of Arrival on Site

Contractor’s review note prior to submission:

Remarks:

Prepared By Accepted & Approved By GS QC Project Manager (Signature)

Engineer’s Review Comments:
Comments & Remarks on above submission:

*Legends: ☐ A Approved ☐ B Approved as Noted ☐ C Revised and Resubmit ☐ D Rejected

To The Contractor:
We return hereby this auctioned submittal for approval of materials. The approval shall not relieve the contractor of its obligation and
liabilities under the contract or constitute authorization of any change to contract documents and therefore shall not imply any recognition
whatsoever of additional time or cost to the contract.

Reviewed By Project Manager (Signature)

Engineer Contractor
Copy Distribution &
Received By

Procedure Ref.# EHAF-QSP-07 Form Ref. # EHAF/S/MAF Form Rev: 03 Rev. Date: 01/08/2016