APPLICATION FOR WITNESS INSPECTION

(KESV APPLICATION NO. 20O036/20-PM-18 MQ-KESV-002)

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TO : KOBELCO ECO-SOLUTIONS VIETNAM CO.,LTD. DATE : 16 Dec 2022
PROJECT CONTROL SECTION FORM: MINH QUAN TRADE AND
MECHANICAL CONSTRUCTION
COMPANY LIMITED
ATTENTION : PHONE : FAX :

TEL: APPLICANT ( PERSON IN CHARGE )

FAX: Ly Hong Huan
PROJECT NAME : Hong River Surface Water Treatment Plant Project
O. NO. PR. NO.
INSPECTION PLACE ( attach the map )
COMPANY NAME : MINH QUAN TRADE AND MECHANICAL CONSTRUCTION COMPANY
LIMITED
LOCATION : Lot 3-D3 Street, Phu Thanh Industrial Park, Phu Thanh Commune, Nhon
Trach Dist., Dong Nai Province.
PHONE NO. : 0973273188
PRESON IN CHARGE : Ly Hong Huan
EXPECTED INSPECTION DATE
FROM DATE 19/ Dec/2022 TIME : 8:00 TO 17:00 PM
TO DATE 20/Dec/2022 TIME : 8:00 TO 17:00 PM
INSPECTION STAGE CLASSFICATION OF INSPECTION
□ INSPECTION □ KESV’S INSPECTION
□ RE－INSPECTION □ OWNER’S INSPECTION

CATEGORY OF EQUIPMENT
□ STEEL FAB. □ MACHINERY □ ELECTRICAL / INSTRUMENT
□ SPARE PARTS □ OTHERS( )
WEIGHT Remark
No DESCRIPTION MATERIAL UNIT QUANTITY UNIT/Kg
1 Pipe Nipple DN25A 304 Pcs 32
2 Square Plug DN25A 304 Pcs 48
3 Socket DN25A 304 Pcs 80
4 Socket DN40A 304 Pcs 16
5 Socket DN50A 304 Pcs 16
6 Union DN25A 304 Pcs 16
15 Gasket DN100 ISO7005-1 PN16 FF EPDM Pcs 16
16 Gasket DN500 ISO7005-1 PN6 FF EPDM Pcs 16
17 Gasket DN600 ISO7005-1 PN6 FF EPDM Pcs 32
18 Gasket OD1040xID920x3t EPDM Pcs 16
19 Gasket OD210xID115x3t EPDM Pcs 16
20 Gasket OD250xID141x3t EPDM Pcs 16
21 Blind Flange DN100 ISO7005-1 PN16 FF 304 Pcs 16
22 Flange DN125 ISO7005-1 PN16 FF 304 Pcs 16
23 Flange DN40 ISO7005-1 PN40 FF 304 Pcs 32
24 Flange DN500 ISO7005-1 PN6 FF 304 Pcs 64
25 Flange DN80 ISO7005-1 PN16 FF 304 Pcs 32
26 Flange DN100 ISO7005-1 PN16 FF 304 Pcs 64
27 Flange OD880xID362x35mm 304 Pcs 16
28 Plate OD110xID45x50mm 304 Pcs 32
29 Plate OD110xID45x25mm 304 Pcs 32
30 Plate OD620xID450x38mm 304 Pcs 16
31 Plate OD1156xID914x26mm 304 Pcs 32
32 Plate OD480xID111x24mm 304 Pcs 16
33 Plate OD620xID111x24mm 304 Pcs 16
34

35

Total
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INSPECTION PHASE
□ INTERMEDIATE □ FINAL □ PACKING
INSPECTOIN / TEST ITEM