SUI NORTHERN GAS PIPELINES LIMITED DEVELOPMENT NORTH COMPLETION REPORT FOR PHASE

CONTRACTOR : ______________________________________ ______________________________________ ______________________________________ LOCATION: ______________________________________ REGION: __________________________ JOB O: ___________________________ YEAR: ____________________________ F/YEAR: ____________________________

Certified that the following mains were laid from the month of ____________________details are attached as Per appendix A & B. M.R.NO. & DATE DESCRIPTION UNI DRAW LAID BALAN RETURN TO T N CE STORE
MS Pipe 4 dia MS Pipe 2 dia MS Pipe 1 dia Primer B.B.E.S Fiber Glass 4 x 400 Fiber Glass 3 x 400 Thermo Glass 4 x 400 Mueller Tee 4 dia MS Elbow dia 90 degree Audco Valve 4 dia Flanges 4 dia Nuts & Bolts Blind Cap 4 dia Elbow 2 x 90 degree Elbow 2 x 45 degree Mueller Te 2 dia Reducer 2 x 1 Audco Valve 2 dia R.F Flanges 2 dia R.F Nuts & Bolts 5/8 x 3 Blind Cap 2 dia Mueller Tee 1 dia Elbow 1 dia 90 degree Audco Valve 1 dia F.F Flanges 1 dia F.F Nuts & Bilts x 3 Electrodes 5/32 Electrodes 1/8 Audco Valve 2 dia F.F Flanges 2 dia Nuts a& Bolts Reducing Tee 4 dia Reducing Tee 2 dia Reducing Tee 1 dia Reducer 4 x 2 Elbos 4 dia 45 degree Valve Pit Cover ASSOCIATE ENGINEER (DEV-NORTH) Mtrs Mtrs Mtrs Ltrs Kgs Roll Roll Roll Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Kgs Kgs Nos Nos Nos Nos Nos Nos Nos Nos Nos EXECUTIVE ENGINEER

SUI NORTHERN GAS PIPELINES LIMITED

COMPLETION REPORTS DEVELOPMENT NORTH

LOCATION: CONTRACTOR: YEAR______________ JOB NO._________________ FISCAL

Certified that the following mains were laid from the month of _______________________details are attached as Per appendix A & B. M.R.NO. & DATE DESCRIPTION 4 dia PE Pipe 2 dia PE Pipe 1-1/4 dia PE Pipe 4 dia O/V RF 2 Dia O/V PE 4 Flanges RF Stud Bolts 5/8 x 4 4 dia Mueller Tee 2 dia Mueller Te 1 dia Mueller Tee T.Tee 4x4x2 T.T 2x1-1/4 E.Tee4 dia PE 4 Insulating Joints 4 Elbow 90 degree PE 2 Elbow 90 degre PE 4 dia B.Cap PE 2 dia B.Cap PE 1-1/4 B.Cap PE Socket 2 dia Reducer 2 x 1-1/4 PE Socket 1-1/4 dia E.Tee 2 dia PE E.Tee 1-1/4 dia PE T.Piece 4 dia T.Piece 2 dia UNI T Mtrs DRAW N LAID BALAN CE RETURN TO STORE

ASSOCIATE ENGINEER (D-NORTH)

EXECUTIVE ENGINEER

COMPLETION REPORT

1.

PART A

DATE OF PREPARATION

1.1 Reference

a)

Job #_________________________Amount Sanction-----------------Budget Item

b)

Description________________________________________________________________

c)

Purpose___________________________________________________________________

d)

Job Holder_________________________________________________________________

e) Laying Required_____________________________________________________________

Dia ______________________ Meterage________________________________________

f)

Revalidation of Job

Management Approval

Validity Extended Uptill

Associate Engineer

Executive Engineer

Deputy Chief Engineer

PART B i) Actual Laying

1 Dia

2 Dia

4 dia

6 Dia

Total

ii)

Date of Commencement _____________________ Date of Completion ________________________ Date of Commissioning ______________________________

iii)

Contract Payment CONTACTOR NAME WORK ORDER NO. DATE AMOUNT FPC AMOUNT

DESCRIPTION

Payments made to outside Agencies / Department: Documents References/ Approval & Date Outside Agency (Highway, Local Government etc. Amount Purpose

Management Approval

Validity Extended Uptill

Associate Engineer

Executive engineer

Deputy Chief Engineer