APPLICATION FOR WITNESS INSPECTION

(KESV APPLICATION NO. 20O036/20-PM-18 MQ-KESV-002)

TO : KOBELCO ECO-SOLUTIONS VIETNAM CO.,LTD. DATE : 16 Dec 2022
PROJECT CONTROL SECTION FORM: MINH QUAN TRADE AND
MECHANICAL CONSTRUCTION
COMPANY LIMITED
ATTENTION : PHONE : FAX :

TEL: APPLICANT ( PERSON IN CHARGE )

FAX: Ly Hong Huan
PROJECT NAME : Hong River Surface Water Treatment Plant Project
O. NO. PR. NO.
INSPECTION PLACE ( attach the map )
COMPANY NAME : MINH QUAN TRADE AND MECHANICAL CONSTRUCTION COMPANY
LIMITED
LOCATION : Lot 3-D3 Street, Phu Thanh Industrial Park, Phu Thanh Commune, Nhon
Trach Dist., Dong Nai Province.
PHONE NO. : 0973273188
PRESON IN CHARGE : Ly Hong Huan
EXPECTED INSPECTION DATE
FROM DATE 19/ Dec/2022 TIME : 8:00 TO 17:00 PM
TO DATE 20/Dec/2022 TIME : 8:00 TO 17:00 PM
INSPECTION STAGE CLASSFICATION OF INSPECTION
□ INSPECTION □ KESV’S INSPECTION
□ RE－INSPECTION □ OWNER’S INSPECTION

CATEGORY OF EQUIPMENT
□ STEEL FAB. □ MACHINERY □ ELECTRICAL / INSTRUMENT
□ SPARE PARTS □ OTHERS( )
WEIGHT Remark
No DESCRIPTION MATERIAL UNIT QUANTITY UNIT/Kg
1 Pipe Nipple DN25A 304 Pcs 32

2 Square Plug DN25A 304 Pcs 48

3 Socket DN25A 304 Pcs 80

4 Socket DN40A 304 Pcs 16

5 Socket DN50A 304 Pcs 16

6 Union DN25A 304 Pcs 16

7 Elbow 90 DN25 NPT 304 Pcs 32

8 Reducer Tee DN100x80 304 Pcs 16

9 Pipe ASTM A312 TP304 Sch10S DN80 304 M 6

10 Pipe ASTM A312 TP304 Sch10S DN100 304 M 48

11 Pipe ASTM A312 TP304 Sch10S DN125 304 M 6

12 Pipe ASTM A312 TP304 Sch10S DN25 304 M 12

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13 Pipe ASTM A312 TP304 Sch10S DN40 304 M 6

14 Elbow 90 A403 TP304 Sch10S DN600 304 Pcs 29

15 Gasket DN100 ISO7005-1 PN16 FF EPDM Pcs 16

16 Gasket DN500 ISO7005-1 PN6 FF EPDM Pcs 16

17 Gasket DN600 ISO7005-1 PN6 FF EPDM Pcs 32

18 Gasket OD1040xID920x3t EPDM Pcs 16

19 Gasket OD210xID115x3t EPDM Pcs 16

20 Gasket OD250xID141x3t EPDM Pcs 16

21 Blind Flange DN100 ISO7005-1 PN16 FF 304 Pcs 16

22 Flange DN125 ISO7005-1 PN16 FF 304 Pcs 16

23 Flange DN40 ISO7005-1 PN40 FF 304 Pcs 32

24 Flange DN500 ISO7005-1 PN6 FF 304 Pcs 64

25 Flange DN80 ISO7005-1 PN16 FF 304 Pcs 32

26 Flange DN100 ISO7005-1 PN16 FF 304 Pcs 64

27 Flange OD880xID362x35mm 304 Pcs 16

28 Plate OD110xID45x50mm 304 Pcs 32

29 Plate OD110xID45x25mm 304 Pcs 32

30 Plate OD620xID450x38mm 304 Pcs 16

31 Plate OD1156xID914x26mm 304 Pcs 32

32 Plate OD480xID111x24mm 304 Pcs 16

33 Plate OD620xID111x24mm 304 Pcs 16

34

35

Total

INSPECTION PHASE
□ INTERMEDIATE □ FINAL □ PACKING
INSPECTOIN / TEST ITEM
□ MATERIAL INSPECTION □ MECHANICAL RUNNING TEST □ RUST PREVENTION
CHECK
□ VISUAL INSPECTION □ PERFORMANCE TEST □ PAINTING INSPECTION
□ DIMENSIONAL INSPECTION □ QUANTITY INSPECTION □ NON-DESTRUCTIVE
INSPECTION
□ PACKING & MARKING INSPECTION
□ WELDING INSPECTION □ INSULATION RESISTANCE TEST
□ PRESSURE TEST □ WITHSTAND VOLTAGE TEST
□ LEAK TEST □ SEQUENCE TEST
□ MECHANICAL OPERATION TEST □ OTHERS ( )
COLUMN FOR KESV: □ WITNESS
( INSPECTOR : )
□ WAIVE ( DOCUMENT CHECK : )

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