DOCUMENT NO.

CONTRACTOR'S LOGO
DATE:
MM/DD/YYYY
F-SITE-002, REV 000

TRANSMITTAL

OP NO. TITLE DELIVERY ORDER NO. WORK REQUEST NO.

10MW PHASE 1 OF THE 20 MW
OP2403MA-004
SAN JOSE SOLAR POWER PLANT PROJECT
FROM (CONTRACTOR) TO TRANSMITTAL NO. FOR SPEC. SECTION

PHILCANTECH (or v.v.) Maschinen & Technik, Inc. (or v.v.) 001

ACTION
TYPE QTY UNIT DESCRIPTION Remarks
CODE DATE

Having reviewed this submittal, we certify that it conforms to the contract conditions in APPROVER'S NOTE:
all respect

CONTRACTOR'S SIGNATURE
ACTION CODE:
AP APPROVED
AC APPROVED WITH COMMENTS
RR REVISED AND RESUBMIT
DA DISAPPROVED
IFC ISSUED FOR CONSTRUCTION (Signature over Printed Name)
OWNER'S ENGINEER's / ARCHITECT's Comments: OWNER's Comments;

Signed by : Signed by :

(Signature over Printed Name) (Signature over Printed Name)