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Work Inspection Request Form

New Inspection Re-Inspection


Project Name KEMPINSKI MADINAH HOTEL Project No 1865

Contractor SARH ATTQNIA CONTRACTION Project Location CENTRAL AREA AL SALAM ST

Work Inspection
Contract No. 012018 ST-WC-503-R00
Request No.
MOHAMED HARASANI
To Consultant Date 12-06-2019
ARCHITECTS
Date Inspection 12-06-2019
‫استالم جاهزية فتحات الزراجين من الخارج‬
Requested
‫للحوائط الساندة للبدء في اعمال ملئها بمادة‬
Time Inspection
Description Of Works To Be ( RENDROC PLUG ) 10:00 AM
Requested
Inspected And / Or Tested B13 – B17 ‫للحائط الشمالي بين محوري‬
Civil Architectural
‫بالبدروم األول‬
Discipline Mechanical Electrical
Part( A)
Other (specify)
Location ‫بحسب المكان المشار إليه بالمخطط المرفق‬

Block No.

Level

Element

Attachment(s) ‫مرفق كروكي‬

Q.C MOHAMED BAKR Signature


Contractor Authorized
OSAMA SALEM Date 12-06-2019
Signatory
Signature

MHA Consultant / Engineer Comments

Approved Approved As Noted Not Complete Not Approved


Engineer’s Decision (the
work is) Signature

MHA PM Ali Hurmuzlu Date


Signature
A) – Work shall only proceed when action is only approved or approved as noted
B) – Approval of this document does not release contractor of his obligations

Received By Contractor Date

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