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REQUEST FOR INSPECTION

Saudi Aramco 6717-2-ENG (08/07) (Inspection Department Ref: SAEP 1150 & 309) RFI No.

RPO: 6510914475 BI: W/O: 3000817344 Title: West Pier Roof Replacement For buildings6,16,18,11,20

To: Inspection Unit/Mr. Renon Velasquez ✔ Civil Mech. Plumb. Comms. Elect. Other

Inspection/monitoring is required on (date) 07/05/2021 at (time) 09:00 prior to Final Water leak test
For the following location/equipment Building # 11

Work Permit required: ✔ Yes No Project Quality Plan: Hold Point ✔ Witness Point

Proponent representative has verified that the Work is ready for CONTRACTOR has verified that the Work to be inspected is
inspection and conforms to the project requirements. complete and in compliance with the following specifications:

SAES/SAMS/Other # SATIP-M-100-04, SAIC-M-1034

Representative Name: Renon Velasquez
Signature Date: 07/05/2021 Contractor/Company DHAFER M. AL ZLAIQ & PART. GEN. CONT. CO.

Telephone: Fax: QA/QC Name Sarannraj S

QA/QC Signature Date 07/05/2021

This form was received by the undersigned Inspection Unit Employee:

Name: Renon Velasquez� Time: 09:00

Inspector Arrived on site: Inspector Left Site:

Time nearest 1/2 hour

Concurrence S.A. Proponent: Badge#:

Work Description: Visual Inspection for Final Water Leak Test

REMARKS:

Distribution:
Original - Inspection Unit 1st Copy - RPO Proponent 2nd Copy - ID Coordinator 3rd Copy - Construction Contractor

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