Form QT 2

Page 1 of 2

RESPONSE ON APPLICATION FOR TEST AND INSPECTION OF EXTERNAL WATER

RETICULATION SYSTEM / SUPPLY MAIN*
(For Demand <50,000 liter per day / >50,000 liter per day*)

To :
Developer / Owner :
Address :

Name of Proposed Development :

Lot Nos. :
File No. :
Date :

With reference to your application letter for [material and pipe inspections, for pressure and leakage
tests/for supervision of tapping connection, for sterilization, dewatering, flushing and water quality
testing activities/for inspection, testing and commissioning of mechanical and electrical works/and
final inspection for handover of facilities to SYARIKAT BEKALAN AIR SELANGOR SDN
BHD]* dated ……………………………….

We wish to inform that the for [material and pipe inspections, for pressure and leakage tests/for
supervision of tapping connection, for sterilization, dewatering, flushing and water quality testing
activities/for inspection, testing and commissioning of mechanical and electrical works/and final
inspection for handover of facilities to SYARIKAT BEKALAN AIR SELANGOR SDN BHD]*
shall be carried out as follows:

a) Date :
b) Time :
c) Venue :
 Form QT 2
File No :
Page 2 of 2

Please ensure that all preparation works have been carried out so that [material and pipe inspections,
for pressure and leakage tests/for supervision of tapping connection, for sterilization, dewatering,
flushing and water quality testing activities/for inspection, testing and commissioning of mechanical
and electrical works/and final inspection for handover of facilities to SYARIKAT BEKALAN AIR
SELANGOR SDN BHD]* can be carried out on the above date in the presence of our representative.

Thank you.

SYARIKAT BEKALAN AIR SELANGOR SDN BHD

(Subsidiary of Pengurusan Air Selangor SdnBhd)

Signature :
Name :
Designation :
Date :

(*Delete whichever not applicable)

Copy to : (WDL)
(Developer)