IR - INSPECTION REQUEST WEST QURNA I~ SECTION Contractor No.: AWQ0109 ExonMobil Project Title: = Produced Water Treatment M109 LOCATION: 05-8 IRNO:IR No CE-C 0005 | IRISSUE DATE: 31 December 2016 DISCIPLINE: Civil SUBIECT: Witness INSPECTION REQUIRED DATE:02 January 2017 | TIME:09:30 REF SPECIFICATION: 1QWO-FT-NSPDS-00-040901 REV.1 EARTHWORK a __| REF, DRAWINGS: 1QWO-CE1091-LDPLT-D7-0003 REV. DDS7 PLOT PLAN RFF. 1QWO-CE1092:CPQAC-00-000:CIVIL REV. CINSPECTION AND TEST PLAN OTHERS REF.: ‘ASTM 02216, ASTM D1557, ASTM 04318 [ATTACHMENT /CHECKLSTIFANY: | Distribution drawings of test points NAME OF CONTRACTOR/SUBCONTRACTOR: CPECC/AL MADAR ‘Our request the inspection of the following works for certficate/witness that all tems has been properly executed in accordance with approved procedures, specifications, drawings and all items has been coordinated with future works. DISCRIPTION OF WORK TO BE WITNESS: ‘Sampling on the top of original soil layer Tor proctor testing has been completed under related parties’ witness. 17 points are sampled (4 points under tanks foundations -one test every 90 m’ and 7 points for another area Surrounding the two tanks-one test every 460 m?). The proctor testing of these samples will be tested in AL-FAO site lab in DSB at 10:00 on 2 Jan. 2017. Request witness as your will ‘COMMENTS: Gaccerreo Gaccerreo wirn comments | CinevécteD Cwork is not ready Unacceptable inspection result see comments Ti Ticx THis BOX IF “NO” EMIL / SOC and fit isa “WITNESS” as per ITP, (by ticking this box means CPECC needs to produce athe related documents and sign / close this) ‘SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR rece comPaniy,...7| ones PRINT NAME: ‘PRINT NAME: PRINT NAME " PRINT NAME Mohammed aso Oe Engineer Hussein Shai’ SGNATURE: iGNATORE ———_ DATE;1122016 DATE1-12-2016 pare: (2 / Duby [ety] oaTe: