Professional Documents
Culture Documents
QCF 108
PROJECT
CLIENT
___________________________________________________________
DRAWING No.
_______________________________
UNIT / AREA
REV. ______
SH__ OF __
_______________________________
GROUT TYPE:
CEMENT BASED TYPE G1
Brand _____________________
THK mm________________
EPOXY TYPE G2
Brand _____________________
THK mm________________
Brand _____________________
THK mm________________
INSPECTIONS
S/ N
1.
DESCRIPTION
ACC
NOT ACC
REMARKS
GROUTING APPROVAL
2.
SURFACE PREPARATION
AND SOAKING TIME
3.
FORM WORK
4.
PLACEMENT START
5.
PLACEMENT FINISH
6.
EXPANSION JOINT
7.
REINFORCEMENT
8.
SAMPLE TAKEN
9.
CURING
REMARKS
TEST RESULT:
ACCEPTED
NOT ACCEPTED
SUBCONTRACTOR
NAME
SIGNATURE
DATE
/var/www/apps/conversion/tmp/scratch_3/171081970.doc
CONTRACTOR
CLIENT