Material Inspection Request (MIR)

MIR Ref: 01101-SPC-ZZZ-ZZZ-MIR-MEC-XXXXXX Revision: 00

Discipline: Mechanical Inspection Date: 29-Feb-2024
Project: Makkah Phase-1
Client: ROSHN Real Estate
Engineer: Hill International
Contractor: Saudi Pan Kingdom Company (SAPAC)
MAR Ref No: 01101-SPC-MAT-CIV-000004 Location: At Site

Material Details
Material Name: WATER & SEPTIC TANKS
Material Description:

Inspection for Water & Septic Tanks with caps for the Employer site office Buildings:
Water (PolyethleneTank) = 3 Pcs, Caps = 3 Pcs (Invoice No. 06683)
Water (Polyethlene Tank) = 1 Pcs, Septic (Fiberglass Tank) = 1 Pcs & Cap = 1 Pcs
(Invoice No. 06684)
Supplier Name: MARJAN FACTORY FOR FIBERGLASS Co.
Quantity: As per above Description Date of Delivery: 29-Feb-2024

Contractor QA/QC Engineer: (Internal inspection is completed and Work is ready for the Engineer’s Inspection)
Name: Mohammed Kashif Irfani Date: 29-Feb-2024

Engineer’s Review/Inspection
Physical Damage? Yes No
Details are mentioned in Delivery Note? Yes No
Conformance with the Approved Material? Yes No
U MIR Status:
Approved Code A.
Rejected Code C.

Engineer’s Comments:

Inspector Name: Date: Signature:

ARE/RE Name: Date: Signature:

Reviewed by
Date: Signature:
QA/QC Name:
Received by Contractor:

Name: Signature: Date:

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