SAMPLE CARD

Contractor:- M/s Dilip Buildcon Ltd.

Date of Sampling:

Sample No.

Location (km) :

Source of Material :

Type of Material :

Contractor's Representative Consultant's Representative

SAMPLE CARD

Contractor:- M/s Dilip Buildcon Ltd.

Date of Sampling:

Sample No.

Location (km) :

Source of Material :

Type of Material :

Contractor's Representative Consultant's Representative

 SAMPLE CARD

Project : "4 Lanning of Saoner - Dhapewada - Kalmeshwar - Gondkhairi, NH-547E, Package-II from Km 4.700 to Km 33.575 in the
state of Maharashtra on EPC Mode"

Contractor :- M/s Dilip Buildcon Ltd.

Date of Sampling :

Sample No.

Location (km) :

Source of Material :

Type of Material :

EPC Contractor's Representative Authority's Engineer Representative

SAMPLE CARD

Project : "4 Lanning of Saoner - Dhapewada - Kalmeshwar - Gondkhairi, NH-547E, Package-II from Km 4.700 to Km 33.575 in the
state of Maharashtra on EPC Mode"

Contractor :- M/s Dilip Buildcon Ltd.

Date of Sampling:

Sample No.

Location (km) :

Source of Material :

Type of Material :

EPC Contractor's Representative Authority's Engineer Representative

SAMPLE CARD

Project : "4 Lanning of Saoner - Dhapewada - Kalmeshwar - Gondkhairi, NH-547E, Package-II from Km 4.700 to Km 33.575 in the
state of Maharashtra on EPC Mode"

Contractor :- M/s Dilip Buildcon Ltd.

Date of Sampling :

Sample No.

Location (km) :

Source of Material :

Type of Material :

EPC Contractor's Representative Authority's Engineer Representative