REQUEST FOR INSPECTION

Saudi Aramco 6717-ENG (11/98) 726-200 (Inspection Department) Ref: RFI No. RFI-PLB-011

BI: 10-09003-0006 JO: Phase Construction Title Industrial Support Facilities (ISF) Package 13

To : Project Inspection Unit/ Mr. Julius I Balanlay Civil Mech. Plumb. Comms. Elect. Others

Inspection/monitoring is required on (date) 21-Sep-2020 (time) 9.AM prior to

for the following location/equipment RTCC WARE HOUSE

Work Permit Required: Yes No Inspection Level: RH Review/Approval of Documents Hold points Witness Point

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

SAPMT Name ABDULLA A ALWASEL SAES/SAMSS/Others#

Signature Date 20-Sep-2020 Contractor/Company RTCC

Telephone Fax QA/QC Name

QA/QC Signature Date 20-Sep-2020

This form received by the undersigned Inspection Department employee:

Name JULIUS I BALANLAY Signature Date Time

Work Description: Man Hole (FRP) Material Receiving Inspection.

Purchase Order NO: 16301/12551

NOTE: Inspector's signature is for receiving this request only and not for approval or disapproval of the work or facility inspected.

Distribution:
A. Original – Inspection Unit B. 1st Copy – RPO Proponent C. 2nd Copy – ID Coordinator D. 3rd Copy – Construction Contractor