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Client Contractor:
Project :
INSPECTION CERTIFICATE
IC # _______ Sht ___ Of ___
CIVIL PIPING TANK ELECTRICAL
BLDG MECHANICAL INSTR.
NDT MACHINERY OTHER
APPLICATION
2.Main Area Target Fabshop Unit Mussaffa !"t
3.Item Ienti!i"ati#n
$.T%&e O! In'&e"ti#n Te't E(aminati#n C)e"*
INSPECTION RES#TS
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C#n!#rmin.
Re$ar%s :
/. 0)# 1itne''e.
S,23 "#ntra"t#r
C#ntra"t#r
C-ient
4. Atta")ment' 5 R6I
2
3
INSPECTOR Sub&Co!tractor Co!tractor Co$pa!'
NAME
SI(NATRE
)ATE
STEEL
STRUCTURES
PAINTING7
COATING
5. T)i' in'&e"ti#n i' "arrie #,t #n 888 7 8887 888 AT Hr . 888888888 R6I N# M3992



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