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ENGINEERING CONSULTANTS GROUP S.A

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A. Kharafi &Sons
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Unrted Republic Of Tanzama,
M1nrstry of Water 1111 Howard Humphreys
Consr..lr "fJ Eng f'eeq

SAME M\VA~GA KOROGWE WATER SUPI>LY PROJF..CT

PHASE l, LOTi, CONTRACT 1 -PROJECT NO. 1806

CO~CRETE CASTING
~ PERMISSION No. (0061 A )
SllB:\tiSSION DATE: lOTH /Jll'iE /2017 TIME 08.00 A~l

FORM WORK I'ISPECTION REQUEST APPRO\ AL REF: SI\IK-MAK-WIR-612

IIMT NAME: SECOND LIFT OF RAW WATER INTAKE WALLS (PllMPINGAREA) FROM GRID
LINE B-1>:1-5

Ql ANTil V: 40 1\13

CASTI'\'G DATE : J2T"/Jli'\'E/2017 START Tll\tE: 11.00.\J\1

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I he attendance 01· ('1\'IL Engineer:
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W~ inspect~d the folltm ing \\Orks and thcrdorc, gi\C penn iss ion tor concreting th~se works

Attached a simplified dra~' ing shons the castin~ po.,itions ( y /1\o) ??

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electrical engineer Mechanical Engineer Civil l::ngined •

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Nam~ ... ,":a. .~ ....... Name: 7";/~<.SW<v. .. Name: .. f ..'/?-1~~--f.....
Signature: .. ~ Signature:- ~·· ..

Contractor's Project Manager

ISSUED: I~ I O(, l~t:l

Si~nature .·~ ........ :.-

Name Charles Hofman
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ECG
Signature:

Con,ullant Comm<nts~~ ~':""- .. "-".] $\' 'K_ - ~~-----~--e.c\

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Con\ultant's Assistant Engineer
RECEIVED : l ~ I OG /wl1
Signature ............................ ..
Si~ ~ ,.

N;une...................................

Date ................................ ..
ECG :'lia fl e Hany Amer

... J./.. ,..&....'UJ./..71:

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Signature: