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01 Formet

This document is an Inspection and Test Record (ITR) for civil works related to project JI20377, managed by Target LLC. It includes sections for recording survey inspection data such as coordinates and elevations, along with remarks. The document also outlines procedures for referencing RFI numbers and includes spaces for signatures and acceptance by surveyors.

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Kannan Murugesan
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0% found this document useful (0 votes)
187 views1 page

01 Formet

This document is an Inspection and Test Record (ITR) for civil works related to project JI20377, managed by Target LLC. It includes sections for recording survey inspection data such as coordinates and elevations, along with remarks. The document also outlines procedures for referencing RFI numbers and includes spaces for signatures and acceptance by surveyors.

Uploaded by

Kannan Murugesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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INSPECTION & TEST RECORD - CIVIL

ITR No: C-0102X


SURVEY INSPECTION RECORD
PEC-QU-ITR-X-11083 Rev 2

C-0102X
Sub-Contractor: Target LLC Project: JI20377
Sub System No # NA Tag No #: N/A
Description:
Drawing No: Rev:
RFI #: C-TAR- Date:
Structure/ Member:
Area:

Northing Easting Elevation Remarks


Description As per As per As per
Actual Difference Actual Difference Actual Difference
Drawing Drawing Drawing
1
2
3
4
5
6
7
8
9
10

Notes:

*If RFI has 2 ITR numbers, record number for those ITRs shall be “RFI number/1” and “RFI number/2”. Test reports will have test house identification numbers.
Company Signature: Applicable Not Applicable

Record Acceptance Sub-Contractor Surveyor Petrofac Construction / Surveyor COMPANY


Name:

Signature:

Date:
DRP001-OUF-TAR-RPT-Q-000-002 Page 1 of 1 Ref. ITP No: PEC-QU-ITP-X-11083

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