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Format no: B&R/RW/MRPL/MMIPL/01 REV-0

MIR Report No : B&R/RW/MRPL/MIR /Electrode


PROJECT : RELAYING OF PIPELINE, MRPL ,MANGALORE Unit:- Date 25.02.2021
CONTRACTOR : M/s. BRIDGE & ROOF CO. (I) LTD. Consultant:- M/S MULTI MANTECH INTERNATIONAL PVT. LTD. Name of Work: Relaying of Raw Water Pipe Line
Work Order/LOA No. : 5500000602, Dated 11.06.2019 P.O No. & DATE:- Job No. : 61018

INCOMING MATERIAL INSPECTION REPORT

S. Qty Received Qty Accepted M.T.C. No./IRN NO.


Manufacturer / with Observation/Remarks/St
Material description/Tag No. Date of Receipt date/Field Lab Test Heat/Batch No. Ref.Invoice No/Challan No.
No. (Pcs) (Pcs)) Vendor etc orage Instruction

SUPRATHERME
1 ELECTRODE 2.5*350 MM 22.02.2021 150.0 150.0 2.15*350 2021/E-3222 13222 S138/2020-21

Inspection Activity at Site (Tick as applicable)

1 Quantity verified and found in order √ 2 Material condition appears to be good √ 3. HEAT/BATCH/TAG NO. mentioned in the √
material

4 Color coding done as applicable √ 5 Site identification mark on material N/A 6. Correlation w.r.t IRN/MTC/Lab Tests report √

7 T.C verification w.r.t IRN/Spec/QAP etc √ 8 Check for vendor/Source approval √ 9. Special requirement if any NA

Based on above, material are accepted

Contractor Field Engineer Contractor RCM/Lead QA QC MMIPL Field Engineer MMIPL Lead Engineer/Area coordinator

Sign

Name
Date

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