KIPIC Al-Zour Refinery Project EPC0059

Material Receiving Inspection (MRI) DATE : 21 / 10 /2019

MRI Ref. No.: EPL-UGCC-47670-MRI-001 Inspection Date: 22 / 10 / 2019

Material Description: Multiflex Expansion Joint- M100,
M16x160mm Bolts-Nuts & PU Sealant Inspection Time: 9:00 AM
Supplier: GOLDEN EIWAN GENERAL TRADING &
CONTRACTING CO. Discipline Civil
Manufacturer: MIN INDUSTRIES SDN. BHD. MAR Approval No. 77-ZA-E-03032-001

Quantity received : As per As per Attached

Country of Origin: MALAYSIA Receiving Date:
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 yes Attached
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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