CONTRACTOR LOGO CONSULTANT LOGO
…………….. DRINKING WATER SUPPLY SYSTEM PROJECT
MATERIAL INSPECTION REQUEST
Document No : Date :
DESCRIPTION OF MATERIAL :
.
MATERIAL OF QUANTITY :
CONTRACTOR DOCUMENT REFERENCE :
REF. SPECIFICATIONS:
MANUFACTURER (NAME & ADDRESS) :
SUPPLIER AND/OR LOCAL AGENT :
DELIVERY NOTE NO:
AREA/LOCATION OF USE:
ANNEX:
Engineer’s Comments Date: …………………… Time: ……………
:
Name : ……………….…………………………… Sign : …………………………………
Comments : ..........................................................................................................................
………………………………………………………………………………………………….
. .………………………………………………………………………………………………..
□ Approved □ Rejected