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Adssc Form
Adssc Form
Adssc Form
SOF-1301-H 000 1 of 1
PAC PROCESS FORM-HANDING OVER FORM-1 SITE INSPECTION REPORT PRIOR TO PAC
Page
Contact No.:
Consultant: Inspection No: Pipe Diameter (mm): From Manhole/ I.C.:
O-2536
Location:
Contractor: Date: Material: To Manhole/ I.C.: CL: IL: GL: Depth:
DORSCH GRUPPE
MACE
Description Cover & Frame Sealing Plate Liner/T Lock/Epoxy Adjustment Ring Shaft Unit Base Unit Ladder/Safety Cage/Chain Back Drop Future Port
Concrete with both sides GRP Liner Concrete with insides GRP Liner Concrete with epoxy inside and outside with protection material Type of Material O.K. Not O.K. Remarks Heavy Duty D.I.400 GRP GRP Concrete with both sides GRP Concrete with both sides GRP Concrete with both sides GRP N/A GRP Average Dept: Gradient: GRP UPVC PVC HDPE DI CI Concrete surrounds Aggregate surround Excavated material Allowable: Allowable: Not O.K. Remarks
AC
CL:
GL: Depth:
Signature
Date