MATERIAL INSPECTION REQUEST (MIR)

MIR # TWM-MIR-006-Rev.00
Contractor El-Nesr Package # TWM-Fence-01
Package Title The Water MarQ (Fence) Date 19-02-2023

Description of material for inspection:

‫ سم‬12 ‫ طوبة أسمنتية مصمتة‬5000 ‫عدد‬

Item/Qty. req'd. Qty. Del'd. Ttl. Del'd. Test/Mill Certificates

Copy of packing list
Copy of purchase order
Copy of invoice stamped by customs

Inspection location Date of material delivery

Comments

Contractor's Signature Date:

Inspection comments (Consultant) Independent LAB.:

Confirmation of Samples Received

YES NO
Test Required

No. of Samples Required PM. Signature : Name

Confirm compliance with approved transmittal YES/NO {If NO confirm issuance of Inspection Memo}
Signature of Consultant Date

Comments

Signature of Contract Engineer: Name: Position Date :

Signature of Consultant Name: Position: Date :

Distribution : Client, PM (1), Contractor (1)