CONTRACTOR LOGO CONSULTANT LOGO

…………….. DRINKING WATER SUPPLY SYSTEM PROJECT

MATERIAL INSPECTION REQUEST

Document No : Date :

DESCRIPTION OF MATERIAL :
.

MATERIAL OF QUANTITY :

CONTRACTOR DOCUMENT REFERENCE :

REF. SPECIFICATIONS:

MANUFACTURER (NAME & ADDRESS) :

SUPPLIER AND/OR LOCAL AGENT :

DELIVERY NOTE NO:

AREA/LOCATION OF USE:

ANNEX:

Engineer’s Comments Date: …………………… Time: ……………

:
Name : ……………….…………………………… Sign : …………………………………

Comments : ..........................................................................................................................

………………………………………………………………………………………………….
. .………………………………………………………………………………………………..

□ Approved □ Rejected