Sheet1

KGOC AGOC

KGOCRequest for Inspection AGOC

Customer : KJO (AGOC/KGOC)Contractor : Al-JalhamiDiscipline :Contract No.: HT003SS11 Civil Mechanical Electrical Instrumentation OthersRequest No.: RFI- 01

Submitted by Contractor: AL-JALHAMI CONT. EST.Date : 15/10/2014te:30.10.2014Time: 09.00 AM:10.00AMReceived by (PMT):Date: Time: Confirmed by (OIS):Date: Time:

Work Permit Required Yes NoProject Quality Plan: Hold PointWitness Point

Request for Inspection of:Enclosures:PRILIMINARY INSPECTION FOR THE TANK 1- Check List:2- Related Drawings

LOCATION:FRESH WATER TANK Spec. Ref.:Drawing #:TK -103 D AS PER APPROVED PROCEDURE

Planned date for Work ExecutionActual date of Execution

30/10/2014 AT 10.00AM

Verified by:S.Check List (Specify)ContractorKJO InspectorStatusVerified by:Al-Jalhami

Remarks:

Acceptance Does Not Relieve The Contractor From His Reponsibility & Liability Concerning Compliance With Contract Requirement

ContractorKJO Project RepresentativeKJO OIS Name: Name: Mr.SAEED AL MARIName: Mr.ALI AL MUTHERI

Signature:Signature:Signature:

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