REQUEST FOR INSPECTION ReSet Data eMail Data... Save Data...

Saudi Aramco 6717-ENG (11/98) 726-200 (Inspection Department) Ref: SAEP 1150 & 1023 RFI No.

BI 10-01996 JO 0005 Phase Construction Title SAGCP PIPELINE PROJECT

To: Projects Inspection Unit/ Mr. Civil ✔ Mech. Plumb. Comms. Elect. Other
Inspection/monitoring is required on (date) at (time) prior to
for the following location/equipment
Work Permit required: Yes ✔ No Project Quality Plan: Hold Point ✔ Witness Point

SAPMT 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:

SAPMT Name SAES/SAMS/Other #

Signature Date Contractor/Company
Telephone Fax QA/QC Name
QA/QC Signature Date

This form received by the undersigned Inspection Department employee:

Name Signature Date Time

NOTE: Inspector's signature is for receiving this request only and not for approval or disapproval of the work or facility inspected.

Distribution: A. Original - Project Management B. 1st Copy - Inspection C. 2nd Copy - Contractor
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