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On-Site Material Inspection Request - Mir: Date Request Serial No

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ON-SITE MATERIAL INSPECTION REQUEST - MIR

Date 12/6/2020 Request Serial No. NHC-TAM-ES-016-MIR-EL-0014


Program Title Developmental Housing Project of MOH WAVE#2
Project Title Al-Khafji Housing Project
Client NHC- National Housing Company
PM Consultant SAPL- Saudi Arabian Parsons
Engineer Al-Omran Architects & Engineering Consultants
Contractor Tamimi Global Company
Materials Submittal Approval References: NHC-TAM-PMO-MAT-EL-0001
Description of Received Materials:
Electrical materials as per attached

Quantity of Received Materials: Delivery Note Attached


Manufacturer - Country of Origin: Riyadh
Supplier : AL-ROUF ( This delivery Note is not according to Approved Supplier)
Delivery Note Number: PUT DELIVERY NOTE NUMBER
Date Material Received On Site: 11/30/2020
Storage Location: Al-Khafji Site

Contractor: Received by Engineer


Name: Engr. Ahmed Abdellatif Name: Engr. Bahaa Ismail
Signature: Signature:
Designation: Construction Manager Designation: Reisdent Engineer
Date: 12/6/2020 Date:
Engineer's Comments
Inspection Reports:
Physical damage? Yes No
Details given in Delivery Note correct? (Type, Size, Wt., Qty. etc.) Yes No
Conform with approved submission? (Certified etc.) Yes No

Inspector / Material Engineer Remarks:

Name: Engr. Bahaa Ismail Signature: Date:

Engineer's Decision:
The above materials have been inspected on site and found, at time of inspection, to be:
Fully satisfactory and can be used for permanent works at site.
Partialy satisfactory and can be used for permanent works after taking into consideration
our above mentioned remarks.
Rejected and can not be used for permanent works at site

Name: Signature: Date:


PM Comment:

Name: Signature: Date:

Received by Contractor:
Name: Engr. Ahmed Abdellatif Signature: Date:

Form Ref:........................
Form Rev (.....) Page 1 of 1
Form Issue Date..............

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