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IR- INSPECTION REQUEST Contractor No.: AWQ0109 ExonMobil |;=—,..—_—-———_—— (WEST QURNA Project Title: ecco Produced Water Treatment M109 February 2017 DISCIPLINE: Civil sieacn [wes rete DoE REF SPECIFICATION: [QWA-FF-NSPDS-00-040501 REV.1 EARTHWORK REF. DRAWINGS: 1QWO-CEL091-LDPLT-D7-0001 REV.DS7 PLOT PLAN Z | RFF. ITP: ani 1QWOQ-CE1092-CPQAC-00-0001 CIVIL REV. D INSPECTION AND TEST PLAN OTHERS REF. eH ssizay i | ATTACHMENT /CHECK LIST IF ANY: i NAME OF CONTRACTOR/SUBCONTRACTOR: — CPECC/AL MADAR oe ‘Our request the inspection ofthe following works for certificate/witnoss that all tems has been properly executed in ‘accordance with approved procedures, specifications, drawings and all Items has been coordinated with futuro works. DISCRIPTION OF WORK TO BE WITNESS: Witness to re-take samples for the second layer (test 13 points) to do proctor test in DS7 Syvhness The Canplngorly. Caccerreo Claccepren wir comments Grevecreo "| Cworks not ready Clunaccepteble inspection resut see comments D1 Tie THis BOX IF “NO” EMIL / SOC and if itis a “WITNESS” as por ITP, | (by ticking this box means CPECC needs to produce all the related documents and sign / close this IR) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR ‘cPECC COMPANY oTHERs PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME Melanmedl Aleteef Ma, bn Msssen afar sara STGNATURE: SIGNATURE: SIGNATURE — Se a [pare i/7) 261% [pare 1o/>/>017 | omre/5. feb . Qa €\ ome: ExxonMobil dis ‘West Quina | Form No. F70102 Contract:AWQ0109 Rev. D Project Location: Basra, Iraq Serial No, QUALITY CHECKSHEET - FIELD COMPACTION TEST RECORD Tag Description | Prohcel! Waler Pveclwe-l Tag No. DS Contract No. AwQolod ‘System N Contractor CPECE ‘Sub-System No. Drawing Reference Location Dez — PrawingNo. LW @ = CEL94e Specification No. Jw @xfT=N SPOS Test Date 41/2) 2014 -LDPLT-DSZ-0-c001 -G0-o4e4 al ~ Kev 1, *S-C6etK4 Ems} 0-000 Type Fill Clas Go Lift Thickness Min. Compaction Required: 41% Laboratory Standards ‘Type apatin _ Date w/2/aah zn. Density Z2 am JsQptionm Moisure |Z y Field Test Equip Type SN Correction Factr ‘Location Sketch ie Ee Se Ts} 4 1S [iées] 93 [i534] 24 2 12 |.592| 24 4 uw [rsa ay $s 13 |issé[ 4? é 12 [isis] gs Comments ee Pa eee — 1 Contraetor/Quality Rep. Contraetor/Construction Rep. ‘Company Rep. Nane: Meheunmced Aa saci Name: Siem: fz Sieur! Some [137370012 Dae Da “Paya ExxonMobil ds West Quina | Form No. F70102Q Contract:AWQ0109 Rev. D Project Location: Basra, Iraq Serial No. QUALITY CHECKSHEET - FIELD COMPACTION TEST RECORD ‘Tag Description Prackedd wader Jredner [ Tag No DSZ ContractNo. sd [AWamoie% ‘System No. Contractor CPE Ce ‘Sub-System No. ate Drawing Reference Location DS 1Q@W@-CEle4¢ @WG-FT- SPOS Davie Ne, SL DEES cu aapocietin No, ZOO ET EPO seus aa) 2of 15 C0104 EM] L-o-00e type rt clay 5 Lif Thickness Min. Compaction Required: 42.9% Laboratory Standard: Type Compaatin. Date wta/oapz Max. Density 1.72 4 2a [cop Optimum Moisture _ | / Field Test Equip Type sm Correction Factor Location Sketch na | Sat | ae | omy | OME | 7 16 |i-sis| 40 g 15__|1-s4'}_ 34 4 15 _|1-559] Jo re /2_ |1-49?2|_ 9? 2 17 [ise] oe 12. [M1441 37 Comments: ContractoriConstruction Rep. Contractor/Quality Rep. ‘Company Rep, Name: M ohaiireed” Alersacd’s | Name: ‘Nome: a Siena — DS Sit ee Pw /2/2/201 Z Dae Date _| spyay

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