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new national highway no. 3 and regional road network construction Project
To the Engineer: From the Contractor: JV of Nippon Koei - JBSI - TEDI JV of CIENCO 8 - TLG - TSC - VINACONEX The Engineer is notified of the REQUEST FOR INSPECTION of the following: Description of Work: Location of Work/ Inspection, test altitude, density, size up the K95 embankment grade 22 (Kim tra cao , cht, kch th-c hnh hc p nn K95 Lp 22) Km 31+00 -:- Km 31+ 100 (Left) AM/PM
Inspection: Date of Inspection: 11/04/2011 Time of Inspection: 8h45 Site Inspection and/or Testing : Examination/ Measurement before Covering Up: Time of Inspection (state Concrete Pouring:
YES in Factory Inspection and/or Testing: Address as above Location of inspection: appropriate box ): Other (specify ): Overtime required: Engineer's Representative is to acknowledge receipt by signing and returning one copy to the Contractor Reviewed on behalf of Reviewed by Contractor Name: Signature: Le Van Trung Issue by Contractor' Representative Name: Signature: Tran Huu Dung Name: Signature: Engineer
Date: Date: Date: To the Engineer: From the Contractor: JV of Nippon Koei - JBSI - TEDI JV of CIENCO 8 - TLG - TSC - VINACONEX The Engineer's response to the above REQUEST FOR INSPECTION is as follws: The Inspection was attended by the following: The Engineer side The Contractor side
Tran Quoc Minh The Inspection is: o Approved o Approved with conditions The Enginerr's Reasons / Comments are as follows:
Enginerr's Response not valid unless signed by the Enginerr's Representative. Contractor is to acknowledge receipt by signing and returning one copy to the Enginerr's Reprenentative. Reviewed by Enginerr Issued by Resident Enginerr Reviewed by on behalf of Name: Name: Name: Trinh Thi Phuong Thao Signature: Signature: Signature: Date: Date: Date: Note: Request for Inspection shall be submitted to the Enginerr 24 hours in advance. Distribution: Employer (CP-1 Site) - 1, Enginerr;s Representative - 1, Contractor - 1.
PROJECTS MANAGEMENT UNIT 2 New national highway no.3 and regional road network constructionproject
minutes of acceptance
(Bin bn nghim thu) 1.works to be Accepted (Cng vic nghim thu) -Work Item No.(Hng mc s): 03400-03 - Work Deseripsion. (Tn cng vic): Construction of Embankment (below Subgrade) /p nn K95 (bn d-i lp Subgrade) - Location (V tr): Km 30+000 - Km31+200 - Scale of Acceptance (Phm vi nghim thu): Km 31+00 -:- Km 31+100 (Left) Layer(lp): 22 2. Participants of Acceptance (Thnh phn tham gia nghim thu): - Highway Engineer ( K s- -ng): - Nguyn Hu Hnh a) The Consutlant (K s- t- vn): - Inspector: (Gim st hin tr-ng) - Trn Quc Minh - QC Manager (G cht l-ng): - Vn L-ng b) The Contractor (Nh thu): - Main Contractor (Ban iu hnh): -Trn Hu Dng c) The Sup - Contractor (Thu ph): - Team leader (i tr-ng) Nguyn c Hin
3. Time of Acceptance (Thi gian nghim thu): - Begin (Bt u) - End (Kt thc) - Place (a im) At site - Package 2 - section of Soc Son - Thai Nguyen - NH3 Contruction Project Ti hin tr-ng gi - on Sc Sn - Thi Nguyn - D n xy dng QL3 mi 4. Evaluation of the Construction Results (nh gi kt qu xy dng): a)Reference Document for Acceptance (Cn c nghim thu): 1.Request No.(Phiu yu cu nghim thu): 6. Equipment Quality check & Test Result (KQKT T.b): 2. Working Drawing (Bn v thi cng): 7. Daily Record (Nht k cng trnh) 3. Specification (Tiu chun k thut): 8. Inspection Sheets ( Bin bn kim tra hin tr-ng): 4. Method Statement (Bin php thi cng): 9. Internal Acceptance Minute (BBNT ni b) 5. Material Cerfieates (Chng ch vt liu): b) Construction Quality ( Cht l-ng cng vic): .. c) Other opinion ( kin khc): .. d) Comments by the Engineer on the Acceptance of the Construction parts/ctates ( kin k s-): .. 5. Comments ( Kt lun) .. .. Contractor'S signature (Ch k ca nh thu)
Sub -Contractor (TEAM LEADER) MAIN- CONTRACTOR QUANLITY CONTROL
o Van Luong
minutes of acceptance
(Bin bn nghim thu) 1. Works to be Accepted : (Cng vic nghim thu ) - Work Item No (Hng mc s ) : 04100-03 - Work Description (Tn cng vic ): p t K95 - Location (V tr ): Km31+00 - Km31+100 - Scale of Acceptance (Phm vi nghim thu ) : Tri tuyn - Layer (Lp ): 22 2. Participants of Acceptance : a) The Consultant : Position : Highway Enginneer Mr .......................... Position : Inspector Mr ............................... b) The Contractor : Mr .......................... Position : Main Contractor Mr .......................... Position : QC Manager c) The Sub-Contractor : Mr Nguyen Duc Hien Position : Team leader 3. Time of Acceptance : Begin:.h.. ../../2011 End:...h.. ../../2011 Place : Km31+00 - Km31+100 4. Evaluation on the construction Results : a) Reference Documents for acceptance: 1. Request No : 6. Equipment Quality check & Test Result : 2. Working Drawing : 7. Daily Record : 3. Specification : 8. Inspection Sheets : 4. Method Statement : 9. Internal Acceptance Minute : 5. Material Certificate b) Construction Quality : t yu cu.
..
c) Other Opinion:
..
5. Comments : - Chp nhn nghim thu cho n v thi cng hon thnh hng mc 04100-03 - L trnh : Km31+00 - Km31+100 - ng cho n v tip tc thi cng.
Contractor Sub - Contractor main - Contractor quanlity control inspector consultant highway engineer
DISTANCE TO CL(M)
Design Actual Difference
NO
STATION
ILLUSTRATION
6.942 6.928
0.000 0.515
Km31+30.45
1' 2'
7.190 7.173
7.192 7.175
0.002 0.002
0.000 0.808
0.001 0.808
0.001 0.000
1 2
6.970 6.914
0.001 2.546
Km31+40.00 1' 2' 7.221 7.157 7.223 7.155 0.002 -0.002 0.000 2.909 0.000 2.909 0.000 0.000
1 2
7.096 7.074
0.001 1.009
1' 1
2 3 1 4
2' 2
7 5 6 1 2 4 3
Km31+60.00 1' 2' 7.347 7.319 7.350 7.320 0.003 0.001 0.000 1.304 0.000 1.304 0.000 0.000
7.340
0.000
Km31+67.45
1' 2'
7.418 7.421
7.417 7.420
-0.001 -0.001
0.000 0.153
0.002 0.153
0.002 0.000
1' 2' 1
CONTRACTOR
SUB - CONTRACTOR QC MANAGER INSPECTOR
CONSULTANT
HIGHWAY ENGINEER
Do Van Luong
NO
STATION
POINT NAME
ELEVATION (M)
Design Before Construction Actual Difference
DISTANCE TO CL(M)
Design Actual Difference
ILLUSTRATION
SECTION CALCULATION
DATE: 11/04/2011 WORK ITEM : Construction of Embankment item no : 04100-03 CHAINAGE: Km31+00 - Km31+100 Layer: 22
OFFSET TO ELEVATION C.L (m) (m) 0.000 0.515 0.808 0.001 0.000 6.942 6.928 7.175 7.192 6.942 Area (m2) 0.000 -3.575 -1.903 5.804 0.007 Km31+60.00
Ref.
Point
Ref.
Point
1 2 2' 1' 1
0.167 1 2 Km31+40.00 2' 1' 1 0.001 2.546 2.909 0.000 0.001 6.970 6.914 7.155 7.223 6.970 0.000 -17.739 -1.896 21.012 -0.007 0.685 1 2 2' Km31+43.48 1' 1 0.001 3.075 3.383 0.002 0.001 6.985 6.918 7.164 7.235 6.985 0.000 -21.472 -1.374 24.462 0.007 Km31+67.45 1 2' 1' 1 0.000 0.153 0.002 0.000 7.340 7.420 7.417 7.340
0.006
0.810
CONTRACTOR
SUB - CONTRACTOR QC MANAGER
CONSULTANT
INSPECTOR HIGHWAY ENGINEER
Do Van luong
Ref.
Point
Area (m2)
Ref.
Point
Area (m2)
Km31
1
Km31+0.00 20.000 Km31+20.00 5.670 Km31+25.67 4.780 Km31+30.45 9.550 Km31+40.00 3.480 Km31+43.48 16.520 Km31+60.00 3.160 Km31+63.16 4.290 Km31+67.45 5.870 Km31+73.32 6.680 Km31+80.00 0.000 0.000 0.000 0.399 0.167 4.068 0.685 2.601 0.810 9.093 0.293 0.463 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 16.624 16.624
CONSULTANT
QUANTITY SURVEYOR
0.000
2 3 4 5 6 7 8 9 10 H1
20.000 Km31+100.00 0.000 Total (m3) Khi l-ng thanh ton (m3): = Total
CONTRACTOR
SUB - CONTRUCTOR
QC MANAGER
Do Van Luong
NT UNIT 2
network construction project
ION SHEET
CONSULTANT
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