IR — INSPECTION REQUEST Contractor No.: AWQ0109 ExxonMobil 5,j.a7i: Ec Produced Water Treatment M109 WEST QURNA I~ SECTION: vocamons0s@ ] NOUR ce-conan ma | SUE DATE: 23 Apel 2037 creme cose em | mes TSPECTONREQURED DATEZA primi? |THE: nsrcorearcn GRRE ET ASraS o> oan REC EARTH : TGR CED: CDDDH-DTREV FOUNDATION FOR PRE SEPARATOR BE REF. Raw: lenoso WANSESTON a DEAL mi Ta C1099. 0PGAC 070001 V1 CNL RSPECTON AND TEST AW 7] mene (ATTACHMENT /CHECK LIST IF ANY: NAME OF CONTRACTOR/SUBCONTRACTOR: CPECC/MFCO- ‘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. DISCRIPTION OF WORK TO BE INSPECTED: ‘Sampling the sub-grade layer inside the tank for the purpose of compaction degree test in DSS ana Tiny The Resoly hey Aaaes Qlaccerteo CaccerTeD WITH COMMENTS OoReecTED OiWorkis not ready Glunacceptable inspection result Osee comments Ci Tek THis 80x IF “NO” EMIL / SOC and if itis a “WITNESS” as per ITP, (by tekng this box means CPECC needs to produce al the related documents and sign / close this I) SIGNATURE FOR NOTIFICATION ACKNOWLEGEMENT SUBCONTRACTOR CPECC ‘COMPANY - ‘OTHERS PRINT NAME: PRINT NAME: PRINT NAME RINT NAME doertoSderd Mo = Vrsse. Shay SIGNATUI ‘SIGNATURE: p> men ‘SIGNATURE: = c Yo sl VE "2 pare: 24 LF foare: 24 pv) | [pate 2 ¢//ea, | DATEiia i ——||I a i URGE REEMRIEE |] (@ 7A) ia Haney) i ail ii Ht a H i uals i iil iat te ial He A i & i if ae Lae te ee a i. lig get i 1 tied il HeExxonMobil Ecc West Qurna | Form No. F70101Q Contract:AWQ0109 Rev. 0 Project Location: Basra, Iraq Serial No. QUALITY CHECKSHEET - SOIL INSPECTION CHECKLIST [Tag Description | Produced Water teatment Tag No. [Dssm09 Contract No. AWQO109 ‘System No. | Contractor | crrce _ ‘Sub-System No. Drawing Reference | 1QWQ-CE1091-CDFND-D8-0002__| Location Ds8 1 raingNo 1QWO-CEIOI-CDND-Desno2 speciteaionos QV@FT-NSPDS-00-040901 REV.I BARTHWORK Nw 1, Excavation cleared of foreign and loose material don, NA 2, Slopes shored or correctly stepped. Nh 7 3. Fill Material cleans and conforms to requirements fw ls 4. Lift thickness and compaction procedures in accordance with specifications. - 5. Final elevation in accordance to drawings. v a 6, Moisture control acceptable, be a 7. Compaction Method and Equipment. v a Remarks Contract Constraction Ro: ContacioriOvaliy Ren] Company Rep wane Whe Via\vo ee ane Unsgecm Slot p, | Some Uocsicon Wa 07 — Signe ae =< : bow 24 C] = Coy Dae p= d21 4 pw 2M [ONE Pit