FIELD CHANGE SHEET

FS-S-000-132Z-0001-00

FIELD CHANGE SHEET JOB NO. 0-6495-20

Distribution TITLE: CHANGE SHEET No.

JVD

SD
Change the Duct bank coordination FS-S-000-132Z-0001-00
F.TECH
REQUESTED BY Add Cancel Change DATE: 2015/12/25
F.ENG

F.QA/QC
Abstract Description Dis CVL
HANDOVER 1 EMPLOYER 2 CONTRACTOR 3 VENDOR Change the Duct bank coordination Prep’d Kim Marco
F.CONTR LE
4 SUBCON 5 OTHER Kim Marco
SUBCON
Chk’d
MATCON Chk’d Kim Myoung-Jung
COST Zone
REASON App’d
Kim Myoung-Jung
SCHEDULE
Referenced Change Control Document
HSSE
1 PLOT PLAN CHANGE 4 FIELD CONDITION Subcontractor Name No. with Employer (if any)

INTERFACE 2 P&ID CHANGE 5 ERROR/OMISSION CC1-CVL D-000-132Z-0002S-R02A

Zone 3 DESIGN CHANGE 6 OTHER

Zone-1
Sketch: Please refer to attached file.
Zone-2

Zone-3

Zone-4

Action : A
Copy : C
SCHEDULE IMPACT:YES()
Base Document and Rev.
COST CATEGORY BACK CHARGE:
No.
A - Unit Rate Remeasure To: D-000-132Z-0002S-R02A

B - New Unit Rate Remeasure N/A

C - Lump Sum Reason:

D - Daywork N/A

E - No Cost. Info Only MER No.:

N/A

Before Fabrication Shop Welded Field Installed Field Installing

Prepared Field Before Field Welded Field Tested

FS Action Status: Action Date: Action By:

Inspection Status: Close Date: Close By:

Ref. No (NFI No.): System No.: N/A