INSPECTION REQUEST FORM

CLIENT: CONTRACTOR: CONSULTANT:

A.A RANO NIGERIA LIMITED WIZCHINO ENGINEERING LIMITED CRUSTEAM NIGERIA LIMITED

PROJECT: LPG TANK DEPOT FOR A.A RANO PROJECT NO:

Request made by(for Contractor):
S/N WORK DESCRIPTION Name Position Date/Time
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6.
 Inspection carried out by(for Consultant:
S/N Name Position Date /Time Comments
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2.

3.

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5.

6.

Inspection Request should be submitted at least 24 hours prior to inspection

Received by contractor (Please sign below, Retain Original and Return Copy)
Name: Position: Signature/Date: