STANDARD SUBMITTAL FORM

Attachment to Specification Section 013300

1. To: 2. From: 3. Date: 09-Jan-21 5.

GHAFARI Associates, L.L.C. Walbridge de Mexico Francisco Ochoa 4. SUBMITTAL NO. 004 - 260513 - 1
New

17101 Michigan 6. Specification Section No. Resubmittal

Ramos Arizpe, Coahuila X
Dearborn, MI 48185 260513
Tel:
Attn: Submittals Processing Fax: GHAFARI Project No.
7.
Phone: 313.441.3000 Fax: 313.425.3660 2064016
Email: submittals@ghafari.com Email: francisco.ochoa@walbridge.mx 8. Project Title: GM Ramos Propulsion Battery Assembly &
Electric Motor (US #200420)
9. Copies Item No. 10. Item Description 11. Mfr/Contractor

001 M Medium Voltage Cable Splice Mod. 5777A-MT-GM

002 Medium Voltage cable Terminations. Mod. 7625-T110-3RJS-GM

003 Bimetallic Compression Conector Mod. YA39A5

004 TMC Armored Glands. Mod. TMC 10402-BR

005 Set Screw Fitting. Mod. 8975

12. Contractor's Remarks

The undersigned certifies that the above-submitted items have been reviewed in detail and are correct and in strict conformance with all requirements of the contract documents
except as otherwise noted. Note: Approval of items submitted does not relieve contractor from complying with all requirements of the contract documents.

13. Name of Contractor Walbridge de Mexico Signature Francisco Ochoa

GHAFARI ASSOCIATES L.L.C - SUBMITTAL VERIFICATION SECTION

If a discipline necessary for proper review is not listed, add to Comments:
the distribution list and forward the submittal for review.
Final review and approval shall be by GM.
ACTION TAKEN
REVIEWED
X REVIEWED WITH COMMENTS
REVISE & RESUBMIT
FILE ONLY, NOT REVIEWED
NOT REQUESTED, NOT REVIEWED

Form Revision Date: 06/30/2011 Page 1 of 2 AE-CA-F-201

M. Sussi
1/17/2021
 Transmisión de Submittal
Reporte MSR010

Proyecto 200134
GM Ramos Propulsion Battery Assembly & Electric Motor (US #200420)

Fecha 09-Jan-2021 Transmisión de Submittal 0890

Atención: John Heidt Transmitido Por: Francisco Ochoa

SSOE Inc. Walbridge de Mexico
1001 Madison Avenue Ramos Arizpe, Coahuila
Toledo, OH 43604 Tel:
Tel: (419) 255-3830 Fax:
Fax: (419) 255-6101

Transmitido Para Número de Submittal Descripción Fecha de Vencimiento

Aprobación 004 - 260513 - 1 00 -M-Splices and Cable Terminations 16-Jan-21

ASELEC

No. Registro Rev Sección Cantidad Tipo Descripción Proveedor Acción

Partida No. Espec_

001 2958 1 260513 M Medium Voltage Cable Splice Mod.

5777A-MT-GM
002 2959 1 260513 Medium Voltage cable Terminations. Mod.
7625-T110-3RJS-GM
003 2960 1 260513 Bimetallic Compression Conector Mod. YA39A5

004 2961 1 260513 TMC Armored Glands. Mod. TMC 10402-BR

005 2962 1 260513 Set Screw Fitting. Mod. 8975

Acción:
A - Aprobado / Approved A1 - Aprobado / Revisar AAN1 - Aprobado Como se ha AAN - Aprobado Como se ha
Señalado Señalado/ Approved as Noted
C - Cancelled / Cancelado FONR - File Only, Not Reviewed NR - Not Requested NRNR - Not Requested, Not
Reviewed
R2 - Rechazado R - Rechazado/ Rejected RA - Regresar para Aprobar / R1 - Reviewed
Return for Approval
RC - Reviewed with Comments RR1 - Revisar y volver a RR - Revisar y volver a
presentar presentar/ Revise and Resubmitt
Observaciones

Francisco Ochoa 9-Jan-21

Revisor:
Firma Fecha
SHOP DRAWING REVIEW

A-E REMARKS
cc: Compañía Contacto Fax # No Exceptions Note Markings Copias Notas
Comments Attached Rejected

REQUIRED OF CONTRACTOR

Process Resubmit

A-E review is for general conformance with the

design concept and contract documents.

Fecha y hora de impresión: Página: 1 de 1

Markings or comments shall not be construed as
09-Jan-2021 10:38:23AM relieving the Contractor from compliance with the
project plans and specifications, nor departures
therefrom. The Contractor remains responsible
SSOE #235A
for details and accuracy, for confirming and
correlating all quantities and dimensions, for
verification of field conditions, for selecting
fabrication processes, for techniques of assembly
and for performing his work in a safe manner.

Gray, Gary
BY:

DATE:
02/07/2021
 Ramos Arizpe, Coahuila a 19 de agosto de 2021.

REPORTE FOTOGRAFICO DE RECEPCION DE MATERIAL

Lugar de recepción: GM Ramos Arizpe, “El Sarape”

Descripción de material: Terminales y Empalmes para cable de media tensión,

Zapata terminal Aluminio Cal. 750 kcmil, conector TMC, Conetor Meyer de 4”.

Responsable de recepción: Mauro Peña Pineda

FOTOGRAFIAS:

1. Terminales para cable de media tensión Marca 3M.

Ignacio Romero # 119 Col: San Benito, Hermosillo, Sonora. www.aselec.mx

Multilineas: (662) 215-1599 RFC: EAS110124UW8 ventas@aselec.mx
Página 1 de 5
Ignacio Romero # 119 Col: San Benito, Hermosillo, Sonora. www.aselec.mx
Multilineas: (662) 215-1599 RFC: EAS110124UW8 ventas@aselec.mx
Página 2 de 5
 2. Empalme para cable de media tensión

Ignacio Romero # 119 Col: San Benito, Hermosillo, Sonora. www.aselec.mx

Multilineas: (662) 215-1599 RFC: EAS110124UW8 ventas@aselec.mx
Página 3 de 5
 3. Conector TMC 4”.

Ignacio Romero # 119 Col: San Benito, Hermosillo, Sonora. www.aselec.mx

Multilineas: (662) 215-1599 RFC: EAS110124UW8 ventas@aselec.mx
Página 4 de 5
 4. Zapata Bimetálica a compresión Cal 750 kcmil modelo YA39A5

Ignacio Romero # 119 Col: San Benito, Hermosillo, Sonora. www.aselec.mx

Multilineas: (662) 215-1599 RFC: EAS110124UW8 ventas@aselec.mx
Página 5 de 5