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Sample Material Approval - Concrete Block

This material submittal form provides details for a submittal review of concrete block samples for a main building project. It includes the project number, date, location, initiator's name, specification and drawing references, document number and title, and spaces for signatures and comments from the reviewer. The concrete block is specified as a regular full 10.01 block from Cisangkan for sample review.

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Erwin Sambas
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© © All Rights Reserved
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Download as DOC, PDF, TXT or read online on Scribd
662 views

Sample Material Approval - Concrete Block

This material submittal form provides details for a submittal review of concrete block samples for a main building project. It includes the project number, date, location, initiator's name, specification and drawing references, document number and title, and spaces for signatures and comments from the reviewer. The concrete block is specified as a regular full 10.01 block from Cisangkan for sample review.

Uploaded by

Erwin Sambas
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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MATERIAL SUBMITTAL FORM (FRONT COVER SHEET)

Division Office / Project : Engineering


Project No.: 0238 Date: 09/08/2014
Materials submitted for Reviewed : Concrete Block

Location/Area: Main Building Initiator: Yuda. P
Spec Ref/Drg Nos.: Key Word:
Discipline: Civil Structural Architectural E&I Mech Other: (specify)

Document No. : Rev Title of Document Review by Date


Concrete Block Regular Full 10.01
LCI-S-SB-ZZ-0003 00
Cisangkan (Sample)
Specification of Cocnrete Block Regular

Full 10.01 - Cisangkan
Product Data Sheet CISANGKAN







Signed: Signed (Recipient):


Name: Yuda. P Name:
Please sign copy and return to sender Date Received:

CLIENT / CONSULTANT RESPONSE

FROM : DATE :
NAME :
Reviewed with no objection (use as is)
Reviewed with comments (incorporate or implement the comment, then proceed. Further re-submittal may be
required, if specified)
Rejected (resolve the unacceptable condition as per the noted comments and resubmit before proceeding
Reviewed
Comments :

Signed: Date:

Name:

May 2014 Page 1 of 1 LCI-ENG-FM-008E(01)

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