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02.01.04 Job Completion Agreement CEM Form 1.0
02.01.04 Job Completion Agreement CEM Form 1.0
Version: 1.0
Date: 24/05/2018
B. JOB INFORMATION:
CEWA # MOP#
Site # Project Name
Region PO#
City Vendor/Contractor
Job Start Agreement # Actual Complete Date
Job Description
All equipment mentioned in the MOP and JSA have been provided and/or installed, without exception Yes
and acceptance, in accordance with proper installation standards and is ready for service. No
(NOTE: Even if there are exceptions, this job is subject to STC quality audits.)
If NO is checked, list the exceptions below, and reschedule the job completion by submitting a revised Job Completion
Agreement.
1.
2.
3.
4.
5.
6.
D. JOB COMPLETION APPROVALS (This Approval is not a PAT, PAT to follow after JCA)
Approval Name: Requestor – Contractor Site TFM Contractor Region Section Manager
(FOM)/Supervisor
Name:
Signature & Date:
Stamp: