WEST QURNA I~ SECTION-L IR— INSPECTION REQUEST Contractor No.: AWQ0109 ExonMobil Project Title: eae Sct Produced Water Treatment M109 LOCATION: DS-8 | IRNO:IRNOCE-CO060 | IRISSUE DATE: 20 February 2017 DISCIPLINE: Civil SUBJECT: Witness INSPECTION REQUIRED DATE:21 February 2017 | TINMIE:13:00 REF-SPECIFICATION: | QWQ-FT-NSPDS-00-040901 REV.1 EARTHWORK 7 ‘ TQWO-CE1091-CDFND-D8-0002_2 FOUNDATION FOR PRE SEPARATOR [GDS Be eerie: ‘ABJ681050 PLAN SECTION & DETAIL it REF. ITP: QWQ-CE1092-CPQAC-00-00DIREV. 0 CIVILINSPECTION AND TEST PLAN OTHERS REF. [ATTACHMENT /CHECK UST IF ANY: NAME OF CONTRACTOR/SUBCONTRACTOR: crecc/mFco ‘Our request the inspection of the following works for certficate/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 take samples for the second layer ( 2 points ) for the purpose of compaction degree test in ps8 ‘COMMENTS: fnccePTED Claccerre with comments CiresecreD OWworkis not ready Glunacceptable inspection result Osee comments CI TICK THIS BOX IF “NO” EMIL / SOC and fits a “WITNESS” as per ITP, (boy ticking this box means CPECC needs to produce all the related documents and sign / close this If) SIGNATURE FOR NOTIFICATION/ ACKNOWLEGEMENT SUBCONTRACTOR cpecc COMPANY OTHERS PRINT NAME: PRINT NAME: PRINT NAME PRINT NAME manned Alasq Ma Sng posses shut SIGNATUR 2 SIGNATURE: wae SIGNATURE: onte:a1-F4 2017 [ome 30/7-2-2) [ome OEP UZ | omeExxonMobil West Qurna | Contract:AWQ0109 Project Location: Basra, Iraq Lise Form No. F70101Q Rev. 0 Serial No. QUALITY CHECKSHEET - SOIL INSPECTION CHECKLIST Remarks: Tag Description | PRODUCED WATER TREATMENT | Tag No pss | Contract No. ‘AWQ0109 System No Contractor CPECC 7 Sub-System No. | IQDS8-ABJ681050 Drawing Reference | QWOCEIOI-CDFND Loeation sé DrawingNoz — IQWQ-CE1091-CDFND-D8-0002 Specification No: IQWQ-FT-NSPDS-00-040901 REV.1 EARTHWORK , $-CE0109-EMIL-0005, Inspection Reference Contractor | West aural 1. Excavation cleared of foreign and lose materia oy eH Oe 2. Slopes shored or correctly stepped, oe) VIE c On 3, Fill Material cleans and conforms to requirements oe] oy — oh a, 4, Lift thickness and compaction procedures in accordance with specifications. Ae 9. Final elevation in accordance to drawings. 0% aT, Wf UE 6. Moisture control acceptable. vk hye yz WE 7. Compaction Method and Equipment. lly i. fF Contractor/Construetion Rep. Contractor/Quality Rep. Company Rep. Ne aharameed Alsat Signature bac yf 2- 30'] *PI/1*