WEST QURNA| ~SECTION-L IR— INSPECTION REQUEST Contractor No.; AWQ0109 ExxonMobil |... ace Produced Water Treatment M109 z vocamion: 05.7, | RNOHRNOCECO052 | ees pare: 17 February 2017 DISCIPLINE: Ci REF.SPECIFICATION: 1QWA-FT-NSPDS-00-040901 REV.1 EARTHWORK ATTACHMENT /CHECK LIST IF ANY: REF. DRAWINGS: !QWQ-CE1091-LDPLT-D7-0001 REV.)) DS7 PLOT PLAN RFF. ITP: 1QWA-CE1092-CPQAC-00-000.CIVIL REV. 0 INSPECTION AND TEST PLAN OTHERS REF. NAME OF CONTRACTOR/SUBCONTRACTOR: | CPECCTALMADAR DISCRIPTION OF WORK TO BE WITNESS: Our request the inspection of the following works for certificate/witness that all tems has been properly executed in accordance with approved procedures, specifications, drawings and all items has been coordinated with future works. Witness to take samples for the third layer in DS7 (test 13 points). ‘COMMENTS: “4 Zlaccerren COACCEPTED WITH COMMENTS Oresecteo works not ready Clunacceptable inspection result Osee comments C1 Tick THIS BOX IF “NO” EMIL / SOC and if it is a “WITNESS” as per ITP, (by ticking this box means CPECC needs to produce all the related documents and sign / close this 1) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT ‘SIGNATURE S At SUBCONTRACTOR cece ‘coMPANY oTHeRs PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME Whale Waleed Ma Crome Hossein dae/ SIGNATURE: T SIGNATURE: DATE: wl [ze CL pate: (9-2-do1] | vate: (J. feb~ iy pare: