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Annexure (1)

TOTAL SHEETS 11

INSPECTION TEST PLAN (ITP) FORMAT LIST PROJECT No.: - 6261 Sr. No. 1 1.1 1.2 2 2.1 2.2 2.3 2.4 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.22 3 3.1 General Final Visual Inspection Punch List Calibration Verification Report Civil & Structure Quality check for site survey Moisture/density relation test Density test Field density test - sand cone method Aggregate physical properties laboratory report Aggregate sieve analysis test Design mix properties test of concrete Concrete compression specimen test report Reinforcement check Inspection before placing concrete (pour card) Grouting under base plate / pocket Building impection record Structural steel fabrication Inspection of structural steel erection Tank foundation settlement Fire proofing check list Location & level of equipment foundation California bearing ratio test of subgrade Painting Painting - Application of finish coat Su 001 C 001 C 002 C 003 C 007 (2/2) C 007 (1/2), C 008 C 009 C 010 C 011 C 012 (1-2) C 013 C 014 C 015 C 016 C 017 C 018 C 020 C 022 G 001 G 003 Description Form No.

PT 001

NOTE 1. Bidder to follow applicable ITPs Inspection Test Plans & FIRs Field Inspection Reports to the various items.

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. INSPECT GRADE INSPECTION AND TEST ITEMS SAMPLING FREQUENCY FORM NUMBER REMARKS

***CIVIL***
01 0101 0102 0103 0104 0105 0106 0107 02 0201 0202 0203 0204 0205 0206 0207 0208 03 0301 0302 0303 0304 0305 0306 0307 0308 0309 04 0401 0402 0403 0404 A B C B B B B ***SITE PREPARATION*** QUALITY CHECK FOR SITE SURVEY PROPERTY OF FILLING MATERIAL LABORATORY TEST MOISTURE / DENSITY RELATION TEST DENSITY TEST/COMPACTION TEST ( CORE CUTTER METHOD) SURFACE LEVEL AND SLOPE SURVEY FIELD DENSITY TEST - SAND CONE METHOD CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***PILING*** SUPPLIER MATERIAL TEST CERTIFICATE PILE DRIVING RECORD PILE BORING RECORD PILE LOADING TEST RECORD PILE DRIVING PILE REBOUND PILE CUTTING CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***FIELD WELDING*** WPS (WELDING PROCEDURE SPECIFICATION) PQR (PROCEDURE QUALIFICATION RECORD) W'QT (WELDER QUALIFICATION TEST) VISUAL INSPECTION (WELDING) DRY PENETRANT TEST RADIOGRAPHIC EXAMINATION MAGNETIC PARTICLE EXAMINATION ULTRASONIC EXAMINATION CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***ROAD AND PAVING*** MOISTUREIDENSITY RELATION TEST OF SUBGRADE DENSITY / TEST OF SUBGRADE CALIFORNIA BEARING RATIO TEST OF SUBGRADE SURVEY OF SUBGRADE SURFACE LEVEL AND SLOPE PRE-COMMENCEMENT EACH SOURCE EACH SOURCE EVERY 50OM2 EVERY 250OM3 EVERY 2500M3 ALL SU 001 G 001 C 001 C 002 G 001 C 003 G 003

B B B A C C C B

EACH LOT ALL ALL ALL ALL ALL ALL ALL

AS PER SUPPLIERS FORMAT C 004 C 005A (1/2 & 2/2) C 006 C 021(1/3,2/3,3/3) C 005 G 001 G 003

B B B C B B B B B

ALL ALL EACH WELDER ALL ALL ALL ALL ALL ALL

P-001(1-2) P-002(1-3 P 003 P 004 P 008 P 007 P 010 P 011 (1/2 & 2/2) G 003

B B B C

EVERY 100OM2 EVERY 100OM2 EVERY 100OM2 EVERY 50OM2

C 001 C 002 C 022 G 001

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 0405 0406 0407 0408 0409 0410 0411 05 0501 0502 0503 0504 06 0601 0602 0603 10 1001 1002 1003A,B 1004 1005 1006 1007 1008 1009 1010 1011 1012 20 2001 2002 2003 INSPECT GRADE C C B C A A B INSPECTION AND TEST ITEMS SIEVE ANALYSIS TEST OF SUB-BASEIBASE COURSE MATERIAL SURVEY OF SUB-BASE/BASE COURSE SURFACE LEVEL AND SLOPE ASPHALT M IX -SUPPLIER TEST CERTIFICATE INSPECTION OF PRIME COAT/ASPHALT CONCRETE APPLICATION SURVEY OF SURFACE COARSE LEVEL AND SLOPE FINAL VISUAL INSPECTION PUNCH LIST (CIVIL) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***DRAINAGE*** SUPPLIER MATERIAL TEST CERTIFICATE INSPECTION OF UNDERGROUND PIPE AND SYSTEM FINAL VISUAL INSPECTION PUNCH LIST (CIVIL) INSPECTION OF DRAIN LAYOUT ***EARTH WORK*** MOISTURE/DENSITY RELATION TEST DENSITY TEST SURVEY AND INSPECTION OF EXCAVATION ***CONCRETE*** MANUFACTURER MATERIAL TEST CERTIFICATE AGGREGATE PHYSICAL PROPERTIES LABORATORY TEST AGGREGATE SIEVE ANALYSIS TEST WATER SAMPLE ANALYSIS LABORATORY TEST DESIGN MIX PROPORTION TEST OF CONCRETE REINFORCEMENT CHECK CONCRETE POUR CARD (INSPCTION BEFORE PLACING CONCRETE COMPRESSION STRENGH LABORATORY TEST INSPECTION BEFORE PLACING CONCRETE - ANCHOR BOLT/POCKET DETAIL LOCATION & LEVEL OF EQUIPMENT FOUNDATION GROUTING UNDER BASE PLATE/POCKET CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***STRUCTURAL STEEL*** MATERIAL TEST CERTIFICATE TORQUE WRENCH CALIBRATION CERTIFICATE STRUCTURAL STEEL FABRICATION SAMPLING FREQUENCY EACH SOURCE EVERY 500M2 EACH SOURCE EVERY 50OM2 EVERY 50OM2 ALL ALL FORM NUMBER G 001 G 001 G 001 G 001 G 001 G 001 G 003 REMARKS

B B A B

EACH SUPPLIER ALL PRE-BACKFILLING ALL

AS PER SUPPLIERS FORMAT G 001 G 001 C 023

B B B

AS PER DESIGN AS PER DESIGN EACH FOUNDATION

C 001 C 002 G 001

B B B B A B B B B B B B

EVERY SUPPLIER EACH SOURCE EACHSOURCE EACH SOURCE ALL ALL ALL AS PER SPEC. ALL ALL ALL ALL

AS PER SUPPLIERS FORMAT C 007 - 2/2 C 007 - 1/2, C 008 AS PER LABORATORY FORMAT C 009 C 011 C 012- 1/2 C 010 C 012 -2/2 C 020 C 013 G 003

B B B

EVERY SUPPLIER PRE-COMMENCEMENT ALL

G 001 G 001 C 015

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 2004 2005 30 3001 3002 3003 3004 3005 3006 3007 3008 INSPECT INSPECTION AND TEST ITEMS SAMPLING FREQUENCY EACH STRUCTURE ALL EVERY SUPPLIER EACHSOURCE EACHSOURCE EACH LINE EACH UNIT ALL BUILDING ALL ALL FORM NUMBER C 016 G 001 AS PER SUPPLIERS FORMAT G 001 G 001 G 001 G 001 G 001 C 014 G 003 REMARKS

GRADE B INSPECTION OF STRUCTURAL STEEL ERECTION A FINAL VISUAL INSPECTION PUNCH LIST ***BUILDING*** B SUPPLIER MATERIAL TEST CERTIFICATE B SAND PHYSICAL PROPERTIES LABORATORY TEST CERTIFICATE B SAND SIEVE ANALYSIS TEST (FOR MORTAR) B PLUMBING SYSTEM LEAK CHECK A HVAC SYSTEM CHECK A FINAL VISUAL INSPECTION PUNCH LIST (CIVIL) A BUILDING INSPECTION RECORD B CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS

STATIONARY AND ROTATING EQUIPMENT INSTALLATION


40 4001 4002 4003 4004 4005 41 4101A~E 4102 4103 4104 4105 4106 4107 4108 4109 42 4201 4202 4203 4204 HEATERS,BOILER AND STACK INSPECTION FOR STRUCTURAL STEEL ERECTION HEATER CASTABLE, FIRE BRICK & INSULATION BLANKET CHECK INSTALLATION OF SUPPORT, GUIDES & ATTACHMENT FINAL VISUAL INSPECTION PUNCH LIST( EQUIPMENT) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***TOWERS, VESSELS AND HEAT EXCHANGERS*** ALIGNMENT INTERNALS MEDIA PACKING AND LOADING PRESSURE TEST FOR SHELL AND/OR TUBE TRAY LEAKAGE TEST SEATING AND ORIENTATION CHECK COMPLETION OF REPAIR INSPECTION FINAL VISUAL INSPECTION PUNCH LIST (EQUIPMENT) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***AIR HEATER*** INSPECTION OF STRUCTURAL STEEL ERECTION ASSEMBLY ALIGNMENT FINAL VISUAL INSPECTION PUNCH LIST (EQUIPMENT) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS

B B B A B

ALL ALL ALL ALL ALL

C 016 HT 004 HT 003 T016 G 003

B B A A A B B A B

ALL ALL ALL AS SPECIFIED ALL ALL ALL ALL ALL

M 001-005 M 009 -1/13 TO 13/13 M 010 M 008 M 012 G 001 G 001 M 014 G 003

B B A A

ALL ALL ALL ALL

C 016 G 001 M 014 G 003

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 43 4301 4302 4303 4304 4305 44 4401 4402 4403 4404 45 4501 4502 4503 4504 4505 4506 4507 4508 4509 4510 4511 4512 46 4601 4602 4603 4604 4605 4606 4607A~B 4608 4610 4611 INSPECT GRADE A A A A B B B A B *** STATIONARY AND ROTATING EQUIPMENT INSTALLATION*** H0RIZONTAL PUMP ALIGNMENT COMPRESSOR ALIGNMENT TRIAL RUN FINAL VISUAL INSPECTION PUNCH LIST (EQUIPMENT) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***OTHER EQUIPMENT*** ALIGNMENT FUNCTIONAL CHECK FINAL VISUAL INSPECTION PUNCH LIST (EQUIPMENT) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***WELDING*** WPS (WELDING PROCEDURE SPECIFICATION) PQR (PROCEDURE QUALIFICATION RECORD) WQT (WELDER QUALIFICATION TEST) FIT-UP CHECK WELDING RECORD ROOT AND COVER PASS VISUAL INSPECTION (WELDING) DYE PENETRANT TEST RADIOGRAPHIC EXAMINATION POST WELD HEAT TREATMENT MAGNETIC PARTICLE EXAMINATION ULTRASONIC EXAMINATION CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***TANKAGE*** WPS (WELDING PROCEDURE SPECIFICATION) PQR (PROCEDURE QUALIFICATION RECORD) WQT (WELDER QUALIFICATION TEST) TANK MATERIAL TEST CERTIFICATE MATERIAL CONTROL SHEET (MATERIAL RECEIPT) MATERIAL CONTROL (PRIOR TO CUTTING) FIT-UP CHECK WELDING RECORD ROOT AND COVER PASS WELDING RECORD FOR FIELD WELDED STORAGE TANKS RADIOGRAPHIC EXAMINATION INSPECTION AND TEST ITEMS SAMPLING FREQUENCY ALL ALL ALL ALL ALL ALL ALL ALL ALL FORM NUMBER M 007 M 013 (1-2) G 001 M 014 G 003 G 001 G 001 M 014 G 003 REMARKS

B B B B B B B B B B B B

ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL

VENDOR VENDOR P 003 P 004 P 005 P 004 P 008 P 007 P 009 P 010 P 011 (1-2) G 003

B B B B B B B C B B

ALL ALL ALL EACH LOT AS SPECIFIED AS SPECIFIED ALL ALL ALL AS PER SPEC.

P 001(1-2) P 002(1-3) P 003 AS PER SUPPLIER FORMAT T 001 T 002 T 005-006 P 005 T 003 P 007

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 4612 4613 4614 4615 4616 4617 4618 4619 4620 4621A/B 4622 4623 4624 4625 4626 4627 INSPECT GRADE B B B A B A A B A A B B C B B B INSPECTION AND TEST ITEMS DYE PENETRANT TEST MAGNETIC PARTICLE EXAMINATION ULTRASONIC EXAMINATION VACUUM TEST, BOTTOM PLATE SHELL PLATE VERTICAUTY AND ROUNDNESS INSPECTION HYDROSTATIC TEST REPORT FOR STORAGE TANK ROOF PLATE LEAK TEST PNEUMATIC TEST FOR CONE ROOF OF STORAGE TANK FINAL VISUAL INSPECTION PUNCH LIST (TANKAGE) TANK FOUNDATION SETTLEMENT ROUNDREN CHECK SHELL TO BOTTOM JOINT INSPECTION REPORT RF. PAD TEST NOZZLE ORIENTATION INSPECTION REPORT VISUAL INSPECTION LIST (TANKAGE) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS SAMPLING FREQUENCY AS PER SPEC. AS PER SPEC. AS PER SPEC. ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL FORM NUMBER P 008 P 010 P 011 (1-2) T 004 G 001 T 012 G 001 T 014 T 016 C 017, T 013 T 007 T-008 T-015 T-010 T-011 G 003 REMARKS

***PIPING AND PIPING WELDING***


50 5001 5002 5003 5004 5006 5007 5008 51 5101 5102 5103 5104 5105 5106 5107 5108 A A A A A B B ***PIPING*** UNDERGROUND PIPE CHECK LINE CHECk LIST PRESSURE TEST FLUSHING REPORT FINAL VISUAL INSPECTION PUNCH LIST (PIPING) PINHOLE TEST (HOLIDAY TEST) FOR WRAPPING COATING OF U/G PIPING CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***PIPING WELDING"* WPS (WELDING PROCEDURE SPECIFICATION) PQR (PROCEDURE QUALIFICATION RECORD) WQT (WELDER QUALIFICATION TEST) FIT-UP CHECK WELDING RECORD ROOT AND COVER PASS VISUAL INSPECTION (WELDING) DYE PENETRANT TEST RADIOGRAPHIC EXAMINATION ALL ALL ALL ALL ALL ALL ALL P 012 P 013 P 014 P 015 T 016 P017 G 003

B B B B C B B B

ALL ALL ALL RANDOM ALL ALL RANDOM AS PER SPEC.

P 001(1-2) P 002 (1-3) P 003 P 004 P 005 P 004 P 008 P 007

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 5109 5110 5111 5112 5113 INSPECT GRADE B B B B B INSPECTION AND TEST ITEMS POST WELD HEAT TREATMENT MAGNETIC PARTICLE EXAMINATION ULTRASONIC EXAMINATION HISTORY SHEET CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS SAMPLING FREQUENCY AS PER SPEC. AS PER SPEC. AS PER SPEC. ALL ALL FORM NUMBER P 009 P 010 P 011 (1-2) PX-001 G 003 REMARKS

ELECTRICAL
61 6101 6102 6103 6104 6105 6106 6107 6108 6109 6110 6111 6112 6113 6114 6115 6116 62 6201 6202 6203 6204 6205 63 6301 6302 6303 6304 B A A B B B B A A A A B B B B B ***POWER FACILTIY*** INSULATION RESISTANCE CHECK ON TRANSFORMER BREAKDOWN VOLTAGE TEST (BDV) ON TRANSFORMER OIL HIGH VOLTAGE (HI-POT) TEST ON HT CABLES & EQUIPMENTS TRANSFORMER VOLTAGE RATIO TEST CHECK LIST ON TRANSFORMER CHECK LIST ON POTENTIAL TRANSFORMER CHECK LIST ON CURRENT TRANSFORMER PRECOMMISSIONING CHECK ON UPS SYSTEM PRECOMMISSIONING CHECK ON BATTERY CHARGER/BATTERY BANK CHECK LIST ON HT PANELS/CUBICALS FINAL VISUAL INSPECTION PUNCH LIST PROTECTION RELAY TESTING CHECK LIST ON LT PANELS (PCC,MCC,PDB, LDB) PRECOMMISSIONING CHECK ON CONTROL & RELAY PANEL TEST REPORT FOR TRANSFORMER BOUGHT OUT ITEM (OTI/WTI/BUCHHOL RELAY) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***MOTOR*** INSULATION TEST HT/LT MOTOR NO LOAD TEST RUN FINAL VISUAL INSPECTION PUNCH LIST PRECOMMISSIONING CHECK ON FIRE FIGHTING PUMPS CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***CABLE, WIRE & CABLE WAY*** INSULATION & CONTINUITY TEST ON HT/LT CABLES GROUNDING RESISTANCE TEST FOR EARTH PITS/GRID FINAL VISUAL INSPECTION PUNCH LIST CHECK LIST FOR EARTHING WORK ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL E 002 E 005 E 007 E 011 E 014 E 016 E 017 E 009 E 010 E 022 E 013 E 023 E 021 E 008 E 012 G 003

B B A B B

ALL ALL ALL ALL ALL

E 004 E 006 E 013 E 020 G 003

B B A B

ALL ALL ALL ALL

E E E E

003 001 013 018

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 6305 6306 64 6401 6402 6403 65 6501 6502 6503 6504 6505 6506 6507 66 6601 6602 6603 6604 6605 6606 6607 6608 INSPECT INSPECTION AND TEST ITEMS SAMPLING FREQUENCY ALL ALL FORM NUMBER E 019 G 003 REMARKS

GRADE B VISUAL CHECK FOR CABLE SEALING ACTIVITY IN BUILDING ENTRIES B CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***LIGHTING FACILITY*** LIGHTING ON-OFF TEST LUX CHECK FINAL VISUAL INSPECTION PUNCH LIST ***COMMUNICATION FACILITY*** TELEPHONE SYSTEM FUNCTION CHECK PAGING SYSTEM FUNCTION CHECK FIREALARM SYSTEM FUNCTION CHECK TELECOMMUNICATION FACILITY FUNCTION CHECK AIR CRAFT LIGHTING FUNCTION CHECK FINAL VISUAL INSPECTION PUNCH LIST CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***CATHODIC PROTECTION*** INSTALLATION & TEST CHECK LIST (MAGNESIUM OXIDE) INSTALLATION & TEST CHECK LIST (TEST BOX) INSTALLATION & TEST CHECK LIST (CROSS BAND) INSTALLATION & TEST CHECK LIST (SILICON IRON ANODE BED) INSTALLATION & TEST CHECK LIST (TRANSFORMER RECTIFIER UNIT) INSTALLATION & TEST CHECK LIST (CABLE JUNCTION BOX) FINAL VISUAL INSPECTION PUNCH LIST CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS

B B A

ALL DESIGN BASE ALL

E 015 E 013 E 013

A A A A A A B

ALL ALL ALL ALL ALL ALL ALL

E 013 E 013 E 013 E 013 E 013 E 013 G 003

B B B B B B A B

ALL ALL ALL ALL ALL ALL ALL ALL

G 001 G 001 G 001 G 001 G 001 G 001 T 016 G 003

INSTRUMENTATION
71 7101 7102 72 7201 7202 7203 B A ***CONTROL ROOM*** CONTROL PANEL ALIGNMENT FINAL VISUAL INSPECTION PUNCH LIST (INSTRUMENTATION) ***INSTRUMENTATION*** INSTRUMENT CALIBRATION (ZERO - MAX POINT CHECK) CALIBRATION RECORD CONTROL VALVE CALIBRATION RECORD ALL ALL G 001 I 014

A A A

ALL ALL ALL

I 002 I 003 I 004

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 7204 7205 7206 7207 7208 7209 7210 7211 73 7301 74 7401 7402 7403 75 7501 7502 76 7601 7602 77 7701 INSPECT GRADE A A B A B A A B INSPECTION AND TEST ITEMS PRESSURE GAUGE TEST P.S.V. BENCH TEST LOOP TEST FUNCTION TEST OF ANALYSER RELAY SETTING RECORD SEQUENCE TEST FINAL VISUAL INSPECTION PUNCH LIST (INSTRUMENTATION) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***CABLE WAY*** FINAL VISUAL INSPECTION PUNCH LIST (INSTRUMENTATION) ***CABLE, WIRE AND TUBING*** INSULATION AND CONTINUITY TEST FINAL VISUAL INSPECTION PUNCH LIST (INSTRUMENTATION) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS ***PRESSURE LEAD PIPE*** PRESSURE TEST FINAL INSPECTION PUCH LIST (INSTRUMENTATION) ***AIR SUPPLY PIPING*** INSPECTION OF PIPING FINAL INSPECTION PUCH LIST (INSTRUMENTATION) ***STEAM TRACE PIPING*** INSPECTION OF STEAM TRACE PIPING SAMPLING FREQUENCY ALL ALL ALL ALL ALL ALL ALL ALL FORM NUMBER I 005 I 006 I 010 I 011 I 012 I 013 I 014 G 003 REMARKS

ALL

I 014

B A B

ALL ALL ALL

I 001 I 014 G 003

A A

ALL ALL

I 007 I 014

A A

ALL ALL

I 008 I 014

ALL

I 009

PAINTING, COATING, FIREPROOFING AND INSULATION


81 8101 8102 8103 8104 ***PAINTING*** PAINTING -SURFACE PREPARATION & PRIMER COAT APPLICATION OF FINISH COAT OF PAINT FINAL VISUAL INSPECTION PUNCH LIST (PAINTING) CALIBRATION VERIFICATION OF MEASURING INSTRUMENTS

B B A B

RANDOM ALL ALL ALL

PT 001 PT 001 PT 004 G 003

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INSPECTION TEST PLAN (ITP) LIST

JOB NO: 6261 ITP NO. 82 8201 8202 83 8301 8302 INSPECT GRADE C A ***INSULATION*** INSTALLATION CHECK FINAL VISUAL INSPECTION PUNCH LIST (INSULATION) ***FIREPROOFING*** FIREPROOFING CHECK LIST FINAL VISUAL INSPECTION PUNCH LIST FIREPROOFING (CIVIL) INSPECTION AND TEST ITEMS SAMPLING FREQUENCY RANDOM ALL FORM NUMBER IN 001 IN 002 REMARKS

C A

RANDOM ALL

C 018 G 001

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