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GULF ASIA CONTRACTING Co.

LLC
Umm Wu,al Phosphate Project
(Overland Conveyor and Primary
Crusher-Package # 1)

SITE SURVEILLANCE REPORT(SSR) DATE:

INITIATED BY SPECIFICATION LOCATION AREA REPORT NO

MD-101-SMEM-EG-EL-SPC- Secondary
BENJIE MD-512-1000-QD-QC-RPT-5031
0001 Crusher

ITEM DESCRIPTION :USING OLD REVISION DRAWING

DWG NO :MD-511-11MB-EG-EL-DLA-2408 REV.CO1

STR.ID No :

SSR Report:REQUIREMENTS; SPECIFICATION

NAME SIGNATURE ………………………


RECEIVER
NAME SIGNATURE ………………………
REQUIRED CORRECTIVE ACTION :-

ACCEPTED BY
QA/QC INSPECTOR QA/QC MANAGER

NOTE : THE SECTION BELOW SHALL ONLY BE SIGNED OFF THE SURVEILLANCE REPORT HAS BEEN CLOSED OUT WITH IN 7 DAYS .

GAC ( Const's ) GAC ( QA/QC ) HQC

Name :

Post's :
Date :
Sign. :

Page 1 of 1 GAC-HQC-QD-QC-GE-FM-0002,Rev A01.

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