"CONTRUCCION OF THE OPERATION ZONE (ZOP) AND THE ENTRANCE COMPLEX (CI) FOR CHANCAY

MULTIPURPOSE TERMINAL PROJECT, PERU"

Document Revew 0.00

SURVEY ACCEPTANCE PROTOCOL
Approvat Date 9/16/2022

CODE: CHECSAC-CCCC4TH-SUV-ITR-170-CI - 000105 Date of Verification: 9/8/2023

Client:
COSCO SHIPPING PORTS CHANCAY PERÚ S.A. Page: 1 de 2

FRONT OR SECTOR : BERTH 2 Unit: Berth #2 REFERENCE PLAN

JOB DESCRIPTION : inspection the coodinates and level of beam TB-109 bottom formwork Branch: Upper Structure P114143-E-170-MS-DWG-082-R0

In-situ Casting tranverse and

PK OR LOCATION : BEAM TB- 109 BOTTOM AXIS A-F / 9 Subentry: longitudinal beam P114143-E-170-MS-DWG-012 R0

EQUIPMENT: TOTAL STATION X LEICA X MODEL: TS10 2" R500 SERIE: 3335268

CALIBRATED EQUIPMENT: SI X NO CALIBRATION EXPIRY: D: 26 M: JANUARY Y: 2024

X: 251559.4089 1.- Location of control points 5.- Marking and layout of Track Axes
-BASE 1: 0+800 Y: 8716818.1771
Z: 5.8490 2.- Placing templates with level coordinates 6.- Slope Control

X: 251796.3203 3.- Line marking and stake out 7.- Verification of concrete levels
BASE 2 N-5 Y: 8717361.1548
Z: 4.523 4.- Tracing and Layout of structures 8.- Others:

X:
BM L-13 Y:
Z: 4.914
Datos de campo

DESIGN ACTUAL
progressive / DIFFERENCES OBSERVATION
N° Pto Axis / level / COORDINATES COORDINATES
Name
East (x) North (y) Level (Z) East (x) North (y) Level (z) East (x) North (y) Level (z)
1 TB-109 251584.542 8716997.21 1.800 251584.544 8716997.209 1.794 0.002 -0.001 -0.006

2 TB-109 251596.416 8716986.117 1.800 251596.419 8716986.115 1.801 0.003 -0.002 0.001

3 TB-109 251608.291 8716975.024 1.800 251608.290 8716975.025 1.803 -0.001 0.001 0.003

4 TB-109 251607.335 8716974.001 1.800 251607.336 8716974.000 1.803 0.001 -0.001 0.003

5 TB-109 251595.461 8716985.094 1.800 251595.459 8716985.093 1.799 -0.002 -0.001 -0.001

6 TB-109 251583.586 8716996.187 1.800 251583.587 8716996.185 1.795 0.001 -0.002 -0.005

COMENTARIOS

Inspection Accepted. YES NO Inspection Accepted. YES NO Inspection Accepted. YES NO

Signature: Signature: Signature:

Name: JOSE JARAMILLO M. Name: Name:

Date: 9/8/2023 Date: Date:
SURVEYOR HEAD OF TOPOGRAPHY
SUPERVISIÓN
CHECSAC-CCCC4TH CHECSAC-CCCC4TH
 "CONTRUCCION OF THE OPERATION ZONE (ZOP) AND THE ENTRANCE COMPLEX (CI) FOR CHANCAY
MULTIPURPOSE TERMINAL PROJECT, PERU"

Document Revew 0.00

SURVEY ACCEPTANCE PROTOCOL
Approvat Date 9/16/2022

CODE: CHECSAC-CCCC4TH-SUV-ITR-170-CI - 000105 Date of Verification: 9/8/2023

Client:
COSCO SHIPPING PORTS CHANCAY PERÚ S.A. Page: 2 de 2

FRONT OR SECTOR : BERTH 2 Unit: Berth #2 REFERENCE PLAN

JOB DESCRIPTION : inspection the coodinates and level of beam TB-109 bottom formwork Branch: Upper Structure P114143-E-170-MS-DWG-082-R0

In-situ Casting tranverse and

PK OR LOCATION : BEAM TB- 109 BOTTOM AXIS A-F / 9 Subentry: longitudinal beam P114143-E-170-MS-DWG-012 R0

EQUIPMENT: TOTAL STATION X LEICA X MODEL: TS10 2" R500 SERIE: 3335268

CALIBRATED EQUIPMENT: SI X NO CALIBRATION EXPIRY: D: 26 M: JANUARY Y: 2024

X: 252165.3155 1.- Location of control points 5.- Marking and layout of Track Axes
-BASE 1: CHEC-12 Y: 8717612.3838
Z: 46.5350 2.- Placing templates with level coordinates 6.- Slope Control

X: 252079.532 3.- Line marking and stake out 7.- Verification of concrete levels
BASE 2 CHEC-11 Y: 8717943.5941
Z: 67.183 4.- Tracing and Layout of structures 8.- Others:

X:
BM: N-5 Y:
Z: 4.523
Datos de campo

PLANT

PREVIOUS VERIFIED BEAM

AXIS 10 9

BEAM CODE TB-110 TB-109

SECTION

TB - 109
P114143-E-170-MS-DWG-201-R0
COMENTARIOS

Inspection Accepted. YES NO Inspection Accepted. YES NO Inspection Accepted. YES NO

Signature: Signature: Signature:

Name: JOSE JARAMILLO M. Name: Name:

Date: 9/8/2023 Date: Date:
SURVEYOR HEAD OF TOPOGRAPHY
SUPERVISIÓN
CHECSAC-CCCC4TH CHECSAC-CCCC4TH