1

Client: Anglo American Quellaveco S.A.

Project: Quellaveco
Project No.: Q1CO

FIELD MATERIAL REQUEST / RETURN (FMR) - SOLICITUD / RETORNO DE MATERIALES EN TERRENO

Type Request Requested by – Solicitado por Contract Name & N° - Contratista Date - Fecha
Tipo Solicitud
Return
Retorno Q1CO-K-CC1-104 JJC 04/03/2021
Deliver to – Entregar a Required Date – Fecha Req. FMR N° Rev
Por confirmar. 04/03/2021 010 1
Area CWP E-BOM Discipline / Disciplina Page - Página
1130 11300030007 Eléctrica / Instrumentación 1
REQUIRED / RETURNED
ITEM CODE SIZE MATERIAL DESCRIPTION
QTY
1130-IO-002 <No Size> REMOTE IO CABINET - (12 DI, 3 DO,6 AI, 3 AO) 1

1130-DC-801 <No Size> OUTDOOR COMMUNICATION CABINET FOR PCS RING 1

SIGNATURE

Requested by Approved by (Fluor Supervision) Received by Field Material Management

Digitally signed by Christian Ari Digitally signed by
Suni gut17535
DN: cn=Christian Ari Suni, DN: cn=gut17535,
o=FLUOR, ou=Peru, email=Obet.Gutarra@fluor.c
email=christian.ari@fluor.com, om
c=PE Date: 2021.03.04 15:56:35
Date: 2021.03.04 15:04:30 -05'00' -05'00'
Date: 04/03/2021 Date: 04/03/2021 Date:

Form FMR-Q1CO Rev.0 - 02May19. Field Material Management