Request for Inspection Works Request PMPT-INR-18569-01 Construction Site: Posorja Multipurpose Terminal – Terminal Works Part/Lot No.: FIRE FIGHTING Piping Section of Specs. : ES-132.003-301-23-001-R04-B Drawing No.: D-132.003-301-23-001-R09 Description of Inspection requested (Submitted to the Engineer at least 24 hours before the time of the inspection) To be held on / at / with Date 14-02-2019 Time 8:00-16:00 Location Name Near FHP47-1, 20 meters GAO SHUAI (Supervisor Name) We will start backfilling ,we will check the compaction degree in each layer of 200mm~250mm Activities for according to the project specifications for comments and the approval of CGR. which the inspection is requested (short description) Inspection Forms Inspection Form(s) No(s): ________ CL-03_______ will be available at time above. Other information During backfilling, CGR should be Surveillance. And the contractor will record the compaction degree. Submitted by CHEC Received by Name/Date/Signed APPROVED Name/Date/Signed CGR REJECTED Name: ___________________________ Signature: __________________ Date: CGR inspection comments shall be included in the respective Inspection Form. (For other comments than inspection findings): 1 2 3 4 CL-03 Request for inspection works PMPT-INR-18569-01 Compaction Degree FM-177 Source of filling SAND Test report FM-175 Design elevation(m) 01-06-2019 Degree of compaction required thickness of the layer (cm) 90% Number of layer / Total length of trench(m) 20 m Test mode and test depth(mm) Method A , ___150____mm Test method ASTM D6938 Equipment model MODEL 5001 EZ Test serial number Sign Resp.Operator: NA Distance from Wet density VP-02/VP-06 (kg/m3) Water content (%) Sign Resp. Technical CHEC: Dry density (kg/m3) Maximum density value (kg/m3) Sign Resp. Engineer CGR: 200~250 Degree of Compaction (%)