Technical Affairs- Water Projects Department

NON-KAHRAMAA PROJECTS

MATERIALS INSPECTION REQUEST (MIR)

TO BE FILLED BY CONTRACTOR SECTION A
Road & Infrastructure in Bani Hajer North,
Project : Porject no.: IA 12/13 C 017 ST
Phase 1 & 2- Package 02
Client : Ashghal
Consultant : Arcadis
Contractor : HBK Contracting Company
DN001-P02-HBK-CON-MAR-
MIR No: DN001-P02-HBK-CON-INR-A67124 Ref. submittal no.:
A65672
Revision No: 00 Revision no.:
Date: 02/08/2022

Type of Material Civil Structural Architectural

Mechanical Electrical Instrumentation
Other

Inspection location  On –site  Off-site

Material details: (attach approved submittal sheet)

Name of manufacturer : M/s Al-Wefaq Control System

Name of supplier : M/s Al-Wefaq Control System

Materials : Float Switch

Quantity ( attach delivery notes, Material list form):

Location / Use: KM Potable Water Lines

Name: Naseem Ashraf........................... Signature ...................................................Date 02/08/2022

COMMENTS BY CONSULTANT SECTION B

 A-APPROVED  B-APPROVED AS NOTED  C- REJECTED  N–NOTED  COMMENTS ATTACHED

Name: ................................................... Signature ...................................................Date

COMMENTS BY KAHRAMAA SECTION C

Materials Department :

Name: ......................................................Signature ...................................................Date

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Technical Affairs- Water Projects Department

Water Projects Department :

 A-APPROVED  B-APPROVED AS NOTED  C- REJECTED  N–NOTED

Name: ......................................................Signature ...................................................Date
Note: Attache the supporting documents (such as; Data Sheet, Deleivery Notes, Approved Material Submittal, Test Report/Certificate,
FAT repot,.etc)

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