(面砖)工程材料、构配件、设备报审表.doc

Wenchuan Earthquake Recovery Project (WERP) for Reconstruction of Urban Infrastructures (Sichuan Part)汶川地震灾后重建项目（WERP）城镇基础实施重建（四川部分） WERP Contract No. 汶川地震灾后重建项目合同号：Project Name项目名称： REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月25 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月26 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月27 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月28 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月29 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and the Quality Certificate Document and the check result by ourselves are also attached. Please review these things for the following locations: 我方于 2016 年3 月30 日进场的工程材料混凝土路面砖数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于文峰路支线延长线人行道，请予以审查。Attachments附件: 1.Quantity List数量清单2.Quality Verification Certificate质量证明文件3.Check Result by Ourselves自检结果 Signature of the contractor(chop) 承包单位（章）签字Project Manager项目经理签字Date日期 年 月 日Review comments:The above works material/component/plant conform to /do not conform to the requirements specified in the design documents and specifications and therefore are /are not permitted to enter /remain on the site and may/may not be used in the target location.审查意见：经检查上述工程材料/构配件/设备，符合/不符合设计文件和规范的要求，准许/不准许进场，同意/不同意使用于拟定部位。 Supervision Unit 项目监理机构 Project Manager/Professional Supervision Engineer 总/专业监理工程师 Date日期 REVIEW APPLICATION OF WORKS MATERIAL/COMPONENT/PLANT No. 工程材料/构配件/设备报审表 第 号Name of Works: Contract No. 工程名称：绵阳市梓潼县城镇基础设施第三批次项目 合同号：ZT3-1 To :致：BVHK和中国成达工程有限公司联合体 (监理单位)(Supervision Consultant)The quantity of works material/component/plant of current period on site on the date of purchased by us is detailed in attachments and