INSPECTION REQUEST (IR)

Riyadh Metro Package-2 ( Line # 3)

Ar-Riyadh Development
Client
Authority
IR No. 3E6DS0-SC00-321
Engineer
Riyadh Metro Transit Submission Date: 20/05/2021
Consultants (RMTC)
Contractor
Ar-Riyadh New Mobilty IR TYPE Regular
(ANM)
Location Cod 3E6DS0 REJECTED IR No.

HOLD POINT WITNESS OTHER

Location 3E6 Station

Sub Location Technical Level - East Side
Discipline SC00
Element / Structure ACID
Work
Description Sub-Element ACID - JB

Activity 3.2 Conduit installation

Additional Classification
Inspection Da Inspection Time:
Conduit Installation IR for Reference
ACID - JB : (QTY= 2)
DWNG No: M-ANM-3E6DS0-SC00-
EDR-000001
Technical Level - East side
ITP : M-ANM-300000-SC00-ITP-
000009
MST : M-ANM-300000-SC00-
MST-000010
ACID-JB: 000023, 000104

Remarks by
ANM QA/QC

MIR : 3E6DS0-SC00-314

Installation IR : 3E6DS0-SC00-320

Name Signature Date Time

Requested By ANM Ahmed Raef 05/2021

Verified by ANM QA/QC Ahmed Dweik 05/2021

RMTC

Under ReviewComments

Time
for
Revie
w

Status Approved Rejected

Date Time
Closure Name: Signature

Addendum to Appendix
Inspection Request Form
Quality Control Plan Ref
M-ANM-3000000-GQQC