F - ABCD - 43FLBLDG - 51

ABC Construction Corporation

Project :
TYPE YOUR PROJECT NAME

REQUEST FOR SITE DELIVERY INSPECTION Date Prepared Request No.

( PLUMBING / SANITARY WORKS)

Pumps (Booster, Transfer, Sump, Circulating
Pumps and Deep Well)
Tanks (Hydropneumatic, Filter Media,
Storage & Grease)
Instrument / Devices (Gauges, Pressurization
Switches Meter)
Valves (Gate, Butteryfly check, Pressurization
Reducing Air Relief, Faucet, Hose Bibbs)
Cleanout (floor, wall & ceiling)
Drains (floor, scupper, gutter, area trench, pool, deck & parking)
Manholes (sewer, drainage)
Pipe (C.I. Hubless, ASTM A-888 GI sch. 40 ASTM A-120-80,
ASTM A-110-80, CDP, CSP, PVC Series 1000, 600)
Pipe fittings (flanges, coupling, strainers, unions, elbows)
Others

REQUESTED BY : Name/ Designation :

Contractor : Signature :

Note : All signatories should print their name and sign.

Item No. Particular Quantity Remarks

REVIEWED BY : INSPECTED BY:

SANITARY CONTRACTOR
PROJECT SUPERVISOR

APPROVED BY: QC

NOTED BY :

VP-CONSTRUCTION OPERATIONS

NOTE : This form must be submitted to The QC TEAM, duly accomplished and signed by the corresponding
Contractor's Personnel-in-charge at least 24 hours before actual installation.

Rev. 0 August 27,2019