Date ..Name Of the Contractor:

Package Name : Package No : MIR No :Description of Materials:Location : Building /Area : Level Zone :

A.B.C Grids 1.2.3Grids.

Following Observations have been performed by Vendors Site engineer/Project engineer :-

Name Signature

1 The attachment of ProformaInvoice( PI) copy /Materialsdelivery chalan/ Packing List.

AI & ASSOCIATES LTD

Materials Inspection Request

Location

SL. No. System Description Yes/NO/NAChecked by Engineers Remarks, If any

PMC-RBVH-MEP-GEN-03/13

1 The attachment of ProformaInvoice( PI) copy /Materialsdelivery chalan/ Packing List.

2 Materials is as per projectrequirement and as per theapproved specification.

3 The Materials are free fromdamage/defect

4The Materials are as per theapproved Origin andManufacturers .

5Testing equipment(like disital gaussmeeter,Meger etc). is arranged formaterials testing

6 The supply materials is as per theapproved sample7 The manufacturer submittals isavailable along with materials

Verified By PMCNameSignatureDateComments if any by Consultant:-

Submitted By Vendor Checked By MEP Con Approved by SHDL

PMC-RBVH-MEP-GEN-03/13