A9工程材料、构配件、设备报审表

SH/T3903-A.9工程材料/构配件/设备报审表WorksMaterials/Components/EquipmentInspectionRequest工程名称WorksTitle：编号ItemNo：致（监理单位）To(CS/CMC)我方于年月日进场的工程材料/构配件/设备数量如下（见附件）。现将质量证明文件及自检结果报上，拟用于下述部位：，请予以审核。Wehavemobilizedthefollowingmaterials/components/equipmentfortheworksonitsquantityislistedbelow（seetheattachments）.Now,wesubmitthequalitydocumentsandourselfinspectionresults,Theproposedlocationsforuseasfollows：，Pleasereviewit.附件Attached：1数量清单QuantityList；2质量证明文件QualityDocuments；3自检结果SelfInspectionResults。承包单位（章）Contractor（Chop）项目经理Projectmanager日期Date审查意见Reviewcomments：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。Aftertheinspection,theabovematerials/components/equipment，meet/donotmeettherequirementsofthedesigndocumentsandspecifications.sitemobilizationisallowed/sitemobilizationisnotallowed,usefortheproposedlocationsisallowed/notallowed.项目监理机构CS/CMC总/专业监理工程师Chief/disciplinesupervisionengineer日期Date