KCSA Survey Request Form

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Document No.

KAMOA COPPER SA KCSA-CON-SURV-REQ-01


Rev. No. Rev. Date
Quality Management System
01 4-Oct-21
Page Number
SURVEY REQUEST Page 1 of 1

KCSA Surveyor are requested to be present to survey / verify the following:

Date 1/25/2023 Time 8:00 AM Survey required - Tick Setting out


Verify
Tolerance √
Structure / Equipment Tag
Area / Location Plant offices Kamoa -1 FOUNDATION BOLTS
Number
Drawing Number 1001 , REV 01 OEM Information

Additional Information

REQUESTED BY

NAME MITENDRA SURNAME CHAUHAN COMPANY MSS SIGN

Note: Please complete the survey request as comprehensively as possible to avoid confusion.
This document has to be submitted 24 hours prior to the planned date

Note: Please complete the survey request as comprehensively as possible to avoid confusion.
SMP CIVILS EARTH WORKS

Note: Please complete the survey request as comprehensively as possible to avoid confusion.

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