Date:

"Materials Inspection and Check Certificate" (MICC)

Location :Alibag Site Store

MICC No.
SchemeNCRMP II of Existing 22 kV and LT Overhead Power Distribution Network with Underground Power Cable Network
Conversion
Name of work and Construction of 22kV Switching Station at Alibag Town
Tender No.IN-RRD-MAH-2620-CW-RFB
LOA No. with date DMU-2017/CR-169/DM-1 dtd 13.06.2019
Name & address of Execution
M/s.Leena Powertech Engineers Pvt Ltd. Cbd Belapur Navi Mumbai
Agency :

Approved Drg Mode of transport Name of

Previous Net Inspected by
Sr.N Activity Name of Supplier No. (Vendor Net Qty rcvd Qty Cumalativ Dispatch clearance Viz. Carrier name & the
Material Description Unit received Received & and date of Remark
o. No & address approval and checked Rejected e Ref.No.(Invoice) RR/GR/LR No.with store /
quantity Cleared Inspection
details) date site
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

SE/Pen/NCR
MP
TCI FREIGHT,
G.I. Fabrication, ABG/Vendor JSI/20-21/085 dtd:-
1 S3 - 24.1 J.S. INDUSTRY Kg. 0 500.00 0 500.00 500.00 Waiver 210616335 dtd:- Alibag
Foundation Bolts Approval/2032 28/01/2021
31/01/2021
dtd:-
03/08/2021

Authorised Signatury of the Authorised Signatury of the Implementing Agency,inspected

Authorised Signatury of the TPQA
Contractor & issued to work
For M/s.Leena Powertech Engineers
Pvt Ltd For TUV SUD (TPQA NCRMP II Project) For Maharashtra State Electricity Distribution Co.Ltd.

Name: Name:Shri. KULDEEP KUMAR Name : Shri. K.P. BHISE

SR. ELECTRICAL ENGINEER (EXECUTIVE ENGINEER ALIBAG

DIVISION )

Signature: Signature: Signature

Alibag Store
,SurveyNo.94/02 plot
Alibag Division office ,near Karnik Hall
no.8215 TUV SUD ,Sakinaka Andheri
Address Address Address Chendre Alibag
Opposite HP petrol Saki vihar Road Mumbai 400072
402201
Pump.At chendre
Alibag 402201