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lnsoection Re1:tuest
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Request name ...,..,...,.,1 r""
I
New caustic concentration unit : Name Project /t..,_µ1 <"""1
'
:P' c__/ ~
Date Request /ylhll &,.Jt. Requestfylh!l ~ .J
c.-' : Contractor /JJ\.Lll r'"'1
~

Quality/~ ! Unit f,=.,ll Items No/~1 ~.) ":'~ IJl.$~1

f-,' '(e-(qfec{ d~af"S rYr- 1 ~
Type of work /J~'il t~
ls,.;'..S,_s. ,\.,,~ ..::..,~ c;.iy:ic. I
c , f? j
Elec. Finishing Civil
,J1\.Lli
f' '--=..S :ft-s.., z : ~ .Signature/ ~ _,:;JI ~ -%)1 ...:..1 .;Lli.w.'::!IJ c:..,':1..i\i.Jl y ..i.» I.S"'\...... ;\.!,;>'
Contractor
Mech . /ts.;,'.S,.so A/C ~ Elec. /,'-!~ Plumb . ..,,.~ Civil /,.pY:.:.I ,_<l'W I .ii,J\
A< r1 I Don~.
~ r':l ~ I Done
ii A1r1 I f' ~~ I 0 -··- i¥. ~ I fJ Previous items
Not Done Not Done I Not Done Done Not Pone Done Not DonP. OnnP.
0"4JI ~_i>
w_;.;;.JI
I
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Supervisor

Inspector /wa -,ill ~\.J.j

- - = - - -,- - - - - -- -----·--·-- - --·--

D Rejected /.fa_j,y, D Approved as noted/..::...~ J~ I D Approved /J~

Notes / ..;:.~\

; { ~ Attl'v... Name/r-"')11 i
: : Name/!"'"')/\
~
. I I
: Signature/~ _,:;.\\ I
: Date /&,):,JI I
PSC · I
: Signature/~.,:;!\
: Date /&,).:iii TK~S
·- - - - -- - - ' ·-- - - -- - · - - I/ :,/.:.
: Name/!"""'l/1 Cl
y\b.\'( I
: Signature/c:19.,:;]1
: Date /t_..,u'cil
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•
 J~ l ~~
lns_nection Reauest
Request name ..,.,lbll !""'1 New caustic concentration unit : Name Project /t_,y.':,.JI I""''

~~J~
Date Request /..,.,ibll C'J.Jti Request /..,.,lhll ~ .J
: Contractor /J§WI !""'1
Quality /~I Unit /o=)I Items No/.l.i,,ll r-3.J
~~ b) ~ o}; w, ~); Lt;>_), ,~ r ":-'~1Jl$.~I
~
Type of work /J~'il t~
ts,µ~ ~~~ w~ '-?:,1.f,r.\ c ' f(> __!
Elec. Finishing Civil
,. ' tgnature/ ~ji.11 ~~I wlJ.j :i,u:')/1_, w')/_,\wl YJife ._.....\..... ..S~ J_,\.ii.JI
( - Contractor
'- · ,

Mech. /~ AJC ~ Elec. l~Liy,S Plumb.~ Civil /,pl.;,r.l

t.9!\....ll ..l.i,Jl
I ~
.-:;.r1
Not Done Done
.,:;. r1
Not Done
I ti
Done Not Done
M!rl I ~
Done
.,:;. ~
Not Done
I ;,
Done
M!rl
NotDone
I ;,
Done
Previous items

~l~jl
.....;µ,
Sue_ervisor

Inspector /w" - ~cu

,ill~ -~--
D Rejected I.fa_j,y, D Approved as noted/wl.1.=..)I...; J~ \ D Approved /J~

Notes / .:..~!

,.'to ~ At\t', : Name/r'""':11 : Name/r'""'ll'

1
_ _.., '"S:- : Signature/cl9jill I PSC : Signature/cl9_,:;ll
___
1 __ 1 _ : Date_JC'J}:ill I I : Date IC'})wll TK~S
-~-------~ ---~--
: Name/i""''l/1

_')\t.\, I I
: Signature/cl9ji.11
: Date /t_..; j:,J\
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