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Inspection
Request
Name of Project: Inspection Ref No

Project No: crc/100061 Date: 1/Mar/2016

Contractor : CRC Consultant: M/s

Requested by:

Name: Position: civil engineer

Contact Person :
The following Works / Items will be ready to be inspected on 02 03 2016 at 10 am hrs
d d m m y y y y

Signed at the time of inspection by the Contractor Signature:

AREA / LOCATION: axis 014 to Z &A to E

WORK FOR INSPECTION:

anti termite spray and covering by polythene sheet to proceed
casting PCC concrete

BOQ DIVISION 2 site works,antitermite

SPECIFICATION REQUIREMENTS: civil specifications polythene sheet section 03300

INSPECTION TO BE CONDUCTED BY: M/s

Received By: Consultant Date:

Consultant

Inspected By: Date:

Name:

Proceed Proceed with Comments Rejected

Consultant Comments:

For and on behalf of Signature Date:

Distribution: Original to Contractor

Copies to: