Document No.

: ELT-01-CQ-PC-0104
Rev. No. : 0

Page No.: 1 of XX

ITP for Concrete Works in Electrical Building

Report No.
Concrete Pouring Record Date:
Page:
Drawing No. Pourting Location Pourting Date Pourting Quantity Contrete Type

Item Concrete Ticket Load Q’ty Slump Concrete Delivery Test Cubes Remarks
No. No. (mm) Temperature Concforms?(Y/N) Taken?(Y/N)
(oC)
 Document No.: ELT-01-CQ-PC-0104
Rev. No. : 0

Page No.: 1 of XX

ITP for Concrete Works in Electrical Building

COMPANY Subcontractot POSCO E&C Remarks

SIGNATURE
NAME
DATE