ZUHAIR FAYEZ PARTNERSHIP PROJECT CONTRACTOR

SUBMITTAL FORM
SUBJECT: CMO Construction material & Technical data

Specs. Code & Ref. RO_Q_ Code Ref. Drawing No. Submittal No. CE-008A

Date Received:

Date Returned:

Sub-contractor
Name: Construction Material Chemical (CMO) Address:
Address: -1:;.Je:,:::d:::da:::.h'-- _ Phone: Telex:

Manufacturer Supplier/Agent

Name: CMO Name:

Address: Jeddah Address

Phone: Phone:

Fax: Telex: Fax: Telex:

lnfonnation submitted and attached:

Certificates o Operation & Maintenance Manual o

Technical Brochure o Spare Parts List o
Manufacturer's Data & Specs. o As Built Drawings o
Shop Drawings o Warranty o
Samples o Others (specify) o
Contractor's Comments:
REPCON SHB, REPCON FC, CEMPOL ACRYLIC,EPOPRIME LP, REPCON SR VO, REPCON SR 94,
REPCON HF, CEMTEC R44, REPCON IR, N.5. GROUT,

See Attachment

Note: This review does not relieve the contractor (Contractor)

of his responsibilities under the terms of the Signature:

contract nor authorize additional compensation.

Date:

Status:

Approved o
Approved as noted 2 ~
Revise and submit 3 o
Rejected 4 o

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