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COMILOG 2020 PROJECT

EARTHWORKS VALLEY BENEFICIATION PLANT AND PRODUCT STOCKYARD


CONTRACT No.: H356903 - CC002 and Package III CC003A

FORM - PRE-CONCRETE CHECKLIST Ref. No: GA-CC002-R4-F30


Fiche de contrôle avant le bétonnage Rev. Date: 2/1/2020
Contract CC002 Contractor SOGEA SATOM Area/Unit SAR Km 2 P188
Work Package Phase 1 System SAR Sub-System Subgrade Pisolite
Drawing No C2020-SAR-PE-C0H5-001 Record No PCC-0018
Specification No C2020-C21100-ENG-CDC-0002-01
Concrete Structure / Location C12/15 Blinding Concrete Km 2 SAR P188
Concrete Rebar & Embed Drawing No
Equipment/Structural Steel Drawing No
U/G Electrical Drawing
U/G Mechanical Drawing No

1-Forms 2-Re-Bar 3-Sub-Foundation

OK Survey Check NA Grade NA Piles

OK Orientation NA Size OK Compaction

Splices OK Cleanliness
OK Location (Co-Ord) NA

OK Size NA Spacing OK Moisture

OK Elevation NA Clearance OK Blinding layer

OK Clean and Oiled NA Cleanliness OK Elevation

Adequate NA U/G Mech


NA Chamfer NA support and Elect
NA Straight, level and
plumb

NA Adequate bracing

4-Embedments 5-Miscellaneous

Anchor
NA bolts(Dia/Lenght/Type)
NA Key ways

Anchor bolts NA
NA (Loc'n/Proj'n)
blockouts

NA Anchor bolts sleeves NA Surface roughened

NA Anchor bolt grounding NA Bonding agent

NA Thread projection NA Type of finish

NA Weld pads NA Sets / Test specimen


NA Angle iron NA Hot / Cold weather protection

NA Inserts NA Joints

NA Pipes NA Special placing equip't required (tremmies, pumps, from vibrators,


screeds)

NA Conduits NA Leakage system in place

NA Ground wire/Earting NA Finished slope

NA Water stop
Notes
Order concrete to the following Specifications

Mix Design C12/15 5 m3 Quantity 3 m3 Delivery per hour


Max aggregate
15 mm
size
Slumb 85 mm

Admixtures NA

No of test cylinders set NA

No of sets required NA

Signature

Contractor Construction: Quality Manager: Engineer : COMILOG


Conducteur Travaux Responsable Quality Mission de Contrôle
OVONO NDONG Sammy MBAZONGA Kao

20/10/2020 10/20/2020

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