Document No.

: PWA-RPD-CON-FM-1519
Material Approval Request Revision No. : 04
Issue Date : 13 Sep 2021

Project Details
Document DS132-P01-PET-GEN- Rev.
01 Date: 25-06-2023
No: PMT-MAR-144 No.:
Project No: IA 2018 C 040 I / DS 132-P01 Area : Zone 56 – Package 01
Project Title: Road and Infrastructure in North of Ain Khalid (Zone 56) Package 1
Alkhaleej Engineering & Industrial Contractor
GEC Petroserv Limited
Consultancy :

We request the approval of the Engineer to supply the following materials for incorporation into the
works

Part 1 - Material Particulars (one item per form)

Type of Material: GRP SEALING PLATE

Area of
Foul Sewer Manhole
Application:
GRP Sealing Plate
BoQ Ref: 8.2 Drawing Ref:
Drawing attached
Specification: QCS 2014
Applicable
QCS 2014
Standards:
Country of Origin: Qatar
Availability: Al Jassra Fiberplast

List and attach all relevant technical literature marked to identify relevant description, current test
certificates, samples as appropriate

a) Company Profile, Product Catalogue

b) Mix Certificate
c) Aggregate and test report
d) Cement Certificate
e) Material Safety Data Sheet

Part 2 - Particulars of Manufacturer / Supplier

Company
Al Jassra Fiberplast
Name:
Address 1: P.O. Box 23300
Address 2: Doha, Qatar
Address 3:
Address 4:
e-mail: info@aljassra-fiberplast.com
Telephone No: +974 44326930

Part 3 - Particulars of Local Agent (if applicable)

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED - Last printed 15/01/2019 14:51 Page 1 of 2
 Document No. : PWA-RPD-CON-FM-1519
Material Approval Request Revision No. : 04
Issue Date : 13 Sep 2021

Company
N/A
Name:
Address 1:
Address 2:
Address 3:
Address 4:
e-mail:
Telephone No:
Part 4 - Delivery Details
Ex-Works Total Latest Date for
2 Months
Duration: Order:
Date Material Estimated Date
Required on of Arrival on
Site: Site:

We certify that the above submitted items have been reviewed in detail and are correct and in strict
accordance with the contract drawings and specifications except as otherwise stated, and also that
the material sources indicated above have been reviewed in detail and that we will supply the
submitted items in full compliance with the schedule delivery plans

Name Fadi Alrayadi Date

Signature: 25-06-2023
: Project Director :

Part 5 - GEC Recommendation Comments

To Contractor:

Action Code A: ☐ Approved as Submitted

Action Code B: ☐ Approved with Comments( See below / attached)
Action Code C: ☐ Revise and Re-submit
Action Code D: ☐ Rejected
Name: Position:
Signature: Date:

Footnote:
Approval by the GEC shall not relieve the Contractor of its obligations and liabilities under the contract or constitute
authorization of any change to Contract Documents, and therefore, shall not imply any recognition whatsoever of
additional time or cost to the contract.

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