IR— INSPECTION REQUEST WEST QURNA | ~SECTION-1 Contractor No.: AWQ0109 ExonMobil Project Title: Eco Produced Water Treatment M109 LOCATION Antimena Batch | IRNO:IR NoCE-C00a3 | IRISSUE DATE; 13 February 2017 DISCIPLINE: Plant # SUBIECT: Witness INSPECTION REQUIRED DATE:14 February 2017 | TIME:11:00, REF.SPECIFICATION: IQWQ-FT-NSPDS-00-040101 REV.0 CONCRETE DESIGN AND CONSTRUCTION 1QWQ-CE1091-COFND-D7-0003 REV.1 FOUNDATION FOR PRODUCED WATER TANK ieee 1Q107-A8/681053 PLAN SECTION & DETAIL RFF. ITP: 1QWA-CE1092-CPCAC-00-0002 REV.C CIVIL INSPECTION AND TEST PLAN (OTHERS REF. 1QWA-CE1092-KRTST-00-0001 REV.0 CONCRETE MIX DESIGN TEST REPORT [ATTACHMENT /CHECK LIST IF ANY: NAME OF CONTRACTOR/SUBCONTRACTOF CPECC/MECO | ‘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 WITNESS: Witness to make trial mix cubes one ge Sp awake deus thd fly poPty of peal he ee at OSL pncant ait Sane Caccepreo CaccePteD with comments Devecteo Olworkis not ready Dlunacceptable inspection result [etSee comments Dick Tis 80x iF “NO” EMnL / SOC and fits "WITNESS" as per TP, (by ticking this box means CPECC needs to produce all the related documents and sign / close ths IR) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR cPECC COMPANY OTHERS PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME Ualid vovleel | lec on 4 Hassan shosles SToNATORE a SIGNATURE, ‘SIGNATURE: LE ‘SIGNATURE pate: j>~ Qo\F | pare: spr 2] pate: // Feb. 2.\7| pate: Tt