Format No: QAG -FQCC-01/R02

Field Quality Clearance Certificate Date: 20/06/2023

(To be issued only after completion of activity as per PO and FQP)

Project Name 1000MW SJVNL - BIKANER - Phase-04 Project capacity 1000MW

Name of the
PARAMHANS INFRASTRUCTURE WO/PO/CRO No. 8200120308
Contractor
Work allocated Construction of Inverter Yard Foundation FQCC No: ICR/PARAMHANS/FQCC-03
Bill Date & No. 08-05-2023 & RA-03/ICR Date of issue: 30-12-2023
FQCC Particulars
FQA inspected & Balance
S.No Description of the scope of work completed Billing Qty Remark
cleared Qty Qty

1 Construction of Inverter Yard Foundation Rs.16,26,361 /- Rs.16,26,361 /- - -

Records reviewed for clearance

Sl.no Details of records Report no. Remarks

1 Checklists- Concrete Pourcard Submitted Submitted

2 MTC,Invoice (Raw Materials) Submitted Submitted
3 Test Reports (Raw Materials,Cube Test) Cleared Cleared

4 Punch point / NC closure Closed Closed

5 Other Documents (Royalityes etc.) Cleared Cleared

Checked by FQA Engineer Reviewed & released by FQA Manager / HOF
Name Mr. Anubhav Srivastava Name Mr. GANGA RAM

Signature Signature

Date 30-12-2023 Date

Project Incharge or co-ordinator/ QSD Project Incharge

Name Mr. Chandan Singh

Signature

Date
Remarks for Conditional Approval :- NIL

Note: Reviewed records in original shall be retained at site office for audit review. Copy of review record shall be sent to TPS(QA) HO on monthly
basis (for soft copy documentation).
 Format No: QAG -FQCC-01/R02
Field Quality Clearance Certificate Date: 20/06/2023
(To be issued only after completion of activity as per PO and FQP)

Invoice Ammount Rs.16,26,361 /-

FQCC Released ICR/PARAMHANS/FQCC-03

Sr no. Check
1 TRENCH NA
2 Alignment OK
3 cable laying NA
4 PPs upto this bill OK

Note: Reviewed records in original shall be retained at site office for audit review. Copy of review record shall be sent to TPS(QA) HO on monthly
basis (for soft copy documentation).