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Ref No.:
S tham chiu:
Contract package:
Gi thu:
Project Management:
T vn QLDA:
QA-F-VN-PCMT&C_For_Air_Balancing-Rev A
ARCHETYPE
Description of item(s):
(M t hng mc)
According to Drawing No.:
(Da theo bng v s):
Owners Inspection Report
(Bin bn kim tra ca Ch u t)
Size (Kch thc)
Description
(Din gii)
Size of
FAG
(Kch
thc
ming
gi)
Free Area
(Din tch
thi)
( m2 )
Date:
(Ngy)
Design (Thit k)
Air
volume
(Lu
lng
gi)
( CMH )
QA-F-VN-PCM-T&C_For_Air_Balancing-Rev A
Air
velocity
(Tc
gi)
( M/S )
Point/
im
1
Measured (Kt qu o)
Air Velocity m/s (Tc gi)
Air
Velocity
Average
Point/ Point/ Point/ Point/ Point/
(m/s)
im im im im im
(Tc
2
3
4
5
6
gi trung
bnh)
Time:
(Gi)
Air
Volume
(CMH)
(Lu
lng
gi)
Error
%
(Li
%)
Remarks
(Ghi
Ch)
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Your submission for approval is subject to following conditions: (n trnh ph duyt c kt qu nh sau):
Approved
(Chp thun)
Not approved as noted
(Khng chp thun vi ghi ch sau)
Note (Ghi ch): Accepting the T & C works in this inspection SHALL not relieve the contractors responsibilities from his contract agreements. /Vic chp nhn kit qu kim tra vn hnh
v th nghim trong bin bn nghim thu ny s khng lm gim trch nhim ca nh thu theo nhng iu khon rng buc trong hp ng.
Contractor
(Nh thu):
Client's Representatives
(i din Ch u t):
Name (Tn):_______________
Name (Tn):_______________
Name (Tn):_______________
Date (Ngy):_______________
Date (Ngy):_______________
Date (Ngy):_______________
QA-F-VN-PCM-T&C_For_Air_Balancing-Rev A
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