YD) i 7 | KAFD Material Inspection Request Requsat het) arn sxw-gan ste MIn-oonr2 Revision: 00 ra King Abdullah Financial Dstt ‘Submission Date: U4 DEC 72023 AFD OMG Inspection Date: 0/5 DEC 2023] Time: | 13:00 PMCM/Engineer: | Saudi Arabian Parsons Ltd Cluster/Parcel No.: | Skywalk $35 & $36 ‘Supy. Consultant: | DAH Contracto SAB Material Details: ‘Material Approval: | Legacy Material Supplier Namo: Exspan MIR for Mechanical Pot Bearing ‘$35 (30K0200 - $72, 31K0130/ 400 - $72, 31K0100/ 100 - S69 & | Delivery Note No. Material Description: | 19%5 soG/100120 $29) Dee nee Legacy Material $36 (31K0130 / 100 - S15 & 22K0075/100/20 - S66) Location SAB Warehouse Area 6 Quantity 05 pieces as per attached Delivery Note “Tne above materia has boon spaced and ound scordng fo Pat requiremens and speciewtons™ Contractor's Representative: Name: Khalid Kan signa: [Cee Date: | o4-122028 ‘Supervision Consultant's Review: Checks: Physical Damage? Dyes ONo CNA Details are Mentioned on Delivery Note? Ores Ono OMA ‘Conformance with the Approved Material?” Des ONo CNA Material Approvel, Delivery Notes, and Test Certificates are attached? Ores ONo OMA Storage of materials is as per Manufacturer's recommendation? Des ONo CNA ‘Status of inspecto “TL Status A (Approved) (5) Status & (Approved with Comments) (Status ¢ (Revise & Resubmit) ‘Comments: PICTURE Reviewer Name: “Hassan Zein Signatur Date: PMCM's Review: ‘Comments: PICTURE Roviowor Name: Signature: Date: TT i ETO ST TCO RTT TT I TTT Form No. KAFD-MUP-SAP-GMS-FRM-O0010 ROD ——-23-Allg-2022 Page 1 of 1