Professional Documents
Culture Documents
P20028-CP01-NCN-086-22
Test Inspection
Description of Non-Conformance:
Engr. Jayson Arguelles / January 28, 2022/ Engr. Mark Loie Villanueva/ January 28, 2022/
GMCPMI QA/QC (Name/Date/Signature) GMCPMI PM (Name/Date/Signature)
Acknowledge by:
______________________________________
Contractor’s Rep (Name/Date/Signature) Contractor’s PM (Name/Date/Signature)
Approved by:
______________________________________ ______________________________________
GMCPMI QA/QC (Name/Date/Signature) GMCPMI PM (Name/Date/Signature)
___________________________________________
Contractor’s Representative (Name/Date/Signature)
3. Supporting Documents:
Accepted by:
______________________________________ ______________________________________
GMCPMI QA/QC (Name/Date/Signature) GMCPMI PM (Name/Date/Signature)
Noted by:
______________________________________ ______________________________________
SMDC PO (Name/Date/Signature) SMDC PM (Name/Date/Signature)
Non-complying work may be required to be removed and replaced at no cost to the Owner. It shall be your
responsibility to determine the corrective action necessary, and to determine whether you wish to discontinue
operations until additional investigations by the Owner or Project Manager confirm or refute the initial findings.