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Monthly (Quarterly) Summary and Reporting Report of Qinfa No. 2 Mine Engineering Evaluation Records in The SDE Mining Area of China Qinfa Group

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Monthly (Quarterly) Summary and Reporting Report of Qinfa No. 2 Mine ( ) Engineering

Evaluation Records in the SDE Mining Area of China Qinfa Group

Table number: ZY/JJ-A38 Serial

number:

project name Contract Number

(supervision unit):

The summary table of project quality inspection and evaluation for the month (quarter) of the previous year is hereby submitted, please check and accept it.

Attachment: Project Quality Inspection and Evaluation Statistics

Contractor (Chapter)

Project manager: Attn: year month day

Acceptance number Sub-project Remark


serial Unit
Unit project name of sub- acceptance
number Engineering Number total total
projects number

illustrate:

The supervisory unit signs for:

Supervision unit (chapter)

Recipient: year month day

This form shall be filled in quadruplicate by the project contractor. After signing for receipt, the supervision unit shall keep two copies, and the project contractor shall keep two copies.

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