REQUEST FOR INSPECTION

Saudi Aramco 6717-ENG (11/98) 726-200 (Inspection Department) Ref: RFI No. RFI-PLB-069

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) 22-October-2020 at (time) 9:00 AM prior to

for the following location/equipment Masjid building Under Ground PVC pipes Preservation

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 SAES/SAMSS/Others# SATIP-S-070-03 / SAIC-S-4056

Signature Date 21-Oct-20 Contractor/Company RTCC
Telephone Fax QA/QC Name Syed Khaffoor
QA/QC Signature Date 21-Oct-20

This form received by the undersigned Inspection Department employee:

Name Julius I Balanlay Signature Date Time

Work Description: Visual Inspection for preservation of Underground Building drainage

PVC pipes at Masjid Building Toilets area.

Drawing Reference: RTCC-SD-538179-001-01

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