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ENGINEERING CORPORATION SAUDI BRANCH INSPECTION AND TEST PLAN (ITP)JAZAN CITY FOR PRIMARY AND DOWNSTREAM INDUSTRIES (JCPDI) CONTRACT NO. JCPDI I-2004 ITP FOR INSTALLATION OF STREET LIGHTING PANEL (ITP-E-012) Revision Control Page DOCUMENT NO : 01-300-00 REVISION: 01 DATE OF ISSUE : 03/03/22 | #F ate escrtion Prepared By: | Checked By: | Approved By - | a ITP for Intalaen of or | oaane | srAleragetiNe eter |ACEmaieer | —awac Manager. |Project Manager ade = E—— = oe Ee eee femme) conenee “con a yt mee iZeon Fee) YaE. —[RRSTETRE DNR faerie Ek chic ae — ITP FORM INDEX SHEET TEM FOR NUMBER No | pesewerion RETPRENCERECORD | REMARKS 10 | net er opcon 0 lerneness \ TTPF-CVL-003 1 | saa sg ingsin apn ote ee Fe pee to recon aaa eines Si ein Pre tin Seth Pel Eon vio [Seabees sree | mereteo. See Ligh et Ft caetanintin Rein! Cosiny | FFL 130 | texoy Commision for bland an rex ace ocr Request For Inspection Form . “ne rooc Tite: INFRASTRUCTURE DEVELOPIIENT INCLUDING ROADS & UTILITIES RESIDENTIAL AREA DISTRICT ¢ REQUEST FOR INSPECTION contractor: cee are REQUEST NO.JCPOI| 2004 2004-000 TO" putorzod Representative, Eng. Konsaninos Ais Constrtion Cepariment ‘TYPE OF INSPECTION O ow Downes, Baseman omen ‘WOULD YOU PLEASE CONDUCT INSPECTION AND WITNESS THE PORTION OF THE WORK AS FOLLOWS: Description pare | TIME LOCATION. REGUESTED BY VERIFIED BY Contuoton Manager (SC) nce Marager wirnessen ay witnesseD 6Y: ROE RONDO REMARKS ATTACHMENTS: ESRGINSES youn pon CHECKLIST 1D INSPECTION CHECKLIST 1D INDEPENOENT TESTING LAB, RESULTS 1B DRAWING TCTRCDOAE Achmet Pave tot war‘General Services Lonnection for community ‘rea (Temporary Sea Water Cooling) Chic TOLD POINT RELEASE FORM vor ct lorawine No Pastner fay pescriton: Panned date/time finspection ‘tual DateTime of inspection Dicnine Ck Gamraston Sen Se Date FecrnstrTebe Barer constuction Manager Lac manager emans Wor 1 May Procees Way not Proceed ror Royal Commision name postion Kienatre [rspecionost/Time ror Rood Dept, names Jostion figratre |repection DateTimecho] “mmernsewnucsoemersacas | QB (MATERIAL RECEIVING INSPECTION REPORT by. eorecron covey fe sen conomon 0 u . TS TREmon eS Se seyeupsoeo reraoy sereupicog ute sores] areal sucstarnzs| 000 F na a ee fan ito am a a] aanearanae 100-1A9-JalLI FON UES LuOdTY ABAUNS OTALA off sanubsnant nvRu1shioa ONY suyHRd OH ALO SEP )nemasmucrunrprvonuexticupNGEoADs& ANG UTILITIES RESIDENTIAL AREA DISTRICT 1 AREA 3 Fr: TPF-GML04 STEEL REINFORCEMENT < & EMBEDMENT / CHECKLIST = Lozaton Desziption ‘Conti No, | JORDI 2008 Drawing No ‘hoa er ag No. Tapa ane] Star an Ne Inspection Conon vaistonel | Amparce | | SSR Se SI SERS SRT aT SHE Sarbthedsneiyn dcanarioe wih mandaclrers nsvucons J Mhe connection ratios ofthe soe raver shoud comely ‘Mihi requnt of dasign ang Res spectenion “The variety. aie, se and quantiy shall moot te design 3. | feguement stele o ating he sel rettorcoment Rebar aise ora correcta) 5S GEARS OFM BATE SUTUB AS PT [ethno tet rere bag ot ap spice as or projec sper's 4 | Pintrcoment [Dowels rebar as per pojec pecs Imstalaton[Lgeaton ar correct an secured with wie Reinforcement chairs on spacers ae located “ie wires concrete cover & spacer Rebar ean, ee oft scale, olor mud “acho bls (Damar Length Tye8) chor bos Le=T Projetionelevalonposton. ‘Anetor bok seeves ‘Depth ot Anchor btaTEnbedd Fars ‘aneor bot grounding mpecment | _Thead poecton| s |isreespe [inset pate ze isan eaten) projec see's | Ange ron Potecton fom coresion and damage Tipe slsavelpidda Tange (222 110 vation) Conduits ‘Ground wie 7 Eng | Postion abenmant lontslepancion | Remarks, OTHERS esoae ROC Name: Name Name: ‘Signatur: Signature Signature Date Date DateIneRasTRucTORE peveLorwesTinctuDIN RoaD& umes eesioexria C, "AREA DISTRICT 1 AREA. Fon No: TPFAVLOS FORMWORK CHECKLIST Fepar Dat Location Dessipon (ene s6POII-2008 Drawing No rwaNo: Tem Tag No No Inapection Contents| coc | Rowe ‘Check he ited Yom fo Tinos & Sia, very He wer 1, _| stomiscapabi to bear the load ofthe upper layer The verte! alums ofthe upper and lower supports ae with the padding plate to bela ‘Check and ver ry leaking at i joa ha erm ‘ery te inside surfaces of wood form i soaked with ean water 2 | botore pouring cone (Check and vert the fos shal be thorough cleaned and ree froma dus, tee. at and ae foreign mater ‘Dmensions ad Leeaton = ‘igen Plumoness ‘Stab (bearg, shores tos, space) False work [See Prepeaton(cleanines) Potetylone chest (Vapour Barre) —_ Tignes ‘Chane stp Form Ol ‘Concets Cover ‘Topof conc The embedneni Pre-ombedmont near pave Preserved holo be hed | contrine position ‘onthe tempat shallbe | Preembedmen Pipe sleeve 1g. | eompitaana'oe fom | contain postion meng andbe insted [Gott | Cen ins pasion Tony wih thedevaton | Preserved meeting the stpiaton in | ‘ice eA specfoaton | PEO esaton and orentatonpoaton Top of ener elvation a par 5 | Flee survey choc sign “The poston of coordinate W as par IF growing Bema corners escac OPM Nae Nave Nae Sinaie Sinai Site Date Date Dae Cc6 che | NRASTRUCTURE DEVELOPMENT INCE MING ROAD # {TILITIES RESIDENTIAL AREA DISTRICT! ~AREA3 PRE-CONCRETE PLACEMENT INSPECTION CHECKLIST _ repo: = “SAN CITY FOR PRIMARY AN COWNSTREAIINDUSTRES been Laren rae [ren fein doa Gu Cl Oneal irrenoaasorcore 7 = Yara oF ConcheTe ‘ee nsroRnsrecron om conacarmowes a (Saaepeai [Eoin antoxie Famer Eentrenen serercrind [Entese vet oma) a | oa 1 tac oe rupee) fas eee fa eteeeooo fa ea =INFKAS IRUCTURE DEVELOPMENT INCLUDING ROADS & UTILITIES RESIDENTIAL AREA DISTRICT e TOAREAS CONGRETE FOUR CARD Torna Tern ree ect Yolo ei Beni Che Rhone comme Tea Rind Gog Med ro ley kt nom pe ln CN sume ‘pein dg A VINO Denti cone ih at 7 Chk rAd Vi on Mea me st Oi sey ae rare Wane Cnr ‘oR rece ROPMIE Sioa Some Seref:neonme apoE feswins tere ia bacon nag a fis soe ann ogo man PE a 33 — [omnes aaa of Asses [NO DESCRIPTION OF DEFIENGIES NOTED [GACTION TAKEN ON NOTES DEFCIENGES econ