REQUEST FOR INSPECTION

EPM RFI #: Contractor RFI No. CRCC-IUN-TEL-155

BI:
25-00040 W/O:
000 Title: INFRASTRUCTURE & UTILITIES North

To: Projects Inspections Unit/Mr. Alaa Abu Areesh Civil Mech. Plumb. x Comms. Elect. Other

Inspection / monitoring is required on (date) 01/ /2021 at (time) prior to installation

For the following location / equipment

Visual Inspection for Installation of OSP Duct Bank 8-Way PE Corrugated Tele Duct at Road
"RD-90-01Between MH SP 057 -MHSP058. As per attached Highlighted Drawing No. INF-SD-
INST-HA-344606 Sheet-022 Rev -00, station no 00+025to 00+200

Work Permit required: Yes X No Inspection Test Plan: Hold Point x Witness Point

SAPMT representative has verified that the work is ready for CONTRACTOR has verified that the work to be inspected is complete
inspection and conforms to the project requirements. and in compliance with the following specifications.

SAES/SAMS/Other #: (IUNIC-T -108

Representative Name: JoJu Zachariah
Contractor/Company: China Railway Construction Co.
Signature: 01/ /2021
Date
QC Inspector Name: Quaid jan
Telephone: Fax QC Insp. Signature: Date

This form received by the undersigned Inspection Unit employee:

Name Alaa Abu Areesh Signature Date 01/ /2021 Time

Inspection Arrived on Site: Inspection Left Site:

Concurrence S.A. Proponent: N/A Badge #:

Visual Inspection for Installation of OSP Duct Bank 8-Way PE Corrugated Tele Duct at Road "RD-90-01Between MH SP
Work Description: 057 -MHSP058. As per attached Highlighted Drawing No. INF-SD-INST-HA-344606 Sheet-022 Rev -00, station no
00+025to 00+200