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REQUEST FOR INSPECTION

Saudi Aramco 6717-2-ENG (08/07) (Inspection Department Ref: SAEP 1150 & 309) RFI No. 01

RPO: 6510906231 BI: W/O: 14 C171 Title: Install Generator For Back-Up Power Supply For Building 3

To: Inspection Unit/Mr. ✔ Civil Mech. Plumb. Comms. Elect. Other

Inspection/monitoring is required on (date) at (time) prior to

For the following location/equipment GENERATOR SHED (Near Building 3056 At Shedgum).

Work Permit required: Yes No Project Quality Plan: Hold Point ✔ Witness Point

Proponent representative has verified that the Work is ready for CONTRACTOR has verified that the Work to be inspected is
inspection and conforms to the project requirements. complete and in compliance with the following specifications:

SAES/SAMS/Other # SAES A 114

Representative Name: A
Signature Date: Contractor/Company ONT. CO.

Telephone: 5 Fax: QA/QC Name

QA/QC Signature Date

This form was received by the undersigned Inspection Unit Employee:

Name: � Time:

Inspector Arrived on site: Inspector Left Site:

Time nearest 1/2 hour

Concurrence S.A. Proponent: Badge#:

Work Description: MARL - BACK FILLING FOR SHED FLOOR SLAB

REMARKS:

Distribution:
Original - Inspection Unit 1st Copy - RPO Proponent 2nd Copy - ID Coordinator 3rd Copy - Construction Contractor

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