F-201

SUBMITTAL REQUEST FORM

Project NEW PORT PP3 SRF No. M-NPP3-DI-SRF-10983-CP-28-063-FSS-A-063
Contract Package CP- 28 Date 13-Jul-17
General Contractor DATEM INC. Sub Contractor FIRE SOLUTIONS, INC.

General Information
Type of Submittal: Intent: References: Attachments:
A = Product data Proposal As per Specifications
B = Sample Alternative Change in Specification
C = Method Statement Resubmission
D = Shopdrawing Implications:
E = Test Result No Cost Implication
F = Others With Cost Implication

Description
Description: Elbow Fittings (FIRE SUPPRESSION SYSTEM)
Level: BASEMENT 1 TO GROUND FLOOR
BRAND: MECH

Prepared by: Noted by:

ALVIN AVILA Malner R. Aquino
FSI QA/QC DATEM CQC MEPF Head

Review and Evaluation

Date Date
Reviewed By Remarks Code Signature
Received Returned

CODE REMARKS SRF TRACKING FLOWCHART

A Work May Proceed 2 DAYS EELHI
B Work may Proceed, Comply Comments 10 DAYS MAAP/LRPA/CASAS
C Revise and Resubmit, Work May Proceed 2 DAYS EELHI Noted:
D Revise and Resubmit, Work May NOT Proceed
E Review not Required, Work May Proceed EELHI Construction Manager

Note: Contractors to submit to EELHI (7) days a formal quotation/ cost proposal for any anticipated cost implication arising from this SRF evaluation