No.

: 10330-CON-CIV-32
Rev.: 01
PILED HEAD CUTTING INSPECTION Date: 14/05/2021
Page: 1 of 1

PROJECT: SUBCONTRACTOR:
AREA / UNIT / SYSTEM / SUBSYSTEM: ITP/ACTIVITY No.:
QR CODE
ELEMENT / TAG No.: INSPECTION TYPE CONTRACTOR/OWNER
TEST PACKAGE: REPORT No. / RFI:
This certificate does not exempt the Subcontractor from the Terms of the Contract, Project Specifications or Quality Procedures but confirms
that all these Tests have been performed according to them.

No. DESCRIPTION DATE ACCEPTED REJECTED N/A

1 Measurement Equipment and Method .

2 Cut off level +25mm, -25mm.

3 Removal of Crack and Defective Concrete.

4 Finish Surface Conditions.

REMARKS:

Applicable Drawings:

TREUNIDAS
WITNESSED/REVIEWED BY: SUBCONTRACTOR TPI OWNER
CONSTRUCTION

SIGNATURE:

PRINT NAME:

DATE:

10330-CON-CIV-32
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