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TITLE
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FOUNDATION RELEASE NOTE FOR EQUIPMENT & STRUCTURE ERECTION


CGL-4AMNS
AM/NS
INDIA

' 2...- 0~ - 2. 1-
REPORT NO. IDATE :

Ult n~
-

Area/Location : &.t'.;l&t~~):J
Drawing No. & Rev. No: A~ 'DEt l I 2-\ 02.7 I 2..+-\ , I u \ c_,v- SL\~
Equipment/ Structure Details:
1\-1 '2- -

' -' I
,,
SR.No Checked .. Remarks
Activity / Item to ~e Checked
"··•-: .
I
· ( Yes~o/NA) '
Foundation co-ordinates, level and dimensions are within
y~
pennissible deviation (Post concreting as built sketch
'1J-?
1
attached)
Anchor bolts position, spacing and projection are
2 confinned with drawing (Post concreting as built sketch
attached) / Cleanness of bolt.
y~ i~
Pocket size and spacing are confinned with drawing (Post
3
concreting as built sketch attached) / Cleanness of pocket
NPr fl/Pl
4
Setting outline and datum level are determined and visible '(e.O,
for installation\ erection purpose

5
Foundation top surface are scrabbled/hacked and cleaned
of all dirt, laitance, oil & grease etc.
YVJ Y0
Remarks:

·.- ',··, - _::·/. ...,


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- PSP (Exectiti~it)\t;t'c : '; "-: ~:. PS°.R'(QA/QC) ' :· :: ..' AMfys (Exe.cutioli)'~J '.1(',:AMNS"(QA/QC) ~-
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\ Signature r?SD@n9o ~ ( ,. ~' V\-1-, -- ...
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Name tr. P-~ ~ ~913'1~~ L~(fS)~>,..
Date 12. fr1~r;,2. ' ... ,~~I'> L-
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·: -~~tian~cat> >.
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. AMNS (Execution) . - . AMJSS (QA/QC)··~' ' . . . ..

- CONTRA~ OR
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Signature
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Name i~ ,/\r,JJ~
Date V V V
(

UTILITY BIULDING
DATE: f 2.-t)8- 2 2-
Post Costing Protocol For A-12

:As Per Draw~


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+ II

N= 2"100. '-'41 9
I a ••>~ N• 2000, ,,,.-
E= ~1!10 , '"Jl)I 1 E= 6et.6't7

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N= 2.1'00 ,,3'1.f L - - - - - - --E-T"A.-;L,~~ PE1 N= 2100 • YfS'
0 E= 6~•. b-,,
E= tlSO • .,o,

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PSPSIGN ~

=r:-P~'y I
DRG.NO: -AMDEC/121027 /24/1 /O/CV-548

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