m r- CONSTRUCTION OF WAAD AL-SHAMAL ISCCPP Client : Saudi Electricity Company Contractor: General Electric Request For Inspection (RFIW) Date: 26-Aug-17 Time: 14:00 Inspection Typ □Documents Review Discipline: I I Civil I I SEC O&M I a j j ‘j* --- *‘ -- r 1 INTERNATIONAL RFI No.: 4011-RFI-KJC-000-208-268 Rev: 01 4011-ITP-KJC-000-208-0001.(2.1) Ref. ITP No: * Saudi Electricity Company 0 ] Structural Steel ET Mechanical l SECISD I I □ Witness Point Hold Point I I I Electrical I i&c Others Description of Inspection: CUSTOMER MATERIAL RECEIVING INSPECTION RFIW From KJIC 27-Aug-17 Inspection Date: 8:45 AM Inspection Time: Revised Date: Revised Time ASL PUMP SHELTER Inspection Location: Contractor's Contact Name: Contact No (Mob): Rev: Drawings No: AS PER ATTACHED PACKING LIST Contractor's Field Responsible Engineer Name: AFZMÿ Contractor's Quality Representative Contractor's Field Responsible Engineer Signature/Date: Contractor's "" Quality Representative Cbÿ-r 96Y&U7- Signature/Date: Name:_ Note: Contractor's QA representative shall chek and verify for the completion of all referenced documentation before submitting this RFI. FOR SEC TEAM USE (Only) hZl ACCEPTED I I ACCEPTED WITH COMMENTS I l WITNESS (ONLY) REJECTED (Reason): RESCHEDULE (Reason): OTHER REMARKS: Signed by SEC/ESBI (Validation & Verification) Signed by GE Name: Name: Signature: Signature: Date: Date: SP.'LDHALBÿDDY (ktuukty'3.<3 __ -I Aug specification! approved The Contractor request for site inspection works as llstod above and certifies that ail Items have been properly oxocuted In accordance with Ihe contract drawings. Acceptance does not relieve the contractor from his responsibility and liability concerning compliance with contract requirements even If the work Is completed as per approved drawings or absence of any comments from Client. Contractor shall complete the work as per contractual requirements without extra work claim. r CONSTRUCTION OF WAAD AL-SHAMAL ISCCPP Client : Saudi Electricity Company @ ABEN6R •Vy _ Contractor: General Electric _ Request For Inspection (RFIW) Date: 26-Aug-17 Time: 14:00 n — — *» ■- r1 INTERNATIONAL RFI No.: 4011-RFI-KJC-000-208-268 Rev: 01 4011-ITP-KJC-000-208-0001.(2.1) Ref. ITP No: »j Saudi Electricity Company Inspection Typ □ O' Witness Point Documents Review Hold Point Discipline: I I Civil I i SECO&M | I I Structural Steel | SECISD I J l vj Mechanical I Electrical I I i&c Others Description of Inspection: CUSTOMER MATERIAL RECEIVING INSPECTION RFIW From KJIC 8:45 AM Inspection Time: Revised Date: Revised Time ASL PUMP SHELTER Inspection Location: Sub-Contractors SABIR HUSSAIN Contact Name: 0582638330 Contact No (Mob): Rev: AS PER ATTACHED PACKING LIST Drawings No: Contractor's Field Responsible Engineer Name: 27-Aug-17 Inspection Date: r Mann*? Contractor's Field Responsible (/ Engineer Signature/Date: /' Contractor's Quality Representative Contractor's Quality Representative Signature/Date: Name:_ Note: Contractor's QA representative shall chek and verify for the completion of all referenced documentation before submitting this RFI. U-H. ZC FOR ABE/GE TEAM USE (Only) I I ACCEPTED WITH COMMENTS □'ACCEPTED I | WITNESS (ONLY) I | REJECTED (Reason): I | RESCHEDULE (Reason): OTHER REMARKS: Org Signed By Sub-contractor Name: Signature: __ Signed by (ABENER) IcdiLSk-tt fY) . ___ — .1 <w Tho Contractor request for site Inspection works as listed above and certifies that all items have been properly executed In accordance with the contract specification & approved drawings. Acceptance does not relieve the contractor from his responsibility and liability concerning compliance with contract requirements even if the work Is completed as per approved drawings or absence of any comments from Client. Contractor shall complete the work as per contractual requirements without extra work claim. INSPECTION & TEST PLAN STATIONARY Mechanical a Piping Works for Waad A! Shamal ISCC Power Plant Project Title : il Mold Hoiitl S- Suivc-illniKO Point Witness Point 1' R<*\ lev/ ur uuuiiiienls unly A = Appiu.-nl I'J- Description of Inspection ft Tests Sr. No. Chock Drawing & vendoi data of Latest Revision 11 Procedure for Rotary Equipement Installation 1. 3 Procedure for Stationary Equipement Installation 2 MATERIAL RECEIVING INSPECTION 3 - KJIC Re( 4* Others Piocedure No : .*• Commodity Description: 2- OE ABE 3- SEC 'ESBI Inspections Frequency Acceptance Criteria Specification No. KJIC GE/ABE SEC/ESBI Prior to start of job Vendor Dwg./Data H/R H R Prior to start of job 401 1 -SPE-ABE-000-200-1002 H H R Approved procedure/Specs Prior to start of job 4011 -SPE-ABE-000-200-1002 H H R KJIC-STOR/FRM-36 EACH DELIVERY 4011-SPE-ABE-000-200-0002 Applicable DWG/Data H W W/R KJIC-QA&QC FRM-94 EACH EQUIPMENT AS PER DRAWING H W S/R Verifying Documents Customer Material receiving inspection (Verify Equipment received is complete and no damage or deterioration ) Latest Revision of IFC DWG. /Vendor Data Approved procedure/Specs Remarks STATIONARY EQUIPMENT INSTALLATION 3 1 Check elevation of foundation and anchor bolt verification (Including Padding) after realease from civil contractor 3 2 Location & orientation KJlC-QA&QC FRM-79,80 EACH EQUIPMENT AS PER DRAWING H S R 3.3 Plumbness, leveling & elevation KJ C-QA&QC FRM-79,80 EACH EQUIPMENT AS PER DRAWING H S R 34 Final Inspection VISUAL EACH EQUIPMENT AS PER DRAWING H W W/R 4 others DOCUMENT REVIEW 1 1 2. 1 ITP No : 4011-ITP-KJC-000-208-0001 RevOi INSPECTION PARTIES INVOLVED INSPECTION CODE 1 j a ROTARY EQUIPMENT INSTALLATION ROTARY EQUIPMENT INSTALLATION 4.1 Check elevation of foundation and anchor bolt verification (Including Padding) after realease from civil contractor KJIC-QA&QC FRM-94 EACH EQUIPMENT AS PER DRAWING H W S/R 4 2 Bolt tightening KJIC-QA&QC FRM-102 EACH EQUIPMENT AS PER DRAWING H S R 4.3 Check initial alignment of shaft before release foi grouting. KJIC-QA&QC FRM-82,92 EACH EQUIPMENT AS PER DRAWING H S R 4 4 Check bolt tightening .elevation & orientation before release for grouting. KJIC-QA&QC FRM-92 EACH EQUIPMENT AS PER DRAWING H S R 4.5 Final Check alignment as per vendor and project specification lequirementsfAftei Piping) KJIC-QA&QC FRM-82,92 EACH EQUIPMENT AS PER DRAWING H W W/R This document is tile intellectual property of KJIC. Any unauthonzed use, including the modification and reproduction of the content is strictly prohibited D.v. Foi’ ir> iiiir. Ptifii : lot -l Doc No KJIC-OAQC/FRM-21 Rev 02 V ABENER Incoming Material Inspection Report MET WELD INTERNATIONAL LLC Address: INTERNATIONAL Saudi Electricity Company Check List No: IMIR -KJIC/256 Date: Page 1/2 26/08/2017 401 1-TEM-ABE-000-700-1000 Contract N°: 4400006770 (A) Name of Supplier: r CONSTRUCTION OF WAAD AI-SHAMAL ISCCPP Client: Saudi Electricity Company Contractor: GE / ABENER ■■ I Material Supplied for: Asl Pumps Area Ref. RSI No: N/A Ref. ITP Step No: 4011-ITP-KJC-000-208-0001#2.1 Date: 26/08/2017 Purchase Order/Shipment#: 610514283/3 (B) Material Description : Date of Test certificate Date N.A 299491-0992610514283-38004-002 N.A 2 N.A 299491-0992610514283-38004-002 N.A 70 N.A 299491-0992610514283-38004-002 N.A 4 N.A 299491-0992610514283-38004-002 N.A YES NO N.A. Manufacturer Brand Name Colour Shade Drawing Mark 26-Aug-17 LIQUID FUEL PUMP G.E N/A N/A 115T5573G0 001 1 26-Aug-17 COUPLING G.E N/A N/A 115T5573G0 001 26-Aug-17 SHIM PLATE G.E N/A N/A 115T5573G0 001 26-Aug-17 SPACER G.E N/A N/A Qty (Nos) 115T5573G0 001 (C) 1 Check Cleanliness. Is it free from Rust, Grease, Paint, Loose scales, etc. 2 Observe any Cracked/damaged packing/ ends etc. Weight PACKAGE NO Description Receipt Remarks 3 Is the manufacture test certificate for materials available? Or, Lab Test Report available 4 Any tests to be done ? (D) Remarks Final conclusion Organization Full Name Date Signature Accepted Contractor Rejected SEC/ESBI GE/ABENER Khaled Juffali Industrial Compny M.Sohail Anwar 26/8/20 at * Check list N°: 4011-CHK-ABE-050-350-1001 _rev00 y, ABENER r CONSTRUCTION OF WAAD AI-SHAMAL ISCCPP Client: Saudi Electricity Company Contractor: GE / ABENER Check List No: IMIR -KJIC/256 401 1-TEM-ABE-000-700-1000 Contract N°: 4400006770 INTERNATIONAL Saudi EI#ctrtcJty Company Date: Page 2/2 Incoming Material Inspection Report 26/08/2017 — (A) Name of Supplier: MET WELD INTERNATIONAL LLC Address: Material Supplied for: Asl Pumps Area Ref. RSI No: N/A Ref. ITP Step No: 4011-ITP-KJC-000-208-0001#2.1 Date: 26/08/2017 Purchase Order/Shipment#: 610514283/3 (B) Material Description : Date of Description Manufacturer Brand Name Colour Shade Drawing Mark 26-Aug-17 NUTS / BOLTS G.E N/A N/A 115T5573G0 001 24 26-Aug-17 STRCTURE BOLTS G.E N/A N/A 115T5573G0 001 36 Receipt Qty (C) 1 Check Cleanliness. Is it free from Rust, Grease-Paint, Loose scalesÿ etc. 2 Observe any Cracked/damaged packing/ ends etc. Weight PACKAGE NO Test certificate Date N.A 299491-0992610514283-38004-002 N.A N.A 299491-0992610514283-38004-002 N.A YES NO N.A. (Nos) Remarks __ 3 Is the manufacture test certificate for materials available? Or, Lab Test Report available 4 Any tests to be done ? _ _ (D) Remarks Final conclusion Organization Full Name Date Signature Accepted Contractor Khaled Juffali Industrial Compny M Sohail Anwar 26/8/2017 ZE Rejected SEC/ESBI GE/ABENER OA.X si T_[) M(LZ£nny rVNA 33 * Check list N°: 4011-CHK-ABE-050-350-1001 _rev00 J MATERIAL INSPECTION REPORT (CUSTOMER MATERIAL) 263 PROJECT NO. N/A PACKING LIST NO. N/A SHIPMENT NO: N/A ABENER CUSTOMER NAME : N/A DELIVERY NOTICE NO. 299490-0992-610514283-1-8001-00 1 PACKAGE NO. 610514283/1 PURCHASE ORDER NO. QTY. a TYPE OF PACKAGES : PHYSICAL CONDITION OF PACKAGE: OK DESCRIPTION S. NO MIR NO. UNIT SLIGHTLY DAMAGED QTY. AS PER P/L BADLY DAMAGED QTY. RCVD. QTY. SHORT QTY. EXCESS. QTY. DMGD. 1 COUPLING NOS 2 2 N/A N/A N/A 2 SHIM PLATE NOS 16 16 N/A N/A N/A 3 5PACER NOS 4 4 N/A N/A N/A 4 BOLTS NUTS NOS 24 24 N/A N/A N/A 5 STRUCTURAL BOLTS NOS 36 36 N/A N/A N/A □ □ MATERIAL IS CERTIFIED TO BE OK IN ALL RESPECTS FOR USE. MATERIAL IS NOT ACCEPTABLE FOR FOLLOWING REASONS. INSPECTED BY CUSTOMER KHALED JUFFALI ✓ Signature / Name DISTRIBUTION: Date: Feb 15, 2015 Page: 1 of 1 A? . S o WHITE COPY /3//ÿ CUSTOMER BLUE COPY KHALED JUFFALI STORE Doc No KJIC-STOR/FRM-36 This document is the Intellectual Property of KJIC. Any unauthorized use, including the modification and reproduction of the content is strictly prohibited. Rev : 02 Page 1 of 1 @ Packing List Supplier Document Case(Package) #: 299490-0992-610514283-1-8001-001 Case Description: 0992 LIQUID FUEL PUMP Project Name: WAAD AL SHAMAL T urbine/Generator Serial Number#: 299490 GE MLI #: l_ÿ 0992 Supplier Name: MET WELD INTERNATIONAL LLC.ALTAMONT Supplier Address: 5727 OSTRANDER RD ALTAMONT NY 12009 UNITED STATES HaSardous Material: N Material Shipped From: 1301-B CHARLESTON REGIONAL PARKWAY CHARLESTON SC 29401 UNITED STATES Date : 2017-02-15 GE Purchase Order and Line: 610514283/1 GE MLI Drawing #: 115T5573G0001 GE MLI Desc: Supplier Phone: 15187562318 Supplier Point of Contact: Material Shipped To: WAAD_AL_SHAMAL_PROJECT_SITE - GURAYAT TABERGAL HIGHWAY TURAIF ,KING ABDULLAH WA, AL SHAMAL INDUSTRIAL CITY .KINGDOM OF SAUDI ARABIA,NORTH EASTERN REGION - TURAIF TOWN,SOLAR POWER PLANT ,WAAD AL SHAMAL COMBINED CYCLE INTEGRATED TURAIF TOWN SAUDI ARABIA _ Country of Destination : SAUDI ARABIA Container #/ Seal #: / Container Type: - - Ship From Country UNITED STATES PTAG#: 299490-0992-610514283-1-8001-001 Length : 728.98 CM 287 IN Width : 327.66 CM 129 IN Height : 319.4 CM 125.75 IN Gross Weight: 7108.7 KG 1 5672 LB ID Qty Shp. 1 1 Container PTAG #: Net Weight: 7108.7 KG 15672 LB UOM ITEM DESCRIPTION EA SUNSHADE D 2-0 (9 & Q & P) 5 J /2»'T 1-6 SUPPLIER REFERENCE # 115T5573G0001 DRAWING# 115T5573G0001 COUNTRY OF ORIG US