KIPIC Al-Zour Refinery Project EPC0059

Material Receiving Inspection (MRI) DATE : 22 / 12 /2019

MRI Ref. No.: EPL-UGCC-51203-MRI-001 Inspection Date: 23 / 12 / 2019

Material Description: Master Kure 101 & Master Protect 300
Grey Inspection Time: 9:00 AM
Supplier: ARABI COMPANY W.L.L. Discipline Civil
Manufacturer: BASF Construction Chemicals UAE LLC MAR Approval No. 77-ZA-E-03136-001

Quantity received : As per

Country of Origin: DUBAI Receiving Date: 22 / 12 / 2019
Attached Delivery Note
Attached Documentation with delivery: - Yes / No Document Identification No. Remarks
Co. relation w.r.t. IRN/MTC
Delivery Note / Store Issue Voucher yes Attached
Site Receipt yes Attached
Heat no / Batch no
Dimensionally checked
Manufacturer’s Test Certificates yes Attached
Material sent for lab testing
Certificate of Origin / Bill of landing Yes Attached
Any other Document / as per drawing
Receiving Inspection/Verification of Compliance By Storekeeper / Discipline Engineer

NAME: SIGNATURE: DATE:

Inspection / Verification (By SUB-CONTRACTOR QA/QC)

Conforming / Accepted  Accepted with comments  Non-Conforming / Rejected 

Comments:

NAME: SIGNATURE: DATE:

Inspection / Verification (EPL)

Conforming / Accepted  Accepted with comments  Non-Conforming / Rejected 

Comments :

NAME: SIGNATURE: DATE:

Inspection / Verification (COMPANY)

Conforming / Accepted  Accepted with comments  Non-Conforming / Rejected 

Comments :

FORMAT NO.: 14/IR/REV O

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