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Ref No.:
S tham chiu:
Contract package:
Gi thu:
Project Management:
T vn QLDA:
QA-F-VN-PCM-PreCommissioning_Checklist_For_Cooli
ng_Tower_Pumps-Rev A
ARCHETYPE
Description of item(s):
(M t hng mc)
According to Drawing No.:
(Da theo bng v s):
Owners Inspection Report
(Bin bn kim tra ca Ch u t)
Date:
(Ngy)
Time:
(Gi)
Specified
Ch nh
Actual
Thc t
QA-F-VN-PCM-Pre-Commissioning_Checklist_For_Cooling_Tower_Pumps-Rev A
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Approved
(Chp thun)
Not approved as noted
(Khng chp thun vi ghi ch sau)
Note (Ghi ch): Accepting the T & C works in this inspection SHALL not relieve the contractors responsibilities from his
contract agreements. /Vic chp nhn kit qua kim tra vn hanh va th nghim trong bin ban nghim thu nay s
khng lam giam trach nhim cua nha thu theo nhng iu khoan rang buc trong hp ng.
Contractor
(Nh thu):
Project Management
Consultant
(T vn Qun L D
n):
Client's Representatives
(i din Ch u t):
Name (Tn):_______________
Name (Tn):_______________
Name (Tn):_______________
Date (Ngay):_______________
Date (Ngay):_______________
Date (Ngay):_______________
QA-F-VN-PCM-Pre-Commissioning_Checklist_For_Cooling_Tower_Pumps-Rev A
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