DISI-QA-FR-G-MS-098 Rev 0

Hashemite Kingdom of Jordan

Ministry Of Water and Irrigation

Disi Water Company

Disi-Mudawarra to Amman Water Conveyance System Project

COATINGS/ LINING MATERIAL REQUEST FORM

Date

Gama Guc Sistemleri Muhendislik ve Taahhut A.S.

Report No

Subcontractor: ______________________________

Date: _______________________________

Item Description Qty Warning label attached (Yes/ No)

Expiration Date

1 2

3

4 5

6.

7.

8.

9.

10.

11.

Authority Name/ Signature Date

Subcontractor Requester:

GGS Area Construction Manager:

GGS Warehouse Manager: