REQUEST FOR INSPECTION

Saudi Aramco 6717-ENG (11/98) 726-200 (Inspection Department) Ref: RFI No. RFI-PLB-051

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) 10-Oct-2020 (time) 09.30 A.M prior to

for the following location/equipment MASJID WASH ROOM and ABLUTION ROOM

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 ABDULLAH A ALWASEL SAES/SAMSS/Others# SATIP-S-0606-06/SAIC-S-4040

Contractor/Company RTCC
Signature Date 08-Oct -20 QA/QC Name Syed Khaffoor

Telephone Fax QA/QC Signature Date 08-Oct-20

This form received by the undersigned Inspection Department employee:

Name JULIUS I BALANLAY Signature Date Time

Work Description: Installation of Building drainage piping Layout inspection @Masjid

Building wash room-006 Ablution room-007.

Drawing No: RTCC-SD-538179-001-01,RTCC-SD-538181-001-01,RTCC-SD-538183-001-01

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