Gujarat State Petronet Ltd

Padamla Godhara Pipe Line Project SECTION – VII (COP)
Annex 8 Waiver/Deviation Permit

GSPL/TS/110/001 Rev 1

Project: Client:-

PADAMLA GPDHARA GAS PIPELINE PROJECT GUJARAT STATE PETRONET LIMITED

Consultant:- Mecon Limited Third Party Insp.:Order/Contract No.:Originator: Report no.: Requirement as per Specification Date : Description of Waiver/Deviation sought Originator Ref.:

Why the Waiver/Deviation is required?

Contractual implications if Waiver/Deviation is granted:

Time taken shall be Cost of item shall be Performance requirement shall be

More/Less/No change More/Less/No change Satisfied/Not satisfied

Under present constraints requested waiver/deviation is most optimum for the Project and does not involve any security and safety hazard. Date: Signature of Originator

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Gujarat State Petronet Ltd

Padamla Godhara Pipe Line Project SECTION – VII (COP)

GSPL/TS/110/001 Rev 1

Decision on waiver/deviation with remarks, if any, on time/cost implications [To be fill by the department/division by Owner’s Representative (S.O) for conveying to the Originator] Date: Signature: Name: Decision on waiver/deviation with remarks [To be filled by the department/division by Owner’s Representative (H.O) (if required) for conveying to the Originator] Date: Signature: Name: Decision on waiver/deviation with remarks [To be fill by the department/division by Owner (S.O) for conveying to the Originator] Date: Signature: Name: Decision on waiver/deviation with remarks [To be filled by the department/division by Owner (H.O) (if required) for conveying to the Originator] Date: Signature: Name:

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