STANDARD OPERATING FORM Form No. SOP-1301-C Version No, | O01 MATERIAL SUBMITTAL FORM. 4 eee Page lof ‘Request for Approval of Material (] Civil Mech. CE & IC | CONTRACTOR USE = al Contract No/ _| OP280 Construction of Zayed Road ‘Sewage water submersible Contract Title _| Natwark in Mina Zayed Area-Stage 01-Main Mawes pump se for uty buldings at scription tunnels Main Contractor | Itinera-Agility JV Manufacturer: Mis. KSB- Germany Vendor List| Yes 7 Fr Saosib IMs. KSB SE & CO KGAA P ‘Abu Dhabi, UA. E rigin: | Germany Comulmnt re ae ; Modol KRTF 80:2 1662KEC-S ears Capacity:20m3ihrs.@24,39m Submit Ref. | $5720-008IT-ZZ4A-MEP- Ta, | 4 | specitcation Ret, | ADSSC Division 15, Sec 15030 No. MAT-0728 < Rev.02 Date 251012022 BOQ Ref. 10.078. Tontcaten | for Sewer water sump pit Quantity ‘As per Drawings ‘Aitachment (in separators) Contractor's Certification 1_| A] Compliance/Deviation form attached No O [NA [] 2 | B | Relevant Catalogue/Brochure/Draw (marked) | Yes [No (] [NAO 3_| ,, | Cr-Manufaeturer Quality Cet. (ISO or other) | Yes Mi oO |nao 4 | © [€2-Copy of Relevant International Certificates | Yes C1 [No CO] [NAY 3 D.1-Copy of related page of BOQ (marked) Yes | No [NA LJ 6 | D|D2-Copy of related contact specification | Yes_ [No O] [NA OO 7 |__| D3-Copy of approved shop drawing/ sketch | Yes | No O] [NA O 8_| £ | Relevant ITP attached yes M[No O [NAO 9 | | Fut-Safety data sheets attached Yes [No O] [WA Ly] Dae 2elcs | 10 | F | F.2-Material data sheets attached Yes C1[No [) [NA MI uw F.3-Technical data sheets attached oO [Na 0 vd [12 | G | Applicator’s method statement attached oad ALY 1 |" | 2-Results provided EL [NAG] | Simmtelse ee Bie 1 mar to 15 | 1 | Other enclosures (ifany) oO [Nao ‘CONSULTANT USE es Recommendations: Tusert the action code [A] for Approved, subject to contract requirements. [B) for Approved, as noted, resubmission not required 8 [C] for Disapproved pending corrections, resubmission required [D] for Rejected not to specifications [F] for returned as incomplete Consaliant Comments 7 ty comments an He gHacud sheet. Consultant: ‘ADSSC: Date: ‘Comments: Date: Signature and Stamp” Signature: ‘Note: J The above com the specification of ADSSC, 6A deviation found subsequent to approval shall be corrected by me CONTRACTOR tothe satisfaction