IR - INSPECTION REQUEST WEST QUANA I~ SECTION-L ey | Contractor No.: AWQ0109 | cooeee eeee LS ExxonMobil 5 seam ec __| Produced Water Treatment M109 NAME OF CONTRACTOR/SUBCONTRACTOR: | cPECC/AL MADAR Our request the inspection of the following works for certificate/witness that all ems 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 INSPECTED: We complete the excavation of the tank foundation in DS8. We need inspection and approval the profile of the soll of tank area to start compaction, Request inspection, ‘COMMENTS: | Phccerren CaccePTeD Wit COMMENTS Oresecteo OWorkisnot ready Clunacceptable inspection result ise comments COTICK THIS BOX IF “NO” EMIL/ SOC and if itis a “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 PEC COMPANY OTHERS PRINT NAME: \ PRINT NAME: PRINT NAME PRINT NAME a hiigsled eee | He Ase Al gees | Seung ee SIGNATURE: SIGNATURE: SIGNATURE: Le = Date: Dy 2-27 _| are: #/e/201) Date: aYapey_ 1 | Dare: fH SIGNATURE”