WEST QURNA!~SECTION-2
IR - INSPECTION REQUEST
Contractor No.: AWQ0109
=] 7 ~~
“** | Project Title: Beco
Produced Water Treatment M109 7
LOCATION: 057 | IRNO:IR NoCE-C 0133 | IRISSUE DATE: 25 March 2017 DISCIPLINE: Civil
SUBJECT: Inspection INSPECTION REQUIRED DATE:26 March 2017 | re:3:00
REF SPECIFICATION: 'QWA-FT-NSPDS-00-040201 REV.0 CONCRETE DESIGN AND CONSTRUCTION
1QWA-CE1091-COFND-D7-0003 REV.3 FOUNDATION FOR TANK 1QD7-ABI68I053
eee PLAN SECTION & DETAILS
RFF. IT
'QW-CE1092-CPQAC-00-0001 REV.D CIVIL INSPECTION AND TEST PLAN
OTHERS REF.
[ATTACHMENT /CHECK LIST IF ANY: |
NAME OF CONTRACTOR/SUBCONTRACTOR: [ cPecc/mco
accordance with approved procedures, specifications,
Our request the inspection of the following works for certficate/witness that all items has been properly executed in
drawings and all items has been coordinated with future works.
DISCRIPTION OF WORK TO BE INSPECTED:
Inspection quality of the re-bars for the tank ( 1QD7-ABJ681083 ) in DST
‘COMMENTS:
Qaccerteo
PRecerte wits comments Ghresecteo
‘a4 Cworkis not ready
Glunacceptable inspection result
Osee comments
CiTick THIS BOX IF “NO” EMIL / SOC and if it is 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
cPECC ‘COMPANY
OTHERS
PRINT NAME:
RINT NAME: | PRINT NAME PRINT NAME
Khaleel wsederl] hj nog 702 | me Mbasen-|
seus [sag ae aR
Date: 26-2 - Qo 4
pare: Y= 3—%/) | ome 27 May JF | ome‘West Quima | Form No. F71002Q
Contract: AWQ0109 Rev. 0
Project Location: Basra, Iraq Serial No.
QUALITY CHECKSHEET - CONCRETE INSPECTION RECORD
| 725 Bescition _[TANK FOUNDATION (aBi681053) [Teg No DS7/Mi09 |
Contraco. AWQOI09 System No :
Contactor crece Sub System No. | _
[Brewing Reterence 1QWO-CEI091-CDFND-D7-0003 | Location [ps7
Location (coordinates)
a
“NOTE: Verify Delivery Ticket before unloading and attach to this form
Description Contractor “Quaity Res,
|. Verify form work, Construction and Control Joints
2. Verify rebar and covering, consolidation
Siete
Verify grounding/earthing,
34
4. Verify embedments in place ie. pipes, conduits
5. Verify anchor bolts fixed, measured and greased ~ taped off”
Material certificates checked, if applicable
6. Verify template (vessels, columns)
7. Verify weather protection
8. Verify curing duration and finish
9. Verify design mix
10. Verify test cube taken. Amount
1. Patching/Pointing
12, Saw cut joints, Install joint sealant
13. Application if hardeners or dust proofing
14. Pour date
15. Formwork remove date:
16. Pour accepted
Contraetor/Construction Rep.
Contractor/Quality Rep.
Company Rep.
| Nane raic\ iaicke god [name Sh p09 Too
rare: Signature \
nine Abs Alypue.—— |
Signare
dae KE