ENGINEERING & PROJECT MANAGEMENT

SITE PROJECTS DEPARTMENT

REQUEST FOR INSPECTION

Project Title :

EG4 SULFUR GUARD BED

Project No. :

AF1112033

Project Type :

Affiliate :

SHARQ

Contractor Contact Person

NORBERTO JALANDOO

Tel:

Inspection Date

15/10/15

Time:

Place of Inspection

SSRS No.:

Discipline:

CIVIL

1000HRS

00

RFI No

M-0

SISCO YARD

Network No:
MECH.

ELECT.

S No.
I.T.P 2.2

Item to be Inspected
MATERIAL RECEIVING INSPECTION OF EYEWASHSHOWER AS PER MAR #008

MODEL 8300 - 8309 HWS : HAWS SAFETY SHOWER

MODEL 8300-8309 ORIGIN USA

0558254364

Rev. :

INSTR.

Quantity
SEE
ATTACHED
PACKING
LIST

Drawings No. / Remarks

Satisfactory
Results
Unsatisfactory
Comments

QA/QC Engineer /
Inspector Name

Signature

Date

Construction Supervisor /
Project Engineer

Signature

Date

Contractor

NORBERTO JALANDOON

Signature

Date

14/10/2015

EPM-SPD-PC-F-008 Rev. No.: 00

Ref Doc.: EPM-SPD-PC-P-004

Page 1 of 2

ENGINEERING & PROJECT MANAGEMENT

SITE PROJECTS DEPARTMENT

EPM-SPD-PC-F-008 Rev. No.: 00

Ref Doc.: EPM-SPD-PC-P-004

Page 2 of 2