WAFA FIELD Material Exit Form

NO Description of Materials Unit Quantity

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Reason For, Exit:
Owned by contractors : Company Name: CHIMEC Submitted, Sig by:
(Mellitah company procedures)

Concerned Dept.

Name position Approval Date

ELSADEG HAMAD INSPECTOR I 10/ 05 2017
Notes;

1) Material forms have to be prepared 48 hours before departure from Wafa Field. And Company
Security must check goods before loading.
2) Upon loading goods, truck must leave the field or transferred to transit site and placed under security
watch until departure is possible.
3) Must be submitted in print form.

Security Dept.

Security patrol carried out inspection by:

Name Location Time Signature Date

Name Signature Date

Security supervisor approval

Field manager approval

Security main gate carried out inspection by

Name Time Signature Date

CC..Security Main gate.

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