SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0 (Standards Cutoff - August 2004)

SAIC NUMBER DATE APPROVED QR NUMBER

SAUDI ARAMCO INSPECTION CHECKLIST
Concrete Ingredients Inspection SAIC-Q-1003 18-May-05 CIVIL-
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

Coarse aggregates shall be washed prior to concrete batching with water 09-SAMSS-088
A1
containing less than 3000ppm of total dissolved solids. Sec. 9.1

Any manufactured sand shall be washed with water prior to batching

09-SAMSS-088
A2 concrete; the water shall contain less than 3000ppm of total dissolved
Sec. 5.1
solids.

Fine aggregates shall consist of natural sand, manufactured sand or a 09-SAMSS-097

A3
combination thereof. (ASTM C33, Sec. 5.1) Sec. III.B

Coarse aggregates shall consist of gravel, crushed stone, air cooled

09-SAMSS-097
A4 blast furnace slag or crushed hydraulic-cement concrete. (ASTM C33,
Sec. III.B
Sec. 9.1)

Mixing water shall be free from oils, acids, organic matter or other
09-SAMSS-097
A5 deleterious substances and shall have a total dissolved solids less than
Sec. 5.1.3.1
500ppm and pH value between 6.0 to 8.0.

REMARKS:

REFERENCE DOCUMENTS:
1- 09-SAMSS-097 -- Ready-Mixed Portland Cement Concrete, 31 August 2002
2- 09-SAMSS-088 -- Aggregates for Concrete, 30 May 2001

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Work is Complete and Ready for Inspection: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Inspector PID Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:
*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

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