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COMPANY IDENTIFICATION CODE
Job-Type-N°
REQUEST FOR INSPECTION FORM
Mixed by PDF Mixer - https://pdfmixer.com RFI_01
(RFI)
(The Pro version will not add this text) SHEET DOC.CLASS ISSUE
1/1 00
ITP PHASE REF:
RFI NO.: 001 1.2

DATE: 04TH MAY 2023

PROJECT NAME: BIOFUEL – INDUSTRIAL START-UP AGRI HUB


UNIT : - SYSTEM : -
TO : CPY Project QaQc Coordinator FROM : CTR Construction Manager
SUBSYSTEM : NA AREA : NA
Contractor Client
NA NA
Drawing : Drawing :

REQUEST FOR INSPECTION:


We request your attendance to inspect the following works : TRIAL MIX DESIGN FOR C25/30 CONCRETE
Inspection Time: 15:00 PM Location: GEOLAB , SONGOLO, POINTE NOIR, CONGO

Inspection #: First Second Third Other (Please Specify):___________


Type of Inspection: Visual Testing Joint Inspection Hold Point Witness Point

Purpose of the Inspection: Applicable QCP Tick Applicable QCF More Details
o Equipment
o Survey & Setting out
o Earth Works
o Civil & Concrete Works 30A100DBQB23030 QCF_004, MAR , QCF_017, QCF_018 TRIAL MIX
o Roads & Paving
o Mechanical & Structural
o Piping Works
o Building Works
o Electrical & Instrument Works
o Process Works
Other (Specify): TRIAL MIX FOR CONCRETE FORMULA (25-XC3/XC4-D25-S4-42.5N-SHR & 25-XC4-D25-S23-42.5N)

Particular Details:

ATTACHEMENT: YES NO

ENGINEERS COMMENT: THE WORKS ARE

□ APPROVED AS NOTED

□ APPROVED

□ REJECTED
Notes: Legible Signature requested
NAME DATE SIGNATURE
CONTRACTOR ALEXANDRE ABOU ZEID 4-May-23
RFI_01

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