Pueblo Viejo Expansion Project

FIELD MATERIAL REQUEST / RETURN (FMR) - SOLICITUD / RETORNO DE MATERIALES EN TERRENO

Type Request Requested by – Solicitado por Contract Name & N° - Contratista INSEL Date - Fecha
Tipo ✘ Solicitud PO 45000375827- PV EXP Electrical pararrayos
Return expansion . Abril 19th 2022
Retorno Ivan Ariel Suero Medina

Deliver to – Entregar a Required Date – Fecha Req. 04 Rev

Ivan Suero Abril 19th 2022 0
Area CWP DRAWING / BOM NUMBER Discipline / Disciplina Page - Página
Expansion
Plant N/A Electrical 1-1

ITEM CODE SIZE MATERIAL DESCRIPTION REQUIRED / RETURNED QTY

6169-751 CABLE FASTENER

10 N/A 120

6169-751 CABLE CONDUCTOR #2/0 AWG

20 N/A 240

6169-751 VARILLA PARA TIERRA 5/8"

30 N/A 18

6169-751 CLAMP PARA VARILLLA DE TIERRA

40 N/A 18

6169-751 MOLDE T VARILLA 5/8 A CABLE 4/0

50 N/A 2
6169-751 FUNDENTE 115
60 N/A 15
6169-751DESCONECTOR DE CABLE
70 N/A 6

80 N/A 6169-751AISLADOR TIPO MANZANA 6

90 N/A 6169-751 TUBERIA PVC 1 1/2 SCH80 42

100 N/A 6169-751 MOLDE T VARILLA DE TIERRA 5/8 A CABLE 2/0 2

SIGNATURE
Requested by Approved by (PVE Construction Received by Field Material Management
Supervisor)

Ivan Ariel Suero Medina

Date: Abril 19th 2022 Date: Abril 19th 2022 Date: Abril 19th 2022

Date: Abril 19th 2022

Field Material Management