Document No.

: C823/2-MTIN-001
Material Testing and Revision No. : 00
Inspection Notification Issue Date : 08 June 2021

Project Details
Document Revision
C823-3-MTIN-CIV-042 00
No: No:
Project No: PA 2020 C 009 G 02-02-2023 Date:
CONSTRUCTION OF SEWAGE TERMINAL PUMPING STATION AT DOHA NORTH STW
Project Title: PACKAGE 3 – C823/3
Consultant: Khatib & Alami Contractor: AJE
Part 1 To be completed by the Contractor
Date of Time of
02-02-2023 10.00 AM
Notification: Notification:
Subject : (tick appropriate box)

☐ Plant Inspection & Appraisal ☐ Factory Laboratory Testing

☐ First Consignment Delivered to Site  Independent Laboratory Testing

Material / Plant Particulars

Material / Plant Description: Anchor Tendon Grade 270 (1860)

Name of Manufacturer; Essen Steel Industry L.L.C
Name of Local Supplier: Essen Steel Industry L.L.C
Name of Testing Laboratory: ACES
Plant/Factory to be
Site yard at Pump Station Project area
Inspected:
Date & Time of
05-02-2023, 10.00 AM
Test/Inspection:
Yield Strength, Breaking Strength, Tensile Strength & Total
Details of Testing/Inspection:
Elongation
Sampling Details: As per QCS 2014 Section 2, Part 14.11
Sampling Date: 04-02-2023
Purpose of Testing (tick appropriate box:

☐ Pre-approval Submittal with Consultant  Frequent Test

☐ Fulfilling conditions of approval ☐ Other

If Other please
specify:
NOTE: 1. This form should be sent to the K&A 24 hours prior to Sampling Date

Contractor’s Authorized Signature:

Name : Mahir Mohammed Signature :
Position : QAQC Engineer Date & Time : 02-02-2023
Supervision Consultant Response

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED - Last printed 08/06/2021 2:14PM Page 1 of 2
 Document No. : C823/2-MTIN-001
Material Testing and Revision No. : 00
Inspection Notification Issue Date : 08 June 2021

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Name : Signature :
Date &
Position :
Time :

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED - Last printed 08/06/2021 2:14PM Page 2 of 2