IR — INSPECTION REQUEST
(WEST QURNA |= SECTION-1
M bil Contractor No.: AWQ0109
Exon obi Project Title: jeco
Produced Water Treatment M109
LOCATION: 05-7, | IRNO:IRNoCE-C0013 | IRISSUE DATE: 17 January 2017 DISCIPLINE: Civil
supsect: Witness INSPECTION REQUIRED DATE:19 January 2017 | TIME:09:30
REF SPECIFICATION: 1QWA-FT-NSPDS-00-040001 REV.1 EARTHWORK, S-CEO109-EMIL-O005
REF, DRAWINGS: 1QWQ-CE1091-LDPLT-D7-0001 REV. D DS7 PLOT PLAN, S-CE0109-EMIL-0005
REF. ITP: 1QWG-CE1092-CPQAC-00-OODICIVIL REV.C INSPECTION AND TEST PLAN
OTHERS REF:
ATTACHMENT /CHECK LIST IF ANY:
NAME OF CONTRACTOR/SUBCONTRACTOR: CPECC/AL MADAR
‘Our request the inspection ofthe following works for certfcate/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:
After backfiling, we have scarified and rolled the first layer, and have coordinated with AL FAO laboratory to take
‘several points for purpose compaction degree, Request witness.
‘COMMENTS:
waiting the Resale only.
Zaccerreo DaccepTep wit COMMENTS Gresecreo
Diwork is not ready
Dlunacceptable inspection result
see comments
CI Tick THIS BOX iF “NO” EMIIL / SOC and if it isa “WITNESS” as per ITP,
(by ticking this box means CPECC needs to produce all the related documents and sign / close this IR)
SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT
SUBCONTRACTOR I cPECC COMPANY OTHERS
PRINT NAME: PRINT NAWE: eae PRINT NAME
Mohammed Alasadi Ke
| va Shel
acengineer Me Org Yassen Srhec
‘SIGNATURI ‘SIGNATURE: = nee ‘SIGNATURE:
ae a& 7
DATE: 171-2017 DATE:17-1-2017 pate: /7. Jan. Qe) 7 | pate:aquest Farm
Propet ‘ConivaciNumber AVIQOTOO™ Produced ‘ContactoSupplor: CRECC
WEST QURNA|
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‘SECTION 1 CONTRACTOR REQUEST FOR SPECIFICATION DEVIATION
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WEST QUANA
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"SECTION 2 COMPANY RESPONSE TO DEVIATION REQUEST
(TO BE COMPLETED AFTER PART II IS COMPLETED)
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SECTION 3 CONTRACTOR VERIFICATION OF IMPLEMENTATION
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