SECTION 1: to be filled out by the Contractor

Development of Airports in Sultanate of Oman (DASO) projects D D M M Y Y Y Y

Material Approval Sheet Date Received 0 8 0 6 2 0 1 6
Contract: MC - 1 3 Discpl./Subd. E L E C T R I C A L New Submission

Contractor Name Resubmission

EDMS Ref. Material S E _ G A L _ 1 3 E L _ M T L _ 0 0 0 6 1 _ F Revision 0 4
EDMS Ref. Form S E _ G A L _ 1 3 E L _ M A S _ 0 0 0 6 1 Revision
Title:
110V DC SYSTEM
Ref. Specification/BOQ NA

Drawing Reference(if any) NA

Manufacturer/Location ALPHA TECHNOLOGIES-YUASA / TURKEY

Local Supplier Yes No Sample Submitted Yes No
If not local suppplier, please provide explanation:

Enclosures: Specification Test Reports (if applicable) Manufacturer Reference

Compliance Statement ISO Certificate (if applicable) Maintenance Data

Drawings (if applicable) Warranty/Guaranty Others, as detailed

Trade License Method Statement

Catalogue If sample will be use in a Mock-up

Comments from Contractor (Write below document reference numbers for cross referencing)
LIST OF COMPONENTS AND COUNTRY OF ORIGIN MENTIONED AGAINST EACH ITEMS.

SECTION 2: to be filled out by CE: Date:

MAS Selected for review by TC-APM/STAKEHOLDER: Yes - Refer to section 3 No - refer to section 4

Above information given by the Contractor is complete: Yes No

Comments from CE: Approval Status: (see Legend below)

As the MAS is not complying with the previous comments completely, the make is
not accepted. Contractor to propose a reputed make material with reliable, proven
service record in compliance with OES and ER as commented by Engineer/TC in
previous revisions.

SECTION 3: Comments from TC-APM/STAKEHOLDER Date:

Comments from TC-APM/STAKEHOLDER: Objection No Objection
This area is for Photos of the Sample Material submitted

SECTION 4: to be filled in by Consultant Engineer Date:

Approval Code: Approved

Appvd with comments

Revise & resubmit

Rejected

This Form is processed through EDMS and requires no signature Doc. No. AL-PMT-ALQU-TEM-0001

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