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SHOP DRAWING SUBMITTAL

1-Apr-10 2010A WI-PST-12-01

To : NEW SUBMITTAL RESUBMITTAL


From : Submittal No. : Revision :
Project Name : Date :
Project No. : Ref. Specs. Sec. No. :
Customer :

For the Contractor Use For the Consultant / Customer Use

Reference Document
Description of Item Submitted (Type, Size, Model Manufacturer / Contractor/ No. of Review
SN Remarks
No., etc.) Drawing / Brochure No. Copies Specs. Para. Drawing Variation Code
No. Sheet. No. (Y/N)

Remarks: Code:
(1) Approved (3) Rejected (5) Addt'l. Information Required
(2) Approved as Noted (4) Revise & Resubmit (6) Material Submittal Required

The Contractor certifies that all above submitted items have been reviewed in detail and are For the contents of this submittal, approval by the Consultant and/or the Engineer shall not relieve
correct in strict conformance with the Contract drawings and specifications except otherwise the Contractor of his obligation under the Contract, and the Contractor shall be solely responsible for
stated. the soundness and correctness of the submitted documents.

Contractor Contractor Stamp Consultant Approving Authority


Name : Name :
Title : Title :
Signature : Signature :
Date : Date :

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