Form S1 APPROVAL REQUEST Print Form

Rehabilitation of the University Theater Hall - Submittal Number: MC-B-SA00 35

Mosul University- East Mosul-Ninawa REVISION: 0
Governorate
CONTRACT NO.: P/AM 256/19
To be completed by Abeer Alshimal (Submit to Engineer)
Name of Submittal: (Condensate water pipe )
Type of Work: Civil & Architecture Mechanical Electrical Other
We are Sending: Hard Copies Statement
Technical Method
+ One Soft Copy of the following: Catalogues Data Drawings Literature Certificates Sample(s)

Submittal Content CPVC PIPE dai 25 mm Alamal Alshreef company .

:
Specification Section Number: Drawing Sheet Number: M1GR00 -M1TR00
Submitted for: Approval for Information Review & comment
We certify that the above submitted items have been reviewed in detail and are correct and in strict conformance with the contract drawing and
specifications except as otherwise stated.
Date Submit 12/12/2020 Submitted by: M. Eng Ahmed Mohmed
To be completed by Engineer (Site Engineer)

Date received: Received by:

Submittal is: Reviewed Reviewed with comments Not Reviewed
We hereby confirm that the submittal is in accordance with the specifications and drawings.
Comments:

e:
Date Submitted: Checked by: Signature:

Engineer's Recommendations:

Date Received: Received by:

Recommended approval code for submittal (see list below):

Comments:

Date Submitted:
Signature

To be completed by UNDP

Date Received: Reviewed by:

A - Approved as submitted. E - Disapproved (See attached).

B- Approved, except as noted in comments
F - Receipt acknowledged.
C- Approved, except as noted in comments
FX - Receipt acknowledged, does not comply as noted
Refer to attached sheet - resubmission required.
with contract requirements.
D- Will be returned by separate correspondence.
G- Other (Specify).
Permission to proceed does not constitute acceptance or approval of design details, calculations, analyses, test method or materials
developed by the supplier/subcontractor and do not relieve supplier/subcontractor from full compliance with contractual obligations.
Responsible Reviewer: Date:

Comments:

Date Approved: Approved by:

Signature