REQUEST FOR INSPECTION

EPM RFI #: Contractor RFI No. CRCC-IUN-T-170

BI: 25-00040 W/O: 0007 Title: INFRASTRUCTURE & UTILITIES North

To: Projects Inspections Unit/Mr. Ahmed Basha Civil Mech. Plumb. x Comms. Elect. Other

Inspection / monitoring is required on (date) 26/Jan/21 at (time) 9:30 AM prior to Backfilling

Visual Inspection of Backfilling with 1st Layer layer detectable Orange Warning Tape for
For the following location / equipment installation for 8-ways “ PE CORRUGATED DUCT” at Road "RD-90-01" between MH SP061 to
MH SP063 only 156metre as highlighted (North ) Drawing No.INF-SD-TEL-HA-344641 Sheet-
022 Rev -02
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 26-Jan-2021

This form received by the undersigned Inspection Unit employee:

Name Ahmed Basha Signature Date 01/ /2021 Time

Inspection Arrived on Site: Inspection Left Site:

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

Visual Inspection of Backfilling with 1st Layer layer detectable Orange Warning Tape for installation for 8-ways “ PE
Work Description:
CORRUGATED DUCT” at Road "RD-90-01" between MH SP061 to MH SP063 only 156metre as highlighted (North )
Drawing No.INF-SD-TEL-HA-344641 Sheet-022 Rev -02