REQUEST FOR INSPECTION

Saudi Aramco 6717-ENG (I 1/98) 726-200 (Inspection Department) Ref: SAEP 1150 & I 023 Rfl No. SAJ-MECH-RFl-254

BI JO 00040-0016 Phase Construction Title KING SALMAN ENERGY PARK(SPARK) DRY PORT
To: Projects Inspection Unit/ Mr. Mr. Nino D Civil D Mech. � Plumb.0 Comms. D Elect. D Other _ _ _ _
__
Inspection/monitoring is required on (date) ----30 June 2022
- - -at (time) -------
10: 00 AM prior to ------ -----
for the following location/equipment GRP pipe size (500 mm) for storm drain line installation inspection from MH 2.1.1

Work Petmit required: D Yes � No Project Quality Plan: 0 Hold Point � Witness Point

SAPMT represenlalive bas verified lhal the work is ready for CONTRACTOR has verified that the work to be inspected is
inspection and conforms to the project requirements. complete and in compliance with the following specifications:

SAPMTName Mr.NOHA MAJORO SAES/SAMS/Other # SAJDP-ITP-S-001-01 I SAJDP-IC-S-003

Signature Date f (_j� I2oJ2 Contractor/Company SHIBH AL .IA?rRA CONTRACTING CO
Telephone Fax QA/QCName SHABBIR MULANI
QA/QC Signature

This form received by the undersigned Inspection Department

NOTE: Inspector's signature is for receiving this request only and not for approval or disapproval of the work or facility inspected.
Distribution: A. Original - Project Management B. 1st Copy - Inspection C. 2nd Copy - Contractor

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